Orthopaedic device innovation in South Africa: A study of patenting activity

We assessed knowledge development and exchange among actors who patent orthopaedic devices in South Africa over the period 2000–2015. A social network analysis was performed on bibliometric data using co-inventorship on patents as an indicator of collaboration between different organisations, with a focus on the spatial and sectoral contexts. Network metrics and innovation system indices are used to describe knowledge development and exchange. The results show that university, healthcare and industry organisations have primarily been responsible for increased patenting over time. The key actors were a set of industry actors – a national actor and its US partner – who have patented many devices jointly. National universities were found to make a small contribution, and science councils were found to be absent, despite the efforts in the changing innovation landscape to encourage publicly financed research organisations to protect their intellectual property. The collaboration networks were found to be sparse and disjointed, with many actors – largely from the private healthcare sector – patenting in isolation.Significance: The considerable number of patents filed by private sector clinicians in orthopaedic device innovation in their personal capacity is highlighted. Few patents emanate from national universities, and science council actors are largely absent, despite the Intellectual Property Rights from Publicly Financed Research and Development Act to protect intellectual property emanating from public research organisations. Patenting networks are more fragmented than are scientific publication networks

Does the DHET research output subsidy model penalise high-citation publication? A case study

Abstract South African universities are awarded annual subsidy from the Department of Higher Education and Training (DHET) based on their research publication output. Journal article subsidy is based on the number of research publications in DHET-approved journals as well as the proportional contribution of authors from the university. Co-authorship with other institutions reduces the subsidy received by a university, which may be a disincentive to collaboration. Inter-institutional collaboration may affect the scientific impact of resulting publications, as indicated by the number of citations received. We analysed 812 journal articles published in 2011 by authors from the University of Cape Town’s Faculty of Health Sciences to determine if there was a significant relationship between subsidy units received and (1) citation count and (2) field-weighted citation impact. We found that subsidy units had a significant inverse relationship with both citation count (r= -0.247; CI = -0.311 – -0.182; p less than 0.0001) and field-weighted citation impact (r= -0.192; CI= -0.258 – -0.125; p less than 0.0001). These findings suggest that the annual subsidy awarded to universities for research output may inadvertently penalise high-citation publication. Revision of the funding model to address this possibility would better align DHET funding allocation with the strategic plans of the South African Department of Science and Technology, the National Research Foundation and the South African Medical Research Council, and may better support publication of greater impact research

The medical device development landscape in South Africa: Institutions, sectors and collaboration

A characterisation of the medical device development landscape in South Africa would be beneficial for future policy developments that encourage locally developed devices to address local healthcare needs. The landscape was explored through a bibliometric analysis (2000–2013) of relevant scientific papers using co-authorship as an indicator of collaboration. Collaborating institutions thus found were divided into four sectors: academia (A); healthcare (H); industry (I); and science and support (S). A collaboration network was drawn to show the links between the institutions and analysed using network analysis metrics. Centrality measures identified seven dominant local institutions from three sectors. Group densities were used to quantify the extent of collaboration: the A sector collaborated the most extensively both within and between sectors; local collaborations were more prevalent than international collaborations. Translational collaborations (AHI, HIS or AHIS) are considered to be pivotal in fostering medical device innovation that is both relevant and likely to be commercialised. Few such collaborations were found, suggesting room for increased collaboration of these types in South Africa

Activated Protein Kinase C (PKC) Is Persistently Trafficked with Epidermal Growth Factor (EGF) Receptor

Protein kinase Cs (PKCs) are activated by lipids in the plasma membrane and bind to a scaffold assembled on the epidermal growth factor (EGF) receptor (EGFR). Understanding how this complex is routed is important, because this determines whether EGFR is degraded, terminating signaling. Here, cells were preincubated in EGF-tagged gold nanoparticles, then allowed to internalize them in the presence or absence of a phorbol ester PKC activator. PKC colocalized with EGF-tagged nanoparticles within 5 min and migrated with EGFR-bearing vesicles into the cell. Two conformations of PKC-epsilon were distinguished by different primary antibodies. One, thought to be enzymatically active, was on endosomes and displayed a binding site for antibody RR (R&D). The other, recognized by Genetex green (GG), was soluble, on actin-rich structures, and loosely bound to vesicles. During a 15-min chase, EGF-tagged nanoparticles entered large, perinuclear structures. In phorbol ester-treated cells, vesicles bearing EGF-tagged nanoparticles tended to enter this endocytic recycling compartment (ERC) without the GG form. The correlation coefficient between the GG (inactive) and RR conformations on vesicles was also lower. Thus, active PKC has a Charon-like function, ferrying vesicles to the ERC, and inactivation counteracts this function. The advantage conferred on cells by aggregating vesicles in the ERC is unclear

Short emergency department length of stay attributed to full-body digital radiography - a review of 3 paediatric cases

Multiple casualties strain the resources of emergency departments. Two polytraumatised patients arriving simultaneously can overwhelm a small community hospital, while the capacity of a large urban emergency department does not extend beyond the treatment of 3 - 4 severely injured patients at the same time using the routine trauma protocol.1 Emergency department overcrowding because of multiple casualties leads to increased length of stay and can have an adverse effect on patient outcome. Variations from the norm in trauma management, particularly during the initial assessment and resuscitation phase of care, during a multiple casualty incident, has been associated with 10% and 9% incidence of preventable morbidity and mortality, respectively.2 Inadequate evaluation may contribute to up to 30% of early deaths in children with polytrauma.

Short emergency department length of stay attributed to full-body digital radiography - a review of 3 paediatric cases

Multiple casualties strain the resources of emergency departments. Two polytraumatised patients arriving simultaneously can overwhelm a small community hospital, while the capacity of a large urban emergency department does not extend beyond the treatment of 3 - 4 severely injured patients at the same time using the routine trauma protocol.1 Emergency department overcrowding because of multiple casualties leads to increased length of stay and can have an adverse effect on patient outcome. Variations from the norm in trauma management, particularly during the initial assessment and resuscitation phase of care, during a multiple casualty incident, has been associated with 10% and 9% incidence of preventable morbidity and mortality, respectively.2 Inadequate evaluation may contribute to up to 30% of early deaths in children with polytrauma.

Oncogenic Gain of Function in Glioblastoma Is Linked to Mutant p53 Amyloid Oligomers.

Tumor-associated p53 mutations endow cells with malignant phenotypes, including chemoresistance. Amyloid-like oligomers of mutant p53 transform this tumor suppressor into an oncogene. However, the composition and distribution of mutant p53 oligomers are unknown and the mechanism involved in the conversion is sparse. Here, we report accumulation of a p53 mutant within amyloid-like p53 oligomers in glioblastoma-derived cells presenting a chemoresistant gain-of-function phenotype. Statistical analysis from fluorescence fluctuation spectroscopy, pressure-induced measurements, and thioflavin T kinetics demonstrates the distribution of oligomers larger than the active tetrameric form of p53 in the nuclei of living cells and the destabilization of native-drifted p53 species that become amyloid. Collectively, these results provide insights into the role of amyloid-like mutant p53 oligomers in the chemoresistance phenotype of malignant and invasive brain tumors and shed light on therapeutic options to avert cancer

Focus areas of cardiovascular medical device research in South Africa

We investigated the focus of cardiovascular medical device research in South Africa over the 15-year period 2000 - 2014. Information drawn from journal articles was used for the analysis, with attention to articles describing a contribution to the development of a cardiovascular medical device, or a new application of an existing device. The findings suggest that research has focused on diagnostic and monitoring as well as prosthetic cardiovascular medical devices, with specific emphasis on vascular and valvular heart diseases