108 research outputs found

    Mitigating Case Mix Factors by Choice of Glycemic Control Performance Measure Threshold

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    OBJECTIVE—Performance measures are tools for assessing quality of care but may be influenced by patient factors. We investigated how currently endorsed performance measures for glycemic control in diabetes may be influenced by case mix composition. We assessed differences in A1C performance measure threshold attainment by case mix factors for A1C >9% and examined how lowering the threshold to A1C >8% or >7% changed these differences

    Molecular epidemiology of Mycobacterium bovis in Cameroon

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    We describe the largest molecular epidemiological study of Bovine Tuberculosis (bTB) in a sub-Saharan African country with higher spatial resolution providing new insights into bTB. Four hundred and ninety-nine samples were collected for culture from 201 and 179 cattle with and without bTB-like lesions respectively out of 2,346 cattle slaughtered at Bamenda, Ngaoundere, Garoua and Maroua abattoirs between 2012-2013. Two hundred and fifty-five M. bovis were isolated, identified and genotyped using deletion analysis, Hain® Genotype MTBC, spoligotyping and MIRU-VNTR. African 1 was the dominant M. bovis clonal complex, with 97 unique genotypes including 19 novel spoligotypes representing the highest M. bovis genetic diversity observed in Africa to date. SB0944 and SB0953 dominated (63%) the observed spoligotypes. A third of animals with multiple lesions had multiple strain infections. Higher diversity but little evidence of recent transmission of M. bovis was more common in Adamawa compared to the North-West Region. The Adamawa was characterised by a high frequency of singletons possibly due to constant additions from an active livestock movement network compared to the North-West Region where a local expansion was more evident. The latter combined with population-based inferences suggest an unstable and stable bTB-endemic status in the North-West and Adamawa Regions respectively

    Coherence and transparency: some advice for qualitative researchers

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    This is an Open Access Article. It is published by Brazilian Association of Production Engineering (ABEPRO) under the Creative Commons Attribution 4.0 International Licence (CC BY). Full details of this licence are available at: http://creativecommons.org/licenses/by/4.0/There is relatively little advice in the Engineering domain for undertaking qualitative studies. Researchers have to rely on generic guidance that may result in imprecise application of qualitative methods. A related discipline to Engineering is Information Systems (IS) and the experiences of the IS domain may provide some useful insights for undertaking qualitative studies. This paper synthesizes the guidance from the IS community for crafting high quality qualitative studies and manuscripts. It reports on five themes: i) Establishing philosophical underpinnings; ii) Clarifying theoretical aims; iii) Selecting qualitative methods; iv) Demonstrating rigour in qualitative data analysis; and v) Grappling with generalisation. The review stresses the importance of coherence and transparency for crafting qualitative research manuscripts and provides a list of reflective questions for qualitative research design

    Gateways to the FANTOM5 promoter level mammalian expression atlas

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    The FANTOM5 project investigates transcription initiation activities in more than 1,000 human and mouse primary cells, cell lines and tissues using CAGE. Based on manual curation of sample information and development of an ontology for sample classification, we assemble the resulting data into a centralized data resource (http://fantom.gsc.riken.jp/5/). This resource contains web-based tools and data-access points for the research community to search and extract data related to samples, genes, promoter activities, transcription factors and enhancers across the FANTOM5 atlas. Electronic supplementary material The online version of this article (doi:10.1186/s13059-014-0560-6) contains supplementary material, which is available to authorized users
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