Peer Review of Grant Applications: A Simple Method to Identify Proposals with Discordant Reviews

Grant proposals submitted for funding are usually selected by a peer-review rating process. Some proposals may result in discordant peer-review ratings and therefore require discussion by the selection committee members. The issue is which peer-review ratings are considered as discordant. We propose a simple method to identify such proposals. Our approach is based on the intraclass correlation coefficient, which is usually used in assessing agreement in studies with continuous ratings

The importance of decision intent within descriptions of pragmatic trials

ACKNOWLEGEMENTS This work is supported by the Canadian Institutes of Health Research through the Project Grant competition (competitive, peer-reviewed), award number PJT-153045. CRediT authorship contribution statement Stuart G. Nicholls: Writing - review & editing. Merrick Zwarenstein: Writing - review & editing. Spencer Phillips Hey: Writing - review & editing. Bruno Giraudeau: Writing - review & editing. Marion K. Campbell: Writing - review & editing. Monica Taljaard: Writing - review & editing.Peer reviewedPostprin

Characterization of Susceptibility Artifacts in MR-thermometry PRFS-based during Laser Interstitial Thermal Therapy

Magnetic Resonance Thermometry (MRT) is demonstrating huge abilities to guide laser interstitial thermal therapy (LITT) in several organs, such as the brain. Among the methods to perform MRT, Proton Resonance Frequency (PRF) shift holds significant benefits, like tissue independence. Despite its potential, PRF shift-based MRT holds significant challenges affecting the accuracy of reconstructed temperature maps. In particular, susceptibility artifacts due to gas-bubble formation are an important source of error in temperature maps in MRT-guided LITT. This work presents the characterization of the susceptibility artifacts in MRT-guided LITT and the measurement of its size. LITT was performed in gelatin-based phantoms, at 5 W, 2 W, 1 W, and 0.5 W under MRI guidance with a 1.5 T clinical MRI scanner. Temperature images were obtained with a 3D EPI (Echo planar imaging) prototype sequence. Areas of temperature errors were defined as zones of negative temperature variation <-2 degrees C. Moreover, we have analyzed the artifact shape in sagittal, axial and coronal planes. The analysis demonstrates a double-lobe shape for the susceptibility artifact mainly distributed in the sagittal plane. Also, the higher laser power caused a bigger artifact area. Temperature errors of similar to 80 degrees C proved the necessity to avoid susceptibility artifact generation during MRT-guided LITT. The analysis of the influence of the laser power on the artifact has suggested that using low laser power (0.5 W) helps avoid this measurement error

Treatment of chronic hepatitis C in patients unresponsive to interferon. Interest of re-treatment combining interferon induction therapy and ribavirin (a multicenter pilot study)

Aim About 45% of patients with chronic hepatitis C are unresponsive to the present reference treatment combining pegelated interferon plus ribavirin; before pegylated interferon was available the non-response rate was around 60%. This open multicenter pilot study, initiated before pegylated interferon became available, was designed to evaluate, in patients unresponsive to interferon monotherapy, the rate of biological and virological response and side-effects of the ribivirin- alpha 2b interferon combination. Methods The combination protocol was ribavirin (1 to 1.2 g/d) plus alpha 2b interferon at induction doses (9 MU/d the first week; 4.5 MU/d the eleven following weeks; 3 MU/2 days the 36 following weeks). Results Among the 27 included patients, 17 (63%) were viremia-negative (PCR) after 12 weeks of treatment, 9 (33%) were complete responders (undetectable viremia and normal transaminases) at the end of treatment (48 weeks) and of follow-up (72 weeks). Patients with non-1, non-4 genotypes who derived full benefit from this therapeutic strategy (6/7 (86%) were complete responders: 4/5 with genotype 3 and 2/2 with genotype 5). Quality-of-life was impaired during treatment, especially during the first 12 weeks of high-dose interferon therapy. Conclusion While waiting for new therapeutic possibilities, these good results suggest interferon induction at the beginning of treatment remains a valid option

An experimental test in Mallards ( Anas platyrhynchos ) of the effect of incubation and maternal preen oil on eggshell microbial load

Microbial infection is one of the main factors reducing survival in the first stages of life in oviparous species, and recent studies have shown that the avian eggshell harbors an important variety of microorganisms that can rapidly multiply and penetrate the shell, leading to a decrease in hatchability. Here, we report the results of an experiment in which we examined how incubation and maternal preen oil affect the growth of avian eggshell microbes, using the Mallard (Anas platyrhynchos) as a model species. We compared the bacterial and fungal loads on the shell of non-incubated eggs and eggs incubated by females having free or blocked access to their preen gland. An increase of eggshell bacterial loads was observed in all conditions, but bacterial growth was higher on the shell of incubated eggs than on non-incubated eggs. We did not find any significant difference in eggshell bacterial growth for eggs incubated by females with free or blocked access to their preen gland. In addition, fungal growth during our experiment was not affected by incubation or the mother's preen oil. Our findings are in contrast with those of previous studies which showed that incubation limited or had no effect on eggshell bacterial growth. Differences in environmental conditions and/or species ecology may explain the difference between the results of our experiment and those of previous studies. Our study provides the first data on the effect of maternal preen oil on eggshell microorganisms, showing that preen oil does not limit eggshell microbial growth

Novel Methodologies for Providing In Situ Data to HAB Early Warning Systems in the European Atlantic Area: The PRIMROSE Experience

Harmful algal blooms (HABs) cause harm to human health or hinder sustainable use of the marine environment in Blue Economy sectors. HABs are temporally and spatially variable and hence their mitigation is closely linked to effective early warning. The European Union (EU) Interreg Atlantic Area project “PRIMROSE”, Predicting Risk and Impact of Harmful Events on the Aquaculture Sector, was focused on the joint development of HAB early warning systems in different regions along the European Atlantic Area. Advancement of the existing HAB forecasting systems requires development of forecasting tools, improvements in data flow and processing, but also additional data inputs to assess the distribution of HAB species, especially in areas away from national monitoring stations, usually located near aquaculture sites. In this contribution, we review different novel technologies for acquiring HAB data and report on the experience gained in several novel local data collection exercises performed during the project. Demonstrations include the deployment of autonomous imaging flow cytometry (IFC) sensors near two aquaculture areas: a mooring in the Daoulas estuary in the Bay of Brest and pumping from a bay in the Shetland Islands to an inland IFC; and several drone deployments, both of Unmanned Aerial Vehicles (UAV) and of Autonomous Surface vehicles (ASVs). Additionally, we have reviewed sampling approaches potentially relevant for HAB early warning including protocols for opportunistic water sampling by coastguard agencies. Experiences in the determination of marine biotoxins in non-traditional vectors and how they could complement standard routine HAB monitoring are also considered.En prens

Deglacial to postglacial history of Nares Strait, Northwest Greenland: a marine perspective from Kane Basin

A radiocarbon-dated marine sediment core retrieved in Kane Basin, central Nares Strait, was analysed to constrain the timing of the postglacial opening of this Arctic gateway and its Holocene evolution. This study is based on a set of sedimentological and geochemical proxies of changing sedimentary processes and sources that provide new insight into the evolution of ice sheet configuration in Nares Strait. Proglacial marine sedimentation at the core site initiated ca. 9.0&thinsp;cal&thinsp;ka&thinsp;BP following the retreat of grounded ice. Varying contributions of sand and clasts suggest unstable sea ice conditions and glacial activity, which subsisted until ca. 7.5&thinsp;cal&thinsp;ka&thinsp;BP under the combined influence of warm atmospheric temperatures and proglacial cooling induced by the nearby Innuitian (IIS) and Greenland (GIS) ice sheets. An interval rich in ice-rafted debris (IRD) is interpreted as the collapse of the ice saddle in Kennedy Channel ca. 8.3&thinsp;cal&thinsp;ka&thinsp;BP that marks the complete opening of Nares Strait and the initial connection between the Lincoln Sea and northernmost Baffin Bay. Delivery of sediment by icebergs was strengthened between ca. 8.3 and ca. 7.5&thinsp;cal&thinsp;ka&thinsp;BP following the collapse of the buttress of glacial ice in Kennedy Channel that triggered the acceleration of GIS and IIS fluxes toward Nares Strait. The destabilisation in glacial ice eventually led to the rapid retreat of the GIS in eastern Kane Basin at about 8.1&thinsp;cal&thinsp;ka&thinsp;BP as evidenced by a noticeable change in sediment geochemistry in our core. The gradual decrease in carbonate inputs to Kane Basin between ∼8.1 and ∼4.1&thinsp;cal&thinsp;ka&thinsp;BP reflects the late deglaciation of Washington Land. The shoaling of Kane Basin can be observed in our record by the increased winnowing of lighter particles as the glacio-isostatic rebound brought the seabed closer to subsurface currents. Reduced iceberg delivery from 7.5 to 1.9&thinsp;cal&thinsp;ka&thinsp;BP inferred by our dataset may be linked to the retreat of the bordering ice sheets on land that decreased their number of marine termini.</p

Design effect in multicenter studies: gain or loss of power?

<p>Abstract</p> <p>Background</p> <p>In a multicenter trial, responses for subjects belonging to a common center are correlated. Such a clustering is usually assessed through the design effect, defined as a ratio of two variances. The aim of this work was to describe and understand situations where the design effect involves a gain or a loss of power.</p> <p>Methods</p> <p>We developed a design effect formula for a multicenter study aimed at testing the effect of a binary factor (which thus defines two groups) on a continuous outcome, and explored this design effect for several designs (from individually stratified randomized trials to cluster randomized trials, and for other designs such as matched pair designs or observational multicenter studies).</p> <p>Results</p> <p>The design effect depends on the intraclass correlation coefficient (ICC) (which assesses the correlation between data for two subjects from the same center) but also on a statistic <it>S</it>, which quantifies the heterogeneity of the group distributions among centers (thus the level of association between the binary factor and the center) and on the degree of global imbalance (the number of subjects are then different) between the two groups. This design effect may induce either a loss or a gain in power, depending on whether the <it>S </it>statistic is respectively higher or lower than 1.</p> <p>Conclusion</p> <p>We provided a global design effect formula applying for any multicenter study and allowing identifying factors – the ICC and the distribution of the group proportions among centers – that are associated with a gain or a loss of power in such studies.</p

The Gift of Future Time: Islamic Welfare and Entrepreneurship in 21st century Indonesia

The attainment of religiously informed and socially responsible wealth is a desire widespread in the metropolises of Java, Indonesia, especially amongst the pious middle classes. This article aims at an understanding of the emergence and effects of an early 21st century desire for pious entrepreneurial success, by focusing on the practices people consistently and regularly undertake in order to actualise this. It claims that the religiously informed desire for entrepreneurial success is permeated by a mode of temporality that privileges the future at the expense of the past and the present. This temporal orientation has important consequences for subject-making, as it forces the subjectivities created to take a distinctively asymptotic form, resulting in the production of self-differing subjects; that is, subjects in which past, present and future actualisations lack coincidence and complete convergence

Evaluation of 16S rRNA gene PCR sensitivity and specificity for diagnosis of prosthetic joint infection: a prospective multicenter cross-sectional study

There is no standard method for the diagnosis of prosthetic joint infection (PJI). The contribution of 16S rRNA gene PCR sequencing on a routine basis remains to be defined. We performed a prospective multicenter study to assess the contributions of 16S rRNA gene assays in PJI diagnosis. Over a 2-year period, all patients suspected to have PJIs and a few uninfected patients undergoing primary arthroplasty (control group) were included. Five perioperative samples per patient were collected for culture and 16S rRNA gene PCR sequencing and one for histological examination. Three multicenter quality control assays were performed with both DNA extracts and crushed samples. The diagnosis of PJI was based on clinical, bacteriological, and histological criteria, according to Infectious Diseases Society of America guidelines. A molecular diagnosis was modeled on the bacteriological criterion (≥ 1 positive sample for strict pathogens and ≥ 2 for commensal skin flora). Molecular data were analyzed according to the diagnosis of PJI. Between December 2010 and March 2012, 264 suspected cases of PJI and 35 control cases were included. PJI was confirmed in 215/264 suspected cases, 192 (89%) with a bacteriological criterion. The PJIs were monomicrobial (163 cases [85%]; staphylococci, n = 108; streptococci, n = 22; Gram-negative bacilli, n = 16; anaerobes, n = 13; others, n = 4) or polymicrobial (29 cases [15%]). The molecular diagnosis was positive in 151/215 confirmed cases of PJI (143 cases with bacteriological PJI documentation and 8 treated cases without bacteriological documentation) and in 2/49 cases without confirmed PJI (sensitivity, 73.3%; specificity, 95.5%). The 16S rRNA gene PCR assay showed a lack of sensitivity in the diagnosis of PJI on a multicenter routine basis