923 research outputs found
Beyond âsignificanceâ:Principles and practice of the analysis of credibility
The inferential inadequacies of statistical significance testing are now widely recognized. There is, however, no consensus on how to move research into a âpost pâ<â0.05â era. We present a potential route forward via the Analysis of Credibility, a novel methodology that allows researchers to go beyond the simplistic dichotomy of significance testing and extract more insight from new findings. Using standard summary statistics, AnCred assesses the credibility of significant and non-significant findings on the basis of their evidential weight, and in the context of existing knowledge. The outcome is expressed in quantitative terms of direct relevance to the substantive research question, providing greater protection against misinterpretation. Worked examples are given to illustrate how AnCred extracts additional insight from the outcome of typical research study designs. Its ability to cast light on the use of p-values, the interpretation of non-significant findings and the so-called âreplication crisisâ is also discussed
Prospecting for new group A streptococcal vaccine candidates
Background & objectives: Most group A streptococcal (GAS) vaccine strategies focused on the surface M protein of the GAS. However, vaccine based on M protein have some drawbacks. In the present study, we used two approaches to identify new proteins and peptides that may have utility as vaccine candidates. Methods: A whole gel elution procedure was used to separate GAS surface antigens into 9 size fractionated pools. Mice were vaccinated with each pool and antibody titre, opsonic ability and protective capacity measured. In an alternative approach BioInformatics was used to identify putative GAS surface proteins. Peptides from within these proteins were then selected on the basis of predicted antigenicity or location. These peptides were conjugated to keyhole lymphocyanin (KLH) and immunogenicity measured in a mouse model. Results: One pool of GAS surface proteins (approximately 29kDa) induced antibodies that were both opsonic and potentially protective. Immunoflourescent microscopy demonstrated that these antibodies bound to the surface of M1 GAS. Amino acid sequencing subsequently identified superoxide dismutase as the major antigen in this pool. A BioInformatic search of the M1 GAS genome and subsequent analysis identified several peptides that fulfilled criteria as potential vaccine candidates. Each peptide when conjugated to KLH was able to induce a strong antibody response. Interpretation & conclusion: Several new antigens were identified that may have potential as vaccine targets. A future GAS vaccine may have multiple peptide epitopes, providing protection against multiple GAS strains
Subject-Specific Ablation of Pathologic Conduction Patterns Beyond the Pulmonary Veins: A Personalised Modelling Approach
Improving patient outcomes with ablation of non-paroxysmal AF (PsAF) has proved challenging using a population-based treatment approach due to large interindividual variability in the underlying electroanatomical substrate. Ablation of pathologic conduction patterns outside of pulmonary vein isolation (PVI) has recently shown encouraging results in PsAF patients returning for their first or second retreatment (76% freedom from AF recorded in the RECOVER AF trial). However, the optimal targets and best sequence of ablation lesions are still unknown, and testing different sequences, types, and methods of ablation cannot be performed clinically on a single patient or patient cohort. Considering the predictive potential of computational modelling, a small exploratory subset of patients (N=4) enrolled in the ongoing DISCOVER trial was used to create patient-specific models of left atrial electrophysiology. The subject-specific models displayed a high correlation between simulated targets and clinical targets. AF complexity was highest in all patients prior to therapy. PVI caused a marginal decrease in complexity across the cohort whereas PVI+PCP showed an extensive decrease in the AF complexity across the patients and resulted in AF termination in all patients
Mucosa-associated bacterial diversity in necrotizing enterocolitis
Background: Previous studies of infant fecal samples have failed to clarify the role of gut bacteria in the pathogenesis of NEC. We sought to characterize bacterial communities within intestinal tissue resected from infants with and without NEC. Methods: 26 intestinal samples were resected from 19 infants, including 16 NEC samples and 10 non-NEC samples. Bacterial 16S rRNA gene sequences were amplified and sequenced. Analysis allowed for taxonomic identification, and quantitative PCR was used to quantify the bacterial load within samples. Results: NEC samples generally contained an increased total burden of bacteria. NEC and non-NEC sample sets were both marked by high inter-individual variability and an abundance of opportunistic pathogens. There was no statistically significant distinction between the composition of NEC and non-NEC microbial communities. K-means clustering enabled us to identify several stable clusters, including clusters of NEC and midgut volvulus samples enriched with Clostridium and Bacteroides. Another cluster containing both NEC and non-NEC samples was marked by an abundance of Enterobacteriaceae and decreased diversity among NEC samples. Conclusions: The results indicate that NEC is a disease without a uniform pattern of microbial colonization, but that NEC is associated with an abundance of strict anaerobes and a decrease in community diversity
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Madness and Mindfulness: How the "Personal" is "Political"
The chapter examines the institutionalization of unreason and the potential role of meditation in disclosing its roots. It is argued that meditative awareness can enable critical reflection on, and transformation of, practices that diminish our rational awareness. Mindfulness may contribute to this awareness, but its lack of an ethical frame renders it vulnerable to narcissistic appropriation and corporate commercialization. Accordingly, mindfulness is limited in disclosure, and counteracting, of the needless perpetuation of suffering associated with ego-building and defensive emotions, as manifest in contemporary expressions of sectarianism and fanaticism. The examination of antidotes to unreason and freedom is accomplished through a series of critical reflections upon the insights generated by Wright Millsâ The Sociological Imagination, Carol Hanischâs âThe Personal is Political,â and Freireâs Pedagogy of the Oppressed. These texts provide complementary commentaries on the development of progressive, emancipatory consciousness and praxis to which, I conjecture, meditation, as distinct from the mindfulness movement, contributes
Recommended from our members
Madness and Mindfulness
The chapter examines the institutionalization of unreason and the potential role of meditation in disclosing its roots. It is argued that meditative awareness can enable critical reflection on, and transformation of, practices that diminish our rational awareness. Mindfulness may contribute to this awareness, but its lack of an ethical frame renders it vulnerable to narcissistic appropriation and corporate commercialization. Accordingly, mindfulness is limited in disclosure, and counteracting, of the needless perpetuation of suffering associated with ego-building and defensive emotions, as manifest in contemporary expressions of sectarianism and fanaticism. The examination of antidotes to unreason and freedom is accomplished through a series of critical reflections upon the insights generated by Wright Millsâ The Sociological Imagination, Carol Hanischâs âThe Personal is Political,â and Freireâs Pedagogy of the Oppressed. These texts provide complementary commentaries on the development of progressive, emancipatory consciousness and praxis to which, I conjecture, meditation, as distinct from the mindfulness movement, contributes
The antimicrobial polymer PHMB enters cells and selectively condenses bacterial chromosomes
To combat infection and antimicrobial resistance, it is helpful to elucidate drug mechanism(s) of action. Here we examined how the widely used antimicrobial polyhexamethylene biguanide (PHMB) kills bacteria selectively over host cells. Contrary to the accepted model of microbial membrane disruption by PHMB, we observed cell entry into a range of bacterial species, and treated bacteria displayed cell division arrest and chromosome condensation, suggesting DNA binding as an alternative antimicrobial mechanism. A DNA-level mechanism was confirmed by observations that PHMB formed nanoparticles when mixed with isolated bacterial chromosomal DNA and its effects on growth were suppressed by pairwise combination with the DNA binding ligand Hoechst 33258. PHMB also entered mammalian cells, but was trapped within endosomes and excluded from nuclei. Therefore, PHMB displays differential access to bacterial and mammalian cellular DNA and selectively binds and condenses bacterial chromosomes. Because acquired resistance to PHMB has not been reported, selective chromosome condensation provides an unanticipated paradigm for antimicrobial action that may not succumb to resistance
"Summary Page": a novel tool that reduces omitted data in research databases
<p>Abstract</p> <p>Background</p> <p>Data entry errors are common in clinical research databases. Omitted data are of particular concern because they are more common than erroneously inserted data and therefore could potentially affect research findings. However, few affordable strategies for their prevention are available.</p> <p>Methods</p> <p>We have conducted a prospective observational study of the effect of a novel tool called "<it>Summary Page</it>" on the frequency of correction of omitted data errors in a radiation oncology research database between July 2008 and March 2009. "<it>Summary Page</it>" was implemented as an optionally accessed screen in the database that visually integrates key fields in the record. We assessed the frequency of omitted data on the example of the <it>Date of Relapse </it>field. We considered the data in this field to be omitted for all records that had empty <it>Date of Relapse </it>field and evidence of relapse elsewhere in the record.</p> <p>Results</p> <p>A total of 1,156 records were updated and 200 new records were entered in the database over the study period. "<it>Summary Page</it>" was accessed for 44% of all updated records and for 69% of newly entered records. Frequency of correction of the omitted date of cancer relapse was six-fold higher in records for which "<it>Summary Page</it>" was accessed (p = 0.0003).</p> <p>Conclusions</p> <p>"<it>Summary Page</it>" was strongly associated with an increased frequency of correction of omitted data errors. Further, controlled, studies are needed to confirm this finding and elucidate its mechanism of action.</p
A short motif in the N-terminal region of α-synuclein is critical for both aggregation and function
Aggregation of human α-synuclein (αSyn) is linked to Parkinsonâs disease (PD) pathology. The central region of the αSyn sequence contains the non-amyloid ÎČ-component (NAC) crucial for aggregation. However, how NAC flanking regions modulate αSyn aggregation remains unclear. Using bioinformatics, mutation and NMR, we identify a 7-residue sequence, named P1 (residues 36â42), that controls αSyn aggregation. Deletion or substitution of this âmaster controllerâ prevents aggregation at pH 7.5 in vitro. At lower pH, P1 synergises with a sequence containing the preNAC region (P2, residues 45â57) to prevent aggregation. Deleting P1 (ÎP1) or both P1 and P2 (ÎÎ) also prevents age-dependent αSyn aggregation and toxicity in C. elegans models and prevents αSyn-mediated vesicle fusion by altering the conformational properties of the protein when lipid bound. The results highlight the importance of a master-controller sequence motif that controls both αSyn aggregation and functionâa region that could be targeted to prevent aggregation in disease
Comparison of three radiolabelled peptide analogues for CCK-2 receptor scintigraphy in medullary thyroid carcinoma
Purpose: Cholecystokinin 2 (CCK-2) receptor overexpression has been demonstrated in a high percentage of medullary thyroid carcinomas (MTC). Analogous to somatostatin receptors, CCK-2 receptors might be viable targets for radionuclide scintigraphy and/or radionuclide therapy. Several CCK-2 receptor-binding radiopeptides have been developed, and some have been carried through into clinical studies. However, these studies are mostly limited and difficult to compare. The aim of this study was to evaluate the diagnostic and therapeutic potential of three promising CCK-2 receptor-binding radiopeptides in patients with MTC. Methods: 111In-DOTA-(D)Asp-Tyr-Nle-Gly-Trp-Nle- Asp-Phe-NH2 (111In-DOTA-CCK), a CCK analogue, and the gastrin-based ligands 99mTc-N4-Gly-(D)Glu-(Glu) 5-Ala-Tyr-Gly-Trp-Met-Asp-Phe-NH2 (99mTc- demogastrin 2) and 111In-DOTA-(D)Glu-Ala-Tyr-Gly-Trp-Met-Asp-Phe- NH2 (111In-DOTA-MG11) were each administered to the same group of six patients. Planar images made at 3-5, 7 and 24 h p.i. were used for comparison of tumour visualisation and renal uptake. Results: 99mTc-demogastrin 2 scintigraphy visualised all known lesions and new lesions in four of six patients. 111In-DOTA-CCK and 111In-DOTA-MG11 on the other hand missed several lesions; tumour uptake of these two radiopharmaceuticals was quite low. Comparison of retention of renal activity showed no major differences between the three radiopeptides. Conclusion: 99mTc-demogastrin 2 scintigraphy appeared most promising as a diagnostic tool in patients with MTC. Further studies are required to evaluate its value in patient management. Direct comparisons of the compounds studied strongly suggests that 111In-DOTA-CCK and 111In-DOTA-MG11 have less potential as imaging agents than 99mTc-demogastrin 2. These DOTA-linked compounds are considered unlikely to be useful for radionuclide therapy because of low tumour uptake
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