Hip and knee arthroplasty waiting list – how accurate and fair?

Background. Resource-intensive procedures require the use of patient waiting lists in an attempt to increase fairness of access to surgery and improve surgical efficiency. Total hip and knee arthroplasty has waiting lists in excess of years. Objectives. To analyse our tertiary state institution’s hip and knee arthroplasty waiting list to assess its accuracy.Methods. At Groote Schuur Hospital, our hospital-maintained database was compared with the surgeons’ personally maintained database. Patients were then telephoned to confirm their contactability, and to discover whether they still wanted the procedure, or if they had already had it. Waiting duration and patient demographics were then calculated.Results. Of the 655 patients on the hospital waiting list, only 454 were contactable. Three hundred and nine patients still wanted the surgery, 93 had already undergone surgery and 52 no longer wanted surgery. The last group was the oldest and had had the longest waiting time. Those still waiting had waited 451 days (minimum - maximum (standard deviation), 90 - 1 593 (228.5)), those that had had surgery 371 days (0 - 1 728 (296)) and those no longer interested 523 days (138 - 1 881 (260.9)). A total of 429 patients were present on the surgeons’ list but not on the hospital list. They had had longer waiting times than those on the hospital list.Conclusion. The arthroplasty waiting list is inaccurate due to the existence of two concurrent lists and poor data management, particularly of current contact details. The unfairness of a wide range of waiting times was identified, with patients only on the surgeons’ personal database disadvantaged. These deficiencies have prompted the introduction of  a scoring-based prioritisation system incorporating clinical, radiographic and societal parameters, in an effort to improve fair and appropriate access to this high-cost care

KAJIAN MODAL SOSIAL PADA KELOMPOK TANI DI DESA TUMANI KECAMATAN MAESAAN KABUPATEN MINAHASA SELATAN (Kelompok Tani Esa Waya dan Kelompok Tani Sinar Mas)

The objective of research is to examine Social Capital based on the elements of norm, network, trust, reciprocity, and values of the Esa Waya and Sinar Mas farmer groups. This research was conducted from May 2016 until July 2016, started from preparation until report compilation. The data used were in the form of primary data and secondary data. This research was carried out with purposive sampling technique. Fifty percent members of the population every farmer group. They are 11 members of Esa Waya group and 8 members of Sinar Mas group. Data analysis was done descriptively, served with using the table and then be interpreted. The result showed that, those elements of norm, network, trust, reciprocity, and values, social capital able to improve the existence and solidarity on the Esa Waya farmer group. The opposite, social capital has been reduced even has no longer on the Sinar Mas farmer group so that Sinar Mas farmer group was not progressed. In addition, the other factor is the age of Esa Waya group younger then Sinar Mas group. The education levels of the Esa Waya group higher than Sinar Mas group

Hip and knee arthroplasty waiting list – how accurate and fair?

Background. Resource-intensive procedures require the use of patient waiting lists in an attempt to increase fairness of access to surgery and improve surgical efficiency. Total hip and knee arthroplasty has waiting lists in excess of years. Objectives. To analyse our tertiary state institution’s hip and knee arthroplasty waiting list to assess its accuracy. Methods. At Groote Schuur Hospital, our hospital-maintained database was compared with the surgeons’ personally maintained database. Patients were then telephoned to confirm their contactability, and to discover whether they still wanted the procedure, or if they had already had it. Waiting duration and patient demographics were then calculated. Results. Of the 655 patients on the hospital waiting list, only 454 were contactable. Three hundred and nine patients still wanted the surgery, 93 had already undergone surgery and 52 no longer wanted surgery. The last group was the oldest and had had the longest waiting time. Those still waiting had waited 451 days (minimum - maximum (standard deviation), 90 - 1 593 (228.5)), those that had had surgery 371 days (0 - 1 728 (296)) and those no longer interested 523 days (138 - 1 881 (260.9)). A total of 429 patients were present on the surgeons’ list but not on the hospital list. They had had longer waiting times than those on the hospital list. Conclusion. The arthroplasty waiting list is inaccurate due to the existence of two concurrent lists and poor data management, particularly of current contact details. The unfairness of a wide range of waiting times was identified, with patients only on the surgeons’ personal database disadvantaged. These deficiencies have prompted the introduction of a scoring-based prioritisation system incorporating clinical, radiographic and societal parameters, in an effort to improve fair and appropriate access to this high-cost care

Accurate laboratory wavelengths of the e 3 Σ–(ν' = 5) – X 1 Σ+(ν'' = 0) band of 12C16O

CITATION: Dickenson, G. D. et al. 2010. Accurate laboratory wavelengths of the e 3 Σ–(ν' = 5) – X 1 Σ+(ν'' = 0) band of 12C16O. Astrophysical Journal Letters, 714(2):L268–L270, doi:10.1088/2041-8205/714/2/L268.The original publication is available at https://iopscience.iop.org/journal/2041-8205The forbidden singlet-triplet transitions of carbon monoxide (CO) are important in the interpretation of vacuum ultraviolet interstellar absorption spectra and in particular for the measurement of large CO column densities. Twenty rovibronic lines of the e 3Σ–(ν' = 5) – X 1Σ+(ν'' = 0) band of 12 C 16O for which laboratory wavelengths were previously unavailable were identified in laser-induced fluorescence excitation spectra. Wavelengths were assigned to five rovibronic transitions to an average accuracy of 0.0028 Å. A further 15 lines could not be fully resolved and average wavelengths were measured for these groups of closely spaced lines. A wavelength difference of 0.011 ± 0.0028 Å between the measured wavelengths and the calculated wavelengths in the atlas of Eidelsberg & Rostas demonstrates the need for more experimental data on CO.https://iopscience.iop.org/article/10.1088/2041-8205/714/2/L268Publisher's versio

Drastic reduction of orthopaedic services at an urban tertiary hospital in South Africa during COVID-19: Lessons for the future response to the pandemic

Background. The COVID-19 pandemic has impacted on the global surgery landscape.Objectives. To analyse and describe the initial impact of the COVID-19 pandemic on orthopaedic surgery at Groote Schuur Hospital, a tertiary academic hospital in South Africa.Methods. The number of orthopaedic surgical cases, emergency theatre patient waiting times, and numbers of outpatient clinic visits, ward admissions, bed occupancies and total inpatient days for January - April 2019 (pre-COVID-19) were compared with the same time frame in 2020 (COVID-19). The COVID-19 timeframe included initiation of a national ‘hard lockdown’ from 26 March 2020, in preparation for an increasing volume of COVID-19 cases.Results. April 2020, the time of the imposed hard lockdown, was the most affected month, although the number of surgical cases had started to decrease slowly during the 3 preceding months. The total number of surgeries, outpatient visits and ward admissions decreased significantly during April 2020 (55.2%, 69.1% and 60.6%, respectively) compared with April 2019 (p<0.05). Trauma cases were reduced by 40% in April 2020. Overall emergency theatre patient waiting time was 30% lower for April 2020 compared with 2019.Conclusions. COVID-19 and the associated lockdown has heavily impacted on both orthopaedic inpatient and outpatient services. Lockdown led to a larger reduction in the orthopaedic trauma burden than in international centres, but the overall reduction in surgeries, outpatient visits and hospital admissions was less. This lesser reduction was probably due to local factors, but also to a conscious decision to avoid total collapse of our surgical services

Fast modularisation and aomic decomposition of ontologies using axiom dependency hypergraphs

In this paper we define the notion of an axiom dependency hypergraph, which explicitly represents how axioms are included into a module by the algorithm for computing locality-based modules. A locality-based module of an ontology corresponds to a set of connected nodes in the hypergraph, and atoms of an ontology to strongly connected components. Collapsing the strongly connected components into single nodes yields a condensed hypergraph that comprises a representation of the atomic decomposition of the ontology. To speed up the condensation of the hypergraph, we first reduce its size by collapsing the strongly connected components of its graph fragment employing a linear time graph algorithm. This approach helps to significantly reduce the time needed for computing the atomic decomposition of an ontology. We provide an experimental evaluation for computing the atomic decomposition of large biomedical ontologies. We also demonstrate a significant improvement in the time needed to extract locality-based modules from an axiom dependency hypergraph and its condensed version

Low 30-day mortality in South African orthopaedic patients undergoing surgery at an academic hospital during the first wave of the COVID-19 pandemic: It was safe to perform orthopaedic procedures at our hospital during the first COVID-19 peak

Background. Initial local and global evidence suggests that SARS-CoV-2-infected patients who undergo surgery, and those who become infected perioperatively, have an increased mortality risk post surgery.Objectives. To analyse and describe the 30-day mortality, presurgical COVID-19 status and hospital-acquired SARS-CoV-2 infection rates of patients, both SARS-CoV-2-positive and negative, undergoing orthopaedic surgery at a tertiary academic hospital in South Africa (SA) during the first COVID-19 peak.Methods. This single-centre, observational, prospective study included patients who underwent orthopaedic procedures from 1 April 2020 (beginning of the COVID-19 case increase in SA) to 31 July 2020 (first COVID-19 peak in SA). All patients were screened for COVID-19 and were confirmed positive if they had a positive laboratory quantitative polymerase chain reaction test for SARS-CoV-2 RNA on a nasopharyngeal or oral swab. Thirty-day mortality, presurgical COVID-19 status and hospital-acquired SARS-CoV-2 infection were assessed.Results. Overall, a total of 433 operations were performed on 346 patients during the timeframe. Of these patients, 65.9% (n=228) were male and 34.1% (n=118) were female. The mean (standard deviation) age was 42.5 (16.8) years (range 9 - 89). Of the patients, 5 (1.4%) were identified as COVID-19 patients under investigation (PUI) on admission and tested positive for SARS-CoV-2 before surgery, and 1 (0.3%) contracted SARS-CoV-2 perioperatively; all survived 30 days post surgery. Twenty-nine patients were lost to follow-up, and data were missing for 6 patients. The final analysis was performed excluding these 35 patients. Of the 311 patients included in the final 30-day mortality analysis, 303 (97%) had a follow-up observation ≥30 days after the operation. The overall 30-day mortality for these patients was 2.5% (n=8 deaths). None of the recorded deaths were of screened COVID-19 PUI.Conclusions. We report a low 30-day mortality rate of 2.5% (n=8) for patients undergoing orthopaedic surgery at our hospital during the first COVID-19 peak. None of the deaths were COVID-19 related, and all patients who tested SARS-CoV-2-positive, before or after surgery, survived. Our overall 30-day mortality rate correlates with several other reports of orthopaedic centres analysing over similar timeframes during the first peak of the COVID-19 pandemic. Regarding mortality and SARS-CoV-2 infection risk, we can conclude that with the appropriate measures taken, it was safe to undergo orthopaedic procedures at our hospital during the first peak of the COVID-19 pandemic in SA

The Impact of Exercise and Nutrition Science Education on the Neuro-Agility of University Students

https://drive.google.com/file/d/15MJldSdzC-G6D3y3M4Y7YSmRNgOvxxRg/view?usp=sharinghttps://drive.google.com/drive/folders/15NiOAXE10ILUJLkTJzPgdB5U5aNk7Ph_?usp=sharinghttps://drive.google.com/drive/folders/1K3qrbFiYK_l1PypqIExld4n3QO8f8Ref?usp=sharin

Changes in the own group bias across immediate and delayed recognition tasks

Face recognition is biased in favour of in-group identity, particularly strongly for race or ethnicity but to some extent also for sex and age. This ‘own group bias’ (OGB) can have profound implications in practical settings, with incorrect identification of black suspects by white witnesses constituting 40% of criminal exonerations investigated by the Innocence Project. Although authors have offered several explanations for the OGB in face recognition, there is little consensus, apart from the acknowledgement that the bias must reflect perceptual learning history. One matter that is not currently clear is whether the bias occurs at encoding, or at retrieval from memory. We report an experiment designed to tease out bias at encoding, versus bias at retrieval. Black and white South African participants encoded 16 target faces of both the same and other race and gender, and attempted immediately afterward to match the target faces to members of photograph arrays that either contained or did not contain the targets. After a further delay, they attempted to identify the faces they had encoded from memory. Results showed a strong crossover OGB in the delayed matching task, but an asymmetrical OGB at retrieval (only white participants showed the OGB). Further investigation of recognition performance, considering only images correctly matched in the delayed matching task, showed a narrowly non-significant OGB at retrieval, but the investigation was likely not sufficiently powered to discover the effect, if it exists. Significance: • We demonstrate the presence of a crossover OGB in face recognition in a sample of black and white South Africans in a delayed matching task (a measure of encoding). • Our findings show that the OGB may change rapidly. In the present study, the OGB took a crossover form at retrieval immediately after encoding, but was asymmetrical when assessed shortly afterwards. • We used a novel approach for disentangling effects at encoding and at retrieval, but do not provide clear evidence to distinguish whether the OGB is a failure of encoding or of memory retrieval