Kwantitatiewe Radio-isotoop Kardiografie met die Sintillasie-kamera

Methods for obtainiR9 various cardiac parameters, using radio-isotopes and the scintillation camera, have improved tremendously during recent· years. These investigations offer a simplified screening test for visual interpretation. By the use of numerical techniques, quantitative information can be obtained, making investigations more sensitive. Left-to-right shunts, cardiac output, left ventricular ejection fraction and other parameters can be quantitated

A comparison of the clinical relevance of thallium201 and technetium-99m-methoxyisobutyl-isonitrile for the evaluation of myocardial blood flow

Thallium-201 is at present the radiotracer of choice for the clinical evaluation of myocardial blood flow. Although different technetium-99m-isonitrile agents have been synthesised recently, only 99mTc-melhoxyisobutyl-isonitrile (99mTc_MIBI) has proved to hold promise for clinical implementation. The myocardial distribution of 201TI and 99mTc_MIBI was compared in a group of 20 patients, who underwent both 201TI single photon emission computed tomography and 99mTc_MIBI study as well as coronary angiography. The sensitivity for predicting a lesion ranged from 25% to 88% in different areas of the heart and was comparable for the two radiophannaceuticals. The specificity was > 80% tor all regions except the inferior region where a specificily ot 58% obtained by 99mTc-MIBI was better than the low specificity of 17% obtained with 201TI (P< 0,008)

TB infection prevention and control experiences of South African nurses - a phenomenological study

<p>Abstract</p> <p>Background</p> <p>The tuberculosis (TB) epidemic in South Africa is characterised by one of the highest levels of TB/HIV co-infection and growing multidrug-resistant TB worldwide. Hospitals play a central role in the management of TB. We investigated nurses' experiences of factors influencing TB infection prevention and control (IPC) practices to identify risks associated with potential nosocomial transmission.</p> <p>Methods</p> <p>The qualitative study employed a phenomenological approach, using semi-structured interviews with a quota sample of 20 nurses in a large tertiary academic hospital in Cape Town, South Africa. The data was subjected to thematic analysis.</p> <p>Results</p> <p>Nurses expressed concerns about the possible risk of TB transmission to both patients and staff. Factors influencing TB-IPC, and increasing the potential risk of nosocomial transmission, emerged in interconnected overarching themes. Influences related to the healthcare system included suboptimal IPC provision such as the lack of isolation facilities and personal protective equipment, and the lack of a TB-IPC policy. Further influences included inadequate TB training for staff and patients, communication barriers owing to cultural and linguistic differences between staff and patients, the excessive workload of nurses, and a sense of duty of care. Influences related to wider contextual conditions included TB concerns and stigma, and the role of traditional healers. Influences related to patient behaviour included late uptake of hospital care owing to poverty and the use of traditional medicine, and poor adherence to IPC measures by patients, family members and carers.</p> <p>Conclusions</p> <p>Several interconnected influences related to the healthcare system, wider contextual conditions and patient behavior could increase the potential risk of nosocomial TB transmission at hospital level. There is an urgent need for the implementation and evaluation of a comprehensive contextually appropriate TB IPC policy with the setting and auditing of standards for IPC provision and practice, adequate TB training for both staff and patients, and the establishment of a cross-cultural communication strategy, including rapid access to interpreters.</p

The Bantustan State and the South African Transition: Militarisation, Patrimonialism and the Collapse of the Ciskei Regime, 1986-1994

This article examines the Ciskei bantustan and processes of state formation during the transition to democracy. In the Ciskei, the rule of Brigadier Gqozo rested on the continued support of the South African state: identified as the weakest link in the National Party’s conservative alliance, the Ciskei became the first target for the African National Congress’ mass action campaign of 1992. The struggle in the Ciskei thus had some significance for the shape of the transition. While at a constitutional level the National Party eventually conceded to the re-incorporation of the bantustans in late 1992, it continued to stall change and to bolster the bantustans through covert military operations and land transfers to bantustan elites. These dynamics of state formation are critical aspects of the history of the transition and were at the heart of the emerging political conflict in the Ciskei, which by mid-1992 was escalating into civil war. This article examines mass mobilisation, political repression and the consequences of the patrimonial militarisation of the Ciskei state in the Ciskei/ Border region. By focusing on processes of state formation and struggles over the fabric of the state, this article provides a corrective to the prevailing academic focus on the elite negotiations and argues for the value of social histories of the bantustan states for understanding the enduring legacies of these regimes

Mapping the human genetic architecture of COVID-19

The genetic make-up of an individual contributes to the susceptibility and response to viral infection. Although environmental, clinical and social factors have a role in the chance of exposure to SARS-CoV-2 and the severity of COVID-19(1,2), host genetics may also be important. Identifying host-specific genetic factors may reveal biological mechanisms of therapeutic relevance and clarify causal relationships of modifiable environmental risk factors for SARS-CoV-2 infection and outcomes. We formed a global network of researchers to investigate the role of human genetics in SARS-CoV-2 infection and COVID-19 severity. Here we describe the results of three genome-wide association meta-analyses that consist of up to 49,562 patients with COVID-19 from 46 studies across19 countries. We report 13 genome-wide significant loci that are associated with SARS-CoV-2 infection or severe manifestations of COVID-19. Several of these loci correspond to previously documented associations to lung or autoimmune and inflammatory diseases(3-7). They also represent potentially actionable mechanisms in response to infection. Mendelian randomization analyses support a causal role for smoking and body-mass index for severe COVID-19 although not for type II diabetes. The identification of novel host genetic factors associated with COVID-19 was made possible by the community of human genetics researchers coming together to prioritize the sharing of data, results, resources and analytical frameworks. This working model of international collaboration underscores what is possible for future genetic discoveries in emerging pandemics, or indeed for any complex human disease.Radiolog

Temporal aspects related to the perception of skatole and androstenone, the major boar odour compounds

Pork fat samples from 50 boars slaughtered at a commercial abattoir were analysed for skatole and androstenone concentrations and grouped within a 3×3 matrix representing low, medium and high levels of the odour compounds. A 10 member sensory panel, screened and trained to recognise and quantify skatole and androstenone odour intensities, was used to verify the human perception of boar odour in these pork fat samples immediately after heating (±65°C) and following a cooling period of ten minutes (±25°C). Principal component analysis revealed that the sensory panel differentiated the pork fat samples first and foremost on the basis of the presence or absence of androstenone and/or skatole odours and secondly on the character of the androstenone or skatole odour. Evidence of adaptation towards the odour of skatole was shown by a decreased sensitivity over replicates. Sensory perception of boar odour seems to have a temporal character which can be explained by differences in volatilisation (involving both odourant release and retention) of skatole and androstenone, odour synergism and possibly differences in the properties of the fat matrix of different samples. The results suggest that factors influencing volatilisation of skatole and androstenone should also be considered when predicting sensory responses of boar odour.</p

A novel microwell-based analytical technique for studying ferrous iron biooxidation activity

The broad range of complexities in bioleaching includes the use of mixed microbial communities with diversity of species and strains with different windows of operating conditions. Empirical approaches to characterise these currently use cumbersome experimental systems; hence the need to develop a high throughput research tool, analogous to the techniques used in high throughput pharmaceutical research. In this study, a microwell research tool was evaluated as a growth and measurement tool for mixed autotrophic bioleaching cultures. The tool was assessed by comparing its performance to conventional shake flask apparatus. Mixed mesophilic cultures of predominantly Leptospirillum ferriphilum and Acidithiobacillus ferrooxidans were used. Growth and ferrous iron oxidation kinetics were quantified and assessed. Microwell plates performed similarly to conventional shake flasks with respect to growth and iron oxidation kinetics. The microwell plate apparatus was also used as a measurement system in combination with a microwell plate reader (measuring absorbance change at 428 nm over time). Progressive colour change of growth experiments correlated to ferrous iron oxidation within a defined operating window. We conclude that, using this measurement as a proxy for trends iron oxidation, the microwell research tool is well-suited for high throughput scoping studies to map operating windows for different cultures, in both an unadapted and adapted context. This was confirmed through an activity test utilising fluoride as an inhibitor. Where absorbance measurements at 428 nm are used to track oxidation progress, the research tool has limitations with respect to pH (<2.0) and total iron concentration (<8.0 g l−1).http://www.sciencedirect.com/science/article/pii/S089268751400013