30 research outputs found
Who Writes Scholarly Code?
This paper presents original research about the behaviours, histories, demographics, and motivations of scholars who code, specifically how they interact with version control systems locally and on the Web. By understanding patrons through multiple lenses – daily productivity habits, motivations, and scholarly needs – librarians and archivists can tailor services for software management, curation, and long-term reuse, raising the possibility for long-term reproducibility of a multitude of scholarship
Population Pharmacokinetic Model and Meta-analysis of Outcomes of Amphotericin B Deoxycholate Use in Adults with Cryptococcal Meningitis
There is a limited understanding of the population pharmacokinetics (PK) and pharmacodynamics (PD) of amphotericin B deoxycholate (DAmB) for cryptococcal meningitis (CM). A PK study was conducted in n=42 patients receiving DAmB 1 mg/kg q24h. A 2-compartment PK model was developed. Patient weight influenced clearance and volume in the final structural model. Monte Carlo simulations estimated drug exposure associated with various DAmB dosages. A search was conducted for trials reporting outcomes of CM patients treated with DAmB monotherapy and a meta-analysis was performed.The PK parameter means (standard deviation) were: clearance, 0.03 (0.01) x weight + 0.95 (0.02) litres/hour; volume, 0.89 (0.90) x weight + 1.54 (1.13) litres; first-order rate constant from central to peripheral compartment, 7.12 (6.50) hours-1; from peripheral to central compartment, 12.13 (12.50) hours-1 The meta-analysis suggested that DAmB dosage explained most of the heterogeneity in cerebrospinal fluid (CSF) sterility, but not in mortality outcomes. Simulations of area under concentration-time curve (AUC144-168) resulted in median (interquartile range) values 5.83 mg.h/litre (4.66-8.55), 10.16 (8.07-14.55) and 14.51 (11.48-20.42), with dosages of 0.4, 0.7 and 1.0 mg/kg q24h respectively.DAmB PK is described adequately by a linear model that incorporates weight on clearance and volume. Inter-patient PK variability is modest and unlikely to be responsible for variability in clinical outcome. There is a discord between the impact that drug exposure has on CSF sterility and on mortality outcomes, which may be due to cerebral pathology not reflected in CSF fungal burden, in addition to clinical variables
Rumours, sects and rallies : the ethnic politics of recent Hmong Millenarian movements in Vietnam’s highlands
Contrary to modernist assumptions, millenarianism has not died out but continues to influence the politics of many marginalised groups in upland Southeast Asia, including the Hmong. This article summarises and analyses post-World War II Hmong millenarian activity in Vietnam, focusing on three case studies from the 1980s onwards, within the political backdrop of ongoing government suspicions of ethnic separatism and foreign interference. Far from being isolated or peripheral, Hmong millenarian rumours and movements interact with overseas diasporas, human rights agencies and international religious networks to influence state responses, sometimes in unexpected ways
Searches for Neutrinos from Gamma-Ray Bursts using the IceCube Neutrino Observatory
Gamma-ray bursts (GRBs) are considered as promising sources of
ultra-high-energy cosmic rays (UHECRs) due to their large power output.
Observing a neutrino flux from GRBs would offer evidence that GRBs are hadronic
accelerators of UHECRs. Previous IceCube analyses, which primarily focused on
neutrinos arriving in temporal coincidence with the prompt gamma rays, found no
significant neutrino excess. The four analyses presented in this paper extend
the region of interest to 14 days before and after the prompt phase, including
generic extended time windows and targeted precursor searches. GRBs were
selected between May 2011 and October 2018 to align with the data set of
candidate muon-neutrino events observed by IceCube. No evidence of correlation
between neutrino events and GRBs was found in these analyses. Limits are set to
constrain the contribution of the cosmic GRB population to the diffuse
astrophysical neutrino flux observed by IceCube. Prompt neutrino emission from
GRBs is limited to 1% of the observed diffuse neutrino flux, and
emission on timescales up to s is constrained to 24% of the total
diffuse flux
Strong Constraints on Neutrino Nonstandard Interactions from TeV-Scale ν Disappearance at IceCube
We report a search for nonstandard neutrino interactions (NSI) using eight years of TeV-scale atmospheric muon neutrino data from the IceCube Neutrino Observatory. By reconstructing incident energies and zenith angles for atmospheric neutrino events, this analysis presents unified confidence intervals for the NSI parameter εμτ. The best-fit value is consistent with no NSI at a p value of 25.2%. With a 90% confidence interval of −0.0041≤εμτ≤0.0031 along the real axis and similar strength in the complex plane, this result is the strongest constraint on any NSI parameter from any oscillation channel to date
Relatório de estágio em farmácia comunitária
Relatório de estágio realizado no âmbito do Mestrado Integrado em Ciências Farmacêuticas, apresentado à Faculdade de Farmácia da Universidade de Coimbr
REJECTING SCIENCE WITH SCIENCE: BOUNDARY-WORK IN ANTI-MASK TWITTER REPLY THREADS DURING COVID-19
The COVID-19 pandemic has been marked by a controversy in the United States over the public health benefits of mask-wearing, especially on social media. Many have contested the scientific consensus that masks are an effective method to prevent and slow the spread of COVID-19 infections, often along explicitly political lines. Here, we investigate specifically how Twitter users engaging in arguments about mask-wearing invoke scientific principles to argue against masks. We further analyze the sources that these users cite to support their claims. Using a qualitative approach drawing from constructivist grounded theory, we show how these users work to defend the legitimacy of their claims and their external sources by selectively exploiting rhetorical values of scientific endeavour. We analogize their work to the process of scientific boundary-work, in which actors consciously manipulate the boundary between science and not-science for personal and political gain
Bacterial risk factors for treatment failure and relapse among patients with isoniazid resistant tuberculosis
Background
Drug resistant tuberculosis (TB) is increasing in prevalence worldwide. Treatment failure and relapse is known to be high for patients with isoniazid resistant TB treated with standard first line regimens. However, risk factors for unfavourable outcomes and the optimal treatment regimen for isoniazid resistant TB are unknown. This cohort study was conducted when Vietnam used the eight month first line treatment regimen and examined risk factors for failure/relapse among patients with isoniazid resistant TB.
Methods
Between December 2008 and June 2011 2090 consecutive HIV-negative adults (≥18 years of age) with new smear positive pulmonary TB presenting at participating district TB units in Ho Chi Minh City were recruited. Participants with isoniazid resistant TB identified by Microscopic Observation Drug Susceptibility (MODS) had extended follow-up for 2 years with mycobacterial culture to test for relapse. MGIT drug susceptibility testing confirmed 239 participants with isoniazid resistant, rifampicin susceptible TB. Bacterial and demographic factors were analysed for association with treatment failure and relapse.
Results
Using only routine programmatic sputum smear microscopy for assessment, (months 2, 5 and 8) 30/239 (12.6%) had an unfavourable outcome by WHO criteria. Thirty-nine patients were additionally detected with unfavourable outcomes during 2 year follow up, giving a total of 69/239 (28.9%) of isoniazid (INH) resistant cases with unfavourable outcome by 2 years of follow-up. Beijing lineage was the only factor significantly associated with unfavourable outcome among INH-resistant TB cases during 2 years of follow-up. (adjusted OR = 3.16 [1.54–6.47], P = 0.002).
Conclusion
One third of isoniazid resistant TB cases suffered failure/relapse within 2 years under the old eight month regimen. Over half of these cases were not identified by standard WHO recommended treatment monitoring. Intensified research on early identification and optimal regimens for isoniazid resistant TB is needed. Infection with Beijing genotype of TB is a significant risk factor for bacterial persistence on treatment resulting in failure/relapse within 2 years. The underlying mechanism of increased tolerance for standard drug regimens in Beijing genotype strains remains unknown
Recommended from our members
GeneXpert MTB/Rif to Diagnose Tuberculous Meningitis: Perhaps the First Test but not the Last
Tuberculous meningitis (TBM) is the most severe form of tuberculous with substantial mortality. In May 2015, 54 researchers from 10 countries met in Da Lat, Vietnam, to discuss advances in TBM. Among the attendees were researchers involved in pivotal studies on the use of Xpert MTB/Rif for TBM diagnosis. Attendees discussed the 2014 World Health Organization strong recommendation favoring the use of Xpert "in preference to conventional microscopy and culture as the initial diagnostic test for cerebrospinal fluid (CSF) if the sample volume is low or if additional specimens cannot be obtained to make a quick diagnosis." Attendees were concerned that the limitations of Xpert testing for TBM are not emphasized. Clear guidance is needed for the investigational pathway for TBM, including recommendations on the diagnostic package of investigations, which does not stop with Xpert testing. Second, emphasis on the large CSF volumes (ideally 8-10 mL) needed for Xpert testing is required. Guidelines should also emphasize that TBM is a medical emergency and early treatment reduces mortality