11 research outputs found
Measurement of digital photographic image quality : survey of psychophysics just noticeable threshold difference method
Abstract: The modeling and quantification of digital photographic image quality has, from a psychophysics perspective, traditionally followed two paths, one of which is the discriminable small or just noticeable difference (local psychophysics) as detected in an image pair; further extended to cover a wide range of attribute artefactual quality variation. This method has its roots in the mathematical and psychological modeling of psychophysics and boasts a long history starting with the work of researchers such as Bernoulli, Weber and Fechner (18th, 19th century). The method models human perception of difference as a full scale logarithmic law and will be surveyed for its value in the determination of the quantitative quality of digital images
We cannot continue like this
The book is based on the view that the present trajectory of modern development cannot continue as it is now because it is ecologically unsustainable, it continues to enlarge the gap between rich and poor, and the decolonialisation movement has drawn our attention again to the specific role of religion, culture and value in human affairs and the need for a robust element of indigenisation and contextualisation. This book is strongly focused on the context of Africa, with two chapters that are written by authors from the Netherlands, for the purpose of presenting a North-South dialogue. The book contains reflection on approaches followed in building sustainable human communities in general and reflection on specific efforts to solve sustainability issues. It seeks to integrate academic reflection and insights gained from practical involvement with sustainability issues in local communities and low-income households, with contributions from Theology and Natural and Social Sciences
A Single-Arm, Proof-Of-Concept Trial of Lopimune (Lopinavir/Ritonavir) as a Treatment for HPV-Related Pre-Invasive Cervical Disease
BACKGROUND:
Cervical cancer is the most common female malignancy in the developing nations and the third most common cancer in women globally. An effective, inexpensive and self-applied topical treatment would be an ideal solution for treatment of screen-detected, pre-invasive cervical disease in low resource settings.
METHODS:
Between 01/03/2013 and 01/08/2013, women attending Kenyatta National Hospital's Family Planning and Gynaecology Outpatients clinics were tested for HIV, HPV (CervistaÂź) and liquid based cervical cytology (LBC -ThinPrepÂź). HIV negative women diagnosed as high-risk HPV positive with high grade squamous intraepithelial lesions (HSIL) were examined by colposcopy and given a 2 week course of 1 capsule of Lopimune (CIPLA) twice daily, to be self-applied as a vaginal pessary. Colposcopy, HPV testing and LBC were repeated at 4 and 12 weeks post-start of treatment with a final punch biopsy at 3 months for histology. Primary outcome measures were acceptability of treatment with efficacy as a secondary consideration.
RESULTS:
A total of 23 women with HSIL were treated with Lopimune during which time no adverse reactions were reported. A maximum concentration of 10 ng/ml of lopinavir was detected in patient plasma 1 week after starting treatment. HPV was no longer detected in 12/23 (52.2%, 95%CI: 30.6-73.2%). Post-treatment cytology at 12 weeks on women with HSIL, showed 14/22 (63.6%, 95%CI: 40.6-82.8%) had no dysplasia and 4/22 (18.2%, 95%CI: 9.9-65.1%) were now low grade demonstrating a combined positive response in 81.8% of women of which 77.8% was confirmed by histology. These data are supported by colposcopic images, which show regression of cervical lesions.
CONCLUSIONS:
These results demonstrate the potential of Lopimune as a self-applied therapy for HPV infection and related cervical lesions. Since there were no serious adverse events or detectable post-treatment morbidity, this study indicates that further trials are clearly justified to define optimal regimes and the overall benefit of this therapy.
TRIAL REGISTRATION:
ISRCTN Registry 48776874
Generation and analysis of a 29,745 unique Expressed Sequence Tags from the Pacific oyster (Crassostrea gigas) assembled into a publicly accessible database: the GigasDatabase
Background: Although bivalves are among the most-studied marine organisms because of their ecological role and economic importance, very little information is available on the genome sequences of oyster species. This report documents three large-scale cDNA sequencing projects for the Pacific oyster Crassostrea gigas initiated to provide a large number of expressed sequence tags that were subsequently compiled in a publicly accessible database. This resource allowed for the identification of a large number of transcripts and provides valuable information for ongoing investigations of tissue-specific and stimulus-dependant gene expression patterns. These data are crucial for constructing comprehensive DNA microarrays, identifying single nucleotide polymorphisms and microsatellites in coding regions, and for identifying genes when the entire genome sequence of C. gigas becomes available. Description: In the present paper, we report the production of 40,845 high-quality ESTs that identify 29,745 unique transcribed sequences consisting of 7,940 contigs and 21,805 singletons. All of these new sequences, together with existing public sequence data, have been compiled into a publicly-available Website http://public-contigbrowser.sigenae.org:9090/Crassostrea_gigas/index.htm l. Approximately 43% of the unique ESTs had significant matches against the SwissProt database and 27% were annotated using Gene Ontology terms. In addition, we identified a total of 208 in silico microsatellites from the ESTs, with 173 having sufficient flanking sequence for primer design. We also identified a total of 7,530 putative in silico, single-nucleotide polymorphisms using existing and newly-generated EST resources for the Pacific oyster. Conclusion: A publicly-available database has been populated with 29,745 unique sequences for the Pacific oyster Crassostrea gigas. The database provides many tools to search cleaned and assembled ESTs. The user may input and submit several filters, such as protein or nucleotide hits, to select and download relevant elements. This database constitutes one of the most developed genomic resources accessible among Lophotrochozoans, an orphan clade of bilateral animals. These data will accelerate the development of both genomics and genetics in a commercially-important species with the highest annual, commercial production of any aquatic organism
Persistent anthrax as a major driver of wildlife mortality in a tropical rainforest
Anthrax is a globally important animal disease and zoonosis. Despite this, our current knowledge of anthrax ecology is largely limited to arid ecosystems, where outbreaks are most commonly reported. Here we show that the dynamics of an anthrax-causing agent, Bacillus cereus biovar anthracis, in a tropical rainforest have severe consequences for local wildlife communities. Using data and samples collected over three decades, we show that rainforest anthrax is a persistent and widespread cause of death for a broad range of mammalian hosts. We predict that this pathogen will accelerate the decline and possibly result in the extirpation of local chimpanzee (Pan troglodytes verus) populations. We present the epidemiology of a cryptic pathogen and show that its presence has important implications for conservation
Medical students on the value of role models for developing âsoft skillsâ - âThatâs the way you do itâ
OBJECTIVE: The Soft Skills Project examined the professional development of medical students at the University of Pretoria, especially their
doctor-patient interaction skills and professional socialisation. This paper reports on one of the findings of the project, namely the
importance that medical students attach to role models in the development of soft skills. METHODS: We used a qualitative method with
symbolic interactionism and grounded theory as framework. Fourty two final-year students from the last cohort following the traditional
curriculum at the University of Pretoria in 2001, and 49 final years from the first cohort following the reformed curriculum in 2002 were
recruited. Data were collected by applying focus groups, in-depth, individual interviews, as well as autobiographical sketches. Data were
captured by means of audio tape recordings, transcripts of the tapes, researchersâ field notes, and written accounts by students, and were
analysed by using a general inductive approach. RESULTS: There were no striking differences between the comments of the two groups.
Students considered registrars to be the most influential role models in the clinical teaching context, followed by specialist consultants.
Their idea of a good role model was a clinically and academically competent doctor that cared about patients, had good interpersonal
skills, and who could inspire students. Students needed and appreciated good role models to help them to develop their own soft skills.
They expected guidance and behavioural examples from clinical teachers. Although there were competent role models, the students were
exposed to poor role models. Poor role models mainly affect students negatively. Students tend to imitate and perpetuate unacceptable
behaviour. Furthermore, poor role models have a negative emotional effect on students and are detrimental to their moral and learning
environment. Sometimes, poor role models have a paradoxical positive effect in the sense that they inform students how not to behave.
CONCLUSION: Medical schools and medical doctors working with medical students should be consciously aware of the importance of role
models both when allocating clinical teachers to students, and while performing duties with students. It is especially necessary to realise
that poor role modelling has important detrimental effects on students. Therefore, an attempt should be made to ensure that not only
clinical examination skills, but also soft skills, are demonstrated at the bedside. Measures to ensure adequate exposure of students to
positive role models could include: staff development; the identification of good role models to guide registrars; and a reallocation of tasks,
where possible, to increase the exposure of students to the ânaturalâ role models
Medical studentsâ perceptions of their development of âsoft skillsâ Part II : The development of âsoft skillsâ through âguiding and growingâ
BACKGROUND:
This paper reports on medical studentsâ views on the ways in which their âsoft skillsâ were developed. It is the result of a study on soft skills among two groups of students before and after curriculum reform at the School of Medicine of the University of Pretoria. One of the aims of the reform was to provide more teaching and learning opportunities for the development of soft skills. Soft skills include professional interpersonal and social skills, communication skills, and professional and ethical attitudes.
METHODS:
As symbolic interactionism was used as the theoretical framework to guide the research, qualitative methods were used to collect the data. A purposive-theoretical sample of 42 final-year medical students from the traditional curriculum and 49 from the reformed curriculum was recruited. Data were collected by means of focus groups, individual in-depth interviews and autobiographical sketches.
RESULTS:
The same categories of comments emerged from the data collected from the study participants from both the traditional and the reformed curriculum. The students ascribed their behaviour related to soft skills to personality and innate features. They had varying opinions on whether soft skills could be taught, but there was as a strong feeling that teaching should focus on principles and guidelines for dealing with difficult situations. They believed that, in the end, they should take responsibility for their own development of soft skills.
Most participants felt they could at least grow through exposure to teaching activities and the observation of role models. They also indicated that they had developed their soft skills and constructed their own identity through their interaction with others. Their definition of situations was shaped by their interactions with doctors and educators, fellow students and other health professionals. Interaction with patients was considered the most important. For both groups of students their third year was a watershed, as it is the first year of more intensive patient contact and the beginning of serious learning from interaction with patients.
The views on the development of soft skills differed very little between the traditional and reformed curriculum groups, except that students who had followed the reformed curriculum felt more prepared through the increased teaching and training efforts. Further consideration needs to be given to the intention of the changed curriculum compared to the actual effect.
The way in which the participants in the study described their development of soft skills could be categorised as a complex interplay between âbeingâ and âbecomingâ. Instead of using the word âacquisitionâ of soft skills, âdevelopmentâ seemed to be more appropriate. The metaphor of âguidingâ and âgrowingâ also captures the development of these skills better than the terms âteachingâ and âlearningâ.
CONCLUSION:
Teaching activities in the clinical years should be adapted with a view to facilitating the studentsâ professional growth. New models for the development of medical educators should be created and institutional barriers should be investigated
Training undergraduate medical students in âsoft skillsâ â a qualitative research project at the University of Pretoria
No abstract available
The conceptualisation of "soft skills" among medical students before and after curriculum reform
OBJECTIVE: This paper reports on the conceptualisation of "soft skills" as part of a study carried out among two groups of
undergraduate medical students before and after curriculum reform at the School of Medicine of the University of Pretoria.
Congruent with a call from the World Psychiatric Association, the curriculum reform that was undertaken aimed, inter alia, to
place more emphasis on soft skills, including professional interpersonal and social skills, communication skills, and
professional and ethical attitudes. METHODS: Qualitative methods were used to arrive at a descriptive comparison of the
conceptualisation of soft skills by final-year medical students of the traditional curriculum with those of final-year students
who had followed the reformed curriculum. A purposive-theoretical sampling method was followed; 42 students from the
traditional curriculum and 49 from the reformed curriculum were sampled. Data were collected from seven focus groups, 16
individual interviews, and 23 essays (autobiographical sketches). RESULTS: Both groups of students revealed
conceptualisations of soft skills that were similar in kind. The themes they pinpointed were the doctor-patient relationship;
relationships with other professionals; being a good listener; explaining things to patients; using good communication skills;
establishing rapport with patients from different cultural backgrounds; having a professionally correct attitude; being really
interested in patientsâ well being; having empathy; coping with patients, managing difficult situations, and being ethical and
professional. However, the traditional curriculum students offered fewer examples and described fewer experiences that
exemplified their soft skills. Students following the reformed curriculum gave rich accounts of their conceptualisation in
terms of their own experiences and practical examples of how soft skills had been or could be used, particularly in difficult
interpersonal situations. Moreover, they came up with helpful ways of dealing with difficult situations, which surpassed the
suggestions offered by the students following the traditional curriculum. CONCLUSION: The educational and training efforts of
the reformed curriculum are associated with an adeptness on the part of the students at applying soft skills to the demands of
difficult clinical situations