Primary biliary cirrhosis

Primary biliary cirrhosis (PBC) or chronic non-suppurative destructive cholangiohepatitis is rare in southern Africa. Eight patients with this diagnosis were identified and fully investigated at Groote Schuur Hospital between 1980 and 1988. Seven patients were female, all were white or coloured, and their ages ranged from 49 years to 80 years. All patients presented with a history of malaise, fatigue, night sweats and pruritus, which had been present for 3 months - 12 years before diagnosis of PBC. Initial misdiagnosis had resulted in unnecessary invasive investigations including laparotomies. Signs of chronic liver disease, such as xantholasmas, evidence of pruritus, the sicca syndrome or hepatomegaly, were invariably present. Marked elevation of serum alkaline phosphatase level and IgM were present in all cases. Antimitochondrial antibodies were positive in significant titre in 7 of the 8 patients. Liver biopsies demonstrated stage ll-lll disease in all patients. Therapy was chiefly supportive and symptomatic although most patients received immunosuppressive agents. Despite the late presentation, the subsequent. course was similar to that seen elsewhere where patients are recognised earlier.S Afr Med J 1990; 78: 19-2

Metric Accuracy Evaluation of Dense Matching Algorithms in Archeological Applications

In the cultural heritage field the recording and documentation of small and medium size objects with very detailed Digital Surface Models (DSM) is readily possible by through the use of high resolution and high precision triangulation laser scanners. 3D surface recording of archaeological objects can be easily achieved in museums; however, this type of record can be quite expensive. In many cases photogrammetry can provide a viable alternative for the generation of DSMs. The photogrammetric procedure has some benefits with respect to laser survey. The research described in this paper sets out to verify the reconstruction accuracy of DSMs of some archaeological artifacts obtained by photogrammetric survey. The experimentation has been carried out on some objects preserved in the Petrie Museum of Egyptian Archaeology at University College London (UCL). DSMs produced by two photogrammetric software packages are compared with the digital 3D model obtained by a state of the art triangulation color laser scanner. Intercomparison between the generated DSM has allowed an evaluation of metric accuracy of the photogrammetric approach applied to archaeological documentation and of precision performances of the two software packages

Metric Accuracy Evaluation of Dense Matching Algorithms in Archeological Applications

In the cultural heritage field the recording and documentation of small and medium size objects with very detailed Digital Surface Models (DSM) is readily possible by through the use of high resolution and high precision triangulation laser scanners. 3D surface recording of archaeological objects can be easily achieved in museums; however, this type of record can be quite expensive. In many cases photogrammetry can provide a viable alternative for the generation of DSMs. The photogrammetric procedure has some benefits with respect to laser survey. The research described in this paper sets out to verify the reconstruction accuracy of DSMs of some archaeological artifacts obtained by photogrammetric survey. The experimentation has been carried out on some objects preserved in the Petrie Museum of Egyptian Archaeology at University College London (UCL). DSMs produced by two photogrammetric software packages are compared with the digital 3D model obtained by a state of the art triangulation color laser scanner. Intercomparison between the generated DSM has allowed an evaluation of metric accuracy of the photogrammetric approach applied to archaeological documentation and of precision performances of the two software packages

Positron kinetics in an idealized PET environment

The kinetic theory of non-relativistic positrons in an idealized positron emission tomography PET environment is developed by solving the Boltzmann equation, allowing for coherent and incoherent elastic, inelastic, ionizing and annihilating collisions through positronium formation. An analytic expression is obtained for the positronium formation rate, as a function of distance from a spherical source, in terms of the solutions of the general kinetic eigenvalue problem. Numerical estimates of the positron range - a fundamental limitation on the accuracy of PET, are given for positrons in a model of liquid water, a surrogate for human tissue. Comparisons are made with the 'gas-phase' assumption used in current models in which coherent scattering is suppressed. Our results show that this assumption leads to an error of the order of a factor of approximately 2, emphasizing the need to accurately account for the structure of the medium in PET simulations

Decadal prediction of the North Atlantic subpolar gyre in the HiGEM high-resolution climate model

This paper presents an analysis of initialised decadal hindcasts of the North Atlantic subpolar gyre (SPG) using the HiGEM model, which has a nominal grid-spacing of 90 km in the atmosphere, and 1/3 ∘∘ in the ocean. HiGEM decadal predictions (HiGEM-DP) exhibit significant skill at capturing 0–500 m ocean heat content in the SPG, and outperform historically forced transient integrations and persistence for up to a decade ahead. An analysis of case-studies of North Atlantic decadal change, including the 1960s cooling, the mid-1990s warming, and the post-2005 cooling, show that changes in ocean circulation and heat transport dominate the predictions of the SPG. However, different processes are found to dominate heat content changes in different regions of the SPG. Specifically, ocean advection dominates in the east, but surface fluxes dominate in the west. Furthermore, compared to previous studies, we find a smaller role for ocean heat transport changes due to ocean circulation anomalies at the latitudes of the SPG, and, for the 1960s cooling, a greater role for surface fluxes. Finally, HiGEM-DP predicts the observed positive state of the North Atlantic Oscillation in the early 1990s. These results support an important role for the ocean in driving past changes in the North Atlantic region, and suggest that these changes were predictable

Ceramide synthase TLCD3B is a novel gene associated with human recessive retinal dystrophy

PURPOSE: Previous studies suggest that ceramide is a proapoptotic lipid as high levels of ceramides can lead to apoptosis of neuronal cells, including photoreceptors. However, no pathogenic variant in ceramide synthases has been identified in human patients and knockout of various ceramide synthases in mice has not led to photoreceptor degeneration. METHODS: Exome sequencing was used to identify candidate disease genes in patients with vision loss as confirmed by standard evaluation methods, including electroretinography (ERG) and optical coherence tomography. The vision loss phenotype in mice was evaluated by ERG and histological analyses. RESULTS: Here we have identified four patients with cone-rod dystrophy or maculopathy from three families carrying pathogenic variants in TLCD3B. Consistent with the phenotype observed in patients, the Tlcd3bKO/KO mice exhibited a significant reduction of the cone photoreceptor light responses, thinning of the outer nuclear layer, and loss of cone photoreceptors across the retina. CONCLUSION: Our results provide a link between loss-of-function variants in a ceramide synthase gene and human retinal dystrophy. Establishment of the Tlcd3b knockout murine model, an in vivo photoreceptor cell degeneration model due to loss of a ceramide synthase, will provide a unique opportunity in probing the role of ceramide in survival and function of photoreceptor cells

Embedding reflexivity within experiential qualitative psychology

In this article, it is argued that reflexivity is integral to experiential qualitative research in psychology. Reflexivity has been defined in many ways. Woolgar’s continuum of reflexivity though provides a useful gauge by which to judge whether a researcher is involved in simple reflection or reflexivity. The article demonstrates the benefits of adopting a reflexive attitude by presenting “challenge-to-competency.” The author’s encounter with Sarah will help illustrate the role of reflexivity both in data generation and in interpretative analysis. To close, it is proposed that reflexivity as hermeneutic reflection, with its grounding in hermeneutics and phenomenology, is a useful construct for guiding our engagement in reflexivity in experiential qualitative research