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Use of computer-aided detection (CAD) tools in screening mammography: a multidisciplinary investigation
We summarise a set of analyses and studies conducted to assess the effects of the use of a computer-aided detection (CAD) tool in breast screening. We have used an interdisciplinary approach that combines: (a) statistical analyses inspired by reliability modelling in engineering; (b) experimental studies of decisions of mammography experts using the tool, interpreted in the light of human factors psychology; and (c) ethnographic observations of the use of the tool both in trial conditions and in everyday screening practice. Our investigations have shown patterns of human behaviour and effects of computer-based advice that would not have been revealed by a standard clinical trial approach. For example, we found that the negligible measured effect of CAD could be explained by a range of effects on experts' decisions, beneficial in some cases and detrimental in others. There is some evidence of the latter effects being due to the experts using the computer tool differently from the intentions of the developers. We integrate insights from the different pieces of evidence and highlight their implications for the design, evaluation and deployment of this sort of computer tool
Addressing legal and policy barriers to male circumcision for adolescent boys in South Africa
With millions of adolescents becoming infected with HIV globally, it is essential that barriers to much-needed interventions are reduced for at-risk adolescents. In this article we review the legal and policy framework in South Africa for adolescent access to male circumcision. We are of the view that the framework does confer protection for adolescent boys while enabling access to male circumcision; however, we identify ambiguities and tensions that exist between the Children’s Act, regulations and national guidelines. We recommend reform to further enable access by this vulnerable group to this prevention modality
Lattice thermal conductivity of disordered NiPd and NiPt alloys
Numerical calculations of lattice thermal conductivity are reported for the
binary alloys NiPd and NiPt. The present work is a continuation of an earlier
paper by us [PRB, 72, 214207 (2005)]which had developed a theoretical framework
for the calculation of configuration-averaged lattice thermal conductivity and
thermal diffusivity in disordered alloys. The formulation was based on the
augmented space theorem combined with a scattering diagram technique. In this
paper we shall show dependence of the lattice thermal conductivity on a series
of variables like phonon frequency, temperature and alloy composition. The
temperature dependence of and its realtion to the measured thermal
conductivity is discussed. The concentration dependence of appears to
justify the notion of a minimum thermal conductivity as discussed by Kittel,
Slack and others. We also study the frequency and composition dependence of the
thermal diffusivity averaged over modes. A numerical estimate of this quantity
gives an idea about the location of mobility edge and the fraction of states in
the frequency spectrum which is delocalized.Comment: 23 pages, 18 figure
One step forward, two steps back – requiring ministerial approval for all ‘non-therapeutic\' health research involving minors
The new National Health Act has clarified that children may take part in ‘non-therapeutic\' research (NTR) and the age at which they may provide independent consent to such research, viz. at legal majority. However, the Act will require consent from the Minister of Health for all research classed as NTR and involving minors regardless of the level of risk.
This requirement is overly broad. It will require that low-risk research without direct benefits, which might be adequately reviewed by an accredited research ethics committee (REC), must also be reviewed by the Minister. As it currently stands this requirement serves no plausible ethical purpose, will cause delays and discourage essential research on the needs of children, and may inspire researchers and RECs alike to ‘foil the system\'. We argue that in the long term there should be comprehensive law reform for child research. However, in the short term, amendments should be made to the Act to narrow
the scope of this provision. The amendment should require ministerial consent for research that is currently not approvable by an REC in terms of national ethical guidelines, namely,
research that does not hold out direct benefit but presents more than a minor increase over minimal risk. If our law reform recommendations are rejected, we favour the delegation
of this task to RECs because, if they receive appropriate training, they should be competent to conduct it. We accept the disadvantages, namely that the same body will review
protocols twice from slightly different perspectives and that certain categories of research will remain unapprovable.South African Medical Journal Vol. 97 (2) 2007: pp.200-202
Glass-Like Heat Conduction in High-Mobility Crystalline Semiconductors
The thermal conductivity of polycrystalline semiconductors with type-I
clathrate hydrate crystal structure is reported. Ge clathrates (doped with Sr
and/or Eu) exhibit lattice thermal conductivities typical of amorphous
materials. Remarkably, this behavior occurs in spite of the well-defined
crystalline structure and relatively high electron mobility (). The dynamics of dopant ions and their interaction with the
polyhedral cages of the structure are a likely source of the strong phonon
scattering.Comment: 4 pages, 3 postscript figures, to be published, Phys. Rev. Let
Antarctica Meta-Analysis: Psychosocial Factors Related to Long Duration Isolation and Confinement
This meta-analysis is examining the psychological effects of wintering-over in Antarctica. As an isolated, confined, and extreme (ICE) environment, Antarctica provides invaluable opportunities to experience stressors more common to spaceflight than to the average person s everyday life. Increased prevalence of psychological symptoms, syndromes, and psychiatric disorders, as well as positive effects, are expected to be associated with various demographic and environmental factors. Implications for spaceflight are discussed. Findings from statistical review of the Antarctic articles will be shared
Heat transport in model jammed solids
We calculate numerically the normal modes of vibrations in 3D jammed packings
of soft spheres as a function of the packing fraction and obtain the energy
diffusivity, a spectral measure of transport that controls sound propagation
and thermal conductivity. The crossover frequency between weak and strong
phonon scattering is controlled by the coordination and shifts to zero as the
system is decompressed towards the critical packing fraction at which rigidity
is lost. Below the crossover, the diffusivity displays a power-law divergence
with inverse frequency, which suggests that the vibrational modes are primarily
transverse waves, weakly scattered by disorder. Above it, a large number of
modes appear whose diffusivity plateaus at a nearly constant value independent
of the inter-particle potential, before dropping to zero above the Anderson
localization frequency. The thermal conductivity of a marginally jammed solid
just above the rigidity threshold is calculated and related to the one measured
experimentally at room temperature for most glasses.Comment: 15 pages, 7 figure
Comparison of a DNA Hybridization Probe and ELISA for the Detection of \u3ci\u3eClavibacter michiganensis\u3c/i\u3e subsp. \u3ci\u3esepedonicus\u3c/i\u3e in Field-Grown Potatoes
Clavibacter michiganensis subsp. sepedonicus, the causal agent of bacterial ring rot, was detected in field-grown potatoes using a 1.078-kb repeated C. m. sepedonicus sequence as a probe in DNA hybridizations. Stem and petiole samples from susceptible and tolerant cultivars (Russet Burbank and Belrus, respectively), inoculated with 10 mM phosphate buffer (pH 7.2) or 102 or 109 cfu of either an aggressive or a less aggressive C. m. sepedonicus strain, were processed by directly blotting cut tissue sections on nylon membranes, macerating frozen tissues, and applying xylem fluid collected by centrifugation to nylon membranes (stems only). The efficiency of detection was significantly influenced by sampling date, plant part, inoculum dose, and cultivar. The probe was compared with an enzyme-linked immunosorbent assay (ELISA) and showed 95-100% agreement when underground Russet Burbank stems inoculated with 109 cfu of aggressive C. m. sepedonicus strain SS43 were directly blotted. Although overall detection rates with stem sections were higher for ELISA (18.4% with ELISA vs. 11.3% with direct blotting), a high rate of false positives (53.9%) occurred with petiole tissues at 90 days after planting when ELISA was used, whereas none occurred with DNA hybridizations
A Variant in a MicroRNA complementary site in the 3' UTR of the KIT oncogene increases risk of acral melanoma.
MicroRNAs (miRNAs) are small ∼22nt single stranded RNAs that negatively regulate protein expression by binding to partially complementary sequences in the 3' untranslated region (3' UTRs) of target gene messenger RNAs (mRNA). Recently, mutations have been identified in both miRNAs and target genes that disrupt regulatory relationships, contribute to oncogenesis and serve as biomarkers for cancer risk. KIT, an established oncogene with a multifaceted role in melanogenesis and melanoma pathogenesis, has recently been shown to be upregulated in some melanomas, and is also a target of the miRNA miR-221. Here, we describe a genetic variant in the 3' UTR of the KIT oncogene that correlates with a greater than fourfold increased risk of acral melanoma. This KIT variant results in a mismatch in the seed region of a miR-221 complementary site and reporter data suggests that this mismatch can result in increased expression of the KIT oncogene. Consistent with the hypothesis that this is a functional variant, KIT mRNA and protein levels are both increased in the majority of samples harboring the KIT variant. This work identifies a novel genetic marker for increased heritable risk of melanoma
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