182 research outputs found

    Maximising student support through cluster meetings in a distance teacher upgrading programme

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    In an attempt to improve students’ retention and ensure high per cohort completion rates, a student support system of cluster meetings was introduced for the upgrading of teachers from primary teacher certifi cate to secondary teacher diploma in Malawi. The programme targeted teachers who were teaching in community day secondary schools (CDSSs), despite being qualifi ed for primary school teaching. The distance education upgrading programme was aimed at improving knowledge and skills to enable students to improve their competency in teaching the secondary school syllabuses. As part of the student support system, cluster meetings and study circles were meant to enhance student-to-student support and instil a sense of belonging to a cohort. Both cluster meetings and study circles have continued to be well supported by subsequent cohorts many years after their introduction in the support system. The study investigated how cluster meetings and study circles contributed to the success of students in the programme. Data for the study was collected through individual interviews with programme managers, focus group discussions with cluster leaders, and questionnaires for students and fi eld supervisors. The study found that study circles and cluster meetings united students of same subject combinations in a cohort in the same way that classes provided a sense of belonging in a face-to-face programme. It was, therefore, concluded that cluster meetings provided peer support, which gave further impetus to achievement through increased collaboration in academic assignments.Proceedings of the 3rd biannual International Conference on Distance Education and Teachers’ Training in Africa (DETA) held at the University of Cape Coast, Cape Coast, Ghana, August 200

    Ablative brain surgery : an overview

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    Background: Ablative therapies have been used for the treatment of neurological disorders for many years. They have been used both for creating therapeutic lesions within dysfunctional brain circuits and to destroy intracranial tumors and space-occupying masses. Despite the introduction of new effective drugs and neuromodulative techniques, which became more popular and subsequently caused brain ablation techniques to fall out favor, recent technological advances have led to the resurgence of lesioning with an improved safety profile. Currently, the four main ablative techniques that are used for ablative brain surgery are radiofrequency thermoablation, stereotactic radiosurgery, laser interstitial thermal therapy and magnetic resonance-guided focused ultrasound thermal ablation. Object: To review the physical principles underlying brain ablative therapies and to describe their use for neurological disorders. Methods: The literature regarding the neurosurgical applications of brain ablative therapies has been reviewed. Results: Ablative treatments have been used for several neurological disorders, including movement disorders, psychiatric disorders, chronic pain, drug-resistant epilepsy and brain tumors. Conclusions: There are several ongoing efforts to use novel ablative therapies directed towards the brain. The recent development of techniques that allow for precise targeting, accurate delivery of thermal doses and real-time visualization of induced tissue damage during the procedure have resulted in novel techniques for cerebral ablation such as magnetic resonance-guided focused ultrasound or laser interstitial thermal therapy. However, older techniques such as radiofrequency thermal ablation or stereotactic radiosurgery still have a pivotal role in the management of a variety of neurological disorders

    The Reporting on ERAS Compliance, Outcomes, and Elements Research (RECOvER) Checklist: A Joint Statement by the ERAS<sup>®</sup> and ERAS<sup>®</sup> USA Societies.

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    Enhanced recovery after surgery (ERAS) programs are multimodal care pathways designed to minimize the physiological and psychological impact of surgery for patients. Increased compliance with ERAS guidelines is associated with improved patient outcomes across surgical types. As ERAS programs have proliferated, an unintentional effect has been significant variation in how ERAS-related studies are reported in the literature. To improve the quality of ERAS reporting, ERAS &lt;sup&gt;®&lt;/sup&gt; USA and the ERAS &lt;sup&gt;®&lt;/sup&gt; Society launched an effort to create an instrument to assist authors in manuscript preparation. Criteria to include were selected by a combination of literature review and expert opinion. The final checklist was refined by group consensus. The Societies present the Reporting on ERAS Compliance, Outcomes, and Elements Research (RECOvER) Checklist. The tool contains 20 items including best practices for reporting clinical pathways, compliance auditing, and formatting guidelines. The RECOvER Checklist is intended to provide a standardized framework for the reporting of ERAS-related studies. The checklist can also assist reviewers in evaluating the quality of ERAS-related manuscripts. Authors are encouraged to include the RECOvER Checklist when submitting ERAS-related studies to peer-reviewed journals

    A novel determination of the local dark matter density

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    We present a novel study on the problem of constructing mass models for the Milky Way, concentrating on features regarding the dark matter halo component. We have considered a variegated sample of dynamical observables for the Galaxy, including several results which have appeared recently, and studied a 7- or 8-dimensional parameter space - defining the Galaxy model - by implementing a Bayesian approach to the parameter estimation based on a Markov Chain Monte Carlo method. The main result of this analysis is a novel determination of the local dark matter halo density which, assuming spherical symmetry and either an Einasto or an NFW density profile is found to be around 0.39 GeV cm3^{-3} with a 1-σ\sigma error bar of about 7%; more precisely we find a ρDM(R0)=0.385±0.027GeVcm3\rho_{DM}(R_0) = 0.385 \pm 0.027 \rm GeV cm^{-3} for the Einasto profile and ρDM(R0)=0.389±0.025GeVcm3\rho_{DM}(R_0) = 0.389 \pm 0.025 \rm GeV cm^{-3} for the NFW. This is in contrast to the standard assumption that ρDM(R0)\rho_{DM}(R_0) is about 0.3 GeV cm3^{-3} with an uncertainty of a factor of 2 to 3. A very precise determination of the local halo density is very important for interpreting direct dark matter detection experiments. Indeed the results we produced, together with the recent accurate determination of the local circular velocity, should be very useful to considerably narrow astrophysical uncertainties on direct dark matter detection.Comment: 31 pages,11 figures; minor changes in the text; two figures adde

    QED Effective Action Revisited

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    The derivation of a convergent series representation for the quantum electrodynamic effective action obtained by two of us (S.R.V. and D.R.L.) in [Can. J. Phys. vol. 71, p. 389 (1993)] is reexamined. We present more details of our original derivation. Moreover, we discuss the relation of the electric-magnetic duality to the integral representation for the effective action, and we consider the application of nonlinear convergence acceleration techniques which permit the efficient and reliable numerical evaluation of the quantum correction to the Maxwell Lagrangian.Comment: 20 pages, LaTeX, 1 table; minor additions and adjustments; to appear in Can. J. Phy

    Vitamin D and mortality: Individual participant data meta-analysis of standardized 25-hydroxyvitamin D in 26916 individuals from a European consortium

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    Source at http://doi.org/10.1371/journal.pone.0170791Background:Vitamin D deficiency may be a risk factor for mortality but previous meta-analyses lacked standardization of laboratory methods for 25-hydroxyvitamin D (25[OH]D) concentrations and used aggregate data instead of individual participant data (IPD). We therefore performed an IPD meta-analysis on the association between standardized serum 25(OH)D and mortality.Methods:In a European consortium of eight prospective studies, including seven general population cohorts, we used the Vitamin D Standardization Program (VDSP) protocols to standardize 25(OH)D data. Meta-analyses using a one step procedure on IPD were performed to study associations of 25(OH)D with all-cause mortality as the primary outcome, and with cardiovascular and cancer mortality as secondary outcomes. This meta-analysis is registered at ClinicalTrials.gov, number NCT02438488.Findings:We analysed 26916 study participants (median age 61.6 years, 58% females) with a median 25(OH)D concentration of 53.8 nmol/L. During a median follow-up time of 10.5 years, 6802 persons died. Compared to participants with 25(OH)D concentrations of 75 to 99.99 nmol/L, the adjusted hazard ratios (with 95% confidence interval) for mortality in the 25(OH)D groups with 40 to 49.99, 30 to 39.99, and Interpretation:In the first IPD meta-analysis using standardized measurements of 25(OH)D we observed an association between low 25(OH)D and increased risk of all-cause mortality. It is of public health interest to evaluate whether treatment of vitamin D deficiency prevents premature deaths

    A pooled-analysis of age and sex based coronary artery calcium scores percentiles

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    Funding The authors of this publication did not receive any grant from funding agencies in the public, commercial, or not-for-profit sector to support this research effort. Dr. Paolo Raggi was supported by a grant (RES0016825) from the Faculty of Medicine and Dentistry at the University of Alberta, Edmonton, AB, Canada. Dr. Matthew J. Budoff has Grant support from general electric and NIH. None of the other authors declares a conflict of interest. Publisher Copyright: © 2020 [The Author/The Authors]Background: Age and sex based coronary artery calcium score (CAC) percentiles have been used to improve coronary artery disease (CAD) risk prediction. However, the main limitation of the CACs percentiles currently in use is that they are often based on single studies. We performed a pooled analysis of all available studies that reported on CAC percentiles, in order to develop more generalizable age and sex nomograms. Methods: PubMed/Medline and Embase were searched for studies that reported nomograms of age and sex-based CACs percentiles. Studies were included if they reported data collected among asymptomatic individuals without a history of cardiovascular disease. Absolute CACs for each specific percentile stratum were pooled and new percentiles were generated taking into account the sample size of the study. Results: We found 831 studies, of which 12 met the inclusion criteria. Data on CACs percentiles of 134,336 Western and 33,488 Asians were pooled separately, rendering a weighted CACs percentile nomogram available at https://www.calciumscorecalculator.com. Our weighted percentiles differed by up to 24% from the nomograms in use today. Conclusions: Our pooled age and sex based CACs percentiles based on over 155,000 individuals should provide a measure of risk that is more applicable to a wider population than the ones currently in use and hopefully will lead to better risk assessment and treatment decisions.Peer reviewe

    On the longitudinal contributions to hadronic tau decay

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    A number of recent determinations of msm_s using hadronic τ\tau decay data involve inclusive analyses based on the so-called (k,0)(k,0) spectral weights. We show here that the OPE representations of the longitudinal contributions appearing in these analyses, which are already known to be poorly converging, have in addition an unphysical kk dependence which produces a significant unphysical decrease in msm_s with increasing kk. We also show how, using additional sum rule constraints, the decay constants of the excited resonances in the strange scalar and pseudoscalar channels may be determined, allowing one to evaluate the longitudinal spectral contributions to the (k,0)(k,0) sum rules. Taking into account the very-accurately known π\pi and KK pole contributions, we find that longitudinal contributions can be determined with an accuracy at the few % level, and hence reliably subtracted, leaving an analysis for msm_s involving the sum of longitudinal and transverse contributions, for which the OPE representation is much better converged.Comment: 20 pages, no figure
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