422 research outputs found

    What are we thinking of? A critical overview of approaches to developing academic literacy in South African higher education

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    In South African higher education, the development of academic literacy is often seen to be the responsibility of those working in the field that is known as ‘academic development’. This paper uses an analysis of submissions to the 2012 annual conference of the Higher Education Learning and Teaching  Association of Southern Africa, the forum most used by those working in the field to present their work, (i) to examine critically the way the construct of academic literacy is understood by practitioners in the field and (ii) to consider the approaches to the development of literacy to which these understandings lead.Key words: academic literacies, academic development, higher  education,reading, writing, skills, practice

    Sentinel Lymph Node Surgery After Neoadjuvant Chemotherapy in Patients With Node-Positive Breast Cancer: The ACOSOG Z1071 (Alliance) Clinical Trial

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    IMPORTANCE Sentinel lymph node (SLN) surgery provides reliable nodal staging information with less morbidity than axillary lymph node dissection (ALND) for patients with clinically node-negative (cN0) breast cancer. The application of SLN surgery for staging the axilla following chemotherapy for women who initially had node-positive cN1 breast cancer is unclear because of high false-negative results reported in previous studies. OBJECTIVE To determine the false-negative rate (FNR) for SLN surgery following chemotherapy in women initially presenting with biopsy-proven cN1 breast cancer. DESIGN, SETTING, AND PATIENTS The American College of Surgeons Oncology Group (ACOSOG) Z1071 trial enrolled women from 136 institutions from July 2009 to June 2011 who had clinical TO through T4, N1 through N2, M0 breast cancer and received neoadjuvant chemotherapy. Following chemotherapy, patients underwent both SLN surgery and ALND. Sentinel lymph node surgery using both blue dye (isosulfan blue or methylene blue) and a radiolabeled colloid mapping agent was encouraged. MAIN OUTCOMES AND MEASURES The primary end point was the FNR of SLN surgery after chemotherapy in women who presented with cN1 disease. We evaluated the likelihood that the FNR in patients with 2 or more SLNs examined was greater than 10%, the rate expected for women undergoing SLN surgery who present with cN0 disease. RESULTS Seven hundred fifty-six women were enrolled in the study. Of 663 evaluable patients with cN1 disease, 649 underwent chemotherapy followed by both SLN surgery and ALND. An SLN could not be identified in 46 patients (7.1%). Only 1 SLN was excised in 78 patients (12.0%). Of the remaining 525 patients with 2 or more SLNs removed, no cancer was identified in the axillary lymph nodes of 215 patients, yielding a pathological complete nodal response of 41.0% (95% CI, 36.7%-45.3%). In 39 patients, cancer was not identified in the SLNs but was found in lymph nodes obtained with ALND, resulting in an FNR of 12.6% (90% Bayesian credible interval, 9.85%-16.05%). CONCLUSIONS AND RELEVANCE Among women with cN1 breast cancer receiving neoadjuvant chemotherapy who had 2 or more SLNs examined, the FNR was not found to be 10% or less. Given this FNR threshold, changes in approach and patient selection that result in greater sensitivity would be necessary to support the use of SLN surgery as an alternative to ALND

    Drivers of European bat population change: a review reveals evidence gaps

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    Bat populations are thought to have suffered significant declines in the past century throughout Europe. Fortunately, there are some signs of recovery; for instance, of the 11 species monitored in the UK, population trends of five are increasing. The drivers of past losses and recent trends are unclear; identifying them will enable targeted conservation strategies to support further recovery. We review the evidence linking proposed drivers to impacts on bat populations in Europe, using the results of a previous cross‐taxa semi‐quantitative assessment as a framework. Broadly, the drivers reviewed relate to land‐use practices, climate change, pollution, development and infrastructure, and human disturbance. We highlight where evidence gaps or conflicts present barriers to successful conservation and review emerging opportunities to address these gaps. We find that the relative importance or impacts of the potential drivers of bat population change are not well understood or quantified, with conflicting evidence in many cases. To close key gaps in the evidence for responses of bat populations to environmental change, future studies should focus on the impacts of climate change, urbanisation, offshore wind turbines, and water pollution, as well as on mitigation measures and the synergistic effects of putative drivers. To increase available evidence of drivers of bat population change, we propose utilising advances in monitoring tools and statistical methods, together with robust quantitative assessment of conservation interventions to mitigate threats and enable the effective conservation of these protected species

    Template-Assisted Hydrothermal Growth of Aligned Zinc Oxide Nanowires for Piezoelectric Energy Harvesting Applications.

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    A flexible and robust piezoelectric nanogenerator (NG) based on a polymer-ceramic nanocomposite structure has been successfully fabricated via a cost-effective and scalable template-assisted hydrothermal synthesis method. Vertically aligned arrays of dense and uniform zinc oxide (ZnO) nanowires (NWs) with high aspect ratio (diameter ∌250 nm, length ∌12 ÎŒm) were grown within nanoporous polycarbonate (PC) templates. The energy conversion efficiency was found to be ∌4.2%, which is comparable to previously reported values for ZnO NWs. The resulting NG is found to have excellent fatigue performance, being relatively immune to detrimental environmental factors and mechanical failure, as the constituent ZnO NWs remain embedded and protected inside the polymer matrix.The authors thank Yeonsik Choi for discussions and experimental support. S.K.-N., C.O., and A.D. are grateful for financial support from the European Research Council through an ERC Starting Grant (Grant no. ERC-2014-STG-639526, NANOGEN). F.L.B. and R.A.W. thank the EPSRC Cambridge NanoDTC, EP/G037221/1, for studentship funding. P.S.J. acknowledges the support of TEP-1900 and Talentia Postdoc Program, cofunded by the European Union’s Seventh Framework Program, Marie SkƂodowska-Curie actions (COFUND Grant Agreement 267226) and the Ministry of Economy, Innovation, Science and Employment of the Junta de AndalucĂ­a. S-L.S acknowledges support through the EPSRC grant EP/M010589/1This is the final version of the article. It first appeared from American Chemical Society via http://dx.doi.org/10.1021/acsami.6b04041

    Impact of race, ethnicity, and BMI on achievement of pathologic complete response following neoadjuvant chemotherapy for breast cancer: a pooled analysis of four prospective Alliance clinical trials (A151426)

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    Previous studies demonstrated poor response to neoadjuvant systemic therapy (NST) for breast cancer among black women and women who are overweight or obese but this may be due to chemotherapy under dosing. We assessed associations of race, ethnicity and body mass index (BMI) with pathologic complete response (pCR) in clinical trial populations

    Highly sensitive piezotronic pressure sensors based on undoped GaAs nanowire ensembles

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    Semiconducting piezoelectric materials have attracted considerable interest due to their central role in the emerging field of piezotronics, where the development of a piezo-potential in response to stress or strain can be used to tune the band structure of the semiconductor, and hence its electronic properties. This coupling between piezoelectricity and semiconducting properties can be readily exploited for force or pressure sensing using nanowires, where the geometry and unclamped nature of nanowires render them particularly sensitive to small forces. At the same time, piezoelectricity is known to manifest more strongly in nanowires of certain semiconductors. Here, we report the design and fabrication of highly sensitive piezotronic pressure sensors based on GaAs nanowire ensemble sandwiched between two electrodes in a back-to-back diode configuration. We analyse the current-voltage characteristics of these nanowire-based devices in response to mechanical loading in light of the corresponding changes to the device band structure. We observe a high piezotronic sensitivity to pressure, of ~7800 meV/MPa. We attribute this high sensitivity to the nanowires being fully depleted due to the lack of doping, as well as due to geometrical pressure focusing and current funneling through polar interfaces

    Patterns of Local-Regional Management Following Neoadjuvant Chemotherapy in Breast Cancer: Results From ACOSOG Z1071 (Alliance)

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    AXXXXX ZXXXX was a prospective trial evaluating the false negative rate of sentinel node (SLN) surgery after neoadjuvant chemotherapy (NAC) in breast cancer patients with initial node-positive disease. Radiation therapy (RT) decisions were at the discretion of treating physicians, providing an opportunity to evaluate variability in practice patterns following NAC
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