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- Thomas, HS, et al.
(författare)
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- 2019
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swepub:Mat__t
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- Thoma, B, et al.
(författare)
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An international, interprofessional investigation of the self-reported podcast listening habits of emergency clinicians: A METRIQ Study
- 2020
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Ingår i: CJEM. - : Springer Science and Business Media LLC. - 1481-8043 .- 1481-8035. ; 22:1, s. 112-117
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Tidskriftsartikel (refereegranskat)abstract
- ObjectivesPodcasts are increasingly being used for medical education. A deeper understanding of usage patterns would inform both producers and researchers of medical podcasts. We aimed to determine how and why podcasts are used by emergency medicine and critical care clinicians.MethodsAn international interprofessional sample (medical students, residents, physicians, nurses, physician assistants, and paramedics) was recruited through direct contact and a multimodal social media (Twitter and Facebook) campaign. Each participant completed a survey outlining how and why they utilize medical podcasts. Recruitment materials included an infographic and study website.Results390 participants from 33 countries and 4 professions (medicine, nursing, paramedicine, physician assistant) completed the survey. Participants most frequently listened to medical podcasts to review new literature (75.8%), learn core material (75.1%), and refresh memory (71.8%). The majority (62.6%) were aware of the ability to listen at increased speeds, but most (76.9%) listened at 1.0 x (normal) speed. All but 25 (6.4%) participants concurrently performed other tasks while listening. Driving (72.3%), exercising (39.7%), and completing chores (39.2%) were the most common. A minority of participants used active learning techniques such as pausing, rewinding, and replaying segments of the podcast. Very few listened to podcasts multiple times.ConclusionsAn international cohort of emergency clinicians use medical podcasts predominantly for learning. Their listening habits (rarely employing active learning strategies and frequently performing concurrent tasks) may not support this goal. Further exploration of the impact of these activities on learning from podcasts is warranted.
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- Ademuyiwa, Adesoji O., et al.
(författare)
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Determinants of morbidity and mortality following emergency abdominal surgery in children in low-income and middle-income countries
- 2016
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Ingår i: BMJ Global Health. - : BMJ Publishing Group Ltd. - 2059-7908. ; 1:4
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Tidskriftsartikel (refereegranskat)abstract
- Background: Child health is a key priority on the global health agenda, yet the provision of essential and emergency surgery in children is patchy in resource-poor regions. This study was aimed to determine the mortality risk for emergency abdominal paediatric surgery in low-income countries globally.Methods: Multicentre, international, prospective, cohort study. Self-selected surgical units performing emergency abdominal surgery submitted prespecified data for consecutive children aged <16 years during a 2-week period between July and December 2014. The United Nation's Human Development Index (HDI) was used to stratify countries. The main outcome measure was 30-day postoperative mortality, analysed by multilevel logistic regression.Results: This study included 1409 patients from 253 centres in 43 countries; 282 children were under 2 years of age. Among them, 265 (18.8%) were from low-HDI, 450 (31.9%) from middle-HDI and 694 (49.3%) from high-HDI countries. The most common operations performed were appendectomy, small bowel resection, pyloromyotomy and correction of intussusception. After adjustment for patient and hospital risk factors, child mortality at 30 days was significantly higher in low-HDI (adjusted OR 7.14 (95% CI 2.52 to 20.23), p<0.001) and middle-HDI (4.42 (1.44 to 13.56), p=0.009) countries compared with high-HDI countries, translating to 40 excess deaths per 1000 procedures performed.Conclusions: Adjusted mortality in children following emergency abdominal surgery may be as high as 7 times greater in low-HDI and middle-HDI countries compared with high-HDI countries. Effective provision of emergency essential surgery should be a key priority for global child health agendas.
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| 9. |
- Popat, S, et al.
(författare)
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Genome screening of coeliac disease.
- 2001
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Ingår i: Journal of Medical Genetics. - 0022-2593 .- 1468-6244. ; 39, s. 328-331
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Tidskriftsartikel (refereegranskat)
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| 11. |
- Butler, Aodhán D., et al.
(författare)
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Experimental taphonomy of Artemia reveals the role of endogenous microbes in mediating decay and fossilization
- 2015
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Ingår i: Proceedings of the Royal Society of London. Biological Sciences. - : The Royal Society. - 0962-8452 .- 1471-2954. ; 282, s. 20150476-
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Tidskriftsartikel (refereegranskat)abstract
- Exceptionally preserved fossils provide major insights into the evolutionaryhistory of life. Microbial activity is thought to play a pivotal role in both thedecay of organisms and the preservation of soft tissue in the fossil record,though this has been the subject of very little experimental investigation.To remedy this, we undertook an experimental study of the decay of thebrine shrimp Artemia, examining the roles of autolysis, microbial activity,oxygen diffusion and reducing conditions. Our findings indicate thatendogenous gut bacteria are the main factor controlling decay. Followinggut wall rupture, but prior to cuticle failure, gut-derived microbes spreadinto the body cavity, consuming tissues and forming biofilms capable ofmediating authigenic mineralization, that pseudomorph tissues and structuressuch as limbs and the haemocoel. These observations explain patternsobserved in exceptionally preserved fossil arthropods. For example, gutsare preserved relatively frequently, while preservation of other internal anatomyis rare. They also suggest that gut-derived microbes play a key role in thepreservation of internal anatomy and that differential preservation betweenexceptional deposits might be because of factors that control autolysis andmicrobial activity. The findings also suggest that the evolution of a throughgut and its bacterial microflora increased the potential for exceptional fossilpreservation in bilaterians, providing one explanation for the extreme rarityof internal preservation in those animals that lack a through gut.
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| 12. |
- Butler, Aodhán D., 1986-, et al.
(författare)
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The role of microbes in decay and preservation: a Cambrian Explosion of animals and Lagerstätten.
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Annan publikation (övrigt vetenskapligt/konstnärligt)abstract
- The abrupt appearance of animals in the early Cambrian has been interpreted either as an explosive biological diversification or, alternatively, as an artefact resulting from a sudden increase in the probability of animal remains becoming fossilised. We attempt to reconcile these competing interpretations in exceptionally-preserved biota, which provide a vital part of our knowledge of the disparity and diversity of the Cambrian fauna. We assess the factors influencing the potential for exceptional fossil preservation using the brine shrimp Artemia salina as our experimental model. Following gut wall rupture, but prior to cuticle failure, internal, gut-derived microbes spread into the body cavity and formed pseudomorphs of tissues. Gut-derived microbes were shown to be the main factor mediating both decay and biofilm replacement and tissue stabilisation. This pattern of preservation is consistent with results from other experimental studies and with the nature of Burgess Shale type fossil remains. Thus, the evolution of a through-gut may have not only underpinned the ecological revolution that bilaterian diversification represents, but also catalysed the exceptional preservation of early bilaterian fossils.
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| 13. |
- Carlisle, E., et al.
(författare)
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A timescale for placental mammal diversification based on Bayesian modeling of the fossil record
- 2023
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Ingår i: Current Biology. - 0960-9822. ; 33:15
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Tidskriftsartikel (refereegranskat)abstract
- The timing of the placental mammal radiation has been the focus of debate over the efficacy of competing methods for establishing evolutionary timescales. Molecular clock analyses estimate that placental mammals originated before the Cretaceous-Paleogene (K-Pg) mass extinction, anywhere from the Late Cretaceous to the Jurassic. However, the absence of definitive fossils of placentals before the K-Pg boundary is compatible with a post-Cretaceous origin. Nevertheless, lineage divergence must occur before it can be manifest phenotypically in descendent lineages. This, combined with the non-uniformity of the rock and fossil records, requires the fossil record to be interpreted rather than read literally. To achieve this, we introduce an extended Bayesian Brownian bridge model that estimates the age of origination and, where applicable, extinction through a probabilistic interpretation of the fossil record. The model estimates the origination of placentals in the Late Cretaceous, with ordinal crown groups originating at or after the K-Pg boundary. The results reduce the plausible interval for placental mammal origination to the younger range of molecular clock estimates. Our findings support both the Long Fuse and Soft Explosive models of placental mammal diversification, indicating that the placentals originated shortly prior to the K-Pg mass extinction. The origination of many modern mammal lineages overlapped with and followed the K-Pg mass extinction.
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- Davies, Thomas G., et al.
(författare)
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Open data and digital morphology.
- 2017
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Ingår i: Proceedings of the Royal Society of London. Biological Sciences. - : The Royal Society. - 0962-8452 .- 1471-2954. ; 284:1852, s. 1-10
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Tidskriftsartikel (refereegranskat)abstract
- Over the past two decades, the development of methods for visualizing and analysing specimens digitally, in three and even four dimensions, has transformed the study of living and fossil organisms. However, the initial promise that the widespread application of such methods would facilitate access to the underlying digital data has not been fully achieved. The underlying datasets for many published studies are not readily or freely available, introducing a barrier to verification and reproducibility, and the reuse of data. There is no current agreement or policy on the amount and type of data that should be made available alongside studies that use, and in some cases are wholly reliant on, digital morphology. Here, we propose a set of recommendations for minimum standards and additional best practice for three-dimensional digital data publication, and review the issues around data storage, management and accessibility.
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| 16. |
- Donoghue, Helen D, et al.
(författare)
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Co-infection of Mycobacterium tuberculosis and Mycobacterium leprae in human archaeological samples : a possible explanation for the historical decline of leprosy
- 2005
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Ingår i: Proceedings of the Royal Society of London. Biological Sciences. - : The Royal Society. - 0962-8452 .- 1471-2954. ; 272:1561, s. 389-394
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Tidskriftsartikel (refereegranskat)abstract
- Both leprosy and tuberculosis were prevalent in Europe during the first millennium but thereafter leprosy declined. It is not known why this occurred, but one suggestion is that cross-immunity protected tuberculosis patients from leprosy. To investigate any relationship between the two diseases, selected archaeological samples, dating from the Roman period to the thirteenth century, were examined for both Mycobacterium leprae and Mycobacterium tuberculosis DNA, using PCR. The work was carried out and verified in geographically separate and independent laboratories. Several specimens with palaeopathological signs of leprosy were found to contain DNA from both pathogens, indicating that these diseases coexisted in the past. We suggest that the immunological changes found in multi-bacillary leprosy, in association with the socio-economic impact on those suffering from the disease, led to increased mortality from tuberculosis and therefore to the historical decline in leprosy.
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| 24. |
- Raff, Elizabeth C., et al.
(författare)
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Doushantuo fossils are not giant bacteria, but bacterial pseudomorphs of animal embryos
- 2008
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Ingår i: The Palaeontological Association.
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Konferensbidrag (refereegranskat)abstract
- Embryos from the Ediacaran Doushantuo Formation are among the most astonishing examples of exceptional fossilization. However, the mechanism of fossilization ispoorly understood, leading directly to debate over the interpretation of the fossils, someauthors even questioning their interpretation as embryos. It has been hypothesized thatmicrobial processes are responsible for preservation and mineralization of organic tissues.However, the actions of microbes in preservation of embryos have not been demonstratedexperimentally. We show that bacterial biofilms assemble rapidly in marine embryos,forming detailed pseudomorphs of cellular organization and structure. We define threeessential steps in embryo preservation: 1) blockage of autolysis by reducing or anaerobic conditions; 2) rapid formation of microbial biofilms that consume the embryo butform a replica that retains cell organization and morphology; 3) bacterially-catalyzedmineralization. We identified major bacterial taxa in embryo decay biofilms using16S rDNA sequencing. Decay processes were similar in different taphonomic conditions,but bacterial populations depended on specific conditions. Experimental taphonomyresembles preservation states of fossils. Our data show how fossilization of soft tissues insediments is mediated by bacterial replacement and mineralization, providing a foundationfor experimentally creating biofilms from defined microbial species to model fossilization asa biological process.
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| 25. |
- Raff, Elizabeth C., et al.
(författare)
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Embryo fossilization is a biological process mediated by microbial biofilms
- 2008
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Ingår i: Proceedings of the National Academy of Sciences. ; 105:49, s. 19360-19365
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Tidskriftsartikel (refereegranskat)abstract
- Fossilized embryos with extraordinary cellular preservation appear in the Late Neoproterozoic and Cambrian, coincident with the appearance of animal body fossils. It has been hypothesized that microbial processes are responsible for preservation and mineralization of organic tissues. However, the actions of microbes in preservation of embryos have not been demonstrated experimentally. Here, we show that bacterial biofilms assemble rapidly in dead marine embryos and form remarkable pseudomorphs in which the bacterial biofilm replaces and exquisitely models details of cellular organization and structure. The experimental model was the decay of cleavage stage embryos similar in size and morphology to fossil embryos. The data show that embryo preservation takes place in 3 distinct steps: (i) blockage of autolysis by reducing or anaerobic conditions, (ii) rapid formation of microbial biofilms that consume the embryo but form a replica that retains cell organization and morphology, and (iii) bacterially catalyzed mineralization. Major bacterial taxa in embryo decay biofilms were identified by using 16S rDNA sequencing. Decay processes were similar in different taphonomic conditions, but the composition of bacterial populations depended on specific conditions. Experimental taphonomy generates preservation states similar to those in fossil embryos. The data show how fossilization of soft tissues in sediments can be mediated by bacterial replacement and mineralization, providing a foundation for experimentally creating biofilms from defined microbial species to model fossilization as a biological process.
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