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Detection of SARS-CoV-2 B.1.1.529 (omicron) variant by SYBR green‑based RT‑qPCR 利用基于 SYBR 绿的 RT-qPCR 检测 SARS-CoV-2 B.1.1.529 (omicron) 变异体
IF 3.6 Q2 Agricultural and Biological Sciences Pub Date : 2024-04-24 DOI: 10.1093/biomethods/bpae020
Fadi Abdel-Sater, R. Makki, Alia Khalil, Nader Hussein, Nada Borghol, Ziad Abi Khattar, Aline Hamade, Nathalie Khreich, Mahoumd El Homsi, Hussein Kanaan, Line Raad, Najwa Skafi, Fatima Al-Nemer, Zeinab Ghandour, Nabil El-zein, Mohamad Abou-Hamdan, H. Akl, E. Hamade, B. Badran, K. Hamze
The COVID-19 pandemic is unceasingly spreading across the globe, and recently a highly transmissible Omicron SARS-CoV-2 variant (B.1.1.529) has been discovered in South Africa and Botswana. Rapid identification of this variant is essential for pandemic assessment and containment. However, variant identification is mainly being performed using expensive and time-consuming genomic sequencing. In this study we propose an alternative RT-qPCR approach for the detection of the Omicron BA.1 variant using a low-cost and rapid SYBR Green method. We have designed specific primers to confirm the deletion mutations in the spike (S Δ143-145) and the nucleocapsid (N Δ31-33) which are characteristics of this variant. For the evaluation, we used 120 clinical samples from patients with PCR-confirmed SARS-CoV-2 infections, and displaying an S-gene target failure (SGTF) when using TaqPath COVID-19 kit (Thermo Fisher Scientific, Waltham, USA) that included the ORF1ab, S, and N gene targets. Our results showed that all the 120 samples harbored S Δ143-145 and N Δ31-33, which was further confirmed by Whole genome sequencing (WGS) of ten samples thereby validating our SYBR Green-based protocol. This protocol can be easily implemented to rapidly confirm the diagnosis of the Omicron BA.1 variant in COVID-19 patients and prevent its spread among populations, especially in countries with high prevalence of SGTF profile.
COVID-19 大流行正在全球不断蔓延,最近又在南非和博茨瓦纳发现了一种传播性极强的 Omicron SARS-CoV-2 变体(B.1.1.529)。快速鉴定这种变异体对于评估和遏制大流行至关重要。然而,变异体的鉴定主要使用昂贵且耗时的基因组测序技术。在本研究中,我们提出了另一种 RT-qPCR 方法,即使用低成本、快速的 SYBR Green 方法检测 Omicron BA.1 变异体。我们设计了特异性引物来确认作为该变异体特征的尖峰(S Δ143-145)和核壳(N Δ31-33)的缺失突变。为了进行评估,我们使用了 120 份经 PCR 鉴定为 SARS-CoV-2 感染者的临床样本,并在使用包括 ORF1ab、S 和 N 基因靶标的 TaqPath COVID-19 试剂盒(Thermo Fisher Scientific, Waltham, USA)时发现 S 基因靶标失败(SGTF)。我们的结果表明,所有 120 个样本都含有 S Δ143-145 和 N Δ31-33,其中 10 个样本的全基因组测序(WGS)进一步证实了这一点,从而验证了我们基于 SYBR Green 的方案。该方案易于实施,可快速确诊 COVID-19 患者中的 Omicron BA.1 变体,并防止其在人群中传播,尤其是在 SGTF 高发国家。
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引用次数: 0
An Extended Multiplicative Error Model of Allometry: Incorporating Systematic Components, Non-Normal Distributions and Piecewise Heteroscedasticity 一种扩展的异速误差乘法模型:纳入系统成分、非正态分布和分片异方差性
IF 3.6 Q2 Agricultural and Biological Sciences Pub Date : 2024-04-18 DOI: 10.1093/biomethods/bpae024
H. Echavarría-Heras, E. Villa-Diharce, Abelardo Montesinos-López, C. Leal-Ramírez
Allometry refers to the relationship between the size of a trait and that of the whole body of an organism. Pioneering observations by Otto Snell and further elucidation by D’Arcy Thompson set the stage for its integration into Huxley’s explanation of constant relative growth that epitomizes through the formula of simple allometry. The traditional method to identify such a model conforms to a regression protocol fitted in the direct scales of data. It involves a Huxley’s formula-systematic part and a lognormally distributed multiplicative error term. In many instances of allometric examination, the predictive strength of this paradigm is unsuitable. Established approaches to improve fit enhance the complexity of the systematic relationship while keeping the go-along normality-borne error. These extensions followed Huxley’s idea that considering a biphasic allometric pattern could be necessary. However, for present data composing 10410 pairs of measurements of individual eelgrass leaf dry weight and area, a fit relying on a biphasic systematic term and multiplicative lognormal errors barely improved correspondence measure values while maintaining a heavy tails problem. Moreover, the biphasic form and multiplicative-lognormal-mixture errors did not provide complete fit dependability either. However, updating the outline of such an error term to allow heteroscedasticity to occur in a piecewise-like mode finally produced overall fit consistency. Our results demonstrate that when attempting to achieve fit quality improvement in a Huxley's model-based multiplicative error scheme, allowing for a complex allometry form for the systematic part, a non-normal distribution-driven error term and a composite of uneven patterns to describe the heteroscedastic outline could be essential.
异化作用是指生物体某一特征的大小与整个机体的大小之间的关系。奥托-斯内尔(Otto Snell)的开创性观察和达西-汤普森(D'Arcy Thompson)的进一步阐明,为将其纳入赫胥黎关于恒定相对生长的解释奠定了基础。确定这种模型的传统方法符合直接按数据比例拟合的回归协议。它涉及赫胥黎公式的系统部分和对数正态分布的乘法误差项。在许多异速检验中,这种模式的预测强度并不合适。已有的改进拟合的方法在保持随正态分布误差的同时,增强了系统关系的复杂性。这些扩展遵循了赫胥黎的想法,即考虑双相异速模式可能是必要的。然而,对于目前由 10410 对单个鳗草叶片干重和面积测量值组成的数据,依靠双相系统项和对数正态乘法误差的拟合几乎无法改善对应测量值,同时还存在重尾问题。此外,双相形式和乘对数正态混合误差也不能提供完全可靠的拟合。然而,更新这种误差项的轮廓,使异方差以类似片断的模式出现,最终产生了整体拟合一致性。我们的研究结果表明,当试图在基于赫胥黎模型的乘法误差方案中实现拟合质量改进时,允许系统性部分采用复杂的几何形式、非正态分布驱动的误差项以及描述异速轮廓的不均匀模式复合可能是至关重要的。
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引用次数: 0
Teaching scientific evidence and critical thinking for policy making 教授科学证据和批判性思维,促进政策制定
IF 3.6 Q2 Agricultural and Biological Sciences Pub Date : 2024-04-11 DOI: 10.1093/biomethods/bpae023
Natalia Pasternak Taschner, Paulo Almeida
While there is worldwide tendency to promote the use of scientific evidence to inform policy making, little has been done to train scientists and policy makers for this interaction. If we want to bridge the gap between academia, scientific knowledge and policy, we must begin by providing formal training and skill building for actors and stakeholders. Scientists are not trained to communciate and inform policy, and policy makers are not trained to understand scientific process and assess evidence. Building an environment where this collaboration can flourish depends on teaching competencies and abilities specific for decison-making processess. As professors of policy with a background in science, we have started teaching preliminary courses on the use of scientific evidence in policy making. Feedback from students and institutions has been positive, paving the way for similar courses in other schools and institutions and maybe even new career paths. This paper is intended to share our experience in designing and teaching courses aimed at training policy makers. Moving forward we plan to include training for science majors, thus encompassing the two main sides of this dialogue and opening new career opportunities for scientists and policy makers.
虽然全世界都倾向于促进利用科学证据为决策提供信息,但在培训科学家和决策者进行这种互动方面却鲜有作为。如果我们想弥合学术界、科学知识和政策之间的差距,就必须从为参与者和利益相关者提供正规培训和技能建设开始。科学家没有接受过沟通和为政策提供信息的培训,决策者也没有接受过了解科学过程和评估证据的培训。建立一个能让这种合作蓬勃发展的环境,有赖于传授决策过程中特有的能力。作为具有科学背景的政策教授,我们已经开始教授有关在决策中使用科学证据的初步课程。学生和机构的反馈都很积极,为在其他学校和机构开设类似课程铺平了道路,甚至可能开辟了新的职业道路。本文旨在分享我们在设计和教授旨在培训政策制定者的课程方面的经验。今后,我们计划纳入对理科专业学生的培训,从而涵盖这一对话的两个主要方面,为科学家和决策者开辟新的职业机会。
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引用次数: 0
Intra-arterial delivery of neurospheres into isolated perfused porcine colons: a proof of concept. 向离体灌注猪结肠动脉内输送神经球:概念验证。
IF 3.6 Q2 Agricultural and Biological Sciences Pub Date : 2024-04-02 eCollection Date: 2024-01-01 DOI: 10.1093/biomethods/bpae022
Richard D Martel, Nicolas A Hoyos, María Ángeles Tapia-Laliena, Irmgard Herrmann, Martin Herrmann, Rasul Khasanov, Karl-Herbert Schäfer

Cell replacement in aganglionic intestines is a promising, yet merely experimental tool for the therapy of congenital dysganglionosis of the enteric nervous system like Hirschsprung disease. While the injection of single cells or neurospheres to a defined and very restricted location is trivial, the translation to the clinical application, where large aganglionic or hypoganglionic areas need to be colonized (hundreds of square centimetres), afford a homogeneous distribution of multiple neurospheres all over the affected tissue areas. Reaching the entire aganglionic area in vivo is critical for the restoration of peristaltic function. The latter mainly depends on an intact nervous system that extends throughout the organ. Intra-arterial injection is a common method in cell therapy and may be the key to delivering cells or neurospheres into the capillary bed of the colon with area-wide distribution. We describe an experimental method for monitoring the distribution of a defined number of neurospheres into porcine recta ex vivo, immediately after intra-arterial injection. We designed this method to localize grafting sites of single neurospheres in precise biopsies which can further be examined in explant cultures. The isolated perfused porcine rectum allowed us to continuously monitor the perfusion pressure. A blockage of too many capillaries would lead to an ischaemic situation and an increase of perfusion pressure. Since we could demonstrate that the area-wide delivery of neurospheres did not alter the overall vascular resistance, we showed that the delivery does not significantly impair the local circulation.

在无神经节肠道中进行细胞置换是一种很有前景的治疗方法,但它还只是一种实验手段,用于治疗先天性肠神经系统发育不良(如赫氏症)。将单个细胞或神经球注射到一个确定的、非常有限的位置是微不足道的,而将其应用到临床上,需要在大面积(数百平方厘米)的神经节或神经节功能减退区域定植,则需要在受影响的组织区域均匀分布多个神经球。在体内到达整个神经节区域对于恢复蠕动功能至关重要。后者主要取决于延伸至整个器官的完整神经系统。动脉内注射是细胞疗法的常用方法,它可能是将细胞或神经球输送到结肠毛细血管床并在整个区域分布的关键。我们描述了一种在动脉内注射后立即监测猪直肠内一定数量神经球分布的实验方法。我们设计这种方法是为了在精确的活组织切片中定位单个神经球的移植部位,并可进一步在外植体培养中进行检测。隔离灌注的猪直肠允许我们持续监测灌注压力。过多的毛细血管堵塞会导致缺血和灌注压升高。由于我们可以证明神经球的全区域输送不会改变整体血管阻力,因此我们证明了输送神经球不会明显损害局部循环。
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引用次数: 0
Pyrimethamine reduced tumour growth in pre-clinical cancer models: a systematic review to identify potential pre-clinical studies for subsequent human clinical trials 嘧霉胺可减少临床前癌症模型中的肿瘤生长:一项系统性综述,旨在为随后的人体临床试验确定潜在的临床前研究项目
IF 3.6 Q2 Agricultural and Biological Sciences Pub Date : 2024-03-29 DOI: 10.1093/biomethods/bpae021
Sivananthan Manoharan, L. Ying
Pyrimethamine (PYR), a STAT3 inhibitor, has been shown to reduce tumour burden in mouse cancer models. It is unclear how much of a reduction occurred or whether the PYR dosages and route of administration used in mice were consistent with the FDA's recommendations for drug repurposing. Search engines such as ScienceDirect, PubMed/MEDLINE, and other databases, including Google Scholar, were thoroughly searched, as was the reference list. The systematic review includes fourteen (14) articles. The risk of bias (RoB) was assessed using SYRCLE's guidelines. Due to the heterogeneity of the data, no meta-analysis was performed. According to the RoB assessment, 13/14 studies fall into the moderate RoB category, with one study classified as high RoB. None adhered to the ARRIVE guideline for transparent research reporting. Oral (FDA-recommended) and non-oral routes of PYR administration were used in mice, with several studies reporting very high PYR dosages that could lead to myelosuppression, while oral PYR dosages of 30 mg/kg or less are considered safe. Direct human equivalent dose translation is probably not the best strategy for comparing whether the used PYR dosages in mice are in line with FDA-approved strength because pharmacokinetic profiles, particularly PYR's half-life (t1/2), between humans (t1/2=96h) and mice (t1/2=6h), must also be considered. Based on the presence of appropriate control and treatment groups, as well as the presence of appropriate clinically proven chemotherapy drug(s) for comparison purposes, only one study (1/14) involving liver cancer can be directed into a clinical trial. Furthermore, oesophageal cancer too can be directed into clinical trials, where the indirect effect of PYR on the NRF2 gene may suppress oesophageal cancer in patients, but this must be done with caution because PYR is an investigational drug for oesophageal cancer, and combining it with proven chemotherapy drug(s) is recommended.
嘧霉胺(PYR)是一种 STAT3 抑制剂,在小鼠癌症模型中可减轻肿瘤负担。目前尚不清楚PYR的减幅有多大,也不清楚在小鼠中使用的PYR剂量和给药途径是否符合FDA关于药物再利用的建议。对 ScienceDirect、PubMed/MEDLINE 等搜索引擎和包括 Google Scholar 在内的其他数据库以及参考文献列表进行了全面检索。系统综述包括十四 (14) 篇文章。采用 SYRCLE 指南对偏倚风险 (RoB) 进行了评估。由于数据的异质性,没有进行荟萃分析。根据偏倚风险评估结果,13/14 项研究属于中度偏倚风险,其中一项研究属于高度偏倚风险。没有一项研究符合 ARRIVE 关于透明研究报告的准则。对小鼠使用了口服(美国食品及药物管理局推荐)和非口服PYR给药途径,其中几项研究报告的PYR剂量非常高,可能导致骨髓抑制,而口服PYR剂量为30毫克/千克或更低则被认为是安全的。直接进行人体等效剂量转换可能不是比较小鼠所用PYR剂量是否符合 FDA 批准剂量的最佳策略,因为还必须考虑人体(t1/2=96 小时)和小鼠(t1/2=6 小时)之间的药代动力学特征,特别是PYR 的半衰期(t1/2)。基于存在适当的对照组和治疗组,以及存在适当的经临床验证的化疗药物进行比较,只有一项涉及肝癌的研究(1/14)可以进入临床试验。此外,食道癌也可纳入临床试验,PYR 对 NRF2 基因的间接影响可能会抑制患者的食道癌,但必须谨慎从事,因为PYR 是食道癌的研究药物,建议将其与经过验证的化疗药物结合使用。
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引用次数: 0
An optimized protocol for generating appendage-bearing skin organoids from human-induced pluripotent stem cells. 利用人体诱导多能干细胞生成附肢皮肤器官组织的优化方案。
IF 3.6 Q2 Agricultural and Biological Sciences Pub Date : 2024-03-22 eCollection Date: 2024-01-01 DOI: 10.1093/biomethods/bpae019
Imaan Ahmed, Jane Sun, Jason Brown, Kiarash Khosrotehrani, Abbas Shafiee

Organoid generation from pluripotent stem cells is a cutting-edge technique that has created new possibilities for modelling human organs in vitro, as well as opening avenues for regenerative medicine. Here, we present a protocol for generating skin organoids (SKOs) from human-induced pluripotent stem cells (hiPSCs) via direct embryoid body formation. This method provides a consistent start point for hiPSC differentiation, resulting in SKOs with complex skin architecture and appendages (e.g. hair follicles, sebaceous glands, etc.) across hiPSC lines from two different somatic sources.

由多能干细胞生成类器官是一项尖端技术,它为体外模拟人体器官创造了新的可能性,并为再生医学开辟了道路。在这里,我们介绍一种通过直接胚状体形成从人类诱导多能干细胞(hiPSCs)生成皮肤器官组织(SKOs)的方法。这种方法为hiPSC分化提供了一个一致的起点,使来自两种不同体细胞来源的hiPSC品系产生的SKO具有复杂的皮肤结构和附属物(如毛囊、皮脂腺等)。
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引用次数: 0
Protocol for preliminary, multicenteric validation of ‘PoCOsteo device’: a point of care tool for proteomic and genomic study of osteoporosis PoCOsteo 装置 "的初步多中心验证方案:用于骨质疏松症蛋白质组和基因组研究的护理点工具
IF 3.6 Q2 Agricultural and Biological Sciences Pub Date : 2024-03-22 DOI: 10.1093/biomethods/bpae006
F. Razi, A. Ostovar, Noushin Fahimfar, M. Amoli, S. E. Fana, H. Dimai, B. Obermayer‐Pietsch, B. Luegger, Fernando Rivadeneira, I. Nabipour, B. Larijani, Patricia Khashayar
One of the goals of the HORIZON 2020 project PoCOsteo was to develop a medical device, which would measure and/or quantify proteomic as well as genomic factors as present in whole blood samples collected through finger prick. After validating the tool in the clinical setting, the next step would be its clinical validation based on the existing guidelines. This article presents the protocol of a validation study to be carried out independently at two different centers (Division of Endocrinology and Diabetology at the Medical University of Graz as a clinic-based cohort, and Endocrinology and Metabolism Research Institute at the Tehran University of Medical Sciences as a population-based cohort). It aims to assess the tool according to the CLSI guidelines, confirming if the proteomics and genomics measurements provided by the tool are accurate and reproducible compared with the existing state-of-art tests. This is the first time that such a detailed protocol for lab validation of a medical tool for proteomics and genomic measurement is designed based on the existing guidelines and thus could be used as a template for clinical validation of future point of care tools. Moreover, the multicentric cohort design will allow the study of a large number of diverse individuals, which will improve the validity and generalizability of the results for different settings.
HORIZON 2020项目 "PoCOsteo "的目标之一是开发一种医疗设备,用于测量和/或量化通过手指点刺采集的全血样本中的蛋白质组和基因组因素。在临床环境中验证该工具后,下一步将根据现有指南对其进行临床验证。 本文介绍了将在两个不同中心(格拉茨医科大学内分泌与糖尿病学部作为临床队列,德黑兰医科大学内分泌与代谢研究所作为人群队列)独立开展的验证研究的方案。其目的是根据 CLSI 指南对该工具进行评估,确认该工具提供的蛋白质组学和基因组学测量结果与现有的先进检测方法相比是否准确且具有可重复性。 这是首次根据现有指南为蛋白质组学和基因组学测量的医疗工具设计如此详细的实验室验证方案,因此可作为未来医疗点工具临床验证的模板。此外,多中心队列设计允许对大量不同个体进行研究,这将提高研究结果在不同环境下的有效性和普适性。
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引用次数: 0
A semi-automated spectral approach to analysing cyclical growth patterns using fish scales 利用鱼鳞分析周期性生长模式的半自动光谱方法
IF 3.6 Q2 Agricultural and Biological Sciences Pub Date : 2024-03-18 DOI: 10.1093/biomethods/bpae018
Julien A Chaput, Gérald Chaput
We introduce a new semi-automated approach to analysing growth patterns recorded on fish scales. After manually specifying the centre of the scale, the algorithm radially unwraps the scale patterns along a series of transects from the centre to the edge of the scale. A sliding-window Fourier transform is used to produce a spectrogram for each sampled transect of the scale image. The maximum frequency over all sampled transects of the average spectrogram yields a well discriminated peak frequency trace that can then serve as a growth template for that fish. The spectrogram patterns of individual fish scales can be adjusted to a common period accounting for differences in date of return or size of fish at return without biasing the growth profile of the scale. We apply the method to 147 Atlantic salmon scale images sampled from three years and contrast the information derived with this automated approach to what is obtained using classical human operator measurements. The spectrogram analysis quantifies growth patterns using the entire scale image rather than just a single transect and provides the possibility of more robustly analysing individual scale growth patterns. This semi-automated approach that removes essentially all the human operator interventions provides an opportunity to process large datasets of fish scale images and combined with advanced analyses such as deep learning methods could lead to a greater understanding of salmon marine migration patterns and responses to variations in ecosystem conditions.
我们引入了一种新的半自动方法来分析鱼鳞上记录的生长模式。在手动指定鳞片中心后,该算法沿着从中心到边缘的一系列横截面对鳞片图案进行径向解包。使用滑动窗口傅里叶变换为鳞片图像的每个采样横截面生成频谱图。平均频谱图中所有采样横截面的最大频率会产生一个很好区分的峰值频率轨迹,可作为该鱼的生长模板。单个鱼鳞的频谱图模式可以调整到一个共同的周期,考虑到回归日期或回归时鱼体大小的差异,而不会使鱼鳞的生长曲线产生偏差。我们将该方法应用于从三年中采样的 147 张大西洋鲑鱼鳞片图像,并将这种自动方法获得的信息与传统人工测量方法获得的信息进行对比。频谱图分析使用整个鳞片图像而非单个横断面来量化生长模式,为更稳健地分析单个鳞片的生长模式提供了可能。这种半自动化方法基本上消除了所有人工操作员的干预,为处理大型鱼类鳞片图像数据集提供了机会,结合深度学习方法等先进分析方法,可以加深对鲑鱼海洋洄游模式以及对生态系统条件变化的反应的理解。
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引用次数: 0
TypeTaxonScript: sugarifying and enhancing data structures in biological systematics and biodiversity research TypeTaxonScript:糖化和增强生物系统学和生物多样性研究中的数据结构
IF 3.6 Q2 Agricultural and Biological Sciences Pub Date : 2024-03-14 DOI: 10.1093/biomethods/bpae017
Lucas S B Jordão, M. P. Morim, J. F. Baumgratz, Marcelo Fragomeni Simon, André L C Eppinghaus, Vicente A Calfo
Object-Oriented Programming (OOP) embodies a software development paradigm grounded in representing real-world entities as objects, facilitating a more efficient and structured modeling approach. In this article, we explore the synergy between OOP principles and the TypeScript (TS) programming language to create a JSON-formatted database designed for storing arrays of biological features. This fusion of technologies fosters a controlled and modular code script, streamlining the integration, manipulation, expansion, and analysis of biological data, all while enhancing syntax for improved human readability, such as through the use of dot notation. We advocate for biologists to embrace Git technology, akin to the practices of programmers and coders, for initiating versioned and collaborative projects. Leveraging the widely accessible and acclaimed IDE, Visual Studio Code, provides an additional advantage. Not only does it support running a Node.js environment, which is essential for running TS, but it also efficiently manages GitHub versioning. We provide a use case involving taxonomic data structure, focusing on angiosperm legume plants. This method is characterized by its simplicity, as the tools employed are both fully accessible and free of charge, and it is widely adopted by communities of professional programmers. Moreover, we are dedicated to facilitating practical implementation and comprehension through a comprehensive tutorial, a readily available pre-built database at GitHub, and a new package at npm.
面向对象编程(OOP)体现了一种软件开发范式,它将现实世界中的实体表示为对象,从而促进了一种更高效、更结构化的建模方法。在本文中,我们探索了 OOP 原则与 TypeScript(TS)编程语言之间的协同作用,以创建一个 JSON 格式的数据库,用于存储生物特征数组。这种技术融合促进了可控的模块化代码脚本,简化了生物数据的整合、操作、扩展和分析,同时通过使用点符号等方式增强了语法,提高了人类的可读性。我们提倡生物学家采用 Git 技术,类似于程序员和编码员的做法,以启动版本控制和协作项目。利用广受欢迎的集成开发环境 Visual Studio Code 还能带来额外的优势。它不仅支持运行 TS 所必需的 Node.js 环境,还能有效管理 GitHub 版本控制。我们提供了一个涉及分类学数据结构的用例,重点是被子植物豆科植物。这种方法的特点是简单,因为所使用的工具都是完全免费的,而且被专业程序员社区广泛采用。此外,我们还致力于通过全面的教程、GitHub 上随时可用的预建数据库和 npm 上的新软件包来促进实际应用和理解。
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引用次数: 0
Alternative community-led intervention to improve uptake of cataract surgery services in rural Tanzania-The Dodoma Community Cataract Acceptance Trial (DoCCAT): a protocol for intervention co-designing and implementation in a cluster-randomized controlled trial. 提高坦桑尼亚农村地区白内障手术服务接受率的替代性社区主导干预措施--多多马社区白内障接受试验(DoCCAT):群组随机对照试验中干预措施的共同设计和实施方案。
IF 3.6 Q2 Agricultural and Biological Sciences Pub Date : 2024-03-08 eCollection Date: 2024-01-01 DOI: 10.1093/biomethods/bpae016
Frank Sandi, Gareth Mercer, Robert Geneau, Kenneth Bassett, Deogratius Bintabara, Albino Kalolo

Age-related lens opacification (cataract) remains the leading cause of visual impairment and blindness worldwide. In low- and middle-income countries, utilization of cataract surgical services is often limited despite community-based outreach programmes. Community-led research, whereby researchers and community members collaboratively co-design intervention is an approach that ensures the interventions are locally relevant and that their implementation is feasible and socially accepted in the targeted contexts. Community-led interventions have the potential to increase cataract surgery uptake if done appropriately. In this study, once the intervention is co-designed it will be implemented through a cluster-randomized controlled trial (cRCT) with ward as a unit of randomization. This study will utilise both the qualitative methods for co-designing the intervention and the quantitative methods for effective assessment of the developed community-led intervention through a cRCT in 80 rural wards of Dodoma region, Tanzania (40 Intervention). The 'intervention package' will be developed through participatory community meetings and ongoing evaluation and modification of the intervention based on its impact on service utilization. Leask's four stages of intervention co-creation will guide the development within Rifkin's CHOICE framework. The primary outcomes are two: the number of patients attending eye disease screening camps, and the number of patients accepting cataract surgery. NVivo version 12 will be used for qualitative data analysis and Stata version 12 for quantitative data. Independent and paired t-tests will be performed to make comparisons between and within groups. P-values less than 0.05 will be considered statistically significant.

老年性晶状体混浊(白内障)仍然是全球视力损伤和失明的主要原因。在中低收入国家,尽管开展了社区外展计划,但白内障手术服务的利用率往往有限。社区主导的研究,即研究人员和社区成员合作共同设计干预措施,是一种确保干预措施与当地相关、在目标环境中实施可行并被社会接受的方法。如果方法得当,社区主导的干预措施有可能提高白内障手术的接受率。在本研究中,一旦共同设计了干预措施,就将通过以病房为随机单位的分组随机对照试验(cRCT)来实施。本研究将采用定性方法共同设计干预措施,并采用定量方法在坦桑尼亚多多马地区的 80 个农村病房(40 项干预措施)进行分组随机对照试验,以有效评估所制定的社区主导干预措施。干预包 "将通过参与式社区会议制定,并根据其对服务利用情况的影响对干预措施进行持续评估和修改。莱斯克的干预共创四个阶段将在里夫金的选择框架内指导开发工作。主要结果有两个:参加眼疾筛查营的患者人数和接受白内障手术的患者人数。定性数据分析将使用 NVivo 第 12 版,定量数据分析将使用 Stata 第 12 版。组间和组内比较将进行独立和配对 t 检验。P 值小于 0.05 将被视为具有统计学意义。
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Biology Methods and Protocols
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