59 research outputs found

    Factor Analysis of Nursing Role Conceptions of Three Groups

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    Responses of floodplain grassland plants to extreme climate events: survival, growth and flowering

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    Extreme climate events such as floods and droughts represent major threats to biological diversity, agricultural production and livelihoods. Extreme climate events are of greater magnitude over shorter duration than incremental climate means and are expected to increase in frequency, duration and intensity in response to climate change. Wetlands such as floodplain grasslands provide ecologically diverse and economically productive habitats. Extreme climate events are most likely to affect floodplains through any sudden changes in hydrological regime. However, floodplain plant communities are adapted to regular disturbance from flooding and management, and species carry traits to deal specifically with disturbance regimes unique to floodplains. Floodplains can be utilised as a template to gain insight into wetland responses to climate change. This research aimed to determine the responses of floodplain grassland plants to extreme climate events, specifically hydrological change, by evaluating the responses of repeated extreme flooding on survival, growth and flowering; to ascertain whether different resilience strategies support plants in flooding stress; and to investigate how sustained hydrological change affects plants immediately and over time. Characteristic species from floodplain grasslands were used in mesocosm experiments and field studies. The mesocosm experiments used a repeated flooding scenario, mimicking a real-world extreme flooding event. The field site consisted of two contrasting floodplain grassland communities and hydrologies, and was utilised in a transplant experiment. The key results from both mesocosm and field experiments suggest that acknowledged species’ tolerances to saturated soils, such as the Ellenberg Indicator Values, do not predict actual responses to differing frequencies and durations of flooding. Initial responses to short-term and infrequent flooding may differ from longer-term responses. Flooding frequency is as important as flooding duration in determining species’ ability to ameliorate the consequences of flooding. Results also indicate that, in general, flooding advances flowering across a range of floodplain species, while flowering abundance reduces as flooding duration increases. The resilience strategy of plant-to-plant facilitation specifically fosters elongation of leaves and stems, attributes that enhance plant survival of flooding events. Floodplain grassland plant responses to extreme climate events are variable and dependent on the nature of the event. Longer-term stability may be determined by the frequency and duration of extreme events in conjunction with community composition. Results from this research are important, as they are extendable to gauging wider implications for other wetland communities to extreme climate events

    A national survey of 'inactive' physicians in the United States of America: enticements to reentry

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    <p>Abstract</p> <p>Background</p> <p>Physicians leaving and reentering clinical practice can have significant medical workforce implications. We surveyed inactive physicians younger than typical retirement age to determine their reasons for clinical inactivity and what barriers, real or perceived, there were to reentry into the medical workforce.</p> <p>Methods</p> <p>A random sample of 4975 inactive physicians aged under 65 years was drawn from the Physician Masterfile of the American Medical Association in 2008. Physicians were mailed a survey about activity in medicine and perceived barriers to reentry. Chi-square statistics were used for significance tests of the association between categorical variables and t-tests were used to test differences between means.</p> <p>Results</p> <p>Our adjusted response rate was 36.1%. Respondents were fully retired (37.5%), not currently active in medicine (43.0%) or now active (reentered, 19.4%). Nearly half (49.5%) were in or had practiced primary care. Personal health was the top reason for leaving for fully retired physicians (37.8%) or those not currently active in medicine (37.8%) and the second highest reason for physicians who had reentered (28.8%). For reentered (47.8%) and inactive (51.5%) physicians, the primary reason for returning or considering returning to practice was the availability of part-time work or flexible scheduling. Retired and currently inactive physicians used similar strategies to explore reentry, and 83% of both groups thought it would be difficult; among those who had reentered practice, 35.9% reported it was difficult to reenter. Retraining was uncommon for this group (37.5%).</p> <p>Conclusion</p> <p>Availability of part-time work and flexible scheduling have a strong influence on decisions to leave or reenter clinical practice. Lack of retraining before reentry raises questions about patient safety and the clinical competence of reentered physicians.</p

    Global offtake of wild animals from wetlands: critical issues for fish and birds

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    The global offtake of wild animals is valued at US$400 billion annually and supports the livelihoods of 15% of the global population. Wetlands are amongst the most important ecosystems globally, but offtake may represent a substantial pressure. This study assessed the availability of information and evaluated the offtake of wild animals from wetlands by focussing on fish and waterbirds. A literature search identified 2726 studies on wetland offtake. Scoping of these resulted in 82 studies that contained quantitative information on fish or waterbird offtake. Fishing offtake statistics for inland waters are collated nationally by some governments, but other sources of information are few. Reporting of fish offtake for species or across scales was constrained by insufficient detail, even in relatively well-documented countries such as Bangladesh. Although government hunting statistics from Europe and North America were available, there was little waterbird data from less economically developed countries. The case of Canada indicated that the species richness and composition of waterbirds taken varied between indigenous subsistence and recreational hunting communities. Hidden (unquantified) offtake, of both fish and waterbirds, hinders obtaining precise data for offtake, which may threaten the conservation of species and the sustainability of wetland ecosystems

    Predicting performance using background characteristics of international medical graduates in an inner-city university-affiliated Internal Medicine residency training program

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    <p>Abstract</p> <p>Background</p> <p>IMGs constitute about a third of the United States (US) internal medicine graduates. US residency training programs face challenges in selection of IMGs with varied background features. However data on this topic is limited. We analyzed whether any pre-selection characteristics of IMG residents in our internal medicine program are associated with selected outcomes, namely competency based evaluation, examination performance and success in acquiring fellowship positions after graduation.</p> <p>Methods</p> <p>We conducted a retrospective study of 51 IMGs at our ACGME accredited teaching institution between 2004 and 2007. Background resident features namely age, gender, self-reported ethnicity, time between medical school graduation to residency (pre-hire time), USMLE step I & II clinical skills scores, pre-GME clinical experience, US externship and interest in pursuing fellowship after graduation expressed in their personal statements were noted. Data on competency-based evaluations, in-service exam scores, research presentation and publications, fellowship pursuance were collected. There were no fellowships offered in our hospital in this study period. Background features were compared between resident groups according to following outcomes: (a) annual aggregate graduate PGY-level specific competency-based evaluation (CBE) score above versus below the median score within our program (scoring scale of 1 – 10), (b) US graduate PGY-level specific resident in-training exam (ITE) score higher versus lower than the median score, and (c) those who succeeded to secure a fellowship within the study period. Using appropriate statistical tests & adjusted regression analysis, odds ratio with 95% confidence intervals were calculated.</p> <p>Results</p> <p>94% of the study sample were IMGs; median age was 35 years (Inter-Quartile range 25th – 75th percentile (IQR): 33–37 years); 43% women and 59% were Asian physicians. The median pre-hire time was 5 years (IQR: 4–7 years) and USMLE step I & step II clinical skills scores were 85 (IQR: 80–88) & 82 (IQR: 79–87) respectively. The median aggregate CBE scores during training were: PG1 5.8 (IQR: 5.6–6.3); PG2 6.3 (IQR 6–6.8) & PG3 6.7 (IQR: 6.7 – 7.1). 25% of our residents scored consistently above US national median ITE scores in all 3 years of training and 16% pursued a fellowship.</p> <p>Younger residents had higher aggregate annual CBE score than the program median (p < 0.05). Higher USMLE scores were associated with higher than US median ITE scores, reflecting exam-taking skills. Success in acquiring a fellowship was associated with consistent fellowship interest (p < 0.05) and research publications or presentations (p <0.05). None of the other characteristics including visa status were associated with the outcomes.</p> <p>Conclusion</p> <p>Background IMG features namely, age and USMLE scores predict performance evaluation and in-training examination scores during residency training. In addition enhanced research activities during residency training could facilitate fellowship goals among interested IMGs.</p

    The New Generation Atlas of Quasar Spectral Energy Distributions from Radio to X-rays

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    We have produced the next generation of quasar spectral energy distributions (SEDs), essentially updating the work of Elvis et al. (1994) by using high-quality data obtained with several space and ground-based telescopes, including NASA's Great Observatories. We present an atlas of SEDs of 85 optically bright, non-blazar quasars over the electromagnetic spectrum from radio to X-rays. The heterogeneous sample includes 27 radio-quiet and 58 radio-loud quasars. Most objects have quasi-simultaneous ultraviolet-optical spectroscopic data, supplemented with some far-ultraviolet spectra, and more than half also have Spitzer mid-infrared IRS spectra. The X-ray spectral parameters are collected from the literature where available. The radio, far-infrared, and near-infrared photometric data are also obtained from either the literature or new observations. We construct composite spectral energy distributions for radio-loud and radio-quiet objects and compare these to those of Elvis et al., finding that ours have similar overall shapes, but our improved spectral resolution reveals more detailed features, especially in the mid and near-infrared.Comment: 46 pages, 10 figures, 10 tables, Accepted by ApJS. Composite SED data files for radio-loud and radio-quiet quasars (rlmsedMR.txt, rqmsedMR.txt) are included in the source (Other formats -> Source). Supplemental figures are not include
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