Where teachers are few: documenting available faculty in five Tanzanian medical schools.

BACKGROUND:Faced with one of the lowest physician-to-population ratios in the world, the Government of Tanzania is urging its medical schools to train more physicians. The annual number of medical students admitted across the country rose from 55 in the 1990s to 1,680 approved places for the 2015/16 academic year. These escalating numbers strain existing faculty. OBJECTIVE:To describe the availability of faculty in medical schools in Tanzania. DESIGN:We identified faculty lists published on the Internet by five Tanzanian medical schools for the 2011/12 academic year and analyzed the appointment status, rank, discipline, and qualifications of faculty members. RESULTS:The five schools reported 366 appointed faculty members (excluding visiting, part-time, or honorary appointments) for an estimated total enrolled student capacity of 3,275. Thirty-eight percent of these faculty were senior lecturers or higher. Twenty-seven percent of the appointments were in basic science, 51% in clinical science, and 21% in public health departments. The most populated disciplines (more than 20 faculty members across the five institutions) were biochemistry and molecular biology, medicine, obstetrics and gynecology, pediatrics, and surgery; the least populated disciplines (less than 10 faculty members) were anesthesiology, behavioral sciences, dermatology, dental surgery, emergency medicine, hematology, ophthalmology, orthopedics, otorhinolaryngology, oncology and radiology, psychiatry. These figures are only indicative of faculty numbers because of differences in the way the schools published their faculty lists. CONCLUSIONS:Universities are not recruiting faculty at the same rate that they are admitting students, and there is an imbalance in the distribution of faculty across disciplines. Although there are differences among the universities, all are struggling to recruit and retain staff. If Tanzanian universities, the government, donors, and international partners commit resources to develop, recruit, and retain new faculty, Tanzania could build faculty numbers to permit a quality educational experience for its doctors of tomorrow

Creating a Knowledge Base: Analyzing a Veteran Reference Librarian's Brain

Virtual reference transactions provided a solution to a knowledge-management problem at the NASA Goddard Space Flight Center Library. Online reference services, real-time and e-mail, allow for the development of a knowledge base. One hundred e-mail question-and-answer pairs were analyzed to reveal the steps taken and the sources used by a soon-to-retire librarian. A guide to the information sources and producers at Goddard was created. Given the dynamic nature of information at Goddard, a database built on the Apache, MySQL, PHP (AMP) open source platform was designed for the guide. The resource is now dynamic and can continue to grow with input from all Goddard's librarians

Distribution and Abundance of Introduced Fishes in Florida\u27s Charlotte Harbor Estuary

A growing number of non-native fishes have been introduced into Florida waters in recent years, yet little information has been available on their distribution and abundance in southwest Florida. The ichthyofauna of the Charlotte Harbor estuary, Florida, was intensively sampled from 1989 through 2007. We collected eight introduced fish taxa: African jewelfish (Hemichromis letourneuxi), blue tilapia (Oreochromis aureus), brown hoplo (Hoplosternum littorale), grass carp (Ctenopharyngodon idella), Mayan cichlid (Cichlasoma urophthalmus), sailfin catfishes (Pterygoplichthys spp.), spotted tilapia (Tilapia mariae), and walking catfish (Clarias batrachus). These fishes were found principally in tidal rivers, especially the Caloosahatchee River. Other introduced species, such as Asian swamp eel (Monopterus albus), blackchin tilapia (Sarotherodon melanotheron), and pike killifish (Belonesox belizanus), are known to occur in neighboring bay systems but have yet to be reported in the Charlotte Harbor estuary. Continued monitoring will help us detect additional species that are introduced to the estuary, expansions in the ranges of documented species, and assemblage-level changes

Emergency supply of prescription-only medicines to patients by community pharmacists: a mixed methods evaluation incorporating patient, pharmacist and GP perspectives

Objective To evaluate and inform emergency supply of prescription-only medicines by community pharmacists (CPs), including how the service could form an integral component of established healthcare provision to maximise adherence. Design Mixed methods. 4 phases: prospective audit of emergency supply requests for prescribed medicines (October–November 2012 and April 2013); interviews with CPs (February–April 2013); follow-up interviews with patients (April–May 2013); interactive feedback sessions with general practice teams (October–November 2013). Setting 22 community pharmacies and 6 general practices in Northwest England. Participants 27 CPs with experience of dealing with requests for emergency supplies; 25 patients who received an emergency supply of a prescribed medicine; 58 staff at 6 general practices. Results Clinical audit in 22 pharmacies over two 4-week periods reported that 526 medicines were requested by 450 patients. Requests peaked over a bank holiday and around weekends. A significant number of supplies were made during practice opening hours. Most requests were for older patients and for medicines used in long-term conditions. Difficulty in renewing repeat medication (forgetting to order, or prescription delays) was the major reason for requests. The majority of medicines were ‘loaned’ in advance of a National Health Service (NHS) prescription. Interviews with CPs and patients indicated that continuous supply had a positive impact on medicines adherence, removing the need to access urgent care. General practice staff were surprised and concerned by the extent of emergency supply episodes. Conclusions CPs regularly provide emergency supplies to patients who run out of their repeat medication, including during practice opening hours. This may aid adherence. There is currently no feedback loop, however, to general practice. Patient care and interprofessional communication may be better served by the introduction of a formally structured and funded NHS emergency supply service from community pharmacies, with ongoing optimisation of repeat prescribing

Sex Moderates the Relationship That Number of Professional Fights Has With Cognition and Brain Volumes.

Objective: Incidence of concussions and report of symptoms are greater among women across sports. While structural brain changes and cognitive declines are associated with repetitive head impact (RHI), the role of sex is not well-understood. This study aimed to determine if there is a moderating effect of sex on the relationship the number of professional fights has with cognitive functioning and regional brain volumes in a cohort of boxers, mixed martial artists, and martial artists. Methods: A total of 55 women were matched with 55 men based on age, years of education, ethnicity, and fighting style. Cognition was assessed via the CNS Vital Signs computerized cognitive battery and supplemental measures. Structural brain scans, demographic data, and number of professional fights (NoPF) were also considered. The matched pairs were compared via analysis of covariance, accounting for total brain volume. Within-subject moderation models were utilized to assess the moderating effect of sex on the relationship between NoPF and brain volumes and cognitive performance. Results: Men were observed to have poorer performance on measures of psychomotor speed when compared to women. On a series of analyses assessing the role of sex as a moderator of the relationship between NoPF and regional brain volumes/cognitive performance, a significant moderation effect was observed across multiple measures of cognitive functioning, such that men had poorer performance. Differences in numerous regional brain volumes were also observed, such that the relationship between NoPF and brain volumes was steeper among men. Conclusion: Sex was observed to be an important moderator in the relationship between NoPF, aspects of cognitive functioning, and volumes of numerous brain regions, suggesting that sex differences in neuroanatomic and cognitive response to RHI deserve further attention

Searching Out the Headwaters: Change and Rediscovery in Western Water Policy

This digital resource contains only an abstract, cover image and table of contents information from the published book. Print copy of book is available in the University of Colorado’s Wise Law Library: http://lawpac.colorado.edu/record=b139018~S0 Contents: The West\u27s Gordian Knot -- Water in a changing West -- Voices -- The West today -- River basin stories -- Losing sight of the headwaters -- The journey to rediscovery -- Change and rediscovery in western water -- History need not repeat itself -- Appendix : The language of waterhttps://scholar.law.colorado.edu/books_reports_studies/1139/thumbnail.jp

Sequence-Dependent Self-Coacervation in High Charge-Density Polyampholytes

Polyampholytes, which contain both positive and negative charges along the backbone, represent a classical model system for certain types of `intrinsically-disordered proteins\u27 (IDPs). IDPs can possess biological functionality, even in an unfolded state, including the formation of phase-separated regions within a cell; while driven by a number of interactions, electrostatic attractions are thought to be key to forming these structures. This process of electrostatically-driven liquid-liquid phase separation, known as `complex coacervation\u27, can also be observed in simpler polymer or biopolymer systems. In this paper, we use a series of model polyampholytic polypeptides of increasing blockiness, that undergo `self-coacervation\u27 due to charge attraction between polycation and polyanion blocks along the same polymer chain. We show that these polypeptides undergo complex coacervation when sequences have at least 8-12 adjacent like-charges, with increasing blockiness leading to a larger two-phase region. We simultaneously develop a theory built on the transfer-matrix formalism developed by the authors, to show how blockiness increases the strength of electrostatic interactions and subsequently promote phase separation. We explore a tradeoff that emerges due to the presence of `charge-pattern interfaces\u27 where the sequence of polyampholyte charges switches sign, and how these contrast with chain-ends in equivalent homopolyelectrolyte coacervates