Multi centre study from Malaysia on student preparedness for clinical learning- Perspectives of lecturers and students from medicine, pharmacy and allied health sciences

Objectives: To determine the characteristics important in health profession students’ preparedness for clinical learning from the perspectives of lecturers and studentsMethods: A descriptive cross sectional study was conducted at International Medical University, Perdana University and Monash University in Malaysia. All lecturers involved in preparing students for clinical learning in medicine, dentistry, nursing, pharmacy, nutrition and dietetics, chiropractic and Chinese medicine and immediate preclinical students were invited. We explored views regarding student preparedness on knowledge and understanding, willingness to learn, professionalism, communication and interaction, personal attributes and interpersonal skills rated on a 7 point Likert scale in a questionnaire with 62 items.Results: A total of 187 lecturers and 317 students participated. Fifty percent of lecturers had 5-9year of experience. Neither the lecturers nor the students had differentiated or identified specific characteristics as more important over the others but rated all 62 items as important (score >5) for training. The mean score of the 6 themes for lecturers and students respectively were for knowledge and understanding (5.44,5.09), willingness (5.95,5.51), professionalism (5.89,5.49), communication and interaction (5.54,5.34), personal attributes (5.54,5.35) and interpersonal skills (5.54,5.38). Interesting suggestions such as promotion of inter-professional learning among student from different disciplines, case discussions as a team with other professional categories, self reflection for lecturers regarding their attitudes towards students and teaching methods had been stated by students.Conclusions: Both lecturers and students deem that the knowledge and understanding is not the most important characteristic that makes a student better prepared for clinical learning.

Effects of Cyclic Strain and Growth Factors on Vascular Smooth Muscle Cell Responses

Under physiological and pathological conditions, vascular smooth muscle cells (SMC) are exposed to different biochemical factors and biomechanical forces. Previous studies pertaining to SMC responses have not investigated the effects of both factors on SMCs. Thus, in our research we investigated the combined effects of growth factors like Bfgf (basic fibroblast growth factor), TGF-β (transforming growth factor β) and PDGF (platelet-derived growth factor) along with physiological cyclic strain on SMC responses. Physiological cyclic strain (10% strain) significantly reduced SMC proliferation compared to static controls while addition of growth factors bFGF, TGF-β or PDGF-AB had a positive influence on SMC growth compared to strain alone. Microarray analysis of SMCs exposed to these growth factors and cyclic strain showed that several bioactive genes (vascular endothelial growth factor, epidermal growth factor receptor, etc.) were altered upon exposure. Further work involving biochemical and pathological cyclic strain stimulation will help us better understand the role of cyclic strain and growth factors in vascular functions and development of vascular disorders

Dry spell analysis for effective water management planning

Abstract: Knowing the dry and wet periods with rainy seasons is essential for successful water management planning in any particular area. With this view, this study analyzed the thirty years (1975-2004) monthly rainfall data of Udumalpet station located in Parambikulam Aliyar sub basin (Tamilnadu) on annual, seasonal and monthly basis for planning a suitable water conservation management system. Sixty two per cent of the total rainfall is received from North East Monsoon and seventeen per cent from South-West Monsoon. In the study period, four years were found to be wet, four years were found to be dry and the remaining twenty two years were found to be normal years. The analysis showed that the annual and seasonal rainfall data did not clearly indicate the problem of drought in the region; whereas the monthly rainfall data indicated serious concerns to deal with drought particularly during the winter and summer months. It also revealed that the winter months were the most susceptible to severe drought conditions. Out of 30 years of study, January and February were found to be the dry months which normally facilitate for the good harvest of the kharif sown long duration crops. There is a need to adopt adequate moisture conservation measures like mulching etc. to mitigate the effect of drought spells during critical periods of crop growth, and to construct water harvesting ponds/tanks for application of pre-sowing irrigation to Rabi (winter) crops, and supplemental irrigation during periods of water scarcity

Extensional rheology of shear-thickening nanoparticle suspensions

A filament-stretching rheometer is used to measure the extensional properties of shear-thickening nanoparticle suspensions as a function of concentration and extension rate. The experiments are performed using a series of colloidal suspensions consisting of concentrations of 17.5 wt%, 25 wt% and 30 wt% of fumed silica nanoparticles in polypropylene glycol. The shear rheology of these suspensions was found to demonstrate dynamic shear-thickening behavior owing to the formation of large hydrodynamic clusters. The critical value of angular frequency for the onset of shear-thickening was found to increase monotonically with decreased strain amplitude. The extensional rheology of all the tested suspensions demonstrated modest strain-hardening at low strain rates. At a critical extension rate, a dramatic increase in both the speed and magnitude of the strain-hardening is observed for both the 25 wt% and 30 wt% suspensions with increasing extensional rate. The steady state extensional viscosity as a function of extension rate shows sharp extensional thickening transition very similar to shear flows. The increase in strain-hardening is likely due to the formation of strings and clusters ordered in the flow direction. This hypothesis is confirmed by small-angle light scattering measurements of the flow of the nanoparticle suspension through a microfluidic hyperbolic contraction. The degree of alignment of nanoparticles is quantified from the analysis of the scattering patterns and found to increase significantly with increasing extension rate

The effect of preshear on the extensional rheology of wormlike micelle solutions

Abstract The effect of initial microstructural deformation, alignment, and morphology on the response of wormlike micelle solutions in transient uniaxial extensional flows is investigated using a pre-shear device attached to a filament stretching rheometer. In filament stretching experiments, increasing the strength and the duration of the pre-shear just before stretch is found to delay the onset of strain hardening. In these experiments, the wormlike micelle solution filaments fail through a rupture near the axial midplane. The value of the elastic tensile stress at rupture is found to decrease with increasing pre-shear rate and duration. The most dramatic effects are observed at shear rates for which shear banding has been independently observed. The reduction in the strain hardening suggests that pre-shear before filament stretching might break down the wormlike micelles reducing their size before stretch. Strain hardening is also observed in capillary breakup rheometry experiments; however, the pre-sheared wormlike micelle solutions strain harden faster, achieve larger steadystate extensional viscosities and an increase in the extensional relaxation time with increasing shear rate and duration. The difference between the response of the wormlike micelles in filament stretching and capillary breakup experiments demonstrates the sensitivity of these self-assembling micelle networks to pre-conditioning

The effect of preshear on the extensional rheology of wormlike micelle solutions

Abstract The effect of initial microstructural deformation, alignment, and morphology on the response of wormlike micelle solutions in transient uniaxial extensional flows is investigated using a pre-shear device attached to a filament stretching rheometer. In filament stretching experiments, increasing the strength and the duration of the pre-shear just before stretch is found to delay the onset of strain hardening. In these experiments, the wormlike micelle solution filaments fail through a rupture near the axial midplane. The value of the elastic tensile stress at rupture is found to decrease with increasing pre-shear rate and duration. The most dramatic effects are observed at shear rates for which shear banding has been independently observed. The reduction in the strain hardening suggests that pre-shear before filament stretching might break down the wormlike micelles reducing their size before stretch. Strain hardening is also observed in capillary breakup rheometry experiments; however, the pre-sheared wormlike micelle solutions strain harden faster, achieve larger steadystate extensional viscosities and an increase in the extensional relaxation time with increasing shear rate and duration. The difference between the response of the wormlike micelles in filament stretching and capillary breakup experiments demonstrates the sensitivity of these self-assembling micelle networks to pre-conditioning

Association of Per3 length polymorphism with bipolar I disorder and schizophrenia

Contenido: Sleep–wake disturbances have frequently been reported in bipolar disorder and schizophrenia, and are considered to be caused by an underlying circadian rhythm disorder. The study presented here was designed to investigate the existence of Per3 polymorphism in bipolar disorder type I (BD-I) and schizophrenic patients in South India. Methods: Blood samples were collected from 311 BD-I patients, 293 schizophrenia patients, and 346 age- and sex-matched normal controls. Per3 genotyping was performed on DNA by polymerase chain reaction using specific primers. Results: An increased prevalence of five repeat homozygotes was seen in BD-I patients as compared with healthy controls (odds ratio =1.72 [95% confidence interval: 1.08–2.76, P=0.02]). In BD-I patients, the frequency of the five repeat allele was higher (allele frequency =0.41), and that of the four repeat allele lower (allele frequency =0.36) (χ2=4.634; P,0.03) than in the control group. No significant association was observed in the allele frequencies of four and five repeat alleles in schizophrenia patients when compared with controls. Conclusion: The occurrence of the five repeat allele of Per3 may be a risk factor for BD-I onset in this ethnic grou