'If it's a medical issue I would have covered it by now': learning about fibromyalgia through the hidden curriculum: a qualitative study

BACKGROUND: Fibromyalgia syndrome (FMS) is a long-term condition that affects between 1 and 5% of the general population and lies within the spectrum of medically unexplained symptoms (MUS). FMS can be difficult to diagnose and is usually done so as a diagnosis of exclusion. There is continuing debate regarding its legitimacy excluding other causes of symptoms. It is known that the diagnosis and management of MUS, including FMS, receives little attention in medical curricula and attitudes towards patients with FMS amongst medical professionals and trainees can be negative. The purpose of this study was to investigate how attitudes and perspectives of undergraduate medical students towards FMS are acquired during their training. METHODS: Qualitative interviews with 21 medical students were conducted to explore their views on FMS, encounters with patients with FMS, and where learning about FMS occurs. Participants were recruited from two English medical schools and the study was approved by two University Ethics committees. Interviews were digitally recorded with consent and data analysed thematically, using principles of constant comparison. RESULTS: The data were organised within three themes: i) FMS is a complex, poorly understood condition; ii) multiple sources for learning about FMS; and iii) consequences of negative attitudes for patients with FMS. CONCLUSION: Undergraduate medical students have limited understanding of, and are sceptical over the existence of FMS. These attitudes are influenced by the 'hidden curriculum' and witnessing attitudes and actions of their clinical teachers. Students interpret a lack of formal curriculum teaching around FMS to mean that it is not serious and hence a low priority. Encountering a patient, friend or family member with FMS can increase knowledge and lead to altered perceptions of the condition. Teaching and learning about FMS needs to be consistent to improve knowledge and attitudes of clinicians. Undergraduate students should be exposed to patients with FMS so that they better understand patients with FMS

Integrated thermochronology and organic maturation studies in the South Portuguese Zone and Algarve Basin (South Portugal)

This PhD research project started in February this year. Its main goal is to combine apatite fission track analysis (AFTA) with other low-temperature thermochronometers (zircon fission track, (U-Th)/He apatite) to construct temperature-time paths for the South Portuguese Zone and the Algarve Basin

Properties of Regge Trajectories

Early Chew-Frautschi plots show that meson and baryon Regge trajectoies are approximately linear and non-intersecting. In this paper, we reconstruct all Regge trajectories from the most recent data. Our plots show that meson trajectories are non-linear and intersecting. We also show that all current meson Regge trajectories models are ruled out by data.Comment: 30 pages, latex, 18 figures, to be published in Physical Review

Mechanical signatures of microbial biofilms in micropillar-embedded growth chambers

Biofilms are surface-attached communities of microorganisms embedded in an extracellular matrix and are essential for the cycling of organic matter in natural and engineered environments. They are also the leading cause of many infections, for example, those associated with chronic wounds and implanted medical devices. The extracellular matrix is a key biofilm component that determines its architecture and defines its physical properties. Herein, we used growth chambers embedded with micropillars to study the net mechanical forces (differential pressure) exerted during biofilm formation in situ. Pressure from the biofilm is transferred to the micropillars via the extracellular matrix, and reduction of major matrix components decreases the magnitude of micropillar deflections. The spatial arrangement of micropillar deflections caused by pressure differences in the different biofilm strains may potentially be used as mechanical signatures for biofilm characterization. Hence, we submit that micropillar-embedded growth chambers provide insights into the mechanical properties and dynamics of the biofilm and its matrix.Singapore. National Research Foundation (Singapore-MIT Alliance for Research and Technology (SMART)

Why Nature has made a choice of one time and three space coordinates?

We propose a possible answer to one of the most exciting open questions in physics and cosmology, that is the question why we seem to experience four- dimensional space-time with three ordinary and one time dimensions. We have known for more than 70 years that (elementary) particles have spin degrees of freedom, we also know that besides spin they also have charge degrees of freedom, both degrees of freedom in addition to the position and momentum degrees of freedom. We may call these ''internal degrees of freedom '' the ''internal space'' and we can think of all the different particles, like quarks and leptons, as being different internal states of the same particle. The question then naturally arises: Is the choice of the Minkowski metric and the four-dimensional space-time influenced by the ''internal space''? Making assumptions (such as particles being in first approximation massless) about the equations of motion, we argue for restrictions on the number of space and time dimensions. (Actually the Standard model predicts and experiments confirm that elementary particles are massless until interactions switch on masses.) Accepting our explanation of the space-time signature and the number of dimensions would be a point supporting (further) the importance of the ''internal space''.Comment: 13 pages, LaTe

Subclinical myocardial disease by cardiac magnetic resonance imaging and spectroscopy in healthy HIV/Hepatitis C virus-coinfected persons.

Objective The contribution of hepatitis C virus (HCV) infection to the risk of heart failure in human immunodeficiency virus (HIV)-coinfected persons is unknown. The objective was to characterize cardiac function and morphology in HIV-treated coinfected persons. Methods In a cross-sectional study, HIV-infected patients virologically suppressed on antiretroviral therapy without known cardiovascular disease or diabetes mellitus underwent cardiac magnetic resonance imaging and spectroscopy for measures of cardiac function, myocardial fibrosis, and steatosis. Results The study included 18 male patients with a median age of 44 years. Of these, 10 had untreated HCV coinfection and eight had HIV monoinfection. Global systolic and diastolic function in the cohort were normal, and median myocardial fat content was 0.48% (interquartile range 0.35-1.54). Left ventricular (LV) mass index and LV mass/volume ratio were significantly greater in the HIV/HCV-coinfected group compared with the HIV-monoinfected group. In the HIV-monoinfected group, there was more myocardial fibrosis as measured by extracellular volume fraction. Conclusions There were differences between HIV/HCV-coinfected and HIV-monoinfected patients in cardiac structure and morphology. Larger studies are needed to examine whether HIV and HCV independently contribute to mechanisms of heart failure

Trapping cold atoms near carbon nanotubes: thermal spin flips and Casimir-Polder potential

We investigate the possibility to trap ultracold atoms near the outside of a metallic carbon nanotube (CN) which we imagine to use as a miniaturized current-carrying wire. We calculate atomic spin flip lifetimes and compare the strength of the Casimir-Polder potential with the magnetic trapping potential. Our analysis indicates that the Casimir-Polder force is the dominant loss mechanism and we compute the minimum distance to the carbon nanotube at which an atom can be trapped.Comment: 8 pages, 3 figure

Matching Points with Things

Given an ordered set of points and an ordered set of geometric objects in the plane, we are interested in finding a non-crossing matching between point-object pairs. We show that when the objects we match the points to are finite point sets, the problem is NP-complete in general, and polynomial when the objects are on a line or when their number is at most 2. When the objects are line segments, we show that the problem is NP-complete in general, and polynomial when the segments form a convex polygon or are all on a line. Finally, for objects that are straight lines, we show that the problem of finding a min-max non-crossing matching is NP-complete

Meadowdale High School Student with Disabilities Finds Job in UD Cafeteria; UD Assistant Geology Professor Plots City\u27s Glacial Deposits on High-Tech Map

Feature leads for the media: The University of Dayton and Dayton Public Schools have teamed up to place a Meadowdale High School student with multiple disabilities in a job with Kennedy Union Food Service; UD geology faculty member J. Michael Clinch is using a computer to create Dayton and Montgomery County\u27s first extensive and only automated inventory of glacial and post-glacial deposits on a U.S. Geological Survey base map

Analytic Confinement and Regge Trajectories

A simple relativistic quantum field model with the Yukawa-type interaction is considered to demonstrate that the analytic confinement of the constituent ("quarks") and carrier ("gluons") particles explains qualitatively the basic dynamical properties of the spectrum of mesons considered as two-particle stable bound states of quarks and gluons: the quarks and gluons are confined, the glueballs represent bound states of massless gluons, the masses of mesons are larger than the sum of the constituent quark masses and the Regge trajectories of mesonic orbital excitations are almost linear.Comment: RevTeX, 16 pages, 3 figures and 2 table