Medical student wellbeing - a consensus statement from Australia and New Zealand

Abstract Background Medical student wellbeing – a consensus statement from Australia and New Zealand outlines recommendations for optimising medical student wellbeing within medical schools in our region. Worldwide, medical schools have responsibilities to respond to concerns about student psychological, social and physical wellbeing, but guidance for medical schools is limited. To address this gap, this statement clarifies key concepts and issues related to wellbeing and provides recommendations for educational program design to promote both learning and student wellbeing. The recommendations focus on student selection; learning, teaching and assessment; learning environment; and staff development. Examples of educational initiatives from the evidence-base are provided, emphasising proactive and preventive approaches to student wellbeing. Main recommendations The consensus statement provides specific recommendations for medical schools to consider at all stages of program design and implementation. These are:Design curricula that promote peer support and progressive levels of challenge to students.Employ strategies to promote positive outcomes from stress and to help others in need.Design assessment tasks to foster wellbeing as well as learning.Provide mental health promotion and suicide prevention initiatives.Provide physical health promotion initiatives.Ensure safe and health-promoting cultures for learning in on-campus and clinical settings.Train staff on student wellbeing and how to manage wellbeing concerns. Conclusion A broad integrated approach to improving student wellbeing within medical school programs is recommended. Medical schools should work cooperatively with student and trainee groups, and partner with clinical services and other training bodies to foster safe practices and cultures. Initiatives should aim to assist students to develop adaptive responses to stressful situations so that graduates are prepared for the realities of the workplace. Multi-institutional, longitudinal collaborative research in Australia and New Zealand is needed to close critical gaps in the evidence needed by medical schools in our region

Probing the Dust and Gas in the Transitional Disk of CS Cha with Spitzer

Here we present the Spitzer IRS spectrum of CS Cha, a member of the ~2 Myr old Chamaeleon star-forming region, which reveals an optically thick circumstellar disk truncated at ~43 AU, the largest hole modeled in a transitional disk to date. Within this inner hole, ~5x10^-5 lunar masses of dust are located in a small optically thin inner region which extends from 0.1 to 1 AU. In addition, the disk of CS Cha has bigger grain sizes and more settling than the previously modeled transitional disks DM Tau, GM Aur, and CoKu Tau/4, suggesting that CS Cha is in a more advanced state of dust evolution. The Spitzer IRS spectrum also shows [Ne II] 12.81 micron fine-structure emission with a luminosity of 1.3x10^29 ergs s^-1, indicating that optically thin gas is present in this ~43 AU hole, in agreement with H_alpha measurements and a UV excess which indicate that CS Cha is still accreting 1.2x10^-8 M_sun yr^-1. We do not find a correlation of the [Ne II] flux with L_X, however, there is a possible correlation with mass accretion rate, which if confirmed would suggest that EUV fluxes due to accretion are the main agent for formation of the [Ne II] line.Comment: accepted to ApJ Letter

Optical mapping discerns genome wide DNA methylation profiles

BACKGROUND: Methylation of CpG dinucleotides is a fundamental mechanism of epigenetic regulation in eukaryotic genomes. Development of methods for rapid genome wide methylation profiling will greatly facilitate both hypothesis and discovery driven research in the field of epigenetics. In this regard, a single molecule approach to methylation profiling offers several unique advantages that include elimination of chemical DNA modification steps and PCR amplification. RESULTS: A single molecule approach is presented for the discernment of methylation profiles, based on optical mapping. We report results from a series of pilot studies demonstrating the capabilities of optical mapping as a platform for methylation profiling of whole genomes. Optical mapping was used to discern the methylation profile from both an engineered and wild type Escherichia coli. Furthermore, the methylation status of selected loci within the genome of human embryonic stem cells was profiled using optical mapping. CONCLUSION: The optical mapping platform effectively detects DNA methylation patterns. Due to single molecule detection, optical mapping offers significant advantages over other technologies. This advantage stems from obviation of DNA modification steps, such as bisulfite treatment, and the ability of the platform to assay repeat dense regions within mammalian genomes inaccessible to techniques using array-hybridization technologies

A Framework for Propagation of Uncertainties in the Kepler Data Analysis Pipeline

The Kepler space telescope is designed to detect Earth-like planets around Sun-like stars using transit photometry by simultaneously observing 100,000 stellar targets nearly continuously over a three and a half year period. The 96-megapixel focal plane consists of 42 charge-coupled devices (CCD) each containing two 1024 x 1100 pixel arrays. Cross-correlations between calibrated pixels are introduced by common calibrations performed on each CCD requiring downstream data products access to the calibrated pixel covariance matrix in order to properly estimate uncertainties. The prohibitively large covariance matrices corresponding to the ~75,000 calibrated pixels per CCD preclude calculating and storing the covariance in standard lock-step fashion. We present a novel framework used to implement standard propagation of uncertainties (POU) in the Kepler Science Operations Center (SOC) data processing pipeline. The POU framework captures the variance of the raw pixel data and the kernel of each subsequent calibration transformation allowing the full covariance matrix of any subset of calibrated pixels to be recalled on-the-fly at any step in the calibration process. Singular value decomposition (SVD) is used to compress and low-pass filter the raw uncertainty data as well as any data dependent kernels. The combination of POU framework and SVD compression provide downstream consumers of the calibrated pixel data access to the full covariance matrix of any subset of the calibrated pixels traceable to pixel level measurement uncertainties without having to store, retrieve and operate on prohibitively large covariance matrices. We describe the POU Framework and SVD compression scheme and its implementation in the Kepler SOC pipeline

"Ordinary, the same as anywhere else": notes on the management of spoiled identity in 'marginal' middle class neighbourhoods

Urban sociologists are becoming increasingly interested in neighbourhood as a source of middle-class identity. Particular emphasis is currently being given to two types of middle-class neighbourhood; gentrified urban neighbourhoods of ‘distinction’ and inconspicuous ‘suburban landscapes of privilege’. However, there has been a dearth of work on ‘marginal’ middle-class neighbourhoods that are similarly ‘inconspicuous’ rather than distinctive, but less exclusive, thus containing sources of ‘spoiled identity’. This article draws on data gathered from two ‘marginal’ middleclass neighbourhoods that contained a particular source of ‘spoiled identity’: social renters. Urban sociological analyses of neighbour responses to these situations highlight a process of dis-identification with the maligned object, which exacerbates neighbour differences. Our analysis of data from the ‘marginal’ middle-class neighbourhoods suggests something entirely different and Goffmanesque. This entailed the management of spoiled identity, which emphasized similarities rather than differences between neighbours.</p

A comparison of new occupational progressive lens versus the Varilux for occupational use

Seventeen presbyopic subjects with a need of an occupational lens for intermediate distance tasks were selected from the Pacific University faculty and staff for fitting with the Varilux progressive addition lens (PAL) and an experimental PAL manufactured by Essilor Corporation. Subjects wore each set of lenses for a period of three weeks and responded to a questionnaire assessing adaptability, visual comfort, visual acuity, and effectiveness at intermediate tasks. Subjects were then given both sets of lenses for one week. When finished they were asked to make a choice of which lenses they preferred for occupational and recreational tasks. The results indicate that the experimental lens is not significantly better than the Varilux for occupational or recreational use

Planetary Candidates Observed by Kepler VI: Planet Sample from Q1-Q16 (47 Months)

\We present the sixth catalog of Kepler candidate planets based on nearly 4 years of high precision photometry. This catalog builds on the legacy of previous catalogs released by the Kepler project and includes 1493 new Kepler Objects of Interest (KOIs) of which 554 are planet candidates, and 131 of these candidates have best fit radii <1.5 R_earth. This brings the total number of KOIs and planet candidates to 7305 and 4173 respectively. We suspect that many of these new candidates at the low signal-to-noise limit may be false alarms created by instrumental noise, and discuss our efforts to identify such objects. We re-evaluate all previously published KOIs with orbital periods of >50 days to provide a consistently vetted sample that can be used to improve planet occurrence rate calculations. We discuss the performance of our planet detection algorithms, and the consistency of our vetting products. The full catalog is publicly available at the NASA Exoplanet Archive.Comment: 18 pages, to be published in the Astrophysical Journal Supplement Serie

Status of the TESS Science Processing Operations Center

The Transiting Exoplanet Survey Satellite (TESS) science pipeline is being developed by the Science Processing Operations Center (SPOC) at NASA Ames Research Center based on the highly successful Kepler Mission science pipeline. Like the Kepler pipeline, the TESS science pipeline will provide calibrated pixels, simple and systematic error-corrected aperture photometry, and centroid locations for all 200,000+ target stars, observed over the 2-year mission, along with associated uncertainties. The pixel and light curve products are modeled on the Kepler archive products and will be archived to the Mikulski Archive for Space Telescopes (MAST). In addition to the nominal science data, the 30-minute Full Frame Images (FFIs) simultaneously collected by TESS will also be calibrated by the SPOC and archived at MAST. The TESS pipeline will search through all light curves for evidence of transits that occur when a planet crosses the disk of its host star. The Data Validation pipeline will generate a suite of diagnostic metrics for each transit-like signature discovered, and extract planetary parameters by fitting a limb-darkened transit model to each potential planetary signature. The results of the transit search will be modeled on the Kepler transit search products (tabulated numerical results, time series products, and pdf reports) all of which will be archived to MAST

“Farm School : Recalling Meaning & Memory of the Lynn Bachman School

This project tells the story of a generation, a region, and a unique educational moment in Appalachian history through a series of hand printed, hand bound, illustrated artists books. Capturing the lived experience of elders in the communities of Polk County, Tennessee and Cherokee County, North Carolina, the research expands our understanding of Appalachian education and social work before public education was introduced to the area. The project appropriately merged Dockery’s interdisciplinary work in visual arts, art education and Appalachian Studies and expanded the scholarship on rural education. Utilizing an arts based research methodology, the research introduces the Lynn Bachman Memorial School and Home to the growing body of literature related to Appalachian Settlement Schools. Three elders were interviewed, an archives of historical and artistic images of the Bachman school was generated, and a limited edition of artists’ books that utilize the heirloom craft of letterpress, photo transfer, and German book binding technique was created