Revealing the reality of undergraduate GP teaching in UK medical curricula: a cross-sectional questionnaire study

BACKGROUND: Time in general practice offers medical students opportunities to learn a breadth of clinical knowledge and skills relevant to their future clinical practice. Undergraduate experiences shape career decisions and current recommendations are that 25% of undergraduate curriculum time should be focused on general practice. However, previous work demonstrated that GP teaching had plateaued or reduced in UK medical schools. Therefore, an up-to-date description of undergraduate GP teaching is timely. AIM: To describe the current picture of UK undergraduate GP teaching, including the amount of time and resources allocated to GP teaching. DESIGN AND SETTING: A cross-sectional questionnaire study across 36 UK medical schools. METHOD: The questionnaire was designed based on a previous survey performed in 2011–2013, with additional questions on human and financial support allocated to GP teaching. The questionnaire was piloted and revised prior to distribution to leads of undergraduate GP teaching in UK medical schools. RESULTS: The questionnaire response rate was 100%. GP teaching constituted an average of 9.2% of medical curricula; this was lower than previous figures, though the actual number of GP sessions has remained static. The majority (n = 23) describe plans to increase GP teaching in their local curricula over the next 5 years. UK-wide average payment was 55.60 GBP/student/session of in-practice teaching, falling well below estimated costs to practices. Allocation of human resources was varied. CONCLUSION: Undergraduate GP teaching provision has plateaued since 2000 and falls short of national recommendations. Chronic underinvestment in GP teaching persists at a time when teaching is expected to increase. Both aspects need to be addressed to facilitate high-quality undergraduate GP teaching and promotion of the expert medical generalist role

A new method for the spectroscopic identification of stellar non-radial pulsation modes. II. Mode identification of the Delta Scuti star FG Virginis

We present a mode identification based on new high-resolution time-series spectra of the non-radially pulsating Delta Scuti star FG~Vir (HD 106384, V = 6.57, A5V). From 2002 February to June a global Delta Scuti Network (DSN) campaign, utilizing high-resolution spectroscopy and simultaneous photometry has been conducted for FG~Vir in order to provide a theoretical pulsation model. In this campaign we have acquired 969 Echelle spectra covering 147 hours at six observatories. The mode identification was carried out by analyzing line profile variations by means of the Fourier parameter fit method, where the observational Fourier parameters across the line are fitted with theoretical values. This method is especially well suited for determining the azimuthal order m of non-radial pulsation modes and thus complementary with the method of Daszynska-Daszkiewicz (2002) which does best at identifying the degree l. 15 frequencies between 9.2 and 33.5 c/d were detected spectroscopically. We determined the azimuthal order m of 12 modes and constrained their harmonic degree l. Only modes of low degree (l <= 4) were detected, most of them having axisymmetric character mainly due to the relatively low projected rotational velocity of FG Vir. The detected non-axisymmetric modes have azimuthal orders between -2 and 1. We derived an inclination of 19 degrees, which implies an equatorial rotational rate of 66 km/s.Comment: 14 pages, 26 figure

Non-Classical Response from Quench-Cooled Solid Helium Confined in Porous Gold

We have investigated the non-classical response of solid 4He confined in porous gold set to torsional oscillation. When solid helium is grown rapidly, nearly 7% of the solid helium appears to be decoupled from the oscillation below about 200 mK. Dissipation appears at temperatures where the decoupling shows maximum variation. In contrast, the decoupling is substantially reduced in slowly grown solid helium. The dynamic response of solid helium was also studied by imposing a sudden increase in the amplitude of oscillation. Extended relaxation in the resonant period shift, suggesting the emergence of the pinning of low energy excitations, was observed below the onset temperature of the non-classical response. The motion of a dislocation or a glassy solid is restricted in the entangled narrow pores and is not likely responsible for the period shift and long relaxation

Geometrically Frustrated Crystals: Elastic Theory and Dislocations

Elastic theory of ring-(or cylinder-)shaped crystals is constructed and the generation of edge dislocations due to geometrical frustration caused by the bending is studied. The analogy to superconducting (or superfluid) vortex state is pointed out and the phase diagram of the ring-crystal, which depends on radius and thickness, is discussed.Comment: 4 pages, 3 figure

Boron in copper: a perfect misfit in the bulk and cohesion enhancer at a grain boundary

Our ab initio study suggests that boron segregation to the Sigma 5(310)[001] grain boundary should strengthen the boundary up to 1.5 ML coverage (15.24 at/nm^2). The maximal effect is observed at 0.5 ML and corresponds to boron atoms filling exclusively grain boundary interstices. In copper bulk, B causes significant distortion both in interstitial and regular lattice sites for which boron atoms are either too big or too small. The distortion is compensated to large extent when the interstitial and substitutional boron combine together to form a strongly bound dumbell. Our prediction is that bound boron impurities should appear in sizable proportion if not dominate in most experimental conditions. A large discrepancy between calculated heats of solution and experimental terminal solubility of B in Cu is found, indicating either a sound failure of the local density approximation or, more likely, strongly overestimated solubility limits in the existing B-Cu phase diagram.Comment: 16 pages, 9 figure

A Markovian event-based framework for stochastic spiking neural networks

In spiking neural networks, the information is conveyed by the spike times, that depend on the intrinsic dynamics of each neuron, the input they receive and on the connections between neurons. In this article we study the Markovian nature of the sequence of spike times in stochastic neural networks, and in particular the ability to deduce from a spike train the next spike time, and therefore produce a description of the network activity only based on the spike times regardless of the membrane potential process. To study this question in a rigorous manner, we introduce and study an event-based description of networks of noisy integrate-and-fire neurons, i.e. that is based on the computation of the spike times. We show that the firing times of the neurons in the networks constitute a Markov chain, whose transition probability is related to the probability distribution of the interspike interval of the neurons in the network. In the cases where the Markovian model can be developed, the transition probability is explicitly derived in such classical cases of neural networks as the linear integrate-and-fire neuron models with excitatory and inhibitory interactions, for different types of synapses, possibly featuring noisy synaptic integration, transmission delays and absolute and relative refractory period. This covers most of the cases that have been investigated in the event-based description of spiking deterministic neural networks

Colligative properties of solutions: I. Fixed concentrations

Using the formalism of rigorous statistical mechanics, we study the phenomena of phase separation and freezing-point depression upon freezing of solutions. Specifically, we devise an Ising-based model of a solvent-solute system and show that, in the ensemble with a fixed amount of solute, a macroscopic phase separation occurs in an interval of values of the chemical potential of the solvent. The boundaries of the phase separation domain in the phase diagram are characterized and shown to asymptotically agree with the formulas used in heuristic analyses of freezing point depression. The limit of infinitesimal concentrations is described in a subsequent paper.Comment: 28 pages, 1 fig; see also math-ph/0407035 (both to appear in JSP

Piezomagnetism and Stress Induced Paramagnetic Meissner Effect in Mechanically Loaded High-T_c Granular Superconductors

Two novel phenomena in a weakly coupled granular superconductor under an applied stress are predicted which are based on recently suggested piezophase effect (a macroscopic quantum analog of the piezoelectric effect) in mechanically loaded grain boundary Josephson junctions. Namely, we consider the existence of stress induced paramagnetic moment in zero applied magnetic field (piezomagnetism) and its influence on a low-field magnetization (leading to a mechanically induced paramagnetic Meissner effect). The conditions under which these two effects can be experimentally measured in high-T_$ granular superconductors are discussed.Comment: 4 pages (REVTEX, epsf.sty), 2 PS figure

High order amplitude equation for steps on creep curve

We consider a model proposed by one of the authors for a type of plastic instability found in creep experiments which reproduces a number of experimentally observed features. The model consists of three coupled non-linear differential equations describing the evolution of three types of dislocations. The transition to the instability has been shown to be via Hopf bifurcation leading to limit cycle solutions with respect to physically relevant drive parameters. Here we use reductive perturbative method to extract an amplitude equation of up to seventh order to obtain an approximate analytic expression for the order parameter. The analysis also enables us to obtain the bifurcation (phase) diagram of the instability. We find that while supercritical bifurcation dominates the major part of the instability region, subcritical bifurcation gradually takes over at one end of the region. These results are compared with the known experimental results. Approximate analytic expressions for the limit cycles for different types of bifurcations are shown to agree with their corresponding numerical solutions of the equations describing the model. The analysis also shows that high order nonlinearities are important in the problem. This approach further allows us to map the theoretical parameters to the experimentally observed macroscopic quantities.Comment: LaTex file and eps figures; Communicated to Phys. Rev.