Postgraduate medical ultrasound learner and practice educator perceptions and experiences of academy model clinical ultrasound training in Scotland.

Introduction: The newly introduced National Ultrasound Training Programme within the NHS Scotland Academy provides an alternative clinical learning environment for postgraduate medical ultrasound learners. Learners during academic year 2022/23 were supported with up to five weeks of clinical education within the NHS Scotland Academy, as an alternative to their local Health Board. This study explores the perceptions and experiences of the first cohort of learners and their practice educators.Methods: An interview guide was developed comprising questions to explore learners and practice educator experiences and perceptions of the National Ultrasound Training Programme. Ten semi-structured interviews were conducted (Learners n = 5 and Practice Educators n = 5). Thematic analysis was performed by two independent researchers following an established six-stage process.Results: Three themes emerged:1. Importance of the Clinical learning environment, 2. Relationships and 3. Skills and confidence. Organisational challenges within the NHS Health Boards pose barriers to Learners and Practice Educators supporting clinical education. Learners benefitted from both the clinical learning environments while practice educators recognise the advantage of alternative clinical education for their Learner and wider ultrasound services. Further collaboration to capitalise on knowledge exchange was identified for enhancement.Conclusion: The NHS Scotland Academy can play a pivotal role in delivering learner-centred, protected clinical education as an adjunct to traditional models of practice education.Implications for practice: Employers and Practice Educators must identify and acknowledge barriers to postgraduate medical ultrasound education. Protected learning time, recognising roles of Learners and Educators and a supportive clinical learning environment are paramount. Learner-centred best practice clinical education can be successfully delivered within the NHS Scotland academy as an adjunct to acute health board clinical education and adopting a collaborative approach will provide enhancements for stakeholders

Biologically Inspired Feedback Design for Drosophila Flight

We use a biologically motivated model of the Drosophila's flight mechanics and sensor processing to design a feedback control scheme to regulate forward flight. The model used for insect flight is the grand unified fly (GUF) [3] simulation consisting of rigid body kinematics, aerodynamic forces and moments, sensory systems, and a 3D environment model. We seek to design a control algorithm that will convert the sensory signals into proper wing beat commands to regulate forward flight. Modulating the wing beat frequency and mean stroke angle produces changes in the flight envelope. The sensory signals consist of estimates of rotational velocity from the haltere organs and translational velocity estimates from visual elementary motion detectors (EMD's) and matched retinal velocity filters. The controller is designed based on a longitudinal model of the flight dynamics. Feedforward commands are generated based on a desired forward velocity. The dynamics are linearized around this operating point and a feedback controller designed to correct deviations from the operating point. The control algorithm is implemented in the GUF simulator and achieves the desired tracking of the forward reference velocities and exhibits biologically realistic responses

Two Types of Resistance to the Diamondback Moth (Lepidoptera: Plutellidae) in Cabbage

Survival of larvae of the diamondback moth, Plutella xylostella (L.) was reduced on several genotypes of cabbage from the breeding program at Geneva, N.Y. Polar fractions of ethanol extracts of partially resistant lines 2535 and 2503, when incorporated into diet, reduced survival of P. xylostella larvae by 14.9 and 19.0%, respectively. Whether this effect was due to reduced feeding or postingestive toxicity was not determined. Although survival on glossy-leafed line 2518 was very low in the field and larvae on this line failed to form visible feeding mines during the first 72 h after egg hatch, extracts from 2518 had no activity. Survival of larvae confined on leaf disks of 2518 in the laboratory was much greater (80% of controls) than it was on whole plants in the field (0.36% of controls). In the field, neonate P. xylostella dispersed two to three times more rapidly on the leaves of 2518 than on other lines. Resistance to P. xylostella in the lines investigated was therefore due to at least two mechanisms, (1) antibiosis or nonpreference due to extractable compounds present in normal bloom resistant cabbage genotypes, 2503 and 2535, and (2) possible nonpreference for glossy-leafed 2518 by neonate larvae, as suggested by the greater dispersal rates of neonates on these plants. Survival is relatively high on 2518 in leaf disk bioassays in the laboratory, suggesting that nonpreference in combination with environmental stresses to larvae in the field may produce P. xylostella resistance in the glossy 251

Experiences of diagnosis, stigma, culpability, and disclosure in male patients with hepatitis C virus: an interpretative phenomenological analysis

The current study aimed to explore the lived experience of patients with hepatitis C virus infection. Semi-structured interviews were conducted with seven male participants living with hepatitis C virus and were analysed using interpretative phenomenological analysis. Two master themes were identified: (1) diagnosis and the search for meaning and (2) impact of stigma on disclosure. Participants reported fears of contaminating others, feelings of stigma and concerns of disclosing the condition to others. Response to diagnosis, stigma and disclosure among the participants appeared to be interrelated and directly related to locus of blame for virus contraction. More specifically, hepatitis C virus transmission via medical routes led to an externalisation of culpability and an openness to disclosure. Transmission of hepatitis C virus as a direct result of intravenous drug use led to internalised blame and a fear of disclosure. The inter- and intra-personal consequences of hepatitis C virus explored in the current study have potential implications for tailoring future psychological therapy and psychoeducation to the specific needs of the hepatitis C virus population

Ruin problems and dual events

Dickson (1992) uses dual events to explain results relating to the distribution of the surplus immediately prior to ruin in the classical surplus process. In this paper we show that dual events can be used to explain other results in ruin theory. In particular we prove and explain the relationship between the density of the surplus immediately prior to ruin, and the joint density of the surplus immediately prior to ruin and the severity of ruininfo:eu-repo/semantics/publishedVersio

The effect on interest of negative surplus

In the classical continuous time surplus process, we allow the process to continue if the surplus falls below zero. When the surplus is below zero, we assume that the insurer borrows any sum of money required to pay claims, and pays interest on this borrowing. We use simulation to study moments and distributions of three quantities: the time to recovery to surplus level zero, the number of claims that occur when the surplus is below zero, and the maximum absolute value of the surplus process when it is below zero. We also show how simulation can be used to estimate the probability of absolute ruin.info:eu-repo/semantics/publishedVersio

Triggered Star Formation in a Massive Galaxy at z=3.8: 4C41.17

Spectropolarimetric observations obtained with the W. M. Keck Telescope of the z=3.8 radio galaxy 4C41.17 show that the UV continuum emission from this galaxy, which is aligned with the radio axis, is unpolarized (P[2sigma] < 2.4%). This implies that scattered AGN light, which is generally the dominant contributor to the rest-frame UV emission in z~1 radio galaxies, is unlikely to be a major component of the UV flux from 4C41.17. The spectrum shows absorption lines that are similar to those detected in the spectra of the recently discovered population of star forming galaxies at z~2-3. A galaxian outflow may contribute partially to the low ionization absorption lines; however, the high velocity wings of the high ionization lines are unlikely to be dominated by a galaxian wind since the implied outflow mass is very large. The detection of stellar absorption lines, the shape of the SiIV profile, the unpolarized continuum, the inability of any AGN-related processes to account for the UV flux, and the similarity of the UV continuum spectra of 4C41.17 and the nearby starburst region NGC 1741B1 suggest that the UV light in 4C41.17 is dominated by young stars. If so, the implied star-formation rate is roughly 140-1100Msun/yr. We discuss the possibility that star formation in 4C41.17 was triggered by the radio source. Our data are consistent with the hypothesis that 4C41.17 is undergoing its major epoch of star formation at z~4, and that by z~1 it will have evolved to have spectral and morphological properties similar to those observed in known z~1 powerful radio galaxies.Comment: 28 pages (Latex text + figures); Accepted for publication in The Astrophysical Journal (Dec 1, 1997 issue