Cross-comparison of MRCGP & MRCP(UK) in a database linkage study of 2,284 candidates taking both examinations: assessment of validity and differential performance by ethnicity.

MRCGP and MRCP(UK) are the main entry qualifications for UK doctors entering general [family] practice or hospital [internal] medicine. The performance of MRCP(UK) candidates who subsequently take MRCGP allows validation of each assessment. In the UK, underperformance of ethnic minority doctors taking MRCGP has had a high political profile, with a Judicial Review in the High Court in April 2014 for alleged racial discrimination. Although the legal challenge was dismissed, substantial performance differences between white and BME (Black and Minority Ethnic) doctors undoubtedly exist. Understanding ethnic differences can be helped by comparing the performance of doctors who take both MRCGP and MRCP(UK)

Aircraft observations and model simulations of concentration and particle size distribution in the Eyjafjallajökull volcanic ash cloud

The Eyjafjallajökull volcano in Iceland emitted a cloud of ash into the atmosphere during April and May 2010. Over the UK the ash cloud was observed by the FAAM BAe-146 Atmospheric Research Aircraft which was equipped with in-situ probes measuring the concentration of volcanic ash carried by particles of varying sizes. The UK Met Office Numerical Atmospheric-dispersion Modelling Environment (NAME) has been used to simulate the evolution of the ash cloud emitted by the Eyjafjallajökull volcano during the period 4–18 May 2010. In the NAME simulations the processes controlling the evolution of the concentration and particle size distribution include sedimentation and deposition of particles, horizontal dispersion and vertical wind shear. For travel times between 24 and 72 h, a 1/t relationship describes the evolution of the concentration at the centre of the ash cloud and the particle size distribution remains fairly constant. Although NAME does not represent the effects of microphysical processes, it can capture the observed decrease in concentration with travel time in this period. This suggests that, for this eruption, microphysical processes play a small role in determining the evolution of the distal ash cloud. Quantitative comparison with observations shows that NAME can simulate the observed column-integrated mass if around 4% of the total emitted mass is assumed to be transported as far as the UK by small particles (< 30 μm diameter). NAME can also simulate the observed particle size distribution if a distal particle size distribution that contains a large fraction of < 10 μm diameter particles is used, consistent with the idea that phraetomagmatic volcanoes, such as Eyjafjallajökull, emit very fine particles

Horizontal and vertical structure of the Eyjafjallajökull ash cloud over the UK: a comparison of airborne lidar observations and simulations

During April and May 2010 the ash cloud from the eruption of the Icelandic volcano Eyjafjallajökull caused widespread disruption to aviation over northern Europe. The location and impact of the eruption led to a wealth of observations of the ash cloud were being obtained which can be used to assess modelling of the long range transport of ash in the troposphere. The UK FAAM (Facility for Airborne Atmospheric Measurements) BAe-146-301 research aircraft overflew the ash cloud on a number of days during May. The aircraft carries a downward looking lidar which detected the ash layer through the backscatter of the laser light. In this study ash concentrations derived from the lidar are compared with simulations of the ash cloud made with NAME (Numerical Atmospheric-dispersion Modelling Environment), a general purpose atmospheric transport and dispersion model. The simulated ash clouds are compared to the lidar data to determine how well NAME simulates the horizontal and vertical structure of the ash clouds. Comparison between the ash concentrations derived from the lidar and those from NAME is used to define the fraction of ash emitted in the eruption that is transported over long distances compared to the total emission of tephra. In making these comparisons possible position errors in the simulated ash clouds are identified and accounted for. The ash layers seen by the lidar considered in this study were thin, with typical depths of 550–750 m. The vertical structure of the ash cloud simulated by NAME was generally consistent with the observed ash layers, although the layers in the simulated ash clouds that are identified with observed ash layers are about twice the depth of the observed layers. The structure of the simulated ash clouds were sensitive to the profile of ash emissions that was assumed. In terms of horizontal and vertical structure the best results were obtained by assuming that the emission occurred at the top of the eruption plume, consistent with the observed structure of eruption plumes. However, early in the period when the intensity of the eruption was low, assuming that the emission of ash was uniform with height gives better guidance on the horizontal and vertical structure of the ash cloud. Comparison of the lidar concentrations with those from NAME show that 2–5% of the total mass erupted by the volcano remained in the ash cloud over the United Kingdom

Children's informal learning at home during COVID-19 lockdown

The national COVID-19 lockdown during school Term 1 2020 provided a unique context to investigate children’s experiences of informal, everyday learning in their household bubble. In Terms 3 and 4, 178 children in Years 4–8 from 10 primary schools agreed to participate in a group art-making activity and an individual interview about their experiences. The research adopted a strengths-based approach on the basis that most children are capable actors in their social worlds. This report documents children’s accounts of the multiple ways in which they negotiated the novel experience of forced confinement over a period of several weeks with family and whānau. The report is rich with children’s own accounts of their everyday living and learning during lockdown. To foreground children’s descriptions and explanations of their lockdown experience in this way is an acknowledgement of their right to express their views on matters of interest to them in their lives, and to have those views listened to, and acted on, by adults. Similarly, the approach reflects a growing educational research interest in student voice: enabling children to articulate their experiences so that adults can use this knowledge to better respond to and support children’s learning aspirations and needs. This research report does not speak for all children or all children’s experiences. Nevertheless, it does provide valuable insights about the phenomenon of children’s informal and everyday learning during lockdown, gained from a group of children for whom it was a mostly positive experience, and through which they learned much about themselves as persons and as members of a family and whānau. Several months after the event, children in this study were able and willing to recall their experiences of learning during lockdown. They could identify social, cultural, and historical dimensions of their learning at home. Some children were able to recount rich, detailed stories about their lockdown experience and the ways in which they organised their days and activities. For some others, their days were largely shaped for them by family and whānau members, but even so, the children were able to explain what they enjoyed, or did not, and why. Variations in children’s learning across the group highlighted the complexity of learning that each child experienced, and the importance of having social relations, environments, and contexts that encourage and support their learning. Children demonstrated an understanding and appreciation of the value of this learning.falsehttp://www.nzcer.org.nz/research/publications/learning-during-lockdownNew Zealand Council for Educational Researc

Volcanic ash layer depth: processes and mechanisms

The long duration of the 2010 Eyjafjallajökull eruption provided a unique opportunity to measure a widely dispersed volcanic ash cloud. Layers of volcanic ash were observed by the European Aerosol Research Lidar Network with a mean depth of 1.2 km and standard deviation of 0.9 km. In this paper we evaluate the ability of the Met Office's Numerical Atmospheric-dispersion Modelling Environment (NAME) to simulate the observed ash layers and examine the processes controlling their depth. NAME simulates distal ash layer depths exceptionally well with a mean depth of 1.2 km and standard deviation of 0.7 km. The dominant process determining the depth of ash layers over Europe is the balance between the vertical wind shear (which acts to reduce the depth of the ash layers) and vertical turbulent mixing (which acts to deepen the layers). Interestingly, differential sedimentation of ash particles and the volcano vertical emission profile play relatively minor roles

Mend the Gap: The Independent Review into Gender Pay Gaps in Medicine in England

The Independent Review into Gender Pay Gaps in Medicine in England was commissioned by the Department of Health and Social Care in 2017. It is the largest and most comprehensive review of its kind ever completed in the public sector. Chaired by Professor Dame Jane Dacre and led by Professor Carol Woodhams, the review takes a comprehensive approach to understanding the structural and cultural barriers affecting the female medical workforce

The role of serial European windstorm clustering for extreme seasonal losses as determined from multi-centennial simulations of high resolution global climate model data

Extratropical cyclones are the most damaging natural hazard to affect western Europe. Serial clustering occurs when many intense cyclones affect one specific geographic region in a short period of time which can potentially lead to very large seasonal losses. Previous studies have shown that intense cyclones may be more likely to cluster than less intense cyclones. We revisit this topic using a high resolution climate model with the aim to determine how important clustering is for windstorm related losses. The role of windstorm clustering is investigated using a quantifiable metric (storm severity index, SSI) that is based on near surface meteorological variables (10-metre wind speed) and is a good proxy for losses. The SSI is used to convert a wind footprint into losses for individual windstorms or seasons. 918 years of a present-day ensemble of coupled climate model simulations from the High-Resolution Global Environment Model (HiGEM) are compared to ERA-Interim re-analysis. HiGEM is able to successfully reproduce the wintertime North Atlantic/European circulation, and represent the large-scale circulation associated with the serial clustering of European windstorms. We use two measures to identify any changes in the contribution of clustering to the seasonal windstorm loss as a function of return period. Above a return period of 3 years, the accumulated seasonal loss from HiGEM is up to 20% larger than the accumulated seasonal loss from a set of random resamples of the HiGEM data. Seasonal losses are increased by 10-20% relative to randomised seasonal losses at a return period of 200 years. The contribution of the single largest event in a season to the accumulated seasonal loss does not change with return period, generally ranging between 25-50%. Given the realistic dynamical representation of cyclone clustering in HiGEM, and comparable statistics to ERA-Interim, we conclude that our estimation of clustering and its dependence on the return period will be useful for informing the development of risk models for European windstorms, particularly for longer return periods

Early onset airway obstruction in response to organic dust in the horse

Equine recurrent airway obstruction (RAO) has been used as a naturally occurring model of human asthma. However, it is unknown whether there is an early-phase response in RAO. The aim of this study was to determine whether exposure to organic dust induces immediate changes in lung function in RAO-affected horses, which could be mediated by airway mast cells. Six RAO-affected horses in remission and six control horses were challenged with hay-straw dust suspension by nebulization. Total respiratory resistance at 1 Hz, measured by forced oscillation, was increased from 0.62 +/- 0.09 cmH(2)O.l(-1).s (mean +/- SE) to 1.23 +/- 0.20 cmH(2)O.l(-1).s 15 min after nebulization in control horses (P = 0.023) but did not change significantly in the RAO group. Total respiratory reactance at 1 Hz (P = 0.005) was significantly lower in the control horses (-0.77 +/- 0.07 cmH(2)O.l(-1).s) than in the RAO group (-0.49 +/- 0.04 cmH(2)O.l(-1).s) 15 min after nebulization. Bronchoalveolar lavage fluid (BALF) histamine concentration was significantly elevated 10 and 20 min postnebulization in control horses but not in RAO horses. Minimum reactance at 1 Hz in the early postnebulization period significantly correlated with both prechallenge BALF mast cell numbers (r = -0.65, P = 0.02) and peak BALF histamine concentration postnebulization (r = -0.61, P = 0.04). In conclusion, RAO horses, unlike human asthmatic patients, do not exhibit an early-phase response. However, healthy control horses do demonstrate a mild but significant early (<20 min) phase response to inhaled organic dust. This response may serve to decrease the subsequent dose of dust inhaled and as such provide a protective mechanism, which may be compromised in RAO horses

Using data insertion with the NAME model to simulate the 8 May 2010 Eyjafjallajökull volcanic ash cloud

A data insertion method, where a dispersion model is initialized from ash properties derived from a series of satellite observations, is used to model the 8 May 2010 Eyjafjallajökull volcanic ash cloud which extended from Iceland to northern Spain. We also briefly discuss the application of this method to the April 2010 phase of the Eyjafjallajökull eruption and the May 2011 Grímsvötn eruption. An advantage of this method is that very little knowledge about the eruption itself is required because some of the usual eruption source parameters are not used. The method may therefore be useful for remote volcanoes where good satellite observations of the erupted material are available, but little is known about the properties of the actual eruption. It does, however, have a number of limitations related to the quality and availability of the observations. We demonstrate that, using certain configurations, the data insertion method is able to capture the structure of a thin filament of ash extending over northern Spain that is not fully captured by other modeling methods. It also verifies well against the satellite observations according to the quantitative object-based quality metric, SAL—structure, amplitude, location, and the spatial coverage metric, Figure of Merit in Space