Perceptions of final-year UKZN medical students about anaesthesia as a specialty choice

Background: South Africa suffers from a drastic shortage of anaesthesiologists. This shortage has a major impact on the provision of safe, timeous and appropriate surgery for the population. One factor implicated in this shortage may be the difficulty in appropriate recruitment of trainees.Methods: A questionnaire-based cross-sectional study was conducted among the final-year medical students at the University of KwaZulu-Natal (UKZN), for the year 2013.Results: At total of 112 final-year medical students participated in the study. The majority (93%) of the medical students would like to specialise in the future. Anaesthesiology ranked fourth in popularity among the specialties presented to the students. The students’ opinion of the key positive attributes of anaesthesiology was that it was interesting (26.8%), mentally challenging (22.3%) and afforded good working hours (18.8%). The key negative attributes of anaesthesiology highlighted by the students were that it was boring (21.4%), stressful (20.5%) and frightening (15.2%). The biggest influence on the medical students’ perceptions of anaesthesiology was the medical school rotation, with the need for longer duration of exposure, highlighted by 24 (21.4%) of the students.Conclusion: The perceptions of medical students concerning anaesthesia are multi-faceted, with the undergraduate anaesthetic rotation viewed as the biggest influence on their perceptions regarding anaesthesia. All anaesthetists should strive to improve the discipline profile, change the misconceptions and enhance the attractiveness of the specialty amongst medical students from foundation level upwards.Keywords: anaesthesia, education, medical students, perceptions, workforce shortag

A multi-isotope investigation of diet and subsistence amongst island and mainland populations from early medieval western Britain

Objectives: This is the first investigation of dietary practices amongst multiple early medieval populations (AD 500–1000) from Wales and the Isle of Man using carbon, nitrogen, and sulphur isotope analysis. The analysis will illuminate similarities or differences between the diets and subsistence strategies of populations occupying different geographical regions, specifically those living in marginal coastal regions in comparison to inland populations well-connected to ecclesiastical centres and high-status settlements. Materials and Methods: One hundred and two human skeletons were sampled for carbon and nitrogen isotope analysis, and 69 human skeletons were sampled for sulphur isotope analysis from nine cemetery sites from western Britain (Isle of Man = 3, southwest Wales = 4, southeast Wales = 2). Thirteen faunal skeletons from St Patrick's Chapel (southwest Wales) were sampled for carbon, nitrogen, and sulphur isotope analysis. Results: Human δ13C values range from −19.4‰ to −21.2‰ (δ13C mean=−20.4 ±0.4‰, 1σ, n = 86), and δ15N values range from 9.1‰ to 13.8‰ (δ15N mean = 10.8 ± 0.9‰, 1σ, n = 86). δ34S values range from 1.2‰ to 18.4‰ (δ34S mean = 11.6 ± 4.5‰, 1σ, n = 66). Significant differences were noted between the mean δ13C, δ15N and δ34S values according to geographic region: Isle of Man (δ13C = −20.7 ± 0.4‰, δ15N = 11.4 ±0.6‰, n = 13/86; δ34S mean = 17.1 ±0.6, n = 4/66), southwest Wales (δ13C = −20.5 ± 0.4‰, δ15N = 11.0 ±1‰, n = 32/86; δ34S = 16.1 ± 2.1, n = 21/66), and southeast Wales (δ13C =−20.3 ±0.4‰, δ15N = 10.4 ±0.7‰, n = 41/86; δ34S= 8.8 ±3‰, n = 41/66). Faunal δ13C values range from −23.1‰ to −21.2‰ (δ13C mean= −22.1 ±0.5‰, 1σ, n = 13), and δ15N values range from 6.3‰ to 9.8‰ (δ15N mean = 7.3 ± 1.1‰, 1σ, n = 13). δ34S values range from 4.7‰ to 18.4‰ (δ34S mean= 16.3 ± 3.6‰, 1σ, n = 13). Conclusions: The data reveal a reliance on terrestrial protein, however differences are observed between the resource consumption of populations from southwest Wales and the Isle of Man in comparison to the populations from southeast Wales. Populations from the west coast have a marine sulphur signature that reflects their coastal proximity and may also include a reliance on seaweed as a fertiliser/food source. Populations in the southeast were connected to ecclesiastical centres and high-status settlements and had access to inland-grown produce. The data add support to the suggestion that δ34S can be used as a mobility indicator

Impact of land surface initialization approach on subseasonal forecast skill: A regional analysis in the southern hemisphere

The authors use a sophisticated coupled land–atmosphere modeling system for a Southern Hemisphere subdomain centered over southeastern Australia to evaluate differences in simulation skill from two different land surface initialization approaches. The first approach uses equilibrated land surface states obtained from offline simulations of the land surface model, and the second uses land surface states obtained from reanalyses. The authors find that land surface initialization using prior offline simulations contribute to relative gains in subseasonal forecast skill. In particular, relative gains in forecast skill for temperature of 10%–20% within the first 30 days of the forecast can be attributed to the land surface initialization method using offline states. For precipitation there is no distinct preference for the land surface initialization method, with limited gains in forecast skill irrespective of the lead time. The authors evaluated the asymmetry between maximum and minimum temperatures and found that maximum temperatures had the largest gains in relative forecast skill, exceeding 20% in some regions. These results were statistically significant at the 98% confidence level at up to 60 days into the forecast period. For minimum temperature, using reanalyses to initialize the land surface contributed to relative gains in forecast skill, reaching 40% in parts of the domain that were statistically significant at the 98% confidence level. The contrasting impact of the land surface initialization method between maximum and minimum temperature was associated with different soil moisture coupling mechanisms. Therefore, land surface initialization from prior offline simulations does improve predictability for temperature, particularly maximum temperature, but with less obvious improvements for precipitation and minimum temperature over southeastern Australia

New Coherent String States and Minimal Uncertainty in WZWN Models

We study the properties of {\bf exact} (all level $k$) quantum coherent states in the context of string theory on a group manifold (WZWN models). Coherent states of WZWN models may help to solve the unitarity problem: Having positive norm, they consistently describe the very massive string states (otherwise excluded by the spin-level condition). These states can be constructed by (at least) two alternative procedures: (i) as the exponential of the creation operator on the ground state, and (ii) as eigenstates of the annhilation operator. In the $k\to\infty$ limit, all the known properties of ordinary coherent states are recovered. States (i) and (ii) (which are equivalent in the context of ordinary quantum mechanics and string theory in flat spacetime) are not equivalent in the context of WZWN models. The set (i) was constructed by these authors in a previous article. In this paper we provide the construction of states (ii), we compare the two sets and discuss their properties. We analyze the uncertainty relation, and show that states (ii) satisfy automatically the {\it minimal uncertainty} condition for any $k$; they are thus {\it quasiclassical}, in some sense more classical than states (i) which only satisfy it in the $k\to\infty$ limit. Modification to the Heisenberg relation is given by $2 {\cal H}/k$, where ${\cal H}$ is connected to the string energy.Comment: More discussion on relation to previous work. More references added. 14 pages, Latex, no figure

Evaluation of the CABLEv2.3.4 land surface model coupled to NU‐WRFv3.9.1.1 in simulating temperature and precipitation means and extremes over CORDEX AustralAsia within a WRF physics ensemble

The Community Atmosphere Biosphere Land Exchange (CABLE) model is a third‐generation land surface model (LSM). CABLE is commonly used as a stand‐alone LSM, coupled to the Australian Community Climate and Earth Systems Simulator global climate model and coupled to the Weather Research and Forecasting (WRF) model for regional applications. Here, we evaluate an updated version of CABLE within a WRF physics ensemble over the COordinated Regional Downscaling EXperiment (CORDEX) AustralAsia domain. The ensemble consists of different cumulus, radiation and planetary boundary layer (PBL) schemes. Simulations are carried out within the NASA Unified WRF modeling framework, NU‐WRF. Our analysis did not identify one configuration that consistently performed the best for all diagnostics and regions. Of the cumulus parameterizations the Grell‐Freitas cumulus scheme consistently overpredicted precipitation, while the new Tiedtke scheme was the best in simulating the timing of precipitation events. For the radiation schemes, the RRTMG radiation scheme had a general warm bias. For the PBL schemes, the YSU scheme had a warm bias, and the MYJ PBL scheme a cool bias. Results are strongly dependent on the region of interest, with the northern tropics and southwest Western Australia being more sensitive to the choice of physics options compared to southeastern Australia which showed less overall variation and overall better performance across the ensemble. Comparisons with simulations using the Unified Noah LSM showed that CABLE in NU‐WRF has a more realistic simulation of evapotranspiration when compared to GLEAM estimates

Amyloid-β oligomerization monitored by single-molecule stepwise photobleaching

A major hallmark of Alzheimer’s disease is the misfolding and aggregation of the amyloid- β peptide (Aβ). While early research pointed towards large fibrillar- and plaque-like aggregates as being the most toxic species, recent evidence now implicates small soluble Aβ oligomers as being orders of magnitude more harmful. Techniques capable of characterizing oligomer stoichiometry and assembly are thus critical for a deeper understanding of the earliest stages of neurodegeneration and for rationally testing next-generation oligomer inhibitors. While the fluorescence response of extrinsic fluorescent probes such as Thioflavin-T have become workhorse tools for characterizing large Aβ aggregates in solution, it is widely accepted that these methods suffer from many important drawbacks, including an insensitivity to oligomeric species. Here, we integrate several biophysics techniques to gain new insight into oligomer formation at the single-molecule level. We showcase single-molecule stepwise photobleaching of fluorescent dye molecules as a powerful method to bypass many of the traditional limitations, and provide a step-by-step guide to implementing the technique in vitro. By collecting fluorescence emission from single Aβ(1–42) peptides labelled at the N-terminal position with HiLyte Fluor 555 via wide-field total internal reflection fluorescence (TIRF) imaging, we demonstrate how to characterize the number of peptides per single immobile oligomer and reveal heterogeneity within sample populations. Importantly, fluorescence emerging from Aβ oligomers cannot be easily investigated using diffraction-limited optical microscopy tools. To assay oligomer activity, we also demonstrate the implementation of another biophysical method involving the ratiometric imaging of Fura-2-AM loaded cells which quantifies the rate of oligomer-induced dysregulation of intracellular Ca2+ homeostasis. We anticipate that the integrated single-molecule biophysics approaches highlighted here will develop further and in principle may be extended to the investigation of other protein aggregation systems under controlled experimental conditions

Exclusive Queueing Process with Discrete Time

In a recent study [C Arita, Phys. Rev. E 80, 051119 (2009)], an extension of the M/M/1 queueing process with the excluded-volume effect as in the totally asymmetric simple exclusion process (TASEP) was introduced. In this paper, we consider its discrete-time version. The update scheme we take is the parallel one. A stationary-state solution is obtained in a slightly arranged matrix product form of the discrete-time open TASEP with the parallel update. We find the phase diagram for the existence of the stationary state. The critical line which separates the parameter space into the regions with and without the stationary state can be written in terms of the stationary current of the open TASEP. We calculate the average length of the system and the average number of particles

A comparison of conventional and 137 Cs-based estimates of soil erosion rates on arable and grassland across lowland England and Wales

Soils deliver a range of ecosystem services and underpin conventional global food production which must increase to feed the projected growth in human population. Although soil erosion by water and subsequent sediment delivery to rivers are natural processes, anthropogenic pressures, including modern farming practices and management, have accelerated soil erosion rates on both arable and grassland. A range of approaches can be used to assess and document soil erosion rates and, in the case of the UK, these mainly comprise the 137Cs-based approach, conventional surveys using volumetric measurements, integration of information on suspended sediment flux, fine sediment source apportionment and landscape sediment retention and traditional bounded hydrological monitoring at edge-of-field using experimental platforms. We compare the erosion rates for arable and grassland in lowland England assessed by these different techniques. Rates assessed by volumetric measurements are similar to those generated by integrating information on suspended sediment flux, sources and landscape retention, but are much less than those estimated by the 137Cs-based approach; of the order of one magnitude less for arable land. The 137Cs approach assumes an initial distribution of 137Cs uniformly spread across the landscape and relates the sampled distribution to erosion, but other (transport) processes are also involved and their representation in the calibration procedures remains problematic. We suggest that the 137Cs technique needs to be validated more rigorously and conversion models re-calibrated. As things stand, rates of erosion based on the distribution of 137Cs may well overstate the severity of the problem in lowland Britain and, therefore, are not a reliable indicator of water erosion rates

Identification of functionally distinct macrophage subpopulations in Drosophila

Vertebrate macrophages are a highly heterogeneous cell population, but while Drosophila blood is dominated by a macrophage-like lineage (plasmatocytes), until very recently these cells were considered to represent a homogeneous population. Here, we present our identification of enhancer elements labelling plasmatocyte subpopulations, which vary in abundance across development. These subpopulations exhibit functional differences compared to the overall population, including more potent injury responses and differential localisation and dynamics in pupae and adults. Our enhancer analysis identified candidate genes regulating plasmatocyte behaviour: pan-plasmatocyte expression of one such gene (Calnexin14D) improves wound responses, causing the overall population to resemble more closely the subpopulation marked by the Calnexin14D-associated enhancer. Finally, we show that exposure to increased levels of apoptotic cell death modulates subpopulation cell numbers. Taken together this demonstrates macrophage heterogeneity in Drosophila, identifies mechanisms involved in subpopulation specification and function and facilitates the use of Drosophila to study macrophage heterogeneity in vivo