It’s just common sense! Why do negative perceptions of sociology teaching in medical education persist and is there any change in sight?

Based on a review of the literature pertaining to sociology teaching in medical education, this paper asks why does the problem of relevance with regards to sociology teaching in medical education still persist? And is there any change in sight? The literature suggests that epistemological understandings of medicine as represented by the biomedical model are deeply entrenched with far reaching consequences for sociology teaching. Notions of the social components of medicine as ‘irrelevant’ or ‘common sense’ have over time been reinforced by students’ expectations of medicine on entering medical education; by the attitudes of clinical and biomedical staff members who can act as negative role models and by institutional barriers including the organization of curricula content, decisions about ‘who teaches what’, timetabling and assessment. Changing such deeply ingrained practices may be an insurmountable task for educators working alone in individual medical schools. However, pedagogical changes emphasizing ‘integration’ and a growing understanding within medicine and higher education of alternative epistemologies predicated on social paradigms, means that increasingly, persons from different disciplinary and professional backgrounds share similar understandings about the complexities of medical care. As associated ideas filter into medical education new opportunities are arising to challenge collectively the structural forces at play which in turn could lead to a major shift in medical students’ thinking. If sociologists are to have a role in guiding the transmission of sociological ideas about health and illness it is crucial to understand and take part in these developments

Understanding Appalachian Microaggression from the Perspective of Community College Students in Southern West Virginia

The term Appalachian is wrongly understood to represent a single culture of rural White poverty (Keefe, 2005). This conception contains stereotypical images that obscure hardships many rural White Central Appalachians face. Similar to other oppressed minorities in the U.S., what it means to be Appalachian is a social construction based on what differs them from the White hegemony. Recent scholarship on discrimination recognizes the importance of microaggression, small insults and slights experienced frequently by people from minority groups (Sue, et. al., 2007). Microaggression may be an especially insidious mechanism in the oppression of Appalachian people, since the derogatory stereotypes are broadly accepted while their oppressed status tends to not be acknowledged. This study applied qualitative focus group methodology to understand perceptions of microaggression and oppression among a sample of college students living in rural Central Appalachia. Results reveal themes of microaggression. Identifying Appalachian microaggression provides evidence of marginalized status and offers a framework for understanding how the social construction of White Appalachian perpetuates reduced status, stereotypes, and prejudice. Implications are discussed to consider how to foster resilience to oppression among rural White Central Appalachian people

Numerical Results for the Ground-State Interface in a Random Medium

The problem of determining the ground state of a $d$-dimensional interface embedded in a $(d+1)$-dimensional random medium is treated numerically. Using a minimum-cut algorithm, the exact ground states can be found for a number of problems for which other numerical methods are inexact and slow. In particular, results are presented for the roughness exponents and ground-state energy fluctuations in a random bond Ising model. It is found that the roughness exponent $\zeta = 0.41 \pm 0.01, 0.22 \pm 0.01$, with the related energy exponent being $\theta = 0.84 \pm 0.03, 1.45 \pm 0.04$, in $d = 2, 3$, respectively. These results are compared with previous analytical and numerical estimates.Comment: 10 pages, REVTEX3.0; 3 ps files (separate:tar/gzip/uuencoded) for figure

Bilingualism Is Associated with a Delayed Onset of Dementia but Not with a Lower Risk of Developing it: a Systematic Review with Meta-Analyses.

Some studies have linked bilingualism with a later onset of dementia, Alzheimer's disease (AD), and mild cognitive impairment (MCI). Not all studies have observed such relationships, however. Differences in study outcomes may be due to methodological limitations and the presence of confounding factors within studies such as immigration status and level of education. We conducted the first systematic review with meta-analysis combining cross-sectional studies to explore if bilingualism might delay symptom onset and diagnosis of dementia, AD, and MCI. Primary outcomes included the age of symptom onset, the age at diagnosis of MCI or dementia, and the risk of developing MCI or dementia. A secondary outcome included the degree of disease severity at dementia diagnosis. There was no difference in the age of MCI diagnosis between monolinguals and bilinguals [mean difference: 3.2; 95% confidence intervals (CI): -3.4, 9.7]. Bilinguals vs. monolinguals reported experiencing AD symptoms 4.7 years (95% CI: 3.3, 6.1) later. Bilinguals vs. monolinguals were diagnosed with dementia 3.3 years (95% CI: 1.7, 4.9) later. Here, 95% prediction intervals showed a large dispersion of effect sizes (-1.9 to 8.5). We investigated this dispersion with a subgroup meta-analysis comparing studies that had recruited participants with dementia to studies that had recruited participants with AD on the age of dementia and AD diagnosis between mono- and bilinguals. Results showed that bilinguals vs. monolinguals were 1.9 years (95% CI: -0.9, 4.7) and 4.2 (95% CI: 2.0, 6.4) older than monolinguals at the time of dementia and AD diagnosis, respectively. The mean difference between the two subgroups was not significant. There was no significant risk reduction (odds ratio: 0.89; 95% CI: 0.68-1.16) in developing dementia among bilinguals vs. monolinguals. Also, there was no significant difference (Hedges' g = 0.05; 95% CI: -0.13, 0.24) in disease severity at dementia diagnosis between bilinguals and monolinguals, despite bilinguals being significantly older. The majority of studies had adjusted for level of education suggesting that education might not have played a role in the observed delay in dementia among bilinguals vs. monolinguals. Although findings indicated that bilingualism was on average related to a delayed onset of dementia, the magnitude of this relationship varied across different settings. This variation may be due to unexplained heterogeneity and different sources of bias in the included studies. Registration: PROSPERO CRD42015019100

Quantum-secure message authentication via blind-unforgeability

Formulating and designing unforgeable authentication of classical messages in the presence of quantum adversaries has been a challenge, as the familiar classical notions of unforgeability do not directly translate into meaningful notions in the quantum setting. A particular difficulty is how to fairly capture the notion of "predicting an unqueried value" when the adversary can query in quantum superposition. In this work, we uncover serious shortcomings in existing approaches, and propose a new definition. We then support its viability by a number of constructions and characterizations. Specifically, we demonstrate a function which is secure according to the existing definition by Boneh and Zhandry, but is clearly vulnerable to a quantum forgery attack, whereby a query supported only on inputs that start with 0 divulges the value of the function on an input that starts with 1. We then propose a new definition, which we call "blind-unforgeability" (or BU.) This notion matches "intuitive unpredictability" in all examples studied thus far. It defines a function to be predictable if there exists an adversary which can use "partially blinded" oracle access to predict values in the blinded region. Our definition (BU) coincides with standard unpredictability (EUF-CMA) in the classical-query setting. We show that quantum-secure pseudorandom functions are BU-secure MACs. In addition, we show that BU satisfies a composition property (Hash-and-MAC) using "Bernoulli-preserving" hash functions, a new notion which may be of independent interest. Finally, we show that BU is amenable to security reductions by giving a precise bound on the extent to which quantum algorithms can deviate from their usual behavior due to the blinding in the BU security experiment.Comment: 23+9 pages, v3: published version, with one theorem statement in the summary of results correcte

Moderate Resolution Spectroscopy For The Space Infrared Telescope Facility (SIRTF)

A conceptual design for an infrared spectrometer capable of both low resolution (λ/Δ-λ = 50; 2.5-200 microns) and moderate resolution (1000; 4-200 microns) and moderate resolution (1000; 4-200 microns) has been developed. This facility instrument will permit the spectroscopic study in the infrared of objects ranging from within the solar system to distant galaxies. The spectroscopic capability provided by this instrument for SIRTF will give astronomers orders of magnitude greater sensitivity for the study of faint objects than had been previously available. The low resolution mode will enable detailed studies of the continuum radiation. The moderate resolution mode of the instrument will permit studies of a wide range of problems, from the infrared spectral signatures of small outer solar system bodies such as Pluto and the satellites of the giant planets, to investigations of more luminous active galaxies and QS0s at substantially greater distances. A simple design concept has been developed for the spectrometer which supports the science investigation with practical cryogenic engineering. Operational flexibility is preserved with a minimum number of mechanisms. The five modules share a common aperture, and all gratings share a single scan mechanism. High reliability is achieved through use of flight-proven hardware concepts and redundancy. The design controls the heat load into the SIRTF cryogen, with all heat sources other than the detectors operating at 7K and isolated from the 4K cold station. Two-dimensional area detector arrays are used in the 2.5-120μm bands to simultaneously monitor adjacent regions in extended objects and to measure the background near point sources

The history of sociology teaching in United Kingdom (UK) undergraduate medical education: an introduction and rallying call!

Based on a review of the literature, this article provides an introduction to the history of sociology teaching in UK undergraduate medical education. Aimed at an international community and at individuals either new to the field or with a general interest, our objectives are to situate sociology teaching in UK medical education within its broader historical and political setting, to highlight the work of past social science teachers, to draw attention to the modern day context and to ask: ‘what now’? We are particularly interested in the changing role of the sociologist in teaching medical sociology. The behavioral and social sciences (BSS) were introduced to UK medical training in 1944, 34 years after the Flexner reforms (which although originating from the United States impacted significantly on the UK). From the 1970s UK academics with a responsibility for teaching medical students made significant progress with respect to: promoting sociology within medical education, designing teaching, and observing where barriers and opportunities to learning lie. This activity slowed however between the mid 1980s and late 1990s when medical training shifted from being discipline based to integrated and clinically focused. Following the 1990s’ sociology teaching became dispersed throughout medical training and the responsibility of multiple stakeholders. Since the new millennium it has been recognized globally that trainees graduate from medical school unequipped to cope with the rapidly changing social context of medicine. Our paper concludes that coupled with new pedagogies, integrated curricula have given rise to many exciting opportunities for sociology teaching in UK medical education but also to new challenges including the repetition and misinterpretation of content. A systematic examination is therefore required of what works and what does not. Aspects of this activity are particularly suited to those individuals with an academic background in sociology who remain as teachers in medical education whom we argue have much to gain from working collectively

Steric repulsion and van der Waals attraction between flux lines in disordered high Tc superconductors

We show that in anisotropic or layered superconductors impurities induce a van der Waals attraction between flux lines. This attraction together with the disorder induced repulsion may change the low B - low T phase diagram significantly from that of the pure thermal case considered recently by Blatter and Geshkenbein [Phys. Rev. Lett. 77, 4958 (1996)].Comment: Latex, 4 pages, 1 figure (Phys. Rev. Lett. 79, 139 (1997)

Soluble Infinite-Range Model of Kinetic Roughening

A modified Kardar-Parisi-Zhang (KPZ) equation is introduced, and solved exactly in the infinite-range limit. In the low-noise limit the system exhibits a weak-to-strong coupling transition, rounded for non-zero noise, as a function of the KPZ non-linearity. The strong-coupling regime is characterised by a double-peaked height distribution in the stationary state. The nonstationary dynamics is quite different from that of the stationary state.Comment: 13 pages, revtex, 1 postscript figur