Emotion regulation and burnout in doctors: a systematic review.

Background: Burnout is a pervasive health condition affecting many doctors at various stages in their careers. Characterized by emotional exhaustion, depersonalization, and a reduced sense of personal accomplishment it can result in significant personal and professional consequences putting patient care at risk. Emotion regulation describes a capacity to self-modulate emotions to achieve desirable emotional outcomes. Emotional intelligence theory suggests that emotion regulation skills facilitate the maintenance of appropriate emotions, reducing or adapting undesirable emotions in oneself and others. Emotion regulation is usually automatic but can be controlled through learnt strategies. There is evidence that occupationally stressed individuals are less capable of down-regulating negative emotions. This paper systematically reviews studies of the role of emotion regulation in burnout in doctors. Aims: To examine the relationship between emotion regulation and burnout among doctors. Methods: Four online databases (Psych Info 1833-2017, Medline 1928-2017, Scopus 1960-2017 and Embase 1974-2017) were searched in August 2017. Searches returned 15 539 citations, which after de-duplication yielded 12 295 citations. After title and abstracts screening 12 273 citations were excluded. Twenty-two full text articles were read and eight excluded for ineligibility. Following data extraction, bias and methodological quality assessment, findings were synthesized using descriptive analysis and presented according to relevant themes. Results: A correlative relationship was observed between emotion regulation and burnout in doctors. Findings also indicated that-using self-regulatory or taught emotion regulation skills or interventions such as mindfulness were associated with a reduction in burnout. Conclusion: Emotion regulation is an important psychological variable associated with burnout

Shearless bifurcations in particle transport for reversed shear tokamaks

Some internal transport barriers in tokamaks have been related to the vicinity of extrema of the plasma equilibrium profiles. This effect is numerically investigated by considering the guiding-center trajectories of plasma particles undergoing ExB drift motion, considering that the electric field has a stationary nonmonotonic radial profile and an electrostatic fluctuation. In addition, the equilibrium configuration has a nonmonotonic safety factor profile. The numerical integration of the equations of motion yields a symplectic map with shearless barriers. By changing the parameters of the safety factor profile, the appearance, and breakup of these shearless curves are observed. The successive shearless curves breakup and recovering is explained using concepts from bifurcation theory. We also present bifurcation sequences associated to the creation of multiple shearless curves. Physical consequences of scenarios with multiple shearless curves are discussed.Comment: 18 pages, 9 figures. Replacement improved the tex

Drivers of vegetation change in grasslands of the Sheffield region, northern England, between 1965 and 2012/13

Questions: How has vegetation species diversity and species composition changed between 1965 and 2012/13 in acidic and calcareous grasslands? What has driven this change in vegetation? Location: A 2400-km2 area around Sheffield, northern England. Methods: In 1965 a survey was conducted to describe grassland vegetation of the Sheffield region. We repeated this survey in 2012/13, revisiting acidic and calcareous grassland sites (455 quadrats). Climate, N and sulphur deposition, cattle and sheep stocking rates, soil pH, altitude, aspect and slope were considered to be potential drivers of variation in vegetation. We analysed temporal changes in vegetation and examined relationships with spatial and temporal variation in driver variables. Results: Both acidic and calcareous grasslands showed clear changes in species composition between the two time periods. In acidic grasslands there was no significant change in richness but there were declines in diversity. There were significant increases in Ellenberg N. Nitrogen deposition and grazing were identified as potential drivers of spatial and temporal patterns but it was not possible to discriminate the respective impacts of potential drivers. In calcareous grasslands there were declines in species richness, diversity and appropriate diversity indices. Climate and soil pH were identified as potential drivers of spatial and temporal patterns. Conclusions: Despite only small site losses compared to other surveys in the UK, especially within the national park, both calcareous and acidic grasslands showed very clear changes in species composition. In acidic grasslands, high abundance of Pteridium aquilinum was a particular problem and had increased considerably between the two survey periods. Atmospheric N deposition and grazing were identified as drivers of species diversity. A number of calcareous grasslands showed signs of reduced management intensity leading to scrub invasion

ExB drift particle transport in tokamaks

In tokamaks, modification of the plasma profiles can reduce plasma transport, improving particle confinement. However, this improvement is still not completely understood. In this work, we consider a drift wave test particle model to investigate the influence of the electric and magnetic field profiles on plasma transport. Test particle orbits subjected to ExB drift are numerically integrated and their transport coefficient is obtained. We conclude that sheared profiles reduce particle transport, even for high amplitude perturbations. In particular, nonmonotonic electric and magnetic fields produce shearless transport barriers, which are particularly resistant to perturbations and reduce even more the transport coefficient.Comment: 10 pages, 9 figures, 1 table. Published in Brazilian Journal of Physic

First Observations of Long-Lived Meteor Trains with Resonance Lidar and Other Optical Instruments

In November 1998 the earth passed through a maximum in the cometary material responsible for the yearly Leonids meteor shower. The meteor storm event produced numerous examples of long-lived chemiluminescent trails--visible to the naked eye over New Mexico, where a major observation campaign was centered. One trail was detected for over an hour with a CCD camera employing a narrow sodium filter, and many others were observed for over ten minutes each. For the first time, sodium densities in such trails were measured while also being imaged in sodium light. We have verified one source of long-lived light emissions--a sodium-catalyzed reaction involving ozone--but it is far too weak to explain the visibility of such trails. In addition, we present a new explanation for the cylindrical shell appearance long reported for chemiluminescent trails and show that ozone depletion by chemical processes is a possible explanation for this phenomenon

Plant regeneration from seeds responds to phylogenetic relatedness and local adaptation in Mediterranean Romulea (Iridaceae) species

Seed germination is the most important transitional event between early stages in the life cycle of spermatophytes and understanding it is crucial to understand plant adaptation and evolution. However, so far seed germination of phylogenetically closely related species has been poorly investigated. To test the hypothises that phylogenetically related plant species have similar seed ecophysiological traits thereby reflecting certain habitat conditions as a result of local adaptation, we studied seed dormancy and germination in seven Mediterranean species in the genus Romulea (Iridaceae). Both the across-species model and the model accounting for shared evolutionary history showed that cool temperatures (≤ 15°C) were the main factor that promoted seed germination. The absence of embryo growth before radicle emergence is consistent with a prompt germination response at cool temperatures. The range of temperature conditions for germination became wider after a period of warm stratification, denoting a weak primary dormancy. Altogether these results indicate that the studied species exhibit a Mediterranean germination syndrome, but with species-specific germination requirements clustered in a way that follows the phylogenetic relatedness among those species. In addition, species with heavier seeds from humid habitats showed a wider range of conditions for germination at dispersal time than species from dry habitats possessing lighter seeds. We conclude that while phylogenetically related species showed very similar germination requirements, there are subtle ecologically meaningful differences, confirming the onset of adaptation to local ecological factors mediated by species relatedness