Skills Training in Laboratory and Clerkship: Connections, Similarities, and Differences

Context: During the third semester of a 6 year long curriculum medical students train clinical skills in the skills laboratory (2 hours per week for 9 weeks) as well as in an early, 8 week clinical clerkship at county hospitals. Objectives: to study students’ expectations and attitudes towards skills training in the skills laboratory and clerkship. Subjects: 126 medical students in their 3rd semester. Methods: During the fall of 2001 three consecutive, constructed questionnaires were distributed prior to laboratory training, following laboratory training but prior to clerkships, and following clerkships respectively. Results: Almost all (98%) respondents found that training in skills laboratory improved the outcome of the early clerkship and 70% believed in transferability of skills from the laboratory setting to clerkship. Still, a majority (93%) of students thought that the clerkship provided students with a better opportunity to learn clinical skills when compared to the skills laboratory. Skills training in laboratory as well as in clerkship motivated students for becoming doctors. Teachers in both settings were perceived as being committed to their teaching jobs, to demonstrate skills prior to practice, and to give students feed back with a small but significant more positive rating of the laboratory. Of the 22 skills that students had trained in the laboratory, a majority of students tried out skills associated with physical examination in the clerkship, whereas only a minority of students tried out more intimate skills. Female medical students tried significantly fewer skills during their clerkship compared to male students. Conclusions: Students believe that skills laboratory training prepare them for their subsequent early clerkship but favour the clerkship over the laboratory

Body composition in protein-calorie malnutrition

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Comment on "Long-range electrostatic interactions between like-charged colloids: Steric and confinement effects"

In a recent study [Phys. Rev. E 60, 6530 (1999)], Trizac and Raimbault showed that the effective pair interaction between like charged colloids immersed in a cylindrically confined electrolyte remains repulsive even when the size of the micro-ions or the finite longitudinal extension of the confining cylinder are taken into account. Contrary to their claim, we argue that the case of finite longitudinal confinement doesn't always generate repulsive interactions and to illustrate this point we also provide a simple example.Comment: 3 pages, 1 figure. Accepted for publication in Phys. Rev. E 200

Channel diffusion of sodium in a silicate glass

We use classical molecular dynamics simulations to study the dynamics of sodium atoms in amorphous Na$_2$O-4SiO$_2$. We find that the sodium trajectories form a well connected network of pockets and channels. Inside these channels the motion of the atoms is not cooperative but rather given by independent thermally activated hops of individual atoms between the pockets. By determining the probability that an atom returns to a given starting site, we show that such events are not important for the dynamics of this system.Comment: 10 pages of Latex, 5 figures, one figure added, text expande

Radio precursors to neutron star binary mergings

We discuss a possible generation of radio bursts preceding final stages of binary neutron star mergings which can be accompanied by short gamma-ray bursts. Detection of such bursts appear to be advantageous in the low-frequency radio band due to a time delay of ten to several hundred seconds required for radio signal to propagate in the ionized intergalactic medium. This delay makes it possible to use short gamma-ray burst alerts to promptly monitor specific regions on the sky by low-frequency radio facilities, especially by LOFAR. To estimate the strength of the radio signal, we assume a power-law dependence of the radio luminosity on the total energy release in a magnetically dominated outflow, as found in millisecond pulsars. Based on the planned LOFAR sensitivity at 120 MHz, we estimate that the LOFAR detection rate of such radio transients could be about several events per month from redshifts up to $z\sim1.3$ in the most optimistic scenario. The LOFAR ability to detect such events would crucially depend on exact efficiency of low-frequency radio emission mechanism.Comment: 6 pages, 2 figures, Accepted for publication in Astrophysics & Space Science. Largely extended version of ArXiv:0912.521

Coherence Time Effects on J/psi Production and Suppression in Relativistic Heavy Ion Collisions

Using a coherence time extracted from high precision proton-nucleus Drell-Yan measurements and a nuclear absorption cross section extracted from pA charmonium production experiments, we study J/psi production and absorption in nucleus-nucleus collisions. We find that coherence time effects are large enough to affect the measured J/psi-to-Drell-Yan ratio. The S+U data at 200A GeV/c measured by NA38 are reproduced quantitatively without the introduction of any new parameters. However, when compared with recent NA50 measurements for Pb+Pb at 158A GeV/c, the data is not reproduced in trend or in magnitude.Comment: 8 pages, 2 figure

Photoassociation spectroscopy of cold calcium atoms

Photoassociation spectroscopy experiments on 40Ca atoms close to the dissociation limit 4s4s 1S0 - 4s4p 1P1 are presented. The vibronic spectrum was measured for detunings of the photoassociation laser ranging from 0.6 GHz to 68 GHz with respect to the atomic resonance. In contrast to previous measurements the rotational splitting of the vibrational lines was fully resolved. Full quantum mechanical numerical simulations of the photoassociation spectrum were performed which allowed us to put constraints on the possible range of the calcium scattering length to between 50 a_0 and 300 a_0