Is a Higher Calling Enough? Incentive Compensation in the Church (CRI 2009-011)

We study the compensation and productivity of more than 2,000 Methodist ministers in a 43-year panel data set. The church appears to use pay-for-performance incentives for its clergy, as their compensation follows a sharing rule by which pastors receive approximately 3% of the incremental revenue from membership increases. Ministers receive the strongest rewards for attracting new parishioners who switch from other congregations within their denomination. Monetary incentives are weaker in settings where ministers have less control over their measured performance

NPAS4 recruits CCK basket cell synapses and enhances cannabinoid-sensitive inhibition in the mouse hippocampus.

Experience-dependent expression of immediate-early gene transcription factors (IEG-TFs) can transiently change the transcriptome of active neurons and initiate persistent changes in cellular function. However, the impact of IEG-TFs on circuit connectivity and function is poorly understood. We investigate the specificity with which the IEG-TF NPAS4 governs experience-dependent changes in inhibitory synaptic input onto CA1 pyramidal neurons (PNs). We show that novel sensory experience selectively enhances somatic inhibition mediated by cholecystokinin-expressing basket cells (CCKBCs) in an NPAS4-dependent manner. NPAS4 specifically increases the number of synapses made onto PNs by individual CCKBCs without altering synaptic properties. Additionally, we find that sensory experience-driven NPAS4 expression enhances depolarization-induced suppression of inhibition (DSI), a short-term form of cannabinoid-mediated plasticity expressed at CCKBC synapses. Our results indicate that CCKBC inputs are a major target of the NPAS4-dependent transcriptional program in PNs and that NPAS4 is an important regulator of plasticity mediated by endogenous cannabinoids

Conduit choice for coronary artery bypass grafting after mediastinal radiation

ObjectivePatients who have undergone prior mediastinal radiation might require coronary artery bypass grafting. However, there is some concern regarding potential radiation damage to the internal thoracic artery. Our objective was to assess the late patency of the internal thoracic artery and venous grafts in patients with prior mediastinal radiation.MethodsPatients undergoing coronary artery bypass grafting at our clinic after prior mediastinal radiation were identified, and medical records, including operative reports, clinical notes, and coronary angiography, were reviewed.ResultsBetween 1985 and 2005, 138 patients had coronary artery bypass grafting after mediastinal radiation. Of these, 25 underwent clinically indicated postoperative angiography. The mean patient age was 56.1 ± 13.8 years, and 24% were female. All patients received between 3000 and 6000 rads in fractionated doses. Seventy-two percent of patients had 3-vessel coronary artery disease. At late angiography (mean, 2.2 years), 6 (32%) of 19 internal thoracic arteries and 13 (27%) of 48 venous or radial arterial conduits showed stenosis of 70% or greater (P = .72). Assessing only grafts that were anastomosed to the left anterior descending coronary artery, 35% (6 of 17) of internal thoracic artery grafts and 60% (3 of 5) of non–internal thoracic artery grafts showed narrowing of 70% or greater (P = .61). Among patients who received a graft to the left anterior descending coronary artery (n = 113), however, age-adjusted survival at 5 years was superior among those receiving an internal thoracic artery graft to the left anterior descending coronary artery.ConclusionsInternal thoracic artery graft patency among patients with prior radiation was less than expected and similar to that for venous grafts, although the effect of conduit disease versus distal target vessel runoff is unknown. Despite this, late survival was superior among those receiving an internal thoracic artery graft to the left anterior descending coronary artery. These data support use of an internal thoracic artery graft to the left anterior descending coronary artery when it appears grossly to be an acceptable conduit

Effects of site-directed mutagenesis of mglA on motility and swarming of Myxococcus xanthus

<p>Abstract</p> <p>Background</p> <p>The <it>mglA </it>gene from the bacterium <it>Myxococcus xanthus </it>encodes a 22kDa protein related to the Ras superfamily of monomeric GTPases. MglA is required for the normal function of A-motility (adventurous), S-motility (social), fruiting body morphogenesis, and sporulation. MglA and its homologs differ from all eukaryotic and other prokaryotic GTPases because they have a threonine (Thr78) in place of the highly conserved aspartate residue of the consensus PM3 (phosphate-magnesium binding) region. To identify residues critical for MglA function or potential protein interactions, and explore the function of Thr78, the phenotypes of 18 <it>mglA </it>mutants were characterized.</p> <p>Results</p> <p>Nine mutants, with mutations predicted to alter residues that bind the guanine base or coordinate magnesium, did not produce detectable MglA. As expected, these mutants were mot^-dev^-because MglA is essential for these processes. Of the remaining nine mutants, seven showed a wild-type distribution pattern for MglA but fell into two categories with regard to function. Five of the seven mutants exhibited mild phenotypes, but two mutants, T78D and P80A, abolished motility and development. The localization pattern of MglA was abolished in two mutants that were mot^-spo^-and dev^-. These two mutants were predicted to alter surface residues at Asp52 and Thr54, which suggests that these residues are critical for proper localization and may define a protein interaction site. Improving the consensus match with Ras at Thr78 abolished function of MglA. Only the conservative serine substitution was tolerated at this position. Merodiploid constructs revealed that a subset of alleles, including <it>mglA</it>D52A, were dominant and also illustrated that changing the balance of MglA and its co-transcribed partner, MglB, affects A-motility.</p> <p>Conclusion</p> <p>Our results suggest that GTP binding is critical for stability of MglA because MglA does not accumulate in mutants that cannot bind GTP. The threonine in PM3 of MglA proteins represents a novel modification of the highly conserved GTPase consensus at this position. The requirement for a hydroxyl group at this position may indicate that MglA is subject to modification under certain conditions. Proper localization of MglA is critical for both motility and development and likely involves protein interactions mediated by residues Asp52 and Thr54.</p

Amp\`ere-Class Pulsed Field Emission from Carbon-Nanotube Cathodes in a Radiofrequency Resonator

Pulsed field emission from cold carbon-nanotube cathodes placed in a radiofrequency resonant cavity was observed. The cathodes were located on the backplate of a conventional $1+\frac{1}{2}$-cell resonant cavity operating at 1.3-GHz and resulted in the production of bunch train with maximum average current close to 0.7 Amp\`ere. The measured Fowler-Nordheim characteristic, transverse emittance, and pulse duration are presented and, when possible, compared to numerical simulations. The implications of our results to high-average-current electron sources are briefly discussed.Comment: 5 pages, 6 figures; submitted to Applied Physics Letter

National Seismic System Science Plan

Recent developments in digital communication and seismometry are allowing seismologists to propose revolutionary new ways to reduce vulnerability from earthquakes, volcanoes, and tsunamis, and to better understand these phenomena as well as the basic structure and dynamics of the Earth. This document provides a brief description of some of the critical new problems that can be addressed using modem digital seismic networks. It also provides an overview of existing seismic networks and suggests ways to integrate these together into a National Seismic System. A National Seismic System will consist of a number of interconnected regional networks (such as southern California, central and northern California, northeastern United States, northwestern United States, and so on) that are jointly operated by Federal, State, and private seismological research institutions. Regional networks will provide vital information concerning the hazards of specific regions. Parts of these networks will be linked to provide uniform rapid response on a national level (the National Seismic Network). A National Seismic System promises to significantly reduce societal risk to earthquake losses and to open new areas of fundamental basic research. The following is a list of some of the uses of a National Seismic System

Is a Higher Calling Enough? Incentive Compensation in the Church

We study the compensation and productivity of more than 2,000 Methodist ministers in a 43-year panel data set. The church appears to use pay-for-performance incentives for its clergy, as their compensation follows a sharing rule by which pastors receive approximately 3% of the incremental revenue from membership increases. Ministers receive the strongest rewards for attracting new parishioners who switch from other congregations within their denomination. Monetary incentives are weaker in settings where ministers have less control over their measured performance. (c) 2010 by The University of Chicago. All rights reserved

Leadership Training in Graduate Medical Education: Time for a Requirement?

INTRODUCTION: The need for all physicians to function as leaders in their various roles is becoming more widely recognized. There are increasing opportunities for physicians at all levels including Graduate Medical Education (GME) to gain leadership skills, but most of these opportunities are only for those interested. Although not an Accreditation Council for Graduate Medical Education (ACGME) requirement, some US graduate medical education programs have incorporated leadership training into their curricula. Interestingly, the Royal College of Physicians and Surgeons of Canada adopted the Leader role in its 2015 CanMEDS physician training model and requires leadership training. We sought to understand the value of a leadership training program in residency in our institution. MATERIALS AND METHODS: Our 2017 pilot leadership training program for senior military internal medicine residents consisted of four one-hour sessions of mini-lectures, self-assessments, case discussions, and small group activities. The themes were: Introduction to Leadership, Emotional Intelligence, Teambuilding, and Conflict Management. Participants were given an 18-question survey (14 Likert scale multiple-choice questions and 4 open-ended response questions) to provide feedback about the course. The Brooke Army Medical Center Institutional Review Board approved this project as a Quality Improvement effort. RESULTS: The survey response rate was 48.1% (26 of 54). The majority of respondents (84.6%) agreed the leadership training sessions were helpful and relevant. Following the sessions, 80.8% saw a greater role for physicians to function as leaders. Most (88.4%) agreed that these sessions helped them understand the importance of their roles as leaders, with 80.8% feeling more empowered to be leaders in their areas, 76.9% gaining a better understanding of their own strengths and weaknesses as leaders, and 80.8% feeling better prepared to meet challenges in the future. After exposure to leadership training, 73.1% indicated a plan to pursue additional leadership development opportunities. All respondents agreed that internists should be able to lead and manage a clinical team, and every respondent agreed that leadership principles should be taught in residency. CONCLUSIONS: This pilot project supports the premise that leadership training should be integrated into GME. Initial results suggest training can improve leadership skills and inspire trainees to seek additional leadership education. Moreover, much like the published literature, residents believe they should learn about leadership during residency. While more effort is needed to determine the best approach to deliver and evaluate this content, it appears even small interventions can make a difference. Next steps for this program include developing assessment tools for observation of leadership behaviors during routine GME activities, which would allow for reinforcement of the principles being taught. Additionally, our experience has led our institution to make leadership training a requirement in all of our GME programs, and we look forward to reporting future progress. Finally, an ACGME requirement to incorporate leadership training into GME programs nationwide would prove useful, as doing so would reinforce its importance, accelerate implementation, and expand knowledge of best approaches on a national level