The quest for effective interdisciplinary graduate supervision: A critical narrative analysis

Interdisciplinarity is a pervasive trend in 21st-century knowledge building and innovation. It is predicated on the recognition that creative solutions to the world’s increasingly complex problems require the intersection of diverse expertise. Little scholarly attention has been directed towards how the new interdisciplinary (ID) model is in uencing the processes and outcomes of graduate research training. In a qualitative study informed by critical narra- tive analysis and conducted at one institution, we investigate the epistemo- logical, structural, and relational factors that shape ID doctoral research supervision, explore how di ering knowledge cultures and values are negoti- ated in supervisory practices, and consider how established structures and discourses in uence the processes and outcomes of these supervisory rela- tionships

Tide Gauges: From single hazard to multi-hazard warning systems

As the name suggests, tide gauges were originally devised for the singular purpose of monitoring tidal fluctuations in sea level in order to aid safe navigation and port operations. Early tide gauges, such as that used by the famous dockmaster William Hutchinson at Liverpool in the late eighteenth century, consisted of little more than graduated markers on sea walls or posts, against which the sea surface could be measured by eye (Figure 1). These were used to record and then forecast the times and heights of high and low water each day; printed in local tide tables, they provided rudimentary information on variations in the tide

Birang Daruganora : A protocol for a qualitative study to elicit Aboriginal and Torres Strait Islander community views about cultural needs and experiences for a new Australian health facility

Introduction: To address challenges regarding the delivery of healthcare, governments and health services are focusing on the implementation of models that are flexible, person-centred, cost-effective and integrate hospital services more closely with primary healthcare and social services. Such models increasingly embed consumer codesign, multidisciplinary teams and leverage digital technologies, such as telehealth, attempting to deliver care more seamlessly and to continually improve services. This paper provides a study protocol to describe a method to explore Aboriginal and/or Torres Strait Islander consumer and healthcare provider needs and expectations for the design and development of a new healthcare facility in Australia. Methods and analysis: A qualitative study of consumer members’ and health providers’ needs and expectations. Data collection includes a short consumer-specific and provider-specific, demographic questionnaire and culturally appropriate facilitator-coordinated consultation workshops. Data will be analysed thematically (qualitatively). Ethics and dissemination: The results will be actively disseminated through peer-reviewed journals, conference presentations, reports to stakeholders and community meetings. This study was reviewed and approved by a health service-based Ethics Committee in New South Wales, Australia and the Aboriginal Health and Medical Research Committee

Return to employment following critical illness and its association with psychosocial outcomes: a systematic review and meta-analysis

Background: Patients who survive critical illness have well-defined physical, cognitive, emotional, and familial problems. However, the impact of these problems on survivors’ ability to return to work and other financial outcomes are less clear. Objective: To determine the financial and employment consequences of an intensive care stay, we performed a systematic review and meta-analysis. Data Source We searched MEDLINE, Embase, and CINAHL (1970-2018). All study designs except narrative reviews, case reports, case control studies, and editorials were included. Included studies assessed financial outcomes in patients admitted to critical care, and their caregivers. Data Extraction: Two reviewers independently applied eligibility criteria, assessed quality and extracted data. The primary outcome reported was return to employment among those previously employed. We also examined financial stress and the impact financial outcomes had on quality of life and psychosocial health. Data Synthesis: From 5765 eligible abstracts, 51 studies were included, which provided data on 858 caregivers/family members and 7267 patients. Forty-two papers reported on patient outcomes and 11 papers on caregiver/family members. Two papers included data from both patients and caregivers/family members. Return to employment was the most commonly reported financial outcome for critical care survivors. The pooled estimate for return to employment—among those who were employed prior to critical illness—was 33% (95% CI: 21%-48%), 55% (95% CI: 45%-64%) and 56% (95% CI: 45%-66%) at 3, 6, and 12 months, respectively. Across the studies included in this review, there was a positive association with psychosocial health if patients returned to employment. This included improved health related quality of life and fewer depressive symptoms. With caregivers/family members, six studies reported changes to employment such as reduced hours and lost earnings. Conclusions: Following critical illness, many patients who were previously employed do not return to work, even one year later. This new job loss is associated with worse health related quality of life amongst survivors and worse psychological function amongst survivors and caregivers/family members. More interventional research is required to understand how best to support employability after critical illness

Tides at a coast

People often experience tidal influence at the coast, where the sea meets the land, with a daily or twice-daily rise and fall of the water level. Understanding and predicting tides is critical for: shoreline/hazard management; port, harbor, and shipping activities; renewable energy; and infrastructure management (e.g., telecommunication cables). Accurate prediction is also critical to ensure water sports and beach activities are carried out safely. In shallow waters, tides interact with bathymetry and other physical processes, such as: surges, waves, and density currents. Understanding the net (tidally averaged or residual) flow is key to explaining the transport of particulate and dissolved biogeochemical tracers and physical properties, such as heat and carbon. To observe the tide, (global) gage networks are installed, often providing near real-time data. Harmonic analysis of these data allows accurate prediction of the tide to support the numerous recreational and commercial activities that take place in shelf seas and at the coast

Probabilistic approaches to coastal risk decision-making under future sea level projections

Coastal communities are increasingly threatened by flooding from climate change-induced sea level rise and potential increases in storminess. Informed decisions on risk and resilience related to flood risk need to be made, but the assessment process is complex. It is difficult to bring all of the climate science and sea level rise projections to decision-making, and as a result, decisions are made without a real understanding of the uncertainties involved, a problem magnified the further projections go into the future (Figure 1)

UV Absorption Lines from High-Velocity Gas in the Vela Supernova Remnant: New insights from STIS Echelle Observations of HD72089

The star HD72089 is located behind the Vela supernova remnant and shows a complex array of high and low velocity interstellar absorption features arising from shocked clouds. A spectrum of this star was recorded over the wavelength range 1196.4 to 1397.2 Angstroms at a resolving power lambda/Delta lambda = 110,000 and signal-to-noise ratio of 32 by STIS on the Hubble Space Telescope. We have identified 7 narrow components of C I and have measured their relative populations in excited fine-structure levels. Broader features at heliocentric velocities ranging from -70 to +130 km/s are seen in C II, N I, O I, Si II, S II and Ni II. In the high-velocity components, the unusually low abundances of N I and O I, relative to S II and Si II, suggest that these elements may be preferentially ionized to higher stages by radiation from hot gas immediately behind the shock fronts.Comment: 11 pages, 2 figures, Latex. Submitted for the special HST ERO issue of the Astrophysical Journal Letter

A comparison of course-related stressors in undergraduate problem-based learning (PBL) versus non-PBL medical programmes

Background: Medical students report high levels of stress related to their medical training as well as to other personal and financial factors. The aim of this study is to investigate whether there are differences in course-related stressors reported by medical students on undergraduate problem-based learning (PBL) and non-PBL programmes in the UK. Method: A cross-sectional study of second-year medical students in two UK medical schools (one PBL and one non-PBL programme) was conducted. A 16-question self-report questionnaire, derived from the Perceived Medical Student Stress Scale and the Higher Education Stress Inventory, was used to measure course-related stressors. Following univariate analysis of each stressor between groups, multivariate logistic regression was used to determine which stressors were the best predictors of each course type, while controlling for socio-demographic differences between the groups. Results: A total of 280 students responded. Compared to the non-PBL students (N = 197), the PBL students (N = 83) were significantly more likely to agree that: they did not know what the faculty expected of them (Odds Ratio (OR) = 0.38, p = 0.03); there were too many small group sessions facilitated only by students resulting in an unclear curriculum (OR = 0.04, p < 0.0001); and that there was a lack of opportunity to explore academic subjects of interest (OR = 0.40, p = 0.02). They were significantly more likely to disagree that: there was a lack of encouragement from teachers (OR = 3.11, p = 0.02); and that the medical course fostered a sense of anonymity and feelings of isolation amongst students (OR = 3.42, p = 0.008). Conclusion: There are significant differences in the perceived course-related stressors affecting medical students on PBL and non-PBL programmes. Course designers and student support services should therefore tailor their work to minimise, or help students cope with, the specific stressors on each course type to ensure optimum learning and wellbeing among our future doctors

Delayed-mode reprocessing of in situ sea level data for the Copernicus Marine Service

The number of tide gauges providing coastal sea level data has significantly increased in recent decades. They help in the issue of coastal hazard warnings, in the forecasting (indirectly through models) of storm surges and tsunamis, and in operational oceanography applications. These data are automatically quality controlled in near-real time in the Copernicus Marine Service. A new initiative seeks to provide delayed-mode reprocessed data for the Copernicus Marine Service by developing a new product and upgrading the software used in its automated quality control. Several new modules, such as buddy checking or the detection of attenuated data, are implemented. The new product was launched in November of 2022. The entire reprocessing is discussed in detail. An example of the information that can be extracted from the delayed-mode reprocessed product is also given

Optimizing Critical Illness Recovery: Perspectives and Solutions from the Caregivers of ICU Survivors

Objectives: To understand the unmet needs of caregivers of ICU survivors, how they accessed support post ICU, and the key components of beneficial ICU recovery support systems as identified from a caregiver perspective. Design: International, qualitative study. Subjects: We conducted 20 semistructured interviews with a diverse group of caregivers in the United States, the United Kingdom, and Australia, 11 of whom had interacted with an ICU recovery program. Setting: Seven hospitals in the United States, United Kingdom, and Australia. Interventions: None. Measurements and Main Results: Content analysis was used to explore prevalent themes related to unmet needs, as well as perceived strategies to improve ICU outcomes. Post-ICU care was perceived to be generally inadequate. Desired caregiver support fell into two main categories: practical support and emotional support. Successful care delivery initiatives included structured programs, such as post discharge telephone calls, home health programs, post-ICU clinics, and peer support groups, and standing information resources, such as written educational materials and online resources. Conclusions: This qualitative, multicenter, international study of caregivers of critical illness survivors identified consistently unmet needs, means by which caregivers accessed support post ICU, and several care mechanisms identified by caregivers as supporting optimal ICU recovery