Diffusion of knowledge and behaviours among trainee doctors in an acute medical unit and implications for quality improvement work: a mixed methods social network analysis

Abstract: Objectives: To describe the social networks that diffuse knowledge, attitudes and behaviours relating to different domains of practice within teams of trainee doctors in an acute hospital medical setting. The domains examined were “clinical-technical”, “patient centeredness” and “organisation of work”. Design: Sequential mixed methods: i) sociocentric survey of trainee consisting of questions about which colleagues are emulated or looked to for advice, with construction of social network maps, followed by ii) semi structured interviews regarding per to peer influence, analysed using a grounded theory approach. The study took place over 24 months. Setting: An acute medical admissions unit, which receives admissions from the emergency department and primary care, in a NHS England teaching hospital. Participants: Trainee medical doctors working in five consecutive rotational teams. Surveys were done by 39 trainee doctors; then 20 different participants from a maximal diversity sample were interviewed. Results: Clinical-technical behaviours spread in a dense network with rich horizontal peer to peer connections. Patient centred behaviours spread in a sparse network. Approaches to non-patient facing work are seldom copied from colleagues. Highly influential individuals for clinical technical memes were identified; high influencers were not identified for the other domains. Conclusion: Information and influence relating to different aspects of practice have different patterns of spread within teams of trainee doctors; highly influential individuals were important only for spread of clinical-technical practice. Influencers have particular characteristics, and this knowledge could guide leaders and teachers

Improved pitting corrosion resistance of S.S 316L by Pulsed Current Gas Tungsten Arc Welding

In this study, S.S 316L was welded using Direct Current Gas Tungsten Arc Welding (DGTAW) and Pulsed Current Gas Tungsten Arc Welding (PGTAW) methods. Optical observations, scanning electron microscopy (SEM) and X-ray diffraction analysis (XRD) were employed to study the effect of continuous and pulse currents on microstructure and phase transformation in weld metal (WM). In addition pits morphology were evaluated by SEM. The corrosion behaviour was analyzed using cyclic polarizaton tests and Mott-schottky measurements. The pulse current resulted in finer grain and more ferrite in WM. This can be due to the decrease in heat input and higher cooling rate encouraged by pulse current. Cyclic potentiodynamic polarization tests showed that the WM of sample produced by pulse current show higher corrosion and pitting resistances than that in sample produced by continuous current. The reason is attributed to lower segregation of solute elements such as chromium and molybdenum into the delta-ferrite and also finer grain size produced in WM due to lower heat input and higher cooling rate. Both of these factors increase the stability of passive layer formed. The results showed that the corrosion behaviour of WM in both conditions (pulse and continuous current) is higher than the base metal (BM). This fact is attributed to the presence of ferrite bands formed in BM due to the segregation of alloy elements. The Mott-schottky plots confirmed that the passive layer formed on welded samples was an n-type semiconductor. The results showed that the samples showed less pitting resistance contained more oxygen vacancies in their passive film structure. It is also concluded that the breakdown of passive layer and pitting formation obey point defect model (PDM). Keywords: S.S 316L, Pulsed Current Gas Tungsten Arc Welding (PGTAW), lacy ferrite, vermicular ferrite, Pitting corrosion, Mott- Schottky

Scans for signatures of selection in Russian cattle breed genomes reveal new candidate genes for environmental adaptation and acclimation

Domestication and selective breeding has resulted in over 1000 extant cattle breeds. Many of these breeds do not excel in important traits but are adapted to local environments. These adaptations are a valuable source of genetic material for efforts to improve commercial breeds. As a step toward this goal we identified candidate regions to be under selection in genomes of nine Russian native cattle breeds adapted to survive in harsh climates. After comparing our data to other breeds of European and Asian origins we found known and novel candidate genes that could potentially be related to domestication, economically important traits and environmental adaptations in cattle. The Russian cattle breed genomes contained regions under putative selection with genes that may be related to adaptations to harsh environments (e.g., AQP5, RAD50, and RETREG1). We found genomic signatures of selective sweeps near key genes related to economically important traits, such as the milk production (e.g., DGAT1, ABCG2), growth (e.g., XKR4), and reproduction (e.g., CSF2). Our data point to candidate genes which should be included in future studies attempting to identify genes to improve the extant breeds and facilitate generation of commercial breeds that fit better into the environments of Russia and other countries with similar climates

Response of the Amazon carbon balance to the 2010 drought derived with CarbonTracker South America

Two major droughts in the past decade had large impacts on carbon exchange in the Amazon. Recent analysis of vertical profile measurements of atmospheric CO2 and CO by Gatti et al. [2014] suggests that the 2010 drought turned the normally close-to-neutral annual Amazon carbon balance into a substantial source of nearly 0.5 PgC/yr, revealing a strong drought response. In this study, we revisit this hypothesis and interpret not only the same CO2/CO vertical profile measurements, but also additional constraints on carbon exchange such as satellite observations of CO, burned area, and fire hotspots. The results from our CarbonTracker South America data assimilation system suggest that carbon uptake by vegetation was indeed reduced in 2010, but that the magnitude of the decrease strongly depends on the estimated 2010 and 2011 biomass burning emissions. We have used fire products based on burned area (GFED4), satellite-observed CO columns (IASI), fire radiative power (GFASv1) and fire hotspots (FINNv1), and found an increase in biomass burning emissions in 2010 compared to 2011 of 0.16 to 0.24 PgC/yr. We derived a decrease of biospheric uptake ranging from 0.08 to 0.26 PgC/yr, with the range determined from a set of alternative inversions using different biomass burning estimates. Our numerical analysis of the 2010 Amazon drought results in a total reduction of carbon uptake of 0.24 to 0.50 PgC/yr and turns the balance from carbon sink to source. Our findings support the suggestion that the hydrological cycle will be an important driver of future changes in Amazonian carbon exchange

The Importance of Consistent Global Forest Aboveground Biomass Product Validation

Several upcoming satellite missions have core science requirements to produce data for accurate forest aboveground biomass mapping. Largely because of these mission datasets, the number of available biomass products is expected to greatly increase over the coming decade. Despite the recognized importance of biomass mapping for a wide range of science, policy and management applications, there remains no community accepted standard for satellite-based biomass map validation. The Committee on Earth Observing Satellites (CEOS) is developing a protocol to fill this need in advance of the next generation of biomass-relevant satellites, and this paper presents a review of biomass validation practices from a CEOS perspective. We outline the wide range of anticipated user requirements for product accuracy assessment and provide recommendations for the validation of biomass products. These recommendations include the collection of new, high-quality in situ data and the use of airborne lidar biomass maps as tools toward transparent multi-resolution validation. Adoption of community-vetted validation standards and practices will facilitate the uptake of the next generation of biomass products

Mature Andean forests as globally important carbon sinks and future carbon refuges

It is largely unknown how South America’s Andean forests affect the global carbon cycle, and thus regulate climate change. Here, we measure aboveground carbon dynamics over the past two decades in 119 monitoring plots spanning a range of >3000 m elevation across the subtropical and tropical Andes. Our results show that Andean forests act as strong sinks for aboveground carbon (0.67 ± 0.08 Mg C ha−1 y−1) and have a high potential to serve as future carbon refuges. Aboveground carbon dynamics of Andean forests are driven by abiotic and biotic factors, such as climate and size-dependent mortality of trees. The increasing aboveground carbon stocks offset the estimated C emissions due to deforestation between 2003 and 2014, resulting in a net total uptake of 0.027 Pg C y−1. Reducing deforestation will increase Andean aboveground carbon stocks, facilitate upward species migrations, and allow for recovery of biomass losses due to climate change.Fil: Duque, Alvaro. Universidad Nacional de Colombia; ColombiaFil: Peña, Miguel A.. Universidad Nacional de Colombia; ColombiaFil: Cuesta, Francisco. Universidad de Las Américas; EcuadorFil: González Caro, Sebastián. Universidad Nacional de Colombia; ColombiaFil: Kennedy, Peter. University of Minnesota; Estados UnidosFil: Phillips, Oliver L.. University of Leeds; Reino UnidoFil: Calderón Loor, Marco. Universidad de Las Américas; EcuadorFil: Blundo, Cecilia Mabel. Universidad Nacional de Tucumán. Instituto de Ecología Regional. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Tucumán. Instituto de Ecología Regional; ArgentinaFil: Carilla, Julieta. Universidad Nacional de Tucumán. Instituto de Ecología Regional. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Tucumán. Instituto de Ecología Regional; ArgentinaFil: Cayola, Leslie. Missouri Botanical Garden; Estados UnidosFil: Farfán Ríos, William. Washington University in St. Louis; Estados UnidosFil: Fuentes, Alfredo. Missouri Botanical Garden; Estados UnidosFil: Grau, Hector Ricardo. Universidad Nacional de Tucumán. Instituto de Ecología Regional. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Tucumán. Instituto de Ecología Regional; ArgentinaFil: Homeier, Jürgen. Universität Göttingen; AlemaniaFil: Loza-Rivera, María I.. Missouri Botanical Garden; Estados UnidosFil: Malhi, Yadvinder. University of Oxford; Reino UnidoFil: Malizia, Agustina. Universidad Nacional de Tucumán. Instituto de Ecología Regional. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Tucumán. Instituto de Ecología Regional; ArgentinaFil: Malizia, Lucio Ricardo. Universidad Nacional de Jujuy; ArgentinaFil: Martínez Villa, Johanna A.. Université du Québec a Montreal; CanadáFil: Myers, Jonathan A.. Washington University in St. Louis; Estados UnidosFil: Osinaga Acosta, Oriana. Universidad Nacional de Tucumán. Instituto de Ecología Regional. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Tucumán. Instituto de Ecología Regional; ArgentinaFil: Peralvo, Manuel. No especifíca;Fil: Pinto, Esteban. No especifíca;Fil: Saatchi, Sassan. Jet Propulsion Laboratory; Estados UnidosFil: Silman, Miles. Center For Energy, Environment And Sustainability; Estados UnidosFil: Tello, J. Sebastián. Missouri Botanical Garden; Estados UnidosFil: Terán Valdez, Andrea. No especifíca;Fil: Feeley, Kenneth J.. University of Miami; Estados Unido

Long-term carbon loss in fragmented Neotropical forests

Tropical forests play an important role in the global carbon cycle, as they store a large amount of carbon (C). Tropical forest deforestation has been identified as a major source of CO2 emissions, though biomass loss due to fragmentation—the creation of additional forest edges—has been largely overlooked as an additional CO2 source. Here, through the combination of remote sensing and knowledge on ecological processes, we present long-term carbon loss estimates due to fragmentation of Neotropical forests: within 10 years the Brazilian Atlantic Forest has lost 69 (±14) Tg C, and the Amazon 599 (±120) Tg C due to fragmentation alone. For all tropical forests, we estimate emissions up to 0.2 Pg C y−1 or 9 to 24% of the annual global C loss due to deforestation. In conclusion, tropical forest fragmentation increases carbon loss and should be accounted for when attempting to understand the role of vegetation in the global carbon balance.This study was part of the project ‘Biodiversity conservation in a fragmented landscape at the Atlantic Plateau of São Paulo’ (BIOTA/Caucaia and BioCAPSP) funded by FAPESP (Fundação de Amparo à Pesquisa do Estado de São Paulo, project no. 99/05123-4, 01/13309-2, 02/02125-0, 02/02126-7), CNPq (Conselho Nacional de Desenvolvimento Científico e Tecnológico, project no. 690144/01-6), Fundação O Boticário de Proteção à Natureza, and by BMBF (German Federal Ministry of Education and Research, project n. 01LB0202). J.P.M. and M.C.R. thank the Brazilian Science Council (Conselho Nacional de Desenvolvimento Científico) for his research fellowship (process no. 307934/2011-0 and 312045/2013-1, respectively). A.H. and S.P. were supported by the ERC advanced grant 233066. M.M. has been supported by BMBF (project n. 01LB0202), and the Department of Ecological Modelling of the Helmholtz Centre for Environmental Research (UFZ). We thank Birgit Felinks for the support during the Mata Atlântica project. Florian Hartig provided valuable comments on an earlier version of this manuscript. S.P. has been funded by the Helmholtz Association of German Research Centres within the project ‘Biomass and Bioenergy systems’. A.H. was also supported by the Helmholtz-Alliance Remote Sensing and Earth System Dynamics. A.H. thanks C. Wissel and H. Bossel for supporting the FORMIND project over the years

Mature Andean forests as globally important carbon sinks and future carbon refuges

It is largely unknown how South America’s Andean forests affect the global carbon cycle, and thus regulate climate change. Here, we measure aboveground carbon dynamics over the past two decades in 119 monitoring plots spanning a range of >3000 m elevation across the subtropical and tropical Andes. Our results show that Andean forests act as strong sinks for aboveground carbon (0.67 ± 0.08 Mg C ha−1 y−1) and have a high potential to serve as future carbon refuges. Aboveground carbon dynamics of Andean forests are driven by abiotic and biotic factors, such as climate and size-dependent mortality of trees. The increasing aboveground carbon stocks offset the estimated C emissions due to deforestation between 2003 and 2014, resulting in a net total uptake of 0.027 Pg C y−1. Reducing deforestation will increase Andean aboveground carbon stocks, facilitate upward species migrations, and allow for recovery of biomass losses due to climate change.Fil: Duque, Alvaro. Universidad Nacional de Colombia; ColombiaFil: Peña, Miguel A.. Universidad Nacional de Colombia; ColombiaFil: Cuesta, Francisco. Universidad de Las Américas; EcuadorFil: González Caro, Sebastián. Universidad Nacional de Colombia; ColombiaFil: Kennedy, Peter. University of Minnesota; Estados UnidosFil: Phillips, Oliver L.. University of Leeds; Reino UnidoFil: Calderón Loor, Marco. Universidad de Las Américas; EcuadorFil: Blundo, Cecilia Mabel. Universidad Nacional de Tucumán. Instituto de Ecología Regional. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Tucumán. Instituto de Ecología Regional; ArgentinaFil: Carilla, Julieta. Universidad Nacional de Tucumán. Instituto de Ecología Regional. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Tucumán. Instituto de Ecología Regional; ArgentinaFil: Cayola, Leslie. Missouri Botanical Garden; Estados UnidosFil: Farfán Ríos, William. Washington University in St. Louis; Estados UnidosFil: Fuentes, Alfredo. Missouri Botanical Garden; Estados UnidosFil: Grau, Hector Ricardo. Universidad Nacional de Tucumán. Instituto de Ecología Regional. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Tucumán. Instituto de Ecología Regional; ArgentinaFil: Homeier, Jürgen. Universität Göttingen; AlemaniaFil: Loza-Rivera, María I.. Missouri Botanical Garden; Estados UnidosFil: Malhi, Yadvinder. University of Oxford; Reino UnidoFil: Malizia, Agustina. Universidad Nacional de Tucumán. Instituto de Ecología Regional. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Tucumán. Instituto de Ecología Regional; ArgentinaFil: Malizia, Lucio Ricardo. Universidad Nacional de Jujuy; ArgentinaFil: Martínez Villa, Johanna A.. Université du Québec a Montreal; CanadáFil: Myers, Jonathan A.. Washington University in St. Louis; Estados UnidosFil: Osinaga Acosta, Oriana. Universidad Nacional de Tucumán. Instituto de Ecología Regional. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Tucumán. Instituto de Ecología Regional; ArgentinaFil: Peralvo, Manuel. No especifíca;Fil: Pinto, Esteban. No especifíca;Fil: Saatchi, Sassan. Jet Propulsion Laboratory; Estados UnidosFil: Silman, Miles. Center For Energy, Environment And Sustainability; Estados UnidosFil: Tello, J. Sebastián. Missouri Botanical Garden; Estados UnidosFil: Terán Valdez, Andrea. No especifíca;Fil: Feeley, Kenneth J.. University of Miami; Estados Unido