The experiences of medical students and junior doctors with dyslexia: a survey study

Little research exists concerning dyslexia in medical education. A qualitative study highlighted issues such as bullying and a lack of support. This project aimed to quantify those findings. An online survey was sent to junior doctors in parts of the United Kingdom. Seventy-five participated. Most (53%) were diagnosed with dyslexia at university / medical school. Most reported that dyslexia impacted upon their self-image (59%) and self-esteem (73%). Nearly half (46%) felt it influenced their career pathway choices within medicine. Participants reported bullying at medical school-from peers (24%), from academic teachers (14%), and from clinical teachers (27%); and also at work-from peers (25%), from academic teachers (13%), and from clinical teachers (23%). 88% reported that foundation schools provided no support, 92% that NHS Trusts provided none, and 90% that their deaneries provided none. The sorts of supports which seemed to be lacking were "psychological" or "pastoral" supports

Sub-femtosecond electron bunches created by direct laser acceleration in a laser wakefield accelerator with ionization injection

In this work, we will show through three-dimensional particle-in-cell simulations that direct laser acceleration in laser a wakefield accelerator can generate sub-femtosecond electron bunches. Two simulations were done with two laser pulse durations, such that the shortest laser pulse occupies only a fraction of the first bubble, whereas the longer pulse fills the entire first bubble. In the latter case, as the trapped electrons moved forward and interacted with the high intensity region of the laser pulse, micro-bunching occurred naturally, producing 0.5 fs electron bunches. This is not observed in the short pulse simulation.Comment: AAC 201

Advances in test and measurement of the interface adhesion and bond strengths in coating-substrate systems, emphasising blister and bulk techniques

In this paper, recent advances in the minimum-destructive testing of the adhesion of coating-substrate systems are reviewed, focusing on key techniques such as micro- and nano-scale levels of indentation, scratching, laser-induced wave shock, as well as the blister and buckle approach. Along with adhesion failure tests, the latest and most extensive applications of the adhesion test methods in nano-, micro- and bulk-coating technology and the associated techniques to determine the minimum damage defects left on the coatings are discussed and their use reviewed

Barriers to accessing psychological treatment for medium to high risk male young offenders

Within the young offender population, rates of personality disorder and mood disorders are considerably higher than both the general and adult offender population. Despite this high level of need and high risk of harm, psychological services within prisons are widely underutilized. Little is known about the barriers to accessing treatment for young offenders. This study investigated barriers to accessing psychological treatment for male young offenders detained in a UK prison. There were 128 participants, aged 18–21. A cross-sectional design compared self-reported barriers and psychological distress for Black and Minority Ethnic (BME) and White young offenders not accessing treatment, as well as those who were. A preference for self-reliance, a lack of trust in the prison system, lengthy waiting times and a general reluctance to talk about emotions were the most commonly cited barriers. BME young offenders not engaged in treatment reported significantly more barriers to accessing treatment than BME young offenders who were engaged in treatment, but both BME groups had equal levels of psychological distress. There was no significant difference between BME and White young offenders in the number of barriers reported, including stigma barriers. Future research should evaluate interventions to increase access for this marginalised population

Thermal and Stress Modeling of Laser Fabrication of Multiple Material Components

Solid freeform fabrication (SFF) is an automated manufacturing process that builds threedimensional complex-shaped structures layer-by-layer directly from CAD data without partspecific tooling and human intervention. In many cases multiple materials are involved in fabricating one component using SFF approaches. Porcelain-fused-to-metal (PFM) restoration for permanent fixed prosthodontics is an example of this kind. In this study 3-dimensional finite element modeling has been carried out to investigate the temperature and stress field in processing of multiple material components using a moving laser beam. Effects of fabrication sequences, laser scanning patterns and scanning rates on residual stresses have been investigated. Implications of these results on laser fabrication of multiple materials have been discussed.Mechanical Engineerin

Preheating Effects on Multiple Material Laser Densification

A 3-dimensional thermomechanical model has been developed to study laser powder densification of multiple materials in the multi-materials laser densification (MMLD) process. Thermal and mechanical properties of the materials are porosity- and temperature-dependent. In particular, the effect of the chamber preheating on residual stresses and warping of the part fabricated has been investigated. It is found that the chamber preheating can reduce warping and residual stresses of the laser-processed part. Furthermore, the extent of the preheating effect depends on the laser-scanning pattern. Implications of the simulation result on MMLD have been discussed.The authors gratefully acknowledge financial support provided by the National Science Foundation under Grant No: DMI-9908249.Mechanical Engineerin

Distributed lag models for hydrological data

The distributed lag model (DLM), used most prominently in air pollution studies, finds application wherever the effect of a covariate is delayed and distributed through time. We explore the use of modified formulations of DLMs to provide flexible varying-coeficient models with smoothness constraints, applicable in any setting in which lagged covariates are regressed on a time-dependent response. The models are applied to simulated flow and rainfall data and to flow data from a Scottish mountain river, with particular emphasis on approximating the relationship between environmental covariates and flow regimes in order to detect the influence of unobserved processes. It was found that under certain rainfall conditions some of the variability in the influence of rainfall on flow arises through a complex interaction between antecedent ground wetness and the time-delay in rainfall. The models are able to identify subtle changes in rainfall response, particularly in the location of peak influence in the lag structure and offer a computationally attractive approach for fitting DLMs

Contrasts between Equilibrium and Non-equilibrium Steady States: Computer Aided Discoveries in Simple Lattice Gases

A century ago, the foundations of equilibrium statistical mechanics were laid. For a system in equilibrium with a thermal bath, much is understood through the Boltzmann factor, exp{-H[C]/kT}, for the probability of finding the system in any microscopic configuration C. In contrast, apart from some special cases, little is known about the corresponding probabilities, if the same system is in contact with more than one reservoir of energy, so that, even in stationary states, there is a constant energy flux through our system. These non-equilibrium steady states display many surprising properties. In particular, even the simplest generalization of the Ising model offers a wealth of unexpected phenomena. Mostly discovered through Monte Carlo simulations, some of the novel properties are understood while many remain unexplained. A brief review and some recent results will be presented, highlighting the sharp contrasts between the equilibrium Ising system and this non-equilibrium counterpart.Comment: 9 pages, 3 figure