Are we adequately preparing the next generation of physicians to prescribe exercise as prevention and treatment? Residents express the desire for more training in exercise prescription

Background: Physical activity (PA) is a key intervention for chronic disease, yet few physicians provide exercise prescription (EP). EP is an important component in larger strategies of reducing non-communicable disease (NCD). Our objective was to assess Family Medicine Residents (FMR) knowledge, competence, and perspectives of EP to help inform future curriculum development.Methods: A 49-item cross-sectional survey was administered to 396 University of British Columbia FMR. Residents’ EP knowledge, competence, attitudes/beliefs, current practices, personal physical activity levels, and perspectives of training were assessed using, primarily, a 7-point Likert scale.Results: The response rate was 80.6% (319/396). After eliminating 25 that failed to meet the inclusion criteria, 294 were included in the final analysis. The majority 95.6% of FMR reported EP as important in their future practice, despite having low knowledge of the Canadian PA Guidelines (mean score 1.77/4), low self-reported competence prescribing exercise as prevention (mean score 13.35/21), and rating themselves “somewhat incompetent” prescribing exercise to patients with chronic disease (mean score 11.26/21). FMR believe PA is integral to their patients’ health (98.0%), sedentary behaviour is harmful (97.9%), and feel a responsibility to discuss PA with patients (99.7%). Few FMR (14.9%) perceived their training in EP as adequate and 91.0% desire more.Conclusions: FMR report EP is important, yet do not perceive they are sufficiently prepared to provide EP. In future curricular development, medical educators should consider residents’ low knowledge, competence, perceived program support, and their expressed desire for more training in exercise prescription

The Australian Industrial Relations Commission: adapting or dying?

Over the past decade, developments such as the growth of enterprise bargaining and new legislation, particularly The Workplace Relations Act 1996, have directly challenged the traditional core role of the Australian Industrial Relations Commission (AIRC) in industrial relations. This paper assesses the current role of the AIRC, particularly the usage, processes and attitudes of the users of the AIRC. Basing our analysis on a questionnaire survey of users of the Commission, focus groups and interviews, the paper argues that, despite the Act, the AIRC is sufficiently adaptable to continue to play a vital role in the federal industrial relations system

The Oral and Skin Microbiomes of Captive Komodo Dragons Are Significantly Shared with Their Habitat.

Examining the way in which animals, including those in captivity, interact with their environment is extremely important for studying ecological processes and developing sophisticated animal husbandry. Here we use the Komodo dragon (Varanus komodoensis) to quantify the degree of sharing of salivary, skin, and fecal microbiota with their environment in captivity. Both species richness and microbial community composition of most surfaces in the Komodo dragon's environment are similar to the Komodo dragon's salivary and skin microbiota but less similar to the stool-associated microbiota. We additionally compared host-environment microbiome sharing between captive Komodo dragons and their enclosures, humans and pets and their homes, and wild amphibians and their environments. We observed similar host-environment microbiome sharing patterns among humans and their pets and Komodo dragons, with high levels of human/pet- and Komodo dragon-associated microbes on home and enclosure surfaces. In contrast, only small amounts of amphibian-associated microbes were detected in the animals' environments. We suggest that the degree of sharing between the Komodo dragon microbiota and its enclosure surfaces has important implications for animal health. These animals evolved in the context of constant exposure to a complex environmental microbiota, which likely shaped their physiological development; in captivity, these animals will not receive significant exposure to microbes not already in their enclosure, with unknown consequences for their health. IMPORTANCE Animals, including humans, have evolved in the context of exposure to a variety of microbial organisms present in the environment. Only recently have humans, and some animals, begun to spend a significant amount of time in enclosed artificial environments, rather than in the more natural spaces in which most of evolution took place. The consequences of this radical change in lifestyle likely extend to the microbes residing in and on our bodies and may have important implications for health and disease. A full characterization of host-microbe sharing in both closed and open environments will provide crucial information that may enable the improvement of health in humans and in captive animals, both of which experience a greater incidence of disease (including chronic illness) than counterparts living under more ecologically natural conditions

Saturated magnetic field amplification at supernova shocks

Cosmic-ray streaming instabilities at supernova shocks are discussed in the quasilinear diffusion formalism which takes into account the feedback effect of wave growth on the cosmic ray streaming motion. In particular, the nonresonant instability that leads to magnetic field amplification in the short wavelength regime is considered. The linear growth rate is calculated using kinetic theory for a streaming distribution. We show that the nonresonant instability is actually driven by a compensating current in the background plasma. The nonresonant instability can develop into a nonlinear regime generating turbulence. The saturation of the amplified magnetic fields due to particle diffusion in the turbulence is derived analytically. It is shown that the evolution of parallel and perpendicular cosmic-ray pressures is predominantly determined by nonresonant diffusion. However, the saturation is determined by resonant diffusion which tends to reduce the streaming motion through pitch angle scattering. The saturated level can exceed the mean background magnetic field.Comment: 8 pages. Accepted for publication in MNRA