Can extended curriculum programmes be improved through engagement with students using appreciative inquiry?

This research involves eight students at the university under study [1] who identify with the BSc Extended Programmes. The study reports on the use of Appreciative Inquiry to determine how these students describe the best aspects of the programmes and the attributes that they developed to overcome the stigma and isolation associated with the programmes. The aim was to extrapolate the findings to develop an improvement plan informed by students’ perspectives. The narratives from semi‑structured interviews conducted during the Discovery and Dream stages of the modified Appreciative Inquiry 4‑D process are reported. Six views emerged: sense of family and belonging; peer mentoring and support networks; coping with failure and self-efficacy; the underdog phenomenon, self‑motivation and support for mainstream students; the student advising model; and extended curricular programmes as a first option. The attributes that students acquired to overcome stigmatisation and isolation are discussed. Further investigation of the six themes in the Design and Destiny phases is proposed to provide ideas that can engender resilience in more students

Doping-dependent study of the periodic Anderson model in three dimensions

We study a simple model for $f$-electron systems, the three-dimensional periodic Anderson model, in which localized $f$ states hybridize with neighboring $d$ states. The $f$ states have a strong on-site repulsion which suppresses the double occupancy and can lead to the formation of a Mott-Hubbard insulator. When the hybridization between the $f$ and $d$ states increases, the effects of these strong electron correlations gradually diminish, giving rise to interesting phenomena on the way. We use the exact quantum Monte-Carlo, approximate diagrammatic fluctuation-exchange approximation, and mean-field Hartree-Fock methods to calculate the local moment, entropy, antiferromagnetic structure factor, singlet-correlator, and internal energy as a function of the $f-d$ hybridization for various dopings. Finally, we discuss the relevance of this work to the volume-collapse phenomenon experimentally observed in f-electron systems.Comment: 12 pages, 8 figure

Can extended curriculum programmes be improved through engagement with students using appreciative inquiry?

This research involves eight students at the university under study who identify with the BSc Extended Programmes. The study reports on the use of Appreciative Inquiry to determine how these students describe the best aspects of the programmes and the attributes that they developed to overcome the stigma and isolation associated with the programmes. The aim was to extrapolate the findings to develop an improvement plan informed by students’ perspectives. The narratives from semi‑structured interviews conducted during the Discovery and Dream stages of the modified Appreciative Inquiry 4‑D process are reported. Six views emerged: sense of family and belonging; peer mentoring and support networks; coping with failure and self-efficacy; the underdog phenomenon, self‑motivation and support for mainstream students; the student advising model; and extended curricular programmes as a first option. The attributes that students acquired to overcome stigmatisation and isolation are discussed. Further investigation of the six themes in the Design and Destiny phases is proposed to provide ideas that can engender resilience in more students.http://www.journals.ac.za/index.php/sajhepm2020Science, Mathematics and Technology Educatio

Association of delays in surgery for melanoma with insurance type

IMPORTANCE: Timely receipt of treatment for cancer is an important aspect of health care quality. It is unknown how delays of surgery for melanoma vary by insurance type. OBJECTIVE: To analyze factors associated with delays between diagnosis and surgery for melanoma in patients with Medicare, Medicaid, or private insurance. DESIGN, SETTING, AND PARTICIPANTS: Retrospective cohort study of patients who received a diagnosis of melanoma between 2004 and 2011 in North Carolina using data from the North Carolina Cancer Registry linked to administrative claims from Medicare, Medicaid, and private insurance. Inclusion criteria were incident patients with a diagnosis of melanoma stage 0 to III and with continuous insurance enrollment from at least 1 month prior to the month of diagnosis to 12 months after diagnosis of melanoma. MAIN OUTCOMES AND MEASURES: Surgical delay, defined as definitive surgical excision occurring more than 6 weeks after melanoma diagnosis. Generalized linear models with log link, Poisson distributions, and robust standard errors were used to estimate adjusted risk ratios (RRs) to model risk of delay in definitive surgery. RESULTS: A total of 7629 patients were included (4210 [55%] female; mean [SD] age, 64 [15] years), 48% (n = 3631) Medicare, 48% (n = 3667) privately insured, and 4% (n = 331) Medicaid patients. Privately insured patients were least likely to experience a delay in definitive surgery, followed by Medicare and Medicaid patients (519 [14%], 609 [17%], and 79 [24%], respectively; P < .001). After demographic adjustment, the risk of surgical delay was significantly increased in patients with Medicaid compared with private insurance (RR, 1.36; 95% CI, 1.09-1.70). Delays were more likely in nonwhite patients (RR, 1.38; 95% CI, 1.02-1.87). Surgical delays were less likely if the physician performing the surgery (RR, 0.82; 95% CI, 0.72-0.93) or the diagnosing clinician (RR, 0.81; 95% CI, 0.71-0.93) was a dermatologist as compared with a nondermatologist. CONCLUSION AND RELEVANCE: Surgical treatment delays were common but were less prevalent in patients diagnosed or surgically treated by a dermatologist. Medicaid patients experienced the most surgical delays. A reduction in delays in melanoma surgery could be achieved through better access to specialty care and cross-disciplinary coordination

Sequence effects in donor-acceptor oligomeric semiconductors comprising benzothiadiazole and phenylenevinylene monomers

To understand the influence of monomer sequence on the properties and performance of conjugated oligomers, a series of dimers, trimers, and tetramers were prepared from phenylene (P) and benzothiadiazole (B) monomers linked by vinylene groups. Optical and electrochemical studies established the influence of sequence on both the λmax and redox potentials of this series of structurally related oligomers. For tetramers with bromo end groups (PBBP, BPPB, PBPB, PPBB), the λmax ranged from 493 to 512 nm (Δ = 19 nm), the electrochemical oxidation potential from 0.65 to 0.82 (Δ = 0.17 V) and the reduction potential from-1.45 to-1.31 (Δ = 0.14 V), all of which are sequence-dependent. The effect of end groups (cyano, bromo, and alkyl) was also demonstrated to be important for the properties of these oligomers. DFT calculations of the tetramers were performed and the energy levels were correlated well with the experimentally determined spectroscopic data. Bulk heterojunction (BHJ) solar cells fabricated with selected tetramers as the donor and PC61BM as the acceptor exhibited power conversion efficiencies that varied by a factor of 3 as a function of sequence (0.47-1.85%). These results suggest that sequence control is important for tuning optoelectronic properties and photovoltaic performance of these structurally related conjugated oligomers

Solar coronal jets:observations, theory, and modeling

Coronal jets represent important manifestations of ubiquitous solar transients, which may be the source of significant mass and energy input to the upper solar atmosphere and the solar wind. While the energy involved in a jet-like event is smaller than that of “nominal” solar flares and coronal mass ejections (CMEs), jets share many common properties with these phenomena, in particular, the explosive magnetically driven dynamics. Studies of jets could, therefore, provide critical insight for understanding the larger, more complex drivers of the solar activity. On the other side of the size-spectrum, the study of jets could also supply important clues on the physics of transients close or at the limit of the current spatial resolution such as spicules. Furthermore, jet phenomena may hint to basic process for heating the corona and accelerating the solar wind; consequently their study gives us the opportunity to attack a broad range of solar-heliospheric problems

Risk factors for primary congenital glaucoma in the National Birth Defects Prevention Study

Primary congenital glaucoma (PCG) is a rare but serious birth defect. Genetic mutations have been implicated in the development of PCG, but little is known about nongenetic risk factors. This study investigates potential risk factors for PCG in the National Birth Defects Prevention Study (NBDPS), a large population-based case–control study of major birth defects in the United States. The analysis includes case infants with PCG (N = 107) and control infants without birth defects (N = 10,084) enrolled in NBDPS from birth years 2000–2011. Pregnancy/infant clinical characteristics, demographics, and parental health history were collected through maternal interview. Adjusted odds ratios (aORs) and 95% confidence intervals (CIs) were computed to examine associations with all PCG cases and isolated PCG cases without other major malformations. Associations with all the cases included term low birth weight (<2,500 g; aOR = 2.80, CI 1.59–4.94), non-Hispanic black maternal race/ethnicity (aOR = 2.42, CI 1.42–4.13), maternal history of seizure (aOR = 2.73, CI 1.25–5.97), maternal antihypertensive use (aOR = 3.60, CI 1.52–8.53), and maternal sexually transmitted infection (aOR = 2.75, CI 1.17–6.44). These factors were also associated with isolated PCG, as was maternal use of nonsteroidal anti-inflammatory drugs (aOR = 2.70, CI 1.15–6.34). This study is among the first to examine a wide array of potential risk factors for PCG in a population-based sample

Atomic X-ray Spectroscopy of Accreting Black Holes

Current astrophysical research suggests that the most persistently luminous objects in the Universe are powered by the flow of matter through accretion disks onto black holes. Accretion disk systems are observed to emit copious radiation across the electromagnetic spectrum, each energy band providing access to rather distinct regimes of physical conditions and geometric scale. X-ray emission probes the innermost regions of the accretion disk, where relativistic effects prevail. While this has been known for decades, it also has been acknowledged that inferring physical conditions in the relativistic regime from the behavior of the X-ray continuum is problematic and not satisfactorily constraining. With the discovery in the 1990s of iron X-ray lines bearing signatures of relativistic distortion came the hope that such emission would more firmly constrain models of disk accretion near black holes, as well as provide observational criteria by which to test general relativity in the strong field limit. Here we provide an introduction to this phenomenon. While the presentation is intended to be primarily tutorial in nature, we aim also to acquaint the reader with trends in current research. To achieve these ends, we present the basic applications of general relativity that pertain to X-ray spectroscopic observations of black hole accretion disk systems, focusing on the Schwarzschild and Kerr solutions to the Einstein field equations. To this we add treatments of the fundamental concepts associated with the theoretical and modeling aspects of accretion disks, as well as relevant topics from observational and theoretical X-ray spectroscopy.Comment: 63 pages, 21 figures, Einstein Centennial Review Article, Canadian Journal of Physics, in pres

EUPRON: nurses’ practice in interprofessional pharmaceutical care in Europe. A cross-sectional survey in 17 countries

Abstract Objectives Safe pharmaceutical care (PC) requires an interprofessional team approach, involving physicians, nurses and pharmacists. Nurses’ roles however, are not always explicit and clear, complicating interprofessional collaboration. The aim of this study is to describe nurses’ practice and interprofessional collaboration in PC, from the viewpoint of nurses, physicians and pharmacists. Design A cross-sectional survey. Setting The study was conducted in 17 European countries, each with their own health systems. Participants Pharmacists, physicians and nurses with an active role in PC were surveyed. Main outcome measures Nurses’ involvement in PC, experiences of interprofessional collaboration and communication and views on nurses’ competences. Results A total of 4888 nurses, 974 physicians and 857 pharmacists from 17 European countries responded. Providing patient education and information (PEI), monitoring medicines adherence (MMA), monitoring adverse/therapeutic effects (ME) and prescribing medicines were considered integral to nursing practice by 78%, 73%, 69% and 15% of nurses, respectively. Most respondents were convinced that quality of PC would be improved by increasing nurses’ involvement in ME (95%), MMA (95%), PEI (91%) and prescribing (53%). Mean scores for the reported quality of collaboration between nurses and physicians, collaboration between nurses and pharmacists and interprofessional communication were respectively <7/10, ≤4/10, <6/10 for all four aspects of PC. Conclusions ME, MMA, PEI and prescribing are part of nurses’ activities, and most healthcare professionals felt their involvement should be extended. Collaboration between nurses and physicians on PC is limited and between nurses and pharmacists even more

Probing quantum gravity using photons from a flare of the active galactic nucleus Markarian 501 observed by the MAGIC telescope

We analyze the timing of photons observed by the MAGIC telescope during a flare of the active galactic nucleus Mkn 501 for a possible correlation with energy, as suggested by some models of quantum gravity (QG), which predict a vacuum refractive index \simeq 1 + (E/M_{QGn})^n, n = 1,2. Parametrizing the delay between gamma-rays of different energies as \Delta t =\pm\tau_l E or \Delta t =\pm\tau_q E^2, we find \tau_l=(0.030\pm0.012) s/GeV at the 2.5-sigma level, and \tau_q=(3.71\pm2.57)x10^{-6} s/GeV^2, respectively. We use these results to establish lower limits M_{QG1} > 0.21x10^{18} GeV and M_{QG2} > 0.26x10^{11} GeV at the 95% C.L. Monte Carlo studies confirm the MAGIC sensitivity to propagation effects at these levels. Thermal plasma effects in the source are negligible, but we cannot exclude the importance of some other source effect.Comment: 12 pages, 3 figures, Phys. Lett. B, reflects published versio