Nineteenth-Century Popular Science Magazines, Narrative, and the Problem of Historical Materiality

In his Some Reminiscences of a Lecturer, Andrew Wilson emphasizes the importance of narrative to popular science lecturing. Although Wilson promotes the teaching of science as useful knowledge in its own right, he also recognizes that the way science is taught can encourage audiences to take the subject up and read further on their own. Form, according to Wilson, should not be divorced from scientific content and lecturers should ensure that not only is their science accurate, but that it is presented in a way that will provoke curiosity and stimulate interest. This paper discusses the influence of narrative in structuring scientific objects and phenomena, and considers the consequences of such presentations for historical research. As scientific journalism necessarily weaves both its intended audience and the objects under discussion into its accounts, these texts demand that we recognize their nature as social relationships inscribed in historical objects

Targeted disruption of cubilin reveals essential developmental roles in the structure and function of endoderm and in somite formation

BACKGROUND: Cubilin is a peripheral membrane protein that interacts with the integral membrane proteins megalin and amnionless to mediate ligand endocytosis by absorptive epithelia such as the extraembryonic visceral endoderm (VE). RESULTS: Here we report the effects of the genetic deletion of cubilin on mouse embryonic development. Cubilin gene deletion is homozygous embryonic lethal with death occurring between 7.5–13.5 days post coitum (dpc). Cubilin-deficient embryos display developmental retardation and do not advance morphologically beyond the gross appearance of wild-type 8–8.5 dpc embryos. While mesodermal structures such as the allantois and the heart are formed in cubilin mutants, other mesoderm-derived tissues are anomalous or absent. Yolk sac blood islands are formed in cubilin mutants but are unusually large, and the yolk sac blood vessels fail to undergo remodeling. Furthermore, somite formation does not occur in cubilin mutants. Morphological abnormalities of endoderm occur in cubilin mutants and include a stratified epithelium in place of the normally simple columnar VE epithelium and a stratified cuboidal epithelium in place of the normally simple squamous epithelium of the definitive endoderm. Cubilin-deficient VE is also functionally defective, unable to mediate uptake of maternally derived high-density lipoprotein (HDL). CONCLUSION: In summary, cubilin is required for embryonic development and is essential for the formation of somites, definitive endoderm and VE and for the absorptive function of VE including the process of maternal-embryo transport of HDL

Breaking barriers: The landscape of human and veterinary medical anatomy education and the potential for collaboration

Despite human (HUM) and veterinary (VET) medical institutions sharing the goal of educating future clinicians, there is little collaboration between them regarding curricular and pedagogical practices during the preclinical/basic science training years. This may be, at least in part, due to a lack of understanding of each type of curriculum. This study presents data about curricula, student populations, pedagogical methodologies applied, and anatomy educators' training at both HUM and VET institutions. Preclinical curricula, admissions criteria, and student demographics were analyzed for 21 institutions in the United States having both HUM and VET schools. This dataset was augmented by a questionnaire sent to anatomists internationally, detailing anatomy curricula, pedagogies applied, and anatomy educators' training. Many curricular similarities between both training programs were identified, including anatomy education experiences. However, VET programs were found to include more preclinical coursework than HUM programs. Students who matriculate to VET or HUM schools have similar academic records, including prerequisite coursework and grade point average. Median HUM class size was significantly larger, and the percentage of women enrolled in VET institutions was significantly higher. Training of anatomy educators was identical with one exception: VET educators are far more likely to hold a clinical degree. This study elucidates the substantial similarities between VET and HUM programs, particularly in anatomy education, underscoring the potential for collaboration between both types of programs in areas such as interprofessional education, bioethics, zoonotic disease management, and postgraduate training

Correlating Spatial Ability With Anatomy Assessment Performance: A Meta-Analysis.

Interest in spatial ability has grown over the past few decades following the emergence of correlational evidence associating spatial aptitude with educational performance in the fields of science, technology, engineering, and mathematics. The research field at large and the anatomy education literature on this topic are mixed. In an attempt to generate consensus, a meta-analysis was performed to objectively summarize the effects of spatial ability on anatomy assessment performance across multiple studies and populations. Relevant studies published within the past 50 years (1969–2019) were retrieved from eight databases. Study eligibility screening was followed by a full-text review and data extraction. Use of the Mental Rotations Test (MRT) was required for study inclusion. Out of 2,450 screened records, 15 studies were meta-analyzed. Seventy-three percent of studies (11 of 15) were from the U.S. and Canada, and the majority (9 of 15) studied professional students. Across 15 studies and 1,245 participants, spatial ability was weakly associated with anatomy performance (r(pooled) = 0.240; CI at 95% = 0.09, 0.38; p = 0.002). Performance on spatial and relationship-based assessments (i.e., practical assessments and drawing tasks) was correlated with spatial ability, while performance on assessments utilizing non-spatial multiple-choice items was not correlated with spatial ability. A significant sex difference was also observed, wherein males outperformed females on spatial ability tasks. Given the role of spatial and non-spatial reasoning in learning anatomy, educators are encouraged to consider curriculum delivery modifications and a comprehensive assessment strategy so as not to disadvantage individuals with low spatial ability

Measures of Global Health Status on Dialysis Signal Early Rehospitalization Risk after Kidney Transplantation

<div><p>Background</p><p>Early rehospitalization (<30 days) after discharge from kidney transplantation (KT) is associated with poor outcomes. We explored summary metrics of pre-transplant health status that may improve the identification of KT recipients at risk for early rehospitalization and mortality after transplant.</p><p>Materials and Methods</p><p>We performed a retrospective cohort study of 8,870 adult (≥ 18 years) patients on hemodialysis who received KT between 2000 and 2010 at United States transplant centers. We linked Medicare data to United Network for Organ Sharing data and data from a national dialysis provider to examine pre-KT (1) Elixhauser Comorbidity Index, (2) physical function (PF) measured by the Short Form 36 Health Survey, and (3) the number of hospitalizations during the 12 months before KT as potential predictors of early rehospitalization after KT. We also explored whether these metrics are confounders of the known association between early rehospitalization and post-transplant mortality.</p><p>Results</p><p>The median age was 52 years (interquartile range [IQR] 41, 60) and 63% were male. 29% were rehospitalized in <30 days, and 20% died during a median follow-up time of five years (IQR 3.6–6.5). In a multivariable logistic model, kidney recipients with more pre-KT Elixhauser comorbidities (adjusted odds ratio [aOR] 1.09 per comorbidity, 95% Confidence Interval [CI] 1.07–1.11), the poorest pre-KT PF (aOR 1.24, 95% CI 1.08–1.43), or >1 pre-KT hospitalizations (aOR 1.32, 95% CI 1.17–1.49) were more likely to be rehospitalized. All three health status metrics and early rehospitalization were independently associated with post-KT mortality in a multivariable Cox model (adjusted hazard ratio for rehospitalization: 1.41, 95% CI 1.28–1.56)</p><p>Conclusions</p><p>Pre-transplant metrics of health status, measured by dialysis providers or administrative data, are independently associated with early rehospitalization and mortality risk after KT. Transplant providers may consider utilizing metrics of pre-KT global health status as early signals of vulnerability when transitioning care after KT.</p></div

Prediction of the outcome of early rehospitalization after kidney transplantation using global health metrics.

<p>Baseline and subsequent logistic models adjusted for (1) <i>recipient</i> age category at transplant, sex, race, hepatitis C serostatus, obesity by body mass index (≥30 kg/m²), dialysis vintage (years), time on the waitlist (years), history of diabetes, history of previous solid organ transplant, education status, (2) <i>donor</i> type (live vs. deceased donor, expanded criteria deceased [ECD] donor); (3) <i>allograft</i> variables of delayed graft function, and (4) <i>process-of-care</i> variables of length of initial transplant hospitalization (days), weekend discharge (defined as discharge on Saturday or Sunday), and low transplant center volume (defined as <150 kidney transplants performed, on average, per year).</p

Adjusted Probability (with 95% Confidence Intervals) of Rehospitalization Based on Pre-Transplant Health Metrics.

<p>Adjusted for (1) <i>recipient</i> age category at transplant, sex, race, hepatitis C serostatus, obesity by body mass index (≥30 kg/m²), dialysis vintage (years), time on the waitlist (years), history of diabetes, history of previous solid organ transplant, education status, (2) <i>donor</i> type (live vs. deceased donor, expanded criteria deceased [ECD] donor); (3) <i>allograft</i> variables of delayed graft function, and (4) <i>process-of-care</i> variables of length of initial transplant hospitalization (days), weekend discharge (defined as discharge on Saturday or Sunday), and low transplant center volume (defined as <150 kidney transplants performed, on average, per year).</p