Are UK medical schools using recommended national curricula for the teaching of clinical neuroscience?

Background: Medical schools are responsible for training medical students to recognise and commence management for a broad spectrum of diseases, including clinical neuroscience conditions. To guide medical schools on important topics, speciality bodies have produced speciality-based core curricula. It is unknown to what extent these guidelines are used in medical school curriculum design. We aimed to assess the use of these guidelines in designing clinical neuroscience curricula. Methods: This is a national survey. A 21-item questionnaire was sent to faculty members involved in the development of the clinical neuroscience curriculum in each medical school in the UK. The Association of British Neurologists (ABN) and the Royal College of Surgeons England (RCSEng) guidelines were used as a benchmark. Descriptive statistics are reported. Results: Data was collected from 34 UK medical schools (91.9% of those eligible). 61.8% of respondents were aware of ABN guidelines and 35.3% were aware of RCSEng guidelines. Only 23.5% of medical schools taught all 28 recommended neuroscience topics, and were not more likely to be those that used national guidelines (χ2=1.25-31, p=0.99). Furthermore, 97.1% said that they would use national guidance when making further developments to their curriculum. Neurologists were involved in the design of the clinical neuroscience curriculum in 94.1% of medical schools, and neurosurgeons in 61.8%. Tutorials/seminars were used by all medical schools to teach clinical neuroscience content. Neurologists were involved in teaching at all schools and neurosurgeons in 70.6%. Objective Structured Clinical Examinations and single best answer/multiple-choice question tests were used in all medical schools for assessment. Conclusions: There is variation between medical schools on what clinical neuroscience topics are taught and by whom. Multi-modality educational delivery was evident. Some medical schools did not currently use or recommend external clinical neuroscience educational resources; but there is support for future use of external resources including guidelines

Anisotropy of Vortex-Liquid and Vortex-Solid Phases in Single Crystals of Bi2_2Sr2_2CaCu2_2O8+δ_{8+\delta}: Violation of the Scaling Law

The vortex-liquid and vortex-solid phases in single crystals of Bi$_2$Sr$_2$CaCu$_2$O$_{8+\delta}$ placed in tilted magnetic fields are studied by in-plane resistivity measurements using the Corbino geometry to avoid spurious surface barrier effects. It was found that the anisotropy of the vortex-solid phase increases with temperature and exhibits a maximum at $T\approx 0.97 T_c$. In contrast, the anisotropy of the vortex-liquid rises monotonically across the whole measured temperature range. The observed behavior is discussed in the context of dimensional crossover and thermal fluctuations of vortices in the strongly layered system.Comment: 4 pages, 3 figures, submitted to Phys. Rev. Let

Metropolis simulations of Met-Enkephalin with solvent-accessible area parameterizations

We investigate the solvent-accessible area method by means of Metropolis simulations of the brain peptide Met-Enkephalin at 300$K$. For the energy function ECEPP/2 nine atomic solvation parameter (ASP) sets are studied. The simulations are compared with one another, with simulations with a distance dependent electrostatic permittivity $\epsilon (r)$, and with vacuum simulations ($\epsilon =2$). Parallel tempering and the biased Metropolis techniques RM$_1$ are employed and their performance is evaluated. The measured observables include energy and dihedral probability densities (pds), integrated autocorrelation times, and acceptance rates. Two of the ASP sets turn out to be unsuitable for these simulations. For all other systems selected configurations are minimized in search of the global energy minima, which are found for the vacuum and the $\epsilon(r)$ system, but for none of the ASP models. Other observables show a remarkable dependence on the ASPs. In particular, we find three ASP sets for which the autocorrelations at 300$$K are considerably smaller than for vacuum simulations.Comment: 10 pages and 8 figure

Evolution of deformation and breakage in sand studied using X-ray tomography

International audienceParticle breakage of a granular material can cause significant changes in its microstructure, which will govern its macroscopic behaviour; this explains why the mechanisms leading to particle breakage have been a common subject within several fields, including geomechanics. In this paper, X-ray computed micro-tomography is used, to obtain three-dimensional images of entire specimens of sand, during high-confinement triaxial compression tests. The acquired images are processed and measurements are made on breakage, local variations of porosity, volumetric strain, maximum shear strain and grading. The evolution and spatial distribution of quantified breakage and the resulting particle size distribution for the whole specimen and for specific areas are presented here for the first time and are further related to the localised shear and volumetric strains. Before peak stress is reached, compaction is the governing mechanism leading to breakage; neither compressive strains nor breakage are significantly localised and the total amount of breakage is rather low. Post peak, in areas where strains localise and breakage is present, a dilative volumetric behaviour is observed locally, as opposed to the overall compaction of the specimen. Some specimens exhibited a compaction around the shear band at the end of the test, but there was no additional breakage at that point. From the grading analysis, it is found that mainly the grains with diameter close to the mean diameter of the specimen are the ones that break, whereas the biggest grains that are present in the specimen remain intact

Mechanical sequential counting with liquid marbles

© 2018, Springer International Publishing AG, part of Springer Nature. Here we demonstrate the first working example of a liquid marble-operated sequential binary counting device. We have designed a lightweight gate that can be actuated by the low mass and momentum of a liquid marble. By linking a number of these gates in series, we are able to digitally count up to binary 1111 (upper limit only by our requirements). Using liquid marbles in such a system opens up new avenues of research and design, by way of modifying the coating and/or core of the liquid marbles, and thereby giving extra dimensions for calculation (e.g. a calculation that takes into consideration the progress of a chemical reaction inside a liquid marble). In addition, the new gate design has multiple uses in liquid marble rerouting

Automated segmentation of normal and diseased coronary arteries – The ASOCA challenge

Cardiovascular disease is a major cause of death worldwide. Computed Tomography Coronary Angiography (CTCA) is a non-invasive method used to evaluate coronary artery disease, as well as evaluating and reconstructing heart and coronary vessel structures. Reconstructed models have a wide array of for educational, training and research applications such as the study of diseased and non-diseased coronary anatomy, machine learning based disease risk prediction and in-silico and in-vitro testing of medical devices. However, coronary arteries are difficult to image due to their small size, location, and movement, causing poor resolution and artefacts. Segmentation of coronary arteries has traditionally focused on semi-automatic methods where a human expert guides the algorithm and corrects errors, which severely limits large-scale applications and integration within clinical systems. International challenges aiming to overcome this barrier have focussed on specific tasks such as centreline extraction, stenosis quantification, and segmentation of specific artery segments only. Here we present the results of the first challenge to develop fully automatic segmentation methods of full coronary artery trees and establish the first large standardized dataset of normal and diseased arteries. This forms a new automated segmentation benchmark allowing the automated processing of CTCAs directly relevant for large-scale and personalized clinical applications

Liquid Marble Actuator for Microfluidic Logic Systems

© 2018, The Author(s). A mechanical flip-flop actuator has been developed that allows for the facile re-routing and distribution of liquid marbles (LMs) in digital microfluidic devices. Shaped loosely like a triangle, the actuating switch pivots from one bistable position to another, being actuated by the very low mass and momentum of a LM rolling under gravity (~4 × 10 −6 kg ms −1 ). The actuator was laser-cut from cast acrylic, held on a PTFE coated pivot, and used a PTFE washer. Due to the rocking motion of the switch, sequential LMs are distributed along different channels, allowing for sequential LMs to traverse parallel paths. This distributing effect can be easily cascaded, for example to evenly divide sequential LMs down four different paths. This lightweight, cheap and versatile actuator has been demonstrated in the design and construction of a LM-operated mechanical multiplication device — establishing its effectiveness. The actuator can be operated solely by gravity, giving it potential use in point-of-care devices in low resource areas

Intracellular interferons in fish : a unique means to combat viral infection

Peer reviewedPublisher PD

Tuning the graphene work function by electric field effect

We report variation of the work function for single and bi-layer graphene devices measured by scanning Kelvin probe microscopy (SKPM). Using the electric field effect, the work function of graphene can be adjusted as the gate voltage tunes the Fermi level across the charge neutrality point. Upon biasing the device, the surface potential map obtained by SKPM provides a reliable way to measure the contact resistance of individual electrodes contacting graphene.Comment: 11 pages and 8 figures including supplementary information, to appear in Nano Letter

Citostatsko i protuupalno djelovanje polisaharida biljke Ganoderma lucidum

In this study, polysaccharides were isolated from Ganoderma lucidum (Polyporaceae) and their antitumor and anti-inflammatory activities were investigated using in vivo models. Potential antitumor activity was shown by G. lucidum polysaccharides (GLP) against solid tumor induced by Ehrlich’s ascites carcinoma cells. GLP at 100 mg kg–1 body mass showed 80.8 and 77.6 % reduction in tumour volume and tumour mass, respectively, when administered 24 h after tumour implantation. Again, GLP at the same dose but when administered prior to tumour inoculation, showed 79.5 and 81.2 % inhibition of tumour volume and tumour mass, respectively. GLP showed significant dose-dependent activity in carrageenean-induced (acute) and formalin-induced (chronic) inflammation assays. At 100 mg kg–1, GLP exhibited 57.6 and 58.2 % inhibition in carrageenean-induced and formalin-induced assays, respectively.U radu je ispitano in vivo citostatsko i protuupalno djelovanje polisaharida (GLP) izoliranih iz biljke Ganoderma lucidum (Polyporaceae). Ispitivani polisaharidi pokazali su potencijalno antitumorsko djelovanje na Ehrlichov ascitesni tumor. GLP su u dozi od 100 mg kg1 tjelesne mase inhibirali volumen tumora za 80,8, a njegovu masu za 77,6 %, kada su primijenjeni 24 h nakon implantacije tumora. Ako se GLP daju u istoj dozi prije inokulacije tumora, inhibiraju volumen tumora za 79,5, a njegovu masu za 81,2 %. GLP pokazuju značajno, o dozi ovisno, protuupalno djelovanje u karagenan testu (akutna upala) i formalin testu (kronična upala). U dozi od 100 mg kg1, GLP inhibiraju upalne procese za 57,6 odnosno 58,2 % u testu s karagenanom, odnosno formalinom