606 research outputs found
A general estimator of the primary cosmic ray energy with the ARGO-YBJ experiment
The determination of the primary cosmic ray all-particle spectrum with ground-based air shower
experiments usually depends on the assumed elemental composition and hadronic interaction
model. Here we show that an energy estimator independent of the primary mass composition
can be defined by means of shower parameters measured in the core region, as carried out in
the ARGO-YBJ experiment. The energy resolution is <10% above 100 TeV and gets better with
energy increasing. Being insensitive to the number of muons, this energy determination has only
a weak dependence on the hadronic interaction model. The features of this energy estimator have
been validated by extensive MC simulations and used in the analysis of the ARGO-YBJ data
Study of RPC gas mixtures for the ARGO-YBJ experiment
The ARGO-YBJ experiment consists of a RPC carpet to be operated at the
Yangbajing laboratory (Tibet, P.R. China), 4300 m a.s.l., and devoted to the
detection of showers initiated by photon primaries in the energy range 100 GeV
- 20 TeV. The measurement technique, namely the timing on the shower front with
a few tens of particles, requires RPC operation with 1 ns time resolution, low
strip multiplicity, high efficiency and low single counting rate. We have
tested RPCs with many gas mixtures, at sea level, in order to optimize these
parameters. The results of this study are reported.Comment: 6 pages, 3 figures. To be published in Nucl. Instr. Meth. A, talk
given at the "5th International Workshop on RPCs and Related Detectors", Bari
(Italy) 199
Retaining interest in caring for underserved patients among future medicine subspecialists: Underserved Medicine and Public Health (UMPH) program.
BACKGROUND: Accessing subspecialty care is hard for underserved patients in the U.S. Published curricula in underserved medicine for Internal Medicine residents target future-primary care physicians, with unknown impact on future medicine subspecialists. METHODS: The aim was to retain interest in caring for underserved patients among Internal Medicine residents who plan for subspecialist careers at an urban university hospital. The two-year Underserved Medicine and Public Health (UMPH) program features community-based clinics, evening seminars, reflection assignments and practicum projects for 3–7 Internal Medicine residents per year. All may apply regardless of anticipated career plans after residency. Seven years of graduates were surveyed. Data were analyzed using descriptive statistics. RESULTS: According to respondents, UMPH provided a meaningful forum to discuss important issues in underserved medicine, fostered interest in treating underserved populations and provided a sense of belonging to a community of providers committed to underserved medicine. After residency, 48% of UMPH graduates pursued subspecialty training and 34% practiced hospitalist medicine. 65% of respondents disagreed that “UMPH made me more likely to practice primary care” and 59% agreed “UMPH should target residents pursuing subpecialty careers.” CONCLUSIONS: A curriculum in underserved medicine can retain interest in caring for underserved patients among future-medicine subspecialists. Lessons learned include [1] building relationships with local community health centers and community-practicing physicians was important for success and [2] thoughtful scheduling promoted high resident attendance at program events and avoided detracting from other activities required during residency for subspecialist career paths. We hope Internal Medicine residency programs consider training in underserved medicine for all trainees. Future work should investigate sustainability, whether training results in improved subspecialty access, and whether subspecialists face unique barriers caring for underserved patients. Future curricula should include advocacy skills to target systemic barriers
The GAP-TPC
Several experiments have been conducted worldwide, with the goal of observing
low-energy nuclear recoils induced by WIMPs scattering off target nuclei in
ultra-sensitive, low-background detectors. In the last few decades noble liquid
detectors designed to search for dark matter in the form of WIMPs have been
extremely successful in improving their sensitivities and setting the best
limits. One of the crucial problems to be faced for the development of large
size (multi ton-scale) liquid argon experiments is the lack of reliable and low
background cryogenic PMTs: their intrinsic radioactivity, cost, and borderline
performance at 87 K rule them out as a possible candidate for photosensors. We
propose a brand new concept of liquid argon-based detector for direct dark
matter search: the Geiger-mode Avalanche Photodiode Time Projection Chamber
(GAP-TPC) optimized in terms of residual radioactivity of the photosensors,
energy and spatial resolution, light and charge collection efficiencyComment: 7 pages, 5 figures, Accepted for publication on JINS
Public health training in internal medicine residency programs: a national survey
BACKGROUND:
The IOM recommends public health training for all physicians. Data characterizing such training of internal medicine (IM) residents are lacking. PURPOSE:
To describe the current state of public health education at IM residency programs, characterize programs offering public health education, and quantify interest in expanding training opportunities. METHODS:
IM residency program directors from the 380 Accreditation Council for Graduate Medical Education-accredited residency programs in the U.S were invited to participate in a cross-sectional survey. Responses were received from 127 programs (33%). Data were collected July-December 2012 and analyzed in January 2013. Participants were queried on domestic public health training offered, perceived resident interest in and satisfaction with this training, and interest in expanding training. RESULTS:
Eighty-four respondents (66%) provide some form of public health training, but structure and content vary widely. In many programs offering public health training, few residents (\u3c10%) receive it. Although 93 programs (73%) integrate public health into core curricula, only three topics were common to a majority of these programs. Sixty-six respondents (52%) offer clinical training at community-based health centers. Most residency program directors (90%) are very or somewhat interested in expanding their public health training. CONCLUSIONS:
This study characterizes the structures and content of public health training across IM residency programs. The wide range highlights the diverse definition of public health training used by IM residency program directors and lack of universal public health competencies required for IM physicians. Opportunities exist for collaboration among residency programs and between IM and public health educators to share best practices
Nighttime resident supervision and education: results of a national survey of internal medicine residency program directors
Over the past several years, the Accreditation Council for Graduate Medical Education (ACGME) has issued new restrictions on resident duty hours while calling for increased supervision to ensure patient safety. To meet these requirements, some hospitals have hired overnight in-house hospitalist physicians, also called nocturnists, while others have continued a traditional model wherein a resident in-house can access a supervisor at home by phone as needed. This study examines the current state of internal medicine resident supervision and teaching at night.Christopher Bruti (Rush University Medical Center), Mathhew Tuck (Veterans Affairs Medical Center), Rebecca Harrison (Oregon Health and Science University School of Medicine), Dustin Smith (Atlanta VA Medical Center), Michael Kisielewski (Alliance for Academic Internal Medicine), Jillian S. Catalanotti (The George Washington University School of Medicine and Health Sciences), Alfred Burger (Icahn School of Medicine)Includes bibliographical reference
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