Protocol for a national audit on self-reported confidence levels, training requirements and current practice among trainee doctors in the UK: The Trainees Own Perception of Delivery of Care in Diabetes (TOPDOC) Study

Background: As the incidence and prevalence of diabetes increases across the world, resource pressures require doctors without specialist training to provide care for people with diabetes. In the UK, national standards have been set to ensure quality diabetes care from diagnosis to the management of complications. In a multi-centre pilot study, we have demonstrated a lack of confidence among UK trainee doctors in managing diabetes. Suboptimal confidence was identified in a number of areas, including the management of diabetes emergencies. A national survey would clarify whether the results of our pilot study are representative and reproducible. Methods/Design: Target cohort: All postgraduate trainee doctors in the UK. Domains Studied: The self reported online survey questionnaire has 5 domains: (1) confidence levels in the diagnosis and management of diabetes, (2) working with diabetes specialists, (3) perceived adequacy of training in diabetes (4) current practice in optimising glycaemic control and (5) perceived barriers to seeking euglycaemia. Assessment tools: Self-reported confidence is assessed using the 'Confidence Rating' (CR) scale for trainee doctors developed by the Royal College of Physicians. This scale has four points - ('not confident' (CR1), 'satisfactory but lacking confidence' (CR2), 'confident in some cases (CR3) and 'fully confident in most cases' (CR4). Frequency of aspects of day-to-day practice is assessed using a six-point scale. Respondents have a choice of 'always' (100%), 'almost always' (80-99%), 'often' (50-79%), 'not very often' (20-49%) and 'rarely' (5-19%) or never (less than 5%). Discussion: It is anticipated that the results of this national study will clarify confidence levels and current practice among trainee doctors in the provision of care for people with diabetes. The responses will inform efforts to enhance postgraduate training in diabetes, potentially improving the quality of care for people with diabetes.</p

Colloidal Anisotropic ZnO-Fe@FexOy Nanoarchitectures with Interface-Mediated Exchange-Bias and Band-Edge Ultraviolet Fluorescence

Hybrid nanocrystals (HNCs), based on ZnO nanorods (NRs) decorated with magnetic Fe-based domains, were synthesized via a colloidal seeded-growth method. The approach involved heterogeneous nucleation of Fe nanocrystals on size-tailored ZnO nanorod seeds in a noncoordinating solvent, followed by partial surface oxidation of the former to the corresponding Fe@FexOy core@shell domains. HNCs with variable population and size of the Fe-based nanodomains could be synthesized depending on the surface reactivity of the ZnO seeds. The structure–property relationships in these HNCs were carefully studied. In HNCs characterized by a large number of small Fe@FexOy core@shell nanodomains on the ZnO seed surface, the interfacial communication across the Fe-core and FexOy-shell generated a sizable exchange-bias effect mediated by frozen interfacial spins. On the other hand, in HNCs carrying a lower density of comparatively larger Fe@FexOy domains, partial removal of the Fe-core created an inner void in between that led to suppressed exchange coupling anisotropy. As a further proof of functionality, the HNCs exhibited pronounced band-edge ultraviolet fluorescence. The latter was blue-shifted compared to the parent ZnO NRs, inferring coupling of the semiconductor and magnet sections

Microglia-neuron interaction at nodes of Ranvier depends on neuronal activity through potassium release and contributes to remyelination

International audienceMicroglia, the resident immune cells of the central nervous system, are key players in healthy brain homeostasis and plasticity. In neurological diseases, such as Multiple Sclerosis, activated microglia either promote tissue damage or favor neuroprotection and myelin regeneration. The mechanisms for microglia-neuron communication remain largely unkown. Here, we identify nodes of Ranvier as a direct site of interaction between microglia and axons, in both mouse and human tissues. Using dynamic imaging, we highlight the preferential interaction of microglial processes with nodes of Ranvier along myelinated fibers. We show that microglia-node interaction is modulated by neuronal activity and associated potassium release, with THIK-1 ensuring their microglial read-out. Altered axonal K + flux following demyelination impairs the switch towards a pro-regenerative microglia phenotype and decreases remyelination rate. Taken together, these findings identify the node of Ranvier as a major site for microglia-neuron interaction, that may participate in microglia-neuron communication mediating pro-remyelinating effect of microglia after myelin injury