Quality of life in first-admitted schizophrenia patients: a follow-up study

http://journals.cambridge.org/action/logi

Assessing the use of social media in physician assistant education.

Objectives: This study aims to assess physician assistant (PA) students\u27 experiences with social media (SM) as a part of their medical education. Methods: The study is split into two phases: Phase 1- A cross-sectional survey emailed to all PA students at four PA school campuses to assess students\u27 prior SM experiences (226 responses, 71.1% response rate); and Phase 2- Inclusion of SM educational resources, via Twitter, within lectures performed at two PA schools. A phase-2 survey assessed students\u27 opinions of educational SM (50 responses, 59.5% response rate) and SM usage was tracked. Results: The phase-1 survey respondents indicated that 97.3% (n=220) use social media; often used as a part of their education, 65% (n=147) informally and 2.7% (n=6) formally incorporated. Students most commonly use Facebook, YouTube, and Instagram, but rarely use Twitter. Currently using SM for medical education was significantly associated with predicting that future PA education will formally include SM [r Conclusions: Many PA students are currently using various forms of social media to augment their education. Most PA students support formal incorporation of social media into their education. PA educators should consider using our data and methods of social media inclusion when designing curricula and while clinically precepting PA students

Do different subjective evaluation criteria reflect distinct constructs?

This is not the published version. Published version available from: http://journals.lww.com/jonmd/pages/default.asp

Permeability and Groundwater Flow Dynamics in Deep‐Reaching Orogenic Faults Estimated From Regional‐Scale Hydraulic Simulations

Numerical modeling is used to understand the regional scale flow dynamics of the fault-hosted orogenic geothermal system at the Grimsel Mountain Pass in the Swiss Alps. The model is calibrated against observations from thermal springs discharging in a tunnel some 250 m underneath Grimsel Pass to derive estimates for the bulk permeability of the fault. Simulations confirm that without the fault as a hydraulic conductor the thermal springs would not exist. Regional topography alone drives meteoric water in a single pass through the fault plane where it penetrates to depths exceeding 10 km and acquires temperatures in excess of 250°C. Thermal constraints from the thermal springs at Grimsel Pass suggest bulk fault permeabilities in the range of 2e−15 m2–4.8e−15 m2. Reported residence times of >30,000 and 7 years for the deep geothermal and shallow groundwater components in the thermal spring water, respectively, suggest fault permeabilities of around 2.5e−15 m2. We show that the long residence time of the deep geothermal water is likely a consequence of low recharge rates during the last glaciation event in the Swiss Alps, which started some 30,000 years ago. Deep groundwater discharging at Grimsel Pass today thus infiltrated the Grimsel fault prior to the last glaciation event. The range of permeabilities estimated from observational constraints is fully consistent with a subcritical single-pass flow system in the fault plane

Physical activity levels and determinants of change in young adults: a longitudinal panel study

Background: There is growing concern about physical inactivity in adolescents and young adults. Identifying determinants that are associated with low levels of physical activity and with changes in physical activity levels will help to develop specific prevention strategies. The present study describes the prevalence and potential determinants of physical activity behavior and behavior changes of young adults. The study is based on the Swiss Household Panel (SHP), a longitudinal study assessing social changes in a representative sample of Swiss households since 1999. Methods: Data is collected yearly using computer-assisted telephone interviews. Information is obtained from each household member over 14 years of age. Participants between 14 and 24 years entering the SHP between 1999 and 2006 were included (N = 3,068). “Inactive” was defined as less than 1 day/week of at least 30 minutes of moderate physical activity, “no sport” as exercising less than once a week. Age, gender, nationality, linguistic region, household income, education, membership in a sport club, reading, and Internet use were included as potential determinants of physical activity behavior and behavior change. Results: In both young men and young women, the prevalence of inactivity, “no sport”, and non-membership in a sport club was increasing with age. Women were less active than men of the same age. From one wave to the following, 11.1% of young men and 12.1% of young women became active, and 11.9% of men and 13.7% of women became inactive, respectively (pooled data over all eight waves). Non-membership in a sport club was the strongest predictor for “no sport” (ORmen 6.7 [4.9-8.9]; ORwomen 8.1 [5.7-11.4]), but also for being inactive (OR 4.6 [3.5-6.0]; 4.6 [3.3-6.4]). Leaving a sport club (OR 7.8 [4.4-14.0]; 11.9 [5.9-24.1]) and remaining non-member (OR 7.8 [4.7-12.9]; 12.4 [6.4-24.1]) were the strongest predictors of becoming “no sport”. Effects for becoming inactive were similar, though smaller (OR 5.9 [3.4-10.5] and 5.1 [2.7-9.6] for leaving a club, OR 5.1 [3.1-8.4] and 6.9 [4.0-11.8] for remaining non-member). Conclusions: The most important findings were the strong effects of sport club membership on general physical activity. The correlation between sport club membership and exercise was not surprising in its nature, but in its strength

Effect of Glacial/Interglacial Recharge Conditions on Flow of Meteoric Water Through Deep Orogenic Faults: Insights Into the Geothermal System at Grimsel Pass, Switzerland

Many meteoric-recharged, fault-hosted geothermal systems in amagmatic orogenic belts have been active through the Pleistocene glacial/interglacial climate fluctuations. The effects of climate-induced recharge variations on fluid flow patterns and residence times of the thermal waters are complex and may influence how the geothermal and mineralization potential of the systems are evaluated. We report systematic thermal-hydraulic simulations designed to reveal the effects of recharge variations, using a model patterned on the orogenic geothermal system at Grimsel Pass in the Swiss Alps. Previous studies have shown that fault-bounded circulation of meteoric water is driven to depths of ∼10 km by the high alpine topography. Simulations suggest that the current single-pass flow is typical of interglacial periods, during which (a) meteoric recharge into the fault is high (above tens of centimeters per year), (b) conditions are at or somewhat below the critical Rayleigh number, and (c) hydraulic connectivity along the fault plane is extensive (an extent of at least 10 km into increasingly higher terrain is required to explain the 10 km penetration depth). The subcritical condition constrains the bulk fault permeability to <1e-14 m2. In contrast, the limited recharge during the numerous Pleistocene glaciation events likely induced a layered flow system, with single-pass flow confined to shallow depths while non-Rayleigh convection occurred deeper in the fault. The same layering can be observed at low aspect ratios (length/depth) of the fault plane, when the available recharge area limits flux through the fault

Quantification of Degradation of Chlorinated Hydrocarbons in Saturated Low Permeability Sediments Using Compound-Specific Isotope Analysis

This field and modeling study aims to reveal if degradation of chlorinated hydrocarbons in low permeability sediments can be quantified using compound-specific isotope analysis (CSIA). For that purpose, the well-characterized Borden research site was selected, where an aquifer−aquitard system was artificially contaminated by a three component chlorinated solvent mixture (tetrachloroethene (PCE) 45 vol %, trichloroethene (TCE) 45 vol %, and chloroform (TCM) 10 vol %). Nearly 15 years after the contaminant release, several high-resolution concentration and CSIA profiles were determined for the chlorinated hydrocarbons that had diffused into the clayey aquitard. The CSIA profiles showed large shifts of carbon isotope ratios with depth (up to 24‰) suggesting that degradation occurs in the aquitard despite the small pore sizes. Simulated scenarios without or with uniform degradation failed to reproduce the isotope data, while a scenario with decreasing degradation with depth fit the data well. This suggests that nutrients had diffused into the aquitard favoring stronger degradation close to the aquifer−aquitard interface than with increasing depth. Moreover, the different simulation scenarios showed that CSIA profiles are more sensitive to different degradation conditions compared to concentration profiles highlighting the power of CSIA to constrain degradation activities in aquitards

The Application and Performance of Single Nucleotide Polymorphism Markers for Population Genetic Analyses of Lepidoptera

Microsatellite markers are difficult to apply within lepidopteran studies due to the lack of locus-specific PCR amplification and the high proportion of “null” alleles, such that erroneous estimations of population genetic parameters often result. Herein single nucleotide polymorphism (SNP) markers are developed from Ostrinia nubilalis (Lepidoptera: Crambidae) using next generation expressed sequence tag (EST) data. A total of 2742 SNPs were predicted within a reference assembly of 7414 EST contigs, and a subset of 763 were incorporated into 24 multiplex PCR reactions. To validate this pipeline, 5 European and North American sample sites were genotyped at 178 SNP loci, which indicated 84 (47.2%) were in Hardy–Weinberg equilibrium. Locus-by-locus FST, analysis of molecular variance, and STRUCTURE analyses indicate significant genetic differentiation may exist between European and North American O. nubilalis. The observed genetic diversity was significantly lower among European sites, which may result from genetic drift, natural selection, a genetic bottleneck, or ascertainment bias due to North American origin of EST sequence data. SNPs are an abundant source of mutation data for molecular genetic marker development in non-model species, with shared ancestral SNPs showing application within closely related species. These markers offer advantages over microsatellite markers for genetic and genomic analyses of Lepidoptera, but the source of mutation data may affect the estimation of population parameters and likely need to be considered in the interpretation of empirical data