Reflections on a coaching pilot project in healthcare settings

This paper draws on personal reflection of coaching experiences and learning as a coach to consider the relevance of these approaches in a management context with a group of four healthcare staff who participated in a pilot coaching project. It explores their understanding of coaching techniques applied in management settings via their reflections on using coaching approaches and coaching applications as healthcare managers. Coaching approaches can enhance a manager’s skill portfolio and offer the potential benefits in terms of successful goal achievement, growth, mutual learning and development for both themselves and staff they work with in task focused scenarios

Recent advances on IMF research

Here I discuss recent work on brown dwarfs, massive stars and the IMF in general. The stellar IMF can be well described by an invariant two-part power law in present-day star-formation events within the Local Group of galaxies. It is nearly identical in shape to the pre-stellar core mass function. The majority of brown dwarfs follow a separate IMF. Evidence from globular clusters and ultra-compact dwarf galaxies has emerged that IMFs may have been top heavy depending on the star-formation rate density. The IGIMF then ranges from bottom heavy at low galaxy-wide star formation rates to being top-heavy in galaxy-scale star bursts.Comment: 6 pages, LaTeX, to appear in The Labyrinth of Star Formation, 18-22 June 2012, Crete, (eds.) D. Stamatellos, S. Goodwin, and D. Ward-Thompson, Springer, in press; replaced version: very minor corrections plus the addition of reference Smith & Lucey (2013) on the bottom-heavy IMF in elliptical galaxie

IR Dust Bubbles: Probing the Detailed Structure and Young Massive Stellar Populations of Galactic HII Regions

We present an analysis of wind-blown, parsec-sized, mid-infrared bubbles and associated star-formation using GLIMPSE/IRAC, MIPSGAL/MIPS and MAGPIS/VLA surveys. Three bubbles from the Churchwell et al. (2006) catalog were selected. The relative distribution of the ionized gas (based on 20 cm emission), PAH emission (based on 8 um, 5.8 um and lack of 4.5 um emission) and hot dust (24 um emission) are compared. At the center of each bubble there is a region containing ionized gas and hot dust, surrounded by PAHs. We identify the likely source(s) of the stellar wind and ionizing flux producing each bubble based upon SED fitting to numerical hot stellar photosphere models. Candidate YSOs are also identified using SED fitting, including several sites of possible triggered star formation.Comment: 37 pages, 17 figure

A multiwavelength study of the star forming region IRAS 18544+0112

This work aims at investigating the molecular and infrared components in the massive young stellar object (MYSO) candidate IRAS 18544+0112. The purpose is to determine the nature and the origin of this infrared source. To analyze the molecular gas towards IRAS 18544+0112, we have carried out observations in a 90" x 90" region around l = 34.69, b = -0.65, using the Atacama Submillimeter Telescope Experiment (ASTE) in the 12CO J=3-2, 13CO J=3-2, HCO+ J=4-3 and CS J=7-6 lines with an angular resolution of 22". The infrared emission in the area has been analyzed using 2MASS and Spitzer public data. From the molecular analysis, we find self-absorbed 12CO J=3-2 profiles, which are typical in star forming regions, but we do not find any evidence of outflow activity. Moreover, we do not detect either HCO+ J=4-3 or CS J=7-6 in the region, which are species normally enhanced in molecular outflows and high density envelopes. The 12CO J=3-2 emission profile suggests the presence of expanding gas in the region. The Spitzer images reveal that the infrared source has a conspicuous extended emission bright at 8 um with an evident shell-like morphology of ~ 1.5 arcmin in size (~ 1.4 pc at the proposed distance of 3 kpc) that encircles the 24 um emission. The non-detection of ionized gas related to IRAS 18544+0112, together with the fact that it is still embedded in a molecular clump suggest that IRAS 18544+0112, has not reached the UCHII region stage yet. Based on near infrared photometry we search for YSO candidates in the region and propos that 2MASS 18565878+0116233 is the infrared point source associated with IRAS 18544+0112. Finally, we suggest that the expansion of a larger nearby HII region, G034.8-0.7, might be related to the formation of IRAS 18544+0112.Comment: 14 pages, accepted for publication in A&A. Figures degraded to reduce file siz

Sexual behaviour in a fishing community on Lake Victoria, Uganda

This study describes the sexual behaviour of men and women in a fishing village on the shores of Lake Victoria in southwest Uganda. The village is near a well known trading town-truckstop on the main trans-Africa highway with a high recorded prevalence of HIV infection. Data were obtained on the daily travel and sexual activities of 26 women and 54 men with particular attention paid to the rate of partner change and the proportion of sexual contacts with people outside the village. During a total of 587 person-weeks the men made 1086 trips, mostly returning home the same day. They had a total of 1226 sexual contacts, most of which occurred either in their own village (83%) or a neighbouring fishing village (11%); 17 per cent of sexual contacts were with new partners. Fifteen of the women described themselves as married; 42 per cent of their sexual contacts were with casual, paying partners. Of the eleven women who were single, between 80 and 100 per cent of contacts were with paying partners. Most of the women’s partners were resident in the village. These data show a very high rate of sexual mixing within the village but little contact with people from outside. This suggests that all sexually active men and women in the village are at high risk of STDs including HIV. There is currently no formal health care available in the village. Such communities should be targeted in future STD control programs

Biomarkers of Tuberculosis Severity and Treatment Effect: A Directed Screen of 70 Host Markers in a Randomized Clinical Trial.

More efficacious treatment regimens are needed for tuberculosis, however, drug development is impeded by a lack of reliable biomarkers of disease severity and of treatment effect. We conducted a directed screen of host biomarkers in participants enrolled in a tuberculosis clinical trial to address this need. Serum samples from 319 protocol-correct, culture-confirmed pulmonary tuberculosis patients treated under direct observation as part of an international, phase 2 trial were screened for 70 markers of infection, inflammation, and metabolism. Biomarker assays were specifically developed for this study and quantified using a novel, multiplexed electrochemiluminescence assay. We evaluated the association of biomarkers with baseline characteristics, as well as with detailed microbiologic data, using Bonferroni-adjusted, linear regression models. Across numerous analyses, seven proteins, SAA1, PCT, IL-1β, IL-6, CRP, PTX-3 and MMP-8, showed recurring strong associations with markers of baseline disease severity, smear grade and cavitation; were strongly modulated by tuberculosis treatment; and had responses that were greater for patients who culture-converted at 8weeks. With treatment, all proteins decreased, except for osteocalcin, MCP-1 and MCP-4, which significantly increased. Several previously reported putative tuberculosis-associated biomarkers (HOMX1, neopterin, and cathelicidin) were not significantly associated with treatment response. In conclusion, across a geographically diverse and large population of tuberculosis patients enrolled in a clinical trial, several previously reported putative biomarkers were not significantly associated with treatment response, however, seven proteins had recurring strong associations with baseline radiographic and microbiologic measures of disease severity, as well as with early treatment response, deserving additional study

Random division of an interval

The well-known relation between random division of an interval and the Poisson process is interpreted as a Laplace transformation. With the use of this interpretation a number of (in part known) results is derived very easily