Enhancing Dissemination of Evidence-Based Models for STEM PhD Career Development; a Stakeholder Workshop Report

Sustainability of the scientific enterprise requires being able to recruit, retain, and prepare ongoing generations of PhD-trained scientists ready to adapt with the evolving needs of the scientific workforce and society. This necessitates a broadened, trainee-centered view in doctoral and postdoctoral training—including a prominent focus on career planning, science across sectors, and development of professional skills. Although there is energy and movement to enhance graduate and postdoctoral training, actions remain disparate, leading to inefficiencies in implementation and lack of systemic change. In 2019, an emerging national initiative, Professional Development Hub (pd|hub), hosted a workshop to bring organizations and individuals together across stakeholder groups to discuss enhancing the development, dissemination, and widespread implementation of evidence-based practices for STEM graduate and postdoctoral education, with specific emphasis on career and professional development for PhD scientists. The fifty workshop participants represented nine key stakeholder groups: career development practitioners, scientific societies, disseminators, education researchers and evaluators, employers of PhD scientists, funders, professional associations, trainees, and university leaders and faculty. In addition, participants spanned different races, ethnicities, genders, disciplines, sectors, geographic locations, career stages, and levels of institutional resources. This report presents cross-cutting themes identified at the workshop, examples of stakeholder-specific perspectives, and recommended next steps. As part of the collective effort to develop a foundation for sustainable solutions, several actions were defined, including: incentivizing change at institutions and programs, curating and disseminating resources for evidence-based career and professional development educational practices, expanding evidence for effective training and mentoring, establishing expectations for STEM career and professional development, and improving communication across all stakeholders in STEM PhD education. Furthermore, the report describes national-level actions already moving forward via pd|hub in the months following the workshop. Building on a decade of reports and gatherings advocating for a shift in graduate and postdoctoral education, this workshop represented a key step and catalyst for change toward a more impactful future.https://escholarship.umassmed.edu/pdhub/1000/thumbnail.jp

Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study

Summary Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung’s disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung’s disease) from 264 hospitals (89 in high-income countries, 166 in middleincome countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030

Polyaniline based magnesium nanoferrite composites as efficient photocatalystfor the photodegradation of indigo carmine in aqueous solutions

The industrial revolution although has reached its unprecedented altitude benefiting mankind in various aspects yet the resulting pollution is a serious threat to the environment. Dyes are among the major pollutants that contaminate water resources. Hence, a facile synthesis of PANI/MgFe2 O4 nanoferrite composite and its hybrids as photocatalysts for the degradation of Indigo carmine in aqueous solutions is described. The photocatalysts were designed in situ through self-polymerization of monomer aniline. The catalytic activity of each composite was studied by evaluating its efficiency to photodegrade water soluble carcinogenic indigo carmine dye in aqueous solution. Different parameters like dye concentration, dose of photocatalyst, contact time and pH have been studied to optimize reaction conditions. The FTIR, SEM and XRD studies were carried to determine chemical as well as morphological feature characteristics of nanoferrite composite (MgFe2 O4 +PANI) and hybrid nanoferrite composites (MFe2 O4 + PANI + silica gel). The XRD confirmed the cubic structure of nano ferrite. The SEM image of polyaniline/composite suggested porous surface and highly agglomerated granular shape. The FTIR spectra of polyaniline and its composites evinced the formation of composite possessing spinal ferrite structure. The single coated PANI/MgFe2 O4 composite presented higher photo-degradation percentage i.e. 97.52% as compared to hybrid nanoferrite composites i.e. 94.36% and hence presented promising results to purify water contaminated with respective dye. - 2019 Desalination Publications. All rights reserved.Scopu