Knowledge and attitude toward theranostics among Nuclear Medicine Technologists

This study was conducted to determine the knowledge and attitude of nuclear medicine technologists toward theranostics. This research utilized a quantitative correlational research design. Data were gathered from 69 practicing nuclear medicine technologists, specifically those that do not perform or have theranostics procedures. The data were gathered using a self-made questionnaire and statistically treated using frequency, percentage, range, mean, standard deviation, t-test, ANOVA, Kruskal-Wallis H test, Mann-Whitney U test, and Spearman Rank Order Correlation. Findings show that the majority of the respondents are male, and most are 20-30 years old. Most of the respondents have good knowledge and show a “positive attitude” toward theranostics. In general, there are no significant differences in the knowledge of the respondents about theranostics when they are grouped according to sex, years of experience and type of hospital they are currently employed in. However, there is a significant difference when grouped according to age, where the 31–40-year-old group showed a higher level of knowledge than the 20-30-year-old group possibly due to learning more about practices with theranostics. With the respondents’ attitude toward theranostics, there are no significant differences when they are grouped according to age, sex, years of experience, and type of hospital they are currently employed in. The findings also show that there is a weak positive relationship between the knowledge and attitude of the respondents toward theranostics. Generally, the results show that nuclear medicine technologists have very good attitude toward and good knowledge of theranostics

The formation of professional identity in medical students: considerations for educators

<b>Context</b> Medical education is about more than acquiring an appropriate level of knowledge and developing relevant skills. To practice medicine students need to develop a professional identity – ways of being and relating in professional contexts.<p></p> <b>Objectives</b> This article conceptualises the processes underlying the formation and maintenance of medical students’ professional identity drawing on concepts from social psychology.<p></p> <b>Implications</b> A multi-dimensional model of identity and identity formation, along with the concepts of identity capital and multiple identities, are presented. The implications for educators are discussed.<p></p> <b>Conclusions</b> Identity formation is mainly social and relational in nature. Educators, and the wider medical society, need to utilise and maximise the opportunities that exist in the various relational settings students experience. Education in its broadest sense is about the transformation of the self into new ways of thinking and relating. Helping students form, and successfully integrate their professional selves into their multiple identities, is a fundamental of medical education

Crystallinity depends on choice of iron salt precursor in the continuous hydrothermal synthesis of Fe–Co oxide nanoparticles

A series of Fe–Co oxide nanoparticles (NPs) were prepared by a continuous hydrothermal method using iron nitrate and ammonium iron citrate as alternative iron precursors. The crystallinity, Fe/Co composition and element spatial distribution in the synthesised NPs were investigated using X-ray diffraction (XRD), aberration-corrected scanning transmission electron microscopy (ac-STEM) imaging, energy-dispersive X-ray spectroscopy (EDX) and electron energy loss spectroscopy (EELS). Strong dependence on the choice of iron salt was observed. We demonstrate that the presence of ammonium citrate markedly improves the crystallinity of the NPs; an ordered cobalt ferrite alloy is formed. We suggest this is due to the formation of a homogenous reaction environment during the thermal decomposition of ammonium citrate, and the formation of complexes among citrate, Fe and Co ions

Relation Between the Thickness of Stellar Disks and the Relative Mass of Dark Halo in Galaxies

We consider a thickness of stellar disks of late-type galaxies by analyzing the R and K_s band photometric profiles for two independent samples of edge-on galaxies. The main goal is to verify a hypotesis that a thickness of old stellar disks is related to the relative masses of the spherical and disk components of galaxies. We confirm that the radial-to-vertical scale length ratio for galactic disks increases (the disks become thinner) with the increasing of total mass-to-light ratio of the galaxies, which characterize the contribution of dark halo to the total mass, and with the decreasing of central deprojected disk brightness (surface density). Our results are in good agreement with numerical models of collisionless disks evolved from subcritical velocity dispersion state to a marginally stable equilibrium state. This suggests that in most galaxies the vertical stellar velocity dispersion, which determine the equilibrium disk thickness, is close to the minimum value, that ensures disk stability. The thinnest edge-on disks appear to be low brightness galaxies (after deprojection) in which a dark halo mass far exceeds a mass of the stellar disk.Comment: 13 pages. To be Published in Astronomy Letters, v.28(2002

Thick disks and halos of spiral galaxies M 81, NGC 55 and NGC 300

By using images from the HST/WFPC2/ACS archive, we have analyzed the spatial distribution of the AGB and RGB stars along the galactocentric radius of nearby spiral galaxies M~81, NGC 300 and NGC 55. Using color-magnitude diagrams and stellar luminosity functions, we gauge the stellar contents of the surroundings of three galaxies. The red giant population (RGB) identified at large galactocentric radii yields a distance of $3.85\pm0.08$ Mpc for M~81, $2.12\pm0.10$ Mpc for NGC 55, and $2.00\pm0.13$ Mpc for NGC 300, and a mean stellar metallicity of $-$0.65, $-$1.25, and $-$0.87. We find that there are two number density gradients of RGB stars along the radius, which correspond to the thick disk and halo components of the galaxies. We confirm the presence of metallicity gradient of evolved stars at these galaxies, based on the systematic changes of the color distribution of red giant stars. These results imply that thick disk might be a general feature of the spiral galaxies, and endorse a further investigation of the outer stellar edges of nearby spirals, which is critical in constraining the origin and evolution of galaxies.Comment: 17 pages, 2 tables, 13 figures, accepted to A&

The recording and characteristics of pulmonary rehabilitation in patients with COPD using The Health Information Network (THIN) primary care database

Pulmonary rehabilitation is recommended for patients with COPD to improve physical function, breathlessness and quality of life. Using The Health Information Network (THIN) primary care database in UK, we compared the demographic and clinical parameters of patients with COPD in relation to coding of pulmonary rehabilitation, and to investigate whether there is a survival benefit from pulmonary rehabilitation. We identified patients with COPD, diagnosed from 2004 and extracted information on demographics, pulmonary rehabilitation and clinical parameters using the relevant Read codes. Thirty six thousand one hundred and eighty nine patients diagnosed with COPD were included with a mean (SD) age of 67 (11) years, 53% were male and only 9.8% had a code related to either being assessed, referred, or completing pulmonary rehabilitation ever. Younger age at diagnosis, better socioeconomic status, worse dyspnoea score, current smoking, and higher comorbidities level are more likely to have a record of pulmonary rehabilitation. Of those with a recorded MRC of 3 or worse, only 2057 (21%) had a code of pulmonary rehabilitation. Survival analysis revealed that patients with coding for pulmonary rehabilitation were 22% (95% CI 0.69–0.88) less likely to die than those who had no coding. In UK THIN records, a substantial proportion of eligible patients with COPD have not had a coded pulmonary rehabilitation record. Survival was improved in those with PR record but coding for other COPD treatments were also better in this group. GP practices need to improve the coding for PR to highlight any unmet need locally

Body composition and body fat distribution are related to cardiac autonomic control in non-alcoholic fatty liver disease patients

BACKGROUND/OBJECTIVES: Heart rate recovery (HRR), a cardiac autonomic control marker, was shown to be related to body composition (BC), yet this was not tested in non-alcoholic fatty liver disease (NAFLD) patients. The aim of this study was to determine if, and to what extent, markers of BC and body fat (BF) distribution are related to cardiac autonomic control in NAFLD patients. SUBJECTS/METHODS: BC was assessed with dual-energy X-ray absorptiometry in 28 NAFLD patients (19 men, 51±13 years, and 9 women, 47±13 years). BF depots ratios were calculated to assess BF distribution. Subjects’ HRR was recorded 1 (HRR1) and 2 min (HRR2) immediately after a maximum graded exercise test. RESULTS: BC and BF distribution were related to HRR; particularly weight, trunk BF and trunk BF-to-appendicular BF ratio showed a negative relation with HRR1 (r 1⁄4 0.613, r 1⁄4 0.597 and r 1⁄4 0.547, respectively, Po0.01) and HRR2 (r 1⁄4 0.484, r 1⁄4 0.446, Po0.05, and r 1⁄4 0.590, Po0.01, respectively). Age seems to be related to both HRR1 and HRR2 except when controlled for BF distribution. The preferred model in multiple regression should include trunk BF-to-appendicular BF ratio and BF to predict HRR1 (r2 1⁄4 0.549; Po0.05), and trunk BF-to-appendicular BF ratio alone to predict HRR2 (r2 1⁄4 0.430; Po0.001). CONCLUSIONS: BC and BF distribution were related to HRR in NAFLD patients. Trunk BF-to-appendicular BF ratio was the best independent predictor of HRR and therefore may be best related to cardiovascular increased risk, and possibly act as a mediator in age-related cardiac autonomic control variation.info:eu-repo/semantics/publishedVersio

Aggregating behaviour in invasive Caribbean lionfish is driven by habitat complexity

Caribbean lionfish (Pterois spp.) are considered the most heavily impacting invasive marine vertebrate ever recorded. However, current management is largely inadequate, relying on opportunistic culling by recreational SCUBA divers. Culling efficiency could be greatly improved by exploiting natural aggregations, but to date this behaviour has only been recorded anecdotally, and the drivers are unknown. We found aggregations to be common in situ, but detected no conspecific attraction through visual or olfactory cues in laboratory experiments. Aggregating individuals were on average larger, but showed no further differences in morphology or life history. However, using visual assessments and 3D modelling we show lionfish prefer broad-scale, but avoid fine-scale, habitat complexity. We therefore suggest that lionfish aggregations are coincidental based on individuals’ mutual attraction to similar reef structure to maximise hunting efficiency. Using this knowledge, artificial aggregation devices might be developed to concentrate lionfish densities and thus improve culling efficiency

Prognostic significance of immunohistochemically detected breast cancer node metastases in 218 patients

Axillary lymph node metastases detected by immunohistochemistry in standard node-negative patients with breast carcinomas (13 out of 129 infiltrating ductal carcinomas and 37 out of 89 infiltrating lobular carcinomas) do not have any prognostic significance in patients followed up for a long time (respectively 24 and 18 years). Moreover, their pejorative significance in the literature is debatable since the groups and events taken into account are heterogeneous