Towards a formative assessment of classroom competencies (FACCs) for postgraduate medical trainees

Background An assumption of clinical competency is no longer acceptable or feasible in routine clinical practice. We sought to determine the feasibility, practicability and efficacy of undertaking a formal assessment of clinical competency for all postgraduate medical trainees in a large NHS foundation trust. Methods FY1 doctors were asked to complete a questionnaire to determine prior experience and self reported confidence in performing the GMC core competencies. From this a consensus panel of key partners considered and developed an 8 station Objective Structured Clinical Examination (OSCE) circuit to assess clinical competencies in all training grade medical staff... The OSCE was then administered to all training grade doctors as part of their NHS trust induction process. Results 106 (87.6% of all trainees) participated in the assessment during the first 14 days of appointment. Candidates achieved high median raw percentage scores for the majority of stations however analysis of pre defined critical errors and omissions identified important areas for concern. Performance of newly qualified FY1 doctor was significantly better than other grades for the arterial blood gas estimation and nasogastric tube insertion stations. Discussion Delivering a formal classroom assessment of clinical competencies to all trainees as part of the induction process was both feasible and useful. The assessment identified areas of concern for future training and also served to reassure as to the proficiency of trainees in undertaking the majority of core competencies

E151 (sym15), A Pleiotropic Mutant of Pea (Pisum sativum L.), Displays Low Nodule Number, Enhanced Mycorrhizae, Delayed Lateral Root Emergence, and High Root Cytokinin Levels

In legumes, the formation of rhizobial and mycorrhizal root symbioses is a highly regulated process which requires close communication between plant and microorganism. Plant mutants that have difficulties establishing symbioses are valuable tools for unravelling the mechanisms by which these symbioses are formed and regulated. Here E151, a mutant of Pisum sativum cv. Sparkle, was examined to characterize its root growth and symbiotic defects. The symbioses in terms of colonization intensity, functionality of micro-symbionts, and organ dominance were compared between the mutant and wild type. The endogenous cytokinin (CK) and abscisic acid (ABA) levels and the effect of the exogenous application of these two hormones were determined. E151 was found to be a low and delayed nodulator, exhibiting defects in both the epidermal and cortical programmes though a few mature and functional nodules develop. Mycorrhizal colonization of E151 was intensified, although the fungal functionality was impaired. Furthermore, E151 displayed an altered lateral root (LR) phenotype compared with that of the wild type whereby LR emergence is initially delayed but eventually overcome. No differences in ABA levels were found between the mutant and the wild type, but non-inoculated E151 exhibited significantly high CK levels. It is hypothesized that CK plays an essential role in differentially mediating the entry of the two micro-symbionts into the cortex; whereas it would inhibit the entry of the rhizobia in that tissue, it would promote that of the fungus. E151 is a developmental mutant which may prove to be a useful tool in further understanding the role of hormones in the regulation of beneficial root symbioses

Neural network-based classification of X-ray fluorescence spectra of artists' pigments: an approach leveraging a synthetic dataset created using the fundamental parameters method

X-ray fluorescence (XRF) spectroscopy is an analytical technique used to identify chemical elements that has found widespread use in the cultural heritage sector to characterise artists' materials including the pigments in paintings. It generates a spectrum with characteristic emission lines relating to the elements present, which is interpreted by an expert to understand the materials therein. Convolutional neural networks (CNNs) are an effective method for automating such classification tasks—an increasingly important feature as XRF datasets continue to grow in size—but they require large libraries that capture the natural variation of each class for training. As an alternative to having to acquire such a large library of XRF spectra of artists' materials a physical model, the Fundamental Parameters (FP) method, was used to generate a synthetic dataset of XRF spectra representative of pigments typically encountered in Renaissance paintings that could then be used to train a neural network. The synthetic spectra generated—modelled as single layers of individual pigments—had characteristic element lines closely matching those found in real XRF spectra. However, as the method did not incorporate effects from the X-ray source, the synthetic spectra lacked the continuum and Rayleigh and Compton scatter peaks. Nevertheless, the network trained on the synthetic dataset achieved 100% accuracy when tested on synthetic XRF data. Whilst this initial network only attained 55% accuracy when tested on real XRF spectra obtained from reference samples, applying transfer learning using a small quantity of such real XRF spectra increased the accuracy to 96%. Due to these promising results, the network was also tested on select data acquired during macro XRF (MA-XRF) scanning of a painting to challenge the model with noisier spectra Although only tested on spectra from relatively simple paint passages, the results obtained suggest that the FP method can be used to create accurate synthetic XRF spectra of individual artists' pigments, free from X-ray tube effects, on which a classification model could be trained for application to real XRF data and that the method has potential to be extended to deal with more complex paint mixtures and stratigraphies

Ten-year Trends in Physical Dating Victimization among Adolescent Boys and Girls in British Columbia, Canada

Physical dating violence (PDV) victimization among adolescents is a serious global problem. Although knowledge of trends in PDV victimization can help guide programming and health policies, little research has examined whether the prevalence of PDV victimization has increased, decreased, or remained stable over time among non-U.S.-based samples of youth. In addition, few studies have directly tested whether disparities in PDV victimization between boys and girls have narrowed, widened, or remained unchanged in recent years. To address these gaps, we used school-based data from the British Columbia Adolescent Health Surveys (BC AHS) of 2003, 2008, and 2013 (n boys = 18,441 and n girls = 17,459) to examine 10-year trends in PDV victimization. We also tested whether trends differed across self-reported sex. Data from the 2003 to 2013 BC AHS revealed that recent PDV victimization rates had significantly decreased among youth overall (5.9% to 5.0%) and boys (8.0% to 5.8%), but not girls (5.3% to 4.2%). Although boys had steeper declines than girls in PDV victimization rates, year-by-sex interactions indicate that the sex gap in PDV victimization had not significantly narrowed. Moreover, rates of PDV victimization over the 10-year period indicated significantly higher rates of PDV victimization among boys compared to girls. Despite positive declines in recent rates of PDV victimization among youth, important differences in rates of PDV victimization between boys and girls remain. These findings underscore the need for greater attention to sex differences in research and programming and health policies to reduce PDV victimization and the sex disparities therein

Examining the Antecedent Role of Movement Proficiency in Child Development: Study Protocol

Background: Decades of research, largely from associational studies, show that the relationships of movement proficiency with the cognitive and social aspects of development are particularly strong in early childhood. Children who move proficiently tend to have better cognitive skills and social behaviors. However, the mechanisms that underpin these relationships remain unclear and research that explores causation is necessary. This study will explore the antecedent role of movement proficiency in the cognitive and social domains of child development, by examining whether a targeted movement skills training program facilitates improvements in cognitive and social skills. Methods: A group-randomized controlled trial will be conducted, implementing a fundamental movement skills training program in Hong Kong kindergartens. Participants will consist of children aged 3–5 years (N = 158) who will be randomly allocated by class to either a training or active control condition. The training program (10 weeks × 2 bouts) will be informed by an error-reduced approach to skills learning, which will involve careful design and manipulation of equipment and training environment to minimize practice errors. The active control condition will consist of typical movement activities implemented in the kindergartens in the context of the local curriculum guide. Outcomes will be measured using standardized tests of gross motor skills proficiency, executive functioning, and social skills. Measurements will occur at baseline, mid-training, post-training, and follow-up. Latent variable longitudinal modeling will be used to analyze changes in the outcomes, with covariates that include sex, body composition, fine motor skills, and physical activity. Expected Results: The findings will subsequently be reported consistent with the Consolidated Standards of Reporting Trials (CONSORT) statement. Contributions to knowledge and understanding of child development are expected, through evidence of causal mechanisms surrounding the relationship of motor with cognitive and social development. The findings will also inform policy and practice related to early childhood development and education

Size-at-maturity of Brown Crab (Cancer pagurus) in Scottish waters based on gonadal and morphometric traits

CRediT authorship contribution statement Carlos Mesquita: Conceptualization, Methodology, Formal analysis, Writing - original draft. Helen Dobby: Conceptualization, Writing - review & editing, Supervision. Stephanie Sweeting: Methodology, Data curation, Formal analysis. Catherine S. Jones: Supervision, Writing - review & editing. Graham J. Pierce: Conceptualization, Writing - review & editing, Supervision.Peer reviewedPostprin

Common aquatic pollutants modify hemocyte immune responses in Biomphalaria glabrata.

Funding The studentship supporting this research was awarded by the UK Natural Environment Research Council (NERC). Acknowledgments We are grateful to Dr. David Rollinson (Natural History Museum) for providing B. glabrata snails and to Drs. Nuha Mansour and Quentin Bickle (London School of Hygiene and Tropical Medicine) for providing parasite material. We thank the UK Natural Environment Research Council (NERC) for funding.Peer reviewedPublisher PD

Diclidophora merlangi (Kuhn, 1829) Krøyer, 1838 (Monogenea : Diclidophoridae) as an indicator of hydrocarbon pollution in the North Sea

Acknowledgements We thank the crews and scientific staff on the cruises of FRS Scotia during which these samples were collected. We are grateful to Dr Coby Needle of Marine Scotland for his helpful comments on an earlier draft of the manuscript, and to the anonymous reviewer for his constructive comments. We wish to dedicate this study to the memory of Dr H.H. Williams, whose original idea it was to investigate D. merlangi as an indicator of hydrocarbon pollution.Peer reviewedPostprin

Abundance and Spatial Distribution of Brown Crab (Cancer pagurus) from Fishery-Independent Dredge and Trawl surveys in the North Sea

Acknowledgements We would like to thank the MSS staff who participated in the east coast dredge surveys and IBTS quarter 3 surveys for the data sampling work that has been used in this study. Thanks to Andrzej Jaworski for providing advice on the use of geostatistical methods. Finally, would also like to thank the editor and two anonymous reviewers for their helpful comments. Funding This study was funded by the Marine Collaboration Research Forum (MarCRF), with Marine Scotland Science and the University of Aberdeen.Peer reviewedPostprin