Mentorship Program Offers Insight to Students’ Self-Efficacy Interested in Medicine

Purpose: The purpose of this paper is to examine the effectiveness and outcomes of a new mentorship program pairing medical students with high school students interested in attending medical school. Specifically, the aims of the program were looking at the self-efficacy of the process of application and entrance into medical school of high school students, the familiarity of the specialties/subspecialties in medicine, the confidence of pursuing a career in medicine, and the attitudes regarding the success of the mentorship program. Design/Methodology/Approach: The researchers used a pre and post survey method; comparing qualitative data from responses to the surveys prior to the mentorship program and following the mentorship program. Findings: The results demonstrate much higher self-efficacy of the mentees regarding the medical school “journey” especially in the process of application to medical school and the knowledge of specialties/subspecialties. Surprisingly, mentees were found to have less confidence in successfully completing medical school following the mentorship program than prior to the program

Vapor Cloud Explosion Live Test and Data Analysis Development Program

PresentationVapor Cloud Explosions (VCE), an ever-present threat to the petroleum refining industry, create hazards to employees, equipment and production capabilities. To mitigate the effect of these hazards, effective designs for structural and non-structural components must be developed and confirmed via experimental validation to ensure the safety and performance of the facility and its occupants. Current methodologies for full-scale VCE performance testing involve the use of large quantities of high explosives set at a large standoff distance to achieve the time durations common in VCE events. While effective in achieving the peak pressures involved, these tests do not adequately characterize the full behavior of the time-dependent loading conditions and other effects seen in VCE events, such as enhanced turbulence, degree of confinement and the reactivity of unburned materials. The explosive testing community recognizes that current testing methods do not fully characterize the loading behavior and that only a small number of large- scale VCE tests have been conducted by various commercial and government agencies. Unfortunately, most of the work has been in support of counterterrorism efforts, making the test data unavailable to the petroleum industry

An additional soft X-ray component in the dim low/hard state of black hole binaries

We test the truncated disc models using multiwavelength (optical/UV/X-ray) data from the 2005 hard state outburst of the black hole SWIFT J1753.5-0127. This system is both fairly bright and has fairly low interstellar absorption, so gives one of the best datasets to study the weak, cool disc emission in this state. We fit these data using models of an X-ray illuminated disc to constrain the inner disc radius throughout the outburst. Close to the peak, the observed soft X-ray component is consistent with being produced by the inner disc, with its intrinsic emission enhanced in temperature and luminosity by reprocessing of hard X-ray illumination in an overlap region between the disc and corona. This disc emission provides the seed photons for Compton scattering to produce the hard X-ray spectrum, and these hard X-rays also illuminate the outer disc, producing the optical emission by reprocessing. However, the situation is very different as the outburst declines. The optical is probably cyclo-synchrotron radiation, self-generated by the flow, rather than tracing the outer disc. Similarly, limits from reprocessing make it unlikely that the soft X-rays are directly tracing the inner disc radius. This is seen more clearly in a similarly dim low/hard state spectrum from XTE J1118+480. The very small emitting area implied by the relatively high temperature soft X-ray component is completely inconsistent with the much larger, cooler, UV component which is well fit by a truncated disc. We speculate on the origin of this component, but its existence as a clearly separate spectral component from the truncated disc in XTE J1118+480 shows that it does not simply trace the inner disc radius, so cannot constrain the truncated disc models.Comment: 11 pages, 10 figures, submitted to MNRA

A Randomised Trial Comparing Genotypic and Virtual Phenotypic Interpretation of HIV Drug Resistance: The CREST Study

OBJECTIVES: The aim of this study was to compare the efficacy of different HIV drug resistance test reports (genotype and virtual phenotype) in patients who were changing their antiretroviral therapy (ART). DESIGN: Randomised, open-label trial with 48-week followup. SETTING: The study was conducted in a network of primary healthcare sites in Australia and New Zealand. PARTICIPANTS: Patients failing current ART with plasma HIV RNA > 2000 copies/mL who wished to change their current ART were eligible. Subjects were required to be > 18 years of age, previously treated with ART, have no intercurrent illnesses requiring active therapy, and to have provided written informed consent. INTERVENTIONS: Eligible subjects were randomly assigned to receive a genotype (group A) or genotype plus virtual phenotype (group B) prior to selection of their new antiretroviral regimen. OUTCOME MEASURES: Patient groups were compared for patterns of ART selection and surrogate outcomes (plasma viral load and CD4 counts) on an intention-to-treat basis over a 48-week period. RESULTS: Three hundred and twenty seven patients completing > one month of followup were included in these analyses. Resistance tests were the primary means by which ART regimens were selected (group A: 64%, group B: 62%; p = 0.32). At 48 weeks, there were no significant differences between the groups for mean change from baseline plasma HIV RNA (group A: 0.68 log copies/mL, group B: 0.58 log copies/mL; p = 0.23) and mean change from baseline CD4+ cell count (group A: 37 cells/mm(3), group B: 50 cells/mm(3); p = 0.28). CONCLUSIONS: In the absence of clear demonstrated benefits arising from the use of the virtual phenotype interpretation, this study suggests resistance testing using genotyping linked to a reliable interpretive algorithm is adequate for the management of HIV infection

Conserving the World’s Megafauna and Biodiversity: The Fierce Urgency of Now

First paragraph: In our recent perspective article, we noted that most (approximately 60 percent) terrestrial large carnivore and large herbivore species are now threatened with extinction, and we offered a 13-point declaration designed to promote and guide actions to save these iconic mammalian megafauna (Ripple et al. 2016). Some may worry that a focus on saving megafauna might undermine efforts to conserve biodiversity more broadly. We believe that all dimensions of biodiversity are important and that efforts to conserve megafauna are not in themselves sufficient to halt the dispiriting trends of species and population losses in recent decades. From 1970 to 2012, a recent global analysis showed a 58 percent overall decline in vertebrate population abundance (WWF 2016). Bold and varied approaches are necessary to conserve what remains of Earth’s biodiversity, and our declaration in no way disputes the value of specific conservation initiatives targeting other taxa. Indeed, the evidence is clear that without massively scaling up conservation efforts for all species, we will fail to achieve internationally agreed-upon targets for biodiversity (Tittensor et al. 2014).Additional co-authors: Holly T Dublin, James A Estes, Kristoffer T Everatt, Mauro Galetti, Varun R Goswami, Matt W Hayward, Simon Hedges, Michael Hoffmann, Luke TB Hunter, Graham IH Kerley, Mike Letnic, Taal Levi, John C Morrison, Michael Paul Nelson, Thomas M Newsome, Luke Painter, Robert M Pringle, Christopher J Sandom, John Terborgh, Adrian Treves, Blaire Van Valkenburgh, John A Vucetich, Aaron J Wirsing, Arian D Wallach, Christopher Wolf, Rosie Woodroffe, Hillary Young, And Li Zhan

TV Viewing and Physical Activity Are Independently Associated with Metabolic Risk in Children: The European Youth Heart Study

BACKGROUND: TV viewing has been linked to metabolic-risk factors in youth. However, it is unclear whether this association is independent of physical activity (PA) and obesity. METHODS AND FINDINGS: We did a population-based, cross-sectional study in 9- to 10-y-old and 15- to 16-y-old boys and girls from three regions in Europe (n = 1,921). We examined the independent associations between TV viewing, PA measured by accelerometry, and metabolic-risk factors (body fatness, blood pressure, fasting triglycerides, inverted high-density lipoprotein (HDL) cholesterol, glucose, and insulin levels). Clustered metabolic risk was expressed as a continuously distributed score calculated as the average of the standardized values of the six subcomponents. There was a positive association between TV viewing and adiposity (p = 0.021). However, after adjustment for PA, gender, age group, study location, sexual maturity, smoking status, birth weight, and parental socio-economic status, the association of TV viewing with clustered metabolic risk was no longer significant (p = 0.053). PA was independently and inversely associated with systolic and diastolic blood pressure, fasting glucose, insulin (all p < 0.01), and triglycerides (p = 0.02). PA was also significantly and inversely associated with the clustered risk score (p < 0.0001), independently of obesity and other confounding factors. CONCLUSIONS: TV viewing and PA may be separate entities and differently associated with adiposity and metabolic risk. The association between TV viewing and clustered metabolic risk is mediated by adiposity, whereas PA is associated with individual and clustered metabolic-risk indicators independently of obesity. Thus, preventive action against metabolic risk in children may need to target TV viewing and PA separately

Development of risk maps to minimize uranium exposures in the Navajo Churchrock mining district

© 2009 deLemos et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution Licens

Saving the world’s terrestrial megafauna

From the late Pleistocene to the Holocene, and now the so called Anthropocene, humans have been driving an ongoing series of species declines and extinctions (Dirzo et al. 2014). Large-bodied mammals are typically at a higher risk of extinction than smaller ones (Cardillo et al. 2005). However, in some circumstances terrestrial megafauna populations have been able to recover some of their lost numbers due to strong conservation and political commitment, and human cultural changes (Chapron et al. 2014). Indeed many would be in considerably worse predicaments in the absence of conservation action (Hoffmann et al. 2015). Nevertheless, most mammalian megafauna face dramatic range contractions and population declines. In fact, 59% of the world’s largest carnivores (≥ 15 kg, n = 27) and 60% of the world’s largest herbivores (≥ 100 kg, n = 74) are classified as threatened with extinction on the International Union for the Conservation of Nature (IUCN) Red List (supplemental table S1 and S2). This situation is particularly dire in sub-Saharan Africa and Southeast Asia, home to the greatest diversity of extant megafauna (figure 1). Species at risk of extinction include some of the world’s most iconic animals—such as gorillas, rhinos, and big cats (figure 2 top row)—and, unfortunately, they are vanishing just as science is discovering their essential ecological roles (Estes et al. 2011). Here, our objectives are to raise awareness of how these megafauna are imperiled (species in supplemental table S1 and S2) and to stimulate broad interest in developing specific recommendations and concerted action to conserve them