Space-based retrievals of air-sea gas transfer velocities using altimeters: Calibration for dimethyl sulfide

This study is the first to directly correlate gas transfer velocity, measured at sea using the eddy-correlation (EC) technique, and satellite altimeter backscattering. During eight research cruises in different parts of the world, gas transfer velocity of dimethyl sulfide (DMS) was measured. The sample times and locations were compared with overpass times and locations of remote sensing satellites carrying Ku-band altimeters: ERS-1, ERS-2, TOPEX, POSEIDON, GEOSAT Follow-On, JASON-1, JASON-2 and ENVISAT. The result was 179 pairs of gas transfer velocity measurements and backscattering coefficients. An inter-calibration of the different altimeters significantly reduced data scatter. The inter-calibrated data was best fitted to a quadratic relation between the inverse of the backscattering coefficients and the gas transfer velocity measurements. A gas transfer parameterization based on backscattering, corresponding with sea surface roughness, might be expected to perform better than wind speed-based parameterizations. Our results, however, did not show improvement compared to direct correlation of shipboard wind speeds. The relationship of gas transfer velocity to satellite-derived backscatter, or wind speed, is useful to provide retrieval algorithms. Gas transfer velocity (cm/hr), corrected to a Schmidt number of 660, is proportional to wind speed (m/s). The measured gas transfer velocity is controlled by both the individual water-side and air-side gas transfer velocities. We calculated the latter using a numerical scheme, to derive water-side gas transfer velocity. DMS is sufficiently soluble to neglect bubble-mediated gas transfer, thus, the DMS transfer velocities could be applied to estimate water-side gas transfer velocities through the unbroken surface of any other gas Key Points: - Show relations between altimeter data and field values of air-sea gas transfer - DMS gas transfer velocity can be used to estimate direct gas transfer of any gas - Direct gas transfer velocity (for Sc = 660) is roughly double 10 m wind spee

The academic backbone: longitudinal continuities in educational achievement from secondary school and medical school to MRCP(UK) and the specialist register in UK medical students and doctors

Background: Selection of medical students in the UK is still largely based on prior academic achievement, although doubts have been expressed as to whether performance in earlier life is predictive of outcomes later in medical school or post-graduate education. This study analyses data from five longitudinal studies of UK medical students and doctors from the early 1970s until the early 2000s. Two of the studies used the AH5, a group test of general intelligence (that is, intellectual aptitude). Sex and ethnic differences were also analyzed in light of the changing demographics of medical students over the past decades. Methods: Data from five cohort studies were available: the Westminster Study (began clinical studies from 1975 to 1982), the 1980, 1985, and 1990 cohort studies (entered medical school in 1981, 1986, and 1991), and the University College London Medical School (UCLMS) Cohort Study (entered clinical studies in 2005 and 2006). Different studies had different outcome measures, but most had performance on basic medical sciences and clinical examinations at medical school, performance in Membership of the Royal Colleges of Physicians (MRCP(UK)) examinations, and being on the General Medical Council Specialist Register. Results: Correlation matrices and path analyses are presented. There were robust correlations across different years at medical school, and medical school performance also predicted MRCP(UK) performance and being on the GMC Specialist Register. A-levels correlated somewhat less with undergraduate and post-graduate performance, but there was restriction of range in entrants. General Certificate of Secondary Education (GCSE)/O-level results also predicted undergraduate and post-graduate outcomes, but less so than did A-level results, but there may be incremental validity for clinical and post-graduate performance. The AH5 had some significant correlations with outcome, but they were inconsistent. Sex and ethnicity also had predictive effects on measures of educational attainment, undergraduate, and post-graduate performance. Women performed better in assessments but were less likely to be on the Specialist Register. Non-white participants generally underperformed in undergraduate and post-graduate assessments, but were equally likely to be on the Specialist Register. There was a suggestion of smaller ethnicity effects in earlier studies. Conclusions: The existence of the Academic Backbone concept is strongly supported, with attainment at secondary school predicting performance in undergraduate and post-graduate medical assessments, and the effects spanning many years. The Academic Backbone is conceptualized in terms of the development of more sophisticated underlying structures of knowledge ('cognitive capital’ and 'medical capital’). The Academic Backbone provides strong support for using measures of educational attainment, particularly A-levels, in student selection

Better arthritis care: what training do community-based health professionals need to improve their care of people with arthritis? a Delphi study

Objective The aim of the present study was to identify the competencies that non-specialist community-based nurses and allied health professionals (AHPs) need to enable them to assess, care for and manage arthritis appropriately. Methods A Delphi survey with an expert panel of 43 rheumatology specialists and expert patients was used to identify the competencies needed by community-based nurses and AHPs to enable them to improve their care of people with arthritis. The process was informed by feedback from focus groups with arthritis patients, community-based nurses and AHPs. Results The core competencies in arthritis care needed by non-specialist community-based nurses and AHPs were identified. The key goals identified were to increase the understanding of arthritis and its impact on patients’ lives, and to increase the ability to help patients to self-manage their condition and access support. Competencies included an understanding of the pathology underlying inflammatory and non-inflammatory arthritis, the ability to distinguish between the two and the ability to recognize early warning signs, with an emphasis on osteoarthritis (OA), rheumatoid arthritis, gout and septic arthritis. Essential competencies included the ability to engage in shared decision making, goal setting and signposting, to provide patients with education and information and to make appropriate referrals. Conclusions Health professionals working in the community commonly encounter arthritis as a presenting problem or as a co-morbidity. The quality of care provided to people with inflammatory arthritis and OA in the community is currently variable. The present study identified the core competencies that all community-based nurses and AHPs should have in relation to OA and inflammatory arthritis

The ethnicity attainment gap among medical and biomedical science students: a qualitative study.

Background Black, Asian and Minority Ethnic (BAME) medical students and professionals frequently underachieve when compared with their White counterparts not only in the United Kingdom, but across the globe. There is no consensus for the definitive causes of this attainment gap, but suggestions contributing towards it include: increased feelings of isolation as a member of a minority culture or religion; a poorer higher education (HE) experience compared with White counterparts; and stereotype threat, whereby students underperform in exams from the stresses of fearing confirming to a negative-stereotype. Methods The aim of this study was to gather qualitative data on HE experiences of medical and biomedical science students to explore factors contributing to the attainment gap. Audio-recorded, semi-structured interviews and a novel approach for this research area of ethnically-homogenous student-led focus groups, were held with students and staff at a healthcare-based university in London, where lower attainment, slower rates of degree completion and lower levels of satisfaction with HE experience were identified in BAME students compared with White students. Thematic analysis was used to manage, summarize and analyse the data. Results Forty-one students and eight staff members were interviewed or took part in focus groups. The student data were best explained by two main themes: social factors and stereotyping, whilst staff data were also best explained by two main themes: social factors and student and staff behaviour. Social factors suggested ethnically-defined social networks and the informal transfer of knowledge impacted academic performance, isolating minority groups from useful academic information. BAME students may also be at a further disadvantage, being unable to attend social and academic functions for cultural or family reasons. Black students also mentioned changing their behaviour to combat negative stereotypes in a variety of contexts. Conclusions This study suggests that forms of discrimination, whether conscious or unconscious, may be negatively impacting the abilities of BAME students both in examinations and in coursework choice. It highlights the importance of social networks for the transfer of academic knowledge and the impact ethnicity may have on their formation, with issues around segregation and the sharing of information outside defined groups

Post-recruitment Survival of White-tailed Deer Fawns in Southern Illinois

Reliable estimates of survival for white-tailed deer (Odocoileus virginianus) fawns are needed for sound deer management. Several studies have estimated fawn survival prior to recruitment (i.e., before the onset of hunting season) but few have monitored fawns post-recruitment, especially in the lower Midwest or Southeast. We captured and radiocollared 166 neonatal fawns during 2002–2004 in southern Illinois. Ninety-one fawns survived to recruitment and were monitored for survival from 1 October until the end of the firearm hunting season (typically 8 December). Post-recruitment survival was 0.73 (95% CI = 0.63 – 0.83). Hunter harvest was the primary source of mortality (13%) followed by vehicle collisions (8%). Male and female harvest mortality was 14% and 12%, respectively, and did not differ (P = 0.73). By monitoring radiocollared fawns through the firearm hunting season, we were able to estimate proportion of fawns harvested in southern Illinois without biases associated with harvest data. We also suggest vehicle collisions are another important source of mortality for fawns and should be incorporated into population models and management decisions

Disciplined doctors: Does the sex of a doctor matter? A cross-sectional study examining the association between a doctor's sex and receiving sanctions against their medical registration.

To examine the association between doctors' sex and receiving sanctions on their medical registration, while controlling for other potentially confounding variables

Different Ways of Reading, or Just Making the Right Noises?

What does reading look like? Can learning to read be reduced to the acquisition of a set of isolable skills, or proficiency in reading be equated with the independence of the solitary, silent reader of prose fiction? These conceptions of reading and reading development, which figure strongly in educational policy, may appear to be simple common sense. But both ethnographic data and evidence from literary texts suggest that such paradigms offer, at most, a partial and ahistorical picture of reading. An important dimension, neglected in the dominant paradigms, is the irreducibly social quality of reading practices

Sex differences in medico-legal action against doctors: a systematic review and meta-analysis

The relationship between male sex and poor performance in doctors remains unclear, with high profile studies showing conflicting results. Nevertheless, it is an important first step towards understanding the causes of poor performance in doctors. This article aims to establish the robustness of the association between male sex and poor performance in doctors, internationally and over time