90 research outputs found
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Workplace support for physicians during the COVID-19 Pandemic: Did it affect burnout?
BACKGROUND: A concern before 2020, physician burnout worsened during the COVID-19 pandemic. Little empirical data are available on pandemic workplace support interventions or their influence on burnout. We surveyed a national sample of frontline physicians on burnout and workplace support during the pandemic. METHODS: We surveyed a stratified random sample of 12,833 US physicians most likely to care for adult COVID-19 patients from the comprehensive AMA Physician Professional Data ™ file. The sample included 6722 primary care physicians (3331 family physicians, 3391 internists), 880 hospitalists, 1783 critical care physicians (894 critical care physicians, 889 pulmonary intensivists), 2548 emergency medicine physicians, and 900 infectious disease physicians. The emailed survey elicited physicians perceptions of organizational interventions to provide workplace support and/or to address burnout. Burnout was assessed with the Professional Fulfillment Index Burnout Composite scale (PFI-BC). Proportional specialty representation and response bias were addressed by survey weighting. Logistic regression assessed the association of physician characteristics and workplace interventions with burnout. RESULTS: After weighting, respondents were representative of the total sample. Overall physician burnout was 45.4%, significantly higher than in our previous survey. Open-ended responses mentioned that staffing shortages (physician, nursing, and other staff) combined with the increased volume, complexity, and acuity of patients during the pandemic increased job demands. The most frequent workplace support interventions were direct pandemic control measures (increased access to personal protective equipment, 70.0%); improved telehealth functionality (43.4%); and individual resiliency tools (yoga, meditation, 30.7%). Respondents placed highest priority on workplace interventions to increase financial support and increase nursing and clinician staffing. Factors significantly associated with lower odds of burnout were practicing critical care (compared with emergency medicine) OR 0.33 (95% CI 0.12 - 0.93), improved telehealth functionality OR 0.47 (95% CI 0.23 - 0.97) and being in practice for 11 years or longer OR 0.44 (95% CI 0.19-0.99). CONCLUSIONS: Burnout across frontline specialties increased during the pandemic. Physician respondents focused on inadequate staffing in the context of caring for more and sicker patients, combined with the lack of administrative efforts to mitigate problems. Burnout mitigation requires system-level interventions beyond individual-focused stress reduction programs to improve staffing, increase compensation, and build effective teams
Highly Variable Objects in the Palomar-QUEST Survey: A Blazar Search using Optical Variability
We identify 3,113 highly variable objects in 7,200 square degrees of the
Palomar-QUEST Survey, which each varied by more than 0.4 magnitudes
simultaneously in two broadband optical filters on timescales from hours to
roughly 3.5 years. The primary goal of the selection is to find blazars by
their well-known violent optical variability. Because most known blazars have
been found in radio and/or X-ray wavelengths, a sample discovered through
optical variability may have very different selection effects, elucidating the
range of behavior possible in these systems. A set of blazars selected in this
unusual manner will improve our understanding of the physics behind this
extremely variable and diverse class of AGN. The object positions, variability
statistics, and color information are available using the Palomar-QUEST CasJobs
server. The time domain is just beginning to be explored over large sky areas;
we do not know exactly what a violently variable sample will hold. About 20% of
the sample has been classified in the literature; over 70% of those objects are
known or likely AGN. The remainder largely consists of a variety of variable
stars, including a number of RR Lyrae and cataclysmic variables.Comment: 22 pages (preprint format), 2 figures. Accepted for publication in
ApJ. References update
The Grizzly, October 26, 2006
Editorial: Putting the Pieces Back Together • Possible Scam Raises Concerns • Town Hall Meeting Brings Forth Campus Issues • Food Drive a Success • Fall is in the Air • Story Behind the Statue: Praha • Get to Know the Nominees • Opinions: Long Live Noise; Swept Under the Rug; Truth About Study Abroad • Women\u27s Volleyball Swept by Gettysburg • Bullets Offense Too Much for Bears • Bears Make Run for Playoffshttps://digitalcommons.ursinus.edu/grizzlynews/1722/thumbnail.jp
The Grizzly, November 16, 2006
Election Results Bring Significant Changes • Ursinus Maintains its Health • Peace Vigil on Campus • Lecture Examines the Ethical Treatment of Abandoned Embryos • SquadZilla Brings Hip-Hop to Life at Ursinus • Ursinus Campaign Surpasses Goal • HPV and Cervical Cancer: The Facts, Part II • Preview of the Upcoming UCDC Performance • The Labyrinth: Not Just David Bowie in Spandex • Review of The Sisters Rosensweig • Opinions: Nerf: Yardstick of the Pentagon; American Press Needs Revamping • Bears Down Dickinson in Battle of Top Teams in Centennial Conference • Bears Win Third Straight CC Championship!https://digitalcommons.ursinus.edu/grizzlynews/1725/thumbnail.jp
The Grizzly, October 12, 2006
Editorial: Call to Responsibility • Letter of Apology • New Shopping Center Near Campus • Spring Registration Just Around the Corner • Preventing Sexual Assault • Sexual Assault Awareness on Campus • New Incentive Program Underway for CAB • Ursinus Students Evoke Shakespeare\u27s Spirit in Two Gentlemen of Verona • Degas: His Work, His Vision, His Camera • Opinions: On Habeas Corpus; Hurt Feelings; Fundamental Importance of Negative Campaigning • Bears Pull Out Victory in Second Half Comeback • Men\u27s Soccer Capture First Win • A Look Into Ursinus College Fall Athleticshttps://digitalcommons.ursinus.edu/grizzlynews/1721/thumbnail.jp
Cortical thickness, surface area and volume measures in Parkinson's disease, multiple system atrophy and progressive supranuclear palsy
OBJECTIVE
Parkinson's disease (PD), Multiple System Atrophy (MSA) and Progressive Supranuclear Palsy (PSP) are neurodegenerative diseases that can be difficult to distinguish clinically. The objective of the current study was to use surface-based analysis techniques to assess cortical thickness, surface area and grey matter volume to identify unique morphological patterns of cortical atrophy in PD, MSA and PSP and to relate these patterns of change to disease duration and clinical features.
METHODS
High resolution 3D T1-weighted MRI volumes were acquired from 14 PD patients, 18 MSA, 14 PSP and 19 healthy control participants. Cortical thickness, surface area and volume analyses were carried out using the automated surface-based analysis package FreeSurfer (version 5.1.0). Measures of disease severity and duration were assessed for correlation with cortical morphometric changes in each clinical group.
RESULTS
Results show that in PSP, widespread cortical thinning and volume loss occurs within the frontal lobe, particularly the superior frontal gyrus. In addition, PSP patients also displayed increased surface area in the pericalcarine. In comparison, PD and MSA did not display significant changes in cortical morphology.
CONCLUSION
These results demonstrate that patients with clinically established PSP exhibit distinct patterns of cortical atrophy, particularly affecting the frontal lobe. These results could be used in the future to develop a useful clinical application of MRI to distinguish PSP patients from PD and MSA patients
The Grizzly, November 9, 2006
Philly Soft Pretzel Factory Now Open • English for All • WeCAN Make(s) a Difference! Workers\u27 Rights Conference Held at Ursinus • Wearing Justice on Our Sleeves • Students Protest at the Mall • Genital Warts and HPV: The Facts, Part I • Spotlight: Psychology Club • Guy Fawkes Day Revisited • Triangle People : The Work of Lynn Chadwick • Opinions: The Significance of Kyke ; Open Letter to Ursinus; 2008 Preview: Part II; Gay Marriage: Who Should Decide? • Bears Beat Rival LaSalle, Take Home Second Title • Explosive Offense Shoots Bears Past Diplomatshttps://digitalcommons.ursinus.edu/grizzlynews/1724/thumbnail.jp
Further results on the in situ anaerobic corrosion of carbon steel and copper in compacted bentonite exposed to natural Opalinus Clay porewater containing native microbial populations
Since 2012, a long‐term in situ corrosion experiment (IC‐A) is being conducted in the Mont Terri Underground Research Laboratory in Switzerland to investigate the corrosion behaviour of candidate canister materials in conditions representative of the Swiss concept for the disposal of high‐level waste and spent nuclear fuel. To date, carbon steel and various types of copper coatings have been retrieved after different exposure periods of up to 3 years, and characterised to establish the composition of the corrosion product, the morphology of the corroded surface, the nature of the interaction between the metal and the surrounding bentonite, and the microbial populations in the bentonite and surrounding porewater. For carbon steel specimens, a complex corrosion product was identified, consisting predominantly of magnetite. Much less alteration on either the metal or the bentonite was observed in the case of copper samples. Low average anaerobic corrosion rates were measured for carbon steel and a very modest amount of alteration was identified on copper. The density and the initial form of the bentonite had a small influence on the rate of corrosion, across all materials. This paper summarises the results of the experimental programme obtained to date and discusses the relationship observed between exposure time and the evolution of the metal–bentonite interface for both carbon steel and copper
Diffusion tensor imaging of Parkinson's disease, multiple system atrophy and progressive supranuclear palsy: a tract-based spatial statistics study
Although often clinically indistinguishable in the early stages, Parkinson's disease (PD), Multiple System Atrophy (MSA) and Progressive Supranuclear Palsy (PSP) have distinct neuropathological changes. The aim of the current study was to identify white matter tract neurodegeneration characteristic of each of the three syndromes. Tract-based spatial statistics (TBSS) was used to perform a whole-brain automated analysis of diffusion tensor imaging (DTI) data to compare differences in fractional anisotropy (FA) and mean diffusivity (MD) between the three clinical groups and healthy control subjects. Further analyses were conducted to assess the relationship between these putative indices of white matter microstructure and clinical measures of disease severity and symptoms. In PSP, relative to controls, changes in DTI indices consistent with white matter tract degeneration were identified in the corpus callosum, corona radiata, corticospinal tract, superior longitudinal fasciculus, anterior thalamic radiation, superior cerebellar peduncle, medial lemniscus, retrolenticular and anterior limb of the internal capsule, cerebral peduncle and external capsule bilaterally, as well as the left posterior limb of the internal capsule and the right posterior thalamic radiation. MSA patients also displayed differences in the body of the corpus callosum corticospinal tract, cerebellar peduncle, medial lemniscus, anterior and superior corona radiata, posterior limb of the internal capsule external capsule and cerebral peduncle bilaterally, as well as the left anterior limb of the internal capsule and the left anterior thalamic radiation. No significant white matter abnormalities were observed in the PD group. Across groups, MD correlated positively with disease severity in all major white matter tracts. These results show widespread changes in white matter tracts in both PSP and MSA patients, even at a mid-point in the disease process, which are not found in patients with PD
The anaerobic corrosion of candidate disposal canister materials in compacted bentonite exposed to natural granitic porewater containing native microbial populations
The materials corrosion test (MaCoTe) is a long‐term, multinational in situ corrosion experiment setup at the Grimsel Test Site, Switzerland. The experiment has been operating since 2014 with a focus on the corrosion behaviour of container materials for the disposal of high‐level waste and spent nuclear fuel under conditions representing a granitic deep geological repository. The experiment consists of eight modules containing metal coupons and bentonite. Two of the modules, each with a different bentonite density, have been retrieved after 394 days of exposure and have been analysed using a range of techniques aimed at studying the corrosion behaviour of the metals and the mineralogical evolution of the bentonite. Weight loss measurements show that carbon steel had a relatively low average corrosion rate (~2 µm year−1). Much lower average corrosion rates were measured for the various types of copper (0.13–0.32 µm year−1). No detectable corrosion was measured on stainless steel coupons. To date, no significant differences were observed in the corrosion behaviour and rate of the test metals in bentonite with different dry densities
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