In-training assessment - Its potential in enhancing clinical teaching

Context In-training assessment (ITA) has established its place alongside formative and summative assessment at both the undergraduate and postgraduate level. In this paper the authors aimed to identify those characteristics of ITA that could enhance clinical teaching. Methods A literature review and discussions by an expert working group at the Ninth Cambridge Conference identified the aspects of ITA that could enhance clinical teaching. Results The features of ITA identified included defining the specific benefits to the learner, teacher and institution, and highlighting the patient as the context for ITA and clinical teaching. The ‘mapping’ of a learner’s progress towards the clinical teaching objectives by using multiple assessments over time, by multiple observers in both a systematic and opportunistic way correlates with the incremental nature of reaching clinical competence. Conclusions The importance of ITA based on both direct and indirect evidence of what the learner actually does in the real clinical setting is emphasized. Particular attention is given to addressing concerns in the more controversial areas of assessor training, ratings and documentation for ITA. Areas for future research are also identified.

Developmental origins of physiological stress reactivity

The model of developmental origins of health and disease proposes that organisms during fetal period utilize cues that enable their adaptation in the postnatal environment they are likely to live, having short-term advantages when trying to survive in environment but simultaneously in the long run have costs for health. A large body of epidemiological research has found that low birth weight, a marker of intrauterine conditions, is associated with cardiovascular (CV) disease. Since the reported associations of birth weight with normal variation in the resting blood pressure (BP), a major predictor of CV disease risk, have been modest, a key candidate mediating the link has been CV and hypothalamus-pituitary-adrenal axes (HPAA) reactivity to stress. In addition, not only weight at birth but also gestational age and early postnatal growth may have independent associations to stress reactivity. The aim of this thesis was to investigate whether pre- and postnatal growth and gestational age are associated with CV and HPAA activity before, during and after stress in childhood and in late adulthood. Altogether 287 men and women aged 60-70 and 299 boys and girls aged 7-9 underwent Trier Social Stress Test. Several indices of HPAA and CV were measured and birth size and gestational age were obtained from birth records. Results showed that low birth weight was associated with low HPAA activity during psychosocial stress, and rapid gain in BMI during years 7-11 was related to heightened stress reactivity to psychosocial stress. Size at birth in children and gestational age and early postnatal (0-2 years) gain in height in adults were associated with CV stress responses; however, in a sex-specific manner. Given that CV stress responses and HPAA activity are markers of CV disease vulnerability, our results may partly explain the associations between early environment and later CV disease.

Optimal Receive Antenna Selection in Time-Varying Fading Channels with Practical Training Constraints

Hardware constraints, which motivate receive antenna selection, also require that various antenna elements at the receiver be sounded sequentially to obtain estimates required for selecting the `best' antenna and for coherently demodulating data thereafter. Consequently, the channel state information at different antennas is outdated by different amounts and corrupted by noise. We show that, for this reason, simply selecting the antenna with the highest estimated channel gain is not optimum. Rather, a preferable strategy is to linearly weight the channel estimates of different antennas differently, depending on the training scheme. We derive closed-form expressions for the symbol error probability (SEP) of AS for MPSK and MQAM in time-varying Rayleigh fading channels for arbitrary selection weights, and validate them with simulations. We then characterize explicitly the optimal selection weights that minimize the SEP. We also consider packet reception, in which multiple symbols of a packet are received by the same antenna. New suboptimal, but computationally efficient weighted selection schemes are proposed for reducing the packet error rate. The benefits of weighted selection are also demonstrated using a practical channel code used in third generation cellular systems. Our results show that optimal weighted selection yields a significant performance gain over conventional unweighted selection.

Training-Symbol Embedded, High-Rate, Single-Symbol ML-Decodable, Distributed STBCs for Relay Networks

Distributed space-time block codes (DSTBCs) from complex orthogonal designs (CODs) (both square and nonsquare), coordinate interleaved orthogonal designs (CIODs), and Clifford unitary weight designs (CUWDs) are known to lose their single-symbol ML decodable (SSD) property when used in two-hop wireless relay networks using amplify and forward protocol. For such networks, in this paper, three new classes of high rate, training-symbol embedded (TSE) SSD DSTBCs are constructed: TSE-CODs, TSE-CIODs, and TSE-CUWDs. The proposed codes include the training symbols inside the structure of the code which is shown to be the key point to obtain the SSD property along with the channel estimation capability. TSE-CODs are shown to offer full-diversity for arbitrary complex constellations and the constellations for which TSE-CIODs and TSE-CUWDs offer full-diversity are characterized. It is shown that DSTBCs from nonsquare TSE-CODs provide better rates (in symbols per channel use) when compared to the known SSD DSTBCs for relay networks. Important from the practical point of view, the proposed DSTBCs do not contain any zeros in their codewords and as a result, antennas of the relay nodes do not undergo a sequence of switch on/off transitions within every codeword, and, thus, avoid the antenna switching problem.

Organic photovoltaics: key photophysical, device and design aspects

Key aspects of Organic Photovoltaics (OPVs) have been reviewed in this tutorial. Issues pertaining to the choice of materials, fabrication processes, photophysical mechanisms, device characterization, morphology of active layers and manufacturing are discussed. Special emphasis has been given to recent developments in large-area modules. Current strategies in enhancing the performance using external optical engineering approaches have also been highlighted. OPVs as a technology combine low weight, flexibility, low cost, good form factor and high-throughput processing; making them a promising PV technology for the future.

Life history aspects of 19 rockfish species (Scorpaenidae: Sebastes) from the Southern California Bight

The authors investigated various life history aspects of 19 rockfish species (Sebastes chlorostictus, S. constellatus, S. dalli, S. elongatus, S. ensifer, S. entomelas, S. flavidus, S. goodei, S. hopkinsi, S. levis, S. melanostomus, S. miniatus, S. ovalis, S. paucispinis, S. rosaceus, S. rosenblatti, S. rufus, s. saxicola, S. semicinctus) from the southern California Bight. These aspects included depth distribution, age-length relationships (of 7 species), length-weight relationships, size at first maturity, spawning season, and fecundity. Growth rates of female S. elongatus, S. hopkinsi, S. ova/is, S. saxicola, and S. semicinctus were higher than male conspecifics. Multiple spawning per season was found in 12 species. Generally, most species spawned between late winter and early summer, though there was some spawning within the genus throughout the year. Spawning season duration ranged from 2 (S. flavidus) to 10 months (S. paucispinis). Spawning seasons tended to start earlier in the year and be of longer duration in the southern California Bight, compared to published data on central California conspecifics. Males matured at a smaller length in 7 of the 17 species studied. Maximum fecundities ranged from 18,000 (S. dalll) to about 2,680,000 (S. levis). (PDF file contains 44 pages.)

Some aspects of the ecology of the leatherback turtle Dermochelys coriacea at Laguna Jalova, Costa Rica

The ecology and reproductive biology of the leatherback turtle (Dennochelys coriacea) was studied on a high-energy nesting beach near Laguna Jalova, Costa Rica, between 28 March and 8 June 1985. The peak of nesting was between 15 April and 21 May. Leatherbacks here measured an average 146.6 cm straightline standard carapace length and laid an average 81.57 eggs. The eggs measured a mean 52.12 mm diameter and weighed an average of 85.01 g. Significant positive relationships were found between the carapace lengths of nesters and their clutch sizes and average diameter and weight of eggs. The total clutch weighed between 4.02 and 13.39 kg, and yolkless eggs accounted for an average 12.4% of this weight. The majority of nesters dug shallow (<24 cm) body pits and spent an average 81 minutes at the nest site. A significant number of c1utcbes were laid below the berm crest. In a hatchery 42.2% of the eggs hatched, while in natural nests 70.2% hatched. The average hatchling carapace length was 59.8 mm and weight was 44.6 g. The longevity of leatherback tracks and nests on the beach was affected by weather. One nester was recaptured about one year later off the coast of Mississippi, U.S.A. Egg poaching was intense on some sections of the Costa Rican coast. Four aerial surveys in four different months provided the basis for comparing density of nesting on seven sectors of the Caribbean coast of Costa Rica. The beach at Jalova is heavily used by green turtles (Chelonia mydJJs) after the leatherback nesting season. The role of the Parque Nacional Tortuguero in conserving the leatherback and green turtle is discussed.(PDF file contains 20 pages.)

Aspects of the biology of the lagoon crab Callinectes amnicola (Derocheburne) in Badagry, Lagos and Lekki lagoons, Nigeria

A preliminary report of the size, composition, growth pattern and food habits of the blue crab, Callinectes amnicola, (De Rocheburne) in the Badagry, Lagos and Lekki Lagoons (Nigeria) is presented. The collection of crabs from the three lagoons covered the period from May 1999 to October 2000. The carapace length for Badagry Lagoon ranged from 2.2 cm to 16.4 cm with weight of 4.4 g to 252.6 g. The crabs showed a unimodal size distribution. For the Lagos Lagoon, crabs sizes ranged from 3.5 cm to 16.8 cm and weighed 3.28 to 277.1 g. The sizes of crabs in the Lekki Lagoon ranged from 3.5 cm to 16.1 cm and weighed 3.5 g to 262.7 g. Crabs from the three lagoons exhibited negative allometric growth. The food items were similar in the three lagoons and comprised mainly mollusc shells, fish parts, shrimps and crab appendages and occasionally higher plant materials

Aspects of the reproductive biology of Mugil cephalus (Linnaeus, 1857) in Bonny Estuary

Aspects of the reproductive biology of Mugil cephalus in the Bonny estuary (Nigeria) were studied between January and December 1996. Males were observed to be more slender than females while the females have deeper bodies. The male:female ratio (1:0:95) was not significantly different. The minimum size at maturity was 16.6cm (0.5 yr). Fish matured at 24.3cm TL(1.76 yr) with median maturity size of 19.5cm TL(0.71 yr). Median maturity for male and female fish were 16.4cm TL(0.41 yr) and 18.2cm TL(0.60 yr) respectively. Breeding occurred once a year between September and December, from late rainy season to early dry season. Mean absolute fecundity was 1,403, 808 eggs (range 107, 729-4,445, 423 eggs) for fish of 17.0.29.5cm TL (mean 22.5cm TL). Fecundity correlated positively with fish total weight, length, ovary weight and age

Effects of 12 weeks muscle hipetrophy training program in a young male athlete: stydy case

PURPOSE: The main goals of the present study were: 1) to review some recommendations about how to increase lean body mass; 2) to analyse whether following scientific sources of current recommendations, visible changes can be shown or not in a participant (body composition, strength and blood analyses). METHODS: One male athlete completed 12 weeks of resistance training program and following a diet protocol. Some test were determined such as, strength 6RM, blood analyses, skindfold measurements, body perimeters and impedance test. Body composition measurements were taken 3 times during the program (before-T1, after 6 weeks of intervention period-T2 and at the end of the program-T3). On the other hand, strength tests and blood analyses were performed twice (before and after the program). RESULTS: Strength was increased in general; blood analyses showed that Creatine kinase was increased a 104% and Triglycerides level was decreased a 22.5%; in the impedance test, body mass (1.6%), lean body mass (3.5%) and Body mass index (1.7%) were increased, whereas fat mass was decreased (15.5%); relaxed and contracted biceps perimeters were also increased. CONCLUSION: A muscle hypertrophy training program mixed with an appropriate diet during 12 weeks leads to interesting adaptations related to increase in body weight, lean body mass, biceps perimeters, strength and creatine kinase levels, and a decrease in fat mass.

A short training program improves the accuracy of portion-size estimates in future dietitians

[EN] The objective of this study was to determine whether a short training program, using real foods, would decreased their portion-size estimation errors after training. 90 student volunteers (20.18±0.44 y old) of the University of the Basque Country (Spain) were trained in observational techniques and tested in food-weight estimation during and after a 3-hour training period. The program included 57 commonly consumed foods that represent a variety of forms (125 different shapes). Estimates of food weight were compared with actual weights. Effectiveness of training was determined by examining change in the absolute percentage error for all observers and over all foods over time. Data were analyzed using SPSS vs. 13.0. The portion-size errors decreased after training for most of the foods. Additionally, the accuracy of their estimates clearly varies by food group and forms. Amorphous was the food type estimated least accurately both before and after training. Our findings suggest that future dietitians can be trained to estimate quantities by direct observation across a wide range of foods. However this training may have been too brief for participants to fully assimilate the application.

Fundamental aspects of the feeding of the amphipod Gammarus (R.) balcanicus (Crustacea, Amphipoda). [Translation from: Nauchn.Dokl.vyssh.Shkoly (Biol.Nauk) 1970(7) 12-16, 1970]

The amphipods are major food items for many commercial fishes, and they are used as protein food for agricultural animals. In the present paper are presented the results of four-year observations on the feeding of Gammarus balcanicus in nature and in an aquarium. Among the studied aspects were the dependence of daily food ration on sex and physiological state (with and without eggs) and feeding on different kinds of plant food. The study concludes that Gammarus balcanicus willingly feed on soft half-decayed plant residues; into their ration also enters food of animal origin. In contrast to other amphipods, G. balcanicus eats representatives of its own species very rarely, and only dead or immobile ones.

Caracterização das estratégias ecofisiológicas de samambaias em resposta à inundação na restinga de Maricá, Rio de Janeiro, Brasil

As matas inundáveis e brejos presentes nas restingas desencadeiam uma série de processos que influenciam as características físico-químicas e biológicas do solo, levando as plantas a apresentarem mecanismos de aclimatação ou adaptação ao estresse da inundação, como alterações morfológicas e fisiológicas de forma a minimizar os efeitos da falta de oxigênio. Dentre as espécies vegetais de samambaias ocorrentes em ambientes inundáveis nas restingas, se destacam três espécies: Acrostichum danaeifolium Langsd. & Fisch., Blechnum serrulatum Rich. e Thelypteris interrupta (Willd.) K.Iwats. O objetivo deste trabalho é caracterizar os aspectos ecofisiológicos que os esporófitos dessas samambaias apresentam para sobreviver em ambientes de inundação na restinga de Maricá, estado do Rio de Janeiro. Neste sentido, foi determinada a caracterização física e química dos sítios de ocorrências destas samambaias, as variações foliares entre elas, espessura, densidade, massa por unidade de folha, teor de clorofilas e atributos quantitativos das células epidérmicas, além da quantificação e determinação à distribuição dos carboidratos. Para as variáveis dos vegetais foram feitas coletas na estação chuvosa e seca e para variáveis do solo na estação seca. Os sítios analisados se mostraram extremamente ácidos, de baixa fertilidade e com toxidez por macro e micro nutrientes, indicando que as samambaias apresentam tolerância a estes fatores. Na época chuvosa (inundação), as samambaias apresentaram queda na densidade foliar, acompanhada de um aumento de massa por unidade de folha. Esta habilidade de conseguir ganhar massa seca por área classifica todas as samambaias analisadas como tolerantes à inundação. Os altos valores de carboidratos solúveis nas folhas indicam aumento da degradação do amido foliar e o menor teor de carboidrato solúvel encontrado nos caules explicita a redução na respiração das raízes destas plantas sob anoxia/ hipoxia, para evitar a oxidação e o incremento do estoque de amido de reserva, elucidando estratégia de tolerância à inundação. A menor disponibilidade de água na estação seca afeta diretamente os atributos foliares diminuindo o índice estomático, a suculência e a massa por unidade de folha, no qual reflete na queda das concentrações de clorofilas. Os menores valores nas concentrações de clorofila têm influencia direta na presença de amidos foliar que são estocado e, alterando toda a dinâmica dos carboidratos nestas espécies. A análise do sítio onde cresce Acrostichum danaeifolium indica níveis críticos de Na no solo e provavelmente, a produção de mucilagem no caule e no pecíolo é uma estratégia de tolerância ao ambiente salino e inundado. O elevado índice de cobertura de Blechnum serrulatum em ambientes inundados indica que esta espécie possui adaptações a solos hidromórficos, entre elas, grande capacidade de estocagem de amido no caule. A maior sinuosidade das células epidérmicas em T. interrupta permite uma alta suculência mantendo o status hidrológico da folha em ambas as estações. Os resultados apresentados, além de agregar informações sobre a biologia das samambaias nos neotrópicos, irão contribuir para a compreensão da dinâmica de ocupação de espécies herbáceas em ambientes alagáveis nas restingas brasileiras

Physiological modules for generating discrete and rhythmic movements: action identification by a dynamic recurrent neural network

In this study we employed a dynamic recurrent neural network (DRNN) in a novel fashion to reveal characteristics of control modules underlying the generation of muscle activations when drawing figures with the outstretched arm. We asked healthy human subjects to perform four different figure-eight movements in each of two workspaces (frontal plane and sagittal plane). We then trained a DRNN to predict the movement of the wrist from information in the EMG signals from seven different muscles. We trained different instances of the same network on a single movement direction, on all four movement directions in a single movement plane, or on all eight possible movement patterns and looked at the ability of the DRNN to generalize and predict movements for trials that were not included in the training set. Within a single movement plane, a DRNN trained on one movement direction was not able to predict movements of the hand for trials in the other three directions, but a DRNN trained simultaneously on all four movement directions could generalize across movement directions within the same plane. Similarly, the DRNN was able to reproduce the kinematics of the hand for both movement planes, but only if it was trained on examples performed in each one. As we will discuss, these results indicate that there are important dynamical constraints on the mapping of EMG to hand movement that depend on both the time sequence of the movement and on the anatomical constraints of the musculoskeletal system. In a second step, we injected EMG signals constructed from different synergies derived by the PCA in order to identify the mechanical significance of each of these components. From these results, one can surmise that discrete-rhythmic movements may be constructed from three different fundamental modules, one regulating the co-activation of all muscles over the time span of the movement and two others elliciting patterns of reciprocal activation operating in orthogonal directions.

Qualitative and quantitative aspects of the food of Ethmalosa fimbriata (Bowdich) in the Ebrié lagoon (Côte d'Ivoire)

The food of Ethmalosa fimbriata in the central part of the Ebrié lagoon, where the salinity is low, consists on limnic phytoplankton. In the region near Abidjan, which is more strongly influenced by coastal water, it consists of marine phyto- and zooplankton. The daily ration of a 12.5 cm fork-length fish is estimated to be between 2 and 3 % of its body weight.