What do medical students think about their quality of life? A qualitative study

Background: Medical education can affect medical students' physical and mental health as well as their quality of life. The aim of this study was to assess medical students' perceptions of their quality of life and its relationship with medical education. Methods: First-to sixth-year students from six Brazilian medical schools were interviewed using focus groups to explore what medical student's lives are like, factors related to increases and decreases of their quality of life during medical school, and how they deal with the difficulties in their training. Results: Students reported a variety of difficulties and crises during medical school. Factors that were reported to decrease their quality of life included competition, unprepared teachers, excessive activities, and medical school schedules that demanded exclusive dedication. Contact with pain, death and suffering and harsh social realities influence their quality of life, as well as frustrations with the program and insecurity regarding their professional future. The scarcity of time for studying, leisure activities, relationships, and rest was considered the main factor of influence. Among factors that increase quality of life are good teachers, classes with good didactic approaches, active learning methodologies, contact with patients, and efficient time management. Students also reported that meaningful relationships with family members, friends, or teachers increase their quality of life. Conclusion: Quality of teachers, curricula, healthy lifestyles related to eating habits, sleep, and physical activity modify medical students' quality of life. Lack of time due to medical school obligations was a major impact factor. Students affirm their quality of life is influenced by their medical school experiences, but they also reframe their difficulties, herein represented by their poor quality of life, understood as necessary and inherent to the process of becoming doctors.

US Food and Drug Administration approval of generic versions of complex biologics: implications for the practicing physician using low molecular weight heparins

Low-molecular-weight heparins (LMWHs) have shown equivalent or superior efficacy and safety to unfractionated heparin as antithrombotic therapy for patients with acute coronary syndromes. Each approved LMWH is a pleotropic biological agent with a unique chemical, biochemical, biophysical and biological profile and displays different pharmacodynamic and pharmacokinetic profiles. As a result, LMWHs are neither equipotent in preclinical assays nor equivalent in terms of their clinical efficacy and safety. Previously, the US Food and Drug Administration (FDA) cautioned against using various LMWHs interchangeably, however recently, the FDA approved generic versions of LMWH that have not been tested in large clinical trials. This paper highlights the bio-chemical and pharmacological differences between the LMWH preparations that may result in different clinical outcomes, and also reviews the implications and challenges physicians face when generic versions of the original/innovator agents are approved for clinical use.

Qualitative study of young, adult, and aged wistar rats temporomandibular synovial membrane employing light, scanning, and transmission electron microscopy

The aim of this study was to analyze the rat temporomandibular joint (TMJ) synovial membrane at different ages using light, scanning, and transmission electron microscopy. Under light microscopic analysis, the TMJ structures were observed such as condyle, capsule, disk, the synovial membrane collagen type, and cells distribution. In the scanning electron microscopy, the synovial membrane surface exhibited a smooth aspect in young animals and there was an increase with ageing in the number of folds. The transmission electron microscopic analysis showed more synoviocytes in the synovial layer in the young group and still a great number of vesicles and cisterns dilation of rough endoplasmic reticulum in the aged group. In the three groups, a dense layer of collagen fibers in the synovial layer and cytoplasmic extensions were clearly seen. It was possible to conclude that synovial membrane structures in aged group showed alterations contributing to the decrease in joint lubrication and in the sliding between disk and joint surfaces. These characteristic will reflect in biomechanics of chewing, and may cause the TMJ disorders, currently observed in clinical processes. Microsc. Res. Tech. (c) 2012 Wiley Periodicals, Inc.

Morphological analysis of Mecosarthron Buquet and Xixuthrus Thomson and Reevaluation of Generic Assignment of Xixuthrus domingoensis Fisher (Coleoptera, Cerambycidae, Prioninae)

The characters defining Mecosarthron Buquet, 1840 and Xixuthrus Thomson 1864 are discussed, along with a historical review of the literature that described and classified these taxa. Through morphological examination of these genera and most of the included species, we addressed the systematic placement of Xixuthrus domingoensis Fisher, 1932 that was placed in Mecosarthron by Ivie (1985). We restore its placement in the genus Xixuthrus. The first description of the female of X. domingoensis is provided, along with comparative redescriptions of Mecosarthron gounellei (Lameere, 1903), and M. buphagus Buquet, 1840. We include a key to the species currently in Mecosarthron.

Complexity of inferences in polytree-shaped semi-qualitative probabilistic networks

Semi-qualitative probabilistic networks (SQPNs) merge two important graphical model formalisms: Bayesian networks and qualitative probabilistic networks. They provade a very Complexity of inferences in polytree-shaped semi-qualitative probabilistic networks and qualitative probabilistic networks. They provide a very general modeling framework by allowing the combination of numeric and qualitative assessments over a discrete domain, and can be compactly encoded by exploiting the same factorization of joint probability distributions that are behind the bayesian networks. This paper explores the computational complexity of semi-qualitative probabilistic networks, and takes the polytree-shaped networks as its main target. We show that the inference problem is coNP-Complete for binary polytrees with multiple observed nodes. We also show that interferences can be performed in time linear in the number of nodes if there is a single observed node. Because our proof is construtive, we obtain an efficient linear time algorithm for SQPNs under such assumptions. To the best of our knowledge, this is the first exact polynominal-time algorithm for SQPn. Together these results provide a clear picture of the inferential complexity in polytree-shaped SQPNs.

A molecular perspective on generic concepts in the Hypotrachyna clade (Parmeliaceae, Ascomycota)

Departamento de Biología Vegetal II, Facultad de Farmacia, Universidad Complutense de Madrid

Corpora in the Social Sciences- How corpus-based appraches can support qualitative interview analyses

[EN]Qualitative and quantitative research approaches are often considered as incompatible, and when they are brought together in a study, the analyses often stay within the realm of the same research field. The study at hand aims at combining the two methods from the perspectives of different disciplines and tries to determine to which degree a corpus-based analysis might support the traditional content-focused approach to qualitative data and render additional results.

Einfluss der Landnutzungsänderung auf die Variabilität von Grundwasserneubildungs- und Sickerwasserrate - Qualitative Grundwassergefährdungsabschätzung mit einem GIS -

Ziel der Arbeit ist die Entwicklung eines allgemeingültigen, im mittleren Maßstabsbereich durchgeführten, GIS-Bewertungsverfahrens zur Ermittlung der Grundwasserneubildungsrate unter Berücksichtigung einer langzeitlichen Landnutzungsänderung sowie die Darstellung eines Szenarios zur Grundwassergefährdungsabschätzung für ausgewählte rüstungsspezifi-sche organische Verbindungen. Das Untersuchungsgebiet befindet sich in einem während der beiden Weltkriege stark militär- und rüstungstechnisch genutzten Raum. Die Beurtei-lungsszenarien der Grundwassergefährdung erfolgen rein qualitativ.Die Abhängigkeit der Grundwasserneubildungsrate von der Landnutzungsänderung ist deut-lich zu erkennen. Mit zunehmender Flächenversiegelung, einher gehend mit veränderten Sickerwasserraten und des oberflächennahen Abflusses, reduziert sich die Grundwasser-neubildungsrate deutlich. Die Abschätzung der Grundwassergefährdung für die sprengstofftypischen Verbindungen erfolgt im ersten Schritt emissionsbezogen für die ungesättigte Zone unter Berücksichtigung der Standort- und Bodeneigenschaften und der physikalisch-chemischen Stoffeigenschaften. Im zweiten Schritt erfolgt eine immissionsbezogene Betrachtung der potenziellen Belastun-gen von Trinkwasserbrunnen.Trotz starker Generalisierungseffekte bietet dieser stoffspezifische Bewertungsansatz in Verbindung mit physikalischen Methoden für organische Verbindungen einen guten ersten Überblick über eine potenzielle Gefährdungen des Grundwassers. Die Datenbestände der entwickelten GIS-Anwendung sind leicht erweiterbar, so dass eine Abschätzung der potenzi-ellen Gefährdung auch für andere organische Stoffgruppen sowie auch eine Übertragung auf andere Untersuchungsgebiete möglich ist.

Vegetables biofortified with iodine: chemical, agronomic and qualitative aspects of raw and fried potatoes

Iodine is an essential microelement for human health because it is a constituent of the thyroid hormones that regulate growth and development of the organism. Iodine Deficiency Disorders (IDDs) are believed to be one of the commonest preventable human health problems in the world today, according to the World Health Organization: that diseases include endemic goiter, cretinism and fetal abnormalities, among others, and they are caused by lack of iodine in the diet, that is the main source of iodine. Since iodine intake from food is not enough respect to human needs, this can be remedied through dietary diversification, mineral supplementation, food fortification, or increasing the concentration and/or bioavailability of mineral elements in the edible portions of crops through agricultural intervention or genetic selection (biofortification). The introduction of iodized salt is a strategy widely used and accepted to eradicate iodine deficiency, because it is an inexpensive source of stable iodine. Since the intake of salt, though iodized, must still be limited according to the risk of cardiovascular disease, so the increase of iodine content in plants for the production of functional foods is representing a field of study of particular interest and a potential market. In Italy potatoes enriched with iodine are produced by a patented procedure of agronomic biofortification for the fresh market since several years, furthermore they are recently accepted and recommended by Italian Thyroid Association, as an alternative source of iodine. Researches performed during the PhD course intended to characterize this innovative vegetables products, focusing the attention on different aspects, such as chemistry, agriculture, and quality of fresh and fried potatoes. For this purpose, lipid fraction of raw material was firstly investigated, in order to assess whether the presence of iodine in plant metabolism can affect fatty acid or sterol biosynthesis, according to the hypothesis that iodine can be bounded to polyunsaturated fatty acids of cell membranes, protecting them from peroxydation; phytosterols of plant sterol are also studied because their importance in reducing serum cholesterol, especially in potato plant sterols are also involved in synthesis of glycoalkaloid, a family of steroidal toxic secondary metabolites present in plants of the Solanaceae family. To achieve this goal chromatographic analytical techniques were employed to identify and quantify fatty acids and sterols profile of common and iodine enriched row potatoes. Another aim of the project was to evaluate the effects of frying on the quality of iodine-enriched and common potatoes. Since iodine-enriched potatoes are nowadays produced only for the fresh market, preliminary trials of cultivation under controlled environment were carried out to verify if potato varieties suitable for processing were able to absorb and accumulate iodine in the tuber. In a successive phase, these varieties were grown in the field, to evaluate their potential productivity and quality at harvest and after storage. The best potato variety to be destined for processing purposes, was finally subjected to repeated frying cycles; the effects of lipid oxidation on the composition and quality of both potatoes and frying oil bath were evaluated by chromatographic and spectrophotometric analytical techniques. Special attention were paid on volatile compounds of fried potatoes.

The impact of swine welfare on some qualitative traits of meat and long cured animal derived products

The present dissertation collects the results of three different research trials which have the common aim to understand the effects of swine welfare (both at farm level and during transport) on the main fresh and dry-cured meat characteristics. The first trial was carried out in order to compare the effects of illumination regimes differing in light duration or light intensity on meat and ham quality of Italian heavy pigs. The results of this trial support the conclusion that, within a moderate range of light intensity and given an appropriate dark period for animal rest, an increase of light duration or intensity above the minimum mandatory levels has no negative impact on carcass composition, meat or long-cured hams quality. The second trial was designed with the aim to investigate the effects of water restriction on growth traits, animal welfare and meat and ham quality of liquid-fed heavy pigs. Overall, the parameters analyzed as concerns growth rate, behavioural traits, blood, as well as carcass, fresh meat and cured hams quality were not affected by the absence of fresh drinking water. However, since liquid feeding did not suppress drinker use or drinker manipulation in the experimental groups, water restriction does not appear to be an applicable method to obtain a reduction of water waste. The third trial, which was carried out in Canada, tested the effectiveness of water sprinkling market-weight pigs (115±10Kg BW) before and after transport in reducing the heat stress experienced under commercial transport conditions. Our results show that the water sprinkling protocol proposed may reduce heat stress during transport and improve pork quality, particularly in specific trailer compartments. This body of research supports the general conclusion that swine welfare could be improved in different scenarios through simple and cost-effective means, without negatively affecting the quality of the main animal-derived products.

Requirements definition and testing of the new version of multi-mission generic monitoring system (GEMS) v 4.4 for operations at Eumetsat

EUMETSAT (www.eumetsat.int) e’ l’agenzia europea per operazioni su satelliti per monitorare clima, meteo e ambiente terrestre. Dal centro operativo situato a Darmstadt (Germania), si controllano satelliti meteorologici su orbite geostazionarie e polari che raccolgono dati per l’osservazione dell’atmosfera, degli oceani e della superficie terrestre per un servizio continuo di 24/7. Un sistema di monitoraggio centralizzato per programmi diversi all’interno dell’ambiente operazionale di EUMETSAT, e’ dato da GEMS (Generic Event Monitoring System). Il software garantisce il controllo di diverse piattaforme, cross-monitoring di diverse sezioni operative, ed ha le caratteristiche per potere essere esteso a future missioni. L’attuale versione della GEMS MMI (Multi Media Interface), v. 3.6, utilizza standard Java Server Pages (JSP) e fa uso pesante di codici Java; utilizza inoltre files ASCII per filtri e display dei dati. Conseguenza diretta e’ ad esempio, il fatto che le informazioni non sono automaticamente aggiornate, ma hanno bisogno di ricaricare la pagina. Ulteriori inputs per una nuova versione della GEMS MMI vengono da diversi comportamenti anomali riportati durante l’uso quotidiano del software. La tesi si concentra sulla definizione di nuovi requisiti per una nuova versione della GEMS MMI (v. 4.4) da parte della divisione ingegneristica e di manutenzione di operazioni di EUMETSAT. Per le attivita’ di supporto, i test sono stati condotti presso Solenix. Il nuovo software permettera’ una migliore applicazione web, con tempi di risposta piu’ rapidi, aggiornamento delle informazioni automatico, utilizzo totale del database di GEMS e le capacita’ di filtri, insieme ad applicazioni per telefoni cellulari per il supporto delle attivita’ di reperibilita’. La nuova versione di GEMS avra’ una nuova Graphical User Interface (GUI) che utilizza tecnologie moderne. Per un ambiente di operazioni come e’ quello di EUMETSAT, dove l’affidabilita’ delle tecnologie e la longevita’ dell’approccio scelto sono di vitale importanza, non tutti gli attuali strumenti a disposizione sono adatti e hanno bisogno di essere migliorati. Allo stesso tempo, un’ interfaccia moderna, in termini di visual design, interattivita’ e funzionalita’, e’ importante per la nuova GEMS MMI.

Qualitative and absolute quantitative studies of the cell-nanoparticle interaction

This thesis focused on the polymer’s influence on the interaction of polymeric NPs with epithelial cells. Furthermore, the measurement of single submicron nanoparticles in a commercially available flow cytometer was established, to provide a new method in the toolbox for nanoparticle-cell studies. This gave way to develop a routine for the absolute quantification of intracellular NPs via flow cytometry. rnThe cellular uptake of poly(methyl methacrylate) (PMMA), polystyrene (PS) and poly(L-lactide) (PLLA) nanoparticles was investigated via flow cytometry. PLLA-NPs were internalized the most efficiently. But upon co-incubation of PS and PLLA particles with cells, the two particles mutually influenced their uptake, slightly shifting the relative uptake efficiencies. This phenomenon should be based on specific properties of the different polymer materials. The findings indicated a competition (which is strongly influenced by properties of the respective polymeric material) for the uptake into the cells, allegedly due to competition for specific coatings with serum components that enhances the NPs’ cellular uptake. The fluorescence of single 150 nm particles was determined with a benchtop cytometer, breaching the machine’s detection limit but yielding precise NP fluorescence standardization factors. Up to now, these standardization factors are mostly determined by spectroscopic analysis of the particles’ dye content. Finally a flow cytometric routine for absolute particle counting in cells was devised. This quantitation revealed a low uptake efficiency for un-functionalized PMMA NPs of less than 150 NPs (approx. 0,001 % of added) per cell.rn

Caratteristiche qualitative delle carni di petto di pollo anomale

Il presente lavoro di tesi ha avuto lo scopo di valutare l’effetto dell’insorgenza delle anomalie “white-striping” e “wooden breast” (sia separatamente che contestualmente nell’ambito dello stesso filetto) su composizione chimica, profilo in acidi grassi e suscettibilità all’ossidazione lipidica e proteica. Le modificazioni riscontrate nella composizione chimica (maggiori livelli di collagene e lipidi a discapito del tenore in proteine) determinano una ridotta qualità nutrizionale con possibili effetti negativi sulla percezione del consumatore, oltre che sulla capacità di ritenzione idrica come riscontrato in precedenti studi. Per quanto riguarda il profilo in acidi grassi, l’effetto delle anomalie è stato più limitato rispetto a quanto ipotizzato. Infatti, nonostante l’aumento dei lipidi totali, le carni di petto anomale non presentano modificazioni nel contenuto di acidi grassi monoinsaturi e polinsaturi totali. Le uniche differenze hanno riguardato il totale degli acidi grassi saturi e il contenuto di acidi grassi essenziali (EPA, DPA, DHA) che sono risultati significativamente inferiori. Le ridotte quantità di EPA e DPA nei petti anomali possono essere correlate alla minore attività degli enzimi Δ5 e Δ6 desaturasi, probabilmente in ragione della complessiva riduzione nell’espressione dei geni che codificano tali enzimi. Da sottolineare infine che le carni anomale hanno presentato livelli inferiori di emepigmenti. Per quanto attiene alle caratteristiche tecnologiche, è stata osservato un maggiore livello di ossidazione delle proteine in relazione alla presenza dell’anomalia wooden breast. Al contrario, l’ossidazione dei lipidi non ha mostrato differenze sostanziali fra i campioni anomali e quelli normali. Nel complesso, pertanto questo lavoro di tesi ha ulteriormente evidenziato i rischi connessi all’utilizzo delle carni anomale, e soprattutto di quelle affette da wooden breast, nella preparazione di prodotti trasformati in relazione al peggioramento delle rese di lavorazione dovuto alla minore concentrazione e qualità delle proteine. La componente lipidica sembra invece essere meno compromessa dalla presenza di tali anomalie.

Caratteristiche qualitative delle carni bovine

Lo scopo di questo elaborato di tesi è stato quello di condurre uno studio preliminare volto ad indagare le principali caratteristiche qualitative delle carni bovine in funzione dell’origine e dell’età degli animali. Nel corso della sperimentazione sono stati analizzati 24 campioni di carne bovina ottenuti da animali di origine francese ed italiana di età compresa fra 15 e 23 mesi, acquistati presso la grande distribuzione o acquisiti direttamente dalle aziende produttrici. Da ciascun campione sono state ricavate delle porzioni di 6 mm di spessore impiegate, a loro volta, per la preparazione di sotto-campioni da sottoporre a determinazione di pH, colore, Expressible Moisture (EM %) e sforzo di taglio. Nell’ambito di ciascun parametro, l’insieme dei dati è stato analizzato mediante analisi statistica di tipo descrittivo. Successivamente, calcolata la matrice delle correlazioni fra i parametri oggetto di studio i dati sono stati elaborati mediante analisi multivariata con il metodo delle componenti principali (Principal Component Analysis, PCA) allo scopo di verificare se fosse possibile discriminare la qualità della carne in funzione dell’origine e dell’età degli animali. Quanto emerso evidenzia come non sia possibile discriminare la qualità dei campioni di carne bovina, sia acquistati al dettaglio presso la grande distribuzione che acquisiti direttamente dalle aziende produttrici, sulla base delle informazioni riportate in etichetta circa l’età e l’origine degli animali. Ciò può trovare spiegazione nella molteplicità di fattori intrinseci (specie, razza o tipo genetico, genere, età e peso degli animali alla macellazione) ed estrinseci (fasi pre- e post-macellazione) in grado di svolgere un ruolo rilevante nel determinare la qualità della carne. Pertanto, future ricerche dovranno essere intraprese per individuare quali parametri possano essere considerati più idonei a valorizzare la qualità tecnologica e sensoriale delle carni bovine.

Arguments for and against a career in surgery: a qualitative analysis

To evaluate arguments given by board-certified surgeons in Switzerland for and against a career in surgery.