Physician Specialty Differences in Unprofessional Behaviors Observed and Reported by Coworkers.

Importance: Because unprofessional behaviors are associated with patient complications, malpractice claims, and well-being concerns, monitoring concerns requiring investigation and individuals identified in multiple reports may provide important opportunities for health care leaders to support all team members.

Objective: To examine the distribution of physicians by specialty who demonstrate unprofessional behaviors measured through safety reports submitted by coworkers.

Design, Setting, And Participants: This retrospective cohort study was conducted among physicians who practiced at the 193 hospitals in the Coworker Concern Observation Reporting System (CORS), administered by the Vanderbilt Center for Patient and Professional Advocacy.

The Exact Stochastic Process of the Haploid Multi-Allelic Wright-Fisher Mutation Model.

Diffusion models are widely applied in population genetics, but their approximate solutions may not accurately capture the exact stochastic process. Nevertheless, this practice was necessary due to computing limitations, particularly for large populations. In this article, we develop the exact Markov chain algebra (MCA) for a discrete haploid multi-allelic Wright-Fisher model (MA-WFM) with a full mutation matrix to address this challenge.

Correlation challenges for North Sea offshore wind power: a Norwegian case study.

Offshore wind power projects are currently booming around the North Sea. However, there are inherent correlation challenges between wind farms in this area, which has implications for the optimal composition of locations and the scale-up of installed capacities. This paper is aimed at addressing the correlation problem by minimizing the variance of total wind power accumulated around the North Sea.

Spatial energy density of large-scale electricity generation from power sources worldwide.

This paper introduces the annual energy density concept for electric power generation, which is proposed as an informative metric to capture the impacts on the environmental footprint. Our investigation covers a wide range of sources classified by rated power and compares different regions to establish typical spatial flows of energy and evaluate the corresponding scalability to meet future net-zero emission (NZE) goals. Our analysis is conducted based on publicly available information pertaining to different regions and remote satellite image data.

Concussion in Head Trauma.

Concussion in the setting of facial trauma is an entity that can be overlooked. Having a high index of suspicion is critical in initial management and prompt treatment. Clinical signs can be common manifestations of a concussion.

Double-stranded RNA targeting vATPase B reveals a potential target for pest management of Henosepilachna vigintioctopunctata.

The development of genetic based techniques, specifically RNA interference (RNAi), has emerged as a powerful tool in novel pest management strategies for pestiferous coleoptera. The 28-spotted ladybird beetle, Henosepilachna vigintioctopunctata, is a dynamic foliar pest of solenaceous plants, primarily potato plants, and has quickly become one of the most important pests attacking many crops in Asian countries. In this study, we demonstrate the efficacy of dietary RNAi targeting vATPase B, which led to significant gene silencing.

Assessing the utility of yearly pre-season laboratory screening for athletes on a major professional sports team.

Objectives: Professional athletes undergo annual pre-season laboratory screening, although clinical evidence supporting the practice is limited and no uniform set of guidelines on pre-season laboratory screening exists. The aim of this study was to assess the clinical value of annual pre-season laboratory screening tests for a major professional sports team over multiple years.

Design: Retrospective chart review.

Assessment of Potential Risks of Dietary RNAi to a Soil Micro-arthropod, Sinella curviseta Brook (Collembola: Entomobryidae).

RNAi-based genetically engineered (GE) crops for the management of insect pests are likely to be commercialized by the end of this decade. Without a workable framework for conducting the ecological risk assessment (ERA) and a standardized ERA protocol, however, the utility of RNAi transgenic crops in pest management remains uncertain. The overall goal of this study is to assess the risks of RNAi-based GE crops on a non-target soil micro-arthropod, Sinella curviseta, which could be exposed to plant-protected dsRNAs deposited in crop residues.

Selection of reference genes for RT-qPCR analysis in a predatory biological control agent, Coleomegilla maculata (Coleoptera: Coccinellidae).

Reverse transcriptase-quantitative polymerase chain reaction (RT-qPCR) is a reliable technique for quantifying gene expression across various biological processes, of which requires a set of suited reference genes to normalize the expression data. Coleomegilla maculata (Coleoptera: Coccinellidae), is one of the most extensively used biological control agents in the field to manage arthropod pest species. In this study, expression profiles of 16 housekeeping genes selected from C.

Gut Transcription in Helicoverpa zea is Dynamically Altered in Response to Baculovirus Infection.

The Helicoverpa zea transcriptome was analyzed 24 h after H. zea larvae fed on artificial diet laced with Helicoverpa zea single nucleopolyhedrovirus (HzSNPV). Significant differential regulation of 1,139 putative genes (p < 0.

Direct touches to clear barriers: developmental sensitivity of a new measure of the production of ineffective responses in infancy.

Current interpretation of the object retrieval task ( Diamond, 1990 ) as an infant assessment of response inhibition requires evidence that younger infants make more ineffective attempts to retrieve toys through clear barriers. On two 30-second trials, infants (9 or 11 months of age) saw an inaccessible toy in the front or back of a clear box. The location of the infants touches corresponded with the toy's location and, on the second trial, the younger infants touched the box more.

Measurement of radial and axial high energy x-ray spectra in electron cyclotron resonance ion source plasmas.

Radial and axial x-ray measurements of electron cyclotron resonance ion sources operating at microwave frequencies of 6.4 and 14 GHz are presented. Results indicate a greater detected photon energy in the radial direction than the axial direction for both the 6.

The role of seed electrons on the plasma breakdown and preglow of electron cyclotron resonance ion source.

The 14 GHz Electron Cyclotron Resonance Ion Source at University of Jyväskylä, Department of Physics (JYFL) has been operated in pulsed mode in order to study the plasma breakdown and preglow effect. It was observed that the plasma breakdown time and preglow characteristics are affected by seed electrons provided by a continuous low power microwave signal at secondary frequency. Sustaining low density plasma during the off-period of high power microwave pulses at the primary frequency shifts the charge state distribution of the preglow transient toward higher charge states.

The effect of rf pulse pattern on bremsstrahlung and ion current time evolution of an ECRIS.

Time-resolved helium ion production and bremsstrahlung emission from JYFL 14 GHz ECRIS is presented with different radio frequency pulse lengths. rf on times are varied from 5 to 50 ms and rf off times from 10 to 1000 ms between different measurement sets. It is observed that the plasma breakdown occurs a few milliseconds after launching the rf power into the plasma chamber, and in the beginning of the rf pulses a preglow transient is seen.

Better working memory for non-social targets in infant siblings of children with Autism Spectrum Disorder.

We compared working memory (WM) for the location of social versus non-social targets in infant siblings of children with Autism Spectrum Disorders (sibs-ASD, n = 25) and of typically developing children (sibs-TD, n = 30) at 6.5 and 9 months of age. There was a significant interaction of risk group and target type on WM, in which the sibs-ASD had better WM for non-social targets as compared with controls.

Lawsonia intracellularis: humoral immune response and fecal shedding in weanling foals following intra-rectal administration of frozen-thawed or lyophilized avirulent live vaccine.

The humoral immune response and fecal shedding of Lawsonia intracellularis was investigated in 20 weanling foals following intra-rectal administration of frozen-thawed or lyophilized avirulent live L. intracellularis vaccine. Foals received either 30 mL frozen-thawed or lyophilized vaccine intra-rectally, given twice, 4 weeks apart.

Executive functioning demands of the object retrieval task for 8- month-old infants.

At 8 to 11 months of age, infants are more successful in negotiating opaque relative to transparent barriers. However, 7-month-old infants have more difficulty with opaque barriers relative to semitransparent barriers. Here, 8-month-old infants spent more time in ineffective direct reaches with more the transparent barriers (Experiments 1 & 2) and were faster with the fully opaque barrier (Experiment 2).

It Is Not Just About Location: Infants Perseverate to Container Shape During Object Search.

In searching for a toy hidden at a new location, infants will err by searching at the previously correct location. This study investigated the possibility that 8.5-month-old infants would perseverate on the basis of other visual features by which covers could be individuated.

Prenatal cocaine exposure and infant cognition.

The present study examined the relationship of prenatal cocaine exposure to infant information processing in the first year of life.In a prospective, longitudinal study of 177 cocaine-exposed and 175 non-exposed infants, the Fagan Test of Infant Intelligence (FTII) was used to measure attention, visual recognition memory and information processing speed at 6.5 and 12 months of age.

Prenatal drug exposure and selective attention in preschoolers.

Deficits in sustained attention and impulsivity have previously been demonstrated in preschoolers prenatally exposed to cocaine. We assessed an additional component of attention, selective attention, in a large, poly-substance cocaine-exposed cohort of 4 year olds and their at-risk comparison group. Employing postpartum maternal report and biological assay, we assigned children to overlapping exposed and complementary control groups for maternal use of cocaine, alcohol, marijuana, and cigarettes.

Prenatal cocaine/polydrug exposure and infant performance on an executive functioning task.

Executive functioning in cocaine/polydrug (marijuana, alcohol, tobacco) exposed infants was assessed in a single session, occurring between 9.5 and 12.5 months of age.

Executive functioning in preschool-age children prenatally exposed to alcohol, cocaine, and marijuana.

Background: Reports from clinical and experimental (animal) research converge on the suggestion that prenatal exposure to alcohol, cocaine, or marijuana undermines executive functioning (EF) and its neurological underpinnings. However, large, adequately controlled, prospective studies of alcohol and marijuana effects on EF have reported conflicting findings, and there have been no such studies of cocaine exposure.

Methods: EF was investigated in a cohort (n = 316) of 4-year-old children the majority of whose mothers had used varying combinations of cocaine, alcohol, and marijuana during pregnancy.

Determination of systolic blood pressure via pulse oximeter in transported pediatric patients.

Objective: To compare pulse oximetry waveform systolic blood pressure measurements (POWSBP) to measurements obtained by noninvasive blood pressure measurement (NIBPM) during the transport of children.

Design: A prospective, convenience sample.

Setting And Participants: All patients transported by a dedicated Pediatric Critical Care Transport Team were eligible for inclusion.