Responding to Interprofessional Microaggressions: Bystander Training-A Virtual Simulation Curriculum for Internal Medicine Residents.

Introduction: Literature demonstrates the detrimental impact of discrimination and microaggressions at personal and institutional levels in the health care workplace. Residents in our program requested curricula to help with addressing manifestations of bias. In response, we designed and implemented an adaptable and reproducible 4-hour virtual simulation session aimed at helping residents identify and constructively respond to microaggressions.

Optimizing leaf nutrient status, growth, and yield parameters in high-density apple orchards (cv. Super chief) via integrated drip irrigation and fertigation techniques.

Nutrients and water are important ecophysiological components for apples' development and productivity. The combination of high-density plantation, drip irrigation, and weekly fertigation not only conserves irrigation water, but also reduces cultivation costs compared to conventional methods. Leaf nutrient analysis provides insight into nutrient levels and assists in determining irrigation and fertigation schedules.

Sleep hygiene a neglected paediatric identity - A cross-sectional study.

Background: Sleep is the physiological need of any human being; its role in paediatric mental and physical development is irreplaceable. However, in recent days, the rising trend of childhood obesity makes it essential to assess the sleep hygiene of the children to know if there is any adjacent association.

Objectives: 1.

More specific feedback: why "confidence" in feedback is too ambiguous.

High quality feedback should be delivered in a timely manner, based on specific direct observation, and formulated to be actionable on the part of the trainee. Utilizing "confidence" as a point of feedback does not meet these criteria given the ambiguity and lack of actionable steps towards improvement. "Confidence"-based feedback makes a judgment about the trainee's internal state leading to potentially gender or culturally biased feedback.

Physiological and perceptual auditory consequences of hunting-related recreational firearm noise exposure in young adults with normal hearing sensitivity.

Purpose: The objective of the current study was to describe outcomes on physiological and perceptual measures of auditory function in human listeners with and without a history of recreational firearm noise exposure related to hunting.

Design: This study assessed the effects of hunting-related recreational firearm noise exposure on audiometric thresholds, oto-acoustic emissions (OAEs), brainstem neural representation of fundamental frequency (F0) in frequency following responses (FFRs), tonal middle-ear muscle reflex (MEMR) thresholds, and behavioral tests of auditory processing in 20 young adults with normal hearing sensitivity.

Results: Performance on both physiological (FFR, MEMR) and perceptual (behavioral auditory processing tests) measures of auditory function were largely similar across participants, regardless of hunting-related recreational noise exposure.