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Cost considerations and applicant characteristics for the Pediatric Surgery Match.

BACKGROUND/PURPOSE: Formal training in pediatric surgery is highly competitive. The limited number of accredited positions has historically favored applicants with basic science experience, numerous publications, national presentations, and exposure to well-known pediatric surgeons. This review analyzes characteristics of successful applicants and cost associated with the Match. METHODS: A survey was e-mailed to 45 applicants after the 2003 Match. Geographic provenance, demographics, qualifications, costs, and valued program characteristics were assessed. Statistics were formulated by chi2 and Student's t test. RESULTS: Thirty-six applicants (80%) responded. Successful characteristics for matched vs unmatched included number of publications, 11.2 vs 5.7 (P < .01); first-author designation, 6.4 vs 3.1 (P = .02); basic science papers, 5.7 vs 1.7 (P < .01); national presentations, 5.8 vs 2.4 (P = .02); and presentations at pediatric surgical meetings, 2.0 vs 0.6 (P = .04). Ninety percent of matched applicants took time off to perform basic science research (P < .01). Average candidate expense was $6974, which represented 14% of pretax salary. Forty-one percent of applicants noted that cost limited the number of interviews taken. Fifty percent preferred a regional interview process to limit expense. Candidates ranked case diversity, volume, and mentor's advice as the most valued program characteristics. Successful applicants matched at their fifth rank on average. Eighty-six percent of unsuccessful applicants will reapply. CONCLUSIONS: Results of this study are important to those interested in the future of pediatric surgery. Successful applicants were shown to have several national presentations and multiple scientific publications, especially in basic sciences. Applicant costs are high, totaling more than $236,000 for survey respondents.

Adult↗

Base units of the SI, fundamental constants and modern quantum physics.

Over the past 40 years, a number of discoveries in quantum physics have completely transformed our vision of fundamental metrology. This revolution starts with the frequency stabilization of lasers using saturation spectroscopy and the redefinition of the metre by fixing the velocity of light c. Today, the trend is to redefine all SI base units from fundamental constants and we discuss strategies to achieve this goal. We first consider a kinematical frame, in which fundamental constants with a dimension, such as the speed of light c, the Planck constant h, the Boltzmann constant k(B) or the electron mass m(e) can be used to connect and redefine base units. The various interaction forces of nature are then introduced in a dynamical frame, where they are completely characterized by dimensionless coupling constants such as the fine structure constant alpha or its gravitational analogue alpha(G). This point is discussed by rewriting the Maxwell and Dirac equations with new force fields and these coupling constants. We describe and stress the importance of various quantum effects leading to the advent of this new quantum metrology. In the second part of the paper, we present the status of the seven base units and the prospects of their possible redefinitions from fundamental constants in an experimental perspective. The two parts can be read independently and they point to these same conclusions concerning the redefinitions of base units. The concept of rest mass is directly related to the Compton frequency of a body, which is precisely what is measured by the watt balance. The conversion factor between mass and frequency is the Planck constant, which could therefore be fixed in a realistic and consistent new definition of the kilogram based on its Compton frequency. We discuss also how the Boltzmann constant could be better determined and fixed to replace the present definition of the kelvin.

International System of Units↗

A narratological methodology for identifying archetypal story patterns in autobiographical narratives.

Based on Jung's definition of archetype the concept 'archetypal story pattern' is developed as well as a research method drawing on narrative analysis and biographical research to identify these archetypal story patterns in life stories. Jung pointed out that personal myths, archetypal patterns found, e.g., in mythology, can govern the life course of individuals unconsciously. In the Theory of Narrative Identity comparable concepts have been mentioned but were never fully developed. In my research I try to combine Jung's concept of the archetype with the elaborated methodology of narrative analysis. Archetypes can manifest as narratives and the identity construction of a person via narrating the life story can be influenced or even totally structured by archetypal stories which give a specific form as well as a specific meaning to the person's identity. The method of extracting an underlying archetypal pattern from an autobiographical narrative is demonstrated. The results of the research on 20 autobiographical interviews and the inherent archetypal patterns are summarized. The major aim of this paper is to describe in detail the application of a well established method of the social sciences on a key concept of Jungian psychology to show that these concepts can be integrated into recent research frameworks of academic sciences. On the other hand it shows that Jungian concepts can be investigated through established and well defined research methods in empirical research settings.

Anecdotes as Topic↗

[Thomas H.Huxley--the naval doctor who became Darwin's bulldog].

Thomas H. Huxley (1825-1895) was an English physician and biologist who had a deep impact on the Victorian age. More than any other at his time he introduced scientifically based values. As a member of London's school board he brought science into the curriculum, encouraging school-children to ask questions and to make their own observations. Huxley came from a lower middle class family with little money. By sheer determination and hard work he managed to get a medical education at Charing Cross Hospital Medical School. He then obtained a posting on H.M.S. Rattlesnake, which gave him a chance to explore the southern seas and to study marine species. The results were published by the Royal Society of which Huxley became a member at the age of 26, and later its president. After several years of uncertainty he secured a position at the Royal School of Mines, which he transformed into the Imperial College of Science. He was a prolific scientist with wide interests, doing valuable work in paleontology, taxonomy and ethnology. Huxley wrote numerous essays on philosophy and scientific subjects. He coined the word agnostic to explain his attitude to Christian dogma. His style was clear and direct, and his essays still read very well. However, Huxley is now mostly, perhaps unfairly, remembered for his defence of Darwin's theory of evolution. In his book Evidence as to man's place in nature, Huxley, in contrast to Darwin, deals with the evolution of humans, mainly based on comparative anatomy. Huxley advocated a firmly held belief that scientific truths will have a liberating effect on the minds of men. His lectures on scientific subjects attracted large audiences of people who had not had the benefit of a higher education.

Anatomy, Comparative↗

Bioethics, theology, and social change.

Recent years have witnessed a concern among theological bioethicists that secular debate has grown increasingly "thin," and that "thick" religious traditions and their spokespersons have been correspondingly excluded. This essay disputes that analysis. First, religious and theological voices compete for public attention and effectiveness with the equally "thick" cultural traditions of modern science and market capitalism. The distinctive contribution of religion should be to emphasize social justice in access to the benefits of health care, challenging the for-profit global marketing of research and biotechnology to wealthy consumers. Second, religion and theology have been and are still socially effective in sponsoring activism for practical change, both locally and globally. This claim will be supported with specific examples; with familiar concepts like subsidiarity and "middle axioms"; and with recent analyses of "participatory democracy" and of emerging, decentralized forms of global governance.

Bioethics↗

[The medical world of Juan Gil de Zamora's Historia Naturalis (ca. 1275-1296)].

The article describes the authors and works which were quoted by the Franciscan Juan Gil de Zamora in his Historia naturalis, a scientific encyclopaedia written between c. 1275 and before 1296, probably in the Franciscan monastery of Zamora (Kingdom of Castille). Juan Gil made wide use of the Avicenna's Canon, Gilbertus de Aquila (Anglicus)'s Compendium medicine, and Salernitan medical literature. His work contributed to the diffusion of these medical authors and works throughout the Christian intellectual milieu of late medieval Castille. This diffusion was not without problems.

Catholicism↗

Semicentennial tribute to the ingenious neurobiologist Christfried Jakob (1866-1956). 2. Publications from the second Argentina period, 1913-1949.

Christofredo (also Christfried or Christian) Jakob is considered the father of neurology, neurobiology and forensic histopathology in Argentina, where he initially worked between 1899-1910 and then from 1913 onwards. He held professorships of neurobiology at the Faculty of Humanities and Educational Sciences of the University of La Plata and of anatomy and biology at the University of Buenos Aires, and established one of the most important neuropathological laboratories in South America. In the latter phase of his career, Jakob published important works on the pathological anatomy of neurological and neuropsychiatric disorders and formalized ideas on consciousness and neurophilosophy.

Books↗

[Miraculous recoveries in the frescoes of the Decani Monastery].

Serbian medieval medicine can be said to have the same characteristics as western medicine of those times in terms of practical medical science, whereas the ancillary medical branches were under Byzantine influence. Besides the compositions of Christ's miracles and paraboles are underlying part of the fresco/painting, the scenes of Christ's miraculous recoveries have an important place in the christian iconography of the New Testament events. One of the most impressive cycles of Christ's miracles in the Serbian and Byzantine medieval art was painted in c. 1340 year in the church dedicated to the Ascension of Lord Christ at Dechani Monastery and constructed between 1327 and 1335. A considerable number of 22 frescoes of different artistic value and technique displays the miraculous recovery of patients afflicted by various chronic ailments: paralytics (razlabljeni), lepers, and handicapped (blind, lame and deaf). One scene presents the bleeding (krvotociva) women. Scenes of recovery from nervous and mental diseases are especially impressive. Patients with atrophic arm, these with hemiplegy, epilepsy, an somnambulist boy, lunatics and possessed are there painted. The magnificent compositions of the miraculous recovery of a patient with ascites (debela, vodena bolest) and these affected by disorders of mainly neuromuscular and locomotor systems are performed by talented masters. The King Stefan Urosh Dechanski Third (1322-1331) founded the hospital in the Dechani Monastery, as a purely medical institution for providing treatment. This hospital was organized and modelled on the hospital in the Pantocrator Monastery in Constantinople. His biographer Gregory Camblak described that this hospital took in patients suffering from epilepsy (svestenoga neduga radi stradalcem) and serious nervous disorders, lepers, cripples, paralytics and those with lung diseases. Regardless of differences in the artistic level, most of these frescoes are impressively natural and realistic. This supports the ascertain that masters painted even some of patients from Monastery Hospital. The scenes of Christ's miraculous recoveries in the Dechani Monastery are undoubtelly significant for both the cultural history and the Serbian medieval medicine. This considerable cycle of the monumental painting and frescoes with medical matter, constitutes the basis for research of the Serbian medicine of the Middle-Ages.

Catholicism↗

The use of MassARRAY technology for high throughput genotyping.

This chapter will explore the role of mass spectrometry (MS) as a detection method for genotyping applications and will illustrate how MS evolved from an expert-user-technology to a routine laboratory method in biological sciences. The main focus will be time-of-flight (TOF) based devices and their use for analyzing single-nucleotide-polymorphisms (SNPs, pronounced snips). The first section will describe the evolution of the use of MS in the field of bioanalytical sciences and the protocols used during the early days of bioanalytical MALDI TOF mass spectrometry. The second section will provide an overview on intraspecies sequence diversity and the nature and importance of SNPs for the genomic sciences. This is followed by an exploration of the special and advantageous features of mass spectrometry as the key technology in modern bioanalytical sciences in the third chapter. Finally, the fourth section will describe the MassARRAY technology as an advanced system for automated high-throughput analysis of SNPs.

Databases, Nucleic Acid↗

Kinetics of insulin adsorption at the oil-water interface and diffusion properties of adsorbed layers monitored using fluorescence correlation spectroscopy.

The adsorption of insulin at an oil-water interface was studied with fluorescence correlation spectroscopy (FCS). FCS is able to measure diffusion properties of insulin at nanomolar concentrations, making it possible to detect the very early steps in the adsorption process. Below 20 nM bulk insulin concentration, the insulin molecules adsorbed to the surface diffuse freely at all times during the experiment (a few hours). At higher concentrations, a surprisingly abrupt transition to a slow diffusion phase is observed. Based on the information about both diffusion times and molecular brightness derived from the FCS experiments, we suggest that the transition represents the formation of a fractal network. FCS may be a valuable tool in pharmaceutical formulation science, because it provides information about concentration buildup and phase changes at interfaces formed in drug delivery systems.

Adsorption↗

Cultural links between Salerno and Montecassino.

A meeting on the History of Nephrology is an opportunity to discuss the links between science and faith which were split until the 6th century. However, this was changed by Cassiodorus and monasticism. From the times of Abbot Bertario (died 883 AD) in Montecassino, medicine was regarded as an art and a science. Codex 97 from Cassino offers a program of professional deontology, based on sensitivity, discretion, respect and responsiveness to the need of patients.

Christianity↗

Defining life: the ethical context for human quality questions.

The links between ethics, medicine and the law cannot readily produce appropriate criteria for human quality questions, largely because ethics are misconstrued where they are not excluded; but also because the science at issue is full of unknowns. The paper surveys issues in eugenics, abortion and euthanasia.

Abortion, Eugenic↗

Snoring, intermittent hypoxia and academic performance in primary school children.

Sleep-disordered breathing is associated with impaired attention and neurocognitive deficits. We assessed the association of snoring and intermittent hypoxia with poor academic performance in third grade school children (1,144 children). Snoring frequency and intermittent hypoxia were investigated using parental questionnaire and nocturnal home pulse oximetry. Intermittent hypoxia was specified as desaturation events of 90% or less pulse oximeter saturation. Poor academic performance was defined as grade 4-6 on a six-point scale (i.e., approximately the lowest quintile grades) in mathematics, science, reading, spelling, and/or handwriting in the most recent school report. Snoring "always" was significantly associated with poor academic performance in mathematics (odds ratio; 95% confidence interval: 3.6; 1.3-10.1), science (4.3; 1.3-14.6), and spelling (3.5; 1.2-10.3). Snoring "frequently" was also significantly associated with poor academic performance in mathematics (2.4; 1.3-4.7) and spelling (2.0; 1.04-3.8). A significant relationship between snoring and poor academic performance was also found in children without intermittent hypoxia, whereas intermittent hypoxia did not show an independent association with poor academic performance. Thus, habitual snoring (i.e., snoring frequently or always) was associated with poor academic performance in these primary school children.

Achievement↗

Experimental advances for high-speed evaluation of electron densities.

Evaluating electron densities of entire classes of chemically or biologically related compounds is within reach thanks to advances in high-speed high-resolution synchrotron diffraction: a 12 h sequence of diffraction experiments has been conducted at the beamline X10SA of the Swiss Light Source (SLS). It resulted in four high-resolution X-ray data sets used for experimental electron density determinations of the two halogenated fullerenes C60F18 and C60Cl30, the Watson and Crick base pair adenine-thymine and the tripeptide L-Ala-Gly-L-Ala. Application is considered relevant for life sciences where the study of structure-guided biological recognition processes can now be completed by electronic information of entire series of molecules.

Adenine↗