Wanted: pediatric nephrologists! — why trainees are not choosing pediatric nephrology

A workforce crisis for many pediatric specialties, particularly nephrology, is due to growing retirement rates, attrition during training, and retention difficulties. To obtain specific information regarding pediatric nephrology trainee shortages, we administered two cross-sectional surveys to non-renal pediatric subspecialty fellows and pediatric nephrology program directors. We characterized the fellows' experiences with nephrology and the program directors' experiences with their fellows as well as their outcomes in the last 10 years. We analyzed responses from 531 non-renal fellows (14.4% response rate). Overall, 317 (60%) fellows rated nephrology as difficult, particularly women (65.4% vs. 49.5%, p?p?=?0.001). More men than women (24% vs. 8%, p?相似文献   

Interindividual differences in brain dynamics of early visual processes: Impact on score accuracy in the mental rotation task

Interindividual variations in the ability to perform visuospatial mental transformations have been investigated extensively, in particular through mental rotation tasks. However, the impact of early visual processes on performance has been largely ignored. To clarify this issue, we explored the time-course of early visual processing (from 0 to 450 ms poststimulus) using event-related potentials topographic analyses. The main findings demonstrated a significant link between early attentional processes and accuracy scores occurring more than five seconds later, as well as a strong association between spatial covariance and microstate topographies exhibiting substantial gender differences. More specifically, the results indicated that, in a classical mental rotation task, the male brain expends more time processing visual-spatial information resulting in a longer bilateral positive potential at posterior-occipital sites. In comparison, the female brain initiates earlier processing of non-spatial information resulting in a faster transition from a bilateral positive potential of posterior-occipital sites to a negative potential at central-frontal sites. These findings illustrate how a more complete utilization of the spatiotemporal information contained in EEG recordings can provide important insights about the impact of early visual processes on interindividual differences, particularly across gender, and thus shed new light on alternate cognitive strategies.     

Pride in all Who Served: Development,Feasibility, and Initial Efficacy of a Health Education Group For LGBT Veterans

ABSTRACT

Many of the more than 1 million military veterans who identify as lesbian, gay, bisexual, and/or transgender (LGBT) have encountered “rejecting experiences in the military” and stigma from prior “Don’t Ask Don’t Tell” policies. Associated minority stress and social isolation have been linked to a disproportionate risk for depression and suicide, as well as a reluctance to seek medical care at Veterans Health Administration (VHA) facilities. This paper describes feasibility and preliminary outcomes of the newly developed, Pride in All Who Served Health Education Group created to meet the unique needs of sexual and gender minority veterans. The 10-week, closed, health education group (e.g., continuums of identity, military culture) enables open dialogue, fosters social connectedness, and empowers veterans to be more effective self-advocates within the healthcare system. Feedback from formative evaluations (n = 29 LGBT veterans and n = 25 VHA stakeholders) was incorporated before conducting a small scale, non-randomized pilot. Preliminary pre-post surveys (n = 18) show promise (i.e., Cohen’s d range ± 0.40 to 1.59) on mental health symptoms (depression/anxiety, suicidal ideation), resilience indicators (identity affirmation, community involvement, problem-focused coping), and willingness to access care within the VA system (satisfaction with VA services, perception of staff competence). Results suggest that the 10-week Pride Group may be an effective tool for addressing minority-related stress in LGBT veterans. A full-scale, randomized clinical trial of this intervention is needed to determine short and long-term impacts on clinical and healthcare access-related outcomes.     

Diversity of human lip prints: a collaborative study of ethnically distinct world populations

Background: Cheiloscopy is a comparatively recent counterpart to the long established dactyloscopic studies. Ethnic variability of these lip groove patterns has not yet been explored.

Aim: This study was a collaborative effort aimed at establishing cheiloscopic variations amongst modern human populations from four geographically and culturally far removed nations: India, Saudi Arabia, Spain and Nigeria.

Subjects and methods: Lip prints from a total of 754 subjects were collected and each was divided into four equal quadrants. The patterns were classified into six regular types (A–F), while some patterns which could not be fitted into the regular ones were segregated into G groups (G-0, G-1, G-2). Furthermore, co-dominance of more than one pattern type in a single quadrant forced us to identify the combination (COM, G-COM) patterns.

Results and conclusion: The remarkable feature noted after compilation of the data included pattern C (a bifurcate/branched prototype extending the entire height of the lip) being a frequent feature of the lips of all the populations studied, save for the Nigerian population in which it was completely absent and which showed a tendency for pattern A (a vertical linear groove) and a significantly higher susceptibility for combination (COM) patterns. Chi-square test and correspondence analysis applied to the frequency of patterns appearing in the defined topographical areas indicated a significant variation for the populations studied.     

Considering the Needs of Older Sexual and Gender Minority People

Sexual and gender minority older adults face unique challenges in health care and are at greater risk for poor health outcomes. The aging population is growing significantly. Nurse practitioners have an opportunity to address the specific challenges associated with family and social support, unique relationships, sexuality and its implications, the lack of community resources, housing including long-term care, end-of-life and palliative care disparities for these populations.