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Implicit bias is a potential factor in the severity of examinee rating during oral examinations. Ratings may be impacted by examinee characteristics, such as gender, that are independent of examinee knowledge base, clinical judgment, or test-taking ability. The effects of examiner-examinee gender concordance in the Vascular Surgery Certifying Examination (VCE) have not been previously studied. We explored whether examiner ratings and likelihood of passing the examination were influenced by gender concordance among examiners and examinees. Data collected from examinees who first attempted the VCE between 2018 and 2023 were analyzed. There were 1005 examinees (69.3% male and 30.1% female) and 121 examiners (71.9% male, and 28.1% female). Linear mixed-effects models and generalized linear mixed-effects models were used to evaluate the effects of examinee and examiner gender on VCE ratings and likelihood of passing the examination. Examiner-examinee gender concordance had no significant impact on examiner ratings or likelihood of passing the examination. In addition, examinee gender alone had no significant impact on VCE rating or pass rates. Only Vascular Qualifying Examination scores explained more than 1% of the variance in total VCE scores for the gender model (F (1, 1003.5) = 71.08, P <.01, R 2 = 3%). Vascular Qualifying Examination scores were positively related to total VCE scores. Although implicit bias has the potential to impact examiner scoring, there is no evidence that this is the case with respect to gender in the VCE of the American Board of Surgery. [ABSTRACT FROM AUTHOR]

This work presents neutronics models of a small and large fast-spectrum molten chloride-salt reactor. The models are similar to designs being pursued by industry, and they may serve as generic preconceptual and simplified neutronics models that provide information for decision making in licensing-related areas. The two models were created using Serpent, a Monte Carlo neutron transport code, and Moltres, a neutron diffusion core simulator tool. Specifically, this study focused on exploring the applicability of diffusion theory to fast molten salt reactor (MSR) models, the capabilities of an open-source, MSR-oriented simulation tool (Moltres), and optimal energy-group structures. The proposed two-step method involves group-constant generation with Serpent and a multigroup diffusion solution by Moltres. Three energy-group structures were applied. The accuracy of the solutions was determined through comparisons between the two-step and Monte Carlo flux and multiplication factor solutions. The findings indicated diffusion theory captures neutronics with minimal error for the large MSR and yielded best results with the 27-group structure. The 27-group structure yielded an average group flux error below 2% and keff agreement between diffusion and transport solutions within 30 pcm. The accuracy of the two-step method decreased for the very small (high-leakage) fast chloride MSR, but the neutronics were captured acceptably well with the 33-group structure. In addition to exploring the capabilities of Moltres, this work contributes to the sparse literature involving open-source models of fast-spectrum MSRs. Future work is noted as expanding the capabilities of the neutronics models to incorporate thermal hydraulics. [ABSTRACT FROM AUTHOR]

Vesicular stomatitis virus (VSV) outbreaks periodically occur in livestock in the western US and are thought to originate from outside this country. Feral swine (Sus scrofa) have been identified as an amplifying host for vesicular stomatitis New Jersey virus (VSNJV) and have been used to better understand the epidemiology of this virus through serosurveillance. This study aimed to determine if antibodies to vesicular stomatitis Indiana virus (VSIV) and VSNJV were present in feral swine in the western US and to determine if seropositive animals were associated with areas of previously detected VSV in livestock. A total of 4,541 feral swine samples was tested using virus neutralization (VN); samples exhibiting neutralizing activity against one or more of the viruses were confirmed using competitive ELISA (cELISA). Eight sera exhibited neutralizing activity by VN assay and a single serum sample from an animal from Kinney County, Texas sampled in December 2019 tested positive for antibodies to VSIV by cELISA. This finding is supported by a local outbreak of VSIV in horses in the same county in June 2019. The low prevalence of antibodies against VSNJV and VSIV was unexpected but indicates that feral swine in the western US do not represent an endemic reservoir for either of these viruses. [ABSTRACT FROM AUTHOR]

High-temperature, gas-cooled reactors (HTGRs) are promising advanced reactor designs. Leveraging passive safety features, higher core outlet temperatures, previous commercial operational experience, and potential coupling with nonelectrical systems, HTGRs present many advantages over traditional light water reactors and other advanced reactor designs. The High-Temperature, Gas-Cooled Test Reactor (HTGR-TR) is a point design developed by Idaho National Laboratory as a response to the need for the expansion of U.S. test reactor capabilities. The HTGR-TR was designed to serve as a test reactor for Generation-IV small modular prismatic block HTGRs and to provide irradiation data, two crucial contributions to the development of advanced reactors. As in any reactor design, it is necessary to understand the behavior of the reactor during accident scenarios to determine the overall safety of the design. Pressurized loss of forced cooling (PLOFC) and depressurized loss of forced cooling (DLOFC) are two accidents that can occur in HTGRs and that present challenges to decay heat removal. In order to understand the behavior of the fuel during these accidents, the resulting mechanical behavior and fission product migration in the fuel are evaluated. Using the HTGR-TR design, which utilizes tristructural isotropic (TRISO) fuel, a multiphysics analysis during the PLOFC and DLOFC transients was performed. This study utilizes neutronics, thermal hydraulics, and fuel performance modeling to analyze the behavior of TRISO particles during steady-state operation and the described transients. This analysis aims to characterize the hoop stress and strain during the transients, as well as predict fission product migration and radiological release. Due to the startup conditions of the HTGR-TR, the silicon carbide (SiC) layer for both of the transients and steady-state conditions are initially in compression for both the hoop stress and strain. The DLOFC transient at the beginning of cycle was the most challenging overall to the fuel, having the closest to tensile behavior and the closest to tensile strain. Because the integrity of the SiC layer was not challenged during any of the transients, the release of 90Sr and 137Cs was found to be negligible. The PLOFC transient at the end of cycle resulted in the largest 110mAg release and subsequent radioactivity increase. However, the increase in radioactivity was minor when compared to typical operating conditions due to the relatively large diffusivity of 110mAg though SiC at normal operating temperatures. Highlights include Neutronics and thermal-hydraulic modeling generating steady-state and transient conditions for use in fuel performance analysis.2. Detailed BISON analysis demonstrating the excellent performance of TRISO fuel during PLOFC and DLOFC transients.3. Fuel behavior showing negligible fission product release. [ABSTRACT FROM AUTHOR]

As agricultural educators continue to seek methods of instruction to make learning impactful for students, service-learning has emerged as a desirable technique for meeting these educational objectives. A gap in the agricultural education literature exists, however, in terms of describing whether these learning experiences motivate students intrinsically. This investigation sought to describe FFA members' level of intrinsic motivation resulting from participation in a service-learning activity, specifically the 2013 National FFA Days of Service. Deci and Ryan's Self-Determination Theory (SDT) served as the theoretical base for understanding FFA members intrinsic motivation through three empirically based constructs--interest, value, and perceived choice. Results from the study indicate FFA members were interested in and valued their service-learning experience; however, they had varied views in terms of their choice to participate. Findings also indicate a congruency between tenets of service-learning and axioms of SDT. We, therefore, offer the Intrinsic Service Learning Model in hopes of assisting practitioners of this pedagogical technique with delivering an intrinsically motivated service-learning experience for agricultural education students.

This article provides a case study of tutor's reflection on practice leading to a different approach to teaching an introductory course on politics and policy at a major Australian university, aimed at better reaching disengaged students. The overhaul led to higher levels of constructive student engagement in the tutorials, resulting in improved student and learning outcomes. Tutors, with their broad face-to-face and individual contact, have the means to assess student engagement and understanding in ways not always available to lecturers. As such, they can support holistic curriculum development if they are seen as relevant stakeholders in this process. The article demonstrates the value of seeing tutorials and tutors as an integral consideration in curriculum development.

This article explores the roles of potential transition team members as expressed by students via a social support survey and semi-structured interviews. The sample included eight male students with EBD served primarily in self-contained special education settings at three high schools. Results from the survey indicated that students received most support from teachers and close friends even though support from parents was rated as most important. Additional themes emerged from interviews, including the overarching theme that students tended to prefer support from individuals who were caring, motivational, and personal. In many cases, students had negative perceptions or limited interaction with potential transition team members. Implications for practice and future research related to student-centered planning and stakeholder coordination are discussed.

Students with autism attend two-year colleges at a significantly greater rate than four-year institutions. As these prospective and current students engage with two-year colleges, websites are an important digital platform to assess inclusivity and campus climate. The digital environment is particularly important because many autistic individuals prefer to engage in written communication. We employed a critical content analysis to understand the digital campus climate at public two-year colleges (n = 94) by analyzing website content that colleges use to describe autism. Findings show that the digital campus climate was unwelcoming for the vast majority of prospective and current students with autism. Autism was omitted from 29.8% of institutional websites. Colleges located in the eastern or western areas of the United States had lower rates of omission. When references to autism were present, website content used medical and legal language to depict autistic students as deficient. Institutional websites othered students by objectifying autism and using volunteer or charity work to frame autism as outside of normalcy. Text written by autistic people (students, alumni, staff, or organizations) was absent from all but one institutions' website. Implications for practitioners include addressing institutionalized ableism by modifying websites to include autism-specific content, removing deficit narratives, and amplifying autistic agency by including material written by autistic individuals.

In this chapter, we address accessibility of assessment. We focus on the process of assessment and offer guidelines for practitioners to consider as they design and implement assessments, analyze data, and use assessment data to make decisions. We explore these considerations through examples from recent multi-institutional studies.

This chapter describes the goals and structure of a service-learning experience integrated into a medical education curriculum. The curricular innovation fosters student understanding of social accountability, interprofessional teamwork as well as social determinants of health and can serve as an educational model for training future providers.

We provide a protocol for rapid DNA extraction from spiders suitable for undergraduate practical sessions. Students who were previously naïve to the theory and laboratory technique of DNA barcoding were successfully able to extract and recover 29 DNA sequences from 16 species of small spiders in the family Linyphiidae. We anticipate that with careful selection of specimens, undergraduate students could participate in sessions which both benefit their professional development and further taxonomic understanding across a variety of organisms.

Rahman and Shpilrain proposed a Diffie–Hellman style key exchange based on a semidirect product of n×nn\times n-matrices over a finite field. We show that, using public information, an adversary can recover the agreed upon secret key by solving a system of n2{n}^{2} linear equations.

BackgroundIbrutinib compared with ofatumumab significantly improves progression-free and overall survival in patients with previously treated chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL).Patients and methodsMeasures of well-being were assessed in RESONATE, where previously treated patients with CLL/SLL were randomized to receive ibrutinib 420 mg/day (n = 195) or ofatumumab (n = 196) for up to 24 weeks. Endpoints included hematologic function, Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F), disease-related symptoms, European Organization for Research and Treatment of Cancer Quality of Life Questionnaires Core 30 (EORTC QLQ-C30), and medical resource utilization.ResultsWith up to 24 months' follow-up (median, 16.4 months), 79% of cytopenic patients showed sustained hematologic improvement (82% with improved platelet count, 69% with improved hemoglobin) on ibrutinib versus 43% on ofatumumab (P < .0001). Higher rates of clinically meaningful improvement were demonstrated with ibrutinib versus ofatumumab for FACIT-F and EORTC global health. Greater improvement was observed in disease-related weight loss, fatigue, night sweats, and abdominal discomfort with ibrutinib versus ofatumumab. Hospitalizations in the first 30 days occurred less frequently with ibrutinib than ofatumumab (0.087 vs. 0.184 events/patient; P = .0198). New-onset diarrhea was infrequent with ibrutinib after the first 6 months (47% at ≤6 months vs. 5% at 12-18 months). With ibrutinib, grade ≥ 3 hypertension occurred in 6%, grade ≥ 3 atrial fibrillation in 4%, major hemorrhage in 2%, and tumor lysis syndrome in 1% of patients.ConclusionIbrutinib led to significant improvements in hematologic function and disease symptomatology versus ofatumumab, and can restore quality of life while prolonging survival in relapsed/refractory CLL/SLL.

Qualitative differences in the innate and adaptive responses elicited by different HIV vaccine candidates have not been thoroughly investigated. We tested the ability of the Aventis Pasteur live recombinant canarypox vector (ALVAC)-SIV, DNA-SIV and Ad26-SIV vaccine prime modalities together with two ALVAC-SIV + gp120 protein boosts to reduce the risk of SIVmac251 acquisition in rhesus macaques. We found that the DNA and ALVAC prime regimens were effective, but the Ad26 prime was not. The activation of hypoxia and the inflammasome in CD14+CD16- monocytes, gut-homing CCR5-negative CD4+ T helper 2 (TH2) cells and antibodies to variable region 2 correlated with a decreased risk of SIVmac251 acquisition. By contrast, signal transducer and activator of transcription 3 activation in CD16+ monocytes was associated with an increased risk of virus acquisition. The Ad26 prime regimen induced the accumulation of CX3CR1+CD163+ macrophages in lymph nodes and of long-lasting CD4+ TH17 cells in the gut and lungs. Our data indicate that the selective engagement of monocyte subsets following a vaccine prime influences long-term immunity, uncovering an unexpected association of CD14+ innate monocytes with a reduced risk of SIVmac251 acquisition.

In type 2 diabetes, amyloid oligomers, chronic hyperglycemia, lipotoxicity, and pro-inflammatory cytokines are detrimental to beta-cells, causing apoptosis and impaired insulin secretion. The histone acetyl transferase p300, involved in remodeling of chromatin structure by epigenetic mechanisms, is a key ubiquitous activator of the transcriptional machinery. In this study, we report that loss of p300 acetyl transferase activity and expression leads to beta-cell apoptosis, and most importantly, that stress situations known to be associated with diabetes alter p300 levels and functional integrity. We found that proteasomal degradation is the mechanism subserving p300 loss in beta-cells exposed to hyperglycemia or pro-inflammatory cytokines. We also report that melatonin, a hormone produced in the pineal gland and known to play key roles in beta-cell health, preserves p300 levels altered by these toxic conditions. Collectively, these data imply an important role for p300 in the pathophysiology of diabetes.

Terahertz (THz) imaging of corneal tissue water content (CTWC) is a proposed method for early, accurate detection and study of corneal diseases. Despite promising results from ex vivo and in vivo cornea studies, interpretation of the reflectivity data is confounded by the contact between corneal tissue and rigid dielectric window used to flatten the imaging field. This work develops a novel imaging system and image reconstruction methods specifically for nearly spherical targets such as human cornea. A prototype system was constructed using a 650 GHz multiplier source and Schottky diode detector. Resolution and imaging field strength measurement from characterization targets correlate well with those predicted by the quasioptical theory and physical optics analysis. Imaging experiments with corneal phantoms and ex vivo corneas demonstrate the hydration sensitivity of the imaging system and reliable measurement of CTWC. We present successful acquisition of non-contact THz images of in vivo human cornea, and discuss strategies for optimizing the imaging system design for clinical use.

Heavy alcohol consumption is an established risk factor for hypertension; the mechanism by which alcohol consumption impact blood pressure (BP) regulation remains unknown. We hypothesized that a genome-wide association study accounting for gene-alcohol consumption interaction for BP might identify additional BP loci and contribute to the understanding of alcohol-related BP regulation. We conducted a large two-stage investigation incorporating joint testing of main genetic effects and single nucleotide variant (SNV)-alcohol consumption interactions. In Stage 1, genome-wide discovery meta-analyses in ≈131K individuals across several ancestry groups yielded 3,514 SNVs (245 loci) with suggestive evidence of association (P < 1.0 x 10-5). In Stage 2, these SNVs were tested for independent external replication in ≈440K individuals across multiple ancestries. We identified and replicated (at Bonferroni correction threshold) five novel BP loci (380 SNVs in 21 genes) and 49 previously reported BP loci (2,159 SNVs in 109 genes) in European ancestry, and in multi-ancestry meta-analyses (P < 5.0 x 10-8). For African ancestry samples, we detected 18 potentially novel BP loci (P < 5.0 x 10-8) in Stage 1 that warrant further replication. Additionally, correlated meta-analysis identified eight novel BP loci (11 genes). Several genes in these loci (e.g., PINX1, GATA4, BLK, FTO and GABBR2) have been previously reported to be associated with alcohol consumption. These findings provide insights into the role of alcohol consumption in the genetic architecture of hypertension.