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Purpose: To perform a scoping review to determine what is known about emotional intelligence (EI) in undergraduate medical education (UME). Two main questions were asked: (1) What medical student characteristics are associated with EI? Are there correlations with demographic or other factors?; and (2) What research studies have been done on EI in UME? For example, is there evidence EI changes over time as a result of personal experiences? Should EI be used as an admission criterion? Can EI improve as a result of experiences or deliberate interventions? Method: The authors searched four databases (PubMed, PsycInfo, Education Resources Information Center, and Web of Science) for all papers published up to and including December 2020. Two reviewers independently screened articles to determine if they met inclusion criteria. All authors extracted and analyzed data. Results: A set of 1520 papers on the topic of emotional intelligence was identified, with 119 papers meeting inclusion criteria. Most studies were done at international locations with only 17 done at US medical schools. Seventy-five were cohort or cross-sectional studies. Study populations were mixed among the studies, with year of medical study, inclusion of other healthcare students, and participation rates among the inter-study differences noted. Conclusions: Numerous gaps in the literature on EI exist with several points being clear: (1) there is disagreement on the definition of EI; (2) it is undetermined whether EI is a trait or an ability; and (3) there is marked variability among the instruments used to measure EI. It is also becoming apparent that using EI determination may be helpful as a component of the admission process, higher EI is likely related to improved clinical reasoning, and higher EI contributes to more effective stress management.

The development of new antibiotics to treat infections caused by drug-resistant Gram-negative pathogens is of paramount importance as antibiotic resistance continues to increase worldwide.sup.1. Here we describe a strategy for the rational design of diazabicyclooctane inhibitors of penicillin-binding proteins from Gram-negative bacteria to overcome multiple mechanisms of resistance, including [beta]-lactamase enzymes, stringent response and outer membrane permeation. Diazabicyclooctane inhibitors retain activity in the presence of [beta]-lactamases, the primary resistance mechanism associated with [beta]-lactam therapy in Gram-negative bacteria.sup.2,3. Although the target spectrum of an initial lead was successfully re-engineered to gain in vivo efficacy, its ability to permeate across bacterial outer membranes was insufficient for further development. Notably, the features that enhanced target potency were found to preclude compound uptake. An improved optimization strategy leveraged porin permeation properties concomitant with biochemical potency in the lead-optimization stage. This resulted in ETX0462, which has potent in vitro and in vivo activity against Pseudomonas aeruginosa plus all other Gram-negative ESKAPE pathogens, Stenotrophomonas maltophilia and biothreat pathogens. These attributes, along with a favourable preclinical safety profile, hold promise for the successful clinical development of the first novel Gram-negative chemotype to treat life-threatening antibiotic-resistant infections in more than 25 years. A lead-optimization strategy combining porin permeation properties and biochemical potency leads to development of a new class of antibiotic based on broad inhibition of penicillin-binding proteins from Gram-negative bacteria., Author(s): Thomas F. Durand-Reville [sup.1] , Alita A. Miller [sup.1] , John P. O'Donnell [sup.1] , Xiaoyun Wu [sup.2] , Mark A. Sylvester [sup.1] , Satenig Guler [sup.1] [sup.3] , [...]

Neutron scattering cross sections and angular distributions are leading terms in descriptions of neutron transport through any system. Despite the fundamental importance of nuclear data on these quantities, significant gaps in understanding and lack of experimental data persist in heavier elements and down to lighter structural materials, such as iron and aluminum. Recent measurements on carbon have also shown definitive proof that the neutron angular distribution can change with respect to the emission angle of γ-rays from inelastic scattering, thereby complicating γ-tagged measurements of inelastic neutron scattering. In this work, we describe the emerging program at Los Alamos National Laboratory for measurements of neutron scattering cross sections and neutron, γ-ray, and correlated n-γ angular distributions utilizing liquid scintillator detectors and the Correlated Gamma-Neutron Array for Scattering (CoGNAC) of CLYC scintillators. Currently, these detectors are operated simultaneously with the in-progress array of CLYC detectors in an inverted position, and data analysis techniques are being developed to span scattering measurements from light nuclei up through actinides. Preliminary results for measurements on 12C, 27Al, and 56Fe are presented here with a description of the analysis methods applied and anticipated capabilities of the full-scale detection system.

The prompt fission neutron spectrum (PFNS) from neutron-induced fission is a fundamental quantity for the behavior of nuclear reactors, and has been measured many times on a wide variety of nuclei and covering different ranges of incident and emitted neutron energies. However, results from past measurements are frequently called into question in modern nuclear data evaluations because of a lack of thorough experimental documentation and incomplete uncertainty analyses. The Chi-Nu experiment at Los Alamos National Laboratory was designed to produce high-precision measurements of the PFNS of major actinides over a wide range of incident and emitted neutron energies, and with the documentation and covariance analysis required to ensure that the results of this experiment maintain their impact long into the future, thereby avoiding this pitfall of past measurements. In this work we describe the Chi-Nu experiment along with summaries of the treatment of and methods developed to address two important components of the analysis of Chi-Nu data: random-coincidence backgrounds and MCNP simulations. Furthermore, we describe the first results for correlations not just between all data points collected on a single target nucleus, but also between all data points from separate Chi-Nu measurements on 235U and 239Pu. These correlations are important for accurately calculating ratios of the PFNS from one actinide to another, which are rare and can be informative for nuclear data evaluation efforts.

Hip OA is becoming more common, with a greater number of younger individuals undergoing total hip arthroplasty (THA). These individuals have the desire to return to considerable loading and in some instances return to sport. The purpose of this review was to investigate the current guidelines and/or protocols for hypertrophy or strengthening in individuals who have undergone total hip arthroplasty. A total of 16 papers were identified, some of which also addressed total knee arthroplasty. There is no consensus for the best practice for a hypertrophy program following THA especially regarding when a direct anterior approach was used during hip arthroplasty. Further research is needed as this is a growing area in rehabilitation. This review aims to bridge the gap by offering a comprehensive synthesis of the available literature on postoperative rehabilitation after THA, with a specific emphasis on identifying the most effective muscular strengthening and hypertrophy training programs for patients undergoing anterior approach hip surgery. [ABSTRACT FROM AUTHOR]

Excavations at a small cave in the western Mojave Desert revealed a small ceremonial location dating from late prehistoric times where, we believe, a person or persons ingested Amsinckia seeds for their hallucinogenic effect, likely for ritual purposes.

We report the current results of a large effort to accurately measure the Prompt Fission Neutron Spectra (PFNS) for neutron-induced fission of 235U and 239Pu for incident neutrons with energies from 1 to 20 MeV. The Chi-Nu experiment at the Los Alamos Neutron Science Center used an unmoderated, white spectrum of neutrons to induce fission in actinide samples that were placed inside a parallel plate avalanche counter to provide a fast fission signal. A double time-of-flight technique was used to determine the incoming and outgoing neutron energies. Two neutron detector arrays, one with 54 liquid scintillators and another with 22 lithium glass detectors, were used to detect the outgoing neutrons and measure the PFNS distributions over a wide range in outgoing neutron energy, from below 100 keV to 10 MeV. Extensive Monte Carlo modeling was used to understand the experiment response and extract the PFNS. Systematic errors and uncertainties in the method have been examined and quantified. A summary of these results for incoming energies from 1 to 5 MeV is presented here.

Prompt fission neutron spectrum (PFNS) evaluations use provide nuclear data for the PFNS across a wide range of incident and outgoing neutron energies. However, experimental data underlying the evaluation are sparse, inconsistent, and incomplete with respect to the desired incident and outgoing energy coverage. As such, evaluations sometimes predict features of the PFNS, such those relating to multi-chance fission and pre-equilibrium pre-fission neutron emission, without any experimental validation. The Chi-Nu experiment at Los Alamos National Laboratory has recently obtained high-precision results for the 239Pu and 235U PFNS which, for the first time in both cases, have shed light on multi-chance fission and pre-equilibrium contributions to the observed fission neutron spectrum. In addition to providing the first experimental data on some of these fission properties, the angular coverage of the Chi-Nu experiment allows for the extraction of angular distributions of pre-equilibrium pre-fission neutrons. PFNS results of multi-chance fission and pre-equilibrium pre-fission neutron emission are discussed in this proceedings in terms of the observed neutron spectrum and the average PFNS energies.

A neutron induced neutron emission experiment was conducted as the Los Alamos Neutron Science Center (LANSCE) facility at Los Alamos National Laboratory (LANL). In this experiment, a sample was placed in a well collimated neutron beam and was surrounded by an array of 28 fast neutron detectors (EJ-309). The experiment was performed with a neutron flight path of 21.5 m from the source to the sample, and 1 m from the sample to the detectors. The neutron emission from the sample was measured as a function of neutron time of flight covering an incident energy range from 0.7- 20 MeV. The samples included U-235, Pu-239, carbon (graphite), and blanks that matched the encapsulation of the sample. The measured samples were constantly cycled in and out of the neutron beam. This type of experiment measures neutron emission from all reactions occurring in the sample such as fission and elastic and inelastic scattering. Similar to the methodology previously developed at RPI [1], the measurements were compared with detailed simulations of the experiment using different cross section evaluations for the sample. The observed differences can be attributed to the evaluated neutron cross section and angular distributions. The carbon sample was used as a reference to validate both the experiment and simulation methodology and showed good agreement between experiments and simulations. A review of the experimental setup, analysis methods, and some of the results will be presented.

Five focus groups substantially agreeed about the lack of paternal participation in child welfare services and the reasons for low paternal involvement. The groups had considerable disagreement about whether child welfare professionals should address this issue. Some caseworkers believed that all fathers and mothers should be treated identically with respect to services to be offered and time frames for services; other caseworkers thought that the special circumstances of some fathers, such as lack of child care experience, called for service approaches that differ from those for mothers. Another disagreement was whether more fathers would be more involved if services were gender sensitive, that is, if agencies provided male caseworkers for fathers and had father-only services. Much of the debate focused on pragmatic considerations (would gender-sensitive services improve paternal participation and outcomes?), although some participants were concerned about equity (would such services give fathers an advantage in disputed custody cases?).

Sulbactam-durlobactam is a β-lactam/β-lactamase inhibitor combination currently in development for the treatment of infections caused by Acinetobacter , including multidrug-resistant (MDR) isolates. Although sulbactam is a β-lactamase inhibitor of a subset of Ambler class A enzymes, it also demonstrates intrinsic antibacterial activity against a limited number of bacterial species, including Acinetobacter , and has been used effectively in the treatment of susceptible Acinetobacter -associated infections. Increasing prevalence of β-lactamase–mediated resistance, however, has eroded the effectiveness of sulbactam in the treatment of this pathogen. Durlobactam is a rationally designed β-lactamase inhibitor within the diazabicyclooctane (DBO) class. The compound demonstrates a broad spectrum of inhibition of serine β-lactamase activity with particularly potent activity against class D enzymes, an attribute which differentiates it from other DBO inhibitors. When combined with sulbactam, durlobactam effectively restores the susceptibility of resistant isolates through β-lactamase inhibition. The present review describes the pharmacokinetic/pharmacodynamic (PK/PD) relationship associated with the activity of sulbactam and durlobactam established in nonclinical infection models with MDR Acinetobacter baumannii isolates. This information aids in the determination of PK/PD targets for efficacy, which can be used to forecast efficacious dose regimens of the combination in humans. [ABSTRACT FROM AUTHOR]

Management of asymptomatic carotid artery stenosis (ACAS), including carotid endarterectomy (CEA), carotid artery stenting (CAS), and best medical treatment (BMT), remains inconsistent in current practice. Early studies reported a benefit of CEA vs. BMT; however, the current risk–benefit profile of invasive therapy lacks consensus. By evaluating the effects of modern BMT vs. invasive intervention on patient outcomes, this study aimed to influence the future management of ACAS. A systematic review and series of network meta-analyses were performed assessing peri-operative (within 30 days) and long term (30 days – 5 years) stroke and mortality risk between ACAS interventions. Total stroke, major, minor, ipsilateral, and contralateral stroke subtypes were assessed independently. Traditional (pre-2000) and modern (post-2000) BMT were compared to assess clinical improvements in medical therapy over the previous two decades. Risks of myocardial infarction (MI) and cranial nerve injury (CNI) were also assessed. Seventeen reports of 14 310 patients with > 50% ACAS were included. CEA reduced the odds of a peri-operative stroke event occurring vs. CAS (odds ratio [OR] 1.6, 95% confidence interval [CI] 1.1 – 2.2 [0 – 20 fewer/1 000]). CEA and CAS reduced the long term odds of minor strokes (OR 0.35, 95% CI 0.21 – 0.59 [20 fewer/1 000]) and ipsilateral strokes (OR 0.27, 95% CI 0.19 – 0.39 [30 fewer/1 000]) vs. all BMT. CEA reduced the odds of major strokes and combined stroke and mortality vs. traditional BMT; however, no difference was found between CEA and modern BMT. CAS reduced the odds of peri-operative MI (OR 0.49, 95% CI 0. 26 – 0.91) and CNI (OR 0.07, 95% CI 0.01 – 0.42) vs. CEA. Modern BMT demonstrates similar reductions in major stroke, combined stroke, and mortality to CEA. The overall risk reductions are low and data were unavailable to assess subgroups which may benefit from intervention. However, BMT carries the potential to reduce the requirement for surgical intervention in patients with ACAS. [ABSTRACT FROM AUTHOR]

Investigated fathers' involvement in planning permanent kinship foster care for their children, examining frequency of contact between fathers and caseworkers, content of these contacts, and fathers' participation in permanency planning. Found that most fathers had no contact with caseworkers and had never participated in planning. Paternal involvement varied by family composition. (JPB)

The goal of the Chi-Nu experiment at the Los Alamos Neutron Science Center is to measure the prompt fission neutron spectra from major actinides using a double time-of-flight method with a pulsed, white incoming neutron source. Fission events are detected with a parallel-plate avalanche counter and outgoing neutrons are detected with either a 6Li-glass or liquid scintillator detector array for low- or high-energy neutrons, respectively. A detector response matrix for the interaction of neutrons with the experimental environment for neutrons measured with the Chi-Nu 6Li-glass detector array has been calculated to obtain a full understanding of the measured Chi-Nu data and also to allow for nearly instantaneous production of simulated Chi-Nu data spectra. Prompt fission neutron spectra corresponding to 19 incoming neutron energy ranges from 0.7-20 MeV have been extracted using the ratio-of-ratios method with Chi-Nu 6Li-glass data on the neutron-induced fission of 235U.