L. Anthony

BackgroundBurnout is being experienced by medical students, residents, and practicing physicians at significant rates. Higher levels of Hardiness and Emotional Intelligence may protect individuals against burnout symptoms. Previous studies have shown both Hardiness and Emotional IntelIigence protect against detrimental effects of stress and can be adapted through training; however, there is limited research on how training programs affect both simultaneously. Therefore, the objective of this study was to define the association of Hardiness and Emotional Intelligence and their potential improvement through hyper realistic immersion simulation training in military medical students.MethodsParticipants in this study consisted of 68 second year medical students representing five medical schools who were concurrently enrolled in the United States military scholarship program. During a six day hyper-realistic surgical simulation training course, students rotated through different roles of a medical team and responded to several mass-casualty scenarios. Hardiness and Emotional Intelligence were assessed using the Hardiness Resilience Gauge (HRG) and the Emotional Quotient Inventory (EQ-I 2.0) respectively, at two time points: on arrival (pre-event) and after completion of the course (post-event).ResultsHardiness and Emotional Intelligence scores and sub scores consistently improved from pre-event to post-event assessments. No difference in training benefit was observed between genders but differences were observed by age where age was more often associated with Emotional Intelligence. In addition, factor analysis indicated that the HRG and EQ-I 2.0 assessment tools measured predominately different traits although they share some commonalities in some components.ConclusionThis study indicates that Hardiness and Emotional Intelligence scores can be improved through immersion training in military medical students. Results from this study support the use of training course interventions and prompt the need for long term evaluation of improvement strategies on mitigating burnout symptoms.

In conversation analysis, prediction, in the form of the projectability of turn constructional units, is a central feature of the ways in which talk is structured in interaction. As such, prediction is an important part of what recipients do when listening to talk in progress. This article will examine a number of instances of collaborative talk in English and French in which both participants produce similar talk at roughly the same time. It will be shown that prediction is being exercised in these utterances to determine not only the form of the next lexical item but also to identify larger syntactic structures. The article will also assess the nature of the resources that participants in interaction draw on in order to be able to make their predictions about their interlocutor’s talk.

World-leading researchers, including Nobel Laureates and rising young stars, examine some of the most important and fundamental questions at the forefronts of modern science, philosophy, and theology, taking into account recent discoveries from a range of fields. This fascinating book is ideal for anyone seeking answers to deep questions about the universe and human life. The remarkable career of Charles H. Townes, inventor of the maser and laser for which he shared the 1964 Nobel Prize in Physics, has spanned seven decades. His interests have ranged from the origin of the Universe to the structure of molecules, always focusing on the nature of human life. Honoring his work, this book explores the most basic questions of science, philosophy, and the nature of existence: How did the Universe begin? Why do the fundamental constants of nature have the values they do? What is human consciousness, and do we have free will?

Until recently, the ocular surface is thought by many to be sterile and devoid of living microbes. It is now becoming clear that this may not be the case. Recent and sophisticated PCR analyses have shown that microbial DNA‐based “signatures” are present within various ethnic, geographic, and contact lens wearing communities. Furthermore, using a mouse model of ocular surface disease, we have shown that the microbe, Corynebacterium mastitidis (C. mast), can stably colonize the ocular mucosa and that a causal relationship exists between ocular C. mast colonization and beneficial local immunity. While this constitutes proof‐of‐concept that a bona fide ocular microbiome that tunes immunity can exist at the ocular surface, there remain numerous unanswered questions to be addressed before microbiome‐modulating therapies may be successfully developed. Here, the authors will briefly outline what is currently known about the local ocular microbiome as well as microbiomes associated with other sites, and how those sites may play a role in ocular surface immunity. Understanding how commensal microbes affect the ocular surface immune homeostasis has the potential revolutionize how we think about treating ocular surface disease.

Both scienticity and artistry have been listed in cluster concept definitions for both science and art. However, these clusters have not been considered together before. I contrast and combine these different clusters for the first time, and I argue that doing so better elucidates the properties of the natural sciences, humanities and fine arts than the science and art cluster concepts do separately. This is because all disciplines have varying levels of scienticity and artistry, but this is not captured fully by the science or art cluster concepts separately. An integrated scienticity and artistry cluster provides a new way of describing the commonly argued notion that the sciences and arts share qualities, methods and practices, but the integrated scienticity-artistry cluster shows how, when and where these qualities blend into each other across disciplines.

This paper examines the function of Hume’s use of a peculiar example from A Treatise of Human Nature. The example in question is that of a burning piece of coal that is whirled around at a sufficient speed to present to a viewer an image of a circle of fire. The example is a common one; and Hume himself points to Locke as his source in this case. Hume’s reference appears accurate since both Locke and Hume seem to marshal the example in order to bolster a case for an upper and lower temporal threshold for perception. But several philosophical problems inherent in Hume’s appeal to the example make the case for Locke as Hume’s sole or even primary source difficult to sustain. The paper sketches a history of uses of the example from the seventeenth century through the twentieth century. An argument is presented that Pierre Bayle’s use of the example is most in accord with Hume’s, and that for this and other reasons, Bayle is his likeliest source. Further, making sense in this way of Hume’s use of the burning coal example illuminates Hume’s interesting contributions to the notions of time, identity, and individuation.