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        Phylogeny of the Milky Way’s inner disk and bulge populations: Implications for gas accretion, (the lack of) inside-out thick disk formation, and quenching

        Haywood, Misha,Di Matteo, Paola,Lehnert, Matthew,Snaith, Owain,Fragkoudi, Francesca,Khoperskov, Sergey Springer-Verlag 2018 Astronomy and astrophysics Vol.618 No.-

        <P>We show that the bulge and the disk of the Milky Way (MW) at <I>R</I> ≲ 7 kpc are well described by a unique chemical evolution and a two-phase star formation history (SFH). We argue that the populations within this inner disk, not the entire disk, are the same, and that the outer Lindblad resonance (OLR) of the bar plays a key role in explaining this uniformity. In our model of a two-phase SFH, the metallicity, [<I>α</I>/Fe] and [<I>α</I>/H] distributions, and age-metallicity relation are all compatible with the observations of both the inner disk and bulge. The dip at [Fe/H] ∼ 0 dex seen in the metallicity distributions of the bulge and inner disk reflects the quenching episode in the SFH of the inner MW at age ∼8 Gyr, and the common evolution of the bulge and inner disk stars. Our results for the inner region of the MW, <I>R</I> ≲ 7 kpc, are consistent with a rapid build-up of a large fraction of its total baryonic mass within a few billion years. We show that at <I>z</I> ≤ 1.5, when the MW was starting to quench, transitioning between the end of the <I>α</I>-enhanced thick disk formation to the start of the thin disk, and yet was still gas rich, the gas accretion rate could not have been significant. The [<I>α</I>/Fe] abundance ratio before and after this quenching phase would be different, which is not observed. The decrease in the accretion rate and gas fraction at <I>z</I> ≤ 2 was necessary to stabilize the disk allowing the transition from thick to thin disks, and for beginning the secular phase of the MW’s evolution. This possibly permitted a stellar bar to develop which we hypothesize is responsible for quenching the star formation. The present analysis suggests that MW history, and in particular at the transition from the thick to the thin disk - the epoch of the quenching - must have been driven by a decrease of the star formation efficiency. We argue that the decline in the intensity of gas accretion, the formation of the bar, and the quenching of the star formation rate (SFR) at the same epoch may be causally connected thus explaining their temporal coincidence. Assuming that about 20% of the gas reservoir in which metals are diluted is molecular, we show that our model is well positioned on the Schmidt-Kennicutt relation at all times.</P>

      • Comparison of the effects of simulated patient clinical skill training and student roleplay on objective structured clinical examination performance among medical students in Australia

        Silas Taylor,Matthew Haywood,Boaz Shulruf 한국보건의료인국가시험원 2019 보건의료교육평가 Vol.16 No.-

        PurposeOptimal methods for communication skills training (CST) are an active research area, but the effects of CST on communication performance in objective structured clinical examinations (OSCEs) has not been closely studied. Student roleplay (RP) for CST is common, although volunteer simulated patient (SP) CST is cost-effective and provides authentic interactions. We assessed whether our volunteer SP CST program improved OSCE performance compared to our previous RP strategy. MethodsWe performed a retrospective, quasi-experimental study of 2 second-year medical student cohorts’ OSCE data in Australia. The 2014 cohort received RP-only CST (N=182) while the 2016 cohort received SP-only CST (N=148). The t-test and analysis of variance were used to compare the total scores in 3 assessment domains: generic communication, clinical communication, and physical examination/procedural skills. ResultsThe baseline characteristics of groups (scores on the Australian Tertiary Admission Rank, Undergraduate Medicine and Health Sciences Admission Test, and medicine program interviews) showed no significant differences between groups. For each domain, the SP-only CST group demonstrated superior OSCE outcomes, and the difference between cohorts was significant (P<0.01). The superiority of volunteer SP CST over student RP CST in terms of OSCE performance outcomes was found for generic communication, clinical communication, and physical examination/procedural skills. ConclusionThe better performance of the SP cohort in physical examination/procedural skills might be explained by the requirement for patient compliance and cooperation, facilitated by good generic communication skills. We recommend a volunteer SP program as an effective and efficient way to improve CST among junior medical students.

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