State Medical Boards (SMBs) can take severe disciplinary actions (e.g., license revocation or suspension) against physicians who commit egregious wrongdoing in order to protect the public. However, there is noteworthy variability in the extent to which SMBs impose severe disciplinary action. In this manuscript, we present and synthesize a subset of 11 recommendations based on findings from our team’s larger consensus-building project that identified a list of 56 policies and legal provisions SMBs can use to better protect patients from egregious wrongdoing by physicians.

King George Island (South Shetland Islands, Antarctic Peninsula) is renowned for its terrestrial palaeoenvironmental record, which includes evidence for potentially up to four Cenozoic glacial periods. An advantage of the glacigenic outcrops on the island is that they are associated with volcanic formations that can be isotopically dated. As a result of a new mapping and chronological study, it can now be shown that the published stratigraphy and ages of many geological units on eastern King George Island require major revision. The Polonez Glaciation is dated as c. 26.64 ± 1.43 Ma (Late Oligocene (Chattian Stage)) and includes the outcrops previously considered as evidence for an Eocene glacial ('Krakow Glaciation'). It was succeeded by two important volcanic episodes (Boy Point and Cinder Spur formations) formed during a relatively brief interval (< 2 Ma), which also erupted within the Oligocene Chattian Stage. The Melville Glaciation is dated as c. 21–22 Ma (probably 21.8 Ma; Early Miocene (Aquitanian Stage)), and the Legru Glaciation is probably ≤ c. 10 Ma (Late Miocene or younger). As a result of this study, the Polonez and Melville glaciations can now be correlated with increased confidence with the Oi2b and Mi1a isotope zones, respectively, and thus represent major glacial episodes.

New mapping and dating of volcanic outcrops on the east coast of Admiralty Bay, King George Island, has demonstrated that Eocene volcanic sequences are dominant and also crop out extensively elsewhere, particularly on the eastern part of the island. The sequences can be divided into at least three formations (Hennequin, Cape Vauréal and Carruthers Cliff) together with Eocene strata at Warkocz and near Lions Rump that are currently unassigned stratigraphically. New and recently published 40Ar/39Ar ages indicate that all of the formations are Early Eocene in age, mainly Ypresian, extending to Lutetian and possibly even Priabonian time in more easterly outcrops. Compositional contrasts exist between the groups (calc-alkaline vs tholeiitic). The formations are mainly composed of lavas, and many show evidence for contemporary inundation by water. They are interbedded with sedimentary rocks deposited mainly during flooding events as debris flows, debris avalanches, hyperconcentrated flows, from traction currents and in lakes. The common presence of juvenile volcanic detritus suggests that the sediments were probably linked to explosive hydrovolcanic eruptions, some of which were possibly rooted in summit ice caps. Other evidence is also permissive, but the presence of Eocene ice on King George Island is not well established at present.

Introduction: This study evaluates the association of baseline e-cigarette use with smoking cessation in a sample of 2-year college student smokers.

Methods: Participants were 1,400 students from over 60 2-year colleges across 25 states who were current smokers enrolled in a web-assisted tobacco intervention (WATI) trial. Survey data at baseline, 1-, and 6-months, were evaluated.

Results: At 6-months, baseline e-cigarette users were more likely to report cessation of traditional cigarettes compared to non-users (OR 1.39, 95% CI 1.002–1.92). Cessation was also associated with higher baseline confidence in quitting and greater time to first cigarette after awakening. Baseline e-cigarette use was not associated with self-reported cessation of all nicotine/tobacco products (OR 1.09, 95% CI 0.75–1.58) nor biochemically verified cessation of all nicotine/tobacco products (OR 0.83, 95% CI 0.47–1.47). Higher confidence was again associated with both self-reported and biochemically verified cessation of all nicotines.

A revised stratigraphy of Cenozoic volcanic outcrops in the Brandy Bay area on James Ross Island is obtained by combining palaeomagnetic and stratigraphical anlysis with 40Ar/39Ar dating. The fieldwork was carried out between January and March 2002. Oriented palaeomagnetic samples were obtained from 17 volcanic units, the majority of samples being from lava-fed deltas. Individually the deltas are a few to several hundred metres thick and were formed during voluminous basaltic eruptions within an ice sheet or in a marine setting. Out of the sampled units, 15 carry a stable primary magnetization; six were of normal polarity and nine were reversely magnetized. Our 40Ar/39Ar dating constrains the emplacement of most of the Brandy Bay basalts to the Gilbert chron, with the youngest dated unit having an age of 3.95 Ma and the oldest 6.16 Ma. The mean palaeomagnetic field direction from 14 units has an inclination I = −76° and declination D = 352°, α95 = 7°. The results further suggest that the lava caps on some of the deltas have high remanent intensity and should generate recognizable aeromagnetic anomalies. The combination of palaeomagnetic and isotopic analysis with field mapping methods in a single field area is unique in Antarctica so far and demonstrates that the combination can yield rigorous local stratigraphy in a geographically remote volcanic terrain having discontinuous outcrops.