Improving basic life support training for medical students

Mariam Lami, Pooja Nair, Karishma GadhviFaculty of Medicine, Imperial College, London, London, UKAbstract: Questions have been raised about basic life support (BLS) training in medical education. This article addresses the research evidence behind why BLS training is inadequate and suggests recommendations for improving BLS training for medical students.Keywords: medical education, basic life suppor

Intensity of Brillouin light scattering from spin waves in magnetic multilayers with noncollinear spin configurations: Theory and experiment

The scattering of photons from spin waves (Brillouin light scattering -- BLS) is a well-established technique for the study of layered magnetic systems. The information about the magnetic state and properties of the sample is contained in the frequency position, width, and intensity of the BLS peaks. Previously [Phys. Rev. B 67, 184404 (2003)], we have shown that spin wave frequencies can be conveniently calculated within the ultrathin film approach, treating the intralayer exchange as an effective bilinear interlayer coupling between thin virtual sheets of the ferromagnetic layers. Here we give the consequent extension of this approach to the calculation of the Brillouin light scattering (BLS) peak intensities. Given the very close relation of the BLS cross-section to the magneto-optic Kerr effect (MOKE), the depth-resolved longitudinal and polar MOKE coefficients calculated numerically via the usual magneto-optic formalism can be employed in combination with the spin wave precessional amplitudes to calculate full BLS spectra for a given magnetic system. This approach allows an easy calculation of BLS intensities even for noncollinear spin configurations including the exchange modes. The formalism is applied to a Fe/Cr/Fe/Ag/Fe trilayer system with one antiferromagnetically coupling spacer (Cr). Good agreement with the experimental spectra is found for a wide variety of spin configurations.Comment: 19 pages, 5 figure

Analytical expression of the magneto-optical Kerr effect and Brillouin light scattering intensity arising from dynamic magnetization

Time-resolved magneto-optical Kerr effect (MOKE) and Brillouin light scattering (BLS) spectroscopy are important techniques for the investigation of magnetization dynamics. Within this article, we calculate analytically the MOKE and BLS signals from prototypical spin-wave modes in the ferromagnetic layer. The reliability of the analytical expressions is confirmed by optically exact numerical calculations. Finally, we discuss the dependence of the MOKE and BLS signals on the ferromagnetic layer thickness

Adjuvant treatment with tumor-targeting Salmonella typhimurium A1-R reduces recurrence and increases survival after liver metastasis resection in an orthotopic nude mouse model.

Colon cancer liver metastasis is often the lethal aspect of this disease. Well-isolated metastases are candidates for surgical resection, but recurrence is common. Better adjuvant treatment is therefore needed to reduce or prevent recurrence. In the present study, HT-29 human colon cancer cells expressing red fluorescent protein (RFP) were used to establish liver metastases in nude mice. Mice with a single liver metastasis were randomized into bright-light surgery (BLS) or the combination of BLS and adjuvant treatment with tumor-targeting S. typhimurium A1-R. Residual tumor fluorescence after BLS was clearly visualized at high magnification by fluorescence imaging. Adjuvant treatment with S. typhimurium A1-R was highly effective to increase survival and disease-free survival after BLS of liver metastasis. The results suggest the future clinical potential of adjuvant S. typhimurium A1-R treatment after liver metastasis resection

Metastatic recurrence in a pancreatic cancer patient derived orthotopic xenograft (PDOX) nude mouse model is inhibited by neoadjuvant chemotherapy in combination with fluorescence-guided surgery with an anti-CA 19-9-conjugated fluorophore.

The aim of this study is to determine the efficacy of neoadjuvant chemotherapy (NAC) with gemcitabine (GEM) in combination with fluorescence-guided surgery (FGS) on a pancreatic cancer patient derived orthotopic xenograft (PDOX) model. A PDOX model was established from a CA19-9-positive, CEA-negative tumor from a patient who had undergone a pancreaticoduodenectomy for pancreatic adenocarcinoma. Mice were randomized to 4 groups: bright light surgery (BLS) only; BLS+NAC; FGS only; and FGS+NAC. An anti-CA19-9 or anti-CEA antibody conjugated to DyLight 650 was administered intravenously via the tail vein of mice with the pancreatic cancer PDOX 24 hours before surgery. The PDOX was brightly labeled with fluorophore-conjugated anti-CA19-9, but not with a fluorophore-conjugated anti-CEA antibody. FGS was performed using the fluorophore-conjugated anti-CA19-9 antibody. FGS had no benefit over BLS to prevent metastatic recurrence. NAC in combination with BLS did not convey an advantage over BLS to prevent metastatic recurrence. However, FGS+NAC significantly reduced the metastatic recurrence frequency to one of 8 mice, compared to FGS only after which metastasis recurred in 6 out of 8 mice, and BLS+NAC with metastatic recurrence in 7 out of 8 mice (p = 0.041). Thus NAC in combination with FGS can reduce or even eliminate metastatic recurrence of pancreatic cancer sensitive to NAC. The present study further emphasizes the power of the PDOX model which enables metastasis to occur and thereby identify the efficacy of NAC in combination with FGS on metastatic recurrence