Assessing Correlation between Manual Dexterity, Specialty Choice and Desire to Practice OMT in Newly Admitted Osteopathic Medical Students

Is there any relationship between manual dexterity, specialty choice, and the use of osteopathic manipulative treatment (OMT) in newly-admitted osteopathic medical students? Hand dexterity has previously been associated with surgical skill development in medical residents. There is currently a gap in the scientific literature in regards to the use of one’s hands and the career choice they ultimately pursue, in addition to interest in performing OMT in their respective fields. To help elucidate the answer this question, this SMRF project aimed to evaluate the relationship between manual dexterity, specialty choice, and use of osteopathic manipulative treatment (OMT) in newly admitted osteopathic medical students. 30 newly admitted RowanSOM students were assessed on their ability to “use one’s hands,” as measured by hand dexterity, with a timed-Purdue pegboard assessment. Time taken to complete the dexterity test was recorded, with shorter times correlating to better scores. These students then took a survey to gauge their specialty interest and desire to perform OMT as future physicians. For the surveys, the “desire to practice OMT” and “the desire to pursue a surgical specialty” were quantified via a score on a scale from -2 to 2. The relationship between specialty/OMT interest and hand testing was thus explored. Furthermore, this project explored whether inherent hand dexterity has any influence on medical career path or incorporation of osteopathic skills. Statistical analysis of the data collected was conducted under the guidance of Dr.Steer using SPSS software.A statistically significant correlation was found between better times to complete the Perdue Pegboard hand dexterity test and interest in OMT. The collected data supports the claim that there is a positive correlation between hand dexterity and interest in performing OM

Decoherence of Einstein-Podolsky-Rosen steering

We consider two systems A and B that share Einstein-Podolsky-Rosen (EPR) steering correlations and study how these correlations will decay, when each of the systems are independently coupled to a reservoir. EPR steering is a directional form of entanglement, and the measure of steering can change depending on whether the system A is steered by B, or vice versa. First, we examine the decay of the steering correlations of the two-mode squeezed state. We find that if the system B is coupled to a reservoir, then the decoherence of the steering of A by B is particularly marked, to the extent that there is a sudden death of steering after a finite time. We find a different directional effect, if the reservoirs are thermally excited. Second, we study the decoherence of the steering of a Schr\"odinger cat state, modeled as the entangled state of a spin and harmonic oscillator, when the macroscopic system (the cat) is coupled to a reservoir

Effects of culling white-tailed deer on tree regeneration and Microstegium vimineum, an invasive grass

Reduction of forest regeneration due to overbrowsing by white-tailed deer is a growing concern for land managers. Abundant deer can impede forest regeneration through direct predation on tree seedlings. Additionally high deer density can facilitate the establishment of a dense understory of browse tolerant plant species that shades seedlings and persists even in the absence of deer. In response to these challenges, land managers have sought to reduce deer herds to restore tree regeneration, but few studies have evaluated the effectiveness of this management. Our study took place in Catoctin Mountain Park, a US National Park Service unit with a history of high deer density. The park has been heavily invaded by Microstegium vimineum, an invasive grass that can completely cover the forest floor. Using permanent plots established prior to the start of deer management, we were able to assess the joint effects of deer culling and M. vimineum on tree seedling density. We found that tree seedling density increased in response to deer reductions. M. vimineum cover initially increased, but then decreased. Seedling densities were higher in plots with more M. vimineum cover, indicating that it did not form a recalcitrant understory that would suppress regeneration. However, eight years after deer management began, few tree seedlings were \u3e 30 cm tall, implying that it will be many years before they grow into the sapling stage. Our results indicate that deer culling can be an effective tool in restoring tree regeneration despite the presence of M. vimineum, but that success will require a long-term commitment

Does Simulation-Based Education for Cardiac Auscultation Improve Competency and Retention Rate Compared with Traditional Education?

Cardiac auscultation is a critical part of clinical examination. Stethoscope allows for early detection of numerous important cardiac pathologies and appropriate referral for further management. Improper use of stethoscopes leads to inappropriate referral resulting in unnecessary financial stress or a delay in proper treatment of time-sensitive pathologies like VSD in children. Multiple studies have documented that competency among medical professionals in cardiac auscultation skills is in steady decline and this is due to the ineffective teaching method of cardiac auscultation starting in medical school. Objective: To investigate the effectiveness of simulated education in cardiac auscultation

Observation of the algebraic localization-delocalization transition in a 1D disordered potential with a bias force

In a one-dimensional (1D) disordered potential, quantum interferences leading to Anderson lo-calization are ubiquitous, such that all wave-functions are exponentially localized. Moreover, no phase transition toward delocalization is expected in 1D. This behavior is strongly modified in the presence of a bias force. We experimentally study this case, launching a non-interacting 39 K Bose-Einstein condensate in a 1D disordered potential induced by a far-off-resonance laser speckle, while controlling a bias force. In agreement with theoretical predictions, we observe a transition between algebraic localization and delocalization as a function of our control parameter that is the relative strength of the disorder against the bias force. We also demonstrate that the initial velocity of the wave-packet only plays a role through an effective disorder strength due to the correlation of the disorder. Adding a bias force is a quite natural way to probe the transport properties of quantum systems, a subject of broad interest that can be in particular addressed with atomic quantum gases thanks to their high degree of control and versatility [1]. For example, Bloch oscillations has been measured through the addition of a constant force to atoms in periodic potential induced by an optical lattice [2]. A force applied to a harmonic trap is equivalent to a trap displacement. The response to such a displacement permits to reveal the fluid or insulating behavior of atomic systems. In 1D interacting Bose gases, the pinning transition by an optical lattice [3] or the insulating transition in quasi-disordered optical lattice [4, 5] have been studied in this manner. More recently, transport in quantum gases is also studied in junction-type setup more analogous to condensed-matter systems: two reservoirs with different chemical potentials are connected through a constriction. For example, in a gas of fermions, the quantization of conductance through a quantum point contact [6] and the superfluid to normal transition in a disordered thin film have been observed [7]. In our work, we focus on the transport of non-interacting particles in disordered media. Without a bias force, quantum interferences between multiple paths lead to Anderson localization [8] whose signature is an exponential decay in space of single particle wave-function [9]. This phenomenon is ubiquitous in wave/quantum physics and it has been observed in many physical contexts [10] including condensed-matter [11] and ultra-cold atoms [12-14]. One-dimensional truly disordered systems are always localized [15], contrary to the 3D case where a phase transition between localized and extended single particle wave-functions takes place as a function of the disorder strength [16-18]. The localization properties of 1D disordered systems are modified in the presence of a bias force. Theoretical studies predict a transition from algebraic localization to delocalization as a function of a single control non-dimensional parameter α which is the ratio of the force to the disorder strength [19, 20]. Physically, α is the relative energy gain ∆E/E of a particle of energy E when moving over a localization length. Interestingly, in a 1D white noise disorder, this quantity is independent of E as the localization length is proportional to E. If α is small, the force does not considerably change the localization behavior of the particle while for large α its dynamics is severely affected leading to delocalization. This localization-delocalization transition is predicted in the infinite time limit for white noise disorder [20]. In a correlated disorder, as the one produced from a far-off-resonance laser speckle [21], the situation is more complicated. Speckles have no Fourier component beyond a spatial frequency 2k c. As a consequence, back-scattering and localization are not expected in the framework of Born approximation for atoms with wavevectors k > k c [12, 22]. Since localized wave-functions always have a small fraction at long distance corresponding to large energies and momenta in the presence of a bias force, we thus expect correlation-induced delocalization at infinite time. However, signatures of the algebraic localization-delocalization transition are predicted to be observable at transient times [20]. In this paper, we report on the observation of the algebraic localization-delocalization transition with cold-atoms propagating in a one dimensional disordered potential in the presence of a controlled bias force. We experimentally show that the non-dimensional parameter α is the only relevant parameter to describe the transition. We notice that the initial velocity of the quantum wave packet only plays a role through the correlation of the disordered potential, showing that the transition is in-trinsically energy independent. In the localized regime, we demonstrate an algebraic decay of the density and measure the corresponding decay exponent as a function of α. At large disorder strength, a saturation of the exp

Nearly Zero-Energy Buildings of the Lombardy Region (Italy), a Case Study of High-Energy Performance Buildings

The topic of nearly zero-energy buildings (n-ZEB), introduced by the Directive 2010/31/EU will direct the building market toward ever greater energy efficiency of new buildings. In some contexts, however, the building market for high-efficiency buildings has evolved, in recent years, on the basis of national and regional laws that have contributed to the acceleration of the process. This paper analyses the case study of the Lombardy Region (Italy), which transposed and assimilated the Directive 91/2002 (Energy Performance Building Directive), as of 2006, with regional legislation for energy efficiency of buildings. Within a few years the market for high energy-performance of buildings in the Lombardy Region had grown substantially: to date nearly 7500 energy performance certificates for buildings of Class A and Class A+ have been issued. The paper therefore analyses a success story in what is a field of great current interest, namely n-ZEB buildings. In the first part of the work, the evolution in terms of energy efficiency of the housing market in the Lombardy Region has been analyzed, with particular reference to the high energy-performance of buildings. The second part focuses on a sample of 20 n-ZEB buildings in order to highlight the design choices applied to them

Antioxidant activity relationship of phenolic compounds in Hypericum perforatum L.

<p>Abstract</p> <p>Background</p> <p>The St John's Wort (<it>Hypericum perforatum</it>; Clusiaceae) has been used in traditional and modern medicine for a long time due to its high content of biologically active phenolics. The purpose of this work was to develop a method for their fractionation and identification, and to determine the most active antioxidant compounds in plant extract.</p> <p>Results</p> <p>An LC-MS method which enables fast qualitative and semiquantitative analysis was developed. The composition determined is in agreement with the previous results, where 6 flavonoids, 4 naphthodianthrones and 4 phloroglucinols have been identified. Significant antioxidant activity was determined for most of the fractions by DPPH assay (the lowest IC₅₀of 0.52 μg/ml), NO scavenging (6.11 μg/ml), superoxide scavenging (1.86 μg/ml), lipid peroxidation (0.0079 μg/ml) and FRAP (the highest reduction capacity of 104 mg Fe equivalents/g) assays.</p> <p>Conclusion</p> <p>LC-MS technique has been successfully applied for a quick separation and identification of the major components of <it>H. perforatum </it>fractions. Majority of the fractions analyzed have expressed a very high antioxidative activity when compared to synthetic antioxidants. The antioxidant activity could be attributed to flavonoids and phenolic acids, while phloroglucinols and naphthodianthrones showed no significant activity. It is demonstrated that it is possible to obtain, by fractionation, <it>H. perforatum </it>preparations with significantly increased phloroglucinols-to-naphthodianthrones ratio (up to 95:5).</p

Hypericins as Potential Leads for New Therapeutics

70 years have passed since the first isolation of the naphthodianthrones hypericin and pseudohypericin from Hypericum perforatum L. Today, they continue to be one of the most promising group of polyphenols, as they fascinate with their physical, chemical and important biological properties which derive from their unique chemical structure. Hypericins and their derivatives have been extensively studied mainly for their antitumor, antiviral and antidepressant properties. Notably, hypericin is one of the most potent naturally occurring photodynamic agents. It is able to generate the superoxide anion and a high quantum yield of singlet oxygen that are considered to be primarily responsible for its biological effects. The prooxidant photodynamic properties of hypericin have been exploited for the photodynamic therapy of cancer (PDT), as hypericin, in combination with light, very effectively induces apoptosis and/or necrosis of cancer cells. The mechanism by which these activities are expressed continues to be a main topic of discussion, but according to scientific data, different modes of action (generation of ROS & singlet oxygen species, antiangiogenesis, immune responces) and multiple molecular pathways (intrinsic/extrinsic apoptotic pathway, ERK inhibition) possibly interrelating are implicated. The aim of this review is to analyse the most recent advances (from 2005 and thereof) in the chemistry and biological activities (in vitro and in vivo) of the pure naphthodianthrones, hypericin and pseudohypericin from H. perforatum. Extracts from H. perforatum were not considered, nor pharmakokinetic or clinical data. Computerised literature searches were performed using the Medline (PubMed), ChemSciFinder and Scirus Library databases. No language restrictions were imposed