Physiological Stress Responses to a Live-Fire Training Evolution in Career Firefighters

Firefighters have a physically demanding job that exposes them to many specific and unique stressors, which contribute to cardiovascular disease (CVD) risk (i.e., cardiovascular strain, inflammation, and oxidative stress) or even mortality. At present, the literature lacks data evaluating these physiological stress responses amongst firefighters in any realistic or simulated scenarios, such as a live-fire training evolution (LFTE). Given the elevated risk of premature mortality, there is a critical need to better understand the physiological stress responses to an LFTE. This information could aid in developing nutritional, training, and other various interventions to mitigate stress load and reduce the incidence of CVD among this population. PURPOSE: To assess the physiological stress response to an LFTE among firefighters. METHODS: Seventy-six (n = 76) career firefighters completed an LFTE. Salivary samples were collected pre, immediately post, and 30-min post the LFTE, and analyzed the following stress markers: α-amylase (AA), secretory immunoglobulin-A (SIgA), and cortisol. One-way repeated measures analysis of variance was used to assess changes over time. Fisher’s LSD and Cohen’s d effect size calculations were used for Post hoc analysis. RESULTS: Significant main effects for time were found for AA, SIgA, and cortisol (p\u3c0.001). Fisher’s LSD post hoc analysis found AA, SIgA, and cortisol concentrations were all significantly elevated immediately post LFTE compared to pre (p\u3c0.0001) and 30-min post (p\u3c0.0001). Medium to large effect sizes were noted for AA, SIgA, and cortisol with respect to changes pre to immediately post-LFTE (d = 0.84, 0.61, and 0.78, respectively). CONCLUSION: While many studies have shown increased inflammation and oxidative stress, as well as adverse cardiovascular and metabolic responses to firefighting activities, these data provide insight into the physiological stress placed upon a firefighter engaging in fire-suppressive evolutions

The effectiveness, safety and cost-effectiveness of cytisine versus varenicline for smoking cessation in an Australian population: a study protocol for a randomized controlled non-inferiority trial

Smoking cessation medications are effective but often underutilised because of costs and side effects. Cytisine is a plant-based smoking cessation medication with over 50 years of use in Central and Eastern Europe. While cytisine has been found to be well-tolerated and more effective than nicotine replacement therapy, direct comparison with varenicline have not been conducted. This study evaluates the effectiveness, safety and cost-effectiveness of cytisine compared with varenicline.Two arm, parallel group, randomised, non-inferiority trial, with allocation concealment and blinded outcome assessment.Australian population-based study.Adult daily smokers (N=1266) interested in quitting will be recruited through advertisements and Quitline telephone-based cessation support services.Eligible participants will be randomised (1:1 ratio) to receive either cytisine capsules (25-day supply) or varenicline tablets (12-week supply), prescribed in accordance with the manufacturer's recommended dosing regimen. The medication will be mailed to each participant's nominated residential address. All participants will also be offered standard Quitline behavioural support (up to six 10-12 minute sessions).Assessments will be undertaken by telephone at baseline, 4- and 7-months post-randomisation. Participants will also be contacted twice (two and four weeks post-randomisation) to ascertain adverse events, treatment adherence and smoking status. The primary outcome will be self-reported 6-month continuous abstinence from smoking, verified by carbon monoxide at 7-month follow-up. We will also evaluate the relative safety and cost-effectiveness of cytisine compared with varenicline. Secondary outcomes will include self-reported continuous and 7-day point prevalence abstinence and cigarette consumption at each follow-up interview.If cytisine is as effective as varenicline, its lower cost and natural plant-based composition may make it an acceptable and affordable smoking cessation medication that could save millions of lives worldwide

Tailoring CONSORT-SPI to improve the reporting of smoking cessation intervention trials: An expert consensus study

BACKGROUND AND AIMS: Inadequate reporting of smoking cessation intervention trials is common and leads to significant challenges for researchers. The aim of this study was to tailor CONSORT (Consolidated Standards of Reporting Trials)-SPI (Social and Psychological Interventions) guidelines to improve reporting of trials of behavioural interventions to promote smoking cessation. METHOD: Informed by missing data from the IC-SMOKE (Intervention and Comparison group support provided in SMOKing cEssation) systematic review project, this study used a multi-stage Delphi process to examine which items could be added or modified to improve the reporting of smoking cessation trials. The first stage involved an on-line survey of 17 international experts in smoking cessation and trial methodology voting on the importance of items for inclusion in the updated guidelines. This was followed by a face-to-face expert consensus meeting attended by 15 of these experts, where the final inclusion and exclusion of new items and modifications were agreed upon. A nine-point Likert scale was used to establish consensus, with suggested modifications requiring agreement of 75% or more. Disagreements in the first stage were presented again at the second stage for discussion and a second round of voting. Only items which reached the threshold for agreement were included. RESULTS: The experts agreed on the inclusion of 10 new items and the specification of 12 existing items. This included modifications that could apply to trials more widely (e.g. the rationale for the comparator), but also modifications that were very specific to smoking cessation trials (e.g. the reporting of smoking cessation outcomes). CONCLUSIONS: A Delphi study has developed a modified CONSORT-SPI guideline (CONSORT-SPI-SMOKE) to improve the reporting of trials of behavioural interventions to promote smoking cessation

Tailoring CONSORT-SPI to Improve the Reporting of Smoking Cessation Intervention Trials : An expert consensus study

Primary funding: This work was funded by Cancer Research UK (application number C50862/A25405). The funder has no role in protocol design, decision to publish or preparation of the manuscript.Peer reviewedPublisher PD

CXCR4 chemokine receptor antagonists: nickel(II) complexes of configurationally restricted macrocycles

Tetraazamacrocyclic complexes of transition metals provide useful units for incorporating multiple coordination interactions into a single protein binding molecule. They can be designed with available sites for protein interactions via donor atom-containing amino acid side chains or labile ligands, such as H 2 O, allowing facile exchange. Three configurationally restricted nickel(ii) cyclam complexes with either one or two macrocyclic rings were synthesised and their ability to abrogate the CXCR4 chemokine receptor signalling process was assessed (IC 50 = 8320, 194 and 14 nM). Analogues were characterised crystallographically to determine the geometric parameters of the acetate binding as a model for aspartate. The most active nickel(ii) compound was tested in several anti-HIV assays against representative viral strains showing highly potent EC 50 values down to 13 nM against CXCR4 using viruses, with no observed cytotoxicity (CC 50 > 125 μM). © 2013 The Royal Society of Chemistry

JPL Space Telecommunications Radio System Operating Environment

A flight-qualified implementation of a Software Defined Radio (SDR) Operating Environment for the JPL-SDR built for the CoNNeCT Project has been developed. It is compliant with the NASA Space Telecommunications Radio System (STRS) Architecture Standard, and provides the software infrastructure for STRS compliant waveform applications. This software provides a standards-compliant abstracted view of the JPL-SDR hardware platform. It uses industry standard POSIX interfaces for most functions, as well as exposing the STRS API (Application Programming In terface) required by the standard. This software includes a standardized interface for IP components instantiated within a Xilinx FPGA (Field Programmable Gate Array). The software provides a standardized abstracted interface to platform resources such as data converters, file system, etc., which can be used by STRS standards conformant waveform applications. It provides a generic SDR operating environment with a much smaller resource footprint than similar products such as SCA (Software Communications Architecture) compliant implementations, or the DoD Joint Tactical Radio Systems (JTRS)

A high-tech, low-cost, Internet of Things surfboard fin for coastal citizen science, outreach, and education

Coastal populations and hazards are escalating simultaneously, leading to an increased importance of coastal ocean observations. Many well-established observational techniques are expensive, require complex technical training, and offer little to no public engagement. Smartfin, an oceanographic sensor–equipped surfboard fin and citizen science program, was designed to alleviate these issues. Smartfins are typically used by surfers and paddlers in surf zone and nearshore regions where they can help fill gaps between other observational assets. Smartfin user groups can provide data-rich time-series in confined regions. Smartfin comprises temperature, motion, and wet/dry sensing, GPS location, and cellular data transmission capabilities for the near-real-time monitoring of coastal physics and environmental parameters. Smartfin\u27s temperature sensor has an accuracy of 0.05 °C relative to a calibrated Sea-Bird temperature sensor. Data products for quantifying ocean physics from the motion sensor and additional sensors for water quality monitoring are in development. Over 300 Smartfins have been distributed around the world and have been in use for up to five years. The technology has been proven to be a useful scientific research tool in the coastal ocean—especially for observing spatiotemporal variability, validating remotely sensed data, and characterizing surface water depth profiles when combined with other tools—and the project has yielded promising results in terms of formal and informal education and community engagement in coastal health issues with broad international reach. In this article, we describe the technology, the citizen science project design, and the results in terms of natural and social science analyses. We also discuss progress toward our outreach, education, and scientific goals

The Coral Bleaching Automated Stress System (CBASS): A low‐cost, portable system for standardized empirical assessments of coral thermal limits

Ocean warming is increasingly affecting marine ecosystems across the globe. Reef-building corals are particularly affected by warming, with mass bleaching events increasing in frequency and leading to widespread coral mortality. Yet, some corals can resist or recover from bleaching better than others. Such variability in thermal resilience could be critical to reef persistence; however, the scientific community lacks standardized diagnostic approaches to rapidly and comparatively assess coral thermal vulnerability prior to bleaching events. We present the Coral Bleaching Automated Stress System (CBASS) as a low-cost, open-source, field-portable experimental system for rapid empirical assessment of coral thermal thresholds using standardized temperature stress profiles and diagnostics. The CBASS consists of four or eight flow-through experimental aquaria with independent water masses, lighting, and individual automated temperature controls capable of delivering custom modulating thermal profiles. The CBASS is used to conduct daily thermal stress exposures that typically include 3-h temperature ramps to multiple target temperatures, a 3-h hold period at the target temperatures, and a 1-h ramp back down to ambient temperature, followed by an overnight recovery period. This mimics shallow water temperature profiles observed in coral reefs and prompts a rapid acute heat stress response that can serve as a diagnostic tool to identify putative thermotolerant corals for in-depth assessments of adaptation mechanisms, targeted conservation, and possible use in restoration efforts. The CBASS is deployable within hours and can assay up to 40 coral fragments/aquaria/day, enabling high-throughput, rapid determination of thermal thresholds for individual genotypes, populations, species, and sites using a standardized experimental framework