Comparison of manikin-based simulators and patient monitor simulators within paramedic education : the student perspective

Objective Investigate the impact to paramedic students of patient monitor simulators, when compared with manikin-based simulators within an educational programme. Design An exploratory study using an online questionnaire to gain qualitative and quantitative data. Setting One London university delivering a paramedic science programme. Participants A total of 136 paramedic students sponsored by a UK ambulance service were approached for this study. Data were received from 43 respondents (32%). Main outcome measures Comparison of simulators and their effect on student development through the identification of the student’s own perceived ability following use, perception of other’s ability (fellow students studying same course) following use and perception of the two pieces of simulation equipment available. Results The majority of respondents identified that simulation both increased their confidence and ability to demonstrate new knowledge and skills during simulation (97%) and further increased their ability to manage real patients (95%). Respondents agreed that there were advantages and disadvantages of using simulation, but these were not in line with those identified in previous studies. Instead of the human factors and non-technical skills outlined, students were much more practically focused on how the equipment performed. Conclusions This study suggests that there is a clear link between simulation and increased student confidence, but any issues encountered with the simulator equipment can reduce this benefit, causing the student’s learning environment to falter. Transitioning to monitor-based simulators is seen as a positive move, although the integration of manikins with this equipment is identified as being necessary. https://stel.bmj.com/content/4/2/65. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ DOI http://dx.doi.org/10.1136/bmjstel-2017-00025

A promising Start? The Local Network Fund for Children and Young People: Interim Findings from the National Evaluation

This is a summary of the interim evaluation report of the National Evaluation of the Local Network Fund (LNF) for Children and Young People. It is based on data gathered during the first phase of the evaluation (between October 2002 to December 2003). A final report of the National Evaluation will be available early in 2005. A consortium of research organisations, led by the University of Hull and including BMRB Social Research, The University of York and the University of Sheffield were commissioned in August 2002 by the-then Children and Young People’s Unit (CYPU) to carry out the evaluation

Copolymerisation as a way to enhance the electrochromic properties of an alkylthiophene oligomer and a pyrrole derivative: copolymer of 3,3'" dihexyl-2,2':5',2":5",2'"-quaterthiophene with (R)-(-)-3-(1-pyrrolyl)propyl-N-(3,5-dinitrobenzoyl)-α-phenylglycinate

The copolymerisation of 3,3'" Dihexyl-2,2':5',2":5",2'"-quaterthiophene (DHQT) and (R)-(-)-3-(1-pyrrolyl)propyl-N-(3,5-dinitrobenzoyl)-α-phenylglycinate (DNBP) was successfully performed electrochemically in acetonitrile (CH3CN) containing tetrabutylammonium tetrafluoroborate ((C4H9)4NBF4) by direct oxidation of monomer mixtures in different feed ratios. Copolymerisation improved the properties of the films of both polymers PDHQT and PDNBP, in respect to the adhesion of PDHQT onto ITO/glass surface and the chromatic contrast of these electrochromic materials. PDHQT, PDNBP and P(DHQT-co-DNBP) films were characterised by FTIR spectroscopy, fluorescence spectroscopy, Scanning Electron Microscopy (SEM) and spectroelectrochemical techniques. Solutions of PDHQT and its copolymers with DNBP (independently of the feed ratio) in N-methylpyrrolidone are fluorescent with emission bands at 555 and 585 nm when excited at 375 nm. Reversible changes in the hue and saturation occur in all the copolymer films from yellow or orange in the reduced state to green or blue in the oxidised state, but were dependent on the proportion of the comonomers used to prepare the copolymers. These changes are more significant for P(DHQT-co-DNBP) films deposited onto ITO/glass with 1:5 feed ratio, as shown by the track of the CIE 1931 xy chromaticity coordinates and by the electrochromic parameters in which this film (thickness 0.8±0.2 μm) presented chromatic contrast (Δ%T) at 660 nm of 62%, coloration efficiency (η) of 266 cm2 C-1 and stability to redox cycling (Δ%T=17% at the 1000th cycle). Therefore, these copolymers are potentially applicable in displays and optoelectronic devices as electrochromic and fluorescent materials

Environmental effects on the construction and physical properties of Bombyx mori cocoons

Published studies of silks focus on processed fibres or the optimum conditions for their production. Consequently, the effects of the environment on the physical properties of the cocoon are either poorly understood or kept as closely guarded industrial secrets. In this study, we test the hypothesis that silkworms as ectothermic animals respond to environmental conditions by modifying their spinning behaviour in a predictable manner, which affects the material properties of the cocoons in predictable ways. Our experiments subjected spinning Bombyx mori silkworms to a range of temperatures and relative humidities that, as we show, affect the morphology and mechanical properties of the cocoon. Specifically, temperature affects cocoon morphology as well as its stiffness and strength, which we attribute to altered spinning behaviour and sericin curing time. Relative humidity affects cocoon colouration, perhaps due to tanning agents. Finally, the water content of a cocoon modifies sericin distribution and stiffness without changing toughness. Our results demonstrate environmentally induced quality parameters that must not be ignored when analysing and deploying silk cocoons, silk filaments or silk-derived bio-polymers

Glass transitions in native silk fibres studied by dynamic mechanical thermal analysis

Silks are a family of semi-crystalline structural materials, spun naturally by insects, spiders and even crustaceans. Compared to the characteristic β-sheet crystalline structure in silks, the non-crystalline structure and its composition deserves more attention as it is equally critical to the filaments' high toughness and strength. Here we further unravel the structure-property relationship in silks using Dynamic Mechanical Thermal Analysis (DMTA). This technique allows us to examine the most important structural relaxation event of the disordered structure the disordered structure, the glass transition (GT), in native silk fibres of the lepidopteran Bombyx mori and Antheraea pernyi and the spider Nephila edulis. The measured glass transition temperature Tg, loss tangent tan δ and dynamic storage modulus are quantitatively modelled based on Group Interaction Modelling (GIM). The "variability" issue in native silks can be conveniently explained by the different degrees of structural disorder as revealed by DMTA. The new insights will facilitate a more comprehensive understanding of the structure-property relations for a wide range of biopolymers

Rheological behaviour of native silk feedstocks

Whilst much is known about the properties of silks, the means by which native silk feedstocks are spun still represent a gap in our knowledge. Rheology of the native silk feedstocks is germane to an understanding of the natural spinning process. Yet, an overview of the literature reveals subtle limitations and inconsistencies between studies, which has been largely attributed to sample-to-sample variation when testing these exquisitely flow-sensitive materials. This ambiguity has prevented reliable, consistent inferences from standard polymer rheology and constitutes an obstacle to further development. To address this challenge, we present the largest study to date into the rheological properties of native silk feedstocks from Bombyx mori larvae. A combination of shear and oscillatory measurements were used to examine in detail the relationships between concentration, low shear viscosity, relaxation times, complex modulus and estimates of the molecular weights between entanglements. The results from this highly detailed survey will provide a sound basis for further experimental or theoretical work and lay the foundations for future bio-inspired processing of proteins

Early changes in Orthopteran assemblages after grassland restoration : a comparison of space-for-time substitution versus repeated-measures monitoring

Grasslands harbour significant biodiversity and their restoration is a common intervention in biodiversity conservation. However, we know very little on how grassland restoration influences arthropod groups. Here we compared orthopteran assemblages in croplands, natural grasslands and one to four-year-old grasslands restored in a large-scale restoration on former croplands in Hortobágy National Park (E-Hungary). Sampling was done by standardized sweep-netting both in a repeated measures design and space-for-time substitution (chronosequence) design. General linear models with repeated measures from five years showed that species richness, abundance and Shannon diversity of orthopterans decreased in the year following restoration but increased afterwards. By the fourth year, species richness almost doubled and abundance increased almost ten-fold in restored grasslands compared to croplands. Multivariate analyses showed that species composition in the first two years did not progress much but by the third and fourth year there was partial overlap with natural grasslands. Local restoration conditions (last crop, seed mixture) and landscape configuration (proportion of natural grasslands < 1 km away) did not influence the above patterns in either the repeated measures or the chronosequence design, whereas time since restoration affected almost all community variables. Our results suggest that generalist ubiquitous species appeared in restored grasslands first and the more sensitive species colonized the restored fields gradually in later years. The qualitative and quantitative properties of the orthopteran assemblages in restored fields did not yet reach those of natural grasslands, therefore, our study suggests that the full regeneration of the orthopteran assemblages takes more than four years