The Effect of Senior Medical Student Tutors Compared to Faculty Tutors on Examination Scores of First- and Second-Year Medical Students in Two Problem-Based Learning Courses

At the University of Hawaii John A. Burns School of Medicine, senior medical student volunteers are used as tutors for some problem-based learning groups in both the first and second years. Previous studies on the advantages and disadvantages of student tutors compared to faculty tutors have been equivocal. This study expected to answer the following question: Are there differences in examination scores for learners in their first or second year tutored by fourth-year medical students compared to those tutored by faculty members on two different types of examinations? Students were assessed using more clinically relevant, modified essay question examinations and multiple-choice question examinations. Student grades for eight consecutive years were sorted for year and type of examination into those tutored by a faculty member and those tutored primarily by a senior medical student. The only difference favored faculty tutors on second-year examinations that contained more clinically relevant questions. This phenomenon may be explained by the clinical expertise of faculty tutors making a difference in the second year but not the first year

Direct Hopf Bifurcation in Parametric Resonance of Hybridized Waves

We study parametric resonance of interacting waves having the same wave vector and frequency. In addition to the well-known period-doubling instability we show that under certain conditions the instability is caused by a Hopf bifurcation leading to quasiperiodic traveling waves. It occurs, for example, if the group velocities of both waves have different signs and the damping is weak. The dynamics above the threshold is briefly discussed. Examples concerning ferromagnetic spin waves and surface waves of ferro fluids are discussed.Comment: Appears in Phys. Rev. Lett., RevTeX file and three postscript figures. Packaged using the 'uufiles' utility, 33 k

Rapid Monitoring of Bacteria and Fungi aboard the International Space Station (ISS)

Microorganisms within spacecraft have traditionally been monitored with culture-based techniques. These techniques involve growth of environmental samples (cabin water, air or surfaces) on agar-type media for several days, followed by visualization of resulting colonies or return of samples to Earth for ground-based analysis. Data obtained over the past 4 decades have enhanced our understanding of the microbial ecology within space stations. However, the approach has been limited by the following factors: i) Many microorganisms (estimated > 95%) in the environment cannot grow on conventional growth media; ii) Significant time lags (3-5 days for incubation and up to several months to return samples to ground); iii) Condensation in contact slides hinders colony counting by crew; and iv) Growth of potentially harmful microorganisms, which must then be disposed of safely. This report describes the operation of a new culture-independent technique onboard the ISS for rapid analysis (within minutes) of endotoxin and beta-1, 3-glucan, found in the cell walls of gramnegative bacteria and fungi, respectively. The technique involves analysis of environmental samples with the Limulus Amebocyte Lysate (LAL) assay in a handheld device, known as the Lab-On-a-Chip Application Development Portable Test System (LOCAD-PTS). LOCADPTS was launched to the ISS in December 2006, and here we present data obtained from Mach 2007 until the present day. These data include a comparative study between LOCADPTS analysis and existing culture-based methods; and an exploratory survey of surface endotoxin and beta-1, 3-glucan throughout the ISS. While a general correlation between LOCAD-PTS and traditional culture-based methods should not be expected, we will suggest new requirements for microbial monitoring based upon culture-independent parameters measured by LOCAD-PTS

Carbon dioxide generation and drawdown during active orogenesis of siliciclastic rocks in the Southern Alps, New Zealand

C.D.M. was supported by NERC CASE PhD studentship award NE/G524160/1 (GNS Science, NZ, CASE partner). D.A.H.T. acknowledges support from research grants NE/H012842/1 and NE/J022128/1 and a Royal Society Wolfson Research Merit Award (WM130051). S.C.C. was funded under GNS Science's “Impacts of Global Plate Tectonics in and around New Zealand Programme” (PGST Contract CO5X0203). J.C.A. was supported by NSF OCE1334758. We also thank Matthew Cooper, Andy Milton, Darryl Green and Lora Wingate for laboratory assistance. We thank Mike Bickle for editorial advice and comments, and reviews from two anonymous reviewers that improved this manuscript.Peer reviewedPublisher PD

Calcium carbonate production response to future ocean warming and acidification

Anthropogenic carbon dioxide (CO2) emissions are acidifying the ocean, affecting calcification rates in pelagic organisms, and thereby modifying the oceanic carbon and alkalinity cycles. However, the responses of pelagic calcifying organisms to acidification vary widely between species, contributing uncertainty to predictions of atmospheric CO2 and the resulting climate change. At the same time, ocean warming caused by rising CO2 is expected to drive increased growth rates of all pelagic organisms, including calcifiers. It thus remains unclear whether anthropogenic CO2 emissions will ultimately increase or decrease pelagic calcification rates. Here, we assess the importance of this uncertainty by introducing a dependence of calcium carbonate (CaCO3) production on calcite saturation state (ΩCaCO3) in an intermediate complexity coupled carbon-climate model. In a series of model simulations, we examine the impact of several variants of this dependence on global ocean carbon cycling between 1800 and 3500 under two different CO2 emissions scenarios. Introducing a calcification-saturation state dependence has a significant effect on the vertical and surface horizontal alkalinity gradients, as well as on the removal of alkalinity from the ocean through CaCO3 burial. These changes result in an additional oceanic uptake of carbon when calcification depends on ΩCaCO3 (of up to 270 Pg C), compared to the case where calcification does not depend on acidification. In turn, this response causes a reduction of global surface air temperature of up to 0.4 °C in year 3500. Different versions of the model produced varying results, and narrowing this range of uncertainty will require better understanding of both temperature and acidification effects on pelagic calcifiers. Nevertheless, our results suggest that alkalinity observations can be used to constrain model results, and may not be consistent with the model versions that simulated stronger responses of CaCO3 production to changing saturation state

Future changes in climate, ocean circulation, ecosystems, and biogeochemical cycling simulated for a business-as-usual CO2 emission scenario until year 4000 AD

A new model of global climate, ocean circulation, ecosystems, and biogeochemical cycling, including a fully coupled carbon cycle, is presented and evaluated. The model is consistent with multiple observational data sets from the past 50 years as well as with the observed warming of global surface air and sea temperatures during the last 150 years. It is applied to a simulation of the coming two millennia following a business-as-usual scenario of anthropogenic CO2 emissions (SRES A2 until year 2100 and subsequent linear decrease to zero until year 2300, corresponding to a total release of 5100 GtC). Atmospheric CO2 increases to a peak of more than 2000 ppmv near year 2300 (that is an airborne fraction of 72% of the emissions) followed by a gradual decline to ~1700 ppmv at year 4000 (airborne fraction of 56%). Forty-four percent of the additional atmospheric CO2 at year 4000 is due to positive carbon cycle–climate feedbacks. Global surface air warms by ~10°C, sea ice melts back to 10% of its current area, and the circulation of the abyssal ocean collapses. Subsurface oxygen concentrations decrease, tripling the volume of suboxic water and quadrupling the global water column denitrification. We estimate 60 ppb increase in atmospheric N2O concentrations owing to doubling of its oceanic production, leading to a weak positive feedback and contributing about 0.24°C warming at year 4000. Global ocean primary production almost doubles by year 4000. Planktonic biomass increases at high latitudes and in the subtropics whereas it decreases at midlatitudes and in the tropics. In our model, which does not account for possible direct impacts of acidification on ocean biology, production of calcium carbonate in the surface ocean doubles, further increasing surface ocean and atmospheric pCO2. This represents a new positive feedback mechanism and leads to a strengthening of the positive interaction between climate change and the carbon cycle on a multicentennial to millennial timescale. Changes in ocean biology become important for the ocean carbon uptake after year 2600, and at year 4000 they account for 320 ppmv or 22% of the atmospheric CO2 increase since the preindustrial era

Is the Shroud of Turin in Relation to the Old Jerusalem Historical Earthquake?

Phillips and Hedges suggested, in the scientific magazine Nature (1989), that neutron radiation could be liable of a wrong radiocarbon dating, while proton radiation could be responsible of the Shroud body image formation. On the other hand, no plausible physical reason has been proposed so far to explain the radiation source origin, and its effects on the linen fibres. However, some recent studies, carried out by the first author and his Team at the Laboratory of Fracture Mechanics of the Politecnico di Torino, found that it is possible to generate neutron emissions from very brittle rock specimens in compression through piezonuclear fission reactions. Analogously, neutron flux increments, in correspondence to seismic activity, should be a result of the same reactions. A group of Russian scientists measured a neutron flux exceeding the background level by three orders of magnitude in correspondence to rather appreciable earthquakes (4th degree in Richter Scale). The authors consider the possibility that neutron emissions by earthquakes could have induced the image formation on Shroud linen fibres, trough thermal neutron capture by Nitrogen nuclei, and provided a wrong radiocarbon dating due to an increment in C(14,6)content. Let us consider that, although the calculated integral flux of 10^13 neutrons per square centimetre is 10 times greater than the cancer therapy dose, nevertheless it is100 times smaller than the lethal dose.Comment: 13 pages, 1 figur

Band-width control in a perovskite-type 3d^1 correlated metal Ca_{1-x}Sr_xVO_3. I. Evolution of the electronic properties and effective mass

Single crystals of the perovskite-type $3d^{1}$ metallic alloy system Ca$_{1-x}$Sr$_x$VO$_3$ were synthesized in order to investigate metallic properties near the Mott transition. The substitution of a Ca$^{2+}$ ion for a Sr$^{2+}$ ion reduces the band width $W$ due to a buckling of the V-O-V bond angle from $\sim180^\circ$ for SrVO$_3$ to $\sim160^\circ$ for CaVO$_3$. Thus, the value of $W$ can be systematically controlled without changing the number of electrons making Ca$_{1-x}$Sr$_x$VO$_3$: one of the most ideal systems for studying band-width effects. The Sommerfeld-Wilson's ratio ($\simeq2$), the Kadowaki-Woods ratio (in the same region as heavy Fermion systems), and a large $T^{2}$ term in the electric resistivity, even at 300 K, substantiate a large electron correlation in this system, though the effective mass, obtained by thermodynamic and magnetic measurements, shows only a systematic but moderate increase in going from SrVO$_3$ to CaVO$_3$, in contrast to the critical enhancement expected from the Brinkmann-Rice picture. It is proposed that the metallic properties observed in this system near the Mott transition can be explained by considering the effect of a non-local electron correlation.Comment: 14 pages in a Phys. Rev. B camera-ready format with 10 EPS figures embedded. LaTeX 2.09 source file using "camera.sty" and "prbplug.sty" provided by N. Shirakawa. For OzTeX (Macintosh), use "ozfig.sty" instead of "psfig.sty". "ozfig.sty" can be also obtained by e-mail request to N. Shirakawa: . Submitted to Phys. Rev.

Acute Chloroform Ingestion Successfully Treated with Intravenously Administered N-acetylcysteine

Chloroform, a halogenated hydrocarbon, causes central nervous system depression, cardiac arrhythmias, and hepatotoxicity. We describe a case of chloroform ingestion with a confirmatory serum level and resultant hepatotoxicity successfully treated with intravenously administered N-acetylcysteine (NAC). A 19-year-old man attempting suicide ingested approximately 75 mL of chloroform. He was unresponsive and intubated upon arrival. Intravenously administered NAC was started after initial stabilization was complete. His vital signs were normal. Admission laboratory values revealed normal serum electrolytes, AST, ALT, PT, BUN, creatinine, and bilirubin. Serum ethanol level was 15 mg/dL, and aspirin and acetaminophen were undetectable. The patient was extubated but developed liver function abnormalities with a peak AST of 224 IU/L, ALT of 583 IU/L, and bilirubin level reaching 16.3 mg/dL. NAC was continued through hospital day 6. Serum chloroform level obtained on admission was 91 μg/mL. The patient was discharged to psychiatry without known sequelae and normal liver function tests. The average serum chloroform level in fatal cases of inhalational chloroform poisoning was 64 μg/mL, significantly lower than our patient. The toxicity is believed to be similar in both inhalation and ingestion routes of exposure, with mortality predominantly resulting from anoxia secondary to central nervous system depression. Hepatocellular toxicity is thought to result from free radical-induced oxidative damage. Previous reports describe survival after treatment with orally administered NAC, we report the first use of intravenously administered NAC for chloroform ingestion. Acute oral ingestion of chloroform is extremely rare. Our case illustrates that with appropriate supportive care, patients can recover from chloroform ingestion, and intravenously administered NAC may be of benefit in such cases

Climate vulnerability assessment for Pacific salmon and steelhead in the California Current Large Marine Ecosystem.

Major ecological realignments are already occurring in response to climate change. To be successful, conservation strategies now need to account for geographical patterns in traits sensitive to climate change, as well as climate threats to species-level diversity. As part of an effort to provide such information, we conducted a climate vulnerability assessment that included all anadromous Pacific salmon and steelhead (Oncorhynchus spp.) population units listed under the U.S. Endangered Species Act. Using an expert-based scoring system, we ranked 20 attributes for the 28 listed units and 5 additional units. Attributes captured biological sensitivity, or the strength of linkages between each listing unit and the present climate; climate exposure, or the magnitude of projected change in local environmental conditions; and adaptive capacity, or the ability to modify phenotypes to cope with new climatic conditions. Each listing unit was then assigned one of four vulnerability categories. Units ranked most vulnerable overall were Chinook (O. tshawytscha) in the California Central Valley, coho (O. kisutch) in California and southern Oregon, sockeye (O. nerka) in the Snake River Basin, and spring-run Chinook in the interior Columbia and Willamette River Basins. We identified units with similar vulnerability profiles using a hierarchical cluster analysis. Life history characteristics, especially freshwater and estuary residence times, interplayed with gradations in exposure from south to north and from coastal to interior regions to generate landscape-level patterns within each species. Nearly all listing units faced high exposures to projected increases in stream temperature, sea surface temperature, and ocean acidification, but other aspects of exposure peaked in particular regions. Anthropogenic factors, especially migration barriers, habitat degradation, and hatchery influence, have reduced the adaptive capacity of most steelhead and salmon populations. Enhancing adaptive capacity is essential to mitigate for the increasing threat of climate change. Collectively, these results provide a framework to support recovery planning that considers climate impacts on the majority of West Coast anadromous salmonids