Smoking prevention intervention with school classes in university hospital by thoracic surgeon und pulmonologist. The Zurich prevention project

Smoking prevention in schoolchildren to inform and prevent smoking initiation has been widely studied; however, the potential effect of interventions provided in a hospital setting is unknown. An intervention program named "Schoolchildren smoking prevention in the hospital" was developed in which the health aspects of smoking and its individual consequences were presented in an interactive informational event provided by a thoracic surgeon and a pulmonologist. We aimed to assess the feasibility and the short-term effect of smoking-related knowledge improvement in schoolchildren in a hospital setting. Scholars of 45 classes in Canton of Zurich in Switzerland filled in an anonymous 5-item questionnaire with questions on general knowledge about smoking. The answers were evaluated in this prospective observational cohort study. The primary endpoint was to compare the knowledge improvement by interpretation of answers before-and-after the smoking prevention intervention. Additionally, the performance of children was compared after setting up an overall score and specific subgroups according to gender and school-level. Between Jan 2010, and Oct 2019, schoolchildren aged 10 to 16 years participated in this intervention program and completed the questionnaire before (N = 1270) and after (N = 1264) the intervention. The amount of correctly answered questions increased from 40% (±20) before to 81% (±17), p < 0·0001 after the educational session. An intervention program on health effects of smoking provided by lung specialists in the hospital is feasible, well received, leads to a substantial increase of knowledge, and hopefully can be further explored in the development of smoking prevention programs for schoolchildren. Keywords: Adolescent; BASEC, Business Administration System for Ethics Committees; CI, Confidence interval; IQR, Interquartile range; OR, Odds radio; RCT, Randomized control trial; SD, Standard deviation; Schoolchildren; Smoking adverse effects; Smoking cessation interventions; Tobacco smoking prevention; i.e, Id est

Detection of a and b waves in the acceleration photoplethysmogram

Background: Analyzing acceleration photoplethysmogram (APG) signals measured after exercise is challenging. In this paper, a novel algorithm that can detect a waves and consequently b waves under these conditions is proposed. Accurate a and b wave detection is an important first step for the assessment of arterial stiffness and other cardiovascular parameters. Methods: Nine algorithms based on fixed thresholding are compared, and a new algorithm is introduced to improve the detection rate using a testing set of heat stressed APG signals containing a total of 1,540 heart beats. Results: The new a detection algorithm demonstrates the highest overall detection accuracy—99.78% sensitivity, 100% positive predictivity—over signals that suffer from 1) non-stationary effects, 2) irregular heartbeats, and 3) low amplitude waves. In addition, the proposed b detection algorithm achieved an overall sensitivity of 99.78% and a positive predictivity of 99.95%. Conclusions: The proposed algorithm presents an advantage for real-time applications by avoiding human intervention in threshold determination.Mohamed Elgendi, Ian Norton, Matt Brearley, Derek Abbott, and Dale Schuurman

Concordance between nurse-reported quality of care and quality of care as publicly reported by nurse-sensitive indicators

Background: Nurse-sensitive indicators and nurses' satisfaction with the quality of care are two commonly used ways to measure quality of nursing care. However, little is known about the relationship between these kinds of measures. This study aimed to examine concordance between nurse-sensitive screening indicators and nurse-perceived quality of care. Methods: To calculate a composite performance score for each of six Dutch non-university teaching hospitals, the percentage scores of the publicly reported nurse-sensitive indicators: screening of delirium, screening of malnutrition, and pain assessments, were averaged (2011). Nurse-perceived quality ratings were obtained from staff nurses working in the same hospitals by the Dutch Essentials of Magnetism II survey (2010). Concordance between the quality measures was analyzed using Spearman's rank correlation. Results: The mean screening performances ranged from 63 % to 93 % across the six hospitals. Nurse-perceived quality of care differed significantly between the hospitals, also after adjusting for nursing experience, educational level, and regularity of shifts. The hospitals with high-levels of nurse-perceived quality were also high-performing hospitals according to nurse-sensitive indicators. The relationship was true for high-performing as well as lower-performing hospitals, with strong correlations between the two quality measures (r S = 0.943, p = 0.005). Conclusions: Our findings showed that there is a significant positive association between objectively measured nurse-sensitive screening indicators and subjectively measured perception of quality. Moreover, the two indicators of quality of nursing care provide corresponding quality rankings. This implies that improving factors that are associated with nurses' perception of what they believe to be quality of care may also lead to better screening processes. Although convergent validity seems to be established, we emphasize that different kinds of quality measures could be used to complement each other, because various stakeholders may assign different values to the quality of nursing care

Theoretical study of dark resonances in micro-metric thin cells

We investigate theoretically dark resonance spectroscopy for a dilute atomic vapor confined in a thin (micro-metric) cell. We identify the physical parameters characterizing the spectra and study their influence. We focus on a Hanle-type situation, with an optical irradiation under normal incidence and resonant with the atomic transition. The dark resonance spectrum is predicted to combine broad wings with a sharp maximum at line-center, that can be singled out when detecting a derivative of the dark resonance spectrum. This narrow signal derivative, shown to broaden only sub-linearly with the cell length, is a signature of the contribution of atoms slow enough to fly between the cell windows in a time as long as the characteristic ground state optical pumping time. We suggest that this dark resonance spectroscopy in micro-metric thin cells could be a suitable tool for probing the effective velocity distribution in the thin cell arising from the atomic desorption processes, and notably to identify the limiting factors affecting desorption under a grazing incidence.Comment: 12 pages, 11 figures theoretical articl

A pilot study: can heart rate variability (HRV) be determined using short-term photoplethysmograms?

To date, there have been no studies that investigate the independent use of the photoplethysmogram (PPG) signal to determine heart rate variability (HRV). However, researchers have demonstrated that PPG signals offer an alternative way of measuring HRV when electrocardiogram (ECG) and PPG signals are collected simultaneously. Based on these findings, we take the use of PPGs to the next step and investigate a different approach to show the potential independent use of short 20-second PPG signals collected from healthy subjects after exercise in a hot environment to measure HRV. Our hypothesis is that if the PPG--HRV indices are negatively correlated with age, then short PPG signals are appropriate measurements for extracting HRV parameters. The PPGs of 27 healthy male volunteers at rest and after exercise were used to determine the HRV indices: standard deviation of heartbeat interval (SDNN) and the root-mean square of the difference of successive heartbeats (RMSSD). The results indicate that the use of the $aa$ interval, derived from the acceleration of PPG signals, is promising in determining the HRV statistical indices SDNN and RMSSD over 20-second PPG recordings. Moreover, the post-exercise SDNN index shows a negative correlation with age. There tends to be a decrease of the PPG--SDNN index with increasing age, whether at rest or after exercise. This new outcome validates the negative relationship between HRV in general with age, and consequently provides another evidence that short PPG signals have the potential to be used in heart rate analysis without the need to measure lengthy sequences of either ECG or PPG signals.Mohamed Elgendi, Ian Norton, Matt Brearley, Socrates Dokos, Derek Abbott, Dale Schuurman

Experimental observation of second-harmonic generation and diffusion inside random media

We have experimentally measured the distribution of the second-harmonic intensity that is generated inside a highly-scattering slab of porous gallium phosphide. Two complementary techniques for determining the distribution are used. First, the spatial distribution of second-harmonic light intensity at the side of a cleaved slab has been recorded. Second, the total second-harmonic radiation at each side of the slab has been measured for several samples at various wavelengths. By combining these measurements with a diffusion model for second-harmonic generation that incorporates extrapolated boundary conditions, we present a consistent picture of the distribution of the second-harmonic intensity inside the slab. We find that the ratio $\ell_{2\omega}/L_c$ of the mean free path at the second-harmonic frequency to the coherence length, which was suggested by some earlier calculations, cannot describe the second-harmonic yield in our samples. For describing the total second-harmonic yield, our experiments show that the scattering parameter at the fundamental frequency \k_{1\omega}\ell_{1\omega} is the most relevant parameter in our type of samples.Comment: 10 pages, 7 figure

Bioassays of Compounds with Potential Juvenoid Activity on \u3ci\u3eDrosophila melanogaster\u3c/i\u3e: Juvenile Hormone III, Bisepoxide Juvenile Hormone III, and Methyl Farnesoates

Metabolites of the 6,7,10,11 bisepoxide juvenile hormone III (JHB3), and other potential juvenoids, were tested for juvenile hormone activity using early instar or early stage pupae of Drosophila mela-nogaster. Importantly, methyl farnesoates were tested as they might have JH-like activity on Dipteran juveniles. Larvae were exposed to compounds in medium, or the compounds were applied to white puparia. In the assays employed in the present study, there was no indication for JH activity associ-ated with the metabolites of JHB3. The activity of methyl farnesoate (MF) was higher than that of JH III and far greater than bisepoxide JH III. As opposed to the two endogenous juvenile hormones, methyl farnesoate has weak activity in the white puparial bioassay. When fluorinated forms of me-thyl farnesoate, which is unlikely to be converted to JH, were applied to Drosophila medium to which fly eggs were introduced, there was a high degree of larval mortality, but no evidence of subsequent mortality at the pupal stage. One possible explanation for the results is that methyl farnesoate is active as a hormone in larval stages, but has little activity at the pupal stage where only juvenile hormone has a major effect

Bioassays of Compounds with Potential Juvenoid Activity on \u3ci\u3eDrosophila melanogaster\u3c/i\u3e: Juvenile Hormone III, Bisepoxide Juvenile Hormone III, and Methyl Farnesoates

Metabolites of the 6,7,10,11 bisepoxide juvenile hormone III (JHB3), and other potential juvenoids, were tested for juvenile hormone activity using early instar or early stage pupae of Drosophila mela-nogaster. Importantly, methyl farnesoates were tested as they might have JH-like activity on Dipteran juveniles. Larvae were exposed to compounds in medium, or the compounds were applied to white puparia. In the assays employed in the present study, there was no indication for JH activity associ-ated with the metabolites of JHB3. The activity of methyl farnesoate (MF) was higher than that of JH III and far greater than bisepoxide JH III. As opposed to the two endogenous juvenile hormones, methyl farnesoate has weak activity in the white puparial bioassay. When fluorinated forms of me-thyl farnesoate, which is unlikely to be converted to JH, were applied to Drosophila medium to which fly eggs were introduced, there was a high degree of larval mortality, but no evidence of subsequent mortality at the pupal stage. One possible explanation for the results is that methyl farnesoate is active as a hormone in larval stages, but has little activity at the pupal stage where only juvenile hormone has a major effect

Photon Localization in Resonant Media

We report measurements of microwave transmission over the first five Mie resonances of alumina spheres randomly positioned in a waveguide. Though precipitous drops in transmission and sharp peaks in the photon transit time are found near all resonances, measurements of transmission fluctuations show that localization occurs only in a narrow frequency window above the first resonance. There the drop in the photon density of states is found to be more pronounced than the fall in the photon transit time, leading to a minimum in the Thouless number.Comment: To appear in PRL; 5 pages, including 5 figure