Quantification of opportunities for early-stage paramedicine students to practice clinical skills during clinical placements compared with an equal dose of simulation-based workshops

Introduction A reported advantage of simulation-based learning environments (SLE) over clinical placements (CPs) is that the former can provide a greater number and breadth of opportunities to practice level-appropriate clinical skills compared with the random patient presentations provided during the latter. Although logical and widely accepted as fact, we find no published evidence to demonstrate the magnitude, nor indeed veracity, of this assumption. We therefore sought to quantify the clinical skills practiced by entry-level paramedicine students attending a well-selected CP compared with an equal dosage of SLE. Methods N=37 first-year paramedicine students completed activity diaries during 3 days of CP and 3 days of SLE. Opportunities to practice clinical skills were quantified and coded as either: level-appropriate, beyond-level or of non-discipline relevance. Results During SLE, the average student was exposed 226 times to 11 level-appropriate clinical procedures. During CP the average student was exposed 48 times to 24 clinical procedures, the majority relevant to paramedicine (63%), but a minority level-appropriate (38%). Students’ opportunities for supervised, ‘hands on’ practice represented only 10% of exposures in either SLE or CP but in terms of raw numbers of level-appropriate opportunities, SLE provided more than CP (n=23 vs 2). Discussion Our results confirm that SLE provides substantially more opportunities than CP for students to practice level-appropriate skills and is therefore more appropriate for repetitive practice. However, CP is likely to remain useful to students for practicing interpersonal skills and contextualisation of knowledge within the broader health system. Educators should therefore carefully articulate learning objectives before choosing between SLE and CP

Ferromagnetic redshift of the optical gap in GdN

We report measurements of the optical gap in a GdN film at temperatures from 300 to 6K, covering both the paramagnetic and ferromagnetic phases. The gap is 1.31eV in the paramagnetic phase and red-shifts to 0.9eV in the spin-split bands below the Curie temperature. The paramagnetic gap is larger than was suggested by very early experiments, and has permitted us to refine a (LSDA+U)-computed band structure. The band structure was computed in the full translation symmetry of the ferromagnetic ground state, assigning the paramagnetic-state gap as the average of the majority- and minority-spin gaps in the ferromagnetic state. That procedure has been further tested by a band structure in a 32-atom supercell with randomly-oriented spins. After fitting only the paramagnetic gap the refined band structure then reproduces our measured gaps in both phases by direct transitions at the X point.Comment: 5 pages, 4 figure

Tiling the plane without supersymmetry

We present a way of tiling the plane with a regular hexagonal network of defects. The network is stable and follows in consequence of the three-junctions that appear in a model of two real scalar fields that presents $Z_3$ symmetry. The $Z_3$ symmetry is effective in both the vacuum and defect sectors, and no supersymmetry is required to build the network.Comment: Revtex, 4 pages, 1 ps figure; version to appear in Phys. Rev. Let

Segmenting Motion Capture Data Using a Qualitative Analysis

Many interactive 3D games utilize motion capture for both character animation and user input. These applications require short, meaningful sequences of data. Manually producing these segments of motion capture data is a laborious, time-consuming process that is impractical for real-time applications. We present a method to automatically produce semantic segmentations of general motion capture data by examining the qualitative properties that are intrinsic to all motions, using Laban Movement Analysis (LMA). LMA provides a good compromise between high-level semantic features, which are difficult to extract for general motions, and lowlevel kinematic features, which often yield unsophisticated segmentations. Our method finds motion sequences which exhibit high output similarity from a collection of neural networks trained with temporal variance. We show that segmentations produced using LMA features are more similar to manual segmentations, both at the frame and the segment level, than several other automatic segmentation methods

Bags, junctions, and networks of BPS and non-BPS defects

We investigate several models of coupled scalar fields that present discrete Z_2, Z_2 x Z_2, Z_3 and other symmetries. These models support topological domain wall solutions of the BPS and non-BPS type. The BPS solutions are stable, but the stability of the non-BPS solutions may depend on the parameters that specify the models. The BPS and non-BPS states give rise to bags, and also to three-junctions that may allow the presence of networks of topological defects. In particular, we show that the non-BPS defects of a specific model that engenders the Z_3 symmetry give rise to a stable regular hexagonal network of domain walls.Comment: Revtex, 16 pages, 6 ps figures; Shorter version to be published in Phys. Rev.

Vortex dynamics in layered superconductors with correlated defects: influence of interlayer coupling

We report a detailed study of the vortex dynamics and vortex phase diagrams of two amorphous Ta_0.3Ge_0.7/Ge multilayered films with intrinsic coplanar defects, but different interlayer coupling. A pinned Bose-glass phase in the more weakly coupled sample exists only below a cross-over field H* in striking contrast to the strongly coupled film. Above H* the flux lines are thought to break up into pancake vortices and the cross-over field is significantly increased when the field is aligned along the extended defects. The two films show different vortex creep excitations in the Bose-glass phase.Comment: zip file: 1 RevTex, 5 figures (png

Direct Measurement of the Top Quark Mass at D0

We determine the top quark mass m_t using t-tbar pairs produced in the D0 detector by \sqrt{s} = 1.8 TeV p-pbar collisions in a 125 pb^-1 exposure at the Fermilab Tevatron. We make a two constraint fit to m_t in t-tbar -> b W^+bbar W^- final states with one W boson decaying to q-qbar and the other to e-nu or mu-nu. Likelihood fits to the data yield m_t(l+jets) = 173.3 +- 5.6 (stat) +- 5.5 (syst) GeV/c^2. When this result is combined with an analysis of events in which both W bosons decay into leptons, we obtain m_t = 172.1 +- 5.2 (stat) +- 4.9 (syst) GeV/c^2. An alternate analysis, using three constraint fits to fixed top quark masses, gives m_t(l+jets) = 176.0 +- 7.9 (stat) +- 4.8 (syst) GeV/C^2, consistent with the above result. Studies of kinematic distributions of the top quark candidates are also presented.Comment: 43 pages, 53 figures, 33 tables. RevTeX. Submitted to Phys. Rev.

Novel multiple sclerosis susceptibility loci implicated in epigenetic regulation

We conducted a genome-wide association study (GWAS) on multiple sclerosis (MS) susceptibility in German cohorts with 4888 cases and 10,395 controls. In addition to associations within the major histocompatibility complex (MHC) region, 15 non-MHC loci reached genome-wide significance. Four of these loci are novel MS susceptibility loci. They map to the genes L3MBTL3, MAZ, ERG, and SHMT1. The lead variant at SHMT1 was replicated in an independent Sardinian cohort. Products of the genes L3MBTL3, MAZ, and ERG play important roles in immune cell regulation. SHMT1 encodes a serine hydroxymethyltransferase catalyzing the transfer of a carbon unit to the folate cycle. This reaction is required for regulation of methylation homeostasis, which is important for establishment and maintenance of epigenetic signatures. Our GWAS approach in a defined population with limited genetic substructure detected associations not found in larger, more heterogeneous cohorts, thus providing new clues regarding MS pathogenesis

Direct Measurement of the Top Quark Mass

We measure the top quark mass m_t using t tbar pairs produced in the D0 detector by root(s) = 1.8 TeV p pbar collisions in a 125 pb^-1 exposure at the Fermilab Tevatron. We make a two constraint fit to m_t in t tbar --> b W^+ bbar W^- final states with one W decaying to q qbar and the other to e nu or mu nu. Events are binned in fit mass versus a measure of probability for events to be signal rather than background. Likelihood fits to the data yield m_t = 173.3 +- 5.6 (stat) +- 6.2 (syst) GeV/c^2.Comment: 11 pages with 3 encapsulated PostScript figures and 1 encapsulated PostScript table included in the body of the articl

Astrobiologically Interesting Stars within 10 parsecs of the Sun

The existence of life based on carbon chemistry and water oceans relies upon planetary properties, chiefly climate stability, and stellar properties, such as mass, age, metallicity and Galactic orbits. The latter can be well constrained with present knowledge. We present a detailed, up-to-date compilation of the atmospheric parameters, chemical composition, multiplicity and degree of chromospheric activity for the astrobiologically interesting solar-type stars within 10 parsecs of the Sun. We determine their state of evolution, masses, ages and space velocities, and produce an optimized list of candidates that merit serious scientific consideration by the future space-based interferometry probes aimed at directly detecting Earth-sized extrasolar planets and seeking spectroscopic infrared biomarkers as evidence of photosynthetic life. The initially selected stars number 33 solar-type within the population of 182 stars (excluding late M-dwarfs) closer than 10 pc. A comprehensive and detailed data compilation for these objects is still essentially lacking: a considerable amount of recent data has so far gone unexplored in this context. We present 13 objects as the nearest "biostars", after eliminating multiple stars, young, chromospherically active, hard X-ray emitting stars, and low metallicity objects. Three of these "biostars", HD 1581, 109358 and 115617, closely reproduce most of the solar properties and are considered as premier targets. We show that approximately 7% of the nearby stars are optimally interesting targets for exobiology.Comment: 36 pages, recommended for publication in Astrobiolog