Fostering Student Engagement with the United Nations Sustainable Development Goals using an Escape Room

This paper describes the use of gamification, in the form of an interactive puzzle-based escape room, as an innovative and cross-curricular approach to introducing the United Nation (UN) Sustainable Development Goals (SDGs) in higher education. Educational games encourage active and collaborative learning while both engaging and challenging learners. Here, we describe how sustainability literacy was incorporated into undergraduate chemistry programmes in the form of a puzzle-based game, known as an Escape Room. A printable escape room was developed for use in any face-to-face or virtual classroom. The escape room consists of a narrative, or storyline that leads players (students working in small teams) to progress through four levels of puzzles centred on introducing sustainability literacy and the SDGs. Each puzzle has different game mechanics, including a wordsearch, crossword, pictograms, maze, re-ordering activity and multiple-choice questions, requiring learners to adopt a range of problem-solving strategies. Educators reported the activity to be an effective and engaging pedagogical approach while students reported that it was fun and enjoyable and that it increased their awareness of the SDGs and sustainability. It engaged students in sustainability, whilst encouraging active citizenship. The escape room and supporting resources are freely available, along with a guide for educators explaining how to implement and run the session

Excitation of MHD waves in magnetized anisotropic cosmologies

The excitation of cosmological perturbations in an anisotropic cosmological model and in the presence of a homogeneous magnetic field was studied, using the resistive magnetohydrodynamic (MHD) equations. We have shown that fast-magnetosonic modes, propagating normal to the magnetic field grow exponentially and saturated at high values, due to the resistivity. We also demonstrate that the jeans-like instabilities are enhanced inside a resistive and the formation of condensations formed within an anisotropic fluid influence the growing magnetosonic waves.Comment: 12 pages, RevTex, 5 figures ps, accepted for publication to Astronomy and Astrophysic

Portable HEPA Filtration Successfully Augments Natural-Ventilation-Mediated Airborne Particle Clearance in a Legacy Design Hospital Ward

As the severe acute respiratory syndrome coronavirus-2 pandemic has proceeded, ventilation has been recognized increasingly as an important tool in infection control. Many hospitals in Ireland and the UK do not have mechanical ventilation and depend on natural ventilation. The effectiveness of natural ventilation varies with atmospheric conditions and building design. In a challenge test of a legacy design ward, this study showed that portable air filtration significantly increased the clearance of pollutant aerosols of respirable size compared with natural ventilation, and reduced spatial variation in particle persistence. A combination of natural ventilation and portable air filtration is significantly more effective for particle clearance than either intervention alone

Technique to retrieve solar EUV flux and neutral thermospheric O, O2, N2, and temperature from airglow measurements

We describe a method for retrieving neutral thermospheric composition and solar EUV flux from optical measurements of the O(+)(P-2) 732 nm and O(D-1) 630 nm airglow emissions. The parameters retrieved are the neutral temperature, the O, L2, and N2 density profiles, and a scaling factor for the solar EUV flux spectrum. The temperature, solar EUV flux scaling factor, and atomic oxygen density are first retrieved from the 732 nm emission, which are then used with the 630 nm emission to retrieve the O2 and N2 densities. Between the altitudes of 200 and 400 km the retrieval technique is able to statistically retrieve values to within 3.1% for thermospheric temperature, 3.3% for atomic oxygen, 2.3% for molecular oxygen, and 2.4% for molecular nitrogen. The solar EUV flux scaling factor has a retrieval error of 5.1%. We also present the results of retrievals using existing data taken from both groundbased and spacebased instruments. These include airglow data taken by the Visible Airglow Experiment on the Atmospheric Explorer spacecraft and the Imaging Spectrometric Observatory flown on the ATLAS 1 shuttle mission in 1992

Protecting the Civil Rights of Detained Immigrants in Minnesota

During the past five years, the kinds of immigration enforcement actions that lead to arrests and detentions have dramatically increased. Undocumented immigrants, as well as some lawful permanent residents, end up in civil immigration detention through various channels that include seeking asylum in the United States, arrests at worksite raids or in homes, random stops for civil violations (such as a burned-out tail light), and arrests or convictions for crimes. This policy brief summarizes research first published in the Spring/Summer 2010 issue of the CURA Reporter that was based on interviews with attorneys regarding violations of the rights of detained immigrant clients. The policy brief summarizes attorneys' experiences communicating with their undocumented immigrant clients and treatment of their clients during incarceration, and offers recommendations to federal and local policy makers for how to address these issues.Supported in part through a New Initiative grant, Center for Urban and Regional Affairs, University of Minnesota

Cough-generated aerosols of Pseudomonas aeruginosa and other Gram-negative bacteria from patients with cystic fibrosis

Background: Pseudomonas aeruginosa is the most common bacterial pathogen in cystic fibrosis (CF) patients. Current infection control guidelines aim to prevent transmission via contact and respiratory droplet routes and do not consider the possibility of airborne transmission. We hypothesized that with coughing, CF subjects produce viable, respirable bacterial aerosols. Methods: Cross-sectional study of 15 children and 13 adults with CF, 26 chronically infected with P. aeruginosa. A cough aerosol sampling system enabled fractioning of respiratory particles of different size, and culture of viable Gram negative non-fermentative bacteria. We collected cough aerosols during 5 minutes voluntary coughing and during a sputum induction procedure when tolerated. Standardized quantitative culture and genotyping techniques were used. Results: P. aeruginosa was isolated in cough aerosols of 25 (89%) subjects of whom 22 produced sputum samples. P. aeruginosa from sputum and paired cough aerosols were indistinguishable by molecular typing. In 4 cases the same genotype was isolated from ambient room air. Approximately 70% of viable aerosols collected during voluntary coughing were of particles ≤ 3.3 microns aerodynamic diameter. P. aeruginosa, Burkholderia cenocepacia Stenotrophomonas maltophilia and Achromobacter xylosoxidans were cultivated from respiratory particles in this size range. Positive room air samples were associated with high total counts in cough aerosols (P=0.003). The magnitude of cough aerosols were associated with higher FEV1 (r=0.45, P=0.02) and higher quantitative sputum culture results (r=0.58, P=0.008). Conclusion: During coughing, CF patients produce viable aerosols of P. aeruginosa and other Gram negative bacteria of respirable size range, suggesting the potential for airborne transmission

Treatment outcomes of new tuberculosis patients hospitalized in Kampala, Uganda: a prospective cohort study.

BACKGROUND: In most resource limited settings, new tuberculosis (TB) patients are usually treated as outpatients. We sought to investigate the reasons for hospitalisation and the predictors of poor treatment outcomes and mortality in a cohort of hospitalized new TB patients in Kampala, Uganda. METHODS AND FINDINGS: Ninety-six new TB patients hospitalised between 2003 and 2006 were enrolled and followed for two years. Thirty two were HIV-uninfected and 64 were HIV-infected. Among the HIV-uninfected, the commonest reasons for hospitalization were low Karnofsky score (47%) and need for diagnostic evaluation (25%). HIV-infected patients were commonly hospitalized due to low Karnofsky score (72%), concurrent illness (16%) and diagnostic evaluation (14%). Eleven HIV uninfected patients died (mortality rate 19.7 per 100 person-years) while 41 deaths occurred among the HIV-infected patients (mortality rate 46.9 per 100 person years). In all patients an unsuccessful treatment outcome (treatment failure, death during the treatment period or an unknown outcome) was associated with duration of TB symptoms, with the odds of an unsuccessful outcome decreasing with increasing duration. Among HIV-infected patients, an unsuccessful treatment outcome was also associated with male sex (P = 0.004) and age (P = 0.034). Low Karnofsky score (aHR = 8.93, 95% CI 1.88 - 42.40, P = 0.001) was the only factor significantly associated with mortality among the HIV-uninfected. Mortality among the HIV-infected was associated with the composite variable of CD4 and ART use, with patients with baseline CD4 below 200 cells/µL who were not on ART at a greater risk of death than those who were on ART, and low Karnofsky score (aHR = 2.02, 95% CI 1.02 - 4.01, P = 0.045). CONCLUSION: Poor health status is a common cause of hospitalisation for new TB patients. Mortality in this study was very high and associated with advanced HIV Disease and no use of ART

Vaccine-Elicited Mucosal and Systemic Antibody Responses Are Associated with Reduced Simian Immunodeficiency Viremia in Infant Rhesus Macaques

ABSTRACT Despite significant progress in reducing peripartum mother-to-child transmission (MTCT) of human immunodeficiency virus (HIV) with antiretroviral therapy (ART), continued access to ART throughout the breastfeeding period is still a limiting factor, and breast milk exposure to HIV accounts for up to 44% of MTCT. As abstinence from breastfeeding is not recommended, alternative means are needed to prevent MTCT of HIV. We have previously shown that oral vaccination at birth with live attenuated Mycobacterium tuberculosis strains expressing simian immunodeficiency virus (SIV) genes safely induces persistent SIV-specific cellular and humoral immune responses both systemically and at the oral and intestinal mucosa. Here, we tested the ability of oral M. tuberculosis vaccine strains expressing SIV Env and Gag proteins, followed by systemic heterologous (MVA-SIV Env/Gag/Pol) boosting, to protect neonatal macaques against oral SIV challenge. While vaccination did not protect infant macaques against oral SIV acquisition, a subset of immunized animals had significantly lower peak viremia which inversely correlated with prechallenge SIV Env-specific salivary and intestinal IgA responses and higher-avidity SIV Env-specific IgG in plasma. These controller animals also maintained CD4 + T cell populations better and showed reduced tissue pathology compared to noncontroller animals. We show that infants vaccinated at birth can develop vaccine-induced SIV-specific IgA and IgG antibodies and cellular immune responses within weeks of life. Our data further suggest that affinity maturation of vaccine-induced plasma antibodies and induction of mucosal IgA responses at potential SIV entry sites are associated with better control of viral replication, thereby likely reducing SIV morbidity. IMPORTANCE Despite significant progress in reducing peripartum MTCT of HIV with ART, continued access to ART throughout the breastfeeding period is still a limiting factor. Breast milk exposure to HIV accounts for up to 44% of MTCT. Alternative measures, in addition to ART, are needed to achieve the goal of an AIDS-free generation. Pediatric HIV vaccines constitute a core component of such efforts. The results of our pediatric vaccine study highlight the potential importance of vaccine-elicited mucosal Env-specific IgA responses in combination with high-avidity systemic Env-specific IgG in protection against oral SIV transmission and control of viral replication in infant macaques. The induction of potent mucosal IgA antibodies by our vaccine is remarkable considering the age-dependent development of mucosal IgA responses postbirth. A deeper understanding of postnatal immune development may inform the design of improved vaccine strategies to enhance systemic and mucosal SIV/HIV antibody responses

A randomised phase II multicentre trial of irinotecan (CPT-11) using four different schedules in patients with metastatic colorectal cancer

The purpose of this phase II trial was to compare the efficacy, safety and pharmacokinetics of four irinotecan schedules for the treatment of metastatic colorectal cancer. In total, 174 5-fluorouracil pretreated patients were randomised to: arm A (n=41), 350 mg m(-2) irinotecan as a 90-min i.v. infusion q3 weeks; arm B (n=38), 125 mg m(-2) irinotecan as a 90-min i.v. infusion weekly x 4 weeks q6 weeks; arm C (n=46), 250 mg m(-2) irinotecan as a 90-min i.v. infusion q2 weeks; or arm D (n=49), 10 mg m(-2) day(-1) irinotecan as a 14-day continuous infusion q3 weeks. No significant differences in efficacy across the four arms were observed, although a shorter time to treatment failure was noted for arm D (1.7 months; P=0.02). Overall response rates were in the range 5-11%. Secondary end points included median survival (6.4-9.4 months), and time to progression (2.7-3.8 months) and treatment failure (1.7-3.2 months). Similarly, there were no significant differences in the incidence of grade 3-4 toxicities, although the toxicity profile between arms A, B, and C and D did differ. Generally, significantly less haematologic toxicity, alopecia and cholinergic syndrome were observed in arm D; however, there was a trend for increased gastrointestinal toxicity. Irinotecan is an effective and safe second-line treatment for colorectal cancer. The schedules examined yielded equivalent results, indicating that there is no advantage of the prolonged vs short infusion schedule