Social attitudes modulate automatic imitation

In naturalistic interpersonal settings, mimicry or ‘automatic imitation’ generates liking, affiliation, cooperation and other positive social attitudes. The purpose of this study was to find out whether the relationship between social attitudes and mimicry is bidirectional: Do social attitudes have a direct and specific effect on mimicry? Participants were primed with pro-social, neutral or anti-social words in a scrambled sentence task. They were then tested for mimicry using a stimulus-response compatibility procedure. In this procedure, participants were required to perform a pre-specified movement (e.g. opening their hand) on presentation of a compatible (open) or incompatible (close) hand movement. Reaction time data were collected using electromyography (EMG) and the magnitude of the mimicry / automatic imitation effect was calculated by subtracting reaction times on compatible trials from those on incompatible trials. Pro-social priming produced a larger automatic imitation effect than anti-social priming, indicating that the relationship between mimicry and social attitudes is bidirectional, and that social attitudes have a direct and specific effect on the tendency to imitate behavior without intention or conscious awareness

Predictors for Readmission up to 1 Year Following Hip Fracture

Background: At Altnagelvin, a district general hospital in Northern Ireland, we have observed that a significant number of hip fracture admissions are later readmitted for treatment of other medical conditions. These readmissions place increasing stress on the already significant burden that orthopedic trauma poses on national health services. Objectives: The aim of this study was to review a series of consecutive patients managed at our unit at least 1 year prior to the onset of the study. Also, we aimed to identify predictors for raised admission rates following treatment for hip fracture. Patients and Methods: We reviewed a prospective fracture database and online patient note system for patient details, past medical history, discharge destination and routine blood tests for any factors that may influence readmission rates up to 1 year. Data were analyzed using SPSS software. Results: Over 2 years, 451 patients were reviewed and 23 were managed conservatively. There was a 1-year readmission rate of 21%. Most readmission diagnoses were medical including bronchopneumonia, falls, urosepsis, cardiac exacerbations and stroke. Prolonged length of stay and discharge to a residential, fold or nursing home were found to increase readmission rate. Readmission diagnoses closely reflected the perioperative diagnoses that prolonged length of stay. Increased odds radio and risk of readmission were also found with female gender, surgery with a cephalomedullary nail, hip hemiarthroplasty or total hip replacement, time to surgery 2 g/dL and also if a blood transfusion was received. Conclusions: Our results indicate that hip fracture treatment begins at acute fracture clerk in, with consideration of comorbid status and ultimate discharge planning remaining significant predictors for morbidity and subsequent readmission

Recertification and Reentry to Practice for Nurse Anesthetists: Determining Core Competencies and Evaluating Performance via High-Fidelity Simulation Technology

Introduction The National Board of Certification and Recertification for Nurse Anesthetistsaddressed a barrier to return to practice of uncertified practitioners by replacing required direct patient care experiences with high-fidelity simulation. Objectives The aims of this study were to: (a) validate a set of clinical activities for their relevance to reentry and determine if they could be replicated using simulation, (b) evaluate the content validity of an existing simulation scenario containing the proposed clinical activities and determine its substitutability for a clinical practicum, and (c) evaluate the validity of two methods to assess simulation performance. Methods A modified Delphi method incorporating an autonomous, anonymous, three-round online survey process using three unique expert certified registered nurse anesthetists groups was used to address each study aim. Results Twenty-seven clinical activities gained consensus as necessary to be assessed in the simulation. All 14 survey questions used to determine simulation content validity exceeded the minimum content validity index (CVI) value of 0.78, with a mean CVI of 0.99. The global rating scale CVI and the competency checklist CVI were 0.83 and 1.0, respectively. Conclusion The findings add to the existing literature supporting the utility of simulation for high-stakes provider assessment and certification

The case for a design-led, end-user focused airport noise management process.

This paper explores concept of 'design thinking' in the context of airport noise management, to inform on strategies and actions that can achieve targeted, impactful and evaluated outcomes benefitting local residents, and by extension, airports. In so doing, the we summarise the noise management challenge and the requirement for an effective ideation and implementation framework, and introduce the design thinking process as a potential means with which to do this. We suggest that design processes have the potential to play a significant role in noise management, but that significant research is required to overcome a number of barriers, to demonstrate the potential effectiveness of the approach through case study research, and for the process itself to be developed further, ideally through co-creative processes with airport noise stakeholders

A spectroscopic cell for fast pressure jumps across the glass transition line

We present a new experimental protocol for the spectroscopic study of the dynamics of glasses in the aging regime induced by sudden pressure jumps (crunches) across the glass transition line. The sample, initially in the liquid state, is suddenly brought in the glassy state, and therefore out of equilibrium, in a four-window optical crunch cell which is able to perform pressure jumps of 3 kbar in a time interval of ~10 ms. The main advantages of this setup with respect to previous pressure-jump systems is that the pressure jump is induced through a pressure transmitting fluid mechanically coupled to the sample stage through a deformable membrane, thus avoiding any flow of the sample itself in the pressure network and allowing to deal with highly viscous materials. The dynamics of the sample during the aging regime is investigated by Brillouin Light Scattering (BLS). For this purpose the crunch cell is used in conjunction with a high resolution double monochromator equipped with a CCD detector. This system is able to record a full spectrum of a typical glass forming material in a single 1 s shot. As an example we present the study of the evolution toward equilibrium of the infinite frequency longitudinal elastic modulus (M_infinity) of a low molecular weight polymer (Poly(bisphenol A-co-epichlorohydrin), glycidyl end capped). The observed time evolution of M_infinity, well represented by a single stretched exponential, is interpreted within the framework of the Tool-Narayanaswamy theory.Comment: 9 pages, 11 figure

An Optical Readout TPC (O-TPC) for Studies in Nuclear Astrophysics With Gamma-Ray Beams at HIgS

We report on the construction, tests, calibrations and commissioning of an Optical Readout Time Projection Chamber (O-TPC) detector operating with a CO2(80%) + N2(20%) gas mixture at 100 and 150 Torr. It was designed to measure the cross sections of several key nuclear reactions involved in stellar evolution. In particular, a study of the rate of formation of oxygen and carbon during the process of helium burning will be performed by exposing the chamber gas to intense nearly mono-energetic gamma-ray beams at the High Intensity Gamma Source (HIgS) facility. The O-TPC has a sensitive target-drift volume of 30x30x21 cm^3. Ionization electrons drift towards a double parallel grid avalanche multiplier, yielding charge multiplication and light emission. Avalanche induced photons from N2 emission are collected, intensified and recorded with a Charge Coupled Device (CCD) camera, providing two-dimensional track images. The event's time projection (third coordinate) and the deposited energy are recorded by photomultipliers and by the TPC charge-signal, respectively. A dedicated VME-based data acquisition system and associated data analysis tools were developed to record and analyze these data. The O-TPC has been tested and calibrated with 3.183 MeV alpha-particles emitted by a 148Gd source placed within its volume with a measured energy resolution of 3.0%. Tracks of alpha and 12C particles from the dissociation of 16O and of three alpha-particles from the dissociation of 12C have been measured during initial in-beam test experiments performed at the HIgS facility at Duke University. The full detection system and its performance are described and the results of the preliminary in-beam test experiments are reported.Comment: Supported by the Richard F. Goodman Yale-Weizmann Exchange Program, ACWIS, NY, and USDOE grant Numbers: DE-FG02-94ER40870 and DE-FG02-97ER4103

fMRI evidence of ‘mirror’ responses to geometric shapes

Mirror neurons may be a genetic adaptation for social interaction [1]. Alternatively, the associative hypothesis [2], [3] proposes that the development of mirror neurons is driven by sensorimotor learning, and that, given suitable experience, mirror neurons will respond to any stimulus. This hypothesis was tested using fMRI adaptation to index populations of cells with mirror properties. After sensorimotor training, where geometric shapes were paired with hand actions, BOLD response was measured while human participants experienced runs of events in which shape observation alternated with action execution or observation. Adaptation from shapes to action execution, and critically, observation, occurred in ventral premotor cortex (PMv) and inferior parietal lobule (IPL). Adaptation from shapes to execution indicates that neuronal populations responding to the shapes had motor properties, while adaptation to observation demonstrates that these populations had mirror properties. These results indicate that sensorimotor training induced populations of cells with mirror properties in PMv and IPL to respond to the observation of arbitrary shapes. They suggest that the mirror system has not been shaped by evolution to respond in a mirror fashion to biological actions; instead, its development is mediated by stimulus-general processes of learning within a system adapted for visuomotor control

TSAP-2012 Baseline: Health and environmental impacts

This report examines the health and environmental impacts of the TSAP-2012 baseline emission scenarios that have been presented in the TSAP Report #1 to the Stakeholder Expert Group in June 2012. The baseline suggests for the next decades a steady decline of energy-related emissions from industry, households and transport while no significant changes are foreseen for NH3 from agricultural activities. These emission trajectories will lead to significant improvements in air quality. For instance, loss of statistical life expectancy from exposure to fine particulate matter (PM2.5) is expected to decline from 9.6 months in 2000 and 6.9 months in 2010 to 5.5 months in 2020 and 5.0 months in 2030. It is estimated that the number of premature deaths attributable to short-term exposure of ground-level ozone will drop by about 30% by 2020. Ecosystems area where biodiversity is threatened by excess nitrogen deposition will shrink from 1.2 million km2 in 2000 to 900,000 km2 in 2030, and acidification will remain an issue at only four percent of the European forest area. However, by 2020 the baseline improvements for fine particular matter health impacts and eutrophication will fall short of the targets established in the 2005 Thematic Strategy on Air Pollution, while for acidification and ozone these targets will be met. Furthermore, it is unlikely that the baseline development will achieve full compliance with the air quality limit values for PM10 and NO2 throughout Europe. Equally, the baseline scenario will not provide protection against excess nitrogen deposition at almost 50% of the legally protected Natura2000 areas and other protected zones. In addition, the magnitude of air pollution impacts and resulting damage remains substantial. It is estimated that for the baseline in 2030, the European population would still suffer a loss of 210 million life-years and experience 18,000 premature deaths because of ozone exposure. Biodiversity will remain threatened by excess nitrogen input at 900,000 km2 of ecosystems, including 250,000 km2 which are legally protected, inter alia as Natura2000 areas. The analysis also highlights the scope for additional measures that could alleviate the remaining damage and move closer to the objectives of the Sixth Environment Action Program. Full application of readily available technical emission reduction measures in the EU could reduce health impacts from PM by 2020 by another 30% and thereby gain more than 55 million life-years in the EU. It could save another 3,000 premature deaths per year because of lower ozone concentrations. Further controls of agricultural emissions could protect biodiversity at another 200,000 km2 of ecosystems against excess nitrogen deposition, including 50,000 km2 of Natura2000 areas and other protected zones. It could eliminate almost all likely exceedances of PM10 air quality limit values in the old Member States, while in the urban areas of new Member States additional action to substitute solid fuels in the household sector with cleaner forms of energy would be required. Such Europe-wide emission controls would also eliminate in 2030 all likely cases of noncompliance with EU air quality standards for NO2 with the exception of a few stations for which additional local measures (e.g., traffic restrictions, low emission zones) would be necessary. While the general trend appears to be robust, quantification of the remaining effects requires more uncertainty analyses

The Extension of the RAINS Model to Greenhouse Gases

Many of the traditional air pollutants and greenhouse gases have common sources, offering a cost-effective potential for simultaneous improvements for both traditional air pollution problems as well as climate change. A methodology has been developed to extend the RAINS integrated assessment model to explore synergies and trade-offs between the control of greenhouse gases and air pollution. With this extension, the RAINS model allows now the assessment of emission control costs for the six greenhouse gases covered under the Kyoto Protocol (CO2, CH4, N2O and the three F-gases) together with the emissions of air pollutants SO2, NOX, VOC, NH3 AND PM. In the first phase of the study, emissions, costs and control potentials for the six greenhouse gases covered in the Kyoto Protocol have been estimated and implemented in the RAINS model. Emission estimates are based on methodologies and emission factors proposed by the IPCC emission reporting guidelines. The large number of control options for greenhouse gases have been grouped into approximately 150 packages of measures and implemented in the RAINS model for the European countries. These control options span a wide range of cost-effectiveness. There a re certain advanced technical measures with moderate costs, and certain measures exist for which the economic assessment suggests even negative costs, if major side impacts (cost savings) are calculated. Illustrative example calculations clearly demonstrate that conclusions on the cost-effectiveness of emission reduction strategies are crucially depending on the boundaries of the analysis. The net cost of greenhouse gas control strategies are significantly lower if the immediate cost-savings from avoided air pollution control costs are taken into consideration. For a 15 percent reduction of the CO2 emissions from the power sector in the EU, avoided pollution control costs could compensate two third of the CO2 control costs. Depending on the design of the control strategy, net costs of greenhouse gas mitigation could even be negative, which is in stark contrast to conclusions for a CO2 only strategy. However, there are certain greenhouse gas mitigation measures, such as increased use of biomass that could deteriorate the negative impacts of air pollution, while yielding very little economic synergies. A combined approach towards greenhouse gas mitigation and air pollution control would not only reveal economic synergies, but also harness additional environmental benefits. Even in a situation with stringent emission control requirements for air pollution as it is required by the EU legislation, modifications in fuel use geared towards reductions of greenhouse gases could lead as a side impact to significant reductions in the residual emissions of air pollutants. The economic benefits of such "windfall emission reductions" could be substantial. The extended RAINS model framework will offer a tool to systematically investigate such economic and environmental synergies between greenhouse gas mitigation and air pollution control while avoiding negative side impacts