Design and validation of a three-instrument toolkit for the assessment of competence in electrocardiogram rhythm recognition

Background: Rapid and accurate interpretation of cardiac arrhythmias by nurses has been linked with safe practice and positive patient outcomes. Although training in electrocardiogram (ECG) rhythm recognition is part of most undergraduate nursing programmes, research continues to suggest that nurses and nursing students lack competence in recognising cardiac rhythms. In order to promote patient safety, nursing educators must develop valid and reliable assessment tools that allow the rigorous assessment of this competence before nursing students are allowed to practise without supervision. Aim: To develop and psychometrically evaluate a toolkit to holistically assess competence in ECG rhythm recognition. Methods: Following a convenience sampling technique, 293 nursing students from a nursing faculty in a Spanish university were recruited for the study. The following three instruments were developed and psychometrically tested: a knowledge assessment tool (ECG-KAT), a skills assessment tool (ECG-SAT) and a self-efficacy assessment tool (ECG-SES). Reliability and validity (content, criterion and construct) of these tools were meticulously examined. Results: A high Cronbach’s alpha coefficient demonstrated the excellent reliability of the instruments (ECG-KAT=0.89; ECG-SAT=0.93; ECG-SES=0.98). An excellent context validity index (S-CVI/Ave>0.94) and very good criterion validity were evidenced for all the tools. Regarding construct validity, principal component analysis revealed that all items comprising the instruments contributed to measure knowledge, skills or self-efficacy in ECG rhythm recognition. Moreover, known-groups analysis showed the tools’ ability to detect expected differences in competence between groups with different training experiences. Conclusion: The three-instrument toolkit developed showed excellent psychometric properties for measuring competence in ECG rhythm recognition

Micro and nano-patterning of single-crystal diamond by swift heavy ion irradiation

This paper presents experimental data and analysis of the structural damage caused by swift-heavy ion irradiation of single-crystal diamond. The patterned buried structural damage is shown to generate, via swelling, a mirror- pattern on the sample surface, which remains largely damage-free. While extensive results are available for light ion implantations, this effect is reported here for the first time in the heavy ion regime,where a completely different range of input parameters (in terms of ion species, energy, stopping power, etc.) is available for customized irradiation. The chosen ion species are Au and Br, in the energy range 10–40 MeV. The observed patterns, as characterized by profilometry and atomic force microscopy, are reported in a series ofmodel experiments,which show swelling patterns ranging from a few nm to above 200 nm. Moreover, a systematic phenomenological modeling is presented, inwhich surface swelling measurements are correlated to buried crystal damage. A comparison ismade with data for light ion implantations, showing good compatibilitywith the proposedmodels. The modeling presented in thiswork can be useful for the design and realization of micropatterned surfaces in single crystal diamond, allowing generating highly customized structures by combining appropriately chosen irradiation parameters and masks

The effects of spatial resolution on Integral Field Spectrograph surveys at different redshifts. The CALIFA perspective

Over the past decade, 3D optical spectroscopy has become the preferred tool for understanding the properties of galaxies and is now increasingly used to carry out galaxy surveys. Low redshift surveys include SAURON, DiskMass, ATLAS3D, PINGS and VENGA. At redshifts above 0.7, surveys such as MASSIV, SINS, GLACE, and IMAGES have targeted the most luminous galaxies to study mainly their kinematic properties. The on-going CALIFA survey ($z\sim0.02$) is the first of a series of upcoming Integral Field Spectroscopy (IFS) surveys with large samples representative of the entire population of galaxies. Others include SAMI and MaNGA at lower redshift and the upcoming KMOS surveys at higher redshift. Given the importance of spatial scales in IFS surveys, the study of the effects of spatial resolution on the recovered parameters becomes important. We explore the capability of the CALIFA survey and a hypothetical higher redshift survey to reproduce the properties of a sample of objects observed with better spatial resolution at lower redshift. Using a sample of PINGS galaxies, we simulate observations at different redshifts. We then study the behaviour of different parameters as the spatial resolution degrades with increasing redshift.Comment: 20 pages, 16 figures. Accepted for publication in A&

Sublayer- and cell-type-specific neurodegenerative transcriptional trajectories in hippocampal sclerosis

Altres ajuts: Fundación Tatiana Pérez de Guzman el Bueno; SynCogDis Network (SAF2014-52624-REDT, SAF2017-90664-REDT); Human Frontiers Science Program (HFSP RGP0022/2013); Fondo Europeo de Desarrollo Regional (FEDER).Hippocampal sclerosis, the major neuropathological hallmark of temporal lobe epilepsy, is characterized by different patterns of neuronal loss. The mechanisms of cell-type-specific vulnerability and their progression and histopathological classification remain controversial. Using single-cell electrophysiology in vivo and immediate-early gene expression, we reveal that superficial CA1 pyramidal neurons are overactive in epileptic rodents. Bulk tissue and single-nucleus expression profiling disclose sublayer-specific transcriptomic signatures and robust microglial pro-inflammatory responses. Transcripts regulating neuronal processes such as voltage channels, synaptic signaling, and cell adhesion are deregulated differently by epilepsy across sublayers, whereas neurodegenerative signatures primarily involve superficial cells. Pseudotime analysis of gene expression in single nuclei and in situ validation reveal separated trajectories from health to epilepsy across cell types and identify a subset of superficial cells undergoing a later stage in neurodegeneration. Our findings indicate that sublayer- and cell-type-specific changes associated with selective CA1 neuronal damage contribute to progression of hippocampal sclerosis

CALIFA, the Calar Alto Legacy Integral Field Area survey: I. Survey presentation

We present here the Calar Alto Legacy Integral Field Area (CALIFA) survey, which has been designed to provide a first step in this direction.We summarize the survey goals and design, including sample selection and observational strategy.We also showcase the data taken during the first observing runs (June/July 2010) and outline the reduction pipeline, quality control schemes and general characteristics of the reduced data. This survey is obtaining spatially resolved spectroscopic information of a diameter selected sample of $\sim600$ galaxies in the Local Universe (0.005< z <0.03). CALIFA has been designed to allow the building of two-dimensional maps of the following quantities: (a) stellar populations: ages and metallicities; (b) ionized gas: distribution, excitation mechanism and chemical abundances; and (c) kinematic properties: both from stellar and ionized gas components. CALIFA uses the PPAK Integral Field Unit (IFU), with a hexagonal field-of-view of \sim1.3\sq\arcmin', with a 100% covering factor by adopting a three-pointing dithering scheme. The optical wavelength range is covered from 3700 to 7000 {\AA}, using two overlapping setups (V500 and V1200), with different resolutions: R\sim850 and R\sim1650, respectively. CALIFA is a legacy survey, intended for the community. The reduced data will be released, once the quality has been guaranteed. The analyzed data fulfill the expectations of the original observing proposal, on the basis of a set of quality checks and exploratory analysis. We conclude from this first look at the data that CALIFA will be an important resource for archaeological studies of galaxies in the Local Universe.Comment: 32 pages, 29 figures, Accepted for publishing in Astronomy and Astrophysic

HLA association with the susceptibility to anti-synthetase syndrome

Objective: To investigate the human leukocyte antigen (HLA) association with anti-synthetase syndrome (ASSD). Methods: We conducted the largest immunogenetic HLA-DRB1 and HLA-B study to date in a homogeneous cohort of 168 Caucasian patients with ASSD and 486 ethnically matched healthy controls by sequencing-based-typing. Results: A statistically significant increase of HLA-DRB1*03:01 and HLA-B*08:01 alleles in patients with ASSD compared to healthy controls was disclosed (26.2% versus 12.2%, P = 1.56E–09, odds ratio–OR [95% confidence interval–CI] = 2.54 [1.84–3.50] and 21.4% versus 5.5%, P = 18.95E–18, OR [95% CI] = 4.73 [3.18–7.05]; respectively). Additionally, HLA-DRB1*07:01 allele was significantly decreased in patients with ASSD compared to controls (9.2% versus 17.5%, P = 0.0003, OR [95% CI] = 0.48 [0.31–0.72]). Moreover, a statistically significant increase of HLA-DRB1*03:01 allele in anti-Jo-1 positive compared to anti-Jo-1 negative patients with ASSD was observed (31.8% versus 15.5%, P = 0.001, OR [95% CI] = 2.54 [1.39–4.81]). Similar findings were observed when HLA carrier frequencies were assessed. The HLA-DRB1*03:01 association with anti-Jo-1 was unrelated to smoking history. No HLA differences in patients with ASSD stratified according to the presence/absence of the most representative non-anti-Jo-1 anti-synthetase autoantibodies (anti-PL-12 and anti-PL-7), arthritis, myositis or interstitial lung disease were observed. Conclusions: Our results support the association of the HLA complex with the susceptibility to ASSD

A

Abstract:&nbsp; The study of the SARS-CoV-2 genome allows to evaluate its evolutionary pattern, identify mutations, lineages and variants that may have an impact on public health. Variants of concern (VOC) and variants of interest (VOI), which have different biological characteristics, have been identified worldwide. The objective of this work is to describe the lineages and variants of SARS-CoV-2 circulating in Córdoba using different strategies. Three strategies were implemented from positive SARS-CoV-2 RNA samples (Cts&lt;30): 1)-whole genome sequencing (WGS) (ONT-MinION): 203 samples analysed from March 2020 to June 2021; 2)-partial sequencing of the Spike protein gene (Sanger): 54 samples analysed between February and April 2021 of travellers from abroad; and 3)-real time RT-PCR for detection of relevant VOC mutations (TaqMan™ SARS-CoV-2 Mutation Panel, Applied Biosystems): 816 samples analysed between May and June 2021. &nbsp; Results were the following: 1)-circulation of 7 lineages with a greater predominance of B.1.1.33.3 (N3) (40.5%) and B.1.499 (38.8%), between March 2020 and January 2021; and circulation of 12 lineages with presence of VOC [P.1 (Gamma, 28.4%), B.1.1.7 (Alpha, 6.9%)] and VOI [C.37 (Lambda, 20.6%), B.1.427 (Epsilon, 10.8%), P2 (Zeta, 2.9%), B.1.526 (Iota, 2%)], between February and June 2021; 2)-presence of VOC Alpha (26.4%) and Gamma (17%), and samples compatible with VOI Epsilon and Zeta; 3)-presence of VOC Gamma (56%) and Alpha (11%), and other variants which could not be typified by this methodology. Results show the circulation of many SARS-CoV-2 lineages in Córdoba, which varied their distribution over time, according to the different introductions occurred, the population movement and the evolutionary advantages of some variants over others. In March 2021, the first VOC detections were realized in the province (Alpha and Gamma), being Gamma the one that mostly circulates at present. Although the WGS is the technique which provides more information, the other 2 strategies implemented were and are very useful tools for molecular epidemiological surveillance, obtaining the information in real time. Strategy 3 is a simpler, faster and more operative tool for molecular VOC screening.Resumen:&nbsp; El estudio del genoma de SARS-CoV-2 permite evaluar su dinámica evolutiva, identificar mutaciones, linajes y variantes que puedan impactar en la salud pública. A nivel mundial se identificaron variantes de preocupación (VOC) y variantes de interés (VOI), que presentan características biológicas diferentes. El objetivo del trabajo es describir los linajes y variantes de SARS-CoV-2 circulantes en Córdoba mediante tres estrategias. Se implementaron 3 estrategias, a partir de muestras de RNA positivas para el virus (Cts&lt;30): 1)-secuenciación de genoma completo (ONT-MinION): 203 muestras analizadas desde marzo 2020 a junio 2021; 2)-secuenciación de un fragmento genómico de la proteína S (Sanger): 54 muestras analizadas entre febrero y abril 2021 en viajeros provenientes del exterior; y 3)-PCR en tiempo real para detección de VOC (TaqMan™ SARS-CoV-2 Mutation Panel, Applied Biosystems): 816 muestras analizadas entre mayo y junio de 2021. &nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Los resultados fueron: 1)-circulación de siete linajes con mayor predominancia de B.1.1.33.3 (N3) (40,5%) y B.1.499 (38,8%), entre marzo 2020 y enero 2021; y circulación de 12 linajes con presencia de VOC [P.1 (Gamma, 28,4%), B.1.1.7 (Alpha, 6,9%)] y VOI [C.37 (Lambda, 20,6%), B.1.427 (Epsilon, 10,8%), P2 (Zeta, 2,9%), B.1.526 (Iota, 2%)], entre febrero y junio 2021; 2)-presencia de VOC Alpha (26,4%) y Gamma (17%), y muestras compatibles con las VOI Epsilon y Zeta (9,4%); 3)-presencia de VOC Gamma (56%) y Alpha (11%), y otras variantes no tipificables por esta metodología. Los resultados muestran circulación de diversos linajes de SARS-CoV-2 en Córdoba, que variaron su distribución a lo largo del tiempo, según las distintas introducciones ocurridas, el movimiento poblacional y las ventajas evolutivas de unos sobre otros. En marzo 2021 se realizaron las primeras detecciones de VOC en la provincia (Alpha y Gamma), siendo la variante Gamma la que circula mayoritariamente en la actualidad. Si bien la secuenciación del genoma completo es la técnica que mayor información brinda, las otras 2 estrategias implementadas fueron y son de gran utilidad para la vigilancia epidemiológica molecular, favoreciendo la obtención de información en tiempo real. La estrategia 3 resulta una herramienta más simple, rápida y con mayor capacidad operativa para el screening molecular de VOC.

Morpho-kinematic properties of field S0 bulges in the CALIFA survey

We study a sample of 28 S0 galaxies extracted from the integral-field spectroscopic (IFS) survey CALIFA. We combine an accurate two-dimensional (2D) multi-component photometric decomposition with the IFS kinematic properties of their bulges to understand their formation scenario. Our final sample is representative of S0s with high stellar masses ($M_{star}/M_{sun} > 10^{10}$). They lay mainly on the red sequence and live in relatively isolated environments similar to that of the field and loose groups. We use our 2D photometric decomposition to define the size and photometric properties of the bulges, as well as their location within the galaxies. We perform mock spectroscopic simulations mimicking our observed galaxies to quantify the impact of the underlying disc on our bulge kinematic measurements ($\lambda$ and $v/\sigma$). We compare our bulge corrected kinematic measurements with the results from Schwarzschild dynamical modelling. The good agreement confirms the robustness of our results and allows us to use bulge reprojected values of $\lambda$ and $v/\sigma$. We find that the photometric ($n$ and $B/T$) and kinematic ($v/\sigma$ and $\lambda$) properties of our field S0 bulges are not correlated. We demonstrate that this morpho-kinematic decoupling is intrinsic to the bulges and it is not due to projection effects. We conclude that photometric diagnostics to separate different types of bulges (disc-like vs classical) might not be useful for S0 galaxies. The morpho-kinematics properties of S0 bulges derived in this paper suggest that they are mainly formed by dissipation processes happening at high redshift, but dedicated high-resolution simulations are necessary to better identify their origin.Comment: 31 pages, 19 figures. Accepted for publication in MNRA

Measurement of the Depth of Maximum of Extensive Air Showers above 10^18 eV

We describe the measurement of the depth of maximum, Xmax, of the longitudinal development of air showers induced by cosmic rays. Almost four thousand events above 10^18 eV observed by the fluorescence detector of the Pierre Auger Observatory in coincidence with at least one surface detector station are selected for the analysis. The average shower maximum was found to evolve with energy at a rate of (106 +35/-21) g/cm^2/decade below 10^(18.24 +/- 0.05) eV and (24 +/- 3) g/cm^2/decade above this energy. The measured shower-to-shower fluctuations decrease from about 55 to 26 g/cm^2. The interpretation of these results in terms of the cosmic ray mass composition is briefly discussed.Comment: Accepted for publication by PR

Anisotropy and chemical composition of ultra-high energy cosmic rays using arrival directions measured by the Pierre Auger Observatory

The Pierre Auger Collaboration has reported evidence for anisotropy in the distribution of arrival directions of the cosmic rays with energies $E>E_{th}=5.5\times 10^{19}$ eV. These show a correlation with the distribution of nearby extragalactic objects, including an apparent excess around the direction of Centaurus A. If the particles responsible for these excesses at $E>E_{th}$ are heavy nuclei with charge $Z$, the proton component of the sources should lead to excesses in the same regions at energies $E/Z$. We here report the lack of anisotropies in these directions at energies above $E_{th}/Z$ (for illustrative values of $Z=6,\ 13,\ 26$). If the anisotropies above $E_{th}$ are due to nuclei with charge $Z$, and under reasonable assumptions about the acceleration process, these observations imply stringent constraints on the allowed proton fraction at the lower energies