Global Perspective: Comparison of Prehospital Use of PAs in the United States and the Netherlands

The prehospital use of advanced clinicians, including physician assistants (PAs), can potentially improve clinical outcomes and reduce unnecessary burdens on emergency departments. This literature review offers a global perspective by comparing the use of PAs in the prehospital setting in the United States and the Netherlands. While there is limited research on clinical outcomes and the clinical utility of advanced clinicians in alternative transport models, the domestic and international examples evaluated in this review have the potential to impact the American healthcare system significantly. The Dutch healthcare system, which utilizes PAs in the prehospital setting, is known for being accessible, affordable, and providing high-quality care. The findings of this literature review may provide a framework for the widespread domestic implementation of advanced clinicians in prehospital medicine in the United States

Physically founded phonon dispersions of few-layer materials, and the case of borophene

An increasing number of theoretical calculations on few-layer materials have been reporting a non-zero sound velocity for all three acoustic phonon modes. In contrast with these reports, here we show that the lowest phonon dispersion branch of atomistically described few-layer materials should be quadratic, and this can have dramatic consequencies on calculated properties, such as the thermal conductivity. By reformulating the interatomic force constants (IFC) in terms of internal coordinates, we find that a delicate balance between the IFCs is responsible for this quadraticity. This balance is hard to obtain in ab-initio calculations even if all the symmetries are numerically enforced a posteriori, but it arises naturally in our approach. We demonstrate the phenomenon in the case of borophene, where a very subtle correction to the ab-initio IFCs yields the physically correct quadratic dispersion, while leaving the rest of the spectrum virtually unmodified. Such quadraticity nevertheless has a major effect on the computed lattice thermal conductivity, which in the case of borophene changes by more than a factor 2, and reverses its anisotropy, when the subtle IFC correction is put in place

Breaking Rayleigh's law with spatially correlated disorder to control phonon transport

Controlling thermal transport in insulators and semiconductors is crucial for many technological fields such as thermoelectrics and thermal insulation, for which a low thermal conductivity ($\kappa$) is desirable. A major obstacle for realizing low $\kappa$ materials is Rayleigh's law, which implies that acoustic phonons, which carry most of the heat, are insensitive to scattering by point defects at low energy. We demonstrate, with large scale simulations on tens of millions of atoms, that isotropic long-range spatial correlations in the defect distribution can dramatically reduce phonon lifetimes of important low-frequency heat-carrying modes, leading to a large reduction of $\kappa$ -- potentially an order of magnitude at room temperature. We propose a general and quantitative framework for controlling thermal transport in complex functional materials through structural spatial correlations, and we establish the optimal functional form of spatial correlations that minimize $\kappa$. We end by briefly discussing experimental realizations of various correlated structures

Atomic dynamics in fluids: Normal mode analysis revisited

Developing microscopic understanding of the thermal properties of liquids is challenging due to their strong dynamic disorder, which prevents characterization of the atomic degrees of freedom. There have been significant research interests in the past few decades to extend the normal mode analysis for solids to instantaneous structures of liquids. However, the nature of normal modes that arise from these unstable structures is still elusive. In this work, we explore the instantaneous eigenmodes of dynamical matrices of various Lennard-Jones argon liquid/gas systems at high temperatures and show that the normal modes can be interpreted as an interpolation of T \to \infty (gas) and T = 0 (solid) mode descriptions. We find that normal modes become increasingly collisional and translational, recovering atomistic gas-like behavior rather than vibrational with increase in temperature, suggesting that normal modes in liquids may be described by both solid-like and gas-like modes