First aid knowledge retention in school children: A review of the literature

Introduction First aid training for lay people is recognised as an important capacity building component of pre-hospital care in communities. In countries such as Australia, this training is increasingly targeted to school children, but relatively little attention is directed to knowledge retention or optimal training methods for this population. This literature review aimed to determine whether the published literature demonstrates that first aid knowledge is retained by school children who have learnt first aid from professional first aid providers. Methods A systematic search of the peer-reviewed and grey literature was conducted for narrative review. Journal articles were retrieved from three databases (MEDLINE, CINAHL, ERIC) using the search terms ‘first aid’; ‘resuscitation’; ‘training’; ‘child*’; and ‘school’. Inclusion and exclusion criteria were applied and review findings organised thematically. Results The search yielded four primary studies of European school children aged between 4 and 12 years trained by professional first aid providers. Subsequent review identified emergent themes of Resuscitative first aid and Non-resuscitative first aid. Heterogeneity was apparent in training and evaluation methods, and study quality varied. Reported first aid knowledge retention was mixed. Conclusion There is a lack of quality evidence to guide optimal training methods and maximise first aid knowledge retention in school children. To date, research in this area has been limited to Europe. Further research is therefore recommended. Formal evaluation of professional first aid training can help guide training methods and enhance first aid knowledge retention in school children, thereby building more robust first aid capacity in the community

Clinical placement before or after simulated learning environments? A naturalistic study of clinical skills acquisition amongst early-stage paramedicine students

Background There is conflicting evidence surrounding the merit of clinical placements (CP) for early-stage health-profession students. Some contend early-stage CPs facilitate contextualisation of subsequently learned theory. Others argue attending CP before attaining skills competency is problematic and should only occur after training in simulated-learning environments (SLE). The evidentiary basis surrounding the extent to which either is true remains limited. Methods First-year paramedicine students (n=85) undertook three days of CP and SLEs as part of course requirements. Students undertook CP either before or after participation in SLEs creating two groups (Clin→Sim/Sim→Clin). Clinical skills acquisition was measured via objectively-structured clinical examinations (OSCE) conducted at four distinct time-points over the semester. Perceptions of difficulty of CP and the SLE were measured via the NASA-TLX. Results Students’ OSCE scores in both groups improved significantly from beginning to end of semester (+35%, pp=.021). Both groups found SLEs more demanding than CP (47.6% vs. 31.4%, pp=.003). Conclusions Differences in temporal demand suggest Clin→Sim students had fewer opportunities to practice clinical skills during CP than Sim→Clin students due to a more limited scope of practice. Sim→Clin students contextualised SLE within subsequent CP resulting in greater improvement in clinical competency by semester’s end in comparison to Clin→Sim students that were forced to contextualise skills retrospectively

Homogeneous catalysis under ultra-dilute conditions: TAML/NaClO oxidation of persistent metaldehyde

This document is the unedited Author’s version of a Submitted Work that was subsequently accepted for publication in Journal of the American Chemical Society, copyright © American Chemical Society after peer review. To access the final edited and published work see https://doi.org/10.1021/jacs.6b11145TAML activators enable homogenous oxidation catalysis where the catalyst and substrate (S) are ultra-dilute (pM–low μM) and the oxidant is very dilute (high nM–low mM). Water contamination by exceptionally persistent micropollutants (MPs), including metaldehyde (Met), provides an ideal space for determining the characteristics and utilitarian limits of this ultradilute catalysis. The low MP concentrations decrease throughout catalysis with S oxidation (kII) and catalyst inactivation (ki) competing for the active catalyst. The percentage of substrate converted (%Cvn) can be increased by discovering methods to increase kII/ki. Here we show that NaClO extends catalyst lifetime to increase the Met turnover number (TON) threefold compared with H2O2, highlighting the importance of oxidant choice as a design tool in TAML systems. Met oxidation studies (pH 7, D2O, 0.01 M phosphate, 25 °C) monitored by 1H NMR spectroscopy show benign acetic acid as the only significant product. Analysis of TAML/NaClO treated Met solutions employing successive identical catalyst doses revealed that the processes can be modeled by the recently published relationship between the initial and final [S] (S0 and S∞, respectively), the initial [catalyst] (FeTot) and kII/ki. Consequently, this study establishes that S is proportional to S0 and that the %Cvn is conserved across all catalyst doses in multicatalyst-dose processes because the rate of the kII process depends on [S] while that of the ki process does not. A general tool for determining the FeTot required to effect a desired %Cvn is presented. Examination of the dependence of TON on kII/ki and FeTot at a fixed S0 indicates that for any TAML process employing FeTot < 1 10-6 M, small catalyst doses are not more efficient than one large dose.T.J.C thanks the Heinz Endowments for funding. NMR instrumentation at CMU was partially supported by NSF (CHE-0130903 and CHE-1039870)

Inspiratory muscle warm-up does not improve cycling time-trial performance

Purpose: This study examined the effects of an active cycling warm-up, with and without the addition of an inspiratory muscle warm-up (IMW), on 10-km cycling time-trial performance

Adaptive introgression underlies polymorphic seasonal camouflage in snowshoe hares

Snowshoe hares (Lepus americanus) maintain seasonal camouflage by molting to a white winter coat, but some hares remain brown during the winter in regions with low snow cover. We show that cis-regulatory variation controlling seasonal expression of the Agouti gene underlies this adaptive winter camouflage polymorphism. Genetic variation at Agouti clustered by winter coat color across multiple hare and jackrabbit species, revealing a history of recurrent interspecific gene flow. Brown winter coats in snowshoe hares likely originated from an introgressed black-tailed jackrabbit allele that has swept to high frequency in mild winter environments. These discoveries show that introgression of genetic variants that underlie key ecological traits can seed past and ongoing adaptation to rapidly changing environments. (c) The Authors, Some Rights Reserved

Strategies to mitigate the emission of methane in pastures: Enteric methane: A review

The global population reached 7.9 billion in 2021, which represents a 160% increase in the number of people to be fed since 1960. Agricultural systems must sustainably meet food demand for this growing population while minimizing or mitigating potential environmental impacts, which are of growing concern to both consumers and the scientific community. High protein animal products (meat and milk) play a crucial part in human nutrition and pastures represent ~20% of the planet’s surface. Pastoral areas have a great influence on both ecological balance and human subsistence. Ruminant livestock production systems are hotly debated because of the emission of methane, which is produced during enteric fermentation of ingested food within the rumen. Methanogenesis is a naturally occurring process in the digestive system of ruminant animals and ingesting a high-quality diet has been shown to reduce methane production. An additional function of pastoral grasslands is the capacity of the soils to operate as carbon sinks. Well managed pastures absorb carbon from the atmosphere where it can add to soil organic matter directly, through residue decomposition or excrement returns. However, in Brazil and globally, the efficiency of animal productivity tends to be lower in extensively grazed farming systems. Changes to pasture and grazing management in combination with the adoption of technology is necessary to improve the quality of pastures, increase animal productivity, and consequently reduce methane emissions from ruminant livestock. This review will discuss how to improve the conversion efficiency using pasture management to reduce or mitigate enteric methane production

Tandem quadruplication of HMA4 in the zinc (Zn) and cadmium (Cd) hyperaccumulator noccaea caerulescens

Zinc (Zn) and cadmium (Cd) hyperaccumulation may have evolved twice in the Brassicaceae, in Arabidopsis halleri and in the Noccaea genus. Tandem gene duplication and deregulated expression of the Zn transporter, HMA4, has previously been linked to Zn/Cd hyperaccumulation in A. halleri. Here, we tested the hypothesis that tandem duplication and deregulation of HMA4 expression also occurs in Noccaea. A Noccaea caerulescens genomic library was generated, containing 36,864 fosmid pCC1FOSTM clones with insert sizes ~20–40 kbp, and screened with a PCR-generated HMA4 genomic probe. Gene copy number within the genome was estimated through DNA fingerprinting and pooled fosmid pyrosequencing. Gene copy numbers within individual clones was determined by PCR analyses with novel locus specific primers. Entire fosmids were then sequenced individually and reads equivalent to 20-fold coverage were assembled to generate complete whole contigs. Four tandem HMA4 repeats were identified in a contiguous sequence of 101,480 bp based on sequence overlap identities. These were flanked by regions syntenous with up and downstream regions of AtHMA4 in Arabidopsis thaliana. Promoter-reporter b-glucuronidase (GUS) fusion analysis of a NcHMA4 in A. thaliana revealed deregulated expression in roots and shoots, analogous to AhHMA4 promoters, but distinct from AtHMA4 expression which localised to the root vascular tissue. This remarkable consistency in tandem duplication and deregulated expression of metal transport genes between N. caerulescens and A. halleri, which last shared a common ancestor >40 mya, provides intriguing evidence that parallel evolutionary pathways may underlie Zn/Cd hyperaccumulation in Brassicaceae

Improvement in the Electrical Properties of Nickel-Plated Steel Using Graphitic Carbon Coatings

Thin layers of highly conductive graphitic carbon are deposited onto nickel‐plated steel substrates using a direct photothermal chemical vapor deposition (PTCVD) technique. The coated nickel‐plated steel substrates improve electrical properties (sheet resistance and interfacial contact resistance [ICR]) compared with pristine nickel‐plated steel, which makes it a cost‐effective alternative to stainless steel for steel producers to use in high‐end electrical applications such as energy storage and microelectronics. The coated nickel‐plated steel is found to have ≈10% reduction in sheet resistance and 200 times reduction in ICR (under compression at 140 N cm−2), compared with pristine nickel‐plated steel. ICR is also three times lower than that of a benchmark gold‐coated stainless steel equivalent at the same pressure

Scanning-probe spectroscopy of semiconductor donor molecules

Semiconductor devices continue to press into the nanoscale regime, and new applications have emerged for which the quantum properties of dopant atoms act as the functional part of the device, underscoring the necessity to probe the quantum structure of small numbers of dopant atoms in semiconductors[1-3]. Although dopant properties are well-understood with respect to bulk semiconductors, new questions arise in nanosystems. For example, the quantum energy levels of dopants will be affected by the proximity of nanometer-scale electrodes. Moreover, because shallow donors and acceptors are analogous to hydrogen atoms, experiments on small numbers of dopants have the potential to be a testing ground for fundamental questions of atomic and molecular physics, such as the maximum negative ionization of a molecule with a given number of positive ions[4,5]. Electron tunneling spectroscopy through isolated dopants has been observed in transport studies[6,7]. In addition, Geim and coworkers identified resonances due to two closely spaced donors, effectively forming donor molecules[8]. Here we present capacitance spectroscopy measurements of silicon donors in a gallium-arsenide heterostructure using a scanning probe technique[9,10]. In contrast to the work of Geim et al., our data show discernible peaks attributed to successive electrons entering the molecules. Hence this work represents the first addition spectrum measurement of dopant molecules. More generally, to the best of our knowledge, this study is the first example of single-electron capacitance spectroscopy performed directly with a scanning probe tip[9].Comment: In press, Nature Physics. Original manuscript posted here; 16 pages, 3 figures, 5 supplementary figure

The 492 GHz emission of Sgr A* constrained by ALMA

We report linearly polarized continuum emission properties of Sgr A* at $\sim$492 GHz, based on the Atacama Large Millimeter Array (ALMA) observations. We used the observations of the likely unpolarized continuum emission of Titan, and the observations of C\textsc{i} line emission, to gauge the degree of spurious polarization. The Stokes I flux of 3.6$\pm$0.72 Jy during our run is consistent with extrapolations from the previous, lower frequency observations. We found that the continuum emission of Sgr A* at $\sim$492 GHz shows large amplitude differences between the XX and the YY correlations. The observed intensity ratio between the XX and YY correlations as a function of parallactic angle may be explained by a constant polarization position angle of $\sim$158$^{\circ}$$\pm$3$^{\circ}$. The fitted polarization percentage of Sgr A* during our observational period is 14\%$\pm$1.2\%. The calibrator quasar J1744-3116 we observed at the same night can be fitted to Stokes I = 252 mJy, with 7.9\%$\pm$0.9\% polarization in position angle P.A. = 4.1$^{\circ}$$\pm$4.2$^{\circ}$. The observed polarization percentage and polarization position angle in the present work appear consistent with those expected from longer wavelength observations in the period of 1999-2005. In particular, the polarization position angle at 492 GHz, expected from the previously fitted 167$^{\circ}$$\pm$7$^{\circ}$ intrinsic polarization position angle and (-5.6$\pm$0.7)$\times$10$^{5}$ rotation measure, is 155$^{+9}_{-8}$, which is consistent with our new measurement of polarization position angle within 1$\sigma$. The polarization percentage and the polarization position angle may be varying over the period of our ALMA 12m Array observations, which demands further investigation with future polarization observations