Implementation of environmental recovery training response to biological incidents in a human health degree

Agents involved in biological incidents and outbreaks of infection can spread easily, so response teams are required to quickly implement a recovery plan to decontaminate and restore the environment impacted by these incidents to minimise public risks. A group of academics at De Montfort University (DMU, UK), with support from first responders during the 2014-16 Ebola outbreak, are developing appropriate training to provide basic skills so human health science students can respond to biological incidents. Following the competences identified by the European Commission, we have created key competences for these students based on the core skills that any medical first responder to biological emergencies should have. To provide students with the key competences related to environmental planning, we have created specific training that consisted of a 2 hours practical plus theory related to emerging diseases and the international response provided to tackle the Ebola pandemic. The practical component was a research-led workshop to develop a complete protection and recovery plan to respond to an outbreak of infection by Cyclospora cayetanensis in an urban area. Students used the novel methodology developed by Public Health England [“UK Recovery Handbook for Biological Incidents” (Pottage et al., 2015)] [1] to select appropriate options or techniques to protect and recover the affected environment, according to the physiological characteristics of the biological agent/microorganism involved and the environment impacted. Critical thinking and discussion is also needed to select recovery options (R.O.), e.g. use of chlorine-based decontamination liquids as part of the R.O. “reactive liquids” will have limited efficacy as oocysts of Cyclospora are resistant to these. After successful testing of the training with postgraduate students, we introduced it in a level 6 module in the DMU degree programme BMedSci in Medical Science in 2016/17 (n=24). A small proportion of these BMedSci students reported that they did not enjoy (13.4%) or were not satisfied (20%) with the training provided, which could be attributed to the fact that the topic of the training (environmental sciences) was not of direct interest for these students who are studying a degree more related to medicine. However, despite the short duration of the training, students were able to tailor an appropriate response with the resources and information provided (physiological characteristics and a literature review on decontamination/inactivation techniques for Cyclospora was provided to overcome time constraints). Specifically, 73.3% indicated that they gained some public health prevention/preparedness knowledge against a biological incident; 80% highlighted that they learnt how to establish some public health interventions; and 60% learnt how to tailor a recovery plan. A few students (20%) had difficulties with the recovery concepts and the interpretation of the physiological characteristics, which may be attributed to limited background knowledge of microbiology and parasitology (as the BMedSci programme does not have a complete module dedicated to the study of these topics). In conclusion, the increased prevalence of biological contamination incidents necessitates development of appropriate training to include environmental decontamination strategies to protect human health. The short teaching intervention described in this paper could be used to easily address this necessity

Results on a pedagogic approach for tailoring public health interventions to minimise opportunistic infections.

We are performing curriculum modifications on the first year BSc (Hons) Biomedical Science module “Basic Microbiology” (De Montfort University, UK) to increase students’ knowledge of basic medical parasitology and infectious diseases, so these students can acquire the necessary skills to tackle their final degree module “Medical Microbiology”. Following student feedback on a novel short intervention in 2017/18 to promote awareness about human immunodeficiency virus (HIV), we have created an engaging workshop session to cover not only HIV but also the opportunistic infections that can affect HIV patients that have developed acquired immune deficiency syndrome (AIDS) and how to prevent them. The objective of this work was to evaluate the effectiveness of the improved workshop developed and to collect students’ impressions to perform further modifications if needed. Briefly, students were required to develop public health measures for HIV positive patients with two different degrees of immunosuppression (i.e. with CD4+ T cells in peripheral blood above and below 200 cells/μl) to prevent exposure and infection from opportunistic pathogens such as Cryptosporidium spp., Toxoplasma gondii or Pneumocystis jirovecii from: a) sexual exposures; b) intravenous drug use; b) environment and work; c) food and water; d) foreign travel. Students, following evidence-based public health methodology, tailored their measures or interventions using the most up-to-date information reported in the literature regarding HIV chemoprophylaxis and recent guidelines published by US Department of Health and Human Services on HIV/AIDS treatment and prevention. Interventions were critically analysed with all students in the last 20 min. of the workshop, which was repeated several times due to the number of students (n=203). The objectives of this workshop were evaluated by careful analysis of a specific feedback questionnaire (n=46 out of 203) voluntarily completed by students at the end of the workshop. The questionnaire showed the following feedback: 80.4% (65.2% agreed; 15.2% strongly agreed) indicated that they learnt how to identify public health interventions; and 95.7% (56.5% agreed; 39.1% strongly agreed) indicated that they would be able to establish measures to reduce HIV transmission and prevent opportunistic infections. Additionally, 95.7% (39.1% agreed; 56.5% strongly agreed) indicated that the workshop helped them to understand the relevance of local and global interventions. Finally, 97.8% of responders considered that the content (52.2% agreed; 45.7% strongly agreed) and duration (60.9% agreed; 37% strongly agreed) of the workshop was appropriate; and 89.1% (58.7% agreed; 30.4% strongly agreed) and 73.9% (41.3% agreed; 32.6% strongly agreed) enjoyed and were satisfied with the workshop provided, respectively. In conclusion, the improved workshop developed would seem to be effective for promoting sexual and public health education to minimise opportunistic pathogen infections in relevant patients when delivered to students with a basic knowledge of microbiology and parasitology

Marginal AMP Chain Graphs

We present a new family of models that is based on graphs that may have undirected, directed and bidirected edges. We name these new models marginal AMP (MAMP) chain graphs because each of them is Markov equivalent to some AMP chain graph under marginalization of some of its nodes. However, MAMP chain graphs do not only subsume AMP chain graphs but also multivariate regression chain graphs. We describe global and pairwise Markov properties for MAMP chain graphs and prove their equivalence for compositional graphoids. We also characterize when two MAMP chain graphs are Markov equivalent. For Gaussian probability distributions, we also show that every MAMP chain graph is Markov equivalent to some directed and acyclic graph with deterministic nodes under marginalization and conditioning on some of its nodes. This is important because it implies that the independence model represented by a MAMP chain graph can be accounted for by some data generating process that is partially observed and has selection bias. Finally, we modify MAMP chain graphs so that they are closed under marginalization for Gaussian probability distributions. This is a desirable feature because it guarantees parsimonious models under marginalization.Comment: Changes from v1 to v2: Discussion section got extended. Changes from v2 to v3: New Sections 3 and 5. Changes from v3 to v4: Example 4 added to discussion section. Changes from v4 to v5: None. Changes from v5 to v6: Some minor and major errors have been corrected. The latter include the definitions of descending route and pairwise separation base, and the proofs of Theorems 5 and

Role of the developing nations in the development and optimal use of space technology

The economic and social factors are discussed which play a role in the advancement of space technology in developing nations. It is concluded that mutual collaboration between developed and developing nations is the basic element which will allow developing nations to take part in space experiments and research

A covariant model for the γ∗N→N∗(1520)\gamma^\ast N \to N^\ast(1520) reaction

We apply the covariant spectator quark model to the study of the electromagnetic structure of the $N^\ast(1520)$ state ($J^{P}= \frac{3}{2}^-$), an important resonance from the second resonance region in both spacelike and timelike regimes. The contributions from the valence quark effects are calculated for the $\gamma^\ast N \to N^\ast(1520)$ helicity amplitudes. The results are used to parametrize the meson cloud dominant at low $Q^2$.Comment: 3 figure, 3 pages. Contribution to the 13th International Conference on Meson-Nucleon Physics and the Structure of the Nucleon (MENU 2013), Rome, September-October 201

Valence quark contribution for the gamma N -> Delta quadrupole transition extracted from lattice QCD

Starting with a spectator quark model developed for the nucleon (N) and the Delta in the physical pion mass region, we extend the predictions of the reaction gamma N -> Delta to the lattice QCD regime. The quark model includes S and D waves in the quark-diquark wavefunctions. Within this framework it is the D-wave part in the Delta wavefunction that generates nonzero valence contributions for the quadrupole form factors of the transition. Those contributions are however insufficient to explain the physical data, since the pion cloud contributions dominate. To separate the two effects we apply the model to the lattice regime in a region where the pion cloud effects are negligible, and adjust the D-state parameters directly to the lattice data. This process allows us to obtain a better determination of the D-state contributions. Finally, by adding a simple parametrization of the pion cloud we establish the connection between the experimental data and the lattice data.Comment: To appear in Phys. Rev.

Optical observations of very low ionization HII regions in the large Magellanic cloud

Several very low ionization isolated HII regions were detected on a prism-objective plate of the Large Magellanic Cloud. Most of the objects show a very weak (OIII) lambda 5007 emission line and, on the other hand the (OII) lambda 6584 doublets are very intense. This kind of objects seem to be ideal in order to determine accurate N and O abundance, avoiding the use of large ionization correction factors in the N abundance determination. Spectrophotometric observations of these regions were carried out with the 4 m telescope and the 2-D Frutti spectrograph at Cerro Tololo, and with the 1.52 m and the Image Dissector Scanner (IDS) at La Silla, ESO. The wavelength range lambda lambda 3700 to 7000 A was covered. Calibrated fluxes of the emission lines detected were measured, and from these data preliminary results of physical conditions of the gas as well as some ionic abundances were derived. Comparisons of the observations with ionization structure models show that the effective temperatures of the ionizing stars are less than 35,000 K. Possible abundances gradients across the large megallanic cloud are discussed