A New Species of \u3ci\u3eHydrochara\u3c/i\u3e (Coleoptera: Hydrophilidae) from the Western Great Lakes Region

A new species Hydrochara simula (Coleoptera: Hydrophilidae) is described from Wis- consin and separated from other western Great Lakes species by a key. It is similar to H. obtusata (Say) and H. soror Smetana, but males can be easily recognized by a dorso-basal concavity of the aedeagus. Females can be distinguished from H. obtusata and H. soror by the more elongate penultimate segment of the maxillary palpus and other less consistent characters

Professor Edward Drinker Cope’s Travels Through North Carolina, August–December 1869: Insights from the Transcriptions and Annotations of Letters to His Father and His Contributions to North Carolina Ichthyology

Since 1870, ichthyologists have pondered Edward Drinker Cope’s two publications: “On some Etheostomine Perch from Tennessee and North Carolina” and “A Partial Synopsis of the Fishes of the Fresh Waters of North Carolina”, along with correspondences to his father while traveling in North Carolina. We transcribed and annotated four of his letters searching for further knowledge regarding his field notebook(s) and original data (meristics, morphometrics, life coloration, etc.) from his travels across NC during Summer and Fall of 1869. However, unresolved questions remained - many related to unaccounted for periods of time. We did not achieve insights into who helped him with his collections. The loss of some of his larger specimens or their unavailability to be re-examined by Cope at a later date, lead us to question if Cope hastily wrote some of the descriptions in the field, or wrote them from memory afterwards in his lodging, or did he write them in a field notebook? We did not discover the existence or whereabouts of field notes or field book. We surmised he did record field notes and original data, because he could not have remembered meristic counts and which data went with which species after encountering a myriad of specimens in the field. We marveled how Cope was able to successfully achieve the rapidity in naming, writing, and publishing shortly after his trip. We concluded Cope must have been extremely impatient and perhaps consumed by his more important paleontological interests when writing two fish manuscripts in a short period of time. Cope’s two publications resulting from this trip laid a foundation for all ensuing studies of NC’s freshwater fish fauna the past 151 years. Of the 242 described species of freshwater fish in NC 45 were described by him between 1865-1871. He described 25 species from his NC trip of which 15 species are presently considered valid; the other species having since been synonymized. Cope recounted collecting 91 described and undescribed species from NC during his trip, excluding four genera, Acipenser, Carpiodes, Ictiobus, and Sander (Stizostedion), whose specimens were lost, unavailable, or unseen. We accounted for all of the species and specimens he had collected during this trip. Lots, totaling 138, representing 63 species and 943 specimens were subsequently curated at Academy of Natural Sciences of Drexel University, the National Museum of Natural History, and the University of Michigan Museum of Zoology. No additional lots were found at other museums. Various type specimens are represented in 49 lots, with the remaining 89 lots representing non-type specimens

Emergency Department Pain Management Following Implementation of a Geriatric Hip Fracture Program

Introduction: Over 300,000 patients in the United States sustain low-trauma fragility hip fractures annually. Multidisciplinary geriatric fracture programs (GFP) including early, multimodal pain management reduce morbidity and mortality. Our overall goal was to determine the effects of a GFP on the emergency department (ED) pain management of geriatric fragility hip fractures. Methods: We performed a retrospective study including patients age ≥65 years with fragility hip fractures two years before and two years after the implementation of the GFP. Outcomes were time to (any) first analgesic, use of acetaminophen and fascia iliaca compartment block (FICB) in the ED, and amount of opioid medication administered in the first 24 hours. We used permutation tests to evaluate differences in ED pain management following GFP implementation. Results: We studied 131 patients in the pre-GFP period and 177 patients in the post-GFP period. In the post-GFP period, more patients received FICB (6% vs. 60%; difference 54%, 95% confidence interval [CI] 45–63%; p<0.001) and acetaminophen (10% vs. 51%; difference 41%, 95% CI 32–51%; p<0.001) in the ED. Patients in the post-GFP period also had a shorter time to first analgesic (103 vs. 93 minutes; p=0.04) and received fewer morphine equivalents in the first 24 hours (15mg vs. 10mg, p<0.001) than patients in the pre-GFP period. Conclusion: Implementation of a GFP was associated with improved ED pain management for geriatric patients with fragility hip fractures. Future studies should evaluate the effects of these changes in pain management on longer-term outcomes

Delivering manufacturing technology and workshop appreciation to engineering undergraduates using the flipped classroom approach

Delivery of manufacturing technology and practical workshop-based work, on undergraduate engineering courses that engage the learners, is challenging. The paper presents an experimental method of workshop delivery using the flipped learning approach, a pedagogical model in which the typical lecture and homework elements of a course are reversed. Video lectures are viewed by students prior to class. In-class time can be devoted to exercises, projects, or discussions as in this case. Learners were asked to observe three audiovisual clips in preparation for class. The objective was to determine whether the flipped classroom approach can enhance the learning experience, through better engagement with the students, compared to conventional classroom-based learning. The level of student participation and level of success have been established by means of feedback questionnaires from more than 100 participants and peer observation. The results are encouraging and demonstrate that this approach is favoured by the students

8x8 Reconfigurable quantum photonic processor based on silicon nitride waveguides

The development of large-scale optical quantum information processing circuits ground on the stability and reconfigurability enabled by integrated photonics. We demonstrate a reconfigurable 8x8 integrated linear optical network based on silicon nitride waveguides for quantum information processing. Our processor implements a novel optical architecture enabling any arbitrary linear transformation and constitutes the largest programmable circuit reported so far on this platform. We validate a variety of photonic quantum information processing primitives, in the form of Hong-Ou-Mandel interference, bosonic coalescence/anticoalescence and high-dimensional single-photon quantum gates. We achieve fidelities that clearly demonstrate the promising future for large-scale photonic quantum information processing using low-loss silicon nitride.Comment: Added supplementary materials, extended introduction, new figures, results unchange

Borehole-Based Characterization of Deep Mixed-Mode Crevasses at a Greenlandic Outlet Glacier

Funder: Aberystwyth University Capital Equipment FundAbstract: Optical televiewer borehole logging within a crevassed region of fast‐moving Store Glacier, Greenland, revealed the presence of 35 high‐angle planes that cut across the background primary stratification. These planes were composed of a bubble‐free layer of refrozen ice, most of which hosted thin laminae of bubble‐rich “last frozen” ice, consistent with the planes being the traces of former open crevasses. Several such last‐frozen laminae were observed in four traces, suggesting multiple episodes of crevasse reactivation. The frequency of crevasse traces generally decreased with depth, with the deepest detectable trace being 265 m below the surface. This is consistent with the extent of the warmer‐than‐modeled englacial ice layer in the area, which extends from the surface to a depth of ∼400 m. Crevasse trace orientation was strongly clustered around a dip of 63° and a strike that was offset by 71° from orthogonal to the local direction of principal extending strain. The traces’ antecedent crevasses were therefore interpreted to have originated upglacier, probably ∼8 km distant involving mixed‐mode (I and III) formation. We conclude that deep crevassing is pervasive across Store Glacier, and therefore also at all dynamically similar outlet glaciers. Once healed, their traces represent planes of weakness subject to reactivation during subsequent advection through the glacier. Given their depth, it is highly likely that such traces—particularly those formed downglacier—survive surface ablation to reach the glacier terminus, where they may represent foci for fracture and iceberg calving

Polythermal structure of a Himalayan debris-covered glacier revealed by borehole thermometry

Runoff from high-elevation debris-covered glaciers represents a crucial water supply for millions of people in the Hindu Kush-Himalaya region, where peak water has already passed in places. Knowledge of glacier thermal regime is essential for predicting dynamic and geometric responses to mass balance change and determining subsurface drainage pathways, which ultimately influence proglacial discharge and hence downstream water availability. Yet, deep internal ice temperatures of these glaciers are unknown, making projections of their future response to climate change highly uncertain. Here, we show that the lower part of the ablation area of Khumbu Glacier, a high-elevation debris-covered glacier in Nepal, may contain ~56% temperate ice, with much of the colder shallow ice near to the melting-point temperature (within 0.8 °C). From boreholes drilled in the glacier’s ablation area, we measured a minimum ice temperature of −3.3 °C, and even the coldest ice we measured was 2 °C warmer than the mean annual air temperature. Our results indicate that high-elevation Himalayan glaciers are vulnerable to even minor atmospheric warming

"You cannot know if it's a baby or not a baby": uptake, provision and perceptions of antenatal care and routine antenatal ultrasound scanning in rural Kenya.

BACKGROUND: Antenatal care early in pregnancy enables service providers to identify and manage risks to mother and fetus. In the global north, ultrasound scans are routinely offered in pregnancy to provide an accurate estimate of gestational age and identify potential problems. In sub-Saharan Africa, such services are rarely available and women often delay initiating antenatal care. This study describes the uptake and provision of antenatal care in a rural Kenyan hospital and explores how pregnant women and healthcare providers perceived the provision of ultrasound scanning, following its introduction in an international foetal growth study. METHODS: A descriptive study, using qualitative and quantitative methods, was conducted in Kilifi District Hospital, Kenya, between June 2011 and April 2012. In-depth interviews were conducted with 10 nurses working in the antenatal clinic (ANC) and 59 pregnant women attending ANC. Structured observations of 357 ANC consultations and 30 ultrasound scans were made. RESULTS: Women sought antenatal care for information about the health of their baby and the protection provided by the ANC services. Uncertainty about pregnancy status contributed to delay in ANC attendance; more than 78 % of women were over 20 weeks' gestation at their first visit. Healthcare workers found it difficult to detect pregnancies below 16 weeks gestation and, accurate assessment of gestational age below 20 weeks' gestation could be problematic. Provision of services depended on the pregnancy being detected and gestational age assessed. The "seeing", made possible through ultrasound scanning was perceived by pregnant women and healthcare workers to be beneficial: confirming the pregnancy, and providing reassurance about the fetus' condition. Few participants raised concerns about ultrasound scanning. CONCLUSIONS: Uncertainty about pregnancy status and gestational age for women and healthcare providers is a key factor influencing timing of ANC attendance, contributing to delays and restricting early provision of ANC services. Ultrasound scanning was perceived to enhance antenatal care through confirmation of pregnancy status and enabling more accurate estimation of gestational age and the health status of the fetus. There is a need to make available more affordable means of pregnancy testing as a strategy towards encouraging early attendance, and delivery of antenatal care

The VOICE study – a before and after study of a dementia communication skills training course

Background A quarter of acute hospital beds are occupied by persons living with dementia, many of whom have communication problems. Healthcare professionals lack confidence in dementia communication skills, but there are no evidence-based communication skills training approaches appropriate for professionals working in this context. We aimed to develop and pilot a dementia communication skills training course that was acceptable and useful to healthcare professionals, hospital patients and their relatives. Methods The course was developed using conversation analytic findings from video recordings of healthcare professionals talking to patients living with dementia in the acute hospital, together with systematic review evidence of dementia communication skills training and taking account of expert and service-user opinion. The two-day course was based on experiential learning theory, and included simulation and video workshops, reflective diaries and didactic teaching. Actors were trained to portray patients living with dementia for the simulation exercises. Six courses were run between January and May 2017. 44/45 healthcare professionals attended both days of the course. Evaluation entailed: questionnaires on confidence in dementia communication; a dementia communication knowledge test; and participants’ satisfaction. Video-recorded, simulated assessments were used to measure changes in communication behaviour. Results Healthcare professionals increased their knowledge of dementia communication (mean improvement 1.5/10; 95% confidence interval 1.0–2.0; p<0.001). Confidence in dementia communication also increased (mean improvement 5.5/45; 95% confidence interval 4.1–6.9; p<0.001) and the course was well-received. One month later participants reported using the skills learned in clinical practice. Blind-ratings of simulated patient encounters demonstrated behaviour change in taught communication behaviours to close an encounter, consistent with the training, but not in requesting behaviours. Conclusion We have developed an innovative, evidence-based dementia communication skills training course which healthcare professionals found useful and after which they demonstrated improved dementia communication knowledge, confidence and behaviour