Micropower Impulse Radar: A Novel Technology for Rapid, Real-Time Detection of Pneumothorax

Pneumothorax detection in emergency situations must be rapid and at the point of care. Current standards for detection of a pneumothorax are supine chest X-rays, ultrasound, and CT scans. Unfortunately these tools and the personnel necessary for their facile utilization may not be readily available in acute circumstances, particularly those which occur in the pre-hospital setting. The decision to treat therefore, is often made without adequate information. In this report, we describe a novel hand-held device that utilizes Micropower Impulse Radar to reliably detect the presence of a pneumothorax. The technology employs ultra wide band pulses over a frequency range of 500 MHz to 6 GHz and a proprietary algorithm analyzes return echoes to determine if a pneumothorax is present with no user interpretation required. The device has been evaluated in both trauma and surgical environments with sensitivity of 93% and specificity of 85%. It is has the CE Mark and is available for sale in Europe. Post market studies are planned starting in May of 2011. Clinical studies to support the FDA submission will be completed in the first quarter of 2012

Waiting for surgery from the patient perspective

The aim of this study was to perform a systematic review of the impact of waiting for elective surgery from the patient perspective, with a focus on maximum tolerance, quality of life, and the nature of the waiting experience. Searches were conducted using Medline, PubMed, CINAHL, EMBASE, and HealthSTAR. Twenty-seven original research articles were identified which included each of these three themes. The current literature suggested that first, patients tend to state longer wait times as unacceptable when they experienced severe symptoms or functional impairment. Second, the relationship between length of wait and health-related quality of life depended on the nature and severity of proposed surgical intervention at the time of booking. Third, the waiting experience was consistently described as stressful and anxiety provoking. While many patients expressed anger and frustration at communication within the system, the experience of waiting was not uniformly negative. Some patients experienced waiting as an opportunity to live full lives despite pain and disability. The relatively unexamined relationship between waiting, illness and patient experience of time represents an area for future research

Cyclic Voltammetric Experiment - Simulation. Comparisons of the Complex Mechanism Associated with Electrochemical Reduction of Zr4+ in LiCl-KCl Eutectic Molten Salt

Nuclear energy increasingly represents an important option for generating largely clean CO2-free electricity and zirconium is a fission product that is expected to be present in irradiated fuels. The present investigation addresses the electrochemical reduction of Zr4+ to Zro in LiCl - KCl eutectic molten salt in the temperature range 425–550◦C using cyclic voltammetry (CV), square-wave voltammetry (SWV) and bulk electrolysis. Simulations of the CV data indicate that the initial reduction proceeds through surface confined steps: Zr4+* + 2e− ↔Zr2+* and Zr2+* + 2e− ↔Zr* processes (* adsorbed species) followed by a peak-shaped complex diffusion controlled step that consists of a combination of closely spaced processes associated with the reactions Zr4+ + 4e− →Zr and Zr4+ + 3e− →Zr+*. Zr+*, probably in the form of ZrCl* is then further reduced to Zro* at even more negative potentials. The simulations provide the first quantitative analysis of the thermodynamics and kinetics of the Zr4+ reduction in the LiCl-KCl eutectic

Does the Brief Self-Control Scale Assess Relatively Stable Individual Differences in Self-Control Among Endurance Athletes?

Endurance athletes are a population where self-control in the form of following training plans, race plans, and pacing schedules is key to performing successfully. A valid and stable measure of self-control has theoretical and applied value through the ability to identify athletes who might be susceptible to poor self-control. The present study reports the test-retest stability of the Brief Self-Control Scale (BSCS). 132 endurance athletes (18-65 years) completed the 13-item BSCS on two occasions, separated by two weeks. Stability was measured by calculating the test-retest differences for each questionnaire item, with a stable item showing 90% of respondents’ test-retest differences within a reference value of ±1. Analyses revealed seven items to be stable with the question, Q11 = “I am able to work effectively toward long-term goals”, demonstrating greatest stability (96.3%). In contrast, six items showed relatively poor stability with test-retest difference scores ranging from 83.4-89.4%. Chi-square tests of independence revealed no associations with categorical levels of age, gender, sport, and training habits. In the context of the current findings, we argue that the six unstable items do not represent dispositional self-control behaviours among endurance athletes. Future researchers are encouraged to assess the stability of individual items rather than favoring a summary statistic, particularly when developing trait measures

Inconsistency of decision-making, the Achilles heel of referees

This is an accepted manuscript of an article published by Taylor & Francis in Journal of Sports Sciences on 12/12/2016, available online: https://doi.org/10.1080/02640414.2016.1265143 The accepted version of the publication may differ from the final published version.This study assessed whether decisions made by six qualified referees were consistent when watching the live 2016 televised Champions League Final. Referees were paired off into three separate rooms. Two referees watched the game with no supporters present. Two watched the game surrounded by Real Madrid supporters, and the remaining two watched the game surrounded by Athletic Madrid supporters. Referees were asked to decide whether each decision made by the on-field referee was either correct or incorrect. Results identified two types of refereeing inconsistency. The first type was a systematic tendency of the supporting crowds (both rooms) to influence the adjudicating referees to make fewer incorrect (disagree with the on-field referee) decisions (8 and 5) than referees in the “no supporters” room (19) (χ2 = 11.22 [df = 2], P = 0.004). The second type of inconsistency was the home advantage “bias”, where the surrounding crowd influenced the adjudicating referees to favour their team, by disagreeing with the decision made by the on-field referee (χ2 = 6.0 [df = 2], P = 0.0498). One explanation for these inconsistencies is that referees adopt a coping strategy of “avoidance”, i.e., when faced with difficult decisions, referees simply avoid making unpopular decisions by waving “play on”

Interventions to encourage smoke-free homes in remote indigenous Australian communities: a study protocol to evaluate the effects of a community-inspired awareness-raising and motivational enhancement strategy

Introduction: Rates of secondhand smoke exposure are currently significantly higher among remote indigenous communities in the top end of Australia. By implementing a smoke-free home' rule, secondhand smoke exposure can be reduced. Smoke-free Ironies encourage quit attempts and improve the health of children. The prevalence of indigenous smoking rates in remote, discrete communities in Australia is elevated compared with their nonindigenous non indigenous counterparts. The primary aim of this project is to examine the feasibility of conducting a health-driven intervention to encourage community members to make their homes a smoke-free zone. Methods and analysis: This study uses mixed-methods exploratory evaluation design to obtain data from key informants and community householders to assess their willingness to implement a'smoke-free' rule in their Ironies. Initial focus groups will provide guidance on intervention content and deliver evaluation procedures and community requirements. A rapid survey will be conducted to ascertain interest from community members in having the project team visit to discuss study objectives further and to have a particle meter (with consent) placed in the house. Focus groups recordings will he transcribed and analysed thematically. Rapid surveys will he analysed using frequency distributions and tabulations of responses. Ethics and dissemination: The National Health and Medical Research Council guidelines on ethical research approaches to indigenous studies will be adhered to. The James Cook University Human Research Ethics Committee has provided ethics approval

Worlds within worlds: the relationship between context and pedagogy in the workplace.

This paper explores the different ways in which people engage in teaching and learning in the workplace. There is now much more awareness of the symbiotic relationship between workplace learning, the organisation of work, level of employee involvement, and organisational performance, and the broader economic, regulatory, and social context, within which organisations have to operate. The paper argues that we have to identify and take serious account of the contextual factors (external and internal) which affect all organisations as these are central to developing our understanding of the nature of pedagogical practice within any workplace setting. By closely examining the nature and impact of these contextual factors, we can gain greater insight into the mystery of why organisations adopt different practices and why they create such different learning environments. The paper draws on our tentative initial findings from the Learning as Work project and includes vignettes from both the public and private sectors to highlight the issues raised

Comparison of bacterial genome assembly software for MinION data and their applicability to medical microbiology.

Translating the Oxford Nanopore MinION sequencing technology into medical microbiology requires on-going analysis that keeps pace with technological improvements to the instrument and release of associated analysis software. Here, we use a multidrug-resistant Enterobacter kobei isolate as a model organism to compare open source software for the assembly of genome data, and relate this to the time taken to generate actionable information. Three software tools (PBcR, Canu and miniasm) were used to assemble MinION data and a fourth (SPAdes) was used to combine MinION and Illumina data to produce a hybrid assembly. All four had a similar number of contigs and were more contiguous than the assembly using Illumina data alone, with SPAdes producing a single chromosomal contig. Evaluation of the four assemblies to represent the genome structure revealed a single large inversion in the SPAdes assembly, which also incorrectly integrated a plasmid into the chromosomal contig. Almost 50 %, 80 % and 90 % of MinION pass reads were generated in the first 6, 9 and 12 h, respectively. Using data from the first 6 h alone led to a less accurate, fragmented assembly, but data from the first 9 or 12 h generated similar assemblies to that from 48 h sequencing. Assemblies were generated in 2 h using Canu, indicating that going from isolate to assembled data is possible in less than 48 h. MinION data identified that genes responsible for resistance were carried by two plasmids encoding resistance to carbapenem and to sulphonamides, rifampicin and aminoglycosides, respectively.Health Innovation Challenge Fund (WT098600, HICF-T5-342) (Department of Health, Wellcome Trust)This is the final version of the article. It first appeared from the Microbiology Society via http://dx.doi.org/10.1099/mgen.0.00008

Transferring Real-Time Systems Research into Industrial Practice: Four Impact Case Studies

This paper describes four impact case studies where real-time systems research has been successfully transferred into industrial practice. In three cases, the technology created was translated into a viable commercial product via a start-up company. This technology transfer led to the creation and sustaining of a large number of high technology jobs over a 20 year period. The final case study involved the direct transfer of research results into an engineering company. Taken together, all four case studies have led to significant advances in automotive electronics and avionics, providing substantial returns on investment for the companies using the technology