Physiotherapy students\u27 perceptions and experiences of clinical prediction rules

Objectives: Clinical reasoning can be difficult to teach to pre-professional physiotherapy students due to their lack of clinical experience. It may be that tools such as clinical prediction rules (CPRs) could aid the process, but there has been little investigation into their use in physiotherapy clinical education. This study aimed to determine the perceptions and experiences of physiotherapy students regarding CPRs, and whether they are learning about CPRs on clinical placement. Design: Cross-sectional survey using a paper-based questionnaire. Participants: Final year pre-professional physiotherapy students (n=371, response rate 77%) from five universities across five states of Australia. Results: Sixty percent of respondents had not heard of CPRs, and a further 19% had not clinically used CPRs. Only 21% reported using CPRs, and of these nearly three-quarters were rarely, if ever, learning about CPRs in the clinical setting. However most of those who used CPRs (78%) believed CPRs assisted in the development of clinical reasoning skills and none (0%) was opposed to the teaching of CPRs to students. The CPRs most commonly recognised and used by students were those for determining the need for an X-ray following injuries to the ankle and foot (67%), and for identifying deep venous thrombosis (63%). Conclusions: The large majority of students in this sample knew little, if anything, about CPRs and few had learned about, experienced or practiced them on clinical placement. However, students who were aware of CPRs found them helpful for their clinical reasoning and were in favour of learning more about them

Transboundary Movement of Atlantic Istiophorid Billfishes Among International and U.S. Domestic Management Areas Inferred from Mark-Recapture Studies

Billfish movements relative to the International Commission for the Conservation of Atlantic Tunas management areas, as well as U.S. domestic data collection areas within the western North Atlantic basin, were investigated with mark-recapture data from 769 blue marlin, Makaira nigricans, 961 white marlin, Tetrapturus albidus, and 1,801 sailfish, Istiophorus platypterus. Linear displacement between release and recapture locations ranged from zero (all species) to 15,744 km (mean 575, median 119, SE 44) for blue marlin, 6,523 km (mean 719, median 216, SE 33) for white marlin, and 3,845 km (mean 294, median 98, SE 13) for sailfish. In total, 2,824 (80.0%) billfish were recaptured in the same management area of release. Days at liberty ranged from zero (all species) to 4,591 (mean 619, median 409, SE 24) for blue marlin, 5,488 (mean 692, median 448, SE 22) for white marlin, and 6,568 (mean 404, median 320, SE 11) for sailfish. The proportions (per species) of visits were highest in the Caribbean area for blue marlin and white marlin, and the Florida East Coast area for sailfish. Blue marlin and sailfish were nearly identical when comparing the percent of individuals vs. the number of areas visited. Overall, white marlin visited more areas than either blue marlin or sailfish. Seasonality was evident for all species, with overall results generally reflecting the efforts of the catch and release recreational fishing sector, particularly in the western North Atlantic. This information may be practical in reducing the uncertainties in billfish stock assessments and may offer valuable insight into management consideration of time-area closure regulations to reduce bycatch mortality of Atlantic billfishes

Tissue-engineered cardiac patch for advanced functional maturation of human ESC-derived cardiomyocytes.

Human embryonic stem cell-derived cardiomyocytes (hESC-CMs) provide a promising source for cell therapy and drug screening. Several high-yield protocols exist for hESC-CM production; however, methods to significantly advance hESC-CM maturation are still lacking. Building on our previous experience with mouse ESC-CMs, we investigated the effects of 3-dimensional (3D) tissue-engineered culture environment and cardiomyocyte purity on structural and functional maturation of hESC-CMs. 2D monolayer and 3D fibrin-based cardiac patch cultures were generated using dissociated cells from differentiated Hes2 embryoid bodies containing varying percentage (48-90%) of CD172a (SIRPA)-positive cardiomyocytes. hESC-CMs within the patch were aligned uniformly by locally controlling the direction of passive tension. Compared to hESC-CMs in age (2 weeks) and purity (48-65%) matched 2D monolayers, hESC-CMs in 3D patches exhibited significantly higher conduction velocities (CVs), longer sarcomeres (2.09 ± 0.02 vs. 1.77 ± 0.01 μm), and enhanced expression of genes involved in cardiac contractile function, including cTnT, αMHC, CASQ2 and SERCA2. The CVs in cardiac patches increased with cardiomyocyte purity, reaching 25.1 cm/s in patches constructed with 90% hESC-CMs. Maximum contractile force amplitudes and active stresses of cardiac patches averaged to 3.0 ± 1.1 mN and 11.8 ± 4.5 mN/mm(2), respectively. Moreover, contractile force per input cardiomyocyte averaged to 5.7 ± 1.1 nN/cell and showed a negative correlation with hESC-CM purity. Finally, patches exhibited significant positive inotropy with isoproterenol administration (1.7 ± 0.3-fold force increase, EC50 = 95.1 nm). These results demonstrate highly advanced levels of hESC-CM maturation after 2 weeks of 3D cardiac patch culture and carry important implications for future drug development and cell therapy studies

Spitzer Space Telescope Observations of the Nucleus of Comet 103P/Hartley 2

We have used the Spitzer Space Telescope InfraRed Spectrograph (IRS) 22-μm peakup array to observe thermal emission from the nucleus and trail of comet 103P/Hartley 2, the target of NASA’s Deep Impact Extended Investigation (DIXI). The comet was observed on UT 2008 August 12 and 13, while 5.5 AU from the Sun. We obtained two 200 frame sets of photometric imaging over a 2.7 hr period. To within the errors of the measurement, we find no detection of any temporal variation between the two images. The comet showed extended emission beyond a point source in the form of a faint trail directed along the comet’s antivelocity vector. After modeling and removing the trail emission, a NEATM model for the nuclear emission with beaming parameter of 0.95 ± 0.20 indicates a small effective radius for the nucleus of 0.57 ± 0.08 km and low geometric albedo 0.028 ± 0.009 (1σ). With this nucleus size and a water production rate of 3 × 10^(28) molecules s^(-1) at perihelion, we estimate that ~100% of the surface area is actively emitting volatile material at perihelion. Reports of emission activity out to ~5 AU support our finding of a highly active nuclear surface. Compared to Deep Impact’s first target, comet 9P/Tempel 1, Hartley 2’s nucleus is one-fifth as wide (and about one-hundredth the mass) while producing a similar amount of outgassing at perihelion with about 13 times the active surface fraction. Unlike Tempel 1, comet Hartley 2 should be highly susceptible to jet driven spin-up torques, and so could be rotating at a much higher frequency. Since the amplitude of nongravitational forces are surprisingly similar for both comets, close to the ensemble average for ecliptic comets, we conclude that comet Hartley 2 must have a much more isotropic pattern of time-averaged outgassing from its nuclear surface. Barring a catastrophic breakup or major fragmentation event, the comet should be able to survive up to another 100 apparitions (~700 yr) at its current rate of mass loss

Using Kepler transit observations to measure stellar spot belt migration rates

Planetary transits provide a unique opportunity to investigate the surface distributions of star spots. Our aim is to determine if, with continuous observation (such as the data that will be provided by the Kepler mission), we can in addition measure the rate of drift of the spot belts. We begin by simulating magnetic cycles suitable for the Sun and more active stars, incorporating both flux emergence and surface transport. This provides the radial magnetic field distribution on the stellar surface as a function of time. We then model the transit of a planet whose orbital axis is misaligned with the stellar rotation axis. Such a planet could occult spots at a range of latitudes. This allows us to complete the forward modelling of the shape of the transit lightcurve. We then attempt the inverse problem of recovering spot locations from the transit alone. From this we determine if transit lightcurves can be used to measure spot belt locations as a function of time. We find that for low-activity stars such as the Sun, the 3.5 year Kepler window is insufficient to determine this drift rate. For more active stars, it may be difficult to distinguish subtle differences in the nature of flux emergence, such as the degree of overlap of the "butterfly wings". The rate and direction of drift of the spot belts can however be determined for these stars. This would provide a critical test of dynamo theory.Comment: 5 pages. Accepted for publication in Monthly Notices of the Royal Astronomical Society Letter

Dynamical variations of the differential rotation in the solar convection zone

Recent analyses of helioseismological observations seem to suggest the presence of two new phenomena connected with the dynamics of the solar convective zone. Firstly, there are present torsional oscillations with periods of about 11 years, which penetrate significantly into the solar convection zone and secondly, oscillatory regimes exist near the base of the convection which are markedly different from those observed near the top, having either significantly reduced periods or being non-periodic. Recently spatiotemporal fragmentation/bifurcation has been proposed as a possible dynamical mechanism to account for such observed multi-mode behaviours in different parts of the solar convection zone. Evidence for this scenario was produced in the context of an axisymmetric mean field dynamo model operating in a spherical shell, with a semi-open outer boundary condition and a zero order angular velocity obtained by the inversion of the MDI data, in which the only nonlinearity was the action of the Lorentz force of the dynamo generated magnetic field on the solar angular velocity. Here we make a detailed study of the robustness of this model with respect to plausible changes to its main ingredients, including changes to the alpha and eta profiles as well as the inclusion of a nonlinear alpha quenching. We find that spatiotemporal fragmentation is present in this model for different choices of the rotation data and as the details of the model are varied. Taken together, these results give strong support to the idea that spatiotemporal fragmentation is likely to occur in general dynamo settings.Comment: 14 pages, 30 figures, submitted to Astronomy and Astrophysics, also available at http://www.eurico.web.co

Expressiveness of Temporal Query Languages: On the Modelling of Intervals, Interval Relationships and States

Storing and retrieving time-related information are important, or even critical, tasks on many areas of Computer Science (CS) and in particular for Artificial Intelligence (AI). The expressive power of temporal databases/query languages has been studied from different perspectives, but the kind of temporal information they are able to store and retrieve is not always conveniently addressed. Here we assess a number of temporal query languages with respect to the modelling of time intervals, interval relationships and states, which can be thought of as the building blocks to represent and reason about a large and important class of historic information. To survey the facilities and issues which are particular to certain temporal query languages not only gives an idea about how useful they can be in particular contexts, but also gives an interesting insight in how these issues are, in many cases, ultimately inherent to the database paradigm. While in the area of AI declarative languages are usually the preferred choice, other areas of CS heavily rely on the extended relational paradigm. This paper, then, will be concerned with the representation of historic information in two well known temporal query languages: it Templog in the context of temporal deductive databases, and it TSQL2 in the context of temporal relational databases. We hope the results highlighted here will increase cross-fertilisation between different communities. This article can be related to recent publications drawing the attention towards the different approaches followed by the Databases and AI communities when using time-related concepts

Magnetic flux generation and transport in cool stars

The Sun and other cool stars harbouring outer convection zones manifest magnetic activity in their atmospheres. The connection between this activity and the properties of a deep-seated dynamo generating the magnetic flux is not well understood. By employing physical models, we study the spatial and temporal characteristics of the observable surface field for various stellar parameters. We combine models for magnetic flux generation, buoyancy instability, and transport, which encompass the entire convection zone. The model components are: (1) a thin-layer alpha-Omega dynamo at the base of the convection zone; (2) buoyancy instabilities and the rise of flux tubes through the convection zone in 3D, which provides a physically consistent determination of emergence latitudes and tilt angles; and (3) horizontal flux transport at the surface. For solar-type stars and rotation periods longer than about 10 days, the latitudinal dynamo waves generated by the deep-seated alpha-Omega dynamo are faithfully reflected by the surface distribution of magnetic flux. For rotation periods of the order of two days, however, Coriolis acceleration of rising flux loops leads to surface flux emergence at much higher latitudes than the dynamo waves at the bottom of the convection zone reach. A similar result is found for a K0V star with a rotation period of two days. In the case of a rapidly rotating K1 subgiant, overlapping dynamo waves lead to noisy activity cycles and mixed-polarity fields at high latitudes.Comment: 14 pages, 14 figures. Accepted for publication in Astronomy & Astrophysic

Simulator for Microlens Planet Surveys

We summarize the status of a computer simulator for microlens planet surveys. The simulator generates synthetic light curves of microlensing events observed with specified networks of telescopes over specified periods of time. Particular attention is paid to models for sky brightness and seeing, calibrated by fitting to data from the OGLE survey and RoboNet observations in 2011. Time intervals during which events are observable are identified by accounting for positions of the Sun and the Moon, and other restrictions on telescope pointing. Simulated observations are then generated for an algorithm that adjusts target priorities in real time with the aim of maximizing planet detection zone area summed over all the available events. The exoplanet detection capability of observations was compared for several telescopes.Comment: Proc. IAU Symp. No. 293 "Formation, detection, and characterization of extrasolar habitable planets", ed. by N. Haghighipour. 4 pages, in pres