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Joost Alois Businger was a Ph.D. student in the Physics Department at the University of Utrecht in the Netherlands in 1940 (Fig. 1) when the country was invaded by the [...]

Abstract In 2005 the Swiss government implemented new work-hour limitations for all residency programs in Switzerland, including a 50-hour weekly limit. The reduction in the working hours of doctors in training implicate an increase in their rest time and suggest an amelioration of doctors' clinical performance and consequently in patients' outcomes and safety - which was not detectable in a preliminary study at a large referral center in Switzerland. It remains elusive why work-hour restrictions did not improve patient safety. We are well advised to thoroughly examine and eliminate the known adverse effects of reduced work-hours to improve our patients' safety.

Abstract Trauma is the number one cause of death among Americans between the ages of 1 and 46 years, costing more than $670 billion a year. Following death related to central nervous system injury, hemorrhage accounts for the majority of remaining traumatic fatalities. Among those with severe trauma that reach the hospital alive, many may survive if the hemorrhage and traumatic injuries are diagnosed and adequately treated in a timely fashion. This article aims to review the recent advances in pathophysiology management following a traumatic hemorrhage as well as the role of diagnostic imaging in identifying the source of hemorrhage. The principles of damage control resuscitation and damage control surgery are also discussed. The chain of survival for severe hemorrhage begins with primary prevention; however, once trauma has occurred, prehospital interventions and hospital care with early injury recognition, resuscitation, definitive hemostasis, and achieving endpoints of resuscitation become paramount. An algorithm is proposed for achieving these goals in a timely fashion as the median time from onset of hemorrhagic shock and death is 2 h.

Abstract The coherent interaction of solid-state spins with both optical and microwave fields provides a platform for a range of quantum technologies, such as quantum sensing, microwave-to-optical quantum transduction and optical quantum memories. Rare-earth ions with electronic spins are interesting in this context. In this work, we use a loop-gap microwave resonator to coherently drive optical and microwave clock transitions simultaneously in a 171Yb3+:Y2SiO5 crystal, achieving a Rabi frequency of 0.56 MHz at 2.497 GHz over a 1-cm long crystal. Furthermore, we provide insights into the spin dephasing at very low fields, showing that superhyperfine-induced collapse of the Hahn echo plays an important role. Our calculations and measurements reveal that the effective magnetic moment can be manipulated in 171Yb3+:Y2SiO5, which suppresses the superhyperfine interaction at the clock transition. At a doping concentration of 2 ppm and 3.4 K, we achieve spin coherence time of 10.0 ± 0.4 ms.

Multimode operation would greatly improve the performances of quantum repeaters. Here, the authors demonstrate a fixed-delay atomic frequency comb quantum memory, based on a Y2SiO5 crystal doped with Ytterbium ions, with a time-domain mode capacity of 1250 modes and a bandwidth of 100 MHz.

Rainbows are some of the most spectacular optical phenomena in the natural world, and Hawaii is blessed with an amazing abundance of them. Rainbows are as common as they are [...]

"Kahua A'o," a National Science Foundation Opportunities for Enhancing Diversity in the Geosciences project, seeks to prepare educators to address issues of underrepresentation of Native Hawaiian students in Earth and Space Science (ESS) and science, technology, engineering, and mathematics (STEM) fields. An interdisciplinary team provides culturally grounded, place and standards-based curricula, and professional development (PD), drawing on 4,000-plus weather- and geology-related, Hawaiian-language newspaper articles that convey the importance of ecological knowledge to identity, social status, and sustainability. The project expands Hawaiian resources for science educators and scientists, supports revitalization of an endangered language, and presents original research correlating articles on drought and rains with 19th century El Nino-Southern Oscillation (ENSO) events. Professional development with two cohorts of educators finds interest in studying local phenomena, using technology to map cultural and science phenomena, incorporating place and culture into instruction, and, in some schools, challenges to implementing interdisciplinary instruction

ABSTRACT The plasma membrane (PM) must be overcome by viruses during entry and release. Furthermore, the PM represents the cellular communication compartment and the immune system interface. Hence, viruses have evolved sophisticated strategies to remodel the PM, for instance to avoid immune sensing and clearance of infected cells. We performed a comprehensive analysis of cell surface dysregulation by two human-pathogenic viruses, human cytomegalovirus (HCMV) and human immunodeficiency virus type 1 (HIV-1), in primary macrophages, which are classical antigen-presenting cells and orchestrators of the immune system. Scanning ion conductance microscopy revealed a loss of roughness and an overall smooth phenotype of HCMV-infected macrophages, in contrast to HIV-1 infection. This phenotype was also evident on the molecular level. When we screened for cell surface receptors modulated by HCMV, 42 of 332 receptors tested were up- or downregulated, whereas HIV-1 affected only 7 receptors. In particular CD164, CD84, and CD180 were targeted by HCMV. Mechanistically, HCMV induced transcriptional silencing of these receptors in an interferon (IFN)-independent manner, and expression was reduced not only by lab-adapted HCMV but also by clinical HCMV isolates. Altogether, our plasma membrane profiling of human macrophages provides clues to understand how viruses evade the immune system and identified novel cell surface receptors targeted by HCMV. IMPORTANCE The PM is a key component that viruses have to cope with. It is a barrier for infection and egress and is critically involved in antiviral immune signaling. We hence asked the question how two immunomodulatory viruses, HIV-1 and HCMV, dysregulate this compartment in infected macrophages, relevant in vivo targets of both viruses. We employed a contact-free microscopic technique to image the PM of infected cells and performed a phenotypic flow cytometry-based screen to identify receptor modulations on a molecular level. Our results show that HIV-1 and HCMV differentially manipulate the PM of macrophages. While HIV-1-mediated changes are relatively subtle, HCMV induces major alterations of the PM. We identify novel immune receptors manipulated by HCMV and define mechanisms of how HCMV interferes with receptor expression. Altogether, our study reveals differential strategies of how two human-pathogenic viruses manipulate infected cells and identifies potential novel pathways of HCMV immune evasion.