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COVID-19 can be transmitted through aerosolised respiratory particles. The degree to which exercise enhances aerosol production has not been previously assessed. We aimed to quantify the size and concentration of aerosol particles and evaluate the impact of physical distance and surgical mask wearing during high intensity exercise (HIE).Using a prospective observational crossover study, three healthy volunteers performed high intensity cardiopulmonary exercise testing at 80% of peak capacity in repeated 5-minute bouts on a cycle ergometer. Aerosol size and concentration was measured at 35, 150 and 300 cm from the participants in an anterior and lateral direction, with and without a surgical face mask, using an Aerodynamic Particle Sizer (APS) and a Mini Wide Range Aerosol Spectrometer (MiniWRAS), with over 10,000 sample points.High intensity exercise generates aerosol in the 0.2-1 micrometre range. Increasing distance from the rider reduces aerosol concentrations measured by both MiniWRAS (p=0.003 for interaction) and APS (p=0.041). However, aerosol concentrations remained significantly increased above baseline measures at 300 cm from the rider. A surgical face mask reduced submicron aerosol concentrations measured anteriorly to the rider (p=0.031 for interaction) but not when measured laterally (p=0.64 for interaction).High intensity exercise is an aerosol generating activity. Significant concentrations of aerosol particles are measurable well beyond the commonly recommended 150 cm of physical distancing. A surgical face mask reduces aerosol concentration anteriorly but not laterally to an exercising individual. Measures for safer exercise should emphasise distance and airflow and not rely solely on mask wearing.

This article utilises work from Leisure Studies and various elements of Psychology (Leisure and Ecological Psychology in particular) to frame an empirical exploration of the leisure health receptor theory. We question if being in a leisure state of mind magnifies the feelings of well-being experienced in blue spaces (aquatic environments), namely, the promenade areas of seaside resorts in North-West England. We surveyed two groups in these places, those in a leisure state of mind and those who were not, asking how they viewed these blue spaces and how they made them feel – within the context of leisure and well-being. We devised a Seaside Well-being Index, which summarised well-being-related positive feelings about these leisure and work experiences at the coast. The key finding was that being in a leisure state of mind accentuates feelings of well-being associated with exposure to blue spaces. We also consider the role of savouring and affordance in this process. The potential impact of this research is to encourage a scholarly conversation on the role that leisure mind-states can play in improving well-being outcomes associated with blue spaces – not just in theory but in well-being-related interventions by practitioners.

The collection of accurate geologic data is critical in minerals exploration. The successful visualization, integration, and interpretation of quantitative vein abundance data, associated selvages of wall-rock alteration mineralogy, sulfide mineral proportions, and metal zoning facilitate the path to discovery and orebody delineation. The application of the Anaconda method, developed by the Anaconda Copper Mining Company geologists in the 1960s, to geologic mapping and drill core logging has facilitated the discovery and resource expansion in the giant Alpala porphyry Cu-Au-Ag deposit in northern Ecuador and the Cortadera porphyry Cu-Au-Mo deposit cluster in northern Chile. In both porphyry systems, high-grade zones have been targeted through the delineation of an intrusion and vein chronology that allows for the recognition of early-stage causal intrusions, zones of abundant porphyry-style quartz veins, and elevated chalcopyrite to pyrite ratios. Increased amounts of molybdenum, as molybdenite along fractures and in quartz veins, as well as anhydrite veins and disseminations, correlate with proximity to the deposit cores. The field-based methods presented in this article have proven useful in porphyry exploration for decades. The application of the Anaconda method of geologic mapping and core logging by geologists can assist in the targeting of high-grade cores of deposits and improved estimation of metal resources.

The decision to replant suboptimal cotton (Gossypium hirsutum L.) stands has become more challenging in recent years because the suggested retail price per bag of replanting seed has increased by more than 25%. Previous studies have justified replanting when ≥ 50% of planted area is occupied by skips ≥ 0.91 m (3 ft). Revision of replanting recommendations was deemed necessary with the introduction of more advanced and accurate plant and skip detection methods. The objective of this study was to update replanting recommendations using unmanned aerial vehicles (UAVs). The study was conducted at three sites in eastern North Carolina during the 2019 and 2020 growing seasons. Each site had an early- and a late-planted trial. Treatment combinations were produced using various ratios of DP 1646 B2XF and DP 493 cotton seed. Simulated replanted plots were planted with 100% DP 1646 B2XF three to four weeks after initial planting. Following emergence, glyphosate and glufosinate were applied to terminate all conventional seedlings and produce random skips. Cotton skips were detected using a Zenmuse X5 RGB sensor mounted on a UAV. Yield was regressed to the percentage of planted area occupied by skips > 0.91 m. In 2019, the replanted treatment did not yield higher than earlier planted treatments but, in 2020, yields were significantly higher in the replanted treatment compared to most earlier planted treatments. The data suggest that a replant should be triggered when 30 to 40% of the planted area is occupied by skips ≥ 0.91 m.

Purpose: The purpose of this study was to investigate if students’ perceived abilities on professional behavior performance were calibrated following participation in a patient simulated experience when the patient simulation experience was structured to mimic the natural environment where these skills are expected to be exhibited. Methods: Quantitative statistical analysis compared two groups’ posttest assessment scores to determine if there was a consistency in students’ perceived abilities on 10 professional behaviors identified on the professional behaviors assessment instrument, following participation in a patient simulation experience. The sample of 50 participants were recruited who were matriculated in a post graduate healthcare program. Pearson’s correlation coefficient was used to analyze correlational relationships between the group scores. Results: This study found a Pearson’s correlation of .884 indicating a strong positive relationship existed between students’ perceived abilities when self-assessing a set of 10 professional behaviors following a structured patient simulation experience and their abilities as assessed by their instructor. Conclusions: This study found a strong positive correlation indicating consistency between students’ self-reported abilities and their abilities as reported by a faculty-rater, indicating that some degree of calibration took place in students’ perceived abilities after participation in a patient simulation experience.

The Southern Ocean region is one of the most pristine in the world and serves as an important proxy for the pre-industrial atmosphere. Improving our understanding of the natural processes in this region is likely to result in the largest reductions in the uncertainty of climate and earth system models. While remoteness from anthropogenic and continental sources is responsible for its clean atmosphere, this also results in the dearth of atmospheric observations in the region. Here we present a statistical summary of the latitudinal gradient of aerosol (condensation nuclei larger than 10 nm, CN10) and cloud condensation nuclei (CCN at various supersaturations) concentrations obtained from five voyages spanning the Southern Ocean between Australia and Antarctica from late spring to early autumn (October to March) of the 2017/18 austral seasons. Three main regions of influence were identified: the northern sector (40–45∘ S), where continental and anthropogenic sources coexisted with background marine aerosol populations; the mid-latitude sector (45–65∘ S), where the aerosol populations reflected a mixture of biogenic and sea-salt aerosol; and the southern sector (65–70∘ S), south of the atmospheric polar front, where sea-salt aerosol concentrations were greatly reduced and aerosol populations were primarily biologically derived sulfur species with a significant history in the Antarctic free troposphere. The northern sector showed the highest number concentrations with median (25th to 75th percentiles) CN10 and CCN0.5 concentrations of 681 (388–839) cm−3 and 322 (105–443) cm−3, respectively. Concentrations in the mid-latitudes were typically around 350 cm−3 and 160 cm−3 for CN10 and CCN0.5, respectively. In the southern sector, concentrations rose markedly, reaching 447 (298–446) cm−3 and 232 (186–271) cm−3 for CN10 and CCN0.5, respectively. The aerosol composition in this sector was marked by a distinct drop in sea salt and increase in both sulfate fraction and absolute concentrations, resulting in a substantially higher CCN0.5/CN10 activation ratio of 0.8 compared to around 0.4 for mid-latitudes. Long-term measurements at land-based research stations surrounding the Southern Ocean were found to be good representations at their respective latitudes; however this study highlighted the need for more long-term measurements in the region. CCN observations at Cape Grim (40∘39′ S) corresponded with CCN measurements from northern and mid-latitude sectors, while CN10 observations only corresponded with observations from the northern sector. Measurements from a simultaneous 2-year campaign at Macquarie Island (54∘30′ S) were found to represent all aerosol species well. The southernmost latitudes differed significantly from both of these stations, and previous work suggests that Antarctic stations on the East Antarctic coastline do not represent the East Antarctic sea-ice latitudes well. Further measurements are needed to capture the long-term, seasonal and longitudinal variability in aerosol processes across the Southern Ocean.

Long-range transport of biogenic emissions from the coast of Antarctica, precipitation scavenging, and cloud processing are the main processes that influence the observed variability in Southern Ocean (SO) marine boundary layer (MBL) condensation nuclei (CN) and cloud condensation nuclei (CCN) concentrations during the austral summer. Airborne particle measurements on the HIAPER GV from north–south transects between Hobart, Tasmania, and 62∘ S during the Southern Ocean Clouds, Radiation Aerosol Transport Experimental Study (SOCRATES) were separated into four regimes comprising combinations of high and low concentrations of CCN and CN. In 5 d HYSPLIT back trajectories, air parcels with elevated CCN concentrations were almost always shown to have crossed the Antarctic coast, a location with elevated phytoplankton emissions relative to the rest of the SO in the region south of Australia. The presence of high CCN concentrations was also consistent with high cloud fractions over their trajectory, suggesting there was substantial growth of biogenically formed particles through cloud processing. Cases with low cloud fraction, due to the presence of cumulus clouds, had high CN concentrations, consistent with previously reported new particle formation in cumulus outflow regions. Measurements associated with elevated precipitation during the previous 1.5 d of their trajectory had low CCN concentrations indicating CCN were effectively scavenged by precipitation. A coarse-mode fitting algorithm was used to determine the primary marine aerosol (PMA) contribution, which accounted for <20 % of CCN (at 0.3 % supersaturation) and cloud droplet number concentrations. Vertical profiles of CN and large particle concentrations (Dp>0.07 µm) indicated that particle formation occurs more frequently above the MBL; however, the growth of recently formed particles typically occurs in the MBL, consistent with cloud processing and the condensation of volatile compound oxidation products. CCN measurements on the R/V Investigator as part of the second Clouds, Aerosols, Precipitation, Radiation and atmospheric Composition Over the southeRn Ocean (CAPRICORN-2) campaign were also conducted during the same period as the SOCRATES study. The R/V Investigator observed elevated CCN concentrations near Australia, likely due to continental and coastal biogenic emissions. The Antarctic coastal source of CCN from the south, CCN sources from the midlatitudes, and enhanced precipitation sink in the cyclonic circulation between the Ferrel and polar cells (around 60∘ S) create opposing latitudinal gradients in the CCN concentration with an observed minimum in the SO between 55 and 60∘ S. The SOCRATES airborne measurements are not influenced by Australian continental emissions but still show evidence of elevated CCN concentrations to the south of 60∘ S, consistent with biogenic coastal emissions. In addition, a latitudinal gradient in the particle composition, south of the Australian and Tasmanian coasts, is apparent in aerosol hygroscopicity derived from CCN spectra and aerosol particle size distribution. The particles are more hygroscopic to the north, consistent with a greater fraction of sea salt from PMA, and less hygroscopic to the south as there is more sulfate and organic particles originating from biogenic sources in coastal Antarctica.

Non-antiviral therapeutic options are required for the treatment of hospitalised patients with COVID-19. CD24Fc is an immunomodulator with potential to reduce the exaggerated inflammatory response to tissue injuries. We aimed to evaluate the safety and efficacy of CD24Fc in hospitalised adults with COVID-19 receiving oxygen support.We conducted a randomised, double-blind, placebo-controlled, phase 3 study at nine medical centres in the USA. Hospitalised patients (age ≥18 years) with confirmed SARS-CoV-2 infection who were receiving oxygen support and standard of care were randomly assigned (1:1) by site-stratified block randomisation to receive a single intravenous infusion of CD24Fc 480 mg or placebo. The study funder, investigators, and patients were masked to treatment group assignment. The primary endpoint was time to clinical improvement over 28 days, defined as time that elapsed between a baseline National Institute of Allergy and Infectious Diseases ordinal scale score of 2-4 and reaching a score of 5 or higher or hospital discharge. The prespecified primary interim analysis was done when 146 participants reached the time to clinical improvement endpoint. Efficacy was assessed in the intention-to-treat population. Safety was assessed in the as-treated population. This study is registered with ClinicalTrials.gov, NCT04317040.Between April 24 and Sept 22, 2020, 243 hospitalised patients were assessed for eligibility and 234 were enrolled and randomly assigned to receive CD24Fc (n=116) or placebo (n=118). The prespecified interim analysis was done when 146 participants reached the time to clinical improvement endpoint among 197 randomised participants. In the interim analysis, the 28-day clinical improvement rate was 82% (81 of 99) for CD24Fc versus 66% (65 of 98) for placebo; median time to clinical improvement was 6·0 days (95% CI 5·0-8·0) in the CD24Fc group versus 10·0 days (7·0-15·0) in the placebo group (hazard ratio [HR] 1·61, 95% CI 1·16-2·23; log-rank p=0·0028, which crossed the prespecified efficacy boundary [α=0·0147]). 37 participants were randomly assigned after the interim analysis data cutoff date; among the 234 randomised participants, median time to clinical improvement was 6·0 days (95% CI 5·0-9·0) in the CD24Fc group versus 10·5 days (7·0-15·0) in the placebo group (HR 1·40, 95% CI 1·02-1·92; log-rank p=0·037). The proportion of participants with disease progression within 28 days was 19% (22 of 116) in the CD24Fc group versus 31% (36 of 118) in the placebo group (HR 0·56, 95% CI 0·33-0·95; unadjusted p=0·031). The incidences of adverse events and serious adverse events were similar in both groups. No treatment-related adverse events were observed.CD24Fc is generally well tolerated and accelerates clinical improvement of hospitalised patients with COVID-19 who are receiving oxygen support. These data suggest that targeting inflammation in response to tissue injuries might provide a therapeutic option for patients hospitalised with COVID-19.MerckCo, National Cancer Institute, OncoImmune.

Coral reefs have been found to produce the sulfur compound dimethyl sulfide (DMS), a climatically relevant aerosol precursor predominantly associated with phytoplankton. Until recently, the role of coral reef-derived DMS within the climate system had not been quantified. A study preceding the present work found that DMS produced by corals had negligible long-term climatic forcing at the global-regional scale. However, at sub-daily time scales more typically associated with aerosol and cloud formation, the influence of coral reef-derived DMS on local aerosol radiative effects remains unquantified. The Weather Research and Forecasting – chemistry model (WRF-Chem) has been used in this work to study the role of coral reef-derived DMS at sub-daily time scales for the first time. WRF-Chem was run to coincide with an October 2016 field campaign over the Great Barrier Reef, Queensland, Australia, against which the model was evaluated. After updating the DMS surface water climatology, the model reproduced DMS and sulfur concentrations well. The inclusion of coral reef-derived DMS resulted in no significant change in sulfate aerosol mass or total aerosol number. Subsequently, no direct or indirect aerosol effects were detected. The results suggest that the co-location of the Great Barrier Reef with significant anthropogenic aerosol sources along the Queensland coast prevents coral reef derived-aerosol from having a modulating influence on local aerosol burdens in the current climate.

Oceans cover over 70 % of the Earth's surface. Ship-based measurements are an important component in developing an understanding of atmosphere of this vast region. A common problem that impacts the quality of atmospheric data collected from marine research vessels is exhaust from both diesel combustion and waste incineration from the ship itself. Described here is an algorithm, developed for the recently commissioned Australian blue-water research vessel (RV) Investigator, that identifies exhaust periods in sampled air. The RV Investigator, with two dedicated atmospheric laboratories, represents an unprecedented opportunity for high-quality measurements of the marine atmosphere. The algorithm avoids using ancillary data such as wind speed and direction, and instead utilises components of the exhaust itself – aerosol number concentration, black carbon concentration, and carbon monoxide and carbon dioxide mixing ratios. The exhaust signal is identified within each of these parameters individually before they are combined and an additional window filter is applied. The algorithm relies heavily on statistical methods, rather than setting thresholds that are too rigid to accommodate potential temporal changes. The algorithm is more effective than traditional wind-based filters in removing exhaust data without removing exhaust-free data, which commonly occurs with traditional filters. In application to the current dataset, the algorithm identifies 26 % of the wind filter's “clean” data as exhaust, and recovers 5 % of data falsely removed by the wind filter. With suitable testing, the algorithm has the potential to be applied to other ship-based atmospheric measurements where suitable measurements exist.

Adeno-associated virus (AAV) vectors have become one of the most widely used gene transfer tools in human gene therapy. Considerable effort is currently being focused on AAV capsid engineering strategies with the aim of developing novel variants with enhanced tropism for specific human cell types, decreased human seroreactivity, and increased manufacturability. Selection strategies based on directed evolution rely on the generation of highly variable AAV capsid libraries using methods such as DNA-family shuffling, a technique reliant on stretches of high DNA sequence identity between input parental capsid sequences. This identity dependence for reassembly of shuffled capsids is inherently limiting and results in decreased shuffling efficiency as the phylogenetic distance between parental AAV capsids increases. To overcome this limitation, we have developed a novel codon-optimization algorithm that exploits evolutionarily defined codon usage at each amino acid residue in the parental sequences. This method increases average sequence identity between capsids, while enhancing the probability of retaining capsid functionality, and facilitates incorporation of phylogenetically distant serotypes into the DNA-shuffled libraries. This technology will help accelerate the discovery of an increasingly powerful repertoire of AAV capsid variants for cell-type and disease-specific applications. Keywords: AAV, library, directed evolution, codon optimization, DNA shuffling, capsid

Background and ObjectivesMetallic antimicrobial materials are of growing interest due to their potential to control pathogenic and multidrug-resistant bacteria. Yet we do not know if utilizing these materials can lead to genetic adaptations that produce even more dangerous bacterial varieties.MethodologyHere we utilize experimental evolution to produce strains of Escherichia coli K-12 MG1655 resistant to, the iron analog, gallium nitrate (Ga(NO3)3). Whole genome sequencing was utilized to determine genomic changes associated with gallium resistance. Computational modeling was utilized to propose potential molecular mechanisms of resistance.ResultsBy day 10 of evolution, increased gallium resistance was evident in populations cultured in medium containing a sublethal concentration of gallium. Furthermore, these populations showed increased resistance to ionic silver and iron (III), but not iron (II) and no increase in traditional antibiotic resistance compared with controls and the ancestral strain. In contrast, the control populations showed increased resistance to rifampicin relative to the gallium-resistant and ancestral population. Genomic analysis identified hard selective sweeps of mutations in several genes in the gallium (III)-resistant lines including: fecA (iron citrate outer membrane transporter), insl1 (IS30 tranposase) one intergenic mutations arsC →/→ yhiS; (arsenate reductase/pseudogene) and in one pseudogene yedN ←; (iapH/yopM family). Two additional significant intergenic polymorphisms were found at frequencies > 0.500 in fepD ←/→ entS (iron-enterobactin transporter subunit/enterobactin exporter, iron-regulated) and yfgF ←/→ yfgG (cyclic-di-GMP phosphodiesterase, anaerobic/uncharacterized protein). The control populations displayed mutations in the rpoB gene, a gene associated with rifampicin resistance.ConclusionsThis study corroborates recent results observed in experiments utilizing pathogenic Pseudomonas strains that also showed that Gram-negative bacteria can rapidly evolve resistance to an atom that mimics an essential micronutrient and shows the pleiotropic consequences associated with this adaptation.Lay summaryWe utilize experimental evolution to produce strains of Escherichia coli K-12 MG1655 resistant to, the iron analog, gallium nitrate (Ga(NO3)3). Whole genome sequencing was utilized to determine genomic changes associated with gallium resistance. Computational modeling was utilized to propose potential molecular mechanisms of resistance.

Liposomes are spherical-shaped vesicles that enclose an aqueous milieu surrounded by bilayer or multilayer membranes formed by self-assembly of lipid molecules. They are intensively exploited as either model membranes for fundamental studies or as vehicles for delivery of active substances in vivo and in vitro. Irrespective of the method adopted for production of loaded liposomes, obtaining the final purified product is often achieved by employing multiple, time consuming steps. To alleviate this problem, we propose a simplified approach for concomitant production and purification of loaded liposomes by exploiting the Electrodialysis-Driven Depletion of charged molecules from solutions. Our investigations show that electrically-driven migration of charged detergent and dye molecules from solutions that include natural or synthetic lipid mixtures leads to rapid self-assembly of loaded, purified liposomes, as inferred from microscopy and fluorescence spectroscopy assessments. In addition, the same procedure was successfully applied for incorporating PEGylated lipids into the membranes for the purpose of enabling long-circulation times needed for potential in vivo applications. Dynamic Light Scattering analyses and comparison of electrically-formed liposomes with liposomes produced by sonication or extrusion suggest potential use for numerous in vitro and in vivo applications.

The COVID-19 pandemic has disrupted access to medical care for millions of Americans, yet information on the individual characteristics associated with these disruptions is lacking. We used recently released data from the Current Population Survey's supplemental COVID-19 questions to provide the first evidence on associations between individual characteristics, including age, sex, race/ethnicity, education, health status, work-limiting disabilities, health insurance coverage, and employment, and the propensity to experience an involuntary care disruption resulting from the COVID-19 pandemic.

Stratocumulus clouds over the Southern Ocean have fewer droplets and are more likely to exist in the predominately supercooled phase than clouds at similar temperatures over northern oceans. One likely reason is that this region has few continental and anthropogenic sources of cloud‐nucleating particles that can form droplets and ice. In this work, we present an overview of aerosol particle types over the Southern Ocean, including new measurements made below, in and above clouds in this region. These measurements and others indicate that biogenic sulfur‐based particles >0.1 μm diameter contribute the majority of cloud condensation nuclei number concentrations in summer. Ice nucleating particles tend to have more organic components, likely from sea‐spray. Both types of cloud nucleating particles may increase in a warming climate likely to have less sea ice, more phytoplankton activity, and stronger winds over the Southern Ocean near Antarctica. Taken together, clouds over the Southern Ocean may become more reflective and partially counter the region's expected albedo decrease due to diminishing sea ice. However, detailed modeling studies are needed to test this hypothesis due to the complexity of ocean‐cloud‐climate feedbacks in the region.

Introduction Healthcare professionals can be reluctant to invite medical students on ward rounds, especially in the context of emotive discussions. We present the results of a study analysing the impact of teaching ward rounds on patient experience in hospices. Methods Eight hospices were invited to participate in this service evaluation. Six hospices across Yorkshire returned data. Inpatients were asked to complete an anonymous questionnaire after a teaching ward round, defined as consisting of a minimum of 3 members of staff, led by a senior doctor (consultant or specialty grade) and including at least one medical student. Results Seventy-four questionnaires were returned. The vast majority (96%) of patients were happy for students to be present on the ward round. None of the patients who were in a shared bay at the hospice felt that this prevented them from asking questions. The presence of a relative was felt to be a positive factor during the ward round experience. Only 11% of patients felt that the presence of students negatively affected the discussion of sensitive issues. Conclusions Our study shows that most patients had a positive response to the presence of medical students on ward rounds. Overall teaching ward rounds did not appear to negatively impact upon the discussion of sensitive topics. This study contains a small sample size and the results cannot be generalised across a palliative care population. Nonetheless it provides data in support of medical students participating in teaching ward rounds in hospices where sensitive discussions frequently take place.

The properties of Southern Ocean (SO) liquid phase non precipitating clouds (hereafter clouds) are examined using shipborne data collected during the Measurements of Aerosols, Radiation and Clouds ...

Aerosol measurements over the Southern Ocean have been identified as critical to an improved understanding of aerosol–radiation and aerosol–cloud interactions, as there currently exists significant discrepancies between model results and measurements in this region. The atmosphere above the Southern Ocean provides crucial insight into an aerosol regime relatively free from anthropogenic influence, yet its remoteness ensures atmospheric measurements are relatively rare. Here we present observations from the Polar Cell Aerosol Nucleation (PCAN) campaign, hosted aboard the RV Investigator during a summer (January–March) 2017 voyage from Hobart, Australia, to the East Antarctic seasonal sea ice zone. A median particle number concentration (condensation nuclei > 3 nm; CN3) of 354 (95 % CI 345–363) cm−3 was observed from the voyage. Median cloud condensation nuclei (CCN) concentrations were 167 (95 % CI 158–176) cm−3. Measured particle size distributions suggested that aerosol populations had undergone significant cloud processing. To understand the variability in aerosol observations, measurements were classified by meteorological variables. Wind direction and absolute humidity were used to identify different air masses, and aerosol measurements were compared based on these identifications. CN3 concentrations measured during SE wind directions (median 594 cm−3) were higher than those measured during wind directions from the NW (median 265 cm−3). Increased frequency of measurements from these wind directions suggests the influence of large-scale atmospheric transport mechanisms on the local aerosol population in the boundary layer of the East Antarctic seasonal ice zone. Modelled back trajectories imply different air mass histories for each measurement group, supporting this suggestion. CN3 and CCN concentrations were higher during periods where the absolute humidity was less than 4.3 gH2O/m3, indicative of free tropospheric or Antarctic continental air masses, compared to other periods of the voyage. Increased aerosol concentration in air masses originating close to the Antarctic coastline have been observed in numerous other studies. However, the smaller changes observed in the present analyses suggest seasonal differences in atmospheric circulation, including lesser impact of synoptic low-pressure systems in summer. Further measurements in the region are required before a more comprehensive picture of atmospheric circulation in this region can be captured and its influence on local aerosol populations understood.

Long-range transport of biogenic emissions from the coast of Antarctica, precipitation scavenging, and cloud processing are the main processes that influence the observed variability in Southern Ocean (SO) marine boundary layer (MBL) condensation nuclei (CN) and cloud condensation nuclei (CCN) concentrations during the austral summer. Airborne particle measurements on the HIAPER GV from north-south transects between Hobart, Tasmania and 62° S during the Southern Ocean Clouds, Radiation Aerosol Transport Experimental Study (SOCRATES) were separated into four regimes comprising combinations of high and low concentrations of CCN and CN. In 5-day HYSPLIT back trajectories, air parcels with elevated CCN concentrations were almost always shown to have crossed the Antarctic coast, a location with elevated phytoplankton emissions relative to the rest of the SO. The presence of high CCN concentrations was also consistent with high cloud fractions over their trajectory, suggesting there was substantial growth of biogenically formed particles through cloud processing. Cases with low cloud fraction, due to the presence of cumulus clouds, had high CN concentrations, consistent with previously reported new particle formation in cumulus outflow regions. Measurements associated with elevated precipitation during the previous 1.5-days of their trajectory had low CCN concentrations indicating CCN were effectively scavenged by precipitation. A course-mode fitting algorithm was used to determine the primary marine aerosol (PMA) contribution which accounted for p > 0.07 µm) indicated that particle formation occurs more frequently above the MBL; however, the growth of recently formed particles typically occurs in the MBL, consistent with cloud processing and the condensation of volatile compound oxidation products. CCN measurements on the R/V Investigator as part of the second Clouds, Aerosols, Precipitation, Radiation and atmospheric Composition Over the southeRn Ocean (CAPRICORN-2) campaign were also conducted during the same period as the SOCRATES study. The R/V Investigator observed elevated CCN concentrations near Australia, likely due to continental and coastal biogenic emissions. The Antarctic coastal source of CCN from the south as well as CCN sources from the mid-latitudes create a latitudinal gradient in CCN concentration with an observed minimum in the SO between 55° S and 60° S. The SOCRATES airborne measurements are not influenced by Australian continental emissions, but still show evidence of elevated CCN concentrations to the south of 60° S, consistent with biogenic coastal emissions. In addition, a latitudinal gradient in the particle composition is observed; more hygroscopic particles to the north, consistent with a greater fraction of sea salt from PMA, and more sulfate and organic particles to the south, which are likely from biogenic sources in coastal Antarctica.

Previous evidence has shown disparate achievement impacts of the four-day school week within specific states. This paper examines the effects of the four-day school week on achievement across 12 states to contextualize these four-day school week impacts nationally. We estimate these effects using a difference-in-differences design with data from the Stanford Educational Data Archive and a proprietary longitudinal national database of four-day school week use from 2009 to 2018. We find reductions in both math and English/language arts achievement when examining four-day school weeks nationally, but these aggregate effects appear to be masking important heterogeneity due to differences in overall time in school across districts. When stratifying four-day week districts into districts with low, middle, and high levels of time in school, we find statistically significant negative effects on math achievement for four-day school week districts with low time in school, but no statistically significant effects for four-day school week districts with middle or high time in school. Our findings suggest that maintaining sufficient overall time in school should be a key consideration for school districts contemplating four-day school week adoption.

Introduction: ASPIRE Excellence Awards in Student Assessment are offered to medical schools with innovative and comprehensive assessment programmes adjudged by international experts, using evidence-based criteria. The journeys of three ASPIRE-winning medical schools toward "assessment excellence" are presented. These schools include Aga Khan University Medical College (AKU-MC), Pakistan, Southern Illinois University School of Medicine (SIUSOM), USA, and University of Leeds School of Medicine, UK. Methods: The unfolding journeys highlighting achievements, innovations, and essential components of each assessment programme were compared to identify differences and commonalities. Results: Cultural contextual differences included developed-versus-developing country, east-west, type of regulatory bodies, and institutional-versus-national certifying/licensing examinations, which influence curricula and assessments. In all, 12 essential commonalities were found: alignment with institutional vision; sustained assessment leadership; stakeholder engagement; communication between curriculum and assessment; assessment-for-learning and feedback; longitudinal student profiling of outcome achievement; assessment rigor and robustness; 360° feedback from-and-to assessment; continuous enrichment through rigorous quality assurance; societal sensitivity; influencing others; and a "wow factor." Conclusions: Although the journeys of the three medical schools were undertaken in different cultural contexts, similar core components highlight strong foundations in student assessment. The journeys continue as assessment programmes remain dynamic and measurement science expands. This article may be helpful to other institutions pursuing excellence in assessment.

As Great Britain reaches 50 years of LBGTQ+ legislation, making it illegal to persecute an individual based on their sexual identity, not everywhere in the world is so enlightened. In some parts of the world, the act of homosexuality is punishable by law, with people sentenced to incarceration or even death. For some people, trying to leave their country and claim asylum in another part of the world is the only way people can truly be themselves. This paper is based on the case studies of two male clients who are both waiting for an asylum decision, with both cases based on their sexuality, and the approach used in therapy sessions, specifically focusing on not only coming to terms with their own persecution, moving from shame of their own culture, but also working with frustration and the re-shaming effects of proving one's sexuality. The overall objective is to create an argument for Dramatherapy when working with complex trauma, shame and raising awareness of the lesser-known work of Dramatherapy and asylum seekers.

The SAFIRED (Savannah Fires in the Early Dry Season) campaign took place from 29 May until 30 June 2014 at the Australian Tropical Atmospheric Research Station (ATARS) in the Northern Territory, Australia. The purpose of this campaign was to investigate emissions from fires in the early dry season in northern Australia. Measurements were made of biomass burning aerosols, volatile organic compounds, polycyclic aromatic carbons, greenhouse gases, radon, speciated atmospheric mercury and trace metals. Aspects of the biomass burning aerosol emissions investigated included; emission factors of various species, physical and chemical aerosol properties, aerosol aging, micronutrient supply to the ocean, nucleation, and aerosol water uptake. Over the course of the month-long campaign, biomass burning signals were prevalent and emissions from several large single burning events were observed at ATARS.Biomass burning emissions dominated the gas and aerosol concentrations in this region. Dry season fires are extremely frequent and widespread across the northern region of Australia, which suggests that the measured aerosol and gaseous emissions at ATARS are likely representative of signals across the entire region of north Australia. Air mass forward trajectories show that these biomass burning emissions are carried north-west over the Timor Sea and could influence the atmosphere over Indonesia and the tropical atmosphere over the Indian Ocean. Here we present characteristics of the biomass burning observed at the sampling site and provide an overview of the more specific outcomes of the SAFIRED campaign.

Savanna fires contribute significantly to global aerosol loading and hence to the earth's radiative budget. Modelling of the climatic impact of these aerosols is made difficult due to a lack of knowledge of their size distribution. Australia is the third largest source of global carbon emissions from biomass burning, with emissions dominated by tropical savanna fires. Despite this, only a few previous studies have reported emission factors of trace gases from this important ecosystem and there are no previous published emission factors for the aerosol properties reported here for Australian savanna fires. In June 2014, the SAFIRED campaign (Savanna Fires in the Early Dry season) took place in the northern territory of Australia, with the purpose of investigating emissions and aging of aerosols from Australian savanna fires. This paper presents observed enhancement ratios and inferred emission factors of trace gases (CO2, CO, CH4, N2O and gaseous elemental mercury), particles over different size modes (Aitken and accumulation) and speciated aerosols components (organics, sulfate, nitrate, ammonium and chloride). Nine smoke events were identified from the data using large enhancements in CO and/or aerosol data to indicate biomass burning event. The results reported in this paper include the first emission factors for Aitken and accumulation mode aerosols from savanna fires, providing useful size information to enable better modelling of the climatic impact of this important source of global aerosols.

The vast majority of Australia's fires occur in the tropical north of the continent during the dry season. These fires are a significant source of aerosol and cloud condensation nuclei (CCN) in the region, providing a unique opportunity to investigate the biomass burning aerosol (BBA) in the absence of other sources. CCN concentrations at 0.5 % supersaturation and aerosol size and chemical properties were measured at the Australian Tropical Atmospheric Research Station (ATARS) during June 2014. CCN concentrations reached over 104 cm−3 when frequent and close fires were burning – up to 45 times higher than periods with no fires. Both the size distribution and composition of BBA appeared to significantly influence CCN concentrations. A distinct diurnal trend in the proportion of BBA activating to cloud droplets was observed, with an activation ratio of 40 ± 20 % during the night and 60 ± 20 % during the day. BBA was, on average, less hygroscopic during the night (κ = 0. 04 ± 0.03) than during the day (κ = 0.07 ± 0.05), with a maximum typically observed just before midday. Size-resolved composition of BBA showed that organics comprised a constant 90 % of the aerosol volume for aerodynamic diameters between 100 and 200 nm. While this suggests that the photochemical oxidation of organics led to an increase in the hygroscopic growth and an increase in daytime activation ratios, it does not explain the decrease in hygroscopicity after midday. Modelled CCN concentrations assuming typical continental hygroscopicities produced very large overestimations of up to 200 %. Smaller, but still significant, overpredictions up to ∼ 100 % were observed using aerosol mass spectrometer (AMS)- and hygroscopicity tandem differential mobility analyser (H-TDMA)-derived hygroscopicities as well as campaign night and day averages. The largest estimations in every case occurred during the night, when the small variations in very weakly hygroscopic species corresponded to large variations in the activation diameters. Trade winds carry the smoke generated from these fires over the Timor Sea, where aerosol–cloud interactions are likely to be sensitive to changes in CCN concentrations, perturbing cloud albedo and lifetime. Dry season fires in northern Australia are therefore potentially very important in cloud processes in this region.

There is a lack of knowledge of how biomass burning aerosols in the tropics age, including those in the fire-prone Northern Territory in Australia. This paper reports chemical characterization of fresh and aged aerosols monitored during the 1-month-long SAFIRED (Savannah Fires in the Early Dry Season) field study, with an emphasis on the chemical signature and aging of organic aerosols. The campaign took place in June 2014 during the early dry season when the surface measurement site, the Australian Tropical Atmospheric Research Station (ATARS), located in the Northern Territory, was heavily influenced by thousands of wild and prescribed bushfires. ATARS was equipped with a wide suite of instrumentation for gaseous and aerosol characterization. A compact time-of-flight aerosol mass spectrometer was deployed to monitor aerosol chemical composition. Approximately 90 % of submicron non-refractory mass was composed of organic material. Ozone enhancement in biomass burning plumes indicated increased air mass photochemistry. The diversity in biomass burning emissions was illustrated through variability in chemical signature (e.g. wide range in f44, from 0.06 to 0.18) for five intense fire events. The background particulate loading was characterized using positive matrix factorization (PMF). A PMF-resolved BBOA (biomass burning organic aerosol) factor comprised 24 % of the submicron non-refractory organic aerosol mass, confirming the significance of fire sources. A dominant PMF factor, OOA (oxygenated organic aerosol), made up 47 % of the sampled aerosol, illustrating the importance of aerosol aging in the Northern Territory. Biogenic isoprene-derived organic aerosol factor was the third significant fraction of the background aerosol (28 %).

The Sydney Particle Study involved the comprehensive measurement of meteorology, particles and gases at a location in western Sydney during February/March 2011 and April/May 2012. The aim of this study was to increase scientific knowledge of the processes leading to particle formation and transformations in Sydney. In this paper we describe the methods used to collect and analyse particle and gaseous samples, as well as the methods employed for the continuous measurement of particle concentrations, particle microphysical properties and gaseous concentrations. This paper also provides a description of the data collected and is a meta data record for the data sets published in Keywood et al. (2016a) https://doi.org/10.4225/08/57903B83D6A5D and Keywood et al. (2016b) https://doi.org/10.4225/08/5791B5528BD63.

In this article, we conduct a comprehensive analysis of the effect of parental involvement (PI) laws on the incidence of abortions to minors across a span of nearly three decades. We contribute to the extant literature on this topic in several ways. First, we explore differences in estimates of the effect of PI laws across time that may result from changes in contraception, the composition of pregnant minors, access to confidential abortions in nearby states, or through judicial bypass, and the degree to which these laws are enforced. We find that, on average, PI laws enacted before the mid-1990s are associated with a 15% to 20% reduction in minor abortions. PI laws enacted after this time are not, on average, associated with declines in abortions to minors. Second, we assess the role of out-of-state travel by minors, estimating models that allow the effect of PI laws to differ by the distance to the nearest state without a PI law. We find that out-of-state travel is not a substantive moderating factor of the effect of PI laws. Third, we use a synthetic control approach to explore state-level heterogeneity in the effect of PI laws and find large differences in the impact of PI laws on minor abortions by state. These differences are unrelated to the type of law (consent versus notification) or whether contiguous states have enacted PI laws. Finally, we show that estimates of the effect of PI laws using data from either the Centers for Disease Control or the Alan Guttmacher Institute do not differ qualitatively once differences in coverage by state and year across these data are harmonized.

The rapid environmental changes in Australia prompt a more thorough investigation of the influence of transportation, local emissions, and optical–chemical properties on aerosol production across the region. A month-long intensive measurement campaign was conducted during spring 2016 at Mission Beach, a remote coastal site west of the Great Barrier Reef (GBR) on the north-east coast of Australia. One aerosol pollution episode was investigated in early October. This event was governed by meteorological conditions and characterized by the increase in black carbon (BC) mass concentration (averaged value of 0.35 ± 0.20 μg m−3). Under the influence of the continental transportation, a new layer of nucleation-mode aerosols with an initial size diameter of 20 nm was observed and aerosol number concentrations reached the peak of 6733 cm−3 at a diameter of 29 nm. The averaged aerosol extinction coefficient at the height of 2 km was 150 Mm−1, with a small depolarized ratio (3.5–5%). Simultaneously, the boundary layer height presented a fall–rise trend in the presence of these enhanced aerosol concentrations and became stable in a later stage of the episode. We did not observe clear boundary layer height diurnal variations from the LiDAR observations or from the Weather Research and Forecasting (WRF) model outputs, except in an earlier stage of the aerosol episode for the former. Although the sea breeze may have been responsible for these particles, on the balance of available data, we suggest that the aerosol properties at the GBR surface during this period are more likely influenced by regional transportation of continental sources, including biomass-burning aerosols.

Background In their first year as a doctor, F1s will care for 40 patients who will die and 120 patients in the last year of life. However, research shows junior doctors are often unprepared. We present data on the value of extending a hospice placement from 1 day to 4 days. Methods Students were randomly allocated to 1 day or 4 days in 3 different hospices Students completed a thanatophobia scale, self-efficacy in palliative care scale and placement evaluation questionnaire. Performance in palliative medicine and oncology questions in end of year summative exams were compared. Results 153 students undertook the 4 day placement. All students (1 and 4 day) had improved self- efficacy scores. 4 day placements had a greater effect on the global score and individual questions. Thanatophobia scores were reduced for the 4 day but not the 1 day placement. Students feedback was overwhelmingly positive highlighting the high quality of teaching, alignment of classroom and placement teaching, opportunities for work based assessments, medicines management, communication skills and interprofessional learning. 4 day students scored significantly higher in palliative medicine and oncology OSCE stations, higher for palliative medicine written questions, approaching significance in oncology written questions. Conclusions Extending placements in hospices to 4 days significantly improved student’s self-efficacy in palliative care and reduced thanatophobia when compared to a 1 day placement. Students valued the placements and as well as learning specific subject knowledge they developed many generic skills. 4 day students did better in both their oncology and palliative care OSCE stations and better in written palliative medicine questions. Students may have increased feelings of helplessness in caring for dying patients when they only attend a hospice for 1 day. Medical Schools should be encouraged to extend placements in palliative care and be aware for the potential increase in distress when only a short placement is provided.

Lysenin is a pore-forming protein extracted from the earthworm Eisenia fetida, which inserts large conductance pores in artificial and natural lipid membranes containing sphingomyelin. Its cytolytic and hemolytic activity is rather indicative of a pore-forming toxin; however, lysenin channels present intricate regulatory features manifested as a reduction in conductance upon exposure to multivalent ions. Lysenin pores also present a large unobstructed channel, which enables the translocation of analytes, such as short DNA and peptide molecules, driven by electrochemical gradients. These important features of lysenin channels provide opportunities for using them as sensors for a large variety of applications. In this respect, this literature review is focused on investigations aimed at the potential use of lysenin channels as analytical tools. The described explorations include interactions with multivalent inorganic and organic cations, analyses on the reversibility of such interactions, insights into the regulation mechanisms of lysenin channels, interactions with purines, stochastic sensing of peptides and DNA molecules, and evidence of molecular translocation. Lysenin channels present themselves as versatile sensing platforms that exploit either intrinsic regulatory features or the changes in ionic currents elicited when molecules thread the conducting pathway, which may be further developed into analytical tools of high specificity and sensitivity or exploited for other scientific biotechnological applications.