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Formation of oxidized products from Δ3-carene (C10H16) ozonolysis and their gas-to-particle partitioning at three temperatures (0, 10, and 20 °C) under dry conditions (<2% RH) and also at 10 °C under humid (78% RH) conditions were studied using a time-of-flight chemical ionization mass spectrometer (ToF-CIMS) combined with a filter inlet for gases and aerosols (FIGAERO). The Δ3-carene ozonolysis products detected by the FIGAERO-ToF-CIMS were dominated by semivolatile organic compounds (SVOCs). The main effect of increasing temperature or RH on the product distribution was an increase in fragmentation of monomer compounds (from C10 to C7 compounds), potentially via alkoxy scission losing a C3 group. The equilibrium partitioning coefficient estimated according to equilibrium partitioning theory shows that the measured SVOC products distribute more into the SOA phase as the temperature decreases from 20 to 10 and 0 °C and for most products as the RH increases from <2 to 78%. The temperature dependency of the saturation vapor pressure (above an assumed liquid state), derived from the partitioning method, also allows for a direct way to obtain enthalpy of vaporization for the detected species without accessibility of authentic standards of the pure substances. This method can provide physical properties, beneficial for, e.g., atmospheric modeling, of complex multifunctional oxidation products.

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Mutations in the small, calcium-sensing, protein calmodulin cause cardiac arrhythmia and can ultimately prove lethal. Here, we report the impact of the G113R variant on the structure and dynamics of the calmodulin molecule, both in the presence and in the absence of calcium. We show that the mutation introduces minor changes into the structure of calmodulin and that it changes the thermostability and thus the degree of foldedness at human body temperature. The mutation also severely impacts the intramolecular mobility of calmodulin, especially in the apo form. Glycine 113 acts as an alpha-helical C-capping residue in both apo/ - and Ca2+/calmodulin, but its exchange to arginine has very different effects on the apo and Ca2+ forms. The majority of arrhythmogenic calmodulin variants identified affects residues in the Ca2+ coordinating loops of the two C-domain EF-Hands, causing a 'direct impact on Ca2+ binding'. However, G113R lies outside a Ca2+ coordinating loop and acts differently and more similar to the previously characterized arrhythmogenic N53I. Therefore, we suggest that altered apo/CaM dynamics may be a novel general disease mechanism, defining low-calcium target affinity - or Ca2+ binding kinetics - critical for timely coordination of essential ion-channels in the excitation-contraction cycle.

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Call centers can be found in various industries. However as a Medical Subject Heading (MeSH) the term "Call centers" does not reflect the critical purpose of handling emergency calls. We recommend "emergency medical communication center(s)", as this provides clarity and precision regarding the primary function and purpose of the center.

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OBJECTIVES: Video streaming has recently been introduced as an additional tool for communication between medical dispatchers and caller. Research implies that video streaming may be a useful tool for the dispatchers, but more knowledge is needed. With this study, we wanted to explore how the dispatchers experience using video streaming as an additional tool in medical emergency calls. DESIGN: An explorative, qualitative study using semi-structured focus group interviews. SETTING: Two emergency medical communications centres in Norway where video streaming recently had been introduced. Interviews were conducted during 24 June 2020 and 26 June 2020. PARTICIPANTS: We recruited 25 medical dispatchers, either nurses or emergency medical technicians who worked at the two centres. RESULTS: The results are categorised into three themes: (1) change in dispatcher's perception of the patient and the situation, (2) reassurance for the dispatcher and (3) worries about increased time consumption and the possibility of unpleasant images. CONCLUSION: The dispatchers experienced that the use of video streaming in medical emergency calls might contribute to a better comprehension of the situation and following more precise resource allocation, as well as greater reassurance for the dispatcher and improved relationship between the dispatcher and the caller. Further research with an aim to measure effects and safety of video streaming during medical emergency calls is needed.

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The formation of secondary organic aerosol (SOA) from the structurally similar monoterpenes, α-pinene and Δ3-carene, differs substantially. The aerosol phase is already complex for a single precursor, and when mixtures are oxidized, products, e.g., dimers, may form between different volatile organic compounds (VOCs). This work investigates whether differences in SOA formation and properties from the oxidation of individual monoterpenes persist when a mixture of the monoterpenes is oxidized. Ozonolysis of α-pinene, Δ3-carene, and a 1:1 mixture of them was performed in the Aarhus University Research on Aerosol (AURA) atmospheric simulation chamber. Here, ∼100 ppb of monoterpene was oxidized by 200 ppb O3 under dark conditions at 20 °C. The particle number concentration and particle mass concentration for ozonolysis of α-pinene exceed those from ozonolysis of Δ3-carene alone, while their mixture results in concentrations similar to α-pinene ozonolysis. Detailed offline analysis reveals evidence of VOC-cross-product dimers in SOA from ozonolysis of the monoterpene mixture: a VOC-cross-product dimer likely composed of the monomeric units cis-caric acid and 10-hydroxy-pinonic acid and a VOC-cross-product dimer ester likely from the monomeric units caronaldehyde and terpenylic acid were tentatively identified by liquid chromatography-mass spectrometry. To improve the understanding of chemical mechanisms determining SOA, it is relevant to identify VOC-cross-products.

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Magnesium and calcium chloride salts contribute to the global atmospheric aerosol burden via emission of sea spray and mineral dust. Their influence on aerosol hygroscopicity and cloud forming potential is important but uncertain with ambiguities between results reported in the literature. To address this, we have conducted measurements of the hygroscopic growth and critical supersaturation of dried, size selected nano-particles made from aqueous solution droplets of MgCl2 and CaCl2, respectively, and compare experimentally derived values with results from state-of-the-art thermodynamic modelling. It is characteristic of both MgCl2 and CaCl2 salts that they bind water in the form of hydrates under a range of ambient conditions. We discuss how hydrate formation affects the particles' water uptake and provide an expression for hydrate correction factors needed in calculations of hygroscopic growth factors, critical super-saturations, and derived κ values of particles containing hydrate forming salts. We demonstrate the importance of accounting for hydrate forming salts when predicting hygroscopic properties of sea spray aerosol.

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The optimal hemoglobin level in patients with hypertension or heart failure is not yet defined. The aim of the present investigation was to examine the relation of hemoglobin with cardiovascular outcomes in high-risk patients with isolated systolic hypertension (ISH) and left ventricular hypertrophy (LVH). In 1,326 patients with ISH in the Losartan Intervention For Endpoint Reduction in Hypertension (LIFE) study, hemoglobin and cardiovascular outcomes were examined using Cox proportional hazard models. Baseline hemoglobin was negatively related to rate of cardiovascular death (hazard ratio 0.81 per 1 g/dl, 95% confidence interval [CI] 0.67 to 0.98, p = 0.032) after adjusting for baseline Framingham risk score, LVH, treatment, and estimated glomerular filtration rate. Hemoglobin decreased slightly during the study and the decrease was more pronounced in the losartan group (13.9 +/- 1.3 to 13.6 +/- 1.4 g/dl) than in the atenolol group (13.9 +/- 1.2 to 13.8 +/- 1.4 g/dl). Hemoglobin as a time-varying covariate was negatively associated with rate of cardiovascular death (hazard ratio 0.75, 95% CI 0.63 to 0.90, p <0.001) and stroke (hazard ratio 0.84, 95% CI 0.72 to 0.99, p = 0.040) after adjusting for baseline Framingham risk score, LVH, treatment, and estimated glomerular filtration rate. In conclusion, in this high-risk population with ISH and LVH, lower hemoglobin at baseline was associated with higher probability of cardiovascular death, and decrease in hemoglobin over time was associated with higher probability of cardiovascular death or stroke; this effect was attenuated by treatment with losartan.

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