Short structured feedback training is equivalent to a mechanical feedback device in two-rescuer BLS: a randomised simulation study.

BACKGROUND Resuscitation guidelines encourage the use of cardiopulmonary resuscitation (CPR) feedback devices implying better outcomes after sudden cardiac arrest. Whether effective continuous feedback could also be given verbally by a second rescuer ("human feedback") has not been investigated yet. We, therefore, compared the effect of human feedback to a CPR feedback device. METHODS In an open, prospective, randomised, controlled trial, we compared CPR performance of three groups of medical students in a two-rescuer scenario. Group "sCPR" was taught standard BLS without continuous feedback, serving as control. Group "mfCPR" was taught BLS with mechanical audio-visual feedback (HeartStart MRx with Q-CPR-Technology™). Group "hfCPR" was taught standard BLS with human feedback. Afterwards, 326 medical students performed two-rescuer BLS on a manikin for 8 min. CPR quality parameters, such as "effective compression ratio" (ECR: compressions with correct hand position, depth and complete decompression multiplied by flow-time fraction), and other compression, ventilation and time-related parameters were assessed for all groups. RESULTS ECR was comparable between the hfCPR and the mfCPR group (0.33 vs. 0.35, p = 0.435). The hfCPR group needed less time until starting chest compressions (2 vs. 8 s, p < 0.001) and showed fewer incorrect decompressions (26 vs. 33 %, p = 0.044). On the other hand, absolute hands-off time was higher in the hfCPR group (67 vs. 60 s, p = 0.021). CONCLUSIONS The quality of CPR with human feedback or by using a mechanical audio-visual feedback device was similar. Further studies should investigate whether extended human feedback training could further increase CPR quality at comparable costs for training.

The genetics of schizophrenia; a study of heredity and reproduction in the families of 1,087 scizophrenics,

"This first edition ... printed in Germany."

Dictionarii theologici epitome : complectens indicem historico-chronologicum conciliorum generalium, paparum ... ad usum sacrae theologiae candidatorum.

Mode of access: Internet.

Dictionnaire des ouvrages anonymes et pseudonymes, composés, traduits ou publiés en français : avec les noms des auteurs, traducteurs et éditeurs, accompagné de notes historiques et critiques /

Datos tomados de ICCU: IT\ICCU\NAPE\004691.

Beiträge zur Würdigung der Musiktheorie Schopenhauers.

Lebenslauf.

Lehrbuch der technischen physik,

Mode of access: Internet.

Die Anfange der alpinen Forschung in den Ostalpen und im Karstgebiete (bis 1800).

Thesis (doctoral)--K. Technische Hochschule Munchen.

Uber Sehnenplastik.

Mode of access: Internet.

Integration of ice-core, marine and terrestrial records for the Australian Last Glacial Maximum and Termination: a contribution from the OZ INTIMATE group

The degree to which Southern Hemisphere climatic changes during the end of the last glacial period and early Holocene (30-8 ka) were influenced or initiated by events occurring in the high latitudes of the Northern Hemisphere is a complex issue. There is conflicting evidence for the degree of hemispheric 'teleconnection' and an unresolved debate as to the principle forcing mechanism(s). The available hypotheses are difficult to test robustly, however, because the few detailed palaeoclimatic records in the Southern Hemisphere are widely dispersed and lack duplication. Here we present climatic and environmental reconstructions from across Australia, a key region of the Southern Hemisphere because of the range of environments it covers and the potentially important role regional atmospheric and oceanic controls play in global climate change. We identify a general scheme of events for the end of the last glacial period and early Holocene but a detailed reconstruction proved problematic. Significant progress in climate quantification and geochronological control is now urgently required to robustly investigate change through this period. Copyright (c) 2006 John Wiley & Sons, Ltd.

Climatic variability in the southwest Pacific during the Last Termination (20-10 kyr BP)

The degree to which palaeoclimatic changes in the Southern Hemisphere co-varied with events in the high latitude Northern Hemisphere during the Last Termination is a contentious issue, with conflicting evidence for the degree of 'teleconnection' between different regions of the Southern Hemisphere. The available hypotheses are difficult to test robustly, however, because there are few detailed palaeoclimatic records in the Southern Hemisphere. Here we present climatic reconstructions from the southwestern Pacific, a key region in the Southern Hemisphere because of the potentially important role it plays in global climate change. The reconstructions for the period 20-10 kyr BP were obtained from five sites along a transect from southern New Zealand, through Australia to Indonesia, supported by 125 calibrated C-14 ages. Two periods of significant climatic change can be identified across the region at around 17 and 14.2 cal kyr BP, most probably associated with the onset of warming in the West Pacific Warm Pool and the collapse of Antarctic ice during Meltwater Pulse-1A, respectively. The severe geochronological constraints that inherently afflict age models based on radiocarbon dating and the lack of quantified climatic parameters make more detailed interpretations problematic, however. There is an urgent need to address the geochronological limitations, and to develop more precise and quantified estimates of the pronounced climate variations that clearly affected this region during the Last Termination. (c) 2005 Elsevier Ltd. All rights reserved.

Heavy mineral investigations from surface sediments of the East Greenland continental margin

During the expeditions ARK-VII/1, ARK-VII/3 and ARK-Xl2 sediment cores were taken by "RV Polarstern" from the shelf and the fjords of East Greenland and the Greenland Sea. The magnetic susceptibility and heavy mineral were determined at 48 surface sediment samples from undisturbed box cores. The main objective of this study was the identification of source areas and transport processes of terrigenous sediments at the East Greenland continental margin. The results can be summarized as lollows: 1a) Magnetic susceptibility in the North Atlantic is useful to detect delivery regions of the material transported by currents. b) The magnetic susceptibility is controlled by the ferromagnetic particles of the silt fraction. c) There are four important source areas: . The ferromagnetic particles of the box core PS2644-2 are transported from the Iceland Archipelago. . The material from the Geiki-Plateau effects the magnetic susceptibility in the Scoresby Sund Basin. . The magnetic susceptibility in the shelf regions in the North are produced by material from the fjords. . The ferromagnetic particles in the Greenland Sea are derived from the Mid Atlantic Ridges in the east. d) It is possible to determine the rock type, which delivers the ferromagnetic material because of differences in magnetic susceptibility of different intensity. . The erosion of the basalts of the Geiki-Plateau and the basalts of the Mid Atlantic ridges produce the high magnetic susceptibility in the south. . The magnetic susceptibility on the shelf in the north are probably produced by erosionproducts of the gneises of East Greenland. (2a) Heavy mineral assemblages show a significant difference between material transported by the Transpolar Drift from the Eurasian shelf regions (amphiboles, clinopyroxene, orthopyroxene) and material derived from East Greenland (garnets and opaque minerals). Transport via ice is dominant. b) lt is also possible to show different petrographic provenances (volcanic and metamorphic provenances). These associations verify the source areas. c) The information of heavy mineral composition gives no more detailed hint on the rock type or rock formation in the source area, due to mixing processes, large area of investigation and the sample quantity.