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.

Screen imperfections in type 3KP1 cathode ray tubes /

"September 22, 1950"

Prepaging and applications to structured array problems /

Vita.

Selection tests on 3KP1 type cathode ray tubes for a Williams memory /

"May 22, 1952"

Analyzing smooth flowcharts : teaching structured programming in a computer-based education environment /

Vita.

Operational results using c73621 cathode ray tubes as storage tubes in the Illiac /

"December 22, 1953"

Space charge limited current flow from a plane, plasma cathode,

"Prepared for the Air Force Ballistic Missile Division, Headquarters Air Research and Development Command, under contract AF 04(647)-309, Thermonuclear Propulsion Research."

Purification of americium chloride solutions by mercury cathode electrolysis /

A process has been developed for the removal of chromium, copper, iron, manganese, nickel, lead, tin, and zinc impurities from an acid aqueous solution of americium chloride using a mercury cathode cell operating at 5-10 amperes and 16-18 volts. The americium is not affected. The process may also be used to remove other impurity elements.

Structured testing : a testing methodology using the cyclomatic complexity metric /

Mode of access: Internet.

Time bases (scanning generators), their design and development, with notes on the cathode ray tube,

"Based on a paper of the same title which the author read before the Institution of electrical engineers in February 1942." -- p.vii.

Time bases, scanning generators; their design and development, with notes on the cathode ray tube.

Bibliography: p. 377-378.

Improving the physical status and quality of life of women treated for breast cancer: A pilot study of a structured exercise intervention

Background and Objectives: This pilot project assessed the acceptability of a mixed-type, moderate-intensity exercise programme following breast cancer treatment, and the impact on presence of lymphoedema, fitness, body composition, fatigue, mood and quality of life. Methods: Ten women completed the programme and measures of fitness (submaximal ergometer test), body composition (bio-electrical impedance), lympoedema (bio-electrical impedance and arm circumferences), fatigue (revised Piper Fatigue Scale), mood (Hospital Anxiety and Depression Scale), quality of life (FACT-B) and general well-being, at baseline, completion of the programme, and 6-week and 3-month follow-up. Results: Participation in the programme caused no adverse effect on the presence of lymphoedema. There was a trend towards reduction in fatigue and improved quality of life across the testing phases. Women rated the programme extremely favourably, citing benefits of the support of other women, trained guidance, and the opportunity to experience different types of exercise. Conclusions: A mixed-type, moderate-intensity exercise program in a group format is acceptable to women following breast cancer treatment, with the potential to reduce fatigue and improve quality of life, without exacerbating or precipitating lymphoedema. This pilot work needs to be confirmed in larger randomised studies. (C) 2004 Wiley-Liss, Inc.