Feedback on the Rate and Depth of Chest Compressions during Cardiopulmonary Resuscitation Using Only Accelerometers

Background Quality of cardiopulmonary resuscitation (CPR) is key to increase survival from cardiac arrest. Providing chest compressions with adequate rate and depth is difficult even for well-trained rescuers. The use of real-time feedback devices is intended to contribute to enhance chest compression quality. These devices are typically based on the double integration of the acceleration to obtain the chest displacement during compressions. The integration process is inherently unstable and leads to important errors unless boundary conditions are applied for each compression cycle. Commercial solutions use additional reference signals to establish these conditions, requiring additional sensors. Our aim was to study the accuracy of three methods based solely on the acceleration signal to provide feedback on the compression rate and depth. Materials and Methods We simulated a CPR scenario with several volunteers grouped in couples providing chest compressions on a resuscitation manikin. Different target rates (80, 100, 120, and 140 compressions per minute) and a target depth of at least 50 mm were indicated. The manikin was equipped with a displacement sensor. The accelerometer was placed between the rescuer's hands and the manikin's chest. We designed three alternatives to direct integration based on different principles (linear filtering, analysis of velocity, and spectral analysis of acceleration). We evaluated their accuracy by comparing the estimated depth and rate with the values obtained from the reference displacement sensor. Results The median (IQR) percent error was 5.9% (2.8-10.3), 6.3% (2.9-11.3), and 2.5% (1.2-4.4) for depth and 1.7% (0.0-2.3), 0.0% (0.0-2.0), and 0.9% (0.4-1.6) for rate, respectively. Depth accuracy depended on the target rate (p < 0.001) and on the rescuer couple (p < 0.001) within each method. Conclusions Accurate feedback on chest compression depth and rate during CPR is possible using exclusively the chest acceleration signal. The algorithm based on spectral analysis showed the best performance. Despite these encouraging results, further research should be conducted to asses the performance of these algorithms with clinical data.

Development of giant freshwater prawn broodstock

The commercial success of a giant freshwater prawn (Macrobrachium rosenbergii) hatchery depends upon the uninterrupted supply of the desired quantity and quality of broodstock. This study was an attempt to develop the broodstock near a hatchery, to be used for seed production throughout the year. The hatchery produced seed were stocked at the rate of 3/m2 after initial pond preparation. The prawns were fed with a pelleted diet (3 mm size) prepared by using locally available feed ingredients. The seed had an initial weight of 0.30 g and attained an average weight of 92.0 g and 62.0 g in males and females, respectively, within 11 months. Berried prawns were observed starting from the month of June (5%), after six months of stocking, with a maximum in September (60%). The percentage of berried prawns increased from June to September when the water temperature was optimum and decreased from December when it got cold. The broodstock developed in this experiment could be used in the hatchery after six months of stocking, and brooders could be used to produce seed for two seasons before being sold in the market.

Pen fish culture in reservoirs: an alternative to land based nurseries

An experiment to rear carp seed was conducted in Tamil Nadu, India during October 2001 to April 2002 as a part of an ambitious programme aimed at standardization of pen fish rearing technology for production of stocking material of desired size at a lower cost. The experiment used six pens erected using locally available materials in the exposed marginal area of an existing reservoir. The high survival rate of carps (67.2-94.7%) and reasonable returns on investment (26.2%) obtained in the experiment indicated that fish seed rearing in pens erected in suitable areas of existing reservoirs could serve as a cheaper alternative to the expensive land-based nursery ponds.

Preliminary observation on culture of Penaeus monodon in low-saline waters

The feasibility of semi-intensive culture of Penaeus monodon in low saline environment was investigated by comparing the growth and production in low (0.16-6.52 ppt) and high (4.60-19.42 ppt) saline areas at two stocking densities (10.5 and 16 individuals/m super(2)). After 135 days of culture, yield of shrimp in low and high stocking densities was 1563.37 kg/ha and 2274 kg/ha, respectively, in low saline ponds, and 1173.00 and 1974.00 kg/ha, respectively in high saline ponds. Food conversion ratio (FCR, 1.31-1.58) and specific growth rate (SGR 21.04-21.19%) were higher in low saline ponds as compared to high saline ponds (FCR, 1.35-1.68; SGR, 19.22-19.88%). Growth of shrimp was satisfactory in low saline ponds even when salinity decreased after 60 days of culture to almost freshwater level (0.16 ppt) indicating the variability of semi-intensive culture of P. monodon in low saline environment.