Feedback systems for the quality of chest compressions during cardiopulmonary resuscitation

167 p.

Climate-related hydrological regimes and their effects on abundance of juvenile blue crabs (Callinectes sapidus) in the northcentral Gulf of Mexico

The abundance of juvenile blue crabs (Callinectes sapidus) in the northcentral Gulf of Mexico was investigated in response to climate-related hydrological regimes. Two distinct periods of blue crab abundance (1, 1973–94 and 2, 1997–2005) were associated with two opposite climaterelated hydrological regimes. Period 1 was characterized by high numbers of crabs, whereas period 2 was characterized by low numbers of crabs. The cold phase of the Atlantic Multidecadal Oscillation (AMO) and high north-south wind momentum were associated with period 1. Hydrological conditions associated with phases of the AMO and North Atlantic Oscillation (NAO) in conjunction with the north-south wind momentum may favor blue crab productivity by influencing blue crab predation dynamics through the exclusion of predators. About 25% (22–28%) of the variability in blue crab abundance was explained by a north–south wind momentum in concert with either salinity, precipitation, or the Palmer drought severity index, or by a combination of the NAO and precip

Biological response to changes in climate patterns: population increases of gray snapper (Lutjanus griseus) in Texas bays and estuaries

The increase in the abundance of gray snapper (Lutjanus griseus) in Texas bays and estuaries over the past 30 years is correlated to increased wintertime surface water temperatures. Trends in the relative abundance of gray snapper are evaluated by using monthly fishery-independent monitoring data from each of the seven major estuaries along the Texas coast from 1978 through 2006. Environmental conditions during this period demonstrated increasing annual sea surface temperatures, although this increase was not seasonally uniform. The largest proportion of temperature increases was attributed to higher winter temperature minimums since 1993. Positive phases of the North Atlantic Oscillation, resulting in wetter, warmer winters in the eastern United States have occurred nearly uninterrupted since the late 1970s, and unprecedented positive index values occurred between 1989 and 1995. Increases in water temperature in Texas estuaries, beginning in the early 1990s, are postulated to provide both favorable over-wintering conditions for the newly settled juveniles and increased recruitment success. In the absence of cold winters, this species has established semipermanent estuarine populations across the entire Texas coast. A shift to negative phases of the North Atlantic Oscillation will likely result in returns to colder winter temperature minimums that could reverse any recent population gains.

Impacts of climate change and variability on fish value chains in Uganda

This study examines the vulnerability of fish pr oduction in Uganda, particularly as it r elates to the predicted impacts from climate change, using the concept of the value chain. The value chain approach has been recommended as a useful tool to study specific challenges facing a sector resulting from various drivers of change, including climate. Critically, such analyses can reveal context-specific response strategies to enhance a sector (Jacinto and Pomer oy 2010). The specific purpose of the study was to identify curr ent and potential impacts of climate change and corresponding adaptation strategies in fish value chains. The study builds upon information fr om earlier value chain analyses on fisheries and aquaculture production in Uganda to provide a more in-depth understanding of issues facing the fish industry, in particular, those to be incorporated in the CGIAR Resear ch Program Livestock and Fish.

The use of role-play games in teaching: The International Climate Negotiation Game

This paper presents a role-play game designed by the authors, which focuses on international climate negotiations. The game has been used at a university with students all drawn from the same course and at summer schools with students from different levels (undergraduate, master’s and doctoral students and post-doctoral researchers) and different knowledge areas (economics, law, engineering, architecture, biology and others). We discuss how the game fits into the process of competence-based learning, and what benefits games, and role-play games in particular, have for teaching. In the game, students take on the role of representatives of national institutions and experience at first hand a detailed process of international negotiation concerned with climate change.

ADAPTECC: A Role-Play Game about Adapting to Climate Change

The ADAPTECC Climate Change Adaptation Game is a role-play game designed to enable players to experience the difficulties that arise at local and regional levels when authorities have to implement adaptation measures. Adaptation means anticipating the advert effects of climate change (CC) and taking measures to prevent and minimise the damage caused by its impacts. Each player takes the role of the mayor or a councillor of a town affected by CC who must decide what adaptation strategies and measures to take, or of a member of the Regional Environment Department which must distribute funding for adaptation among the various towns. At the end of the game, players should have a greater understanding of the challenges posed by adaptation to CC

The climate and eastern ocean systems project

A brief description of the NMFS/ORSTOM/ILCARM climate and Eastern Ocean systems (CEOS) project is given. CEOS will study the four major eastern boundary current regions (Peru/Chile, California, Northwest and Southwest Africa) and attempt to separate local short term changes of their resources and/or dynamics from long-term, climatic global changes. Expected products range from a large, widely accessible oceanographic / atmospheric database to various documents that will present key results as well as improved contacts and stronger analytical capabilities in cooperating national institutions.

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.