Fire department organizational culture: A burning need for change?

The number of firefighters killed in the line of duty has remained relatively unchanged for the past three decades, despite a decrease in the number of fires occurring, a decrease in the number of civilians trapped in fires, and improvements in technology related to firefighter personal protective equipment. The National Fallen Firefighters Foundation has asserted that the organizational culture that has developed among fire service organizations has contributed to many of these firefighter fatalities. An understanding of this culture and how it can be successfully changed can be used to develop safer practices to reduce the number of firefighters killed each year. The purpose of this study is to build a comparison between two points in time for a fire company in the Midwest that experienced a Line of Duty Death and determine if and how that department’s organizational culture changed between the two periods of time. Gagliardi’s conceptual framework for the creation and change of organizational culture is used to analyze how the department changed as a result of the death. A gap exists in the literature for studies that look at if and how fire departments change after an LODD, and sharing organizational culture changes made as a result of the LODD experience can be applied to other departments. This instrumental case study of an Illinois fire department considers the history and traditions of the fire department, membership practices, initial and ongoing training practices, the routines present in the fire station, and the community into which the fire department responds. Two specific time periods were compared 2010 (when a new fire chief was promoted) and 2015 (4 years after the LODD) using Modes of Implementation from Pasquale Gagliardi’s model for the Creation and Change of Organizational Cultures. This model led to the identification of 28 areas of change grouped into seven broad categories. Firefighters and officers of the department were interviewed via semi-structured format to provide information about components of the organization’s culture before and since the Line of Duty Death. The study revealed that the leadership change that occurred in 2010 was a greater driving factor for change while the LODD served as a catalyst and motivator for change. The sustained changes resulted from the new leaders’ vision, empowerment of his staff, and his influence on surrounding agencies

Role of per-oral pancreatoscopy in the evaluation of suspected pancreatic duct neoplasia: a 13-year U.S. singlecenter experience

Background and Aims The role of per-oral pancreatoscopy (POP) in the evaluation of occult pancreatic duct (PD) lesions remains limited to case series. The aim of this study was to evaluate the ability of POP to differentiate malignant from benign diseases of the PD. Methods Patients who underwent POP between 2000 and 2013 for the evaluation of indeterminate PD strictures, dilatations, or with suspected or known main duct intraductal papillary mucinous neoplasm were identified. Main outcome measurements were visual impression accuracy, POP tissue sampling, efficacy, and safety of POP. Results During the study period, 79 patients who underwent POP for the evaluation of pancreatic stricture or dilatation were identified. Technical success was achieved in 78 (97%). In the PD neoplasia group (n = 33), the final diagnosis was based on index confirmatory POP-guided tissue sampling in 29 (88%). For the detection of PD neoplasia, POP visual impression had a sensitivity, specificity, positive predictive value, negative predictive value, and accuracy of 87%, 86%, 83%, 91%, and 87%, respectively. When combined with POP-guided tissue sampling, the values were 91%, 95%, 94%, 93%, and 94%, respectively. Of 102 POPs performed, adverse events were noted in 12 (12%) cases. Conclusions This study demonstrates a high technical success rate, visual impression accuracy, and tissue sampling capability of POP. Examinations were performed by endoscopists with expertise in pancreatoscopy interpretation, and the results may not be generalizable

Valence Quark Distribution in A=3 Nuclei

We calculate the quark distribution function for 3He/3H in a relativistic quark model of nuclear structure which adequately reproduces the nucleon approximation, nuclear binding energies, and nuclear sizes for small nuclei. The results show a clear distortion from the quark distribution function for individual nucleons (EMC effect) arising dominantly from a combination of recoil and quark tunneling effects. Antisymmetrization (Pauli) effects are found to be small due to limited spatial overlaps. We compare our predictions with a published parameterization of the nuclear valence quark distributions and find significant agreement.Comment: 18pp., revtex4, 4 fig

VARDA (VARved sediments DAtabase) – providing and connecting proxy data from annually laminated lake sediments

Varved lake sediments provide long climatic records with high temporal resolution and low associated age uncertainty. Robust and detailed comparison of well-dated and annually laminated sediment records is crucial for reconstructing abrupt and regionally time-transgressive changes as well as validation of spatial and temporal trajectories of past climatic changes. The VARved sediments DAtabase (VARDA) presented here is the first data compilation for varve chronologies and associated palaeoclimatic proxy records. The current version 1.0 allows detailed comparison of published varve records from 95 lakes. VARDA is freely accessible and was created to assess outputs from climate models with high-resolution terrestrial palaeoclimatic proxies. VARDA additionally provides a technical environment that enables to explore the database of varved lake sediments using a connected data-model and can generate a state-of-the-art graphic representation of multi-site comparison. This allows to reassess existing chronologies and tephra events to synchronize and compare even distant varved lake records. Furthermore, the present version of VARDA permits to explore varve thickness data. In this paper, we report in detail on the data mining and compilation strategies for the identification of varved lakes and assimilation of high-resolution chronologies as well as the technical infrastructure of the database. Additional paleoclimate proxy data will be provided in forthcoming updates. The VARDA graph-database and user interface can be accessed online at https://varve.gfz-potsdam.de, all datasets of version 1.0 are available at http://doi.org/10.5880/GFZ.4.3.2019.003 (Ramisch et al., 2019)

Early anthropogenic impact on Western Central African rainforests 2,600 y ago

A potential human footprint on Western Central African rainforests before the Common Era has become the focus of an ongoing controversy. Between 3,000 y ago and 2,000 y ago, regional pollen sequences indicate a replacement of mature rainforests by a forest–savannah mosaic including pioneer trees. Although some studies suggested an anthropogenic influence on this forest fragmentation, current interpretations based on pollen data attribute the ‘‘rainforest crisis’’ to climate change toward a drier, more seasonal climate. A rigorous test of this hypothesis, however, requires climate proxies independent of vegetation changes. Here we resolve this controversy through a continuous 10,500-y record of both vegetation and hydrological changes from Lake Barombi in Southwest Cameroon based on changes in carbon and hydrogen isotope compositions of plant waxes. δ¹³C-inferred vegetation changes confirm a prominent and abrupt appearance of C4 plants in the Lake Barombi catchment, at 2,600 calendar years before AD 1950 (cal y BP), followed by an equally sudden return to rainforest vegetation at 2,020 cal y BP. δD values from the same plant wax compounds, however, show no simultaneous hydrological change. Based on the combination of these data with a comprehensive regional archaeological database we provide evidence that humans triggered the rainforest fragmentation 2,600 y ago. Our findings suggest that technological developments, including agricultural practices and iron metallurgy, possibly related to the large-scale Bantu expansion, significantly impacted the ecosystems before the Common Era

A graph-based motif detection algorithm models complex nucleotide dependencies in transcription factor binding sites

Given a set of known binding sites for a specific transcription factor, it is possible to build a model of the transcription factor binding site, usually called a motif model, and use this model to search for other sites that bind the same transcription factor. Typically, this search is performed using a position-specific scoring matrix (PSSM), also known as a position weight matrix. In this paper we analyze a set of eukaryotic transcription factor binding sites and show that there is extensive clustering of similar k-mers in eukaryotic motifs, owing to both functional and evolutionary constraints. The apparent limitations of probabilistic models in representing complex nucleotide dependencies lead us to a graph-based representation of motifs. When deciding whether a candidate k-mer is part of a motif or not, we base our decision not on how well the k-mer conforms to a model of the motif as a whole, but how similar it is to specific, known k-mers in the motif. We elucidate the reasons why we expect graph-based methods to perform well on motif data. Our MotifScan algorithm shows greatly improved performance over the prevalent PSSM-based method for the detection of eukaryotic motifs

Antipsychotic drug use in pregnancy: A multinational study from ten countries

Aim: To compare the prevalence and trends of antipsychotic drug use during pregnancy between countries across four continents

Reducing Implicit Racial Preferences: II Intervention Effectiveness Across Time

Implicit preferences are malleable, but does that change last? We tested 9 interventions (8 real and 1 sham) to reduce implicit racial preferences over time. In 2 studies with a total of 6,321 participants, all 9 interventions immediately reduced implicit preferences. However, none were effective after a delay of several hours to several days. We also found that these interventions did not change explicit racial preferences and were not reliably moderated by motivations to respond without prejudice. Short-term malleability in implicit preferences does not necessarily lead to long-term change, raising new questions about the flexibility and stability of implicit preferences. (PsycINFO Database Recor

A Prospective Multicenter Study Evaluating Learning Curves and Competence in Endoscopic Ultrasound and Endoscopic Retrograde Cholangiopancreatography Among Advanced Endoscopy Trainees: The Rapid Assessment of Trainee Endoscopy Skills (RATES) Study

Background and aims Based on the Next Accreditation System, trainee assessment should occur on a continuous basis with individualized feedback. We aimed to validate endoscopic ultrasound (EUS) and endoscopic retrograde cholangiopancreatography (ERCP) learning curves among advanced endoscopy trainees (AETs) using a large national sample of training programs and to develop a centralized database that allows assessment of performance in relation to peers. Methods ASGE recognized training programs were invited to participate and AETs were graded on ERCP and EUS exams using a validated competency assessment tool that assesses technical and cognitive competence in a continuous fashion. Grading for each skill was done using a 4-point scoring system and a comprehensive data collection and reporting system was built to create learning curves using cumulative sum analysis. Individual results and benchmarking to peers were shared with AETs and trainers quarterly. Results Of the 62 programs invited, 20 programs and 22 AETs participated in this study. At the end of training, median number of EUS and ERCP performed/AET was 300 (range 155-650) and 350 (125-500). Overall, 3786 exams were graded (EUS:1137; ERCP–biliary 2280, pancreatic 369). Learning curves for individual endpoints, and overall technical/cognitive aspects in EUS and ERCP demonstrated substantial variability and were successfully shared with all programs. The majority of trainees achieved overall technical (EUS: 82%; ERCP: 60%) and cognitive (EUS: 76%; ERCP: 100%) competence at conclusion of training. Conclusions These results demonstrate the feasibility of establishing a centralized database to report individualized learning curves and confirm the substantial variability in time to achieve competence among AETs in EUS and ERCP