Occupational cooling practices of emergency first responders in the United States: A survey

This is an accepted manuscript of an article published by Taylor & Francis in Temperature on 29/07/2018, available online: https://doi.org/10.1080/23328940.2018.1493907 The accepted version of the publication may differ from the final published version.© 2018 Informa UK Limited, trading as Taylor & Francis Group. Despite extensive documentation directed specifically toward mitigating thermal strain of first responders, we wished to ascertain the degree to which first responders applied cooling strategies, and what opinions are held by the various agencies/departments within the United States. An internet-based survey of first responders was distributed to the International Association of Fire Chiefs, International Association of Fire Firefighters, National Bomb Squad Advisory Board and the USA Interagency Board and their subsequent departments and branches. Individual first responder departments were questioned regarding the use of pre-, concurrent, post-cooling, types of methods employed, and/or reasons why they had not incorporated various methods in first responder deployment. Completed surveys were collected from 119 unique de-identified departments, including those working in law enforcement (29%), as firefighters (29%), EOD (28%) and HAZMAT technicians (15%). One-hundred and eighteen departments (99%) reported heat strain/illness to be a risk to employee safety during occupational duties. The percentage of departments with at least one case of heat illness in the previous year were as follows: fire (39%) HAZMAT (23%), EOD (20%) and law enforcement (18%). Post-cooling was the scheduled cooling method implemented the most (63%). Fire departments were significantly more likely to use post-cooling, as well as combine two types of scheduled cooling compared to other departments. Importantly, 25% of all departments surveyed provided no cooling whatsoever. The greatest barriers to personnel cooling were as follows–availability, cost, logistics, and knowledge. Our findings could aid in a better understanding of current practices and perceptions of heat illness and injury prevention in United States first responders. Abbreviations: EOD: explosive ordnance disposal; HAZMAT: hazardous materials.This project is financially supported by the United States Government through the United States Department of Defense (DOD).Published versio

The Pre-explosion Environments and The Progenitor of SN 2023ixf from the Hobby Eberly Telescope Dark Energy Experiment (HETDEX)

Supernova (SN) 2023ixf was discovered on May 19th, 2023. The host galaxy, M101, was observed by the Hobby Eberly Telescope Dark Energy Experiment (HETDEX) collaboration over the period April 30, 2020 -- July 10, 2020, using the Visible Integral-field Replicable Unit Spectrograph (VIRUS; $3470\lesssim\lambda\lesssim5540$ \r{A}) on the 10-m Hobby-Eberly Telescope (HET). The fiber filling factor within $\pm$ 30 arcsec of SN 2023ixf is 80% with a spatial resolution of 1 arcsec. The r<5.5 arcsec surroundings are 100% covered. This allows us to analyze the spatially resolved pre-explosion local environments of SN 2023ixf with nebular emission lines. The 2-dimensional (2D) maps of the extinction and the star-formation rate (SFR) surface density ($\Sigma_{\rm SFR}$) show weak increasing trends in the radial distributions within the r<5.5 arcsec regions, suggesting lower values of extinction and SFR in the vicinity of the progenitor of SN 2023ixf. The median extinction and that of the surface density of SFR within r<3 arcsec are $E(B-V)=0.06\pm0.14$, and $\Sigma_{\rm SFR}=10^{-5.44\pm0.66}~\rm M_{\odot}\cdot yr^{-1}\cdot arcsec^{-2}$. There is no significant change in extinction before and after the explosion. The gas metallicity does not change significantly with the separation from SN 2023ixf. The metal-rich branch of the $R_{23}$ calculations indicates that the gas metallicity around SN 2023ixf is similar to the solar metallicity ($\sim Z_{\odot}$). The archival deep images from the Canada-France-Hawaii Telescope Legacy Survey (CFHTLS) show a clear detection of the progenitor of SN 2023ixf in the $z$-band at $22.778\pm0.063$ mag, but non-detections in the remaining four bands of CFHTLS ($u,g,r,i$). The results suggest a massive progenitor of $\approx$ 22 $M_\odot$.Comment: 11 pages, 5 figures, Accepted by ApJ

The Preexplosion Environments and the Progenitor of SN 2023ixf from the Hobby-Eberly Telescope Dark Energy Experiment (HETDEX)

Supernova (SN) 2023ixf was discovered on 2023 May 19. The host galaxy, M101, was observed by the Hobby-Eberly Telescope Dark Energy Experiment collaboration over the period 2020 April 30-2020 July 10, using the Visible Integral-field Replicable Unit Spectrograph (3470 ≲ λ ≲ 5540 Å) on the 10 m Hobby-Eberly Telescope. The fiber filling factor within ±30″ of SN 2023ixf is 80% with a spatial resolution of 1″. The r < 5.″5 surroundings are 100% covered. This allows us to analyze the spatially resolved preexplosion local environments of SN 2023ixf with nebular emission lines. The two-dimensional maps of the extinction and the star formation rate (SFR) surface density (ΣSFR) show weak increasing trends in the radial distributions within the r < 5.″5 regions, suggesting lower values of extinction and SFR in the vicinity of the progenitor of SN 2023ixf. The median extinction and that of the surface density of SFR within r < 3″ are E(B − V) = 0.06 ± 0.14, and Σ SFR = 10 − 5.44 ± 0.66 M ☉ yr − 1 arcsec − 2 . There is no significant change in extinction before and after the explosion. The gas metallicity does not change significantly with the separation from SN 2023ixf. The metal-rich branch of the R 23 calculations indicates that the gas metallicity around SN 2023ixf is similar to the solar metallicity (∼Z ☉). The archival deep images from the Canada-France-Hawaii Telescope Legacy Survey (CFHTLS) show a clear detection of the progenitor of SN 2023ixf in the z band at 22.778 ± 0.063 mag, but nondetections in the remaining four bands of CFHTLS (u, g, r, i). The results suggest a massive progenitor of ≈22 M

Internet use, needs and expectations of web-based information and communication in childbearing women with type 1 diabetes

<p>Abstract</p> <p>Background</p> <p>In the childbearing period women use the internet both to seek information and as an important source of communication. For women with type 1 diabetes, pregnancy and early motherhood constitute a more complex situation than for women in general. This implies need for support from various professionals and a way of bridging any discontinuity in care would be to develop a website providing complementary social support and information. The objective of this study was to explore internet use, needs, and expectations regarding web-based information and communication in childbearing women with type 1 diabetes.</p> <p>Methods</p> <p>Data were collected via a web-based survey with an explorative and descriptive design, in which 105 of 139 eligible mothers with type 1 diabetes and recent childbearing experience participated. The data were analyzed with descriptive and analytical statistics, and open answers with a directed content analysis.</p> <p>Results</p> <p>Of the 105 women, 22% never used the internet to search for information concerning pregnancy, childbirth, and parenthood. 12% searched for information every day, 29% one or more times a week, and 38% one or more times a month. Of the women 44% declared themselves to be passive participants on social websites, and 45% to be active participants. 45% had specific expectations of web-based support directed towards childbearing, especially those with higher educational level (<it>P </it>= .01). Expectations of instrumental and informational support included an expert-controlled website with reliable, updated, and information focused on childbearing and diabetes, improved access to diabetes care professionals and alternative ways to communicate and to receive childbearing-related support. The women also asked for online technical devices to manage the frequent monitoring of blood glucose during pregnancy. Informal, emotional, and appraisal support from women in similar situations was suggested as a way to provide an arena for belonging instead of creating feelings of alienation.</p> <p>Conclusions</p> <p>Our results add important knowledge about the web-based needs of women with type 1 diabetes in relation to childbearing. This user directed study indicates specific areas of development for the provision of effective web-based support that includes facilities for reliable information, interactive support and social networking in this population.</p

Why Do Evaluations of eHealth Programs Fail? An Alternative Set of Guiding Principles

Trisha Greenhalgh and Jill Russell discuss the relative merits of “scientific” and “social practice” approaches to evaluation and argue that eHealth evaluation is in need of a paradigm shift

Variation in pre- and post-copulatory sexual selection on male genital size in two species of lygaeid bug

This study was funded by the Natural Environmental Research Council (DTG studentship 1109354 to LRD).Sexual selection has been shown to be the driving force behind the evolution of the sometimes extreme and elaborate genitalia of many species. Sexual selection may arise before and/or after mating, or vary according to other factors such as the social environment. However, bouts of selection are typically considered in isolation. We measured the strength and pattern of selection acting on the length of the male intromittent organ (or processus) in two closely related species of lygaeid seed bug: Lygaeus equestris and Lygaeus simulans. In both species, we measured both pre- and post-copulatory selection. For L. equestris, we also varied the experimental choice design used in mating trials. We found contrasting pre- and post-copulatory selection on processus length in L. equestris. Furthermore, significant pre-copulatory selection was only seen in mating trials in which two males were present. This selection likely arises indirectly due to selection on a correlated trait, as the processus does not interact with the female prior to copulation. In contrast, we were unable to detect significant pre- or post-copulatory selection on processus length in L. simulans. However, a formal meta-analysis of previous estimates of post-copulatory selection on processus length in L. simulans suggests that there is significant stabilising selection across studies, but the strength of selection varies between experiments. Our results emphasise that the strength and direction of sexual selection on genital traits may be multifaceted and can vary across studies, social contexts and different stages of reproduction.Publisher PDFPeer reviewe

Older women, breast cancer, and social support

One in ten women over the age of 65 will develop breast cancer. Despite this high incidence of breast cancer among older women, social support for them is often inadequate. This paper describes a qualitative study of the impact of a breast cancer diagnosis on older women from racially/ethnically diverse populations and their subsequent need for social support. Forty-seven older African American, Asian American, Caucasian and Latina women between the ages of 65 to 83 participated in a larger study examining the impact of breast cancer on women from racially/ethnically diverse populations and the meaning and nature of social support. The women completed an in-depth qualitative interview on the psychosocial impact of breast cancer and the meaning and nature of social support. The results indicate that there are variations in reactions to a breast cancer diagnosis among older women, and that these reactions impact their experiences with seeking social support at diagnosis and during treatment. Respondents were concerned about their aging bodies, potential dependency on others, and loss of autonomy. At the same time, the severity of cancer treatment and existing co-morbidities often meant they needed to learn to receive support, and to reach out if they had no support. The implications of these findings underscore the older cancer patient’s need to strengthen her supportive networks at the time of diagnosis, during treatment, and post-treatment