Endotracheal Intubation Success Rate in an Urban, Supervised, Resident-Staffed Emergency Mobile System: An 11-Year Retrospective Cohort Study.

In the prehospital setting, endotracheal intubation (ETI) is sometimes required to secure a patient's airways. Emergency ETI in the field can be particularly challenging, and success rates differ widely depending on the provider's training, background, and experience. Our aim was to evaluate the ETI success rate in a resident-staffed and specialist-physician-supervised emergency prehospital system. This retrospective study was conducted on data extracted from the Geneva University Hospitals' institutional database. In this city, the prehospital emergency response system has three levels of expertise: the first is an advanced life-support ambulance staffed by two paramedics, the second is a mobile unit staffed by an advanced paramedic and a resident physician, and the third is a senior emergency physician acting as a supervisor, who can be dispatched either as backup for the resident physician or when a regular Mobile Emergency and Resuscitation unit (Service Mobile d'Urgence et de Réanimation, SMUR) is not available. For this study, records of all adult patients taken care of by a second- and/or third-level prehospital medical team between 2008 and 2018 were screened for intubation attempts. The primary outcome was the success rate of the ETI attempts. The secondary outcomes were the number of ETI attempts, the rate of ETI success at the first attempt, and the rate of ETIs performed by a supervisor. A total of 3275 patients were included in the study, 55.1% of whom were in cardiac arrest. The overall ETI success rate was 96.8%, with 74.4% success at the first attempt. Supervisors oversaw 1167 ETI procedures onsite (35.6%) and performed the ETI themselves in only 488 cases (14.9%). A resident-staffed and specialist-physician-supervised urban emergency prehospital system can reach ETI success rates similar to those reported for a specialist-staffed system

Socioecology Explains Individual Variation in Urban Space Use in Response to Management in Cape Chacma Baboons (Papio ursinus)

The presence of wildlife adjacent to and within urban spaces is a growing phenomenon globally. When wildlife’s presence in urban spaces has negative impacts for people and wildlife, nonlethal and lethal interventions on animals invariably result. Recent evidence suggests that individuals in wild animal populations vary in both their propensity to use urban space and their response to nonlethal management methods. Understanding such interindividual differences and the drivers of urban space use could help inform management strategies. We use direct observation and high-resolution GPS (1 Hz) to track the space use of 13 adult individuals in a group of chacma baboons (Papio ursinus) living at the urban edge in Cape Town, South Africa. The group is managed by a dedicated team of field rangers, who use aversive conditioning to reduce the time spent by the group in urban spaces. Adult males are larger, more assertive, and more inclined to enter houses, and as such are disproportionately subject to “last resort” lethal management. Field rangers therefore focus efforts on curbing the movements of adult males, which, together with high-ranking females and their offspring, comprise the bulk of the group. However, our results reveal that this focus allows low-ranking, socially peripheral female baboons greater access to urban spaces. We suggest that movement of these females into urban spaces, alone or in small groups, is an adaptive response to management interventions, especially given that they have no natural predators. These results highlight the importance of conducting behavioral studies in conjunction with wildlife management, to ensure effective mitigation techniques

Using behavioral studies to adapt management decisions and reduce negative interactions between humans and baboons in Cape Town, South Africa

Understanding the behavioral ecology of wildlife that experiences negative interactions with humans and the outcome of any wildlife management intervention is essential. In the Cape Peninsula, South Africa, chacma baboons (Papio ursinus) search for anthropogenic food sources in both urban and agricultural areas. In response, the city of Cape Town and private farmers employ “rangers” to keep baboons within the Table Mountain National Park. In this study, we investigated the success of rangers' intervention in keeping baboons in their natural habitat. Based on our findings in year one, we recommended adjustments to the rangers' management strategy in year two. We recommended improved consensus of actions toward baboons (that is, when/where to herd them), and the construction of a baboon-proof fence around one of the farms that provided a corridor to urban areas. During the 2 months following recommendations, these interventions combined resulted in a significant reduction in the time baboons spent in both urban and agricultural land. Our case study illustrates the importance of integrating research findings into ongoing management actions to improve both human livelihoods and baboon conservation through an adaptive management framework. We expect similar approaches to be beneficial in a wide range of species and contexts

Ab initio study of the volume dependence of dynamical and thermodynamical properties of silicon

Motivated by the negative thermal expansion observed for silicon between 20 K and 120 K, we present first an ab initio study of the volume dependence of interatomic force constants, phonon frequencies of TA(X) and TA(L) modes, and of the associated mode Gruneisen parameters. The influence of successive nearest neighbors shells is analysed. Analytical formulas, taking into account interactions up to second nearest neighbors, are developped for phonon frequencies of TA(X) and TA(L) modes and the corresponding mode Gruneisen parameters. We also analyze the volume and pressure dependence of various thermodynamic properties (specific heat, bulk modulus, thermal expansion), and point out the effect of the negative mode Gruneisen parameters of the acoustic branches on these properties. Finally, we present the evolution of the mean square atomic displacement and of the atomic temperature factor with the temperature for different volumes, for which the anomalous effects are even greater.Comment: 24 pages, Revtex 3.0, 11 figures, accepted for publication in Phys. Rev.

The Relationship Between GPS Sampling Interval and Estimated Daily Travel Distances in Chacma Baboons (Papio ursinus)

Modern studies of animal movement use the Global Positioning System (GPS) to estimate animals’ distance traveled. The temporal resolution of GPS fixes recorded should match those of the behavior of interest; otherwise estimates are likely to be inappropriate. Here, we investigate how different GPS sampling intervals affect estimated daily travel distances for wild chacma baboons (Papio ursinus). By subsampling GPS data collected at one fix per second for 143 daily travel distances (12 baboons over 11–12 days), we found that less frequent GPS fixes result in smaller estimated travel distances. Moving from a GPS frequency of one fix every second to one fix every 30 s resulted in a 33% reduction in estimated daily travel distance, while using hourly GPS fixes resulted in a 66% reduction. We then use the relationship we find between estimated travel distance and GPS sampling interval to recalculate published baboon daily travel distances and find that accounting for the predicted effect of sampling interval does not affect conclusions of previous comparative analyses. However, if short-interval or continuous GPS data—which are becoming more common in studies of primate movement ecology—are compared with historical (longer interval) GPS data in future work, controlling for sampling interval is necessary