First aid skill retention of first responders within the workplace

<p>Abstract</p> <p>Background</p> <p>Recent literature states that many necessary skills of CPR and first aid are forgotten shortly after certification. The purpose of this study was to determine the skill and knowledge decay in first aid in those who are paid to respond to emergency situations within a workplace.</p> <p>Methods</p> <p>Using a choking victim scenario, the sequence and accuracy of events were observed and recorded in 257 participants paid to act as first responders in large industrial or service industry settings. A multiple choice exam was also written to determine knowledge retention.</p> <p>Results</p> <p>First aid knowledge was higher in those who were trained at a higher level, and did not significantly decline over time. Those who had renewed their certificate one or more times performed better than those who had learned the information only once. During the choking scenario many skills were performed poorly, regardless of days since last training, such as hand placement and abdominal thrusts. Compressions following the victim becoming unconscious also showed classic signs of skill deterioration after 30 days.</p> <p>Conclusions</p> <p>As many skills deteriorate rapidly over the course of the first 90 days, changing frequency of certification is not necessarily the most obvious choice to increase retention of skill and knowledge. Alternatively, methods of regularly "refreshing" a skill should be explored that could be delivered at a high frequency - such as every 90 days.</p

Magnetic Field Effects on the Head Structure of Protostellar Jets

We present the results of 3-D SPMHD numerical simulations of supermagnetosonic, overdense, radiatively cooling jets. Two initial magnetic configurations are considered: (i) a helical and (ii) a longitudinal field. We find that magnetic fields have important effects on the dynamics and structure of radiative cooling jets, especially at the head. The presence of a helical field suppresses the formation of the clumpy structure which is found to develop at the head of purely hydrodynamical jets. On the other hand, a cooling jet embedded in a longitudinal magnetic field retains clumpy morphology at its head. This fragmented structure resembles the knotty pattern commonly observed in HH objects behind the bow shocks of HH jets. This suggests that a strong (equipartition) helical magnetic field configuration is ruled out at the jet head. Therefore, if strong magnetic fields are present, they are probably predominantly longitudinal in those regions. In both magnetic configurations, we find that the confining pressure of the cocoon is able to excite short-wavelength MHD K-H pinch modes that drive low-amplitude internal shocks along the beam. These shocks are not strong however, and it likely that they could only play a secondary role in the formation of the bright knots observed in HH jets.Comment: 14 pages, 2 Gif figures, uses aasms4.sty. Also available on the web page http://www.iagusp.usp.br/preprints/preprint.html. To appear in The Astrophysical Journal Letter

A Deep XMM-Newton Survey of M33: Point Source Catalog, Source Detection and Characterization of Overlapping Fields

We have obtained a deep 8-field XMM-Newton mosaic of M33 covering the galaxy out to the D$_{25}$ isophote and beyond to a limiting 0.2--4.5 keV unabsorbed flux of 5$\times$10$^{-16}$ erg cm$^{-2}$ s$^{-1}$ (L${>}$4$\times$10$^{34}$ erg s$^{-1}$ at the distance of M33). These data allow complete coverage of the galaxy with high sensitivity to soft sources such as diffuse hot gas and supernova remnants. Here we describe the methods we used to identify and characterize 1296 point sources in the 8 fields. We compare our resulting source catalog to the literature, note variable sources, construct hardness ratios, classify soft sources, analyze the source density profile, and measure the X-ray luminosity function. As a result of the large effective area of XMM-Newton below 1 keV, the survey contains many new soft X-ray sources. The radial source density profile and X-ray luminosity function for the sources suggests that only $\sim$15% of the 391 bright sources with L${>}$3.6$\times$10$^{35}$ erg s$^{-1}$ are likely to be associated with M33, and more than a third of these are known supernova remnants. The log(N)--log(S) distribution, when corrected for background contamination, is a relatively flat power-law with a differential index of 1.5, which suggests many of the other M33 sources may be high-mass X-ray binaries. Finally, we note the discovery of an interesting new transient X-ray source, which we are unable to classify.Comment: 26 pages, 6 tables, 13 figures, accepted for publication in ApJ

SXP214, an X-ray Pulsar in the Small Magellanic Cloud, Crossing the Circumstellar Disk of the Companion

Located in the Small Magellanic Cloud (SMC), SXP214 is an X-ray pulsar in a high mass X-ray binary system with a Be-star companion. A recent survey of the SMC under a Chandra X-ray Visionary program found the source in a transition when the X-ray flux was on a steady rise. The Lomb-Scargle periodogram revealed a pulse period of 211.49 +/- 0.42 s, which is significantly (>5sigma) shorter than the previous measurements with XMM-Newton and RXTE. This implies that the system has gone through sudden spin-up episodes recently. The pulse profile shows a sharp eclipse-like feature with a modulation amplitude of >95%. The linear rise of the observed X-ray luminosity from <~2x to 7x10^35 erg s^-1 is correlated with steady softening of the X-ray spectrum, which can be described by the changes in the local absorption from N_H ~ 10^24 to <~10^20 cm^-2 for an absorbed power-law model. The soft X-ray emission below 2 keV was absent in the early part of the observation when only the pulsating hard X-ray component was observed, whereas at later times both soft and hard X-ray components were observed pulsating. A likely explanation is that the neutron star was initially hidden in the circumstellar disk of the companion, and later came out of the disk with the accreted material that continued fueling the observed pulsation.Comment: 8 pages, 4 figures, 1 table, accepted for publication in Ap

Building Bridges with Boats: Preserving Community History through Intra- and Inter-Institutional Collaboration

This chapter discusses Launching through the Surf: The Dory Fleet of Pacific City, a project which documents the historical and contemporary role of dory fishers in the life of the coastal village of Pacific City, Oregon, U.S. Linfield College’s Department of Theatre and Communication Arts, its Jereld R. Nicholson Library, the Pacific City Arts Association, the Pacific City Dorymen\u27s Association, and the Linfield Center for the Northwest joined forces to engage in a collaborative college and community venture to preserve this important facet of Oregon’s history. Using ethnography as a theoretical grounding and oral history as a method, the project utilized artifacts from the dory fleet to augment interview data, and faculty/student teams created a searchable digital archive available via open access. The chapter draws on the authors’ experiences to identify a philosophy of strategic collaboration. Topics include project development and management, assessment, and the role of serendipity. In an era of value-added services where libraries need to continue to prove their worth, partnering with internal and external entities to create content is one way for academic libraries to remain relevant to agencies that do not have direct connections to higher education. This project not only developed a positive “town and gown” relationship with a regional community, it also benefited partner organizations as they sought to fulfill their missions. The project also serves as a potential model for intra- and inter-agency collaboration for all types of libraries