Dissertations / Theses: 'CPR'

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Yassa, Laura Melany. "Electrocardiographic Findings During Standard Hands Only CPR and Hands Only CPR Plus Pedal CPR in Senior Rescuers." DigitalCommons@CalPoly, 2019. https://digitalcommons.calpoly.edu/theses/2106.

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The standard first aid for a heart attack resulting in cardiopulmonary arrest is effective cardiopulmonary resuscitation (CPR). Chest compressions are most commonly performed on a flat surface with the rescuer kneeling next to the victim with one hand on top of the other on the sternum and elbows straight. This technique of being on the ground may be challenging for those without the mobility and strength to get up and down from the ground. In 2005, the American Heart Association (AHA) Guidelines listed “pedal”, or heel, compression as an acceptable alternative to standard chest compressions (Trenkamp & Perez, 2015). That same year, the recommended depth of a compression increased from 3.8 cm to 5.0 cm (Trenkamp & Perez, 2015). To attain such a depth, extra force and strength arerequired. The heel method may be especially reasonable for those rescuers who cannot attain the floor and those who do not have the cardiovascular or muscular strength to perform traditional chest compressions. The purpose of this study was to evaluate the effects of performance of hands only (HO) versus the combination (CO) of hands only plus pedal CPR on the electrocardiogram, including heart rate and heart rhythm. The subjects utilized in this investigation were six men and nine women between 56 and 71 years of age from San Luis Obispo County in California. Subjects underwent two trials with at least a 15 hour rest period in between but no more than one week. Subjects were randomly assigned to either the Combination (CO) trial or the Hands Only (HO) trial. When they came back for their second trial, they did the trial that they did not do the first time. On average, participants were able to sustain the combination of HO plus pedal CPR longer (9.47 minutes) than they were able to perform standard HO CPR (9.02 minutes) but this difference was not statistically significant (p=0.16). Mean maximum heart rate was 133 ± 23.7 bpm during the CO trial and 125.4 ± 21.9 bpm during the HO trial (p=0.12). Mean percentage of the HR reserve was 75.1% during the CO trial and 61.1% during the HO trial (p=0.09). Mean RPE was not significantly different between CO and HO trials (p=0.2124), nor between genders (p=0.42090). However, for both trials combined the mean RPE was significantly greater at 5 minutes of CPR (4.45 ± 0.53) than at 2 minutes of CPR (3.38 ± 0.31), (p It may take time for individuals to accept pedal CPR as a viable resuscitation method. With the majority of sudden cardiac arrests occurring in the home among older adults in society, it is important to recognize that pedal CPR is an acceptable method and that a rescuer may have this choice if they either need a break from standard CPR or if they can not attain the ground.

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Donnelly, Peter D. "Studies in CPR training." Thesis, University of Edinburgh, 1999. http://hdl.handle.net/1842/22157.

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This dissertation describes the development of a robust test of manikin cardiopulmonary resuscitation (CPR) performance "The Cardiff Test". The test consists of two parts. Firstly the Cardiff test of response and evaluation (CARE) assesses all of those actions important to basic life support up to that point at which chest compression and mouth ventilation begin. This includes the careful approach, the opening of the airway and casualty assessment. Secondly the video and recording Anne printout (VIDRAP) evaluates the key psychomotor skills of chest compression and mouth to mouth ventilation. In each part of the test the development of marking schedules and making guidance is key in reducing inter and intra observer error. The advantageous and novel element of combining video recording with manikin printout is fully described. The dissertation then describes how "The Cardiff Test" was used to test the skills of 280 trainees from 9 UK cities six months after they had been trained as part of the BBC 999 road show training initiative. The innovative "cold call" methodology sought to replicate some of the immediacy and stress of a true cardiac arrest in the home. When faced unforewarned with a scenario of full cardiopulmonary arrest 6 months after training only 12% of trainees could perform effective CPR and of these 5% performed at least one element of CPR in a potentially injurious way. The majority of trainees (89%) failed to open the airway at the correct time and failed to say spontaneously that they would call an ambulance (90%). The possible reasons for, and implications of, these results are discussed as are the lessons learned from using television as a means of trainee recruitment when compared to other non-targeted means, namely: a community word of mouth approach or an approached based on editorial coverage in a local newspaper. The relevant literature is reviewed in detail and reprints of peer reviewed publications resulting from the development of the two part test and the BBC 999 evaluation are included in the appendices.

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Shimamoto, Tomonari. "Dispatcher instruction of chest compression-only CPR increases actual provision of bystander CPR." Kyoto University, 2018. http://hdl.handle.net/2433/232308.

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Marks, Steven. "Training Frequency and Anxiety: Do CPR Manikins Lend to Delivering High-Quality CPR?" ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7697.

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Cardiopulmonary resuscitation (CPR) manikins are an educational technology tool employed to train nurses to perform high-quality CPR during real-life cardiac arrest events. However, a gap exists between CPR skills learned in training and those used in real life. The purpose of this quantitative study was to examine how CPR feedback and anxiety in registered nurses affect CPR performance on a manikin. Distributed practice and attentional control theory served as the foundations for this study. The research questions addressed the influence of demographic factors, real-time CPR feedback, and simulated hospital noises on CPR performance using CPR manikins. The study included a randomized longitudinal experimental design. Data were collected from 120 nurses via a demographic questionnaire, the Cognitive and Somatic Anxiety Questionnaire, and CPR compression performance feedback via a Zoll R Series defibrillator. Data analysis involved a repeated measures ANOVA or a regression analysis. Findings indicated that participants’ age predicted CPR performance. Receiving real-time CPR feedback led to a statistically significant improvement in performance, and the introduction of hospital noises did not predict CPR performance. Findings may be used to enhance individual performance of CPR, which may benefit society through improved patient care during cardiac arrest.

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Kihlberg, Emelie, and Nadine Rosenkvist. "Vietnamese nursing students' knowledge in Cardiopulmonary resuscitation (CPR) and perceptions of training in CPR." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-376662.

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Background Cardiopulmonary resuscitation (CPR) increases significantly the chance of survival in cases of a cardiac arrest. The ability to respond quickly and effectively to a cardiac arrest rests on nurses being competent, prepared and up-to-date. Nursing student’s knowledge in CPR and perceptions of their own training are crucial for the pursuit of the education of professional nurses. Aim Investigate the prerequisites for a good care of patients in need of CPR by assessing  Vietnamese nursing students' knowledge in CPR as well as their perceptions on their education in CPR.    Method A quantitative, cross sectional-study was conducted. A modified version of a questionnaire developed by the Swedish council of CPR was used. Nursing students at University of Medicine and Pharmacy in Ho Chi Minh City were asked to participate. The gathered data were analyzed with descriptive statistics, t-test and chi2 -test. Result The participants answered right on 41 % of the questions (571/1404). The mean-score was 5.25 and the score ranged from 0 to 9 out of 13 points on the questionnaire. Participants answered correctly on most questions regarding basic CPR and were foremost wrong about questions regarding defibrillation. There was no association between a high result on the questionnaire and students rating a high grading on preparedness and/or satisfaction. No significant difference could be found based on gender. Conclusion The knowledge in CPR, based on this survey, is generally low. One plausible explanation could be that the questionnaire did not fit the education of the participants.
Bakgrund Hjärt- och lungräddning (HLR) ökar avsevärt chanserna att överleva vid ett hjärtstopp. Att kunna reagera snabbt och effektivt på hjärtstillestånd kräver att sjuksköterskor är kompetenta och förberedda. Sjuksköterskestudenters kunskaper i HLR och deras uppfattningar om sin utbildning är avgörande för den fortsatta utbildningen av professionella sjuksköterskor. Syfte Undersöka förutsättningarna för en patientsäker vård inom HLR, genom att kartlägga vietnamesiska sjuksköterskestudenters kunskaper i HLR samt att undersöka deras uppfattning om sin utbildning i HLR. Metod En kvantitativ, tvärsnittsstudie genomfördes. En modifierad version av ett frågeformulär utvecklat av Svenska rådet för hjärt- och lungräddning (HLR-rådet) användes. Sjuksköterskestudenter i en klass från University of Medicine and Pharmacy, i Ho Chi Minh City blev ombedda att delta. Den insamlade informationen analyserades med beskrivande statistik, t-test och chi2-test. Resultat Deltagarna svarade rätt på 41% av frågorna (571/1404). Det totala medelvärdet var 5.25 och poängen skilde sig från 0 till 9 av 13 poäng på frågeformuläret. Deltagarna svarade korrekt på de flesta frågor angående grundläggande HLR och svarade främst fel på frågor angående defibrillering. Det fanns inget samband mellan ett högt resultat på frågeformuläret och elever som ansåg sig vara förberedda och/eller nöjda med sin utbildning. Ingen signifikant skillnad i resultat kunde hittas baserat på kön. Slutsats Kunskaperna i HLR, baserat på den genomförda studien, är generellt låga. När det kommer till vissa frågor kan en orsak vara att frågeformuläret inte var anpassat efter deltagarnas utbildning.

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Canales, Francisco. "History of Cardiopulmonary Resuscitation." The University of Arizona, 2018. http://hdl.handle.net/10150/626860.

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Nord, Anette. "Bystander CPR : New aspects of CPR training among students and the importance of bystander education level on survival." Doctoral thesis, Linköpings universitet, Avdelningen för kardiovaskulär medicin, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-142460.

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Background: It has been proved that bystander cardiopulmonary resuscitation (CPR) saves lives; however, which training method in CPR is most instructive and whether survival is affected by the training level of the bystander have not yet been fully described. Aim: To identify the factors that may affect 7th grade students’ acquisition of CPR skills during CPR training and their willingness to act, and to describe 30-day survival from outof- hospital cardiac arrest (OHCA) after bystander CPR and the actions performed by laymen versus off-duty medically educated personnel. Methods: Studies I–III investigate a CPR training intervention given to students in 7th grade during 2013–2014. The classes were randomized to the main intervention: the mobile phone application (app) or DVD-based training. Some of the classes were randomized to one or several additional interventions: a practical test with feedback, reflection, a web course, a visit from elite athletes and automated external defibrillator (AED) training. The students’ practical skills, willingness to act and knowledge of stroke symptoms, symptoms of acute myocardial infarction (AMI) and lifestyle factors were assessed directly after training and at 6 months using the Laerdal PC SkillReporting system (and entered into a modified version of the Cardiff test scoring sheet) and a questionnaire. The Cardiff test resulted in a total score of 12–48 points, and the questionnaire resulted in a total score of 0–7 points for stroke symptoms, 0–9 points for symptoms of AMI and 0– 6 points on lifestyle factors. Study IV is based on retrospective data from the national quality register, the Swedish registry of cardiopulmonary resuscitation, 2010-2014. Results: A total of 1339 students were included in the CPR training intervention. The DVD-based group was superior to the app-based group in CPR skills, with a total score of 35 (SD 4.o) vs 33 (SD 4.2) points directly after training (p<0.001) and 33 (SD 4.0) vs 31 (SD 4.2) points at six months (p<0.001). Of the additional interventions, the practical test with feedback had the greatest influence regarding practical skills: at six months the intervention group scored 32 (SD 3.9) points and the control group (CPR only) scored 30 (SD 4.0) points (p<0.001). Reflection, the web course, visits from elite athletes and AED training did not further increase the students’ acquisition of practical CPR skills. The students who completed the web course Help-Brain-Heart received a higher total score for theoretical knowledge in comparison with the control group, directly after training: stroke 3.8 (SD 1.8) vs 2.7 (SD 2.0) points (p<0.001); AMI 4.0 (SD 2.0) vs 2.5 (SD 2.0) points (p<0.001); lifestyle factors 5.4 (SD 1.2) vs 4.5 (SD 2.0) points p<0.001. Most of the students (77% at 6 months), regardless of the intervention applied, expressed that they would perform both chest compressions and ventilations in a cardiac arrest (CA) situation involving a relative. If a stranger had CA, a significantly lower proportion of students (32%; p<0.001) would perform both compressions and ventilations. In this case, however, many would perform compressions only. In most cases of bystander-witnessed OHCA, CPR was performed by laymen. Off-duty health care personnel bystanders initiated CPR within 1 minute vs 2 minutes for laymen (p<0.0001). Thirty-day survival was 14.7% among patients who received CPR from laymen and 17.2% (p=0.02) among patients who received bystander CPR from off-duty health care personnel. Conclusions: The DVD-based method was superior to the app-based method in terms of teaching practical CPR skills to 7th grade students. Of the additional interventions, a practical test with feedback was the most efficient intervention to increase learning outcome. The additional interventions, reflection, web course, visit from elite athletes and AED did not increase CPR skills further. However, the web course Help-Brain-Heart improved the students’ acquisition of theoretical knowledge regarding stroke, AMI and lifestyle factors. For OHCA, off-duty health care personnel bystanders initiated CPR earlier and 30-day survival was higher compared with laymen bystanders.

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Mulheron, Rachael. "Class actions, the CPR and commencement criteria." Thesis, University of Oxford, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.251501.

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Tercier, John Anthony. "The ultimate rush : CPR and the contemporary deathbed." Thesis, Birkbeck (University of London), 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.405568.

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Alfakir, Omar, and Viktor Larsson. "Ambulance CPR Application : Using cross-platform mobile development." Thesis, Högskolan i Halmstad, Akademin för informationsteknologi, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-45561.

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The overall purpose of this project is to develop a cross-platform CPR (cardiopulmonary resuscitation) application mainly for iOS and Android devices. This application aims to guide healthcare workers in the different processes and expected medication during cardiac arrest, which can often be a fast-paced and stressful scenario. The application will need to provide time-based and previous action-based recommendations for following medication and steps. Each step taken as well as at what time it was performed will also need to be documented automatically through the usage of the application. This application is implemented using the framework React Native. Facebook developed React Native in 2015 targeting mobile application development. The base structure of React Native is based on React, a JavaScript library released in 2013 used to build web interfaces. React Native allows creation of mobile applications that can run on iOS and Android devices with a single codebase. This project resulted in a mobile application capable of running on both iOS and Android platforms. The application has enough functionality to be used in a simulation for the CPR procedure during a cardiac arrest rescue scenario.
Det övergripande syftet med detta projekt är att utveckla en cross-platform HLR (hjärt- och lungräddnings) applikation främst för iOS och Android enheter. Syftet med denna applikation är att hänvisa sjukvårdspersonal genom de olika processer och den förväntade medicineringen vid hjärtstopp, vilket ofta kan vara ett väldigt hög tempo och stressfyllt scenario. Applikationen kommer behöva ge tidsbaserade och tidigare åtgärds baserade rekommendationer för följande medicinering och steg. Varje steg som tas samt när de tas kommer även behöva dokumenteras automatiskt genom användandet av applikationen. Denna applikation implementeras med hjälp av ramverket React Native. Facebook utvecklade React Native 2015 med inriktning på mobilapplikationsutveckling. Bas strukturen hos React Native är baserad på React, ett JavaScript bibliotek släppt 2013 som används till att bygga webbgränssnitt. React Native tillåter skapande av mobilapplikationer som kan användas på iOS och Android enheter med en enda kodbas. Detta projekt resulterade i en mobilapplikation kapabel att köras på både iOS och Android plattformar. Denna applikation har tillräcklig funktionalitet att användas i en simulering för HLR proceduren under ett hjärtstopps scenario.

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Katrínardóttir, Hildigunnur. "Finite Element Modeling of Chest Compressions in CPR." Thesis, KTH, Medicinsk teknik, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-209009.

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Factors affecting the risk of ribcage injury in adult subjects during CPR were investigated using the torso region of the THUMS model, a full human body FE-model, representing an average adult male. The thoracic dynamic response of the model was compared to experimental PMHS hub loading impact data and live-subject CPR data found in the literature. The model was then used to study the risk of obtaining injuries in various simulated CPR conditions, also varying the stiffness of the costal cartilage. Parameters that are known to predict induced injuries were extracted from the model simulations, i.e. chest deflections, and maximum 1st principal strain and von-Mises stress in the ribs and sternum, as well as the pressure in the heart muscle. These were compared with values that have been reported to have the potential to cause injury. The predictions were compared to experimental findings of the probability of CPR resulting in fractures of the ribs and sternum. The previously mentioned parameters did not reach high enough values to predict fracture occurrences, but interesting trends were highlighted with regards to the different loading conditions investigated. It was demonstrated that human body FE-model simulation studies can be useful for investigating the influence of different CPR related loading conditions on the risk of occurrences of rib and sternal fractures.

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Nishiyama, Chika. "Effectiveness of simplified chest compression-only CPR training program." 京都大学 (Kyoto University), 2010. http://hdl.handle.net/2433/120535.

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Reichel, Rachel. "Comparing Subjective Fatigue During Two Cardiopulmonary Resuscitation (CPR) Models." Thesis, North Dakota State University, 2019. https://hdl.handle.net/10365/31697.

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Bystanders are the first rescuers to perform CPR for patients suffering from cardiac arrest. Compression-only CPR decreases the amount of interruption time between compressions but increases the fatigue of the rescuer. In this study, participants were certified as lay rescuers and performed two compression-only CPR protocols for eight minutes and 59 seconds. The two protocols were 30 compressions to a 10-second break and continuous compressions with as many 10-second breaks as needed. Body mass index and hand grip strength were collected before the CPR protocols. Rate of Perceived Exertion scores were taken at three, six and nine minutes during each protocol. There were increased fatigue levels during the continuous compressions protocol at all three time intervals. A relationship between hand grip strength and the proper depth was determined for the 30:10 protocol as well as a relationship between hand grip strength and the continuous compressions fatigue levels.

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Miley, Richard P. "An evaluation of the effectiveness of two teaching methods on retention of basic cardiac life support for the lay community /." Connect to online version, 1986. http://minds.wisconsin.edu/handle/1793/38838.

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Mulugeta, Wubet Edwards Kevin A. "Functional analysis of the Pez-Cpr genomic region in Drosophila." Normal, Ill. : Illinois State University, 2005. http://wwwlib.umi.com/cr/ilstu/fullcit?p3196653.

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Thesis (Ph. D.)--Illinois State University, 2005.
Title from title page screen, viewed September 26, 2006. Dissertation Committee: Kevin Edwards (chair), David Borst, Laura Vogel, David Rubin, Jon Friesen. Includes bibliographical references (leaves 133-143) and abstract. Also available in print.

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Carretti, Fabio Maurizio Lopes. "Eficiência em serviço de IT terceirizados: o caso CPR/IBM." reponame:Repositório Institucional do FGV, 2009. http://hdl.handle.net/10438/5754.

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Made available in DSpace on 2010-04-20T20:20:36Z (GMT). No. of bitstreams: 1 68050200535.pdf: 724394 bytes, checksum: 70802911c698753816054c6f69799164 (MD5) Previous issue date: 2009-05-28T00:00:00Z
Alegando razões de eficiência, muitas firmas vêm crescentemente adotando a terceirização de TI como um meio de conseguir economia de custos, maior foco em suas operações e alinhamento estratégico. Não obstante as razões verbalmente alegadas pelas empresas para terceirizar serviços de TI todas elas buscam a prestação de serviço em TI como uma forma de transferir a eficiência da prestadora de serviços para a empresa cliente. Com a competitividade cada vez maior entre as prestadoras de serviço e por mais que as empresas prestadoras de serviço tentem diferenciar-se entre si, o fato é que não existem muitas diferenças que possam saltar a vista entre os grandes prestadores de serviço de terceirização de TI atuais, pois fornecem de forma quase que indiferente custo, qualidade, expertise técnica, métodos e processos, experiência comprovada, boa saúde financeira, presença global. Mas porque alguns provedores de serviço de TI conseguem ser mais eficiente que seus clientes? Porque os departamentos de TI, das empresas clientes, têm dificuldade de copiar o modelo destes fornecedores e operar com os mesmos patamares de eficiência? Quais as dificuldades e barreiras que existem? Quais as melhores práticas adotadas pela provedora de serviço e pelo cliente para realizar uma terceirização de serviços de TI com sucesso? Este trabalho analisa em caráter exploratório, através de um estudo de caso, a terceirização de TI feita pela CPR (Canadian Pacific Railroad) em 2003 junto à IBM Canadá, aonde seu custo contratual teve uma redução de cerca de 20% do custo original de operação da CPR , buscando identificar porque que algumas empresas prestadoras de serviço de TI conseguem ser mais eficiente que seus clientes, porque não se optou em realizar a transformação internamente e quais as melhores práticas adotadas pela provedora de serviço para realizar uma terceirização de serviços de TI com sucesso. Para isto, o trabalho parte da literatura para indicar possíveis fatores motivadores para a terceirização assim como as melhores práticas de gestão utilizadas atualmente pelas prestadoras de serviço e empresas clientes para uma terceirização de serviços de TI. Posteriormente segue para uma etapa de campo, em busca de elementos que permitam a análise de sua relevância. Os fundamentos teóricos para a terceirização se basearam na: Teoria de Custos de Transação (TCT -Transaction Cost Theory) e na Teoria Baseada em Recursos (RBT-Resource Base Theory). Na etapa de campo explorou-se um projeto de terceirização de infra-estrutura de TI entre a IBM e CPR (Canadian Pacific Railroad), aonde foram feitas entrevistas estruturadas com os gestores do cliente CPR, gestores da prestadora de serviços IBM, assim como analisados materiais produzidos pelo projeto, com o objetivo de identificar porque algumas empresas prestadoras de serviço de TI conseguem ser mais eficiente que seus clientes. Os resultados encontrados apontam que a CPR possuía uma menor eficiência do que a IBM por razões: de foco, de processo e de escala. Tais características são em si não facilmente imitáveis pela empresa cliente tornando a parceria estratégica a melhor solução para o aumento de eficiência operacional na empresa cliente.

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Brandola, Francesca <1991&gt. "Una consolidata esperienza di economia circolare: il caso CPR System." Master's Degree Thesis, Università Ca' Foscari Venezia, 2015. http://hdl.handle.net/10579/7344.

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Negli ultimi decenni si è avvertito sempre di più l’impatto che il nostro stile di vita e di consumo ha sull’ambiente; l’aumento dell’inquinamento che ne è conseguito è stato percepito come una minaccia per tutti e, conseguentemente, come un’emergenza da risolvere. Secondo l’opinione pubblica, una tra le principali fonti di inquinamento è costituita dai rifiuti, e di conseguenza, la loro gestione e il loro smaltimento sono diventate una priorità, non solo per le istituzioni, ma anche per le imprese e i singoli cittadini. Questa tesi si pone l’obiettivo di esaminare una particolare tipologia di rifiuti, quelli da imballaggio, ed in particolar modo di analizzare il circuito dell'imballaggio riutilizzabile nel settore ortofrutticolo del mercato Italiano. Si vuole focalizzare l’attenzione sui benefici economici, ambientali e logistici che si possono ottenere utilizzando un imballaggio riutilizzabile rispetto a quelli tradizionali. L’intento di questo elaborato è mostrare un caso concreto di applicazione di un’economia circolare, analizzare le motivazioni che hanno portato alla sua adozione, esaminare il suo sviluppo negli anni, i vantaggi che ha portato e a chi. Lo studio inizialmente, descrive le varie tipologie d'imballaggi e la loro diffusione sul mercato, con particolare riferimento a quello dell’ortofrutta in Italia. A seguire analizza la cooperativa CPR System, azienda leader in Italia per la movimentazione di cassette per la frutta riutilizzabili, ecosostenibili e a sponde abbattibili che rappresenta un esempio di successo per la realizzazione di un sistema a ciclo chiuso di imballi. Prosegue confrontando un sistema circolare con uno lineare da cui si evince che l’adozione di un sistema circolare porta maggiori benefici non solo in termini economici ma anche in termini ambientali e sociali e che se il 60% dei sistemi lineari nel settore ortofrutta venisse sostituito da quello circolare si avrebbe un risparmio energetico sufficiente per soddisfare le esigenze giornaliere di un paese di 7.000 abitanti e una diminuzione del consumo di materia prima pari a 60.000 alberi. L’adozione e la diffusione di imballaggi riutilizzabili, e quindi l’adozione di un’economia circolare, è sicuramente un’iniziativa virtuosa che si pone come la chiave di volta per l’utilizzo responsabile e consapevole nel settore dell’imballaggio.

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Kinnaman, Emily Allison. "Evaluating the efficacy of post-CPR purification columns using low template single source DNA amplified with identifiler and identifiler plus." Thesis, Boston University, 2013. https://hdl.handle.net/2144/21191.

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Thesis (M.S.F.S.) PLEASE NOTE: Boston University Libraries did not receive an Authorization To Manage form for this thesis or dissertation. It is therefore not openly accessible, though it may be available by request. If you are the author or principal advisor of this work and would like to request open access for it, please contact us at open-help@bu.edu. Thank you.
Ideally a DNA profile will have high Peak Heights (PHs), balanced Peak Height Ratios (PHRs) and no drop out. However, low template DNA (LTDNA) is limited in quantity, quality or both and LTDNA profiles do not always consistently provide interpretable signal. Post-Polymerase Chain Reaction (PCR) purification is an efficient enhancement method that can be utilized to increase the amount of information in a LTDNA profile without elevated stutter, which can be common with other enhancement methods. Post-PCR purification decreases the remaining components left over from amplification, such as deoxyribonucleotide triphosphates, primers, salts, and enzymes so there is less competition during the electrokinetic injection and more DNA will go into the capillary. When post-PCR purification is used; PH’s will increase, PHRs should remain stable before and after purification and may result in recovery of alleles that previously had dropped out. Allele recovery may be the difference between an inconclusive result and an inclusion or exclusion. The efficacy of Post-PCR purification was assessed by amplifying single source DNA with both ABI AMPFℓSTR® Identifiler® (template mass down to 0.0625 ng) and Identifiler® PLUS (template mass down to 0.03125 ng) and performing post-PCR purification with Qiagen® MinElute® and Macherey-Nagel NucleoSpin®. The original amplified product and purified product were analyzed and compared and it was determined post-PCR purification reduced the primer front, increased the PHs, recovered additional alleles and did not affect the PHRs. On average the Fold Increase (FI) for Identifiler® product purified with Qiagen® MinElute® is 3.5 and the average FI for Identifiler® PLUS product purified with Qiagen® MinElute® and Macherey-Nagel NucleoSpin® is 3.2. Additionally, the stutter percentage observed in the original sample profile was compared to the purified samples to determine if purification affected the stutter percentage of Identifiler® PLUS product. It was determined at only a few alleles the amplified product was above or below the stutter percentage of purified product. The stutter percentage values for purified samples were further compared to the Identifiler® PLUS manual and only one allele’s stutter percentage is above the companies stutter cut off values. Post-PCR purification with Qiagen® MinElute® or Macherey-Nagel NucleoSpin® is a successful enhancement method to increase information of a LTDNA profile without introducing additional complications that other enhancement methods are known to do.
2031-01-01

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Silva, Cruz Dionisio. "Evolución clínica, prónostico y supervivencia inmediata en pacientes que recibieron reanimación cardiopulmonar en el servicio de emergencia." Bachelor's thesis, Universidad Nacional Mayor de San Marcos, 2003. https://hdl.handle.net/20.500.12672/2065.

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Se evaluaron de manera retrospectiva a 80 casos de pacientes que presentaron paro cardio-respiratorio en la Unidad de Shock Trauma y Unidad de Cuidados Críticos del Departamento de Emergencia del Hospital Nacional Edgardo Rebagliatti EsSalud, de 01/03/2002 al 28/03/2003. Las variables establecidas en el estudio incluyeron edad, sexo, antecedentes patológicos, evolución neurológico, patrón electrocardiográfico y supervivencia hospitalaria. Se encontró que los pacientes seniles con antecedentes patológicos asociados representan un bajo nivel de supervivencia post reanimación cardiopulmonar no obstante el tratamiento con los avances tecnológicos modernos.
They were evaluated from a retrospective way to 80 cases of patients that presented cardiopulmonary arrest unemployment witnessed in the Unit of Shock Trauma and Unit of Critical Cares of Emergency of the National Hospital Edgardo Rebagliatti EsSalud, from 01/03/2002 to 28/03/2003, with favorable initial answer. Inside the variables in the study: age, sex, pathological antecedent, neurological evolution, electrocardiography pattern and hospital survival they were included. Finding that the senile patients with clinical antecedents pathology have a low-level of survival post cardiopulmonary reanimation, nevertheless the treatment with the modern technological advances.
Tesis de segunda especialidad

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Stohler, Fiona Cathrin. "Alternative concept of ventilation during cardiopulmonary resuscitation (CPR) in dental chairs /." Zürich : [s.n.], 2009. http://opac.nebis.ch/cgi-bin/showAbstract.pl?sys=000297939.

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Wu, Chun Andy, and 胡俊. "The effectiveness of dispatcher-assisted cardio-pulmonary resuscitation on survival of out-of-hospital cardiac arrest: a literature review." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2012. http://hub.hku.hk/bib/B48426507.

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Background According to data from Department of Health, in 2011 heart diseases was the second commonest leading cause of death in Hong Kong [13]. Shortening the time from cardiac arrest to Cardio-pulmonary Resuscitation (CPR) could increase the chance of survival. If the brain of the patient who suffers from cardiac arrest does not receive oxygen within 4 minutes, severe brain damage might occur [14]. In some countries like US and Finland, dispatcher will give CPR instruction to caller when cardiac arrest is recognized. Therefore, the patient could receive early CPR before the arrival of paramedics. If dispatcher-assisted CPR is implemented in Hong Kong, the chance of survival of out-of-hospital cardiac arrest (OHCA) patient could be increased. Objective 1. To evaluate whether it is evident that dispatcher-assisted CPR and dispatcher instruction [22] would improve survival of OHCA. 2. To evaluate whether these measures could be implemented in Hong Kong. Data Source PubMed was searched for articles in English language with no limit set for time of the study. The keywords were dispatcher-assisted CPR and out of hospital. No inclusion criteria were set on the publication type and other details. Results Initial PubMed search resulted in 24 articles. After reviewing the abstracts, 10 articles were selected for full-text assessment. Finally, four relevant articles were selected for the literature review. Of the four papers, two were retrospective cohort studies; one was before-after comparison study while the remaining one was randomized control trial. Three papers (Rea et al, Eisenberg et al, and Kuisma et al.) used the survival to hospital discharge as the effect measure for the primary outcome to evaluate the effectiveness of dispatcher-assisted CPR. The remaining paper (Hallstrom et al.) mainly studied the potential benefit and harm from dispatcher-assisted CPR. Using no bystander CPR as the reference group, the multivariate adjusted odds ratio of survival was 1.45 (95% CI, 1.21, 1.73) for dispatcher-assisted bystander CPR and 1.69 (95% CI, 1.42, 2.01) for bystander CPR without dispatcher assistance [2]. The percentage of total bystander-initiated CPR increased from 45% to 56% after the programme (difference: 11.1%, 95% CI, ±9.3%). Besides, the percentage discharged for dispatcher-assisted CPR group after the programme was 15% higher than that before the programme [6]. The most important findings are related to the number of cardiac arrest calls in that when the dispatcher handled on less than 4 Ventricular Fibrillation (VF) calls during the study period, the survival to hospital discharge was 22.1% compared to 38.2% and 39.4% when the dispatcher handled 4 to 9 calls or more than 9 calls (p = 0.0227 for the three groups) [8]. With telephone guided CPR, the survival to hospital discharge was 43.1% compared with 31.7% when CPR instructions were not provided (p = 0.0453) [8]. In patients (n = 3,320) receiving advanced cardiac life support (ACLS) a total of 993 (29.9%) was found to be benefited from dispatcher-assisted CPR [7]. Conclusion Instructions by dispatcher can improve bystander CPR rates, which in turn increases the chance of survival [26]. Dispatcher-assisted CPR is worth considering to be recommended to all callers reporting a patient in cardiac arrest in Hong Kong.
published_or_final_version
Public Health
Master
Master of Public Health

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Spletstoser, John. "Implementing a first aid and CPR/AED program within the Eau Claire County Sheriff's Office Reserve Corps Division." Online version, 2002. http://www.uwstout.edu/lib/thesis/2002/2002spletstoserj.pdf.

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Wattanasoontorn, Voravika. "Serious games for health and medicine. A cardiopulmonary resuscitation (CPR) case study." Doctoral thesis, Universitat de Girona, 2013. http://hdl.handle.net/10803/128270.

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Serious games are video games designed to provide specific expertise, knowledge and skills to the player, going beyond pure entertainment. In this thesis we present a classification of serious games for health and medicine that have been proposed in the last decade. We propose LISSA a serious game designed to teach the cardiopulmonar resuscitation protocol (RCP). In the context of LISSA, we study the visual realism of 3D serious games and their elements, evaluating photorealistic and non-photorealistic effects and camera position in first and third person. In addition, we study the physical realism to improve the interaction between game and player. We propose a new technique based on Kinect able to reproduce the key factors of the CPR protocol. Finally, we evaluate LISSA in a real scenario
Els anomenats jocs seriosos (de l’anglès serious games), són videojocs dissenyats per donar una experiència específica, coneixements i habilitats al jugador, és a dir van més enllà de l’entreteniment pur. En aquesta tesi presentarem una classificació dels jocs seriosos de l’àmbit mèdic i de la salut que s’han proposat en aquesta darrera dècada. Proposarem LISSA, un joc seriós dissenyat per ensenyar el protocol de reanimació cardiopulmonar (RCP). En el context del LISSA, estudiarem el realisme visual dels jocs seriosos 3D i els seus elements, avaluarem els efectes fotorealistes i no-fotorealistes i la posició de la càmera en primera i tercera persona. A més, estudiarem el realisme físic per tal de millorar la interacció entre el joc i el jugador. Proposarem una nova tècnica basada en Kinect capaç de reproduir factors clau del protocol RCP. Finalment, avaluarem LISSA en un escenari real

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Gupta, Deepak S. "A New Device for Performing Simultaneous Sterno-Thoracic Cardiopulmonary Resuscitation (SST-CPR)." VCU Scholars Compass, 1996. http://scholarscompass.vcu.edu/etd/4692.

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There are two different physiological mechanisms that cause blood to circulate around the human body during cardiopulmonary resuscitation. The "cardiac pump" generates blood ﬂow by squeezing blood out of the heart as the sternum is depressed. The "thoracic pump" generates ﬂow by forcing blood out of the heart and the great vessels as the intrathoracic pressure rises due to chest compression. To date, all CPR techniques try to circulate blood during cardiac arrest by exploiting elite; the cardiac pump or the thoracic pump mechanism of blood ﬂow. No mechanical CPR device thus far invented has tried to exploit both mechanisms at the same time. We hypothesize that a combination of the cardiac and thoracic pump mechanisms of blood ﬂow should generate more blood ﬂow than either alone. We have thus invented a device that performs simultaneous sterno-thoracic cardiopulmonary resuscitation (SST-CPR). Our SST-CPR device augments blood ﬂow to the vital organs by performing cardiac and thoracic compression simultaneously using two components. A piston provides direct sternal compression, squeezing blood out of the heart directly ("cardiac pump"). A thoracic strap and back supporting structure create circumferential thoracic constriction ("thoracic pump"). Simultaneous compression and constriction are performed by pushing the compressing piston, which directly compresses the heart and increases intrathoracic pressure by constricting the thorax. Mechanical tests have been performed. Tests have also been performed to measure hemodynamic parameters in vivo. The device has been designed to allow variation in the relative contribution of either the cardiac or thoracic pump during CPR, thus allowing better understand of the relative importance of each mechanism during CPR.

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Bozick, John K. "An analysis of the development of the Chairman, Joint Chiefs of Staff program assessment (CPA) and the Chairman's program recommendation (CPR)." Thesis, Monterey, Calif. : Springfield, Va. : Naval Postgraduate School ; Available from National Technical Information Service, 1998. http://handle.dtic.mil/100.2/ADA348411.

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Thesis (M.S. in Management) Naval Postgraduate School, June 1998.
Thesis advisor(s): Jerry L. McCaffery, John E. Mutty. "June 1998." Includes bibliographical references (p. 75-77). Also available online.

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Assis, Franciano Sabadim. "Da Cédula de Produto Rural : qualificação, regime jurídico e questões polêmicas /." Franca, 2019. http://hdl.handle.net/11449/191161.

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Orientador: Kelly Cristina Canela
Resumo: O Brasil tem um vasto território, sendo mundialmente conhecido por suas riquezas naturais, de modo que isto favorece o desenvolvimento de diversas atividades agropecuárias. Assim, o Agronegócio representa aproximadamente 21,6% do Produto Interno Bruto (PIB) brasileiro. Desse modo, a Cédula de Produto Rural (CPR) se firmou como uma das principais formas de financiamento desse setor da economia, bem como ganhou relevância como um instrumento de circulação da produção rural. Com isso, o presente trabalho analisará, com fundamento: na doutrina, na legislação e na jurisprudência, questões relevantes ligadas à CPR. Dessa maneira, partiremos da análise do referido título com questões ligadas ao Código Civil brasileiro e à Lei nº. 8.929/94 (Lei da CPR), abordando suas principais características, bem como a sua natureza jurídica. Além disso, serão abordadas as questões relevantes ligadas às garantias cedulares presentes no título de crédito, bem como sobre a possiblidade de utilização das garantias fidejussórias. Ademais, analisaremos as implicações das referidas garantias cedulares e questões polêmicas relacionadas a elas, além das implicações do endosso da referida cédula. Por fim, trataremos das possibilidades e do modo como o Poder Judiciário tem interpretados as garantias cedulares, a validade da cédula e a possiblidade de endosso dela. A despeito disso, a pesquisa analisará as decisões judiciais proferidas pelo Superior Tribunal de Justiça (STJ) com relação à CPR, bem como anali... (Resumo completo, clicar acesso eletrônico abaixo)
Abstract: Brazil is a country with a vast territory, being known worldwide for its natural riches, which favors the development of several agricultural activities. For this reason, Agribusiness represents approximately 25.7% of the Brazilian Gross Domestic Product (GDP). In this way, the Cédula de Produto Rural (CPR) [Rural Product Bond] was established as one of the main ways of financing of this sector of the economy, as well as gaining relevance as an instrument of circulation of rural production. With this, the present work will analyze, based on doctrine, legislation and jurisprudence, relevant issues related to the CPR. Therefore, we will start from the analysis of this title with issues related to the Brazilian Civil Code and Law No. 8.929/94 (CPR Law), addressing its main characteristics as well as its legal nature. Also, relevant issues related to collateral in the security will be addressed, as well as the possibility of using the personal guarantee. Moreover, we will analyze the implications of these schedular guarantees and controversial and important issues related to them, in addition to the implications of the endorsement of mentioned bond. Finally, we will deal with the possibilities and the form in which the Judiciary has interpreted the schedular guarantees, its validity and the possibility of endorsement. Despite this, the research will analyze the judicial decisions pronounced by the Superior Court of Justice about the CPR, as well will analyze some decisions of the... (Complete abstract click electronic access below)
Mestre

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Svenberg, Diana, and John Uppfeldt. "Arbetsbladets baksida : en enkätstudie om hur akutsjuksköterskor uppfattar användbarheten av arbetsblad för hjärtstopp." Thesis, Sophiahemmet Högskola, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-3338.

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Den grupp som behandlar hjärtstopp på akutmottagningen inkluderar bland annat en sjuksköterska som har som uppgift att dokumentera tidpunkter och åtgärder. Som hjälpmedel för detta bör dokumentationsansvarig sjuksköterska använda ett för uppgiften speciellt framtaget arbetsblad. Detta arbetsblad som är skapat av Svenska rådet för hjärt- och lungräddning, kan även användas som underlag för dokumentation i patientjournal och Svenska hjärt- och lungräddningsregistret. Exakt och komplett dokumentation av hjärtstopp är viktigt för kvalitetsutveckling och forskning som bidrar till ökad patientsäkerhet. Säker vård är en av sjuksköterskans kärnkompetenser. Det händer, trots att det finns tillgängligt, att dokumentationsansvarig sjuksköterska väljer att inte använda arbetsbladet och dokumenterar på baksidan av arbetsbladet eller på ett blankt papper istället. Syftet med studien var att undersöka hur dokumentationsansvariga sjuksköterskor på akutmottagningar i Stockholm uppfattar användbarheten av arbetsbladet för hjärtstopp. Metoden var en nätbaserad enkätundersökning med en kvantitativ ansats och deskriptiv tvärsnittsstudie som design. Studien genomfördes på akutmottagningar på fyra av de fem akutsjukhusen i Stockholm. Resultatet visade att majoriteten av sjuksköterskorna använde arbetsbladet och största delen av dem använde även arbetsbladet som underlag för dokumentation i patientjournalen. Generellt uppfattades användbarheten av arbetsbladet som god. Både sjuksköterskor som svarade att de använde arbetsbladet och som inte gjorde det var i studien eniga om att arbetsbladet behöver vara mer lättöverskådligt. Resultatet visade även att hälften av sjuksköterskorna hade HLR-utbildning vartannat år eller med sällan. Majoriteten av sjuksköterskorna var positivt inställda till att pröva applikations baserade hjälpmedel för dokumentation av HLR. Slutsatsen av studien är att det finns förbättringspotential för användbarheten av arbetsbladet samt att det finns önskemål bland sjuksköterskorna om att mer tid på HLR-utbildningen avsätts för just arbetsbladet. Det finns även behov av tydligare riktlinjer för dokumentation av HLR i patientjournalen.

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Nuño, Tomas, Bentley J. Bobrow, Karen A. Rogge-Miller, Micah Panczyk, Terry Mullins, Wayne Tormala, Antonio Estrada, Samuel M. Keim, and Daniel W. Spaite. "Disparities in telephone CPR access and timing during out-of-hospital cardiac arrest." ELSEVIER IRELAND LTD, 2017. http://hdl.handle.net/10150/626022.

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Aim: Spanish-only speaking residents in the United States face barriers to receiving potentially life-saving 911 interventions such as Telephone-cardiopulmonary resuscitation (TCPR) instructions. Since 2015, 911 dispatchers have placed an increased emphasis on rapid identification of potential cardiac arrest. The purpose of this study was to describe the utilization and timing of the 911 system during suspected out-of-hospital cardiac arrest (OHCA) by Spanish-speaking callers in Metropolitan Phoenix, Arizona. Methods: The dataset consisted of suspected OHCA from 911 centers from October 10, 2010 through December 31, 2013. Review of audio TCPR process data included whether the need for CPR was recognized by telecommunicators, whether CPR instructions were provided, and the time elements from call receipt to initiation of compressions. Results: A total of 3398 calls were made to 911 for suspected OHCA where CPR was indicated. A total of 39 (1.2%) were determined to have a Spanish language barrier. This averages to 18 calls per year with a Spanish language barrier during the study period, compared with 286 OHCAs expected per year among this population. The average time until telecommunicators recognized CPR need was 87.4 s for the no language barrier group compared to 160.6 s for the Spanish-language barrier group (p < 0.001). Time to CPR instructions started was significantly different between these groups (144.4 s vs 231.3 s, respectively) (p < 0.001), as was time to first compression, (174.4 s vs. 290.9 s, respectively) (p < 0.001). Conclusions: Our study suggests that Hispanic callers under-utilize the 911 system, and when they do call 911, there are significant delays in initiating CPR. (C) 2017 Elsevier B.V. All rights reserved.

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Shipman, Shirley. "The relationship between ECHR, Article 6 and the overriding objective of the CPR." Thesis, University of Oxford, 2007. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.530075.

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Nuevo, Paulo Augusto Sacomani. "A Cédula do Produto Rural (CPR) como alternativa para financiamento da produção agropecuária." Universidade de São Paulo, 1996. http://teses.usp.br/teses/disponiveis/11/11132/tde-20181127-160821/.

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Os objetivos deste trabalho consistem em fornecer subsídios ao entendimento do funcionamento da cédula do produto rural (CPR) discutindo seus detalhes, verificando sua operacionalização, suas vantagens e desvantagens, bem como estimar um modelo que oriente o produtor no processo de tomada de decisão quanto ao preço a ser negociado numa CPR e verificar o acréscimo nos ganhos do produtor rural na cultura da soja, uma vez que a CPR permite alocação de recursos nas épocas mais propícias, principalmente fertilizantes. Constatou-se que a CPR pode garantir uma nova fonte de recursos ao produtor rural, além de garantir a comercialização dos produtos agrícolas. Os benefícios trazidos com a CPR se estendem a todos os setores do complexo agroindustrial. O modelo apresentado mostrou-se simples e de fácil uso por parte dos produtores orientando-os no momento da negociação. Verificou-se que os preços do fertilizante 02-20-20, utilizados na cultura da soja seguem um padrão de variação sazonal e que há um ganho para o produtor caso venha adquirir o fertilizante fora de época tradicional de plantio/liberação de recursos oficiais, o que é possível com a obtenção de recursos através da emissão da CPR. Em relação a contratação anterior de frete para o transporte do fertilizante comprado antecipadamente constatou-se não haver ganhos ao produtor
not available

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BRITTO, Raimundo Angelo de Lima. "Análise experimental de pisos mistos de madeira e concreto de pós-reativos (CPR)." Universidade Federal do Pará, 2016. http://repositorio.ufpa.br/jspui/handle/2011/9886.

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As estruturas de piso misto de madeira e concreto já algum tempo fazem parte do contexto construtivo pelo mundo, sendo empregadas principalmente na recuperação de pisos antigos de madeira em residências uni ou multi familiares, principalmente em países da Europa e da America do Norte, são usadas também em estruturas de pontes e passarelas ao ar livre pois a placa de concreto protege a madeira das intempéries, radiações solares entre outros. Vários fatores contribuem a favor do uso deste tipo de estrutura em residências, entre eles destacam-se: o custo bem mais barato que a construção convencional em concreto armado, a leveza arquitetônica do arranjo, com as peças de madeira aparentes envernizadas e laje pintada, proporcionando um acabamento muito bom, o isolamento térmico e acústico se tomarmos como referencia os pisos somente de madeira. Este trabalho ressalta o uso de madeiras de reflorestamento no Brasil, sendo escolhida por sua beleza e resistência a Tectona Grandis (TECA), e para a laje que compõem a mesa escolhemos um concreto de pós-reativos, onde alguns agregados são subprodutos das indústrias de papel e vidro. A geometria traçada para laje foi delineada em busca de se ter o melhor arranjo estrutural, aliado ao bom efeito arquitetônico. As expressões para cálculo do piso misto madeira-concreto estão fundamentadas nas equações de equilíbrio e nos preceitos da EUROCODE 5 os parâmetros para verificação e segurança seguem os preceitos da NBR 7190/97, NBR 6118/14 da própria EUROCODE 5. Os resultados apresentados demonstram que há diferenças entre os métodos de cálculo analítico e de elementos finitos (SAP 2000), os resultados entre estes modelos tiveram diferenças quanto ao modelo experimental, às medições realizadas mostraram uma rigidez efetiva bem mais elevada que as apresentadas nos dois modelos citados anteriormente. Concluímos então, que os módulos de elasticidade dos materiais e o módulo de deslizamento devem ser ensaiados para que haja uma proximidade com resultados experimentais. Os resultados obtidos no modelo experimental nos mostra ótima rigidez, os fatores de segurança quanto aos EL Último e de utilização, foram atendidos o custo final da montagem mesmo com a utilização do concreto de pós-reativos ficou mais baixo que o custo de uma estrutura convencional, assim podemos denotar que as estruturas de concreto-madeira apresentam ótimas condições de emprego em construções e reformas, sendo de suma importância o incentivo e a continuidade dessa técnica construtiva.
Mixed timber and concrete structures have long been part of the constructive context around the world, and are mainly used for the recovery of old wooden floors in single or multi-family dwellings, mainly in European and North American countries, are used Also in structures of bridges and walkways in the open air since the concrete plate protects the wood from the elements, solar radiation among others. Several factors contribute to the use of this type of structure in homes, among them the following: the cost much cheaper than the conventional construction in reinforced concrete, the architectural lightness of the arrangement, with the apparent varnished wood and painted slabs, Providing a very good finish, thermal and acoustic insulation if we take as a reference the only wooden floors. This work highlights the use of wood from reforestation in Brazil, being chosen for its beauty and resistance to Tectona Grandis (TECA), and for the slab that compose the table we chose a concrete of post reactive, where some aggregates are by-products of the industries of Paper and glass. The geometry drawn for slab was outlined in search of having the best structural arrangement, combined with the good architectural effect. The expressions for calculating the mixed wood-concrete floor are based on the equilibrium equations and the precepts of EUROCODE 5, the parameters for verification and safety follow the precepts of NBR 7190/97, NBR 6118/14 of EUROCODE 5 itself. The results show that there are significant differences between the analytical and finite element methods (SAP 2000), the results between these models had significant differences, as far as the experimental model, the measurements performed showed a much higher stiffness than those presented In the two models mentioned above. We conclude that the elasticity moduli of the materials and the sliding modulus must be tested in order to be close to experimental results. The results obtained in the experimental model showed us excellent rigidity, the safety factors regarding the EL and final use were met the final cost of assembly even with the use of the post-reactive concrete was lower than the cost of a conventional structure , Thus we can denote that the concrete-wood structures present great conditions of use in constructions and reforms, being of the utmost importance the incentive and the continuity of this constructive technique.

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Kandasamy, Jeyapal. "Can infant CPR performance be improved through the provision of 'real time' feedback?" Thesis, Cardiff University, 2017. http://orca.cf.ac.uk/108872/.

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Cardiac arrest (CA) is a significant health issue Worldwide. Paediatric sufferers have particu-larly poor outcomes, with high-rates of associated mortality and morbidity. Early cardiopulmonary-resuscitation (CPR), an emergency procedure which combines external chest-compressions with artificial-ventilations (rescue breaths), has been shown to improve CA outcomes. Researchers have, however, demonstrated CPR, even when delivered by highly-trained-rescuers is not currently being performed optimally. International guidelines have suggested the potential contribution of feedback systems (assistance), in improving the delivery of chest-compressions and rescue breaths to improve survival rates. Thus, the main focus of this research was to design and develop a real-time CPR-performance-feedback-system, to monitor and assist rescuers in producing high-quality infant-CPR (iCPR). This was conducted as follows: assessment of current compressions by Basic Life Support (BLS) and ‘lay’ rescuers, design and development of a real-time feedback and performance system and the study of its effects during iCPR. All performances were compared against benchmarked quality standards. During unassisted iCPR, BLS and ‘lay’ rescuer overall compression quality, that is those con-comitantly achieving all four iCPR quality targets, was < 3%. Assistance significantly im-proved BLS and ‘lay’ compression quality, to > 61.4% and > 24.6%, respectively. Assistance delivered more breaths, 5-32%, more quickly, 30-84%, complying with recommendations. As-sisted compression count, after each ventilation, was 53% less than unassisted, complying with recommendations. There were no differences in the guideline compression duty cycle (DC), provided that compression time and peak depth were the same. Thesis summary iv Unassisted compressions failed to show compliance with quality targets. Assistance produced significant improvements in the overall quality of compressions, reduced the time for breaths and regulated the compression counts after each ventilation. However, lay rescuers require additional training with the feedback system and iCPR simulation. Overall the real-time feed-back system significantly improved iCPR performance, such that it could now be trialled to investigate possible improvements in clinical outcomes.

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Johnson, Mark Richard. "An investigation of immature rib fractures resultant from both CPR and abusive scenarios." Thesis, University of Manchester, 2014. https://www.research.manchester.ac.uk/portal/en/theses/an-investigation-of-immature-rib-fractures-resultant-from-both-cpr-and-abusive-scenarios(56eb58b0-76ff-4c5c-8720-52415b37945c).html.

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The presence of rib fractures in deceased infants is generally considered to be highly specific of non-accidental injury, with some pathologists considering them to be evidence of abuse. Although rib fractures may occur during resuscitative efforts in adults, the general consensus is that such injuries are exceptional in infants owing to inherent plasticity within the thoracic region. The recommendation for cardiopulmonary resuscitation (CPR) of infants since the year 2000 has been for the use of the “two-thumb” technique. However, there has been limited biomechanical investigation to what injuries may occur subsequent to this specific form of CPR. The overall aim of this thesis was to determine if two-thumb CPR can cause similar rib injuries to those seen in abusive squeezing cases. In particular, whether or not this CPR technique allows for over excessive levering of the posterior rib over the transverse process of the spine. To this end, physical experimentation simulating both two-thumb CPR and abusive squeezing was performed on an immature swine model of the infant thorax. The results of these tests did not show any significant difference in the force required to compress the thorax by one third its original anterior-posterior diameter in the two scenarios. One third being the recommended depth for CPR compressions. Fractures resultant from the testing were assessed with radiography and computed tomography, techniques commonly used by post-mortem pathologists. The type and nature of the injuries observed were remarkably similar in both scenarios. Rib injuries were primarily seen in the anterior part of the thoracic cage in both CPR and abusive specimens. The specific site of rib fracture was typically close to or within the costochondral joints. There was however an apparent absence of posterior rib fractures in the abusively tested cohort. This is in part due to the slight difference in profile of the neck and head areas within the ribs of the surrogate model. This acts to reduce the mechanical advantage offered by levering over the transverse processes of the spine. This study has shown anterior fractures of the ribs result from two-thumb CPR, challenging the long held belief that CPR cannot produce rib fractures. X-ray CT offered a significant improvement on the ability to detect costochondral junction injuries. This would offer further support to the routine use of X-ray CT in post-mortem examinations of infants where the cause of death is unknown. This has the potential to offer differential interpretation to the cause of rib injuries, especially in cases of sudden unexpected deaths in infancy, where otherwise child abuse may be diagnosed.

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Vendrame, Jefferson Marcos. "Cédula de Produto Rural - CPR como alternativa de financiamento na cultura da soja." Florianópolis, SC, 2001. http://repositorio.ufsc.br/xmlui/handle/123456789/80393.

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Dissertação (mestrado) - Universidade Federal de Santa Catarina, Centro Tecnológico. Programa de Pós-Graduação em Engenharia de Produção
Made available in DSpace on 2012-10-18T13:40:56Z (GMT). No. of bitstreams: 0Bitstream added on 2014-09-25T20:16:28Z : No. of bitstreams: 1 185995.pdf: 36157720 bytes, checksum: 6133b640a91e0f15c0b902638855c12a (MD5)
O presente estudo aborda a Cédula de Produto Rural - CPR como alternativa de financiamento na cultura da soja na safra 2000/2001, microrregião de Cornélio Procópio, norte do Paraná, mecanismo de mercado que surgiu em função da queda da disponibilidade de recursos oficiais. Descreve os pontos a serem ponderados pelo produtor em emitir tal título, realiza comparação de custo financeiro deste mecanismo em relação à obtenção de recursos via crédito oficial, Cédula de Produto Rural Financeira e Sistema de Trocas, bem como faz uma análise deste instrumento como alternativa de comercialização, correlacionando os valores obtidos nas CPR estudadas e o preço praticado pelo mercado na época de entrega do produto. O embasamento teórico, além de apresentar a fundamentação necessária para este trabalho, objetiva caracterizar as diferentes alternativas de financiamento. A pesquisa bibliográfica e entrevistas com pessoas que tiveram experiências práticas com o problema pesquisado sintetizam o procedimento metodológico utilizado. Os resultados obtidos mostram que quando considerado o custo de oportunidade do capital, juros, a alternativa mais vantajosa é o Custeio Oficial com juros de 8,75 % ao ano, seguido pela Cédula de Produto Rural Financeira - CPRF com custo entre 16,71 % e 20,61 % ao ano, Cédula de Produto Rural - CPR com juros entre 30,11 % e 42,38 % ao ano, e por fim o sistema de troca com juros embutidos entre 35,27 % e 52,65 % ao ano. Quando considerada a taxa de desconto, juros e taxa de aval, a melhor alternativa continuou sendo o Custeio Oficial, juros de 8,75 % ao ano, seguido pela CPRF com taxa de desconto entre 26,81 % e 31,73 % ao ano, Sistema de Troca com taxas entre 35,27 % e 52,65 % ao ano e a CPR com taxas entre 42,79 % e 53,31 % ao ano. As CPR emitidas em 30.08, 05.09, 04.12, 12.12 e 20.12.2000 além de alavancar recursos, apresentaram melhores preços que os praticados pelo mercado em seu vencimento, 30.04.2001, tendo, nas demais datas estudadas, preços inferiores aos praticados pelo mercado, evidenciando que a CPR pode ser utilizada como instrumento de comercialização, ponderado os fatores de tomada de decisão. A tomada de decisão pela emissão de uma CPR baseia-se na definição do objetivo a ser atingido, custo de produção da cultura e formação do preço do produto. Por fim conclui-se que os encargos financeiros embutidos pelos compradores na formação de preços têm constituído em elemento inibidor à formalização de CPR, ratificando o fato levantado por outros autores.

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Zannoni, Giorgia <1993&gt. "Sostenibilità e innovazione come variabili fondamentali per governare l'impresa: il caso CPR System." Master's Degree Thesis, Università Ca' Foscari Venezia, 2018. http://hdl.handle.net/10579/13383.

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L’elaborato si propone di illustrare il percorso verso uno sviluppo sostenibile dell’azienda CPR System, leader italiana nella produzione, movimentazione e riciclaggio d’imballi in plastica a sponde abbattibili per il settore ortofrutta e freschi. Il business dell’azienda è fortemente incentrato in un ottica di sostenibilità in tutte e tre le sue forme, economica, ambientale e sociale. L’attività dell’azienda è basata su un’economia circolare con assenza di rifiuti, l’evoluzione e la crescita della stessa nei suoi 20 anni di vita è da ricondurre ad una costante attenzione ai temi di sviluppo sostenibile. Dimostrazione dell’efficacia e dell’efficienza di un’azienda che ha i temi della sostenibilità permeati nel suo business e nella sua strategia.

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Andersson, Isabell. "Avancerad hjärt-lungräddning med mekaniska eller manuella kompressioner : Uppfattningar hos ambulanspersonal om kompetens, övning, patientrisk och överlevnad." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-126633.

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Study objectives: Examine ambulance personnel’s perceptions of skills / training and knowledge with regards to the existing mechanical / manual compressions and frequency of training during a work shift. Do ambulance personnel think that mechanical compressions increase survival? Are there concerns that the device could damage the patient? Design: A cross-sectional study, quantitative approach with qualitative elements was conducted. Methods: Questionnaire form, which was answered by 44 ambulance personnel in an ambulance organisation in Sweden. Participants were on a scale of 1-5 to select how they agree with the claims of the study form and also submit their own comments. The questions were compiled with SPSS 17.0. A content analysis was conducted of participants' comments. Results: Ambulance personnel believe that practice is necessary, but that in general this training is not carried out frequently enough. The training is not prioritised. Colleagues are overwhelmingly positive when spontaneous training is initiated. Better procedures and training materials mentioned as a factor strengthening conditions. It is considered equally important to have good knowledge of the performance of manual chest compressions, not relying solely on the mechanical ones. No one expressed any immediate concerns that mechanical chest compressions could cause damages, but stated that mechanical chest compressions do make a difference in a positive way in comparison to the manual ones. Conclusion: Exercise is not prioritized. Exercise routines should be reviewed. Availability of training material and its quality can be optimized. There is a need to identify attitudes to exercise and is important to find ways to create motivation and practice pleasure.

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Claesson, Andreas. "Lifesaving after cardiac arrest due to drowning. Characteristics and outcome." Doctoral thesis, Högskolan i Borås, Institutionen för Vårdvetenskap, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-3660.

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Aims The aim of this thesis was to describe out-of-hospital cardiac arrest (OHCA) due to drowning from the following angles. In Paper I: To describe the characteristics of OHCA due to drowning and evaluate factors of importance for survival. In Paper II: To describe lifesaving skills and CPR competence among surf lifeguards. In Paper III: To describe the characteristics of interventions performed by the Swedish fire and rescue services (SFARS) and evaluate survival with or without rescue diving units. In Paper IV: To describe the prevalence of possible confounders for death due to drowning. In Paper V: To describe changes in characteristics and survival over time and again to evaluate factors of importance for survival Methods Papers I and III-V are based on retrospective register data from the Swedish OHCA Register reported by Emergency Medical Service (EMS) clinicians between 1990-2011. In addition, in Paper III, the data have been analysed and compared with the SFARS database for rescue characteristics. In Paper IV, the data have been compared with those of the National Board of Forensic Medicine (NBFM). Paper II is a descriptive study of 40 surf lifeguards evaluating delay and CPR quality as peformed on a manikin. Results Survival in OHCA due to drowning is about 10% and does not differ significantly from OHCA with a cardiac aetiology. The proportion of witnessed cases was low. Survival appears to increase with a short EMS response time, i.e. early advanced life support. Surf lifeguards perform CPR with sustained high quality, independent of prior physical strain. In half of about 7,000 drowning calls, there was need for a water rescue by the fire and rescue services. Among the OHCA in which CPR was initiated, a majority were found floating on the surface. Rescue diving took place in a small percentage of all cases. Survival when using rescue divers did not differ significantly from drownings where rescue diving units were not used. No survivors were found after >15 minutes of submersion in warm water. After submersion in cold water, survival with a good neurological outcome was extended. Among 2,166 autopsied cases of drowning, more than half were judged as accidents and about one third as intentional suicide cases. Among accidents, 14% were found to have a cardiac aetiology, while the corresponding figure among suicides was 0%. In a 20-year follow-up of OHCA due to drowning in Sweden, both bystander CPR and early survival to hospital admission are increasing. The proportion of cases alive after one month has not changed significantly during the period. Conclusions Survival from OHCA due to drowning is low. A reduction in the EMS response time appears to have high priority, i.e. early ALS is important. The quality of CPR among surf lifeguards appear to be high and not affected by prior physical strain. In all treated OHCA cases, the majority were found at the surface and survival when rescue diving took place did not appear to be poorer than in non-rescue diving cases. In a minor proportion of cases, cardiac disease could be a confounder for death due to drowning. Bystander CPR in OHCA due to drowning has increased over a 20-year period and the proportion of early survivors to hospital admission is increasing. We speculate that our studies were underpowered with regard to the opportunity adequately to assess the effects of bystander CPR on survival to hospital discharge. A uniform Swedish definition of drowning based on the recommended international terms should be implemented throughout Swedish authorities and health care, in order to enhance the quality of data and improve the potential for future research.

Disputationen sker Fredagen den 20 September 2013, kl. 13.00 Sahlgrens aula, Blå stråket 5, Sahlgrenska universitetssjukhuset, Göteborg.

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König, Stefan. "Veränderung der Beinachse beim Einbau einer CPR-Kniegelenksendoprothese mit alleiniger Ausrichtung nach der Bandspannung." [S.l.] : [s.n.], 2005. http://deposit.ddb.de/cgi-bin/dokserv?idn=975646265.

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Smekal, David. "Safety with Mechanical Chest Compressions in CPR : Clinical studies with the LUCAS™ device." Doctoral thesis, Uppsala universitet, Anestesiologi och intensivvård, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-204069.

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Chest compressions in cardiopulmonary resuscitation are of utmost importance although not without a risk. Many injuries are described but the incidence of these is hard to define due to methodological differences. It is strenuous to perform chest compressions and therefore mechanical chest compressions have been looked upon with interest. This thesis presents new insights on the panorama and incidence of injuries in modern CPR and a comparison of safety and efficacy between manual chest compressions and mechanical chest compressions with the LUCAS™ device. We also evaluated if computed tomography could be an aid in the detection of these injuries. Two pilot trials were conducted and one presented no difference in early survival with 26% and 31% having return of spontaneous circulation when comparing manual chest compressions with the LUCAS device in out-of-hospital cardiac arrest. The other revealed no difference in autopsy-detected injuries. A third multicentre autopsy trial revealed that in patients treated with manual chest compressions 78.3% had at least one injury and 63.9% had at least one rib fracture. The corresponding numbers for patients treated with the LUCAS device was 92.8% (p = 0.002) and 77.7% (p=0.022). Sternal fractures occurred in 54.2% and in 58.3% of the cases treated with manual chest compressions and the LUCAS device respectively (p = 0.556). The median number of rib fractures was 7 in the group receiving manual chest compressions and 6 in the group receiving chest compressions with the LUCAS device. In 31 cases a computed tomography was conducted prior to autopsy and we found a very strong correlation in the discrimination of patients with or without rib fractures (kappa=0.83). Mean difference between the two methods in detecting rib fractures was 0.16. The detection of other injuries did not have a strong correlation. In conclusion there is no difference in early survival between the two methods and mechanical chest compressions adds 14-15% more patients with rib fractures but the amount of rib fractures, sternal fractures and other injuries is equal. CT can aid but not replace autopsies in the detection of these injuries.

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Blomberg, Hans. "Influence of The Education and Training of Prehospital Medical Crews on Measures of Performance and Patient Outcomes." Doctoral thesis, Uppsala universitet, Anestesiologi och intensivvård, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-192629.

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Prehospital care has developed dramatically the last decades with the implementation of new devices and educational concepts. Clinical decisions and treatments have moved out from the hospitals to the prehospital setting. In Sweden this has been accompanied by an increase in the level of competence, i.e. by introducing nurses in the ambulances. With some exceptions the scientific support for these changes is poor. This thesis deals with such changes in three different subsets of prehospital care: Cardiopulmonary resuscitation (CPR), the stroke chain of survival and trauma care. We assessed the performance of ambulance crews during CPR, using a mechanical compression device, as compared to CPR using manual compressions. There was a strikingly poor quality of compressions using the mechanical device compared to CPR with manual compressions. The result calls for caution when implementing a chest compression device in clinical practice and reinforce the importance of randomised controlled trials to evaluate new interventions. Careful attention should be given to the assurance of correct application of the device. Further implementation without evaluation of the quality of mechanical compressions in a clinical setting is discouraged. Among patients with a prehospital suspicion of stroke we analysed the ambulance nurses’ ability to select the correct patient subset eligible for a CT scan as a preparation for potential thrombolysis. The results do not support an implementation of a bypass of the emergency department, using ambulance nurse competence to select patients eligible and suitable for a CT scan without a preceding assessment by a physician. The association between the Prehospital Trauma Life Support (PHTLS) course and the outcome in victims of trauma was analysed in two observational studies. A study covering one county gave some support for a protective effect from PHTLS, but the estimate had a low precision. A nationwide study, covering all of Sweden, could not confirm those results. Although there was a reduction in mortality over time coinciding with the implementation of PHTLS, it did not appear to be associated with the implementation of PHTLS. Thus, we could not detect any clear beneficial impact of the PHTLS course on the outcome of trauma patients.

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McGovern, Meghan. "Real-Time Amplitude Spectral Area Analysis for the Optimization of Resuscitation in a Swine Model." Thesis, The University of Arizona, 2013. http://hdl.handle.net/10150/293643.

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The purpose of this study was to investigate a resuscitation algorithm that calculates the value of AMSA in real-time to direct the duration of post-shock chest compressions. We hypothesized that such an algorithm would shorten the time to achieve ROSC in swine. Swine were randomized into normal or infarcted myocardia and waveform guided or traditional resuscitation algorithm groups. VF was induced electrically and left untreated for 10minutes. Resuscitation was commenced with 1minute of compressions, resumption of mechanical ventilation, shock and epinephrine. In the traditional group, all shocks were followed by 2minutes of post-shock compressions. In the waveform guided group, AMSA was measured prior to shocks. If AMSA>20mV-Hz, post shock compression duration was shortened to 1minute.This study found that the waveform guided resuscitation algorithm to direct the duration of post-shock chest compressions had no significant effect on time to ROSC or AMSA values when compared to the traditional resuscitation algorithm.

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Sheedy, Erin. "Performing the Canadian "Mosaic": Juliette Gauthier, Florence Glenn, and the CPR Festivals of Quebec City." Thesis, Université d'Ottawa / University of Ottawa, 2014. http://hdl.handle.net/10393/31826.

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The Quebec City festivals of 1927 and 1928 represent a unique instance of close collaboration between prominent figures in Canadian musical and cultural history, John Murray Gibbon and Marius Barbeau. Based on Anglocentric concerns for a unique Canadian identity and corresponding school of composition, the festivals served as points of contact between many artists and performers, including Juliette Gauthier and Florence Glenn. An analysis of specific performances at the CPR festivals and over the course of Glenn and Gauthier’s respective careers showcase how racialized attitudes towards Indigenous populations, and the static conceptualization of French-Canadian folk culture were navigated to perform “Canadian folksong.”

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Hebert, Robin Lewis. "Initiation of In-hospital CPR: An Examination of Nursing Behaviour Within their Scope of Practice." Thesis, Université d'Ottawa / University of Ottawa, 2017. http://hdl.handle.net/10393/35804.

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Cardiopulmonary resuscitation (CPR) and defibrillation are the interventions performed by health care professionals in order to preserve the life of a patient suffering cardiac arrest. These tasks are important to the role of nurses because they are the most common first responders to in-hospital cardiac arrest scenarios. The early initiation of CPR and defibrillation is essential in increasing the likelihood of a patient surviving cardiac arrest. Despite possessing the knowledge, skills, training, and professional obligation to deploy CPR and defibrillation independently, nurses may hesitate to perform the appropriate actions in a timely manner. This topic has been studied previously; however, there have been no studies directly examining this issue in the Ontario context. This thesis explored the factors that influence the behaviour of nurses in the first responder role by employing a mixed-methods research design. The quantitative portion of the study consisted of a series of scales on an online survey that examined teamwork factors and nurses’ experience with CPR events. The qualitative part of the study consisted of open-ended questions on the survey as well as individual interviews with nurses to understand the barriers and enablers to the role of nurses in the enactment of basic life support (BLS). The qualitative data were analyzed with a modified grounded theory approach. The qualitative data analysis followed the guidelines developed by Charmaz (2006) and employed the conceptual framework on optimizing scopes of practice developed by the Canadian Academy of Health Sciences (2014) to extrapolate findings on the influence of nurses’ scope of practice on their behaviour. This study revealed a number of contextual factors in Ontario influencing nurses’ deployment of CPR and defibrillation including variations in hospital unit types, geography, workload, the availability and quality of technology, legislation and regulation, accountability, as well as economic constraints.

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Hansson, Lars, and Christina Granqvist-Westling. "Hjärt- och lungräddning eller inte - en etisk konflikt inom prehospital sjulvård." Thesis, University of Gävle, Department of Caring Sciences and Sociology, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-544.

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Sammanfattning

Syftet med studien var att beskriva och sammanställa befintlig forskning om de etiska konflikterna, som ambulanspersonal ställs inför i samband med HLR och att inventera om prehospitala HLR riktlinjer tar hänsyn till etiska aspekter på HLR. En litteraturstudie genomfördes där tretton vetenskapliga artiklar analyserades. Resultatet visade att etiska konflikter uppstod när det gällde ambulanspersonalens beslut om att påbörja HLR eller inte, på patienter som av litteraturen beskrevs som terminalt sjuka eller äldre terminalt sjuka patienter. Ibland kränkte ambulanspersonalen patienternas autonomi genom att påbörja HLR mot patienternas och de anhörigas vilja, trots att det existerade en Ej HLR önskan från patienterna och deras anhöriga. Den huvudsakliga orsaken till att sådana situationer uppstod var oklarheter i lagstiftningen omkring prehospitala HLR riktlinjer i USA och Kanada. Den motsatta situationen existerade också, där ambulanspersonalen påbörjade HLR av hänsyn till anhörigas vilja i frågan. I helhet visade ambulanspersonalen en vilja att respektera patientens autonomi i HLR frågan. Ambulanspersonalen i Nordamerika stödde antagandet av lagar som möjliggjorde prehospital Ej HLR, när det gällde terminalt sjuka och terminalt sjuka äldre.

Sökord : Etik, ambulanssjukvård, HLR, HLR- Riktlinjer och ambulanspersonal.

Abstract

The aim of this study was to describe exsisting research about the ethical conflicts, faced by paramedics surrounding the decision makeing in CPR and to determine the influence that prehospital CPR guidelines have on ethical issues regarding CPR. A litterature rewiew was conducted by analyzing thirteen scientific articles.The result showed that ethical conflicts appeared whithin paramedics decision, wheter to start or whithheld CPR in situations described by the litterature as patients that have a terminal illness or in elderly terminally ill patients. Sometimes paramedics violated the patients autonomi, when performing CPR despite the precense of a DNR wish from the patient and the patients family. The main reason that such situations occured was indistinct legalisation in prehospital CPR guidelines in USA and Canada.

The opposite situation also occured,were the paramedics initiated CPR in order to honour the wishes from the patients relatives. Overall paramedics showed a will to respect the patients autonomi in the CPR question. Paramedics in the Northen America supported prehospital guidlines statues allowing them to withheld CPR,under cirumstances initiating CPR in terminally ill and elder terminally ill patients.

Keywords : Ethics, Emergency medical services, CPR, CPR guidelines and Emergency medical technicians.

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Thomas, Ruth. "Test of a Smock System on CPR Primary Emergency Measures and Medical Errors During Simulated Emergencies." FIU Digital Commons, 2012. http://digitalcommons.fiu.edu/etd/759.

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Rates of survival of victims of sudden cardiac arrest (SCA) using cardio pulmonary resuscitation (CPR) have shown little improvement over the past three decades. Since registered nurses (RNs) comprise the largest group of healthcare providers in U.S. hospitals, it is essential that they are competent in performing the four primary measures (compression, ventilation, medication administration, and defibrillation) of CPR in order to improve survival rates of SCA patients. The purpose of this experimental study was to test a color-coded SMOCK system on:1) time to implement emergency patient care measures 2) technical skills performance 3) number of medical errors, and 4) team performance during simulated CPR exercises. The study sample was 260 RNs (M 40 years, SD=11.6) with work experience as an RN (M 7.25 years, SD=9.42).Nurses were allocated to a control or intervention arm consisting of 20 groups of 5-8 RNs per arm for a total of 130 RNs in each arm. Nurses in each study arm were given clinical scenarios requiring emergency CPR. Nurses in the intervention group wore different color labeled aprons (smocks) indicating their role assignment (medications, ventilation, compression, defibrillation, etc) on the code team during CPR. Findings indicated that the intervention using color-labeled smocks for pre-assigned roles had a significant effect on the time nurses started compressions (t=3.03, p=0.005), ventilations (t=2.86, p=0.004) and defibrillations (t=2.00, p=.05) when compared to the controls using the standard of care. In performing technical skills, nurses in the intervention groups performed compressions and ventilations significantly better than those in the control groups. The control groups made significantly (t=-2.61, p=0.013) more total errors (7.55 SD 1.54) than the intervention group (5.60, SD 1.90). There were no significant differences in team performance measures between the groups. Study findings indicate use of colored labeled smocks during CPR emergencies resulted in: shorter times to start emergency CPR; reduced errors; more technical skills completed successfully; and no differences in team performance.

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Olgac, Selvi. "Train more people to save more lives : Teaching Cardiopulmonary Resuscitation (CPR) in compulsory schools in Sweden." Thesis, Umeå universitet, Designhögskolan vid Umeå universitet, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-176294.

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Globally, out-of-hospital cardiac arrest (OHCA) occurs ranging between 20 to 140 per 100 000 people, with only 2-11% surviving. Immediate bystanders, i.e. a person close to the victim, performing Cardiopulmonary Resuscitation (CPR) have a vital role to play in the chain of survival from OHCA. Today CPR training takes place in many different contexts as workplaces and schools, but there is still a lack of knowledge concerning CPR in society at large. The overarching aim for this thesis is to find new ways of delivering CPR in order to train more laypeople and save more lives. By initially exploring CPR training in both workplaces and compulsory schools in Sweden, my final design question for this thesis has been: How might we empower the teachers to enable them to carry out CPR training at school? Ethnographic fieldwork both exploring CPR training in workplaces and schools including interviews with mainly instructors, teachers, and laypeople as well as participatory observations in CPR training, have been carried out. In addition, the fieldwork included being a participant in a CPR training course myself. The results from my research process were clustered into insights and potential opportunity areas. Departing from these insights a decision was made to continue the thesis with CPR training in schools as reaching out to children and young people already at school can open the path for more long-term sustainable knowledge. Despite CPR training being core content from year 7 in compulsory schools in Sweden, it is not carried out in a majority of them. My research shows that lack of CPR material as well as an unclear syllabus in Physical Education and Health in how to involve CPR in your teaching, are some of the main obstacles for teachers and reasons for why CPR training is not being carried out in every school today. Potential future scenarios were explored through creative workshops and idea sessions with the users and main stakeholders. The explorations led to focusing on the teachers, as they have a vital role in being the bridge between the CPR knowledge and the pupils. My final proposal is CiPRA: a collaborative CPR education platform for teachers and schools, with the aim to increase the knowledge and the conditions for teachers to carry out CPR training, starting already from six years of age. The structure of the platform follows the years of the Swedish school system and the recommended steps fromThe Swedish Resuscitation Council for CPR training and first aid. The platform enables teachers to plan and prepare CPR training, both long a short term irrespective of previous experience. The platform is based on three main parts; knowledge contributions from teachers, teaching content both through pre-made lessons and an idea bank as well as a shared booking system for practical CPR material. Together these parts unify in an individual lesson planning for every teacher. In my final design proposal, it has been important to emphasise the main insights as well as making sure that every involved stakeholder is represented.

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Sousa, Isabel Santos. "Gamifying autonomous CPR training." Master's thesis, 2019. https://hdl.handle.net/10216/124732.

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Sousa, Isabel Santos. "Gamifying autonomous CPR training." Dissertação, 2019. https://hdl.handle.net/10216/124732.

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Li, Yi-Ching, and 李怡青. "Effect of different CPR Intervention Programs on Knowledge ＆ Attitude of CPR among College Students." Thesis, 2005. http://ndltd.ncl.edu.tw/handle/60852286333721568769.

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碩士
高雄醫學大學
公共衛生學研究所碩士在職專班
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Objective To understand the change in specialty knowledge and attitude of university student toward CPR before and after they undertook two types of CPR training. Method The first year students of a southern university who obtained CPR rescuer cert on November, 2004 was chosen for this study. They were divided into study group and control group. This study is separated into survey and intervention portion: research equipment was according to aim and reference analysis. They were taken as the questionnaire and table for survey. Questionnaire were reviewed by 5 experts for validity and pretest validity. Each item K-R20 coefficient for trueor false question was .74, for alternative question was .88; Cronbach`s alpha coefficient for attitude was .74, unique within study. Results Participant accepted educational intervention training, expert knowledge was significantly higher than before intervention. The pre-test mean was 8.9, SD was .16; post-test mean 12.48, SD .16. With repeated measures two-way ANOVA , show significant difference for different group and without educational intervention .F value=416.13, P value =.00. Therefore, after different education intervention, participant expert knowledge get higher mark than before education intervention. In relative attitude. F value was 578.71, and P value was 0.00(<0.05). Experimental group the attitude change after educational intervention was significantly higher than the control group. That is the attitude was better than before. Conclusion and Suggestions Experimental group student after accept CPR training course, their expert knowledge improved significantly as compare to control group. Experimental group student after accept CPR training course, their attitude also improved significantly as compare to control group.. From test of expert knowledge, still some of the personnel stop technique thought at year 1992, thus we should promote the year 2000 version technique and education. Repeated training time interval should shorten as possible. It is better to have the CPR certification only valid for one year to ensure correct CPR procedure. The CPR training relative organization such as Red-Cross, should be aware that student technique only persist for a short time, aggressive repeated training is suggested. Most people dare not practice CPR, mainly because lack of confidence, legal problem and infectious disease. Thus suggest that to arrange one hour of correct CPR concept and build up their confidence. This study show that the result significantly improved after intervention training can provide for future university CPR post training evaluation.

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Fei, Yu-Shan, and 費聿山. "The CPR method in many electrons atomic structure." Thesis, 1994. http://ndltd.ncl.edu.tw/handle/49846006438974160589.

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