Prospective Evaluation of Cardiopulmonary Resuscitation Performed in Dogs and Cats According to the RECOVER Guidelines. Part 1: Prognostic Factors According to Utstein-Style Reporting.

Factors associated with positive cardiopulmonary resuscitation (CPR) outcomes defined according to the veterinary Utstein-style CPR reporting guidelines have not been described since implementation of the Reassessment Campaign on Veterinary Resuscitation (RECOVER) CPR clinical guidelines in 2012. The aims of this study were to assess factors associated with positive CPR outcomes at a U.S. veterinary teaching hospital, to re-evaluate these factors since implementation of the RECOVER guidelines compared to reported factors prior to their publication, and to identify potential additional factors since guideline publication. One-hundred and seventy-two dogs and 47 cats that experienced cardiopulmonary arrest (CPA) and had CPR performed were prospectively included in this observational study. Supervising clinicians were asked to complete a data form on CPR events immediately following completion of CPR efforts. Multivariable logistic regression was used to evaluate the effect of twenty hospital, animal, and arrest variables on the three patient outcomes "any return of spontaneous circulation (ROSC)," "sustained ROSC," and survival to hospital discharge. Cats had significantly higher odds to achieve any ROSC [OR (95%CI) 2.72 (1.12-6.61), p = 0.028] and survive to hospital discharge than dogs [OR (95%CI) 4.87 (1.52-15.58), p = 0.008]. Patients had significantly lower odds of achieving any ROSC if CPA occurred during nighttime hours [OR (95%CI) nighttime = 0.52 (0.27-0.98), p = 0.043], and higher odds if CPA was witnessed [OR (95%CI) 3.45 (1.57-7.55), p = 0.002], if less people were involved in CPR efforts [OR (95%CI) 0.8 (0.66-0.96), p = 0.016], if pulses were palpable during CPR [OR (95%CI) 9.27 (4.16-20.63), p < 0.0005], and if an IV catheter was already in place at the time of CPA [OR (95%CI) 5.07 (2.12-12.07), p = 0.0003]. Odds for survival to hospital discharge were significantly higher if less people were involved in CPR efforts [OR (95%CI) 0.65 (0.46-0.91), p = 0.013] and for patients of the anesthesia service [OR (95%CI) 14.82 (3.91-56.17), p = 0.00007]. Overall, factors associated with improved CPR outcomes have remained similar since incorporation of RECOVER guidelines into daily practice. Witnessed CPA events and high-quality CPR interventions were associated with positive patient outcomes, emphasizing the importance of timely recognition and initiation of CPR efforts. An optimal CPR team size has yet to be determined

Emotional Intelligence in Academic Library Leadership

Recent research by Peter Hernon and Nancy Rossiter (in press) analyzed the extent to which desired traits listed in current job advertisements for library directors correspond with the five components of emotional intelligence (EI) identified by psychologist Daniel Goleman (i.e. self-awareness, self-regulation, motivation, empathy, and social skill.) The research of Hernon and Rossiter also examined the level of importance that current library directors themselves ascribed to those traits found in the ads. This study quantifies the extent to which the ninety-six traits listed by Hernon and Rossiter are likewise described as desirable by the authors represented in five published collections of essays on library leadership. It identifies additional desired traits referred to in the essays and which did not appear in the Hernon/Rossiter lists, quantifies the extent to which these appear in the essays, and then examines whether or not the additional traits fit the emotional intelligence schema. This study also compares the top five rated traits in each set of rankings, identifies the highest and lowest ranked traits across both sets based on an average number of all points given per trait, ranks each component of emotional intelligence based on the average number of points given to traits associated with each component, and concludes that in spite of only moderate correspondence between the rankings from the current study and the Hernon-Rossiter study, the overall high correspondence of many of the desired traits identified in the essays with the components of EI makes the Goleman theory of emotional intelligence a relevant tool for characterizing effective library leaders. The study concludes first by suggesting a valuable report on the findings that could be made to decision makers in an academic library setting, and then by considering topics on emotional intelligence and on library leadership worthy of future research

HELIN Annual Conference Opening Remarks (2014)

In the thirtieth anniversary year of the Higher Education Library & Information Network (HELIN), Rhode Island\u27s primary academic library consortium, the chairman of the HELIN Board of Directors reflects on thirty years of progress in librarianship, the timelessness of its core principles, and the conviction that consortium collaborations are key to the continuing success of libraries

Increased sclerostin associated with stress fracture of the third metacarpal bone in the Thoroughbred Racehorse

Abstract Objectives: The exact aetiopathogenesis of microdamage induced long bone fractures remains unknown. These fractures are likely the result of inadequate bone remodeling in response to damage. This study aims to identifiesy an association of osteocyte apoptosis, the presence of osteocytic osteolysis and any alterations in sclerostin expression with fracture of the third metacarpal bone of (Mc-III) thoroughbred (TB) racehorses. Methods: 30 Mc-III bones were obtained; 10 from bones fractured during racing, 10 from the contralateral limb and 10 from control horses. Each Mc- III bone was divided into fracture site, condyle, condylar groove and sagittal ridge. Microcracks and diffuse microdamage were quantified. Apoptotic osteocytes were measured using TUNEL staining. Cathepsin K, matrix metalloproteinase -13 (MMP-13), HtrA1 and sclerostin expression was analysed. of apoptotic cells between contralateral limb and unraced control, however, there were significantly less apoptotic cells in fractured samples (p<0.02). Immunohistochemistry showed that in the deep zones of the fractured samples sclerostin expression was significantly higher (p<0.03) of the total number of osteocytes. No increase in cathepsin K, MMP-13 or HtrA1 was present

Extremely asymmetrical scattering in gratings with varying mean structural parameters

Extremely asymmetrical scattering (EAS) is an unusual type of Bragg scattering in slanted periodic gratings with the scattered wave (the +1 diffracted order) propagating parallel to the grating boundaries. Here, a unique and strong sensitivity of EAS to small stepwise variations of mean structural parameters at the grating boundaries is predicted theoretically (by means of approximate and rigorous analyses) for bulk TE electromagnetic waves and slab optical modes of arbitrary polarization in holographic (for bulk waves) and corrugation (for slab modes) gratings. The predicted effects are explained using one of the main physical reasons for EAS--the diffractional divergence of the scattered wave (similar to divergence of a laser beam). The approximate method of analysis is based on this understanding of the role of the divergence of the scattered wave, while the rigorous analysis uses the enhanced T-matrix algorithm. The effect of small and large stepwise variations of the mean permittivity at the grating boundaries is analysed. Two distinctly different and unusual patterns of EAS are predicted in the cases of wide and narrow (compared to a critical width) gratings. Comparison between the approximate and rigorous theories is carried out.Comment: 16 pages, 5 figure