Analysis of out-of-hospital cardiac arrest in Croatia – survival, bystander cardiopulmonary resuscitation, and impact of physician’s experience on cardiac arrest management: a single center observational study

Aim To analyze the initial rhythm, bystander cardiopulmonary resuscitation (CPR) rate, and survival after out-of-hospital cardiac arrests (OHCA) in Varaždin County (Croatia), and to investigate whether physician’s inexperience in emergency medical services (EMS) has an impact on resuscitation management. Methods We reviewed clinical records and Revised Utstein cardiac arrest forms of all out-of-hospital resuscitations performed by EMS Varaždin (EMSVz), Croatia, from 2007-2013. To analyze the impact of physician’s inexperience in EMS (<1 year in EMS) on resuscitation management, we assessed physician’s turnover in EMSVz, as well as OHCA survival, airway management, and adherence to resuscitation guidelines in regard to physician’s EMS experience. Results Of 276 patients (median age 68 years, interquartile range [IQR] 16; 198 male; 37% ventricular fibrillation/ventricular tachycardia, bystander CPR rate 25%), 80 were transferred to hospital and 39 were discharged (median survival after discharge 23 months, IQR 46 months). During the 7-year study period, 29 newly graduated physicians inexperienced in EMS started to work in EMSVz (performing 77 resuscitations), while 48% of them stayed for less than one year. Airway management depended on physician’s EMS experience (P = 0.018): inexperienced physicians performed bag-valve-mask ventilation (BMV) more than the experienced, with no impact on survival rate. Physician’s EMS experience did not influence adherence to resuscitation guidelines (P = 0.668), survival to hospital discharge (P = 0.791), or survival time (P = 0.405). Conclusion OHCA survival rate of EMSVz resuscitations was higher than in Europe, but bystander CPR needs to be improved. Compared to experienced physicians, inexperienced physicians preferred BMV over intubation, but with similar adherence to resuscitation guidelines and survival after OHCA

INVESTIGATION ON THE EFFICIENCY OF THE SUPEROVULATION AND SUPEROVULATORY RESPONSE AND THE NUMBER OF RECOVERED EMBRYOS AND THE RESULTS OF THEIR TRANSFER IN COWS AND HEIFFERS

Istraživanja uspješnosti superovulacije i superovulacijskog odgovora te broja dobivenih zametaka kao i uspjeha transfera svježih i duboko zamrznutih i kasnije odmrznutih zametaka goveda izvodili smo u 35 plotkinja. Superovulacliju smo inducirali s pripravnicima SŽK (Folligonᴿ), odnosno FSH (Folltropinᴿ) u 27 plotkinja. Rezultate superovulacije i superovulacijski odgovor 7. dan poslije inducirane ovulacije i U.O. -a pratili smo rektalnom i ultrasonografskom pretragom jajnika (ALOHA ECHO CAMERA SSD-210, DX II s transrektalnom sondom od 5 MHz-a) te utvrdili 154 (ˉx = 5,70 ± 0,69) žutih tijela. U23 plotkinje isprali smo ukupno 15 zametaka, od kojih smo kao sposobne za transfer ocijenili 10 te smo jednoga odmah transferirali u odabranu primačicu. Ostalih 9 dubolo smo smrznuli pomoću aparata za smrzavanje zametaka (LE NICOOBAC MS 21). Nakon određenog vremena zametke smo odmrznuli i nakon ponovne ocjene 7 zametaka smo transferirali u 7 sinkroniziranih primačica. U 3 primačice pojavio se opet estrus 25. dan,u jedne 30. dan, a u 3 primačice 35. dana od prethodnog estrusa, dok smo u jedne 34. dan ultrazvučno utvrdili gravidnost.Investigations on the efficiency of the superovulation and superovulatory response and the number of recovered embryos and also the transfer results of fresh and cryopreserved/thawed bovine embryos were performed on 35 females. Superovulation was induced using PMSG (FolligonR) or FSH (FolltropinR) preparations in 27 females. The results of the superovulation and superovulatory respons on day 7 after induced ovulation and A.l. were followed up by rectal and ultrasonographic examinalion of the ovaries (ALOHA ECHO CAMERA SSD-210, DX ll with 5 MHz transrectal transducer) and 154 (ˉx = 5.70 ±0.69 ) corpora lutea were established. In 23 females a total of 15 embryos were received and 10 embryos were classified as transferable and then one embryo was instantly transferred into the selected recipient. The other 9 embryos were cryopreserved using freezing machine (LE NICOOBAC MS 21). After some time embryos were thawed and following classification 7 were transferred into 7 synchronized recipients. In 3 recipinets estrus reappeared after 25 days, in one after 30 days, and in 3 recipients 35 days after the previous estrus, whereas the pregrancy was ultrasonically established in one recipient on the 34th day

Overview and management of different post-COVID conditions

Coronavirus disease 2019 (COVID-19) pandemic resulted in global healthcare crises and strained health resources, both in the acute and chronic phase of the disease. Similarly to post-acute viral syndromes described in survivors of other virulent coronavirus epidemics, there are increasing reports of persistent and prolonged symptoms after acute COVID-19. These reports and studies have helped contribute to the recognition of post-COVID-19, a syndrome characterized by persistent symptoms and/or delayed or long-term complications beyond 4 weeks from the onset of symptoms. Here, we provide a comprehensive review of different manifestations of post-COVID conditions and propose a framework for the identification of patients at higher risk for post- COVID and their coordinated management through dedicated COVID-19 outpatient clinics

Overview and management of different post-COVID conditions

Coronavirus disease 2019 (COVID-19) pandemic resulted in global healthcare crises and strained health resources, both in the acute and chronic phase of the disease. Similarly to post-acute viral syndromes described in survivors of other virulent coronavirus epidemics, there are increasing reports of persistent and prolonged symptoms after acute COVID-19. These reports and studies have helped contribute to the recognition of post-COVID-19, a syndrome characterized by persistent symptoms and/or delayed or long-term complications beyond 4 weeks from the onset of symptoms. Here, we provide a comprehensive review of different manifestations of post-COVID conditions and propose a framework for the identification of patients at higher risk for post- COVID and their coordinated management through dedicated COVID-19 outpatient clinics

BIOCLIMATE, HEALTH STATUS AND WEIGHT GAIN IN FATTENING SWINE FED DIFFERENT DIETS

Istraživan je bioklimat u predtovu i tovu velike svinjogojske farme u području kontinentaine klime s alpskim utjecajem. Tijekom jedne godine po mjesecima praćeni su bioklimatski parametri: temperatura zraka, bzina strujanja zraka, relativna i apsolurna vlaga zraka, plinovi Co₂ i NH₃. Njihove najniže i najviše srednje vrijednosti prikazane su na slici 1, 2 i 3. U istraživanjima korišeni su trostruki križanci (švedski landras x veliki jorkšir x njemački landras). Opisana je ukratko tehnologija držanja i smještaja. Tijekom tova životinje su držane na prehrani kompletnim smjesama za predtov-tov. U prvom dijelu praćenja svinje,su hranjene tekućom hranom tijekom cijelog razdoblja, dok je u drugom dijelu praćenja, nakon rekonstrukcije objekata, u objekte uvedena oprema sistema "IBO". Nadalje, dat je prikaz proizvodnje tovljenika u razdoblju od 1975. do 1984. (slika 4) iz kojega se mogu vidjeti: prirast i konvenija hrane u kilogramima, prisilna klanja, ugibanja i gubitci u postotcima kao i početak i završetak rekonstukcije farme, te razdoblje provedene eradikacije dizenterije na farmi.Bioclimate studies were condusted in pre fattening and fattening units of a large swine farm, located in the continental climate zone influenced by alpine climate. Bioclimate parametres (air temperature, air speed, relative and absolute humidity, and gases CO₂ and NH₃) were monitored monthly during one year period. Minimal and average values were recorded. The management and housing technology of triple crossbreed (Swedish Landrace x Yorkshire x German Laandrace) is briefly described. During the fattening period the pigs were fed with complete pre fattening and fattening mixtures. In the first part of monitoring the pigs were fed with liquid feed. In the second part of monitoring, after the reconstruction of the facilities, they were fed the IBO system equipment. The results of production of fattening pigs in the period from 1975 to 1984 are also presented (growth rate and feed conversion, necessary slaughter, losses) as well as health status after the reconstruction of the farm and eradication of swine dysentery

Overview and management of different post-COVID conditions

Coronavirus disease 2019 (COVID-19) pandemic resulted in global healthcare crises and strained health resources, both in the acute and chronic phase of the disease. Similarly to post-acute viral syndromes described in survivors of other virulent coronavirus epidemics, there are increasing reports of persistent and prolonged symptoms after acute COVID-19. These reports and studies have helped contribute to the recognition of post-COVID-19, a syndrome characterized by persistent symptoms and/or delayed or long-term complications beyond 4 weeks from the onset of symptoms. Here, we provide a comprehensive review of different manifestations of post-COVID conditions and propose a framework for the identification of patients at higher risk for post- COVID and their coordinated management through dedicated COVID-19 outpatient clinics

Overview and management of different post-COVID conditions

Coronavirus disease 2019 (COVID-19) pandemic resulted in global healthcare crises and strained health resources, both in the acute and chronic phase of the disease. Similarly to post-acute viral syndromes described in survivors of other virulent coronavirus epidemics, there are increasing reports of persistent and prolonged symptoms after acute COVID-19. These reports and studies have helped contribute to the recognition of post-COVID-19, a syndrome characterized by persistent symptoms and/or delayed or long-term complications beyond 4 weeks from the onset of symptoms. Here, we provide a comprehensive review of different manifestations of post-COVID conditions and propose a framework for the identification of patients at higher risk for post- COVID and their coordinated management through dedicated COVID-19 outpatient clinics