Out-of-Hospital Cardiac Arrest in the Eye of the Beholder and Emergency Medical Service

Lorka Tarnovski,1 Porin Šantek,1 Ivana Rožić,1 Đivo Čučević,2 Luka Matej Mahečić,3 Jana Marić,1 Josip Lovaković,4 Dejana Martinić,1 Fran Rašić,5 Žarko Rašić1,6 1Institute of Emergency Medicine of Zagreb, Zagreb, Croatia; 2Department of Anesthesiology and Intensive Care, University Hospital Centre Zagreb, Zagreb, Croatia; 3Department of Cardiology, University Hospital Merkur, Zagreb, Croatia; 4Department of Surgery, University Hospital Centre Zagreb, Zagreb, Croatia; 5Department of Obstetrics and Gynecology, University Hospital “Sveti Duh”, Zagreb, Croatia; 6Department of Surgery, University Hospital “Sveti Duh”, Zagreb, CroatiaCorrespondence: Josip Lovaković, Email [email protected]: Out-of-hospital cardiac arrest (OHCA) remains a global healthcare problem, with low survival and bystander cardiopulmonary resuscitation (CPR) rates. This study aimed to identify event-related factors in OHCA and their impact on return of spontaneous circulation (ROSC) achievement and maintenance until hospital admission.Patients and Methods: All data were collected from Utstein Resuscitation Registry Template for OHCA from The Institute of Emergency Medicine of Zagreb from January 2012 to August 2022. This cross-sectional research analyzed 2839 Utstein reports, including 2001 male, 836 female, and 8 subjects of unknown gender. The average age was 65.4 ± 16.2 years.Results: The most frequent place of collapse was private residence, and 27% of collapses were unwitnessed. Dispatcher-provided CPR instructions were provided in 39.7% of cases until the arrival of the emergency service team, which showed a very strong effect on bystander-provided CPR, and were followed in 68.4% of cases, while non-instructed bystander CPR was provided in only 7.9% of cases. Bystander CPR is more likely to be provided in public places than in private residences, often with both compression and ventilation. Bystander CPR was also more likely to be provided to men. Cases with bystander CPR, and compressions with ventilation compared to compression only CPR, showed a significantly greater success in maintaining ROSC later in CPR, both with moderate effects.Conclusion: Bystander CPR has been shown to have a significant role in achieving and maintaining ROSC until hospital admission. However, our results showed a location-dependent nature of bystanders’ willingness to perform CPR as well as sex disparities in patients receiving CPR. With deficient education in basic life support in Croatia, dispatchers need to insist on and instruct bystander CPR performance.Keywords: out-of-hospital cardiac arrest, cardiopulmonary resuscitation, emergency medical servic

Prevalencija gena za rezistenciju na meticilin i Panton-Valentine leukocidin u izolatima bakterije Staphylococcus aureus podrijetlom od goveda i ljudi.

Using the California Mastitis Test (CMT), on 46 highly productive dairy farms in Serbia, cows with milk secretion disorder were identified. Milk samples were taken from cows with positive CMT and from cows with clinical mastitis. Standard microbiological analysis of milk samples and API Staph confirmed the presence of 75 isolates of Staphylococcus aureus. Those 75 isolates, as well as 11 isolates of Staphylococcus aureus originating from humans were analyzed for the presence of genes encoding Panton-Valentine leukocidin (PVL) and PBP2A protein, responsible for methicillin resistance. The presence of gene encoding PVL was determined by PCR in 5 out of 75 (6.67%) and in 7 out of 11 (63.63%) bovine and human isolates of Staphylococcus aureus, respectively. The presence of the mecA gene was determined by PCR in 1 of 75 (1.33%) and in 2 of 11 (18.18%) bovine and human isolates of Staphylococcus aureus, respectively. The presence of the mecC gene was not determined in analyzed isolates. Further research is needed to investigate the genetic relationship between bovine and human Staphylococcus aureus isolates, to determine the exact impact of bovine Staphylococcus aureus strains from the cow udders on animal and public health.Uporabom kalifornijskog testa za upalu vimena na 46 visoko produktivnih mliječnih farmi u Srbiji identificirane su krave s poremećajem sekrecije mlijeka. Uzeti su uzorci mlijeka krava pozitivnih kalifornijskim testom i krava s kliničkim mastitisom. Standardnom mikrobiološkom pretragom uzoraka mlijeka i identifikacijom kompletom API Staph potvrđena je prisutnost 75 izolata bakterije Staphylococcus aureus. Tih 75 izolata, kao i 11 izolata te bakterije podrijetlom iz ljudi bili su analizirani lančanom reakcijom polimerazom na prisutnost gena koji kodiraju za Panton-Valentine leukocidin (PVL) i PBP2A protein odgovoran za meticilinsku rezistenciju. Prisutnost gena koji kodira za PVL dokazana je u pet od 75 (6,67%) izolata podrijetlom iz goveda i u sedam od 11 (63,63%) izolata podrijetlom iz ljudi. Prisutnost mecA gena dokazana je u jednog od 75 (1,33%) izolata podrijetlom iz goveda i u dva od 11 (18,18%) podrijetlom iz ljudi. Prisutnost mecC gena nije utvrđena u analiziranim izolatima. Potrebna su daljnja istraživanja kako bi se istražio odnos između izolata Staphylococcus aureus-a podrijetlom iz ljudi i iz goveda i odredio točan utjecaj sojeva vrste Staphylococcus aureus iz vimena krava na zdravlje životinja i zdravlje ljudi

Structural investigation of mechanically activated ZnO powder

Commercially available ZnO powder was mechanically activated in a planetary ball mill. In order to investigate the specific surface area, pore volume and microstructure of non-activated and mechanically activated ZnO powders the authors performed N-2 physisorption, SEM and TEM. Crystallite size and lattice microstrain were analyzed by X-ray diffraction method. XRD patterns indicate that peak intensities are getting lower and expend with activation time. The reduction in crystallite size and increasing of lattice microstrain with prolonged milling time were determined applying the Rietveld's method. The difference between non-activated and the activated powder has been also observed by X-ray photoelectron spectroscopy (XPS). XPS is used for investigating the chemical bonding of ZnO powder by analyzing the energy of photoelectrons. The lattice vibration spectra were obtained using Raman spectroscopy. In Raman spectra some changes along with atypical resonant scattering were noticed, which were caused by mechanical activation

Core commitments for field trials of gene drive organisms

This is the author accepted manuscript. The final version is available from the American Association for the Advancement of Science via the DOI in this record Gene drive organisms (GDOs), whose genomes have been genetically engineered to spread a desired allele through a population, have the potential to transform the way societies address a wide range of daunting public health and environmental challenges. The development, testing, and release of GDOs, however, are complex and often controversial. A key challenge is to clarify the appropriate roles of developers and others actively engaged in work with GDOs in decision-making processes, and, in particular, how to establish partnerships with relevant authorities and other stakeholders. Several members of the gene drive community previously proposed safeguards for laboratory experiments with GDOs (1) that, in the absence of national or international guidelines, were considered essential for responsible laboratory work to proceed. Now, with GDO development advancing in laboratories (2–5), we envision similar safeguards for the potential next step: ecologically and/or genetically confined field trials to further assess the performance of GDOs. A GDO's propensity to spread necessitates well-developed criteria for field trials to assess its potential impacts (6). We, as a multidisciplinary group of GDO developers, ecologists, conservation biologists, and experts in social science, ethics, and policy, outline commitments below that we deem critical for responsible conduct of a field trial and to ensure that these technologies, if they are introduced, serve the public interest.British AcademyBritish Academ

Fifth European Dirofilaria and Angiostrongylus Days (FiEDAD) 2016

Peer reviewe

Improved reference genome of Aedes aegypti informs arbovirus vector control

Female Aedes aegypti mosquitoes infect more than 400 million people each year with dangerous viral pathogens including dengue, yellow fever, Zika and chikungunya. Progress in understanding the biology of mosquitoes and developing the tools to fight them has been slowed by the lack of a high-quality genome assembly. Here we combine diverse technologies to produce the markedly improved, fully re-annotated AaegL5 genome assembly, and demonstrate how it accelerates mosquito science. We anchored physical and cytogenetic maps, doubled the number of known chemosensory ionotropic receptors that guide mosquitoes to human hosts and egg-laying sites, provided further insight into the size and composition of the sex-determining M locus, and revealed copy-number variation among glutathione S-transferase genes that are important for insecticide resistance. Using high-resolution quantitative trait locus and population genomic analyses, we mapped new candidates for dengue vector competence and insecticide resistance. AaegL5 will catalyse new biological insights and intervention strategies to fight this deadly disease vector

Population genomics reveals that an anthropophilic population of Aedes aegypti\textit{Aedes aegypti} mosquitoes in West Africa recently gave rise to American and Asian populations of this major disease vector

$\textbf{BACKGROUND}$: The mosquito $\textit{Aedes aegypti}$ is the main vector of dengue, Zika, chikungunya and yellow fever viruses. This major disease vector is thought to have arisen when the African subspecies $\textit{Ae. aegypti}$ formosus evolved from being zoophilic and living in forest habitats into a form that specialises on humans and resides near human population centres. The resulting domestic subspecies, $\textit{Ae. aegypti aegypti}$, is found throughout the tropics and largely blood-feeds on humans. $\textbf{RESULTS}$: To understand this transition, we have sequenced the exomes of mosquitoes collected from five populations from around the world. We found that $\textit{Ae. aegypti}$ specimens from an urban population in Senegal in West Africa were more closely related to populations in Mexico and Sri Lanka than they were to a nearby forest population. We estimate that the populations in Senegal and Mexico split just a few hundred years ago, and we found no evidence of $\textit{Ae. aegypti aegypti}$ mosquitoes migrating back to Africa from elsewhere in the tropics. The out-of-Africa migration was accompanied by a dramatic reduction in effective population size, resulting in a loss of genetic diversity and rare genetic variants. $\textbf{CONCLUSIONS}$: We conclude that a domestic population of $\textit{Ae. aegypti}$ in Senegal and domestic populations on other continents are more closely related to each other than to other African populations. This suggests that an ancestral population of $\textit{Ae. aegypti }$evolved to become a human specialist in Africa, giving rise to the subspecies $\textit{Ae. aegypti aegypti}$. The descendants of this population are still found in West Africa today, and the rest of the world was colonised when mosquitoes from this population migrated out of Africa. This is the first report of an African population of Ae. aegypti aegypti mosquitoes that is closely related to Asian and American populations. As the two subspecies differ in their ability to vector disease, their existence side by side in West Africa may have important implications for disease transmission.This work was funded by European Research Council grant Drosophila Infection 281668 to FMJ, a KAUST AEA award to FMJ and AP, a Medical Research Council Centenary Award to WJP and a National Institutes of Health Ruth L. Kirschstein National Research Service Award to JC

Improved reference genome of Aedes aegypti informs arbovirus vector control

Female Aedes aegypti mosquitoes infect more than 400 million people each year with dangerous viral pathogens including dengue, yellow fever, Zika and chikungunya. Progress in understanding the biology of mosquitoes and developing the tools to fight them has been slowed by the lack of a high-quality genome assembly. Here we combine diverse technologies to produce the markedly improved, fully re-annotated AaegL5 genome assembly, and demonstrate how it accelerates mosquito science. We anchored physical and cytogenetic maps, doubled the number of known chemosensory ionotropic receptors that guide mosquitoes to human hosts and egg-laying sites, provided further insight into the size and composition of the sex-determining M locus, and revealed copy-number variation among glutathione S-transferase genes that are important for insecticide resistance. Using high-resolution quantitative trait locus and population genomic analyses, we mapped new candidates for dengue vector competence and insecticide resistance. AaegL5 will catalyse new biological insights and intervention strategies to fight this deadly disease vector