Autoresuscitation (Lazarus phenomenon) after termination of cardiopulmonary resuscitation - a scoping review.

Autoresuscitation describes the return of spontaneous circulation after termination of resuscitation (TOR) following cardiac arrest (CA). We aimed to identify phenomena that may lead to autoresuscitation and to provide guidance to reduce the likelihood of it occurring. We conducted a literature search (Google Scholar, MEDLINE, PubMed) and a scoping review according to PRISMA-ScR guidelines of autoresuscitation cases where patients undergoing CPR recovered circulation spontaneously after TOR with the following criteria: 1) CA from any cause; 2) CPR for any length of time; 3) A point was reached when it was felt that the patient had died; 4) Staff declared the patient dead and stood back. No further interventions took place; 5) Later, vital signs were observed. 6) Vital signs were sustained for more than a few seconds, such that staff had to resume active care. Sixty-five patients with ROSC after TOR were identified in 53 articles (1982-2018), 18 (28%) made a full recovery. Almost a third made a full recovery after autoresuscitation. The following reasons for and recommendations to avoid autoresuscitation can be proposed: 1) In asystole with no reversible causes, resuscitation efforts should be continued for at least 20 min; 2) CPR should not be abandoned immediately after unsuccessful defibrillation, as transient asystole can occur after defibrillation; 3) Excessive ventilation during CPR may cause hyperinflation and should be avoided; 4) In refractory CA, resuscitation should not be terminated in the presence of any potentially-treatable cardiac rhythm; 5) After TOR, the casualty should be observed continuously and ECG monitored for at least 10 min

Sucrose as a Feeding Deterrent for Fruit-Eating Birds

Economic losses due to bird damage to small fruits such as blueberries, grapes, and cherries can be very high and are expected to increase in the future. The primary sugars in these fruits are glucose and fructose. Sucrose is present in very low concentrations only. Our research has unveiled a physiological trait common to many fruit-eating species in the phylogenetically related families Muscicapidae, Mirnidae, and Sturnidae. These birds are unable to digest sucrose because they lack the intestinal enzyme sucrase which hydrolyzes sucrose into glucose and fructose prior to absorption. In cage tests these birds prefer glucose and fructose to sucrose solutions and reject concentrated sucrose solutions and artificial gel fruits made with sucrose. Is it reasonable and feasible to attempt development of high-sucrose cultivars with the goal of deterring birds in fruit crops? Variation in the proportion of sucrose in mature fruits is present among strawberry, cherry, and blueberry cultivars. Consequently, genetic resources are available to develop high-sucrose cultivars through traditional breeding practices or bioengineering. We suggest that major fm i t-depredating species, such as American robins and European starlings, will avoid eating high-sucrose fruits in an agricultural setting provided that (1) sucrose concentration in these fruits is sufficiently high, (2) there is alternate food available, and (3) high-sucrose fruits are planted in relatively large stands. Despite the obvious need for more data, we believe that increasing the sucrose content of small-berried fruits is a promising direction in integrated pest management research that can result in substantial reductions in bird damage

One Hundred Years Later: Stern-Gerlach Experiment and Dimension Witnesses

Inspired by the one-hundredth anniversary of the seminal works of Stern and Gerlach, our contribution is a proposal of how to use their famous experiment in a more contemporary perspective. Our main idea is to re-cast the experiment in the modern language of prepare-and-measure scenarios. By doing so, it is possible to connect geometric and algebraic aspects of the space of states with the physical space. We also discuss possible simulations of the SG experiment as well as some experimental properties of the experiment revealed at the statistical level. Merging a more modern perspective with a paradigmatic experiment, we hope this paper can serve as an entry door for quantum information theory and the foundations of quantum mechanics.Comment: 23 pages, 6 figures. Minor adjustments, according to referee suggestion

Bupivacaine concentrations in the lumbar cerebrospinal fluid of patients during spinal anaesthesia

Background Data on bupivacaine concentrations in the cerebral spinal fluid (CSF) during spinal anaesthesia are scarce. The purpose of this study was to determine the concentration of bupivacaine in the lumbar CSF of patients with an adequate level of spinal anaesthesia after injection of plain bupivacaine 0.5%. Methods Sixty patients with an adequate level of spinal block after standardized administration of plain bupivacaine 20 mg in men and of 17.5 mg in women were studied. To measure the CSF bupivacaine concentration, we performed a second lumbar spinal puncture and obtained a CSF sample at a randomized time point 5-45 min after the bupivacaine injection. In addition, we calculated the half-life of bupivacaine in the CSF and tested the hypothesis that the level of spinal block is related to the lumbar CSF bupivacaine concentration. Results Men and women had CSF bupivacaine concentrations ranging from 95.4 to 773.0 µg ml−1 (median 242.4 µg ml−1) and from 25.9 to 781.0 µg ml−1 (median 187.6 µg ml−1), respectively. The large variability of bupivacaine concentrations obtained at similar times after subarachnoid administration made calculation of a meaningful half-life of bupivacaine in CSF impossible. There was no association between CSF bupivacaine concentration and spinal block level, and CSF bupivacaine concentrations for the same spinal block level differed between patients by six-fold. Conclusions There is a large variability of CSF bupivacaine concentrations in patients with an adequate level of spinal anaesthesi

Variations in air quality of new Ohio dairy facilities with natural ventilation systems

As dairy operations evolve towards larger, concentrated facilities, air quality on and around the dairy farms becomes a concern. Data on air quality in and around large dairy facilities are insufficient and therefore very much needed. In this study, preliminary data on air quality spatial distribution and temporal variations on two new large dairy facilities with naturally ventilated free stall barns and outside manure storage were collected. Concentration of hydrogen sulfide (H2S) and ammonia (NH3) at 12 to 14 locations on each farm were measured in three seasons using portable gas analyzers. Odor samples were collected at odor sources, upwind and downwind locations. Dust was measured using a portable dust mass concentration meter Gas levels inside the dairy buildings at one leeward location were continuously monitored for three days in two seasons. In addition, indoor and outdoor temperature, relative humidity, and air velocity were measured to determine effects of these parameters on air quality. The study found that manure storage ponds have the most effect on air quality during warm and hot seasons. Variations of air quality inside the dairy building were insignificant. Inside the dairy buildings, the average dust mass concentrations range from 0.9 to 1.5 mg m(-3); ammonia 1.4 to 3 ppm, hydrogen sulfide 2 to 32 ppb; and odor concentration 90 to 140 OU m(-3). However at the downwind berm of the manure storage ponds, odor concentration reached 1256 OU/m(3) during the hot weather months. Weather conditions also affected the outdoor dispersion of air emissions. Most of the time, gas levels at 152 m downwind of the barn and manure storage were similar to upwind levels, but on hot and windy days these levels reached a point high enough to raise concerns. Inside the building, the hydrogen sulfide concentrations were not significantly different from hour to hour within a day or from day to day within a season. Although daily variation of mean ammonia concentrations were significantly different, hourly mean ammonia concentrations were not significantly different between morning hours and afternoon hours within any given day

Energy Deposition Studies for Possible Innovative Phase II Collimator Designs

Due to the known limitations of Phase I LHC collimators in stable physics conditions, the LHC collimation system will be complemented by additional 30 Phase II collimators. The Phase II collimation system is designed to improve cleaning efficiency and to minimize the collimator-induced impedance with the main function of protecting the Super Conducting (SC) magnets from quenching due to beam particle losses. To fulfil these requirements, different possible innovative collimation designs were taken in consideration. Advanced jaw materials, including new composite materials (e.g. Cu–Diamond), jaw SiC insertions, coating foil, in-jaw instrumentation (e.g. BPM) and improved mechanical robustness of the jaw are the main features of these new promising Phase II collimator designs developed at CERN. The FLUKA Monte Carlo code is extensively used to evaluate the behavior of these collimators in the most radioactive areas of LHC, supporting the mechanical integration. These studies aim to identify the possible critical points along the IR7 line

Characterization of the Subsurface of 67P/Churyumov-Gerasimenko's Abydos Site

We investigate the structure of the subsurface of the Abydos site using a cometary nucleus model with parameters adapted to comet 67P/Churyumov-Gerasimenko and the Abydos landing site. We aim to compare the production rates derived from our model with those of the main molecules measured by Ptolemy. This will allow us to retrieve the depths at which the different molecules still exist in solid form

Direct Integration of Micromachined Pipettes in a Flow Channel for Single DNA Molecule Study by Optical Tweezers

We have developed a micromachined flow cell consisting of a flow channel integrated with micropipettes. The flow cell is used in combination with an optical trap setup (optical tweezers) to study mechanical and structural properties of λ-DNA molecules. The flow cell was realized using silicon micromachining including the so-called buried channel technology to fabricate the micropipettes, the wet etching of glass to create the flow channel,\ud and the powder blasting of glass to make the fluid connections. The volume of the flow cell is 2 µl. The pipettes have a length of 130 m, a width of 5–10 µm, a round opening of 1 um and can be processed with different shapes. Using this flow cell we stretched single molecules (λ-DNA) showing typical force-extension curves also found with conventional techniques. These pipettes can be\ud also used for drug delivery, for injection of small gas bubbles into a liquid flow to monitor the streamlines, and for the mixing of liquids to study diffusion effects. The paper describes the design, the fabrication and testing of the flow cell

Searches for Stable Strangelets in Ordinary Matter: Overview and a Recent Example

Our knowledge on the possible existence in nature of stable exotic particles depends solely upon experimental observation. Guided by this general principle and motivated by theoretical hypotheses on the existence of stable particles of strange quark matter, a variety of experimental searches have been performed. We provide an introduction to the theoretical hypotheses, an overview of the past searches, and a more detailed description of a recent search for helium-like strangelets in the Earth's atmosphere using a sensitive laser spectroscopy method

Effect of a Cold Margin on Ice Flow at the Terminus of Storglaciaren, Sweden: Implications for Sediment Transfer

The cold-based termini of polythermal glaciers are usually assumed to adhere strongly to an immobile substrate and thereby supply significant resistance to the flow of warm-based ice upglacier. This compressive environment is commonly thought to uplift basal sediment to the surface of the glacier by folding and thrust faulting. We present model and field evidence from the terminus of Storglaciaren, Sweden, showing that the cold margin provides limited resistance to flow from up-glacier. Ice temperatures indicate that basal freezing occurs in this zone at 10−1 –10−2 ma−1, but model results indicate that basal motion at rates greater than 1ma−1 must, nevertheless, persist there for surface and basal velocities to be consistent with measurements. Estimated longitudinal compressive stresses of 20– 25 kPa within the terminus further indicate that basal resistance offered by the cold-based terminus is small. These results indicate that where polythermal glaciers are underlain by unlithified sediments, ice-flow trajectories and sediment transport pathways may be affected by subglacial topography and hydrology more than by the basal thermal regime