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1.
Environ Pollut ; 345: 123455, 2024 Mar 15.
Article in English | MEDLINE | ID: mdl-38301818

ABSTRACT

Ordinary Portland cement (OPC) is a cost-effective and conventional binder that is widely adopted in brownfield site remediation and redevelopment. However, the substantial carbon dioxide emission during OPC production and the concerns about its undesirable retention capacity for potentially toxic elements strain this strategy. To tackle this objective, we herein tailored four alternative binders (calcium aluminate cement, OPC-activated ground-granulated blast-furnace slag (GGBFS), white-steel-slag activated GGBFS, and alkaline-activated GGBFS) for facilitating immobilization of high Pb content pyrite ash, with the perspectives of enhancing Pb retention and mitigating anthropogenic carbon dioxide emissions. The characterizations revealed that the incorporation of white steel slag efficiently benefits the activity of GGBFS, herein facilitating the hydration products (mainly ettringite and calcium silicate hydrates) precipitation and Pb immobilization. Further, we quantified the cradle-to-gate carbon footprint and cost analysis attributed to each binder-Pb contaminants system, finding that the application of these alternative binders could be pivotal in the envisaged carbon-neutral world if the growth of the OPC-free roadmap continues. The findings suggest that the synergistic use of recycled white steel slag and GGBFS can be proposed as a profitable and sustainable OPC-free candidate to facilitate the management of lead-contaminated brownfield sites. The overall results underscore the potential immobilization mechanisms of Pb in multiple OPC-free/substitution binder systems and highlight the urgent need to bridge the zero-emission insights to sustainable in-situ solidification/stabilization technologies.


Subject(s)
Carbon Dioxide , Coal Ash , Iron , Sulfides , Lead , Steel
2.
Colloids Surf B Biointerfaces ; 234: 113700, 2024 Feb.
Article in English | MEDLINE | ID: mdl-38104467

ABSTRACT

The industry transfer of laboratory-use magnetic separation is still hampered by the lack of suitable nanoparticles, both in terms of their features and large-scale availability. Surface Active Maghemite Nanoparticles (SAMNs) characterized by a unique surface chemistry, low environmental impact, scalable synthesis and functionalization were used to develop a bio-inspired lactoferrin (LF) recognition system. Based on the LF affinity for DNA, a self-assembly process was optimized for obtaining a SAMN@DNA hybrid displaying chemical and colloidal stability and LF specificity. SAMN@DNA was successfully tested for the affinity purification of LF from crude bovine whey. Advantages, such as high selectivity and loading capacity, nanoparticle re-usability, outstanding purity (96 ± 1%), preservation of protein conformation and short operational time, were highlighted. Finally, scalability was demonstrated by an automatic system performing continuous purification of LF from 100 liters day-1 of whey. This study responds to essential prerequisites, such as efficiency, re-usability and industrialization feasibility.


Subject(s)
Lactoferrin , Nanoparticles , Animals , Cattle , Ferric Compounds/chemistry , Nanoparticles/chemistry , DNA , Magnetic Iron Oxide Nanoparticles
3.
Biomolecules ; 13(12)2023 12 15.
Article in English | MEDLINE | ID: mdl-38136670

ABSTRACT

Protein-nanoparticle hybridization can ideally lead to novel biological entities characterized by emerging properties that can sensibly differ from those of the parent components. Herein, the effect of ionic strength on the biological functions of recombinant His-tagged spermine oxidase (i.e., SMOX) was studied for the first time. Moreover, SMOX was integrated into colloidal surface active maghemite nanoparticles (SAMNs) via direct self-assembly, leading to a biologically active nano-enzyme (i.e., SAMN@SMOX). The hybrid was subjected to an in-depth chemical-physical characterization, highlighting the fact that the protein structure was perfectly preserved. The catalytic activity of the nanostructured hybrid (SAMN@SMOX) was assessed by extracting the kinetics parameters using spermine as a substrate and compared to the soluble enzyme as a function of ionic strength. The results revealed that the catalytic function was dominated by electrostatic interactions and that they were drastically modified upon hybridization with colloidal ɣ-Fe2O3. The fact that the affinity of SMOX toward spermine was significantly higher for the nanohybrid at low salinity is noteworthy. The present study supports the vision of using protein-nanoparticle conjugation as a means to modulate biological functions.


Subject(s)
Nanoparticles , Oxidoreductases Acting on CH-NH Group Donors , Polyamine Oxidase , Spermine/metabolism , Static Electricity , Oxidoreductases Acting on CH-NH Group Donors/metabolism , Nanoparticles/chemistry
4.
J Hazard Mater ; 458: 131849, 2023 Sep 15.
Article in English | MEDLINE | ID: mdl-37393826

ABSTRACT

Identifying immobilization mechanisms of potentially toxic elements (PTEs) is of paramount importance in the field application of solidification/stabilization. Traditionally, demanding and extensive experiments are required to better access the underlying retention mechanisms, which are usually challenging to quantify and clarify precisely. Herein, we present a geochemical model with parametric fitting techniques to reveal the solidification/stabilization of Pb-rich pyrite ash through conventional (ordinary Portland cement) and alternative (calcium aluminate cement) binders. We found that ettringite and calcium silicate hydrates exhibit strong affinities for Pb at alkaline conditions. When the hydration products are unable to stabilize all the soluble Pb in the system, part of the soluble Pb may be immobilized as Pb(OH)2. At acidic and neutral conditions, hematite from pyrite ash and newly-formed ferrihydrite are the main controlling factors of Pb, coupled with anglesite and cerussite precipitation. Thus, this work provides a much-needed complement to this widely-applied solid waste remediation technique for the development of more sustainable mixture formulations.

5.
Int J Mol Sci ; 23(20)2022 Oct 12.
Article in English | MEDLINE | ID: mdl-36293026

ABSTRACT

Protein-nanoparticle hybrids represent entities characterized by emerging biological properties that can significantly differ from those of the parent components. Herein, bovine serum amine oxidase (i.e., BSAO) was immobilized onto a magnetic nanomaterial constituted of surface active maghemite nanoparticles (i.e., SAMNs, the core), surface-modified with tannic acid (i.e., TA, the shell), to produce a biologically active ternary hybrid (i.e., SAMN@TA@BSAO). In comparison with the native enzyme, the secondary structure of the immobilized BSAO responded to pH variations sensitively, resulting in a shift of its optimum activity from pH 7.2 to 5.0. Conversely, the native enzyme structure was not influenced by pH and its activity was affected at pH 5.0, i.e., in correspondence with the best performances of SAMN@TA@BSAO. Thus, an extensive NMR study was dedicated to the structure-function relationship of native BSAO, confirming that its low activity below pH 6.0 was ascribable to minimal structural modifications not detected by circular dichroism. The generation of cytotoxic products, such as aldehydes and H2O2, by the catalytic activity of SAMN@TA@BSAO on polyamine oxidation is envisaged as smart nanotherapy for tumor cells. The present study supports protein-nanoparticle conjugation as a key for the modulation of biological functions.


Subject(s)
Amine Oxidase (Copper-Containing) , Nanostructures , Hydrogen Peroxide , Nanostructures/chemistry , Polyamines , Tannins/chemistry , Iron , Oxidoreductases , Hydrogen-Ion Concentration , Aldehydes
6.
Environ Res ; 214(Pt 1): 113775, 2022 11.
Article in English | MEDLINE | ID: mdl-35830912

ABSTRACT

The solidification/stabilization of phosphogypsum using cemented paste backfill (OCPB) provides a low-cost and alternative in-situ technique for recycling phosphogypsum stockpiles. But the OCPB is far from obtaining steady states in which the pollutants would redistribute as a response to dynamic environmental conditions. Further, the associated chemical interactions and the mineralogy information of the solubility-controlling phases of contaminants (fluorine and phosphorus) have not been thoroughly studied or fully understood. In this study, a framework coupling the chemical, mineralogical, and morphological analyses is used to determine the fluoride and phosphate retention mechanisms of immobilized OCPB. Then the pH-dependent leaching tests and numerical simulation is applied as a useful tool to identify the minerals controlling stabilized OCPB leaching behavior. The overall findings proved that aluminate-rich calcium silicate hydrates play an essential role in fluoride and phosphate retention. Both experimental and simulational acid neutralization and leaching curves indicate that the cementitious matrix works as a strong buffering material ensuring high pH conditions that are necessary for fluorine and phosphorus retention. Although discrepancies were observed in absolute fluorine and phosphorus leaching values at highly acidic conditions, the simulations are able to describe highly amphoteric leaching behavior. The simulation suggests that the aluminum species and calcium phosphates governed the solubility of fluorine and phosphorus, respectively. The results of this work would have implications for predicting the leaching behavior of OCPB in detrimental and multiple environments.


Subject(s)
Fluorides , Fluorine , Calcium Sulfate , Phosphates , Phosphorus
7.
Pharmaceutics ; 13(8)2021 Aug 16.
Article in English | MEDLINE | ID: mdl-34452227

ABSTRACT

Protein kinase CK2 is largely involved in cell proliferation and apoptosis and is generally recognized as an Achilles' heel of cancer, being overexpressed in several malignancies. The beneficial effects of (-)-epigallocatechin-3-gallate (EGCG) in the prevention and treatment of several diseases, including cancer, have been widely reported. However, poor stability and limited bioavailability hinder the development of EGCG as an effective therapeutic agent. The combination of innovative nanomaterials and bioactive compounds into nanoparticle-based systems demonstrates the synergistic advantages of nanocomplexes as compared to the individual components. In the present study, we developed a self-assembled core-shell nanohybrid (SAMN@EGCG) combining EGCG and intrinsic dual-signal iron oxide nanoparticles (Surface Active Maghemite Nanoparticles). Interestingly, nano-immobilization on SAMNs protects EGCG from degradation, preventing its auto-oxidation. Most importantly, the nanohybrid was able to successfully deliver EGCG into cancer cells, displaying impressive protein kinase CK2 inhibition comparable to that obtained with the most specific CK2 inhibitor, CX-4945 (5.5 vs. 3 µM), thus promoting the phytochemical exploitation as a valuable alternative for cancer therapy. Finally, to assess the advantages offered by nano-immobilization, we tested SAMN@EGCG against Pseudomonas aeruginosa, a Gram-negative bacterium involved in severe lung infections. An improved antimicrobial effect with a drastic drop of MIC from 500 to 32.7 µM was shown.

8.
Chemosphere ; 283: 131211, 2021 Nov.
Article in English | MEDLINE | ID: mdl-34153913

ABSTRACT

The Stoppani factory manufactured chromium for more than one century, dumping millions of tons of Chromite Ore Processing Residues (COPRs) over decades. The massive presence of COPRs resulted in an intense CrVI leaching and consequent contamination of percolating groundwater. The site offers a unique opportunity to follow COPRs evolution from the primary roasting process to the aged Cr-bearing mineral phases. Herein, new insights on COPRs mineralogy evolution and their role in CrVI release are provided by a dry sample preparation protocol, coupled with in-depth multi-technique characterization. Besides typical COPRs mineral assemblages, highly soluble Na2CrO4 and the first evidence of crocoite (PbCrO4) in a COPR contaminated site are revealed. Selective extraction experiments confirmed a strong reactivity for Cr-bearing minerals as confirmed by concentrations as high as 375 mg L-1 of leached CrVI. The mineralogical approach was combined with a nanotechnological solution for CrVI wastewater remediation. The application of naked colloidal maghemite (γ-Fe2O3) nanoparticles (SAMNs) on the complex industrial wastewater, led to > 90% CrVI removal, either under acidic or in-situ conditions. The present case study of a highly polluted site, ranging from mineral characterization to wastewater remediation, highlights the use of multidisciplinary approaches to cope with complex environmental issues.


Subject(s)
Groundwater , Industrial Waste , Chromium/analysis , Industrial Waste/analysis , Minerals
9.
Int J Biol Macromol ; 165(Pt A): 701-712, 2020 Dec 15.
Article in English | MEDLINE | ID: mdl-33010276

ABSTRACT

Protein kinase CK2, a pleiotropic and constitutively active kinase, is strictly involved in different diseases, especially in cancer. Many efforts have been carried out to develop specific CK2 inhibitors and recently, it has been evidenced that ferulic acid (FA) represents a promising, albeit cell impermeable, CK2 inhibitor. In the present study, the potential of a nanotechnological approach to cope with intracellular CK2 regulation was explored. Surface-Active Maghemite Nanoparticles (SAMNs), coupling magnetism with photoluminescence, a new feature of SAMNs here described for the first time, were chosen as dual imaging nanocarrier for FA. The self-assembled nanodevice (SAMN@FA) displayed a significant CK2 inhibitory activity in vitro. Moreover, effective cellular internalization of SAMN@FA in cancer cells was proved by direct visualization of the photoluminescent nanocarrier by confocal microscopy and was corroborated by phosphorylation levels of endogenous CK2 targets. The proposed trimodal nanodevice, representing the first example of cellular CK2 nano-inhibition, paves the way for novel active nanocarriers as appealing theranostic tool for future biomedical applications.


Subject(s)
Casein Kinase II , Coumaric Acids , Drug Carriers , Nanoparticles , Neoplasm Proteins , Neoplasms , Protein Kinase Inhibitors , Casein Kinase II/antagonists & inhibitors , Casein Kinase II/metabolism , Coumaric Acids/chemistry , Coumaric Acids/pharmacokinetics , Coumaric Acids/pharmacology , Drug Carriers/chemistry , Drug Carriers/pharmacokinetics , Drug Carriers/pharmacology , HEK293 Cells , HeLa Cells , Humans , Nanoparticles/chemistry , Nanoparticles/therapeutic use , Neoplasm Proteins/antagonists & inhibitors , Neoplasm Proteins/metabolism , Neoplasms/drug therapy , Neoplasms/enzymology , Protein Kinase Inhibitors/chemistry , Protein Kinase Inhibitors/pharmacology
10.
Int J Biol Macromol ; 164: 1715-1728, 2020 Dec 01.
Article in English | MEDLINE | ID: mdl-32758605

ABSTRACT

The knowledge of protein-nanoparticle interplay is of crucial importance to predict the fate of nanomaterials in biological environments. Indeed, protein corona on nanomaterials is responsible for the physiological response of the organism, influencing cell processes, from transport to accumulation and toxicity. Herein, a comparison using four different proteins reveals the existence of patterned regions of carboxylic groups acting as recognition sites for naked iron oxide nanoparticles. Readily interacting proteins display a distinctive surface distribution of carboxylic groups, recalling the geometric shape of an ellipse. This is morphologically complementary to nanoparticles curvature and compatible with the topography of exposed FeIII sites laying on the nanomaterial surface. The recognition site, absent in non-interacting proteins, promotes the nanoparticle harboring and allows the formation of functional protein coronas. The present work envisages the possibility of predicting the composition and the biological properties of protein corona on metal oxide nanoparticles.


Subject(s)
Magnetic Iron Oxide Nanoparticles/chemistry , Protein Corona/chemistry , Ferric Compounds/chemistry , Membrane Proteins/metabolism , Metal Nanoparticles/chemistry , Nanoparticles/metabolism , Protein Binding/physiology , Surface Properties
11.
Sci Total Environ ; 741: 140175, 2020 Nov 01.
Article in English | MEDLINE | ID: mdl-32570065

ABSTRACT

Pristine ɣ-Fe2O3 nanoparticles, called surface active maghemite nanoparticles (SAMNs) display unprecedented colloidal stability and specific binding properties. Herein, the interactions of SAMNs with AsV and AsIII as surface molecular probes were comparatively studied. Thermodynamic and kinetic characterizations, along with chemical and structural analysis of SAMN@As complexes, evidenced two distinct binding modalities. Arsenite, emerged as an elective and specific ligand for SAMNs, whereas arsenate adsorption was more labile, pH dependent and ruled by different binding possibilities. In particular, AsIII oxyacid exclusively interacts through inner-sphere coordination occupying available surface crystal positions resembling a key-lock fitting, while AsV leads to both outer-sphere and inner-sphere complexes. Noteworthy, discrimination between AsV and AsIII was never reported for nanostructured maghemite evidencing the importance of synthetic route on surface properties of the nanomaterial. The present report, besides enriching the chemistry of nanosized iron oxides, suggests SAMNs application for the remediation of water contaminated by AsIII, the most threatening As species in water.

12.
Materials (Basel) ; 13(7)2020 Apr 10.
Article in English | MEDLINE | ID: mdl-32290055

ABSTRACT

Generally, enzyme immobilization on nanoparticles leads to nano-conjugates presenting partially preserved, or even absent, biological properties. Notwithstanding, recent research demonstrated that the coupling to nanomaterials can improve the activity of immobilized enzymes. Herein, xanthine oxidase (XO) was immobilized by self-assembly on peculiar naked iron oxide nanoparticles (surface active maghemite nanoparticles, SAMNs). The catalytic activity of the nanostructured conjugate (SAMN@XO) was assessed by optical spectroscopy and compared to the parent enzyme. SAMN@XO revealed improved catalytic features with respect to the parent enzyme and was applied for the electrochemical studies of xanthine. The present example supports the nascent knowledge concerning protein conjugation to nanoparticle as a means for the modulation of biological activity.

13.
Colloids Surf B Biointerfaces ; 191: 111019, 2020 Jul.
Article in English | MEDLINE | ID: mdl-32305623

ABSTRACT

Flumequine was nano-immobilized by self-assembly on iron oxide nanoparticles, called surface active maghemite nanoparticles (SAMNs). The binding process was studied and the resulting core-shell nanocarrier (SAMN@FLU) was structurally characterized evidencing a firmly immobilized organic canopy on which the fluorine atom of the antibiotic was exposed to the solvent. The antibiotic efficacy of the SAMN@FLU nanocarrier was tested on a fish pathogenic bacterium (Aeromonas veronii), a flumequine sensitive strain, in comparison to soluble flumequine and the minimum inhibitory concentration (MIC) and the minimum bactericidal concentration (MBC) were assessed. Noteworthy, the MIC and MBC of soluble and nanoparticle bound drug were superimposable. Moreover, the interactions between SAMN@FLU nanocarrrier and microorganism were studied by transmission electron microscopy evidencing the ability of the complex to disrupt the bacterial wall. Finally, a preliminary in vivo test was provided using Daphnia magna as animal model. SAMN@FLU was able to protect the crustacean from the fatal consequences of a bacterial infection and showed no sign of toxicity. Thus, in contrast with the strength of the interaction, nano-immobilized FLU displayed a fully preserved antimicrobial activity suggesting the crucial role of fluorine in the drug mechanism of action. Besides the importance for potential applications in aquaculture, the present study contributes to the nascent field of nanoantibiotics.


Subject(s)
Aeromonas veronii/drug effects , Anti-Bacterial Agents/pharmacology , Daphnia/drug effects , Fluoroquinolones/pharmacology , Magnetite Nanoparticles/chemistry , Animals , Anti-Bacterial Agents/chemistry , Daphnia/microbiology , Fluoroquinolones/chemistry , Microbial Sensitivity Tests , Molecular Structure
14.
Bioelectrochemistry ; 132: 107418, 2020 Apr.
Article in English | MEDLINE | ID: mdl-31835109

ABSTRACT

A shell of nanostructured ferric tannates was spontaneously developed on the surface of naked maghemite nanoparticles (SAMNs, the core) by a simple wet reaction with tannic acid (TA). The as obtained core-shell nanomaterial (SAMN@TA) displays specific electrocatalytic and surface properties, which significantly differ from parent maghemite. Thanks to the known proclivity of TA to interact with proteins, SAMN@TA was proposed as a support for the direct immobilization of an enzyme. A ternary functional nanobioconjugate (SAMN@TA@TvL) was successfully self-assembled by incubating laccase from Trametes versicolor (TvL) and SAMN@TA. The SAMN@TA@TvL hybrid was kinetically characterized with respect to the native enzyme and applied for building an easy-to-use analytical device for the detection of polyphenols. The electrochemical biosensor allowed the determination of polyphenols by square wave voltammetry in mixed water-methanol solutions. The system sensitivity was 868.9 ±â€¯1.9nA µM-1, the LOD was 81 nM and the linearity range was comprised between 100 nM and 10 µM. The proposed approach was successfully applied to detect phenolics in blueberry extracts as real samples. Results suggest that SAMN@TA could be a promising, low cost and versatile tool for the creation of nano-bio-conjugates aimed at the development of new electrochemical sensing platforms.


Subject(s)
Electrochemical Techniques/methods , Ferric Compounds/chemistry , Laccase/chemistry , Nanostructures/chemistry , Phenols/analysis , Catalysis
15.
Colloids Surf B Biointerfaces ; 181: 102-111, 2019 Sep 01.
Article in English | MEDLINE | ID: mdl-31125918

ABSTRACT

A category of naked maghemite nanoparticles (γ-Fe2O3), named surface active maghemite nanoparticles (SAMNs), is characterized by biological safety, high water colloidal stability and a surface chemistry permitting the binding of ligands. In the present study, the interaction between SAMNs and an antibiotic displaying chelating properties (oxytetracycline, OxyTC) was extensively structurally and magnetically characterized. OxyTC emerged as an ideal probe for providing insights into the colloidal properties of SAMNs. At the same time, SAMNs turned out as an elective tool for water remediation from OxyTC. Therefore, a dilute colloidal suspension of SAMNs was used for the removal of OxyTC in large volume tanks where, to simulate a real in situ application, a population of zebrafish (Danio rerio) was introduced. Interestingly, SAMNs led to the complete removal of the drug without any sign of toxicity for the animal model. Moreover, OxyTC immobilized on SAMNs surface resulted safe for sensitive Escherichia coli bacteria strain. Thus, SAMNs were able to recover the drug and to suppress its antibiotic activity envisaging their feasibility as competitive option for water remediation from OxyTC in more nature related scenarios. The present contribution stimulates the use of novel smart colloidal materials to cope with complex environmental issues.


Subject(s)
Anti-Bacterial Agents/pharmacology , Escherichia coli/drug effects , Magnetite Nanoparticles/chemistry , Oxytetracycline/pharmacology , Suspensions/chemistry , Animals , Anti-Bacterial Agents/chemistry , Colloids/chemistry , Microbial Sensitivity Tests , Oxytetracycline/chemistry , Particle Size , Surface Properties , Zebrafish
16.
Resuscitation ; 121: 71-75, 2017 12.
Article in English | MEDLINE | ID: mdl-28942011

ABSTRACT

PURPOSE: Basing on the relationship between the quality of cardiopulmonary resuscitation (CPR) and the responsiveness of VF to the defibrillation we aimed to assess whether the values of ETCO2 in the minute before defibrillation could predict the effectiveness of the shock. MATERIALS AND METHODS: We retrospectively evaluated the reports generated by the manual monitor/defibrillator (Corpuls by GS Elektromedizinische Geräte G. Stemple GmbH, Germany) used for cases of VF cardiac arrest from January 2015 to December 2016. The mean ETCO2 value of the minute preceding the shock (METCO260) was computed. A blind evaluation of the effectiveness of each shock was provided by three cardiologists. RESULTS: A total amount of 207 shocks were delivered for 62 patients. When considering the three tertiles of METCO260 (T1:METCO260 ≤ 20mmHg; T2: 20mmHg < METCO260 ≤ 31mmHg and T3: METCO260 > 31mmHg) a statistically significant difference between the percentages of shock success was found (T1: 50%; T2: 63%; T3: 78%; Chi square p=0.003; p for trend <0.001). When the METCO260 was lower than 7mmHg no shock was effective and when the METCO260 was higher than 45mmHg no shock was ineffective. Shocks followed by ROSC were preceded by higher values of METCO260 as compared either to ineffective shocks or effective ones without ROSC. CONCLUSIONS: This is the first demonstration of the relation between ETCO2 and defibrillation effectiveness. Our findings stress the pivotal role of High Quality CPR, monitored via ETCO2, and suggest ETCO2 monitoring as an additional weapon to guide defibrillation.


Subject(s)
Carbon Dioxide/analysis , Cardiopulmonary Resuscitation/methods , Electric Countershock/mortality , Out-of-Hospital Cardiac Arrest/therapy , Tidal Volume/physiology , Cardiopulmonary Resuscitation/mortality , Chi-Square Distribution , Electric Countershock/methods , Emergency Medical Services/methods , Female , Humans , Male , Out-of-Hospital Cardiac Arrest/mortality , Out-of-Hospital Cardiac Arrest/physiopathology , ROC Curve , Retrospective Studies , Time-to-Treatment , Ventricular Fibrillation
18.
Resuscitation ; 110: 12-17, 2017 01.
Article in English | MEDLINE | ID: mdl-27780740

ABSTRACT

PURPOSE: Early and good quality cardiopulmonary resuscitation (CPR) and the use of automated external defibrillators (AEDs) improve cardiac arrest patients' survival. However, AED peri- and post-shock/analysis pauses may reduce CPR effectiveness. METHODS: The time performance of 12 different commercially available AEDs was tested in a manikin based scenario; then the AEDs recordings from the same tested models following the clinical use both in Pavia and Ticino were analyzed to evaluate the post-shock and post-analysis time. RESULTS: None of the AEDs was able to complete the analysis and to charge the capacitors in less than 10s and the mean post-shock pause was 6.7±2.4s. For non-shockable rhythms, the mean analysis time was 10.3±2s and the mean post-analysis time was 6.2±2.2s. We analyzed 154 AED records [104 by Emergency Medical Service (EMS) rescuers; 50 by lay rescuers]. EMS rescuers were faster in resuming CPR than lay rescuers [5.3s (95%CI 5-5.7) vs 8.6s (95%CI 7.3-10). CONCLUSIONS: AEDs showed different performances that may reduce CPR quality mostly for those rescuers following AED instructions. Both technological improvements and better lay rescuers training might be needed.


Subject(s)
Cardiopulmonary Resuscitation , Defibrillators , Electric Countershock , Emergency Medical Services , First Aid , Out-of-Hospital Cardiac Arrest/therapy , Cardiopulmonary Resuscitation/instrumentation , Cardiopulmonary Resuscitation/methods , Cardiopulmonary Resuscitation/standards , Computer Simulation , Defibrillators/classification , Defibrillators/standards , Electric Countershock/instrumentation , Electric Countershock/methods , Emergency Medical Services/methods , Emergency Medical Services/standards , First Aid/instrumentation , First Aid/methods , First Aid/standards , Humans , Italy , Manikins , Materials Testing , Task Performance and Analysis , Time Factors , Time-to-Treatment
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