Effect of gender on out-of-hospital cardiac arrest survival: a registry-based study.

OBJECTIVE: The aim of the study was to compare outcomes after out-of-hospital cardiac arrest (OHCA) between comparable female and male OHCA cohorts in a large nationwide registry. METHODS: This was a national multicentre retrospective, case-control propensity score-matched study based on French National Cardiac Arrest Registry data from 1 July 2011 to 21 September 2017. Female and male survival rates at D30 were compared. RESULTS: At baseline 66 395 OHCA victims were included, of which 34.3% were women. At hospital admission, survival was 18.2% for female patients and 20.2% for male patients [odds ratio (OR), 1.138 (1.092-1.185)]; at 30 days, survival was 4.3 and 5.9%, respectively [OR, 1.290 (1.191-1.500)]. After matching (14 051 patients within each group), female patients received less advanced life support by mobile medical team (MMT), they also had a longer no-flow duration and shorter resuscitation effort by MMT than male patients. However, 15.3% of female patients vs. 9.1% of male patients were alive at hospital admission [OR, 0.557 (0.517-0.599)] and 3.2 vs. 2.6% at D30 [OR, 0.801 (0.697-0.921)], with no statistically significant difference in neurological outcome [OR, 0.966 (0.664-1.407)]. CONCLUSIONS: In this large nationwide matched OHCA study, female patients had a better chance of survival with no significant difference in neurological outcome. We also noticed that female patients received delayed care with a shorter resuscitation effort compared to men; these complex issues warrant further specific investigation. Encouraging bystanders to act as quickly as possible and medical teams to care for female patients in the same way as male patients should increase survival rates.

Toxicity of iron nanoparticles towards primary cultures of human bronchial epithelial cells.

Air pollution is a public health issue and the toxicity of ambient particulate matter (PM) is well-recognized. Although it does not mostly contribute to the total mass of PM, increasing evidence indicates that the ultrafine fraction has generally a greater toxicity than the others do. A better knowledge of the underlying mechanisms involved in the pathological disorders related to nanoparticles (NPs) remains essential. Hence, the goal of this study was to determine better whether the exposure to a relatively low dose of well-characterized iron-rich NPs (Fe-NPs) might alter some critical toxicological endpoints in a relevant primary culture model of human bronchial epithelial cells (HBECs). We sought to use Fe-NPs representative of those frequently found in the industrial smokes of metallurgical industries. After having noticed the effective internalization of Fe-NPs, oxidative, inflammatory, DNA repair, and apoptotic endpoints were investigated within HBECs, mainly through transcriptional screening. Taken together, these results revealed that, despite it only produced relatively low levels of reactive oxygen species without any significant oxidative damage, low-dose Fe-NPs quickly significantly deregulated the transcription of some target genes closely involved in the proinflammatory response. Although this inflammatory process seemed to stay under control over time in case of this acute scenario of exposure, the future study of its evolution after a scenario of repeated exposure could be very interesting to evaluate the toxicity of Fe-NPs better.

Heavy metal bioaccumulation by the bryophyte Scleropodium purum at three French sites under various influences: rural conditions, traffic, and industry.

An active biomonitoring of the heavy metals pollution experiment was undertaken by means of the bryophyte species Scleropodium purum transplanted at three different sites exposed to rural, traffic, or industrial influences. Concentrations of about 40 elements in S. purum were determined by instrumental neutron activation analysis and inductively coupled plasma mass spectrometry. Accumulation rates of heavy metals were determined in the three sites. These accumulation rates in polluted sites were matched together and also to those recorded at the rural site. The changes of the accumulation rate of heavy metals in S. purum versus their concentrations in PM(10) particles simultaneously collected above show some different accumulation properties of S. purum according to elements and sites. S. purum has a weak efficiency in the three sites to accumulate elements like V, Cr, Cu, Zn, As, Se, Sb, and Pb originating from atmospheric hot sources generally enriched in particulates matter (PM(10)), whereas it is particularly high for Br, Th, and Rb. For other elements, Co, La, Ce, and Hf, and rare earth elements, Fe, Sr, Nb, Ti, Al, and Sc, the collection efficiency by S. purum is intermediate. In the industrial site Dunkerque, a magnification of the collection efficiency by S. purum for elements originating from steel and aluminum productions and petroleum refinement suggests that these metals could be enriched in coarse particles with a better accumulation by the bryophyte with respect to PM10.

White clover nodulation index in heavy metal contaminated soils- a potential bioindicator.

The morphological effects of heavy metal stress on the nodulation ability of Rhizobium spp. and growth of white clover (Trifolium repens L.) were studied in the laboratory under controlled conditions. Fourteen topsoils were collected from an area with elevated metal concentrations (Cd, Zn, and Pb). White clover was cultivated using a specialized "rhizotron" method to observe the development of root and nodule characteristics. Results show effects of increasing heavy metal concentrations on nodulation development, especially the nodulation index (i.e., the number of nodules per gram of the total fresh biomass). A significant decrease in nodulation index was observed at about 2.64 mg Cd kg(-1), 300 mg Zn kg(-1), and 130 mg Pb kg(-1) in these soils. The sensitivity of the nodulation index in relation to other morphological characteristics is discussed further. It is proposed that the nodulation index of white clover is a suitable bioindicator of increased heavy metal concentrations in soil.

Seasonal variations of cadmium and zinc in Arrhenatherum elatius, a perennial grass species from highly contaminated soils.

There is interest in studying bioaccumulation in plants because they form the base of the food chain as well as their potential use in phytoextraction. From this viewpoint, our study deals with the seasonal variation, from January to July, of Cd and Zn bioaccumulation in three metallicolous populations of Arrhenatherum elatius, a perennial grass with a high biomass production. In heavily polluted soils, while Zn bioaccumulation is weak, A. elatius accumulates more Cd than reported gramineous plants, with concentration of up to 100 microg g(-1). Our results also showed seasonal variations of bioaccumulation, underlying the necessity for in situ studies to specify the date of sampling and also the phenology of the collected plant sample. In our experimental conditions, accumulation is lower in June, leading us to the hypothesis of restriction in heavy metals translocation from roots to aerial parts during seed production.

Patterns of metal soil contamination and changes in terrestrial cryptogamic communities.

Correlations between terricolous bryophyte- and lichen- vegetation and edaphic parameters (pH, organic matter, nitrogen, Carbon/nitrogen ratio, Cation Exchange Capacity, and Cd, Pb and Zn soil contents) of soils submitted to a gradient of metal contamination in northern France were performed using statistical analysis. Six classes can be distinguished according to the low-, intermediate- and high-trace metal levels respectively, leading to the conclusion that bryophyte- and lichen-groupings have a strong bioindicative value of the heavy metal pollution of soils.