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International audiencePM10 particles were collected over three sites in France. The first one, Montagney was a rural site that was considered as a reference site. The second site Saclay, close to a highway, was used to study the influence of the traffic. The third site was Dunkerque, one of the most industrial areas in France for the production of steel, aluminium and petroleum refinement. More than 50 element concentrations were determined by instrumental neutron activation analysis and inductively coupled plasma–mass spectrometry. Comparisons between Saclay and Montagney shown that some elements, considered as crustal elements had similar concentration variations and weak (close to 1) enrichment factors. Elements with enrichment factors higher than 10 shown in Montagney correlated variations, with a Winter maximum, that should be due to Winter heating sources. Over Saclay, most of elements with high enrichment factors were attributed to the dense traffic of the highway. This is particularly true for Mn, Fe, Zn, Ba, Sb, Cu. Some additional elements correlated also, without a particular origin that can be ascertained. In Dunkerque, the most important industry is steel production. Correlation studies shown that Tl, Cs, Ba, Ag, Cu, Rb, Se, Mn, Pb concentration variations were closely associated to the Fe concentration variations. The second polluting industry is aluminium production. Correlation studies allowed to associate Ni, Y, Co, V, rare earth elements, Ti, Sr, Th, U, Ca, Sc, concentration variations to the aluminium concentration variations. A third important industry is petroleum refinement. The only element observed here and that is suspected to be emitted more specifically is La, used in cracking processes. An important enrichment of La with respect to Ce is observed. A strong decrease of the ratio Cl/Na was observed over the three sites, between the beginning of the experiment in Autumn 2005, and its end in Spring 2006. This was attributed to a release of gaseous HCl, produced by acidification of aerosols by other pollutants like NOx and SOx, that should have been oxidized to NO2 and SO3, then dissolved in the aerosols. The effects responsible for the loss of Cl, represents a large surface and long-term pollution event over the North of France. This work allowed a characterization of the heavy metal concentrations of the aerosol that will sustain results published in a companion paper, and that concerned the bio-accumulation of metals by Scleropodium purum, simultaneously exposed in the same sites

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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.

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