Aims Out-of-hospital cardiac arrest (OHCA) without return of spontaneous circulation (ROSC) despite conventional resuscitation is common and has poor outcomes. Adding extracorporeal membrane oxygenation (ECMO) to cardiopulmonary resuscitation (extracorporeal-CPR) is increasingly used in an attempt to improve outcomes. Methods and results We analysed a prospective registry of 13 191 OHCAs in the Paris region from May 2011 to January 2018. We compared survival at hospital discharge with and without extracorporeal-CPR and identified factors associated with survival in patients given extracorporeal-CPR. Survival was 8% in 525 patients given extracorporeal-CPR and 9% in 12 666 patients given conventional-CPR (P = 0.91). By adjusted multivariate analysis, extracorporeal-CPR was not associated with hospital survival [odds ratio (OR), 1.3; 95% confidence interval (95% CI), 0.8–2.1; P = 0.24]. By conditional logistic regression with matching on a propensity score (including age, sex, occurrence at home, bystander CPR, initial rhythm, collapse-to-CPR time, duration of resuscitation, and ROSC), similar results were found (OR, 0.8; 95% CI, 0.5–1.3; P = 0.41). In the extracorporeal-CPR group, factors associated with hospital survival were initial shockable rhythm (OR, 3.9; 95% CI, 1.5–10.3; P = 0.005), transient ROSC before ECMO (OR, 2.3; 95% CI, 1.1–4.7; P = 0.03), and prehospital ECMO implantation (OR, 2.9; 95% CI, 1.5–5.9; P = 0.002). Conclusions In a population-based registry, 4% of OHCAs were treated with extracorporeal-CPR, which was not associated with increased hospital survival. Early ECMO implantation may improve outcomes. The initial rhythm and ROSC may help select patients for extracorporeal-CPR.

To correlate genetic and audiometric findings with a detailed radiologic analysis of the temporal bone in patients with enlarged vestibular aqueduct (EVA) to ascertain the contribution of SLC26A4 gene mutations to this phenotype. Design: A retrospective review of patients with EVA identified in a database of pediatric hearing-impaired patients. Setting: A tertiary care pediatric referral center. Patients: Seventy-one children with EVA and screening results for SLC26A4 mutations. Main Outcome Measures: Genetic screening results, audiometric thresholds, and radiographic temporal bone measurements. Results: Seventy-one children with EVA were screened for SLC26A4 mutations. Mutations were found in 27% of children overall, while only 8% had biallelic mutations. The mean initial pure-tone average (PTA) was 59 dB; the mean final PTA was 67 dB. A bilateral EVA was found in 48 (67%) of the children; a unilateral EVA was Author Affiliations are listed at the end of this article.

The study was carried out on children born over a 10 year period from 1981 (Arch Dis Child 1996; 74: 8-12)

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In this review we identify the key factors for the successful design of catalysts based on graphene derivatives for biomass conversion and suggest our perspective for the development of this field.

The attention of researchers is burgeoning toward oilseed press-cake valorization for its high protein content. Protein removal from oil-cakes generates large quantities of fibrous residue (oil-and-protein spent meal) as a byproduct, which currently has very limited practical utility. In the wake of increasing awareness in waste recycling, a simple environmentally benign hydrothermal carbonization process to convert this "end-of-pipe" waste (spent meal) into antioxidative, hemocompatible, fluorescent carbonaceous nanoparticles (FCDs) has been described. In the present investigation, an interesting application of FCDs in fabricating low-cost rapeseed protein-based fluorescent film, with improved antioxidant potential (17.5-19.3-fold) and thermal stability has been demonstrated. The nanocomposite film could also be used as forgery-proof packaging due to its photoluminescence property. For assessing the feasibility of antioxidative FCDs in real food systems, a comparative investigation was further undertaken to examine the effect of such nanocarbon-loaded composite film on the oxidative shelf life of rapeseed oil. Oil samples packed in nanocomposite film sachets showed significant delay in oxidative rancidity compared to those packed in pristine protein-film sachet (free fatty acids, peroxide value, and thiobarbituric acid-reactive substances reduced up to 1.4-, 2-, and 1.2-fold, respectively). The work presents a new concept of biobased fluorescent packaging and avenues for harnessing this potent waste.