Background: Heart attack, or cardiac arrest, became a leading cause of death after the turn of the century. Defibrillation is one of the most important medical advances of the twentieth century. Defibrillation is a critical step in the treatment of cardiac arrest as it can be the only way to restore a normal heart rhythm and save the life of the individual. However, it is important to note that defibrillation is only effective if it is performed quickly and in conjunction with other life-saving measures such as cardiopulmonary resuscitation (CPR). The history of cardiac defibrillation therapy is long and fascinating, spanning several centuries, many countries and continents. Objective: The aim of this article was to provide historical information about technical and scientific advances in cardiac devices and the development of today defibrillators. Methods: Review of the available literature, historical data, personal contacts, others and personal experience in this field. Discussion: In 1947, Beck published the first paper describing open chest defibrillation of the human heart. Ten years later, Kouwenhoven demonstrated that the heart could be defibrillated through a closed chest. The first external defibrillator weighed 120 kg and delivered 500 v of alternating current (AC) potential. The mere size of the defibrillator restricted its use to surgical suites or other areas hospital locations. In many cases, cardiac arrhythmias recurred. This was thought to be related to the amount of energy used to defibrillate the heart which it was believed caused myocardial damage. These factors limited the practical application of defibrillators. By 1956, a unit was built that could be wheeled into the emergency room, plugged into a wall outlet, and deliver 1000 volts. By 1962, Lown realized that AC current resulted in a high frequency of cardiac arrhythmias and cardiac damage. A direct current (DC) defibrillator, consisting of a battery, a capacitor to store energy, and a transformer was developed. The therapy spread from operating rooms to coronary care units and emergency departments and in the late 1960s left the hospital and started appearing on mobile intensive care units. The first portable EMS defibrillators (used by paramedics) emerged in the early 1970s. In 1980 the automatic implantable cardioverter-defibrillator was invented. Automated external defibrillators began appearing in the late 1980s allowing the therapy to be delivered by EMTs and lay people. The ‘father’ of the modern automated external defibrillator (AED), Professor James Francis (1916-2004) was a physician and cardiologist from Northern Ireland who transformed emergency medicine and paramedic services with the invention of the portable defibrillator. Conclusion: Defibrillators are critical resuscitation devices. The use of reliable defibrillators has led to more effective treatments and improved patient safety through better control and management of complications during Cardiopulmonary Resuscitation (CPR). The 75th anniversary of the world’s first successful human cardiac defibrillation represents the landmark event that defined the future of cardiovascular medicine and ushered in a new era of advanced cardiac life support.

Introduction Acute psychotic disorders are increasingly being diagnosed in people addicted to PASA part of these patients develops chronic psychotic disorders for reasons that still insufficently known. Objectives The aim of the study was to determine preventive potential of antipsychotics in the development of chronic psychotic disorders as well as possible side effects of theur use. Methods The prospective retrospective qualitative study conducted in the period Septmeber 2017-September 2022.Data from medical records and electronic databases were used in the study.A structured questionnare for conductin research,a clinnical psychatic inteview,MMPI 202,tests to determine of ilegal PAS in body flluids. Results According to the results of the study adequate treatment of the underlying desease,fewer or complete abscence of relapses,social and psychoteraapeutic support had the greater effects.In the group of opiate addicts an adequate dose of supstitution therapy it often played a crucial role. Conclusions In experimental conditions the hypotesis about the preventive effect of antipsychotics on the development of psychotic disorders in peoplle addicted to PAS.On the contrary a whole series of new questions has beenopened. Disclosure of Interest None Declared

Brassica oleracea var. acephala (kale) is a worldwide known vegetable plant, known for its heavy metal accumulation abilities. This study analyzed the phytoremediation potential of domestic BiH kale varieties, grown in a controlled environment and with different concentrations of Cadmium (Cd). Cd is a known pollutant found in small concentrations in soil under normal environmental conditions. Real-Time PCR was used to analyze the gene expression activity of Cd heavy metal correlated genes (MAPK2 and NRAMP6). The root analysis assay confirmed shorter root length after Cd treatment, confirming severe Cd impact on plant cell growth, implying shorter growth in roots in all treated kales. Gene expression results showed that Cd triggers the expression of MAPK2 and NRAMP6 suggesting their significant involvement in Cd metabolizing processes. Based on the combined results, kale from the Stolac region is found to be the most resistant variety, while the only hybrid kale, accumulates the most Cd suggesting its phytoremediation potential.

Introduction: Obtaining, understanding, interpreting, and acting on health information enables people with diabetes to engage and make health decisions in various contexts. Hence, inadequate health literacy (HL) could pose a problem in making self-care decisions and in self-management for diabetes. By applying multidimensional instruments to assess HL, it is possible to differentiate domains of functional, communicative, and critical HL. Objectives: Primarily, this study aimed to measure the prevalence of inadequate HL among type 2 diabetes mellitus patients and to analyze the predictors influencing health literacy levels. Secondly, we analyzed if different self-reported measures, unidimensional instruments (Brief Health Literacy instruments (BRIEF-4 and abbreviated version BRIEF-3), and multidimensional instruments (Functional, Communicative and Critical health literacy instrument (FCCHL)) have the same findings. Methods: The cross-sectional study was conducted within one primary care institution in Serbia between March and September 2021. Data were collected through Serbian versions of BRIEF-4, BRIEF-3, and FCCHL-SR12. A chi-square test, Fisher’s exact test, and simple logistic regression were used to measure the association between the associated factors and health literacy level. Multivariate analyses were performed with significant predictors from univariate analyses. Results: Overall, 350 patients participated in the study. They were primarily males (55.4%) and had a mean age of 61.5 years (SD = 10.5), ranging from 31 to 82 years. The prevalence of inadequate HL was estimated to be 42.2% (FCCHL-SR12), 36.9% (BRIEF-3) and 33.8% (BRIEF-4). There are variations in the assessment of marginal and adequate HL by different instruments. The highest association was shown between BRIEF-3 and total FCCHL-SR12 score (0.204, p < 0.01). The total FCCHL-SR12 score correlates better with the abbreviated BRIEF instrument (BRIEF-3) than with BRIEF-4 (0.190, p < 0.01). All instruments indicated the highest levels for the communicative HL domain and the lowest for the functional HL domain with significant difference in functional HL between the functional HL of FCCHL-SR12 and both BRIEF-3 and BRIEF-4 (p = 0.006 and 0.008, respectively). Depending on applied instruments, we identified several variables (sociodemographic, access to health-related information, empowerment-related indicators, type of therapy, and frequency of drug administration) that could significantly predict inadequate HL. Probability of inadequate HL increased with older age, fewer children, lower education level, and higher consumption of alcohol. Only high education was associated with a lower probability of inadequate HL for all three instruments. Conclusions: The results we obtained indicate that patients in our study may have been more functionally illiterate, but differences between functional level could be observed if assessed by unidimensional and multidimensional instruments. The proportion of patients with inadequate HL is approximately similar as assessed by all three instruments. According to the association between HL and educational level in DMT2 patients we should investigate methods of further improvement.

The microservices architectural style has been increasingly adopted in recent years due to its advantageous characteristics. While there exist design patterns for microservices that are theoretically beneficial for ensuring performance (and anti-patterns that should be avoided), they do not always lead to the expected impact. Some designs are solutions for achieving quality properties other than performance, and while they might be categorized as anti-patterns in theory, their influence on system performance can be minimal, depending on the context. Architects find it hard to reason about these trade-offs and the impact that design decisions will have on performance before implementing them. To solve this problem, in this paper, we propose an approach that enables rapid evaluation of high-level architectural models by combining both static and dynamic analysis. The static analysis identifies the design anti-patterns that are known to hinder system performance and guides the architect in reasoning about these design decisions. The approach then generates source code for the system under study based on the architectural design model for a subsequent dynamic analysis to assess whether the statically detected anti-patterns do indeed have a negative effect on the performance of the analyzed system.

Various synthetic and natural antioxidants are used to reduce oxidation and its negative impact on the oil during the food frying process. Considering that some studies show the negative impact of synthetic antioxidants on the health of consumers, natural alternatives are being used more and more. BHA and BHT are synthetic antioxidants that are widely used in the food industryand a large number of natural compounds such as phenols, anthocyanins, flavonoids, vitamins, etc. show antioxidant properties. In this study, the antioxidant capacity of oregano and rosemary essential oil was tested and compared with the antioxidant capacity of BHA and BHT. The antioxidant capacity was evaluated by the removal of DPPH radicals and by iron reduction (FRAP). The results of this study showed that the studied essential oils exhibited antioxidant capacity. These oils have a high antioxidant capacity, however, compared to synthetic antioxidants, they show a significantly lower antioxidant capacity but they can be used as natural antioxidants during food processing. KEYWORDS:antioxidant capacity; essential oils; synthetic antioxidants; lipidoxidation

To present a 29‐year‐old immunocompetent patient with neurosyphilitic changes characterized by multiple acute ischemic brain strokes along with significant narrowing of several large intracranial arteries. Ceftriaxone treatment for 14 days followed by benzathine benzylpenicillin weekly for additional 3 weeks, showed improvement in meningovascular changes.

Abstract Addressing the existing gap between currently available mitigation strategies for greenhouse gas emissions associated with ordinary Portland cement production and the 2050 carbon neutrality goal represents a significant challenge. In order to bridge this gap, one potential option is the direct gaseous sequestration and storage of anthropogenic CO2 in concrete through forced carbonate mineralization in both the cementing minerals and their aggregates. To better clarify the potential strategic benefits of these processes, here, we apply an integrated correlative time- and space-resolved Raman microscopy and indentation approach to investigate the underlying mechanisms and chemomechanics of cement carbonation over time scales ranging from the first few hours to several days using bicarbonate-substituted alite as a model system. In these reactions, the carbonation of transient disordered calcium hydroxide particles at the hydration site leads to the formation of a series of calcium carbonate polymorphs including disordered calcium carbonate, ikaite, vaterite, and calcite, which serve as nucleation sites for the formation of a calcium carbonate/calcium-silicate-hydrate (C-S-H) composite, and the subsequent acceleration of the curing process. The results from these studies reveal that in contrast to late-stage cement carbonation processes, these early stage (precure) out-of-equilibrium carbonation reactions do not compromise the material's structural integrity, while allowing significant quantities of CO2 (up to 15 w%) to be incorporated into the cementing matrix. The out-of-equilibrium carbonation of hydrating clinker thus provides an avenue for reducing the environmental footprint of cementitious materials via the uptake and long-term storage of anthropogenic CO2.

The adoption of autonomous cars requires operational critical functions even in the event of HW faults and/or SW defects, and protection of safety-critical functions against security threats. Defining appropriate safe and secure architectures is challenging and costly. In previous work, we have proposed tools to automate the recommendation of safety and security patterns for safety-critical systems. However, safety and security measures may (negatively) influence system performance, besides introducing additional development effort. We present a design space exploration approach, a model-based engineering workflow and tool prototype for automated guidance on trade-off decisions when applying safety and security patterns on a given (unsafe) baseline architecture. Based on models that abstract the vehicle’s functionality and its software and hardware components, as well as an engine for the automated pattern recommendation, we investigate the optimization of HW/SW deployments, and provide a trade-off analysis for different architecture candidates. We implemented our approach in an open-source tool and evaluate it with a model of the Apollo autonomous driving platform.

Industrial control systems are undergoing a trans-formation driven by business requirements as well as technical advances, aiming towards increased connectivity, flexibility and high level of modularity, that implies a need to revise existing cybersecurity measures. Access control, being one of the major security mechanisms in any system, is largely affected by these advances.In this article we investigate access control enforcement architectures, aiming at the principle of least privilege1 in dynamically changing access control scenarios of dynamic manufacturing systems. Several approaches for permission delegation of dynamic access control policy decisions are described. We present an implementation using the most promising combination of architecture and delegation mechanism for which available industrial standards are applicable.

In the current era of mobile communications and next-generation networks, mobility analysis has a key role in guaranteeing the quality of service/experience in the available services. Although a vast amount of work has analyzed mobility from both analytic and stochastic points of view, much of it has focused on a time-based analysis and disregarded spectral features. In this article, we propose a method of analyzing the main features of mobility traces in the frequency domain and determining the possible relationships between typical mobility grades (in terms of average and maximum speed) and the required sampling frequencies. The collection and storage of mobility pattern samples when they are not required is impractical, and therefore, we attempt to demonstrate how mobility can be sampled to avoid information loss or oversampling (many works in the literature are based on a default sampling period of 1 s). The work also contributes with the proposal of a closed form for relating the sampling period and average moving speed with the spectral components. We conducted numerous simulations to confirm that, compared with classical sampling approaches that provide static behavior, it is possible to obtain a gain of about 35%–65% in the collected samples, with a negligible loss of accuracy in the reconstructed signal.