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BackgroundTo date cardiac arrest (CA) remains a frequent cause of morbidity and mortality: despite advances in cardiopulmonary resuscitation (CPR), survival is still burdened by hypoxic–ischemic brain injury (HIBI), and poor neurological outcome, eventually leading to withdrawal of life sustaining treatment (WLST). The aim of CPR is cardiac pump support to preserve organ perfusion, until normal cardiac function is restored. However, clinical parameters of target organ end-perfusion during CPR, particularly brain perfusion, are still to be identified. In this context, electroencephalography (EEG) and its derivatives, such as processed EEG, could be used to assess brain function during CA. ObjectivesWe aimed to review literature regarding the feasibility of EEG and processed or raw EEG monitoring during CPR.MethodsA review of the available literature was performed and consisted of mostly case reports and observational studies in both humans and animals, for a total number of 22 relevant studies.ResultsThe research strategy identified 22 unique articles. 4 observational studies were included and 6 animal testing studies in swine models. The remaining studies were case reports. Literature regarding this topic consists of conflicting results, containing studies where the feasibility of EEG during CPR was positive, and others where the authors reached opposite conclusions. Furthermore, the level of evidence, in general, remains low.DiscussionEEG may represent a useful tool to assess CPR effectiveness. A multimodal approach including other non-invasive tools such as, quantitative infrared pupillometry and transcranial Doppler, could help to optimize the quality of resuscitation maneuvers.Take home messageFuture randomized trials are required to adopt EEG monitoring during CPR, also considering its possible role in a multiparametric assessment of cerebral function and perfusion.

Behavioural variant frontotemporal dementia (bvFTD) is a form of frontotemporal degeneration characterized by early changes in personality, emotional blunting, and/or loss of empathy. Recent research has highlighted that these features may be at least partially explained by impairments in the theory of mind (ToM; i.e., the ability to understand and predict other people’s behaviour by attributing independent mental states to them). The aim of this randomized, double-blind, placebo-controlled study was to test the hypothesis that transcranial direct current stimulation (tDCS) over the medial frontal cortex (MFC) selectively enhances communicative intention processing, a specific ToM ability. Using a single-session online design, we administered a ToM task that measures the ability to represent other people’s private and communicative intentions during active or sham tDCS to 16 bvFTD patients. To assess the impact of dementia on performance on the ToM task, we included 16 age-matched healthy volunteers who were asked to perform the entire experimental ToM task. BvFTD is characterized by an impairment in the comprehension of both communicative and private intentions relative to a healthy control group and by a disproportional impairment in communicative intention compared with private intention processing. Significant and selective accuracy improvement in the comprehension of communicative intentions after active stimulation was observed in patients with bvFTD. This is the first study that analyses ToM ability in patients with bvFTD using tDCS stimulation. Our findings could potentially contribute to the development of an effective, noninvasive brain stimulation treatment of ToM impairments in patients with bvFTD.

The aim of this study was to evaluate the agricultural reuse of the digestate products (DPs) obtained from mesophilic anaerobic co-digestion of different organic wastes (sludge, cattle slurries and organic fraction of municipal solid wastes). At this scope, the content of faecal indicators and pathogens as well as the heavy metal concentration of DPs was monitored. The fertilizing performance of the DPs was also investigated. Co-digestion trials were performed using laboratory-scale (LRs) and pilot-scale reactors (PRs). The microbiological analysis of DPs showed the common presence of Salmonella and an inadequate reduction of indicator organisms during the digestion process, both in the LRs and the PRs. Moreover, the presence of pathogens (e.g. Listeria monocytogenes) in some DP samples highlighted the importance of the microbiological quality evaluation of the DPs to study the possible health risks for consumer. In several samples of DPs, the Cu, Ni and Zn contents exceeded the maximum admissible concentration for fertilizer, as specified by Italian law, suggesting possible environmental contamination if the DPs are used for agricultural purposes. Considering the fertilizing performance, significant differences of growth parameters were observed only for the DPs that were produced by LRs. In conclusion, this work can be considered as a preliminary study to evaluate the possible agricultural reuse of the digestate obtained from different organic wastes.

Rapid population growth and urbanization have led to increased waste generation rates. Avoiding, reducing and reusing waste is imperative in the international approach to avoid impacting disposals. Composting plants are crucial for better organic waste management, although one of their environmental impacts is bioaerosol production, which can lead to adverse health effects. This work analyzed bioaerosol contamination in composting plants through multiple analytic methods, including culture-based techniques and qPCR, subfractionated PM 10 , and PM 4.5 sampling. The aim was to identify indicators useful for assessing the human health risk associated with bioaerosol exposure during organic waste treatment. Two composting plants and four different areas (reception/selection, methanization, composting and refinement) were selected for sampling. The analysis revealed high contamination levels and large microbial heterogeneity both for PM (until to 3 times above the guideline value) and bioaerosol samples (until to 3 magnitude orders above the proposed reference value). Bacillus spp. , Saccharopolyspora, and Thermomyces always showed detectable but highly variable concentrations (ranging from 2.12 to 4.86, from 3.65 to 7.30 and from 3.45 to 6.94 Log gene copies/m 3 respectively). They correlated positively and significantly with other measured microbial parameters, suggesting their potential use as indicators of biological contamination in composting plants. Moreover, the integration of culture indipendent methods can increase the monitoring sensitivity and improve the bioaerosol risk assessment. The reduction of bioaerosol exposure levels in composting plants remains a primary goal but it requires in-depth characterization of the complex bioaerosol composition, its airborne dispersion, and its association with specific adverse health outcomes.

Introduction Genotoxic biomarkers have been studied largely in adult population, but few studies so far have investigated them in children exposed to air pollution. Children are a high-risk group as regards the health effects of air pollution and some studies suggest that early exposure during childhood can play an important role in the development of chronic diseases in adulthood. The objective of the project is to evaluate the associations between the concentration of urban air pollutants and biomarkers of early biological effect in children, and to propose a model for estimating the global risk of early biological effects due to air pollutants and other factors in children. Methods and analysis Two biomarkers of early biological effects, DNA damage by the comet assay and the micronuclei (MN) test, will be investigated in oral mucosa cells of 6–8-year-old children. Concurrently, some toxic airborne pollutants (polycyclic aromatic hydrocarbon (PAH) and nitro-PAH) and in vitro air mutagenicity and toxicity in ultra-fine air particulates (PM0.5) will be evaluated. Furthermore, demographic and socioeconomic variables, other sources of exposures to air pollutants and lifestyle variables will be assessed by a structured questionnaire. The associations between sociodemographic, environmental and other exposure variables and biomarkers of early biological effect using univariate and multivariate models will be analysed. A tentative model for calculating the global absolute risk of having early biological effects caused by air pollution and other variables will be proposed. Ethics and dissemination The project has been approved by the Ethics Committees of the local Health Authorities. The results will be communicated to local Public Health Agencies, for supporting educational programmes and health policy strategies. LIFE+2012 Environment Policy and Governance. LIFE12 ENV/IT/000614.