Polynesian Island yields ‘treasure trove’ of fungal biodiversity

The islands of the South Pacific are a hot spot for biodiversity, but their jagged peaks, hot and humid conditions, and remote locations have limited scientists’ ability to document the many fantastic forms of life in the region.

In a new study published this week in the Journal of Biogeography, researchers from the University of California, Berkeley, provide the first detailed description of the stunning array of fungi that make their home on the Polynesian island of Mo’orea. The collection includes more than 200 species of macrofungi — that is, fungi producing visible, fruiting bodies — many of which may be new to science.

“It’s like a treasure trove,” said study lead author Matteo Garbelotto, cooperative extension specialist and adjunct professor of environmental science, policy and management at UC Berkeley. “It’s truly uncharted territory in evolutionary biology and biodiversity of the fungal kingdom, and this is one the first attempts to generate baseline information on fungal diversity, not just for Mo’orea, but for the entire and vast Insular Oceania region.”

As part of the Mo’orea Biocode Project, the study team spent months trekking across the island in search of new species of fungi, ultimately gathering a total of 553 fungal specimens and sequencing the DNA of 433 of them. Because only a handful of the sequenced specimens have exact genetic matches with other known species, the Mo’orea collections are likely to contain completely new species.

By comparing the DNA sequences of these fungi to those of other species around the world, the team was also able to piece together where the fungal biodiversity on the remote island may have originated. The findings suggest that the majority of the species, or their ancestors, were carried by easterly winds from Australia or other South Pacific islands, though a small number may have been brought to Mo’orea by humans from far-flung locations like East Asia, Europe and South America.

“We were really interested in the biodiversity of the island,” said study first author Todd Osmundson, who completed the work as a postdoctoral researcher at UC Berkeley. “Mo’orea is an island in the middle of the ocean, and it’s a geologically young volcanic island. It’s never touched another piece of land. How did fungi get there, and where did they come from?”

Understanding both the biodiversity of fungi on the island and how different species have traveled around the world to arrive at this remote location can help as scientists grapple with the ongoing impacts of global travel and trade on biodiversity.

“The Mo’orea BioCode project was the first all-taxa-survey of a tropical island to include DNA vouchers and other associated information. It included all organisms from marine and terrestrial habitats and everything larger than bacteria,” said George Roderick, William Muriece Hoskins Professor of environmental science, policy and management at UC Berkeley. “Since, the data has proven to be enormously valuable in monitoring the impacts of global change on Mo’orea but also on other tropical Pacific Islands.”

‘Every day we had a different challenge’

The Mo’orea Biocode Project was led by Neil Davies, executive director of UC Berkeley’s Gump South Pacific Research Station, and ran from 2007 to 2010. One of the motivations for the project was to create a model ecosystem that could be used to answer fundamental questions about how ecosystems work.

“Fungi are really important parts of ecosystems,” said Osmundson, who is currently a professor of biology at the University of Wisconsin-La Crosse. “They act as primary decomposers, and in some cases (as) pathogens that break down decaying organic matter and recycle the nutrients into forms that other organisms can use. They’re also really important as symbionts. They live with other organisms and benefit that organism in exchange for other things. For instance, some fungi will attach to the roots of plants and exchange nutrients with them.”

To collect the specimens, the research team spent months on Mo’orea, beginning before dawn each day to gather samples of fungi from all corners of the ecosystem, including the soil, the roots and leaves of plants, and even the air.

As the heat and humidity rose throughout the day, the outdoor conditions would often become inhospitable to both the scientists and the delicate fruiting bodies of the fungi they had collected. By early afternoon, they would take their samples back to the lab and begin the process of documenting and culturing the specimens they had found, often staying up late into the night to complete their work.

“The terrain on the island is incredibly steep, and when it rains it becomes incredibly muddy, and a lot of areas are not managed. So, every day we had a different challenge,” Garbelotto said. “There are some slopes that you can only really explore on ropes. I remember being attached to a rope with my hands sticking out on the precipice, trying to collect a mushroom that was growing on a little outcrop where you couldn’t possibly walk.“

Each of the specimens was photographed and dried for storage in the University Herbarium and compared to databases of known species. As part of the biocode project, the research team also obtained DNA sequences of a specific gene that can be used as a unique “barcode” to differentiate one species from another.

“In many ways, Mo’orea is not a pristine island, and that actually makes it more interesting to me,” Garbelotto said. “The island has completely pristine areas and also has areas that have been inhabited and deeply changed by humans, starting with the arrival of Polynesians 3,000 years ago and continuing until relatively recently with the arrival of the French, the English and the Americans. Compared to places that are completely pristine, Mo’orea is more interesting to me because it’s more representative of what the world actually is.”

Additional co-authors of the paper are Sarah E. Bergemann of Middle Tennessee State University and Rikke Rasmussen, who worked on DNA sequencing as a volunteer at UC Berkeley. The Moorea Biocode Project was supported by the Gordon and Betty Moore Foundation.

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Why Guild Has Such an Immersive Format

The new Guild course on creating an aligned and empowering social circle kicks off tomorrow, April 1, 2022 at 9am Pacific time… so about 21 hours from the time I’m posting this.

I’m really looking forward to the experience. A solid month of daily calls with the delightful members of this community is a real treat. 🙂

If you haven’t already seen the invitation video for Guild, I encourage you to watch it now. It’s only 22 minutes (11 minutes if you watch at double speed – click the gear icon to set the speed). It’s not a salesy video – rather it shares the intentions and purpose of the course and why certain decisions were made.

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Guild’s Intensive Format

Guild’s format is the most intensive format we’ve ever used for a course.

Isn’t it a bit over-the-top to be hosting 2-3 hour Zoom calls every day for a whole month, including weekends?

That’s 60-90 hours of time together – about 5x as much time as we’d normally spend together in a 3-day workshop. By comparison our audio courses are typically 15-25 hours of material.

I’m well aware that this format takes time, and I know that not everyone is willing to accept this kind of invitation. Even though the recordings are included for everyone too, this course is really intended as a live experience because of all the interactivity and practice we’ll be doing together.

Moreover, the price for this course is higher than the launch prices for previous courses, which will further reduce the number of people willing to sign up for it. But I think the bigger commitment for most people is going to be the time factor.

That means we’re likely to have a smaller group for this course than for our previous ones.

Our previous courses all had 300+ people in them. Guild has 52 signed up so far. There’s always a surge of last-day sign-ups, so it’s hard to guess where that will land. It wouldn’t surprise me if we double it, but size-wise my expectations are modest.

Why This Format?

I choose this format because I genuinely feel that it’s the right choice for the types of changes and upgrades people want to make in this area of their lives. I knew that it would likely mean fewer people enrolling, but I want the experience to be a match for the people who are really ready for it.

In reviewing people’s feedback about what they wanted, it became clear that helping people improve their social lives is going to take some real investment of time, energy, and focus. This is one of the hardest areas of life to upgrade, and many people have some entrenched stuckness.

I recognize this pattern all too well because I had some entrenched stuckness when I was in my first marriage. My social circle reinforced that stuckness. Even when I could see the situation for what it was, moving beyond it was extremely difficult – with repeated failed attempts. My social circle acted like glue, holding me in a place I didn’t want to be. If I shared what I actually wanted to experience, people would respond as if I was threatening the status quo.

During those years I read some books on relationship transitions such as Uncoupling and Coming Apart, which helped me understand why social transitions are so difficult. I also learned how these transitions actually happen when they succeed.

This might sound strange to say, but the truth is that usually people don’t succeed in transforming their social lives, even when they consciously try to do so.

When a significant social transformation does occur, it may be more accurate to say that people are rescued.

I’m not saying that some outside hero swoops in to save them per se. What normally happens when people undergo social transitions is that they start engaging with a different group of people on the side. Basically they form a new reference group – a group that gets a chance to know them as someone other than their old self.

This new reference group helps people construct a new self-image, especially an image that cannot fit into the old reality. And eventually the old reality breaks.

Here’s another simple truth. In order for people to significantly improve their social lives, they usually have to change jobs or businesses. If they aren’t experiencing what they want socially, their work relationships are almost certain to be part of the problem. This can be very hard for people to accept. From the outside looking in, this observation tends to be obvious because your work has a major effect on your social life. From the inside looking out, hardly anyone wants to acknowledge this.

Creating a New Social Reality

People don’t just transition out of a stuck social situation. Almost always they need something to transition to. They don’t just run away from what isn’t working. They don’t leap off a cliff. They leap to a new ledge.

Was it a coincidence that the same year I started doing in-person workshops was the same year that my first wife and I separated? No, those events were surely linked. Before that workshop we had no plans to break up. Three weeks after the 2009 workshop, we were living in different homes.

The need and the desire for change had been present for a long time. What was needed was the catalyst. Engaging with the workshop community was enough to provide a clear view of a new social reality. Once that new reality was seen, it couldn’t be unseen, and it wasn’t consistent with the old social reality.

Future workshops had similar effects on some people. Multiple people quit their jobs or broke off misaligned relationships during or immediately after attending such events.

These are exceptional cases though. For most people it takes more time to wedge them out of their stuckness.

The saddest part of doing transformational work is watching people have peak experiences that they love and then backslide into their old world of stuckness. Why do people backslide? Usually it’s because they return to the same old social reality.

Whenever I’ve had a nice leap forward in business or lifestyle, I can see that it was strongly linked with a change in my social circle. The same year I got into blogging and speaking and went through a career change, I also moved to a new city at the start of that year. I also joined Toastmasters about 6 months before I started my blog and made lots of new local friends. I completely changed my social circle, both in-person and online.

It’s fair to say that if you want to change your life, you must also change your social circle. Otherwise your old social circle will cement you right where you are. That includes your social media friends.

This doesn’t necessarily mean you have to eject all the people you know and start fresh. Sometimes you just need to reconfigure what you already have. But even in those cases, it’s normally an outside catalyst that initiates the reconfiguration.

Guild as a Catalyst

So the Guild course is partly intended to serve as a catalyst for people who need it to play that role for them. It’s an opportunity to experience a different social circle for a month. In that new social reality, you don’t have to be the same old self that you’ve been for years. You can explore showing up as someone closer to the person you want to be. You can even show up as a different person each day if you want and see what it’s like to engage with growth-oriented people as a new version of you.

Other people in your life may hold you fixed in the world of all your past baggage. But a new community has no need to cement you where you’ve been. We can help you return to exploration mode, reminding you that more is possible.

In fact, divergent exploration will be a big part of the Guild experience. It’s an invitation to stretch who you think you are by releasing your grip on how others expect you to be.

In this setting you no longer have to stay rooted to your old social world of expectations.

Guild is a space where you have the permission and the invitation to explore aspects of yourself that haven’t been getting enough expression.

I can tell you from many years of experience that this community is very encouraging and supportive of change. People tend to talk each other into (rather than out of) growth experiences. We question the status quo and lean into the winds of change.

What is it like to have a social circle like that? You’re invited to see for yourself what it’s like by exploring with us together for a full month.

Just be aware that accepting this kind of invitation may very well crack open the weak parts of your old social world. That includes a misaligned job or a misaligned relationship. It surely takes some strength of character to deliberately welcome such experiences. I know how hard it can be to have to tell someone that you care about, “This isn’t working for me anymore.” If you may be facing something similar, I feel for you. But on the other side of the transition, everyone says, “It was really tough, but it was worth it.”

That said, Guild isn’t meant to be a rough or scary experience. We’re going to make it as gentle, caring, and mutually supportive as we can. There will be a lot of CGC members going through the course too, and I know they’ll help us create a truly beautiful heartspace inside.

Trust

I would say that one of the greatest catalysts for change is trust.

In order to make a big change, you have to trust that something better awaits you on the other side.

So the main reason for this intensive 30-day format is actually because of trust. For many people it takes time to build up enough trust – in themselves, in other people, in life, etc – to feel ready to shift into a new reality.

This is doubly true when it comes to our social lives. People can’t just leave old relationships behind, even if those relationships are severely misaligned. Some people will even stay in abusive relationships for years if they don’t trust that something better awaits them.

In order to transition, people need to see enough of a new reality that they can trust. They need to see the new ledge they’re stepping onto.

A new social circle helps to build this trust. You could say that it helps to restore trust that was lost. When people no longer trust that their old social circles will support them in the ways they want to be supported, a new reference group must play that role for them.

And that’s the role that Guild is intended to play. It’s an invitation to restore your trust in life – that this is indeed a reality in which you have the freedom to reinvent yourself. And when you do undergo such a transition, you will land in a space of support, not abandonment.

So I invite you to think of the Guild course (and the community you’ll find inside) as your launch pad and your landing pad for the next phase of your life. Our role is to help you build trust and clarity with that next phase, so you can fully welcome it in.

We begin at 9am on Friday, April 1st. Will you join us? ❤️

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Shrewsbury maternity scandal: Police probe 600 cases of care

Their investigation into baby deaths and other failings in Shropshire is said to be “very much active”.

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Why are people with allergic asthma less susceptible to severe COVID?

The vast majority of people infected with the omicron variant of SARS-CoV-2 experience mild cold-like symptoms, moderate flu-like symptoms, or no symptoms at all, but the virus is so transmissible that it still spread deep into lung tissue to cause severe disease and death in thousands of people in the United States in 2022 alone. Researchers at the University of North Carolina at Chapel Hill revealed biological reasons for how disease progression happens and why a certain population of asthma patients are less susceptible to severe COVID.

This research, published in the Proceedings of the National Academy of Sciences, illustrates the importance of a well-known cytokine called interleukin-13 (IL-13) in protecting cells against SARS-CoV-2, which helps explain the mystery of why people with allergic asthma fair better than the general population despite having a chronic lung condition. The same cannot be said for individuals with other diseases, such as chronic obstructive pulmonary disease (COPD) or emphysema, who are at very high risk of severe COVID.

“We knew there had to be a bio-mechanistic reason why people with allergic asthma seemed more protected from severe disease,” said senior author Camille Ehre, PhD, assistant professor of pediatrics at the UNC School of Medicine and member of the UNC Marsico Lung Institute. “Our research team discovered a number of significant cellular changes, particularly due to IL-13, leading us to conclude that IL-13 plays a unique role in defense against SARS-CoV-2 infection in certain patient populations.”

Although cytokines like IL-13 cannot be used as therapies because they trigger inflammation, it is important to understand natural molecular pathways that cells use to protect themselves from pathogen invasion, as these studies have the potential to reveal new therapeutic targets.

There are many health factors that increase a person’s risk of severe COVID, including chronic lung diseases such as COPD, but as the pandemic went on, epidemiologists found that people with allergic asthma were less susceptible to severe disease.

“These are patients with asthma caused by allergens, such as mold, pollen, and dander,” said Ehre, who is also a member of the UNC Children’s Research Institute. “To find out why they are less susceptible, we investigated specific cellular mechanisms in primary human airway epithelial cell cultures.”

The experiments were led by co-first authors Cameron Morrison, a medical student in the Ehre lab, and Caitlin Edwards, a research assistant and MPH student in the lab of Ralph Baric, PhD, Kenan Distinguished Professor of Epidemiology at the UNC Gillings School of Global Public Health and professor in the UNC Department of Microbiology and Immunology at the UNC School of Medicine.

The researchers used genetic analysis of human airway cell cultures infected with SARS-CoV-2 to discover that the expression of the human protein ACE2 governed which cell types were infected and the amount of virus found in this cell population (also known as “viral load.”)

The scientists then used electron microscopy (EM) to identify an intense exodus of virus from infected ciliated cells, which are cells tasked with moving mucus along the airway surface. EM also revealed severe cytopathogenesis — changes inside human cells due to viral infection. And these changes culminating in ciliated cells (packed with virions) shedding away from the airway surface.

“This shedding is what provides a large viral reservoir for spread and transmission of SARS-CoV-2,” Ehre said. “It also seems to increase the potential for infected cells to relocate to deeper lung tissue.”

Further experiments on infected airway cells revealed that a major mucus protein called MUC5AC was depleted inside cells, likely because the proteins were secreted to try to trap invading viruses. But the virus load kept increasing because the cells tasked with producing MUC5AC were overwhelmed in the face of a rampant viral infection.

The researchers knew from epidemiological studies that allergic asthma patients — known to overproduce MUC5AC- were less susceptible to severe COVID. Ehre and colleagues also knew the cytokine IL-13 increased MUC5AC secretion in the lungs when asthma patients faced an allergen.

The scientists decided to mimic asthmatic airways by treating human airway cells with IL-13. They then measured viral titers, viral mRNA, the rate of infected cell shedding, and the overall number of infected cells. Each one was significantly decreased. They found this remained true even when mucus was removed from the cultures, suggesting other factors were involved in the protective effects of IL-13 against SARS-CoV-2.

Bulk RNA-sequencing analyses revealed that IL-13 upregulated genes that control glycoprotein synthesis, ion transport, and antiviral processes — all of which are important in airway immune defense. They also showed that IL-13 reduced the expression of the viral receptor, ACE2, as well as reducing the amount of virus inside cells and cell-to-cell viral transmission.

Taken together, these findings indicate that IL-13 significantly affected viral entry into cells, replication inside cells, and spread of virus, thus limiting the virus’s ability to find its way deeper into the airways to trigger severe disease.

“We think this research further shows how important it is to treat SARS-CoV-2 infection as early as possible,” Ehre said. “And it shows just how important specific mechanisms involving ACE2 and IL-13 are, as we try our best to protect patients from developing severe infections.”

Other authors of the PNAS paper are Kendall Shaffer, Kenza Araba, Jason Wykoff, Danielle Williams, Takanori Asakura, Hong Dang, Lisa Morton, Rodney Gilmore, Wanda O’Neal, and Ric Boucher, all at UNC-Chapel Hill.

This research was funded through grants from the National Institutes of Health and Vertex Pharmaceuticals.

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Critical signature sound when rocks crack

Finding the specific sound a rock makes when it cracks and breaks seems impossible when surrounded by other subsurface noises. But Texas A&M University researcher Dr. Siddharth Misra, the Ted H. Smith, Jr. ’75 and Max R. Vordenbaum ’73 DVG Associate Professor in the Harold Vance Department of Petroleum Engineering, discovered a way to hear and validate that sound in a project funded by the Basic Energy Sciences program of the Department of Energy (DOE).

“The DOE calls sounds of specific events the ‘signs of signature,'” said Misra. “In this case, the signature identified the break or mechanical discontinuity of a rock in the earth’s subsurface, especially as the breaks continued to grow or propagate into fractures.”

Misra and his doctoral candidate Rui Liu published their preliminary findings in the May 2022 issue of the Systems and Signals Processing journal.

Why does Basic Energy Sciences want this signature identified? Sounds are often important clues to environmental and security changes. Threatening noises, such as underground explosions, are hard to mistake. But the small sounds of a high-rise building foundation cracking and failing are just as threatening. So, the fundamental sound of rock undergoing mechanical failure is a basic and critical clue worth finding.

“This research goes to the heart of identifying something specific within a massive data set,” said Misra. “An example is credit card transactions. You cannot monitor the whole data set for fraud because the transactions are so varied. You must find some indicative sign, such as a credit card charge in one city to book an airline flight immediately after that same card pays for an Uber in another city. That discrepancy is a signature.”

Previous attempts to pinpoint underground mechanical failures never brought reliable success, but Misra found that an unusual combination of three research methods — supervised machine learning, causal discovery and rapid simulations — could tackle the problem.

The supervised machine learning began with lab experiments in which a multipoint sensor system was placed on the surface of a rock and recorded sound wave-transmission measurements through the material as it cracked and finally failed. Computers monitored the information and were taught which data signatures meant initial, intermediate and end-stage damage. One tell-tale signature that repeatedly traveled up and down across the zero point between positive and negative measurements caught the computer’s attention, once it knew what to look for.

“I can only see the color or shape of something with my eyes,” said Liu. “But machine learning can pick out so many more characteristics from the data. It picked out those positive and negative turnings, and we used that sign to get further results.”

Misra and Liu searched for the causation of each of these turnings to confirm their source. They couldn’t rely on the computer to complete this step because machine learning is not the best interpreter.

“During the heat of the summer, ice cream sales increase and drowning deaths increase,” said Misra. “If you use machine learning or simple statistical methods, they might say people are drowning because people eat ice cream. That’s a correlation. Though they are both related to the summer heat, they are not connected to each other. They each have a different cause. We are looking for causation for these turnings because that’s when they become meaningful.”

Misra and Liu created a workflow that could generate scenarios of various fracture propagations and measured waveforms. Then, they increased the workflow’s speed to rapidly run up to 20,000 different simulations of possibilities for each event. This allowed the researchers to discover the best cause-and-effect explanations.

“We didn’t control how the discontinuity propagated, so there’s a lot of randomness,” said Misra. “Yet, as the fractures grew, despite the differences in direction or length, results showed a similar increase in amplifications or positive and negative turnings across the zero point in the waveforms. So, this is a definite signature of rock failure, which, to the best of my knowledge, was not known prior to this research.”

While the signature discovery is exciting, the project still has several months to go. Misra intends to explore the limits of the data-driven simulations and causal discovery approach. He will also test other methods to see if similar or different results occur.

“What we need to do as scientists, as engineers, is to find causality, find causation,” said Misra. “We tried a lot of different techniques to discover this signature and its causal relationships. A lot of approaches didn’t work, but one did. Now we need to find the limits of what it can do.”

Story Source:

Materials provided by Texas A&M University. Original written by Nancy Luedke. Note: Content may be edited for style and length.

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Shrewsbury maternity deaths scandal will spark change – Javid

Sajid Javid apologises over the maternity scandal and pledges to hold those responsible to account.

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Guild Course Is Now Open for Enrollment

Our new Guild deep dive course on social alignment has launched, and many people have already signed up. I invite you to join if you’re interested in upgrading your social skills, social circle, and relationship life. You can watch the invitation video to learn about the course here:

Guild Course

The main purpose of Guild is to help you make major upgrades to your social life. There are 5 core transformations that we’ll be working on together:

  1. Enjoy rich and dynamic relationships with abundant growth-oriented friends.
  2. Upgrade from shallow or fragmented connections to deep, full-range friendships.
  3. Overcome outreach fatigue and social malaise to attract relationships that energize you.
  4. Merge your character growth and social growth with a personal guild that helps you advance.
  5. Build your social bandwidth and capacity to experience free-flowing social abundance.

So much of life’s abundance flows to us socially. Money… loving relationships… business opportunities… fun invitations… adventurous experiences… The more aligned your social circle is with the life you want to live, the more easily such invitations will flow to you.

If you aren’t already enjoying a nice flow of abundance in other areas of life, it’s probably because you have too much friction in your social circle. If that’s your situation, join us for Guild, and let’s work on correcting that together.

Here’s our group intention for Guild, which I invite you to hold with us:

In an easy and relaxed manner, in a healthy and positive way, in its own perfect time, for the highest good of all, I intend and invite a beautifully aligned, growth-oriented, and mutually appreciative social circle to flow into my life. I intend positive results and prosperous journeys for the other participants of this deep dive as well – past, present, and future.

Delivered Live on Zoom April 1-30, 2022

We’re delivering the entire Guild course live in April 2022. Every day from April 1 to April 30 at 9am Pacific time, I’ll host a live Zoom call for all Guild course members. These calls will include direct instruction, small group exercises, open sharing and discussion, a co-creative segment, and Q&A. You’ll have the option – but not the obligation – to immediately practice what we teach on the calls.

I encourage you to treat this as a special 30-day challenge to identify and fix alignment problems in your social life. Day by day for 30 days straight, you’ll invest in practical upgrades and improvements to make your social and relationship life better and better.

This is a one-time opportunity. We’re doing this in April 2022, and we’re starting in less than 48 hours, so it’s now or never. Where else will you get the chance to invest in such a purposeful experience?

All of the calls will be recorded, and you’ll get the recordings too. Each recording will be published the same day as the live call, so if you miss any live calls, you can easily use the recorded version to keep pace.

If you’d like to learn more about the course, see the Guild invitation page, which will give you all the details. I’d recommend watching the invitation video on that page to see if the course interests you. That should give you a good idea of what the course is about, along with extra details about the changes we’ll be working on together.

I hope you’ll join us for this one – it’s going to be a fun, immersive, and rewarding deep dive into the world of social skills, social alignment, trust, friendship, intimacy, and more.

Hugs! ❤️

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Predicting sudden cardiac arrest

Clinician-scientists in the Smidt Heart Institute at Cedars-Sinai developed a clinical algorithm that, for the first time, distinguishes between treatable sudden cardiac arrest and untreatable forms of the condition.

The findings, published today in the peer-reviewed Journal of the American College of Cardiology: Clinical Electrophysiology, have the potential to enhance prevention of sudden cardiac arrest — unexpected loss of heart function — based on key risk factors identified in this study.

“All sudden cardiac arrest is not the same,” explained Sumeet Chugh, MD, director of the Center for Cardiac Arrest Prevention and lead author of the study. “Until now, no prior research has distinguished between potentially treatable sudden cardiac arrest versus untreatable forms that cause death in almost all instances.”

Out-of-hospital sudden cardiac arrest claims at least 300,000 U.S. lives annually. For those affected, 90% will die within 10 minutes of cardiac arrest.

For this largely fatal condition, prevention would have a profound impact. The biggest challenge, however, lies in distinguishing between those who stand to benefit the most from an implantable cardioverter defibrillator — and those who would not benefit from the electric jolt.

“Defibrillators are expensive and unnecessary for individuals with the type of sudden cardiac arrest that will not respond to an electrical shock,” said Chugh. “However, for patients with treatable, or ‘shockable,’ forms of the disease, a defibrillator is lifesaving.”

Chugh, also a professor and the Pauline and Harold Price Chair in Cardiac Electrophysiology Research, says this new research provides a clinical risk assessment algorithm that can better identify patients at highest risk of treatable sudden cardiac arrest — and thus, a better understanding of those patients who would benefit from a defibrillator.

The risk assessment algorithm consists of 13 clinical, electrocardiogram, and echocardiographic variables that could put a patient at higher risk of treatable sudden cardiac arrest.

The risk factors include diabetes, myocardial infarction, atrial fibrillation, stroke, heart failure, chronic obstructive pulmonary disease, seizure disorders, syncope — a temporary loss of consciousness caused by a fall in blood pressure — and four separate indicators found with an electrocardiogram test, including heart rate.

“This first-of-its-kind algorithm has the potential to improve the way we currently predict sudden cardiac arrest,” said Eduardo Marbán, MD, PhD, executive director of the Smidt Heart Institute and the Mark S. Siegel Family Foundation Distinguished Professor. “If validated in clinical trials, we will be able to better identify high-risk patients and therefore, save lives.”

The research study utilized data from two ongoing multiyear studies founded by Chugh. The Oregon Sudden Unexpected Death Study is a comprehensive assessment of sudden cardiac arrests among the 1 million residents of the Portland, Oregon, metropolitan area.

The Ventura Prediction of Sudden Death in Multiethnic Communities (PRESTO) study is based in Ventura, California, with approximately 850,000 residents. Both studies are unique community partnerships with area residents, as well as first responders, medical examiners and hospital systems that deliver care within the two communities.

Both led by Chugh, the projects — now ongoing in Oregon for nearly 20 years, and more recently in Ventura — provides researchers with unique, community-based information to help determine how best to predict sudden cardiac arrest.

As a next step, Chugh plans to test their risk assessment algorithm, which was funded by the National Heart, Lung, and Blood Institute (R01HL126938 and R01HL145675), in separate prospective studies, as well as randomized clinical trials.

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Covid: Why are so many people catching it again?

As Covid continues to spread rapidly, are many people catching Omicron for a second time?

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Catastrophic failures led to mother and baby deaths

Some 201 babies may have died at an NHS trust because of unprecedented failures, says report.

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