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Article ; Online: Association between survival and number of shocks for pulseless ventricular arrhythmias during pediatric in-hospital cardiac arrest in a national registry.

Haskell, Sarah E / Hoyme, Derek / Zimmerman, M Bridget / Reeder, Ron / Girotra, Saket / Raymond, Tia T / Samson, Ricardo A / Berg, Marc / Berg, Robert A / Nadkarni, Vinay / Atkins, Dianne L

Resuscitation

2024 Volume 198, Page(s) 110200

Abstract: Background: Annually 15,200 children suffer an in-hospital cardiac arrest (IHCA) in the US. Ventricular fibrillation or pulseless ventricular tachycardia (VF/pVT) is the initial rhythm in 10-15% of these arrests. We sought to evaluate the association of ...

Abstract	Background: Annually 15,200 children suffer an in-hospital cardiac arrest (IHCA) in the US. Ventricular fibrillation or pulseless ventricular tachycardia (VF/pVT) is the initial rhythm in 10-15% of these arrests. We sought to evaluate the association of number of shocks and early dose escalation with survival for initial VF/pVT in pediatric IHCA. Methods: Using 2000-2020 data from the American Heart Association's (AHA) Get with the Guidelines®-Resuscitation (GWTG-R) registry, we identified children >48 hours of life and ≤18 years who had an IHCA from initial VF/pVT and received defibrillation. Results: There were 251 subjects (37.7%) who received a single shock and 415 subjects (62.3%) who received multiple shocks. Baseline and cardiac arrest characteristics did not differ between those who received a single shock versus multiple shocks except for duration of arrest and calendar year. The median first shock dose was consistent with AHA dosing recommendations and not different between those who received a single shock versus multiple shocks. Survival was improved for those who received a single shock compared to multiple shocks. However, no difference in survival was noted between those who received 2, 3, or ≥4 shocks. Of those receiving multiple shocks, no difference was observed with early dose escalation. Conclusions: In pediatric IHCA, most patients with initial VF/pVT require more than one shock. No distinctions in patient or pre-arrest characteristics were identified between those who received a single shock versus multiple shocks. Subjects who received a single shock were more likely to survive to hospital discharge even after adjusting for duration of resuscitation.
Language	English
Publishing date	2024-04-04
Publishing country	Ireland
Document type	Journal Article
ZDB-ID	189901-6
ISSN	1873-1570 ; 0300-9572
ISSN (online)	1873-1570
ISSN	0300-9572
DOI	10.1016/j.resuscitation.2024.110200
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Zs.A 1048: Show issues

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Article ; Online: Pediatric Out-of-Hospital Cardiac Arrest: Pushing for Progress in Public Response.

Haskell, Sarah E / Atkins, Dianne L

JAMA pediatrics

2016 Volume 171, Issue 2, Page(s) 113–115

MeSH term(s)	Cardiopulmonary Resuscitation ; Child ; Emergency Medical Services ; Humans ; Out-of-Hospital Cardiac Arrest
Language	English
Publishing date	2016-11-10
Publishing country	United States
Document type	Journal Article ; Comment
ZDB-ID	2701223-2
ISSN	2168-6211 ; 2168-6203
ISSN (online)	2168-6211
ISSN	2168-6203
DOI	10.1001/jamapediatrics.2016.3694
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Article ; Online: Effect of intensified training on cognitive function, psychological state & performance in trained cyclists.

Costello, Sarah E / Rossiter, Jack R W / Howatson, Glyn / Bell, Phillip G / O'Neill, Barry V / van Someren, Ken / Haskell-Ramsay, Crystal F

European journal of sport science

2022 Volume 23, Issue 7, Page(s) 1334–1344

Abstract: Athletes often undertake intensified training loads prior to competition with the goal of functionally overreaching for temporary performance enhancement; however, little is known about the impact of this on cognitive function. The aim of this study was ... ...

Abstract	Athletes often undertake intensified training loads prior to competition with the goal of functionally overreaching for temporary performance enhancement; however, little is known about the impact of this on cognitive function. The aim of this study was to investigate the effect of intensified training induced fatigue on cognitive function, psychological state and performance in trained cyclists. Twenty-three trained male cyclists were randomly assigned to an intensified training group or a control group for two-weeks, followed by a two-week taper period. At baseline, one-week, two-weeks and post-taper, participants undertook a series of cognitive, performance, mood and recovery-stress assessments. The training intervention significantly increased training volume, load and strain by 108%, 116% and 151% respectively. Peak and mean power output on a maximal test and time trial significantly decreased by 4.8% and 9.4% following the two-week training intervention compared to baseline, in addition to a 169% change in total mood disturbance and significant disruption to recovery-stress balance. No change in any cognitive measure was observed across the study period. Following a two-week taper, performance, mood and well-being measures returned to baseline. Two weeks of intensified training resulted in overreaching as identified by performance and psychological measures. Cognitive function was not sensitive to intensified training promoting caution with its use as a measure for the early identification of overreaching.
MeSH term(s)	Humans ; Male ; Bicycling/physiology ; Cognition ; Fatigue ; Physical Endurance/physiology
Language	English
Publishing date	2022-07-20
Publishing country	England
Document type	Journal Article ; Randomized Controlled Trial
ISSN	1536-7290
ISSN (online)	1536-7290
DOI	10.1080/17461391.2022.2097130
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Article ; Online: Measurement of Saccharin and

Weinborn, Valerie / Lehmkuhler, Arlie L / Zyba, Sarah J / Haskell, Marjorie J / Morel, Fanny B / Zeilani, Mamane / Mitchell, Alyson E

Journal of agricultural and food chemistry

2021 Volume 69, Issue 3, Page(s) 1107–1114

Abstract: Saccharin ... ...

Abstract	Saccharin and
MeSH term(s)	Adolescent ; Adult ; Biomarkers/metabolism ; Biomarkers/urine ; Chromatography, High Pressure Liquid ; Dietary Supplements/analysis ; Female ; Humans ; Resveratrol/chemistry ; Resveratrol/metabolism ; Resveratrol/urine ; Saccharin/analysis ; Saccharin/metabolism ; Young Adult
Chemical Substances	Biomarkers ; Saccharin (FST467XS7D) ; Resveratrol (Q369O8926L)
Language	English
Publishing date	2021-01-13
Publishing country	United States
Document type	Journal Article
ZDB-ID	241619-0
ISSN	1520-5118 ; 0021-8561
ISSN (online)	1520-5118
ISSN	0021-8561
DOI	10.1021/acs.jafc.0c06144
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Zs.A 1172: Show issues

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Article ; Online: The Effects of Low-Intensity Multimodal Proprioceptive Exercise on Cognitive Function in Older Adults.

Boyle, Spencer E / Fothergill, Melissa A / Metcalfe, John / Docherty, Sarah / Haskell-Ramsay, Crystal F

Journal of physical activity & health

2020 Volume 18, Issue 1, Page(s) 2–7

Abstract: Background: Physical activity provides a number of physical and psychological benefits. Multimodal proprioceptive exercise represents a useful balance-based exercise with the potential to reduce falls in older adults. Previous research has also ... ...

Abstract	Background: Physical activity provides a number of physical and psychological benefits. Multimodal proprioceptive exercise represents a useful balance-based exercise with the potential to reduce falls in older adults. Previous research has also indicated cognitive benefits following multimodal proprioceptive exercise in young and older adults. This study aimed to assess cognition and mood following 2 types of physical activity (multimodal proprioception vs yoga) compared with control (classroom-based) in healthy older adults. Method: Nineteen older adults (Mage = 65, sex = 9 males) participated in this randomized controlled crossover trial. Participants completed a 20-minute multimodal proprioceptive exercise class, 20-minute yoga session, and 20-minute classroom-based control. Numeric working memory and mood were assessed before and immediately following each of the interventions. Results: The multimodal proprioceptive intervention significantly reduced numeric working memory reaction time versus the yoga (P = .043) and control (P = .023) group. There were no differences found for accuracy or mood. Conclusions: These results indicate that multimodal proprioceptive exercise is worthy of further investigation as an alternative mode of exercise alongside the more traditional aerobic and strength-based exercise for healthy older adults.
MeSH term(s)	Affect ; Aged ; Aged, 80 and over ; Aging ; Cognition/physiology ; Cross-Over Studies ; Exercise/psychology ; Exercise Therapy/methods ; Female ; Humans ; Male ; Memory, Short-Term/physiology ; Proprioception ; Yoga
Language	English
Publishing date	2020-12-01
Publishing country	United States
Document type	Journal Article ; Randomized Controlled Trial
ISSN	1543-5474
ISSN (online)	1543-5474
DOI	10.1123/jpah.2020-0134
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Article ; Online: Evaluation of Saccharin and Resveratrol as Extrinsic Markers of Small-Quantity Lipid-Based Nutrient Supplement Consumption in Healthy Women.

Zyba, Sarah J / Weinborn, Valerie / Arnold, Charles D / Lehmkuhler, Arlie L / Morel, Fanny B / Zeilani, Mamane / Mitchell, Alyson E / Haskell, Marjorie J

Current developments in nutrition

2021 Volume 5, Issue 7, Page(s) nzab089

Abstract: Background: Dietary supplements, like small-quantity lipid-based nutrient supplements (SQ-LNS), are used in intervention programs to prevent undernutrition among women and young children in low-income countries. An objective marker is needed to track ... ...

Abstract	Background: Dietary supplements, like small-quantity lipid-based nutrient supplements (SQ-LNS), are used in intervention programs to prevent undernutrition among women and young children in low-income countries. An objective marker is needed to track consumption of supplements to evaluate the effectiveness of these programs. Objective: The aim of this study was to evaluate saccharin and resveratrol as potential adherence markers for tracking recent consumption of a single serving of SQ-LNS in women. Methods: Forty-seven healthy nonpregnant women 18-45 y of age were assigned to consume a single dose of SQ-LNS (20 g) containing either 10 mg sodium saccharin or 5 mg Results: Forty-five participants were included in the analysis. Urinary concentrations of saccharin and Conclusions: Urinary concentrations of saccharin and
Language	English
Publishing date	2021-07-06
Publishing country	United States
Document type	Journal Article
ISSN	2475-2991
ISSN (online)	2475-2991
DOI	10.1093/cdn/nzab089
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Article ; Online: Detrimental effects on executive function and mood following consecutive days of repeated high-intensity sprint interval exercise in trained male sports players.

Costello, Sarah E / O'Neill, Barry V / Howatson, Glyn / van Someren, Ken / Haskell-Ramsay, Crystal F

Journal of sports sciences

2021 Volume 40, Issue 7, Page(s) 783–796

Abstract: Intensified periods of competition are common in many team sports, potentially leading to increased fatigue and reduced performance. The purpose of this study was to investigate the effect of repeated high-intensity sprint interval exercise on cognitive ... ...

Abstract	Intensified periods of competition are common in many team sports, potentially leading to increased fatigue and reduced performance. The purpose of this study was to investigate the effect of repeated high-intensity sprint interval exercise on cognitive function, mood and perceptions of energy and fatigue. Twenty-four trained rugby players completed multiple bouts of repeated sprints across two consecutive days. Prior to and following each set of maximal effort sprints or equivalent control duration, a battery of cognitive tasks assessing simple and choice reaction time, visuo-spatial working memory and inhibition were completed as well as visual analogue scales that assessed mood, energy, and fatigue. Accuracy of incongruent Stroop responses was significantly lower across day 2 compared to day 1 and the control condition. Four-choice reaction time was slower across day 2 whilst feelings of alertness, contentedness, and physical and mental energy were reduced while ratings of physical and mental fatigue increased. These findings suggest that intensified periods of high-intensity sprint interval exercise have detrimental effects on executive function, mood and perceptions of physical and mental energy, and fatigue. These deleterious effects have the potential to impact performance and may increase the propensity for injury/accidents in certain sporting and non-sporting contexts.
MeSH term(s)	Athletic Performance/physiology ; Cognition ; Executive Function ; Exercise ; Humans ; Male ; Sports ; Team Sports
Language	English
Publishing date	2021-12-27
Publishing country	England
Document type	Journal Article
ZDB-ID	995528-8
ISSN	1466-447X ; 0264-0414
ISSN (online)	1466-447X
ISSN	0264-0414
DOI	10.1080/02640414.2021.2015946
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Zs.A 2388: Show issues

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Article ; Online: Racial disparities in survival outcomes following pediatric in-hospital cardiac arrest.

Haskell, Sarah E / Girotra, Saket / Zhou, Yunshu / Zimmerman, M Bridget / Del Rios, Marina / Merchant, Raina M / Atkins, Dianne L

Resuscitation

2021 Volume 159, Page(s) 117–125

Abstract: Background: Among adults with in-hospital cardiac arrest (IHCA), overall survival is lower in black patients compared to white patients. Data regarding racial differences in survival for pediatric IHCA are unknown.: Methods: Using 2000-2017 data from ...

Abstract	Background: Among adults with in-hospital cardiac arrest (IHCA), overall survival is lower in black patients compared to white patients. Data regarding racial differences in survival for pediatric IHCA are unknown. Methods: Using 2000-2017 data from the American Heart Association Get With the Guidelines-Resuscitation® registry, we identified children >24 h and <18 years of age with IHCA due to an initial pulseless rhythm. We used generalized estimation equation to examine the association of black race with survival to hospital discharge, return of spontaneous circulation (ROSC), and favorable neurologic outcome at discharge. Results: Overall, 2940 pediatric patients (898 black, 2042 white) at 224 hospitals with IHCA were included. The mean age was 3.0 years, 57% were male and 16% had an initial shockable rhythm. Age, sex, interventions in place at the time of arrest and cardiac arrest characteristics did not differ significantly by race. The overall survival to discharge was 36.9%, return of spontaneous circulation (ROSC) was 73%, and favorable neurologic survival was 20.8%. Although black race was associated with lower rates of ROSC compared to white patients (69.5% in blacks vs. 74.6% in whites; risk-adjusted OR 0.79, 95% CI 0.67-0.94, P = 0.016), black race was not associated with survival to discharge (34.7% in blacks vs. 37.8% in whites; risk-adjusted OR 0.96, 95% CI 0.80-1.15, P = 0.68) or favorable neurologic outcome (18.7% in blacks vs. 21.8% in whites, risk-adjusted OR 0.98, 95% CI 0.80-1.20, p = 0.85). Conclusions: In contrast to adults, we did not find evidence for racial differences in survival outcomes following IHCA among children.
MeSH term(s)	Adult ; African Americans ; Cardiopulmonary Resuscitation ; Child ; Child, Preschool ; Female ; Heart Arrest/therapy ; Humans ; Male ; Patient Discharge ; Registries ; United States/epidemiology ; Whites
Language	English
Publishing date	2021-01-02
Publishing country	Ireland
Document type	Journal Article
ZDB-ID	189901-6
ISSN	1873-1570 ; 0300-9572
ISSN (online)	1873-1570
ISSN	0300-9572
DOI	10.1016/j.resuscitation.2020.12.018
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Zs.A 1048: Show issues

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Article ; Online: A Prospective Study Evaluating the Effects of SSRI Exposure on Cardiac Size and Function in Newborns.

Ansah, Deidra A / Reinking, Benjamin E / Colaizy, Tarah T / Roghair, Robert D / Haskell, Sarah E

Neonatology

2019 Volume 115, Issue 4, Page(s) 320–327

Abstract: Background: Selective serotonin reuptake inhibitors (SSRIs) are antidepressants prescribed in 10% of pregnancies in the USA. We have previously shown in preclinical studies that sertraline exposure impacts cardiomyocyte development, leading to ... ...

Abstract	Background: Selective serotonin reuptake inhibitors (SSRIs) are antidepressants prescribed in 10% of pregnancies in the USA. We have previously shown in preclinical studies that sertraline exposure impacts cardiomyocyte development, leading to reductions in left ventricular size and cardiac function. Objectives: We hypothesized that in utero SSRI exposure will lead to reduced left ventricular dimensions and cardiac function on echocardiography immediately after birth. Methods: Twenty term infants with and 21 term infants without in utero exposure to SSRIs underwent echocardiograms to assess cardiac size and function. The exclusion criteria for infants were prematurity, small or large for gestational age, any respiratory or cardiovascular support needed after birth, and any major congenital malformation. Results: Infants exposed to in utero SSRIs had significantly reduced right ventricular dimensions in the diastole (controls 1.0 cm [0.86, 1.20], SSRI 0.89 cm [0.730, 1.05], p = 0.03), and left ventricular lengths in the diastole and systole (diastole: controls 3.4 cm [3.25, 3.65], SSRI 3.25 cm [3.10, 3.45], p = 0.03; systole: controls 2.9 cm [2.65, 3.05], SSRI 2.6 cm [2.50, 2.85], p = 0.01). No differences were observed in cardiac function. Importantly, there were no differences in maternal conditions or infant birth weight, body surface area, or gestational age. Conclusions: Our findings suggest an association between in utero exposure to SSRIs and ventricular size in infants. Given the increasing use of SSRIs during pregnancy and the importance of early life programming on future cardiovascular health, larger studies need to be completed to determine if in utero SSRI exposure impacts ventricular size.
MeSH term(s)	Adult ; Antidepressive Agents, Second-Generation/adverse effects ; Antidepressive Agents, Second-Generation/therapeutic use ; Depression/drug therapy ; Echocardiography ; Female ; Gestational Age ; Heart Ventricles/diagnostic imaging ; Heart Ventricles/pathology ; Humans ; Infant, Newborn ; Iowa ; Male ; Maternal Exposure/adverse effects ; Organ Size/drug effects ; Pregnancy ; Pregnancy Complications/drug therapy ; Prospective Studies ; Serotonin Uptake Inhibitors/adverse effects ; Serotonin Uptake Inhibitors/therapeutic use ; Term Birth ; Ventricular Function/drug effects
Chemical Substances	Antidepressive Agents, Second-Generation ; Serotonin Uptake Inhibitors
Language	English
Publishing date	2019-03-05
Publishing country	Switzerland
Document type	Journal Article ; Observational Study ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
ZDB-ID	2266911-5
ISSN	1661-7819 ; 1661-7800
ISSN (online)	1661-7819
ISSN	1661-7800
DOI	10.1159/000496451
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Zs.A 391: Show issues

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Article ; Online: Hypersensitivity of Zebrafish htr2b Mutant Embryos to Sertraline Indicates a Role for Serotonin Signaling in Cardiac Development.

Kent, Mitchell E / Hu, Bo / Eggleston, Timothy M / Squires, Ryan S / Zimmerman, Kathy A / Weiss, Robert M / Roghair, Robert D / Lin, Fang / Cornell, Robert A / Haskell, Sarah E

Journal of cardiovascular pharmacology

2022 Volume 80, Issue 2, Page(s) 261–269

Abstract: Abstract: Selective serotonin reuptake inhibitors (SSRIs) are antidepressants prescribed in 10% of pregnancies in the United States. Maternal use of SSRIs has been linked to an elevated rate of congenital heart defects, but the exact mechanism of ... ...

Abstract	Abstract: Selective serotonin reuptake inhibitors (SSRIs) are antidepressants prescribed in 10% of pregnancies in the United States. Maternal use of SSRIs has been linked to an elevated rate of congenital heart defects, but the exact mechanism of pathogenesis is unknown. Previously, we have shown a decrease in cardiomyocyte proliferation, left ventricle size, and reduced cardiac expression of the serotonin receptor 5-HT 2B in offspring of mice exposed to the SSRI sertraline during pregnancy, relative to offspring of untreated mice. These results suggest that disruption of serotonin signaling leads to heart defects. Supporting this conclusion, we show here that zebrafish embryos exposed to sertraline develop with a smaller ventricle, reduced cardiomyocyte number, and lower cardiac expression of htr2b relative to untreated embryos. Moreover, zebrafish embryos homozygous for a nonsense mutation of htr2b ( htr2bsa16649 ) were sensitized to sertraline treatment relative to wild-type embryos. Specifically, the ventricle area was reduced in the homozygous htr2b mutants treated with sertraline compared with wild-type embryos treated with sertraline and homozygous htr2b mutants treated with vehicle control. Whereas long-term effects on left ventricle shortening fraction and stroke volume were observed by echocardiography in adult mice exposed to sertraline in utero, echocardiograms of adult zebrafish exposed to sertraline as embryos were normal. These results implicate the 5-HT 2B receptor functions in heart development and suggest zebrafish are a relevant animal model that can be used to investigate the connection between maternal SSRI use and elevated risk of congenital heart defects.
MeSH term(s)	Animals ; Female ; Heart Defects, Congenital/chemically induced ; Heart Defects, Congenital/genetics ; Mice ; Myocytes, Cardiac/metabolism ; Pregnancy ; Serotonin/metabolism ; Selective Serotonin Reuptake Inhibitors/toxicity ; Sertraline/toxicity ; Zebrafish/genetics
Chemical Substances	Serotonin Uptake Inhibitors ; Serotonin (333DO1RDJY) ; Sertraline (QUC7NX6WMB)
Language	English
Publishing date	2022-08-01
Publishing country	United States
Document type	Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	391970-5
ISSN	1533-4023 ; 0160-2446
ISSN (online)	1533-4023
ISSN	0160-2446
DOI	10.1097/FJC.0000000000001297
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