No abstract

Studies have demonstrated that vagus nerve stimulation (VNS) reduces ischemia/reperfusion injury. In this study, we investigated the protective effects of VNS in a rat model of cardiopulmonary resuscitation (CPR). We further investigated whether the beneficial effects of VNS were dependent on the alpha 7 nicotinic acetylcholine receptor (α7nAChR). Forty animals were randomized into four groups and all underwent CPR (n = 10 each): CPR alone (control); VNS during CPR; α7nAChR antagonist methyllycaconitine citrate (MLA) with VNS; α7nAChR agonist 3-(2, 4-dimethoxybenzylidene) anabaseine (GTS-21 dihydrochloride) without VNS. The right vagus nerve was exteriorized in all animals. Ventricular fibrillation was induced and untreated for 8 min. Defibrillation was attempted after 8 min of CPR. VNS was initiated at the beginning of precordial chest compressions and continued for 4 h after return of spontaneous circulation (ROSC) in both the VNS and MLA groups. Hemodynamic measurements and myocardial function, including ejection fraction and myocardial performance index, were assessed at baseline, 1 and 4 h after ROSC. The neurological deficit score was measured at 24-h intervals for a total of 72 h. The heart rate was reduced in the VNS and MLA groups, while no difference was found in mean arterial pressure between the four groups. Better post-resuscitation myocardial and cerebral function and longer duration of survival were observed in the VNS-treated animals. The protective effects of VNS could be abolished by MLA and imitated by GTS-21. In addition, VNS decreased the number of electrical shocks and the duration of CPR required. VNS improves multiple outcomes after CPR.

Restoration of coastal wetlands has the potential to deliver both climate change mitigation, called blue carbon, and adaptation benefits to coastal communities, as well as supporting biodiversity and providing additional ecosystem services. Valuing carbon sequestration may incentivize restoration projects; however, it requires development of rigorous methods for quantifying blue carbon sequestered during coastal wetland restoration. We describe the development of a blue carbon accounting model (BlueCAM) used within the Tidal Restoration of Blue Carbon Ecosystems Methodology Determination 2022 of the Emissions Reduction Fund (ERF), which is Australia's voluntary carbon market scheme. The new BlueCAM uses Australian data to estimate abatement from carbon and greenhouse gas sources and sinks arising from coastal wetland restoration (via tidal restoration) and aligns with the Intergovernmental Panel for Climate Change guidelines for national greenhouse gas inventories. BlueCAM includes carbon sequestered in soils and biomass and avoided emissions from alternative land uses. A conservative modeled approach was used to provide estimates of abatement (as opposed to on-ground measurements); and in doing so, this will reduce the costs associated with monitoring and verification for ERF projects and may increase participation in blue carbon projects by Australian landholders. BlueCAM encompasses multiple climate regions and plant communities and therefore may be useful to others outside Australia seeking to value blue carbon benefits from coastal wetland restoration.