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The Coronavirus Disease 2019 (COVID-19) can affect mental health in different ways. There is little research about psychiatric complications in hospitalized patients with COVID-19.
The aim of the study was to describe the psychiatric clinical profile and pharmacological interactions in COVID-19 inpatients referred to a Consultation-Liaison Psychiatry (CLP) unit.
This is a cross-sectional retrospective study, carried out at a tertiary hospital in Spain, in inpatients admitted because of COVID-19 and referred to our CLP Unit from March 17,2020 to April 28,2020. Clinical data were extracted from electronic medical records. The patients were divided in three groups depending on psychiatric diagnosis: delirium, severe mental illness (SMI) and non-severe mental illness (NSMI).
Of 71 patients included (median [ICR] age 64 [54-73] years; 70.4% male), 35.2% had a delirium, 18.3% had a SMI, and 46.5% had a NSMI. Compared to patients with delirium and NSMI, patients with SMI were younger, more likely to be institutionalized and were administered less anti-COVID19 drugs. Mortality was higher among patients with delirium (21.7%) than those with SMI (0%) or NSMI (9.45%). The rate of side effects due to interactions between anti-COVID19 and psychiatric drugs was low, mainly drowsiness (4.3%) and borderline QTc prolongation (1.5%).
Patients affected by SMI were more often undertreated for COVID-19. However, the rate of interactions was very low, and avoidable with a proper evaluation and drug-dose adjustment. Half of the patients with SMI were institutionalized, suggesting that living conditions in residential facilities could make them more vulnerable to infection.
The loggerhead turtle (Caretta caretta) is a circumglobal species and is listed as vulnerable globally. The North Pacific population nests in Japan and migrates to the Central North Pacific and Pacific coast of North America to feed. In the Mexican Pacific, records of loggerhead presence are largely restricted to the Gulf of Ulloa along the Baja California Peninsula, where very high fisheries by-catch mortality has been reported. Records of loggerhead turtles within the Sea of Cortez also known as the Gulf of California (GC) exist; however, their ecology in this region is poorly understood. We used satellite tracking and an environmental variable analysis (chlorophyll-a (Chl-a) and sea surface temperature (SST)) to determine movements and habitat use of five juvenile loggerhead turtles ranging in straight carapace length from 62.7–68.3 cm (mean: 66.7 ± 2.3 cm). Satellite tracking durations ranged from 73–293 days (mean: 149 ± 62.5 days), transmissions per turtle from 14–1006 (mean: 462 ± 379.5 transmissions) and total travel distance from 1237–5222 km (mean: 3118 ± 1490.7 km). We used travel rate analyses to identify five foraging areas in the GC, which occurred mainly in waters from 10–80 m deep, with mean Chl-a concentrations ranging from 0.28–13.14 mg m−3 and SST ranging from 27.8–34.4°C. This is the first study to describe loggerhead movements in the Gulf of California and our data suggest that loggerhead foraging movements are performed in areas with eutrophic levels of Chl-a.
The relation between alcohol dependence and suicidal behavior is well known and alcohol consumption is a risk factor to take in consideration in order to prevent suicidal attempts. Wernicke encephalopathy (WE) is a common acute neurological disorder caused by thiamine deficiency frequently associated with alcohol use disorder and often infra-diagnosed. Just few cases are reported about the possible correlation between suicidal behaviour and Wernicke encephalopathy.
To describe the possible association between suicidal attempts and Wernicke encephalopathy.
We report the case of a 57 year old man, with past diagnosis of disthymia and amphetamine abuse disorder, and a history of bariatric surgery, who was hospitalized in the intensive care unit (ICU) of hospital clinic for a suicidal attempt by mean of metro railway precipitation. He presented two episodes of psychomotor agitation in the context of an abstinence syndrome that reverted with midazolam continuous perfusion and clonazepam 8 mg per day. Consequently to medical improvement, he was moved to Psychiatry Unit of Addictive Behavior and finally diagnosed with alcohol use disorder.
In the physical exam, bilateral nystagmus and cerebellar ataxia were observed. Signs of malnutrition were detected in the blood analysis. In a brain magnetic resonance image, volume deficits in the mammillary bodies, thalamus, cortex and corpus callosum, as well as peri-aqueductal altered signal were observed, all signs compatible with Wernicke encephalopathy diagnoses.
Wernicke encephalopathy is a frequent concomitant condition in patients with alcohol use disorder. The consequent cognitive decline could represent an independent added risk factor for suicidal behavior.
Disclosure of interest
The authors have not supplied their declaration of competing interest.
The majority of paediatric Clostridioides difficile infections (CDI) are community-associated (CA), but few data exist regarding associated risk factors. We conducted a case–control study to evaluate CA-CDI risk factors in young children. Participants were enrolled from eight US sites during October 2014–February 2016. Case-patients were defined as children aged 1–5 years with a positive C. difficile specimen collected as an outpatient or ⩽3 days of hospital admission, who had no healthcare facility admission in the prior 12 weeks and no history of CDI. Each case-patient was matched to one control. Caregivers were interviewed regarding relevant exposures. Multivariable conditional logistic regression was performed. Of 68 pairs, 44.1% were female. More case-patients than controls had a comorbidity (33.3% vs. 12.1%; P = 0.01); recent higher-risk outpatient exposures (34.9% vs. 17.7%; P = 0.03); recent antibiotic use (54.4% vs. 19.4%; P < 0.0001); or recent exposure to a household member with diarrhoea (41.3% vs. 21.5%; P = 0.04). In multivariable analysis, antibiotic exposure in the preceding 12 weeks was significantly associated with CA-CDI (adjusted matched odds ratio, 6.25; 95% CI 2.18–17.96). Improved antibiotic prescribing might reduce CA-CDI in this population. Further evaluation of the potential role of outpatient healthcare and household exposures in C. difficile transmission is needed.
This paper addresses the chemical synthesis and characterization of a composite formed by Li2O-Al2O3-Al3Fe-Al3Fe5O12/PCL which were obtained by the process of reduction of ferric chloride (FeCl3) with lithium aluminum hydride (LiAlH4) in an open atmosphere. The goal of the development of this hybrid material was to perform a superparamagnetic material with several potential applications. The results of the characterizations by scanning electron microscopy (SEM) and vibrating sample magnetometer showed a Li2O-Al2O3-Al3Fe-Al3Fe5O12 “desert rose stone”-like morphology 3D hierarchical powders formation when particles were sintered at 850 °C. Homogeneous nanometric particles after calcination at 1100 °C were observed. X-ray diffraction analysis were performed to determine their composition. Subsequently, the superparamagnetic powders were added by dispersion in a polycaprolactone (PCL) matrix, and then, were evaluated by SEM for the observation of their morphologies. The composite material presented a polymer network with an opened structure, a well dispersion of the oxides particles into the interstices with irregular topography and reliefs.
The use of monthly intranasal mupirocin was associated with a significant reduction in the rate of methicillin-resistant Staphylococcus aureus transmission and Staphylococcus aureus invasive infection in a large neonatal intensive care unit. Resistance to mupirocin emerged over time, but it was rare and was not associated with adverse clinical outcomes.
In this study, the microstructural characterization of a superplastic Zn-Al-Ag alloy (72, 24, and 4 in % wt. respectively) by using spectroscopy analysis techniques was obtained. The X-Ray Fluorescence (XRF), Scanning Electron Microscope (SEM) and X-Ray Diffraction (XRD) techniques were used. The main objective of this alloy development is to improve its super-plasticity property and increases its corrosion resistance in acid rain environments. The effect of small grain microstructure of the alloy obtained at the end of the fabrication process improved the super-plasticity behavior. The result of the fabrication process was observed by the characterization of crystallographic phases (morphology, size and distribution) and the chemical composition. The obtained results by XRF shown that Zn was the higher proportion element, in addition the Ag (4% wt.) addition to Zn-Al base alloy improves the grain refinement, as was observed by the SEM characterization. The Ag3Al and AgZn3 intermetallic compounds homogeneously dispersed were observed in the microstructure of the Zn-Al solid solution phase. The size grain observed after the rolling process was less than 10 µm, and it was associated to one of the main characteristics of super-plasticity properties. The XRD analysis results corroborated the present phases in the alloy, as was identified with the SEM and EDS characterization.
In this work we have conducted a study on the radiative and spectroscopic properties of the radiative precursor and the post-shock region from experiments with radiative shocks in xenon performed at the Orion laser facility. The study is based on post-processing of radiation-hydrodynamics simulations of the experiment. In particular, we have analyzed the thermodynamic regime of the plasma, the charge state distributions, the monochromatic opacities and emissivities, and the specific intensities for plasma conditions of both regions. The study of the intensities is a useful tool to estimate ranges of electron temperatures present in the xenon plasma in these experiments and the analysis performed of the microscopic properties commented above helps to better understand the intensity spectra. Finally, a theoretical analysis of the possibility of the onset of isobaric thermal instabilities in the post-shock has been made, concluding that the instabilities obtained in the radiative-hydrodynamic simulations could be thermal ones due to strong radiative cooling.
We propose a taxonomic revision of the dixenous trypanosomatids currently classified as Endotrypanum and Leishmania, including parasites that do not fall within the subgenera L. (Leishmania) and L. (Viannia) related to human leishmaniasis or L. (Sauroleishmania) formed by leishmanias of lizards: L. colombiensis, L. equatorensis, L. herreri, L. hertigi, L. deanei, L. enriettii and L. martiniquensis. The comparison of these species with newly characterized isolates from sloths, porcupines and phlebotomines from central and South America unveiled new genera and subgenera supported by past (RNA PolII gene) and present (V7V8 SSU rRNA, Hsp70 and gGAPDH) phylogenetic analyses of the organisms. The genus Endotrypanum is restricted to Central and South America, comprising isolates from sloths and transmitted by phlebotomines that sporadically infect humans. This genus is the closest to the new genus Porcisia proposed to accommodate the Neotropical porcupine parasites originally described as L. hertigi and L. deanei. A new subgenus Leishmania (Mundinia) is created for the L. enriettii complex that includes L. martiniquensis. The new genus Zelonia harbours trypanosomatids from Neotropical hemipterans placed at the edge of the Leishmania–Endotrypanum-Porcisia clade. Finally, attention is drawn to the status of L. siamensis and L. australiensis as nomem nudums.
The effect on the mechanical properties at room temperature of Li and Ag additions to the Fe–Al (40 at.%)-based alloy produced by conventional casting were evaluated in this work. Alloying elements were added into a previously molted Fe–(40 at.%) aluminum-based alloy, stirred, and then cast into sand molds to directly produce tensile specimens. To determine the mechanical properties, tensile tests and hardness measurements were performed. The additions of both Ag and Li showed an increase in ductility and tensile strength of the intermetallic alloys. In addition, hardness was substantially increased with the Li addition. Lithium additions promoted a solid solution hardening, whereas 3 at.% of Ag additions promoted ductility due to a microstructural modification and to the formation of a soft Ag3Al phase. Characterization by both optical and electronic microscopy, energy dispersive spectroscopy microanalysis, and x-ray diffraction supported the mechanical characterization.
A gas-filled cylindrical liner z-pinch configuration has been used to drive convergent radiative shock waves into different gases at velocities of 20–50 km s−1. On application of the 1.4 MA, 240 ns rise-time current pulse produced by the Magpie generator at Imperial College London, a series of cylindrically convergent shock waves are sequentially launched into the gas-fill from the inner wall of the liner. This occurs without any bulk motion of the liner wall itself. The timing and trajectories of the shocks are used as a diagnostic tool for understanding the response of the liner z-pinch wall to a large pulsed current. This analysis provides useful data on the liner resistivity, and a means to test equation of state (EOS) and material strength models within MHD simulation codes. In addition to providing information on liner response, the convergent shocks are interesting to study in their own right. The shocks are strong enough for radiation transport to influence the shock wave structure. In particular, we see evidence for both radiative preheating of material ahead of the shockwaves and radiative cooling instabilities in the shocked gas. Some preliminary results from initial gas-filled liner experiments with an applied axial magnetic field are also discussed.
The study of corrosion behavior of polyurethane/nanohydroxyapatite hybrid coating in aerated Hank solution at 25 °C by Potentiodinamic and Electrochemical Impedance techniques was realized. The nanohydroxyapatite (nHA) powders were synthesized by ultrasonic assisted co-precipitation wet chemical method and then mixed with pure polyurethane (PU) during the polymerization. Results were supported by SEM morphologic characterization. Results showed that good corrosion resistance of hybrid coating, showing small corrosion product layer formation. Corrosion mechanisms are affected by an increasing of polarization resistance, promoting decreasing in the corrosion rates. Diffusion of ionic species was the governing mechanism in the corrosion behavior of polyurethane/nanohydroxyapatite hybrid coating.
The follicle destiny towards ovulation or atresia is multi-factorial in nature and involves outcries, paracrine and endocrine factors that promote cell proliferation and survival (development) or unchain apoptosis as part of the atresia process. In several types of cells, sphingosine-1-phospate (S1P) promotes cellular proliferation and survival, whereas ceramide (CER) triggers cell death, and the S1P/CER ratio may determine the fate of the cell. The aim of present study was to quantify S1P and CER concentrations and their ratio in bovine antral follicles of 8 to 17 mm classified as healthy and atretic antral follicles. Follicles were dissected from cow ovaries collected from a local abattoir. The theca cell layer, the granulosa cells and follicular fluid were separated, and 17β-estradiol (E2) and progesterone (P4) concentrations were measured in the follicular fluid by radioimmunoassay. Based on the E2/P4 ratio, the follicles were classified as healthy (2.2±0.3) or atretic (0.2±0.3). In both follicular compartments (granulosa and theca cell layer), sphingolipids were extracted and S1P and CER concentrations were quantified by HPLC (XTerra RP18; 5 µm, 3.0×150 mm column). Results showed that in both follicular compartments, S1P concentrations were higher in healthy antral follicles than in atretic antral follicles (P<0.05). The concentration of CER in the granulosa cells was higher in atretic antral follicles than in healthy antral follicles, but no differences were observed in the theca cell layer. The S1P/CER ratio in both follicular compartments was also higher in healthy antral follicles. Interestingly, in these follicles, there was a 45-fold greater concentration of S1P than CER in the granulosa cells (P<0.05), whereas in the theca cell layer, S1P had only a 14-fold greater concentration than CER when compared with atretic antral follicles. These results suggest that S1P plays a role in follicle health, increasing cellular proliferation and survival. In contrast, reduction of S1P and the S1P/CER in the antral follicle could trigger cellular death and atresia.
Plasma radiative properties play a pivotal role both in nuclear fusion and astrophysics. They are essential to analyze and explain experiments or observations and also in radiative-hydrodynamics simulations. Their computation requires the generation of large atomic databases and the calculation, by solving a set of rate equations, of a huge number of atomic level populations in wide ranges of plasma conditions. These facts make that, for example, radiative-hydrodynamics in-line simulations be almost infeasible. This has lead to develop analytical expressions based on the parametrization of radiative properties. However, most of them are accurate only for coronal or local thermodynamic equilibrium. In this work we present a code for the parametrization of plasma radiative properties of mono-component plasmas, in terms of plasma density and temperature, such as radiative power loss, the Planck and Rosseland mean opacities and the average ionization, which is valid for steady-state optically thin plasmas in wide ranges of plasma densities and temperatures. Furthermore, we also present some applications of this parametrization such as the analysis of the optical depth and radiative character of plasmas, the use to perform diagnostics of the electron temperature, the determination of mean radiative properties for multicomponent plasmas and the analysis of radiative cooling instabilities in some kind of experiments on high-energy density laboratory astrophysics. Finally, to ease the use of the code for the parametrization, this one has been integrated in a user interface and brief comments about it are presented.
The historical monuments such as cathedrals, public buildings and so on, are a fundamental part of artistic heritage of a country. They reflect, ultimately, much of its culture and history. For several decades, their aspect has been seriously changed by graffiti, which clearly endangers their preservation state and causes loss of their esthetic appearance and historic value. This damages seriously the self-esteem of residents who witness the continued and strong degradation of their cultural heritage. The aim of this work is to study the removal of graffiti from a characteristic stone which is used in Morelia (México) as the raw material for architectural monuments, using a high power diode laser treatment. We concluded that continuous wave regime leads to better results than modulated wave regime; additionally, a two laser passes process demonstrated a high performance.
We introduce a novel method for producing polystyrene (PS)-grafted multiwalled carbon nanotubes (MWCNTs), which provides a direct route to composites where carbon nanotubes (CNTs) are the major component. Infrared and Raman spectroscopies confirmed that the MWCNTs were functionalized with PS. Thermogravimetric analysis showed that CNTs increase thermal stability of the composite up to a critical loading (∼40 wt%) beyond which high nanotube loadings decrease the polymer degradation temperature, as a consequence of the thermal properties of CNTs and the composite morphology. Even at loadings as high as 80 wt% MWCNTs, the composite is an effective masterbatch material for both solution- and melt-processing. These results show that in situ polymerizations can be flexible and robust techniques for nanocomposite processing, overcoming limitations of conventional processing techniques to produce nanocomposites with very high nanotube loadings, not achieved hitherto.
The isothermal oxidation-sulfidation of Fe-40Al based intermetallics alloys in N2/SO2 gas mixture at 625, 700 and 775°C were evaluated. Fe40Al, Fe40Al+0.1B, Fe40Al+0.1B+10Al2O3 alloys were produced by atomization and deposition. Isothermal gas exposition was reached during 48 hours. FeAl based alloys showed good sulfidation resistance, presenting both small weight gain and weight change fluctuations. At 625°C, the Fe40Al+0.1B alloy had the biggest weight gain; on the other hand the Fe40Al alloy exhibited the biggest sulfidation resistance. At 700 and 775°C, the Fe40Al+0.1B alloy presented the smallest weight gain, however Fe40Al alloy presented higher weight gain, that is to say, the smallest sulfidation resistance at those temperatures. The variation in the weight gain curves were discussed in terms of formation and detachment of sulfides, and by local attack on the alloy surface as the temperature increasing. The results are supplemented with characterization by SEM and analysis of X-rays dispersion.
Osteoarthritis is a very complex illness of the joints that affects cartilage and subcondral bone. At the last years, researching has been focused in the development and characterization of composite materials, evaluating their structural properties. Some o those composite materials are constituted by organic and inorganic compounds forming hybrids. These materials can improve their properties due to the interaction of reinforcement hard particles in the polymeric matrix. The interest on the composite biomaterials has been increased on the biomedical applications such as tissue regenerating based in synthetic polymers with biodegradable and biocompatible properties whose can be reinforced by calcium phosphates. In this sense, hydroxyapatite [Ca10(PO4)6(OH)2] is often used for biological implants due its mineral phase similitude with bone microstructure and tissue compatibility. Similarly, polylactic acid (PLA) is a used polymer for implant applications due physicochemical and biocompatibility properties, and short degradation time also. In order to obtain a composite that can be used as a regenerating material on the osteoarthritis problem, in this work a (90/10 wt.%) polylactic/hydroxyapatite hybrid composite was produced by chemical synthesis and characterized by X-ray diffraction, SEM, FT-IR and TGA/DSC techniques.