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All patients were cannulated in the venovenous configuration. Two (20%) patients were successfully liberated from ECMO support after 7 and 10 days, respectively, and one (10%) patient is currently on a weaning course. One patient (10%) died after 9 days on ECMO from multiorgan dysfunction. CONCLUSIONS These preliminary multi-institutional data from a statewide collaborative offer insight into the clinical characteristics of the first 10 patients requiring ECMO for COVID-19 and their initial clinical course. Greater morbidity and mortality is likely to be seen in these critically ill patients with longer follow-up. © 2020 Wiley Periodicals, Inc.he urinalysis (UA) is one of the most commonly utilized tests in the emergency department (ED) (1). A UA may be ordered for patients with nonspecific symptoms such as vague abdominal pain or altered mental status (2). When these patients have a urinalysis demonstrating pyuria or bacteriuria, it may be interpreted as a urinary tract infection (UTI), when in reality, they simply have baseline pyuria or bacteriuria. This article is protected by copyright. All rights reserved.An anthracene-pentiptycene hybrid system ( 1-C n , where n refers to the number of carbon atom in the linear alkyl chain) crystalizes in three different polymorphs, called Y (yellow), G (green), and B (blue) forms in terms of the fluorescence color. While all the Y-form crystals perform the same yellow-to-blue fluorescence color responses to the photomechanical stress generated by the antrhacene [4+4] photodimerization reaction, the four G forms display distinct photomechanofluorochromism (PMFC) namely, from green to blue for G-1-C4 , to orange for G-1-C7 , to red for G-1-C8 , and to red then blue for G-1-C9 , and there is no photochromic activity for the B forms. The intriguing RGB three-color PMFC and the abnormal topochemical reactivity of G-1-C9 are attributed to an inherent softness of the crystal lattice. © 2020 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.Compensation is described as normal or near to normal performance in Parkinson's disease (PD), despite the ongoing neural loss. Functional compensation typically proceeds in an inverse U-shaped manner compensation initiates in the prodromal phase, followed by an increasing episode until plateauing and diminishes in the advanced stages of the disease. The first evidence of the structural compensation was reported by functional magnetic resonance imaging studies. Recent studies, which have used diffusion tensor imaging (DTI) as the basis for their investigation, have shown improved white matter diffusional properties both in motor- and non-motor-related structures in association with improved clinical scores in patients with PD. The majority of DTI studies have demonstrated microstructural compensation in the prodromal/early stages of PD at the regional scale. However, there have been reports of compensation in later stages of the disease and the whole-brain/network scale that are probably due to the heterogeneous nature of PD. Although serving as a promising beginning to characterize compensation, lots remain to be clarified in understanding the underlying mechanisms of compensation and its structural pattern in PD. The existing knowledge gap necessitates studies that their main research questions are focused on structural compensation. This requirement becomes more apparent because structural compensation evidence has mostly emerged from the post hoc analysis of data and incidental findings of studies. Thus, future studies are required to investigate compensatory microstructural changes in PD to clarify the exact underlying mechanisms. These studies would also provide a basis to develop clinical improvements in the early diagnosis and management of PD. © 2020 Wiley Periodicals, Inc.We present images from computed tomography angiography in a 40-year-old female with a calcified pseudo-aneurysm in her left coronary artery, who had previously undergone repair of tetralogy of Fallot. © 2020 Wiley Periodicals, Inc.BACKGROUND AND AIM Oral anticoagulation (AC) and percutaneous left atrial appendage (LAA) occlusion are the primary treatment modalities for stroke prevention in atrial fibrillation (AF), but there remains a subset of patients in whom these approaches present excess risk and isolated surgical LAA excision should be considered. We describe a 63-year-old female with AF and recurrent thromboembolic events who presented with an acute intraparenchymal hemorrhage and was found to have an intracardiac thrombus. METHODS Given contraindications to AC and LAA occlusion, an isolated LAA surgical excision was pursued. RESULTS She underwent successful surgical LAA excision and has since remained event-free. CONCLUSION It is important to recall the utility of therapies that have been previously used with success for intracardiac thrombi and still remain as viable options. © 2020 Wiley Periodicals, Inc.Primates show various forms of behavioral contagion that are stronger between kin and friends. As a result, behavioral contagion is thought to promote group coordination, social cohesion, and possibly state matching. Aside from contagious yawning, little is known about the contagious effect of other behaviors. Scratching is commonly observed during arousal and as such may play a role within group dynamics. While the Bornean orangutan (Pongo pygmaeus) is commonly considered the least social great ape, orangutans do engage in social interactions. Therefore, their social organization makes them a suitable case for studying the social function of behavioral contagion. Through behavioral observations of captive orangutans, we recorded all yawn and scratch events together with the corresponding behavior of all bystander group-members. As yawning was rarely observed, no conclusions could be drawn regarding this behavior. Scratching was contagious and occurred within 90 s after the triggering scratch. JSH-23 nmr Specifically, orangutans showed increased scratch contagion when they had seen a weakly bonded individual scratch during tense contexts. When the orangutan had not seen the triggering scratch, the contagiousness of scratching was not affected by context or relationship quality. Our results indicate that behavioral contagion is not simply higher between individuals with stronger social relationships, but that the contagiousness of behaviors may vary based on the context and on social factors. We discuss these findings in light of an adaptive function that may reduce aggression. © 2020 Leiden University. American Journal of Primatology published by Wiley Periodicals LLC.