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The discrepancies in the results from different cites addressed in this study suggest that non-meteorological factors need to be explored in conjunction with weather attributes in a sufficiently long-term analysis to provide meaningful policy measures for the future.The COVID-19 pandemic has made its impact across the globe with great voracity. New routines have displaced older more established ones with ruthless efficiency-no more so than in healthcare. In meeting these challenges, many healthcare workers have had to prepare for and enact many new ways of working. Regardless of their speciality or stage of training, health professions educators (HPEs) have helped train our healthcare workforce in developing new skills with great tempo. Throughout all of these efforts one constant has guided our endeavours-the humane connection with those that provide and those that seek healthcare.However, with COVID-19 we have had to distance ourselves from our patients, and colleagues, and clad ourselves in various items of personal protection equipment (PPE). The protective barrier also acts as a barrier to personal interaction and therefore presents challenges in how we connect with each other on a humane level. Few disciplines have engaged with the complexities of verbal and gestural communication as thoroughly and consistently as the dramatic arts. Actors in Ancient Greece would perform wearing masks and used oratory as well as gestural communication to enrapture the audience.Drawing upon the dramatic arts, we aim to explore the relationship between face and mask and thereby provide reflective insights for HPEs to help guide healthcare workers in their communication from behind the face mask.The green peach aphid, Myzus persicae(Sulzer) (Hemiptera Aphididae), is an important pest of several worldwide crops. This study evaluated the effects of plant micronutrients (alpha-iron (Fe), zinc sulfate (Zn), copper sulfate (Cu), and manganese sulfate (Mn)) on digestive enzymes, intermediary metabolism, and antioxidant responses of M. persicae reared on bell pepper plants under greenhouse conditions. Results showed that M. persicae reared on Mn-treated plants had the digestive enzymes α-amylase, trypsin, chymotrypsin, and elastase inhibited. Moreover, the aphids fed on Mn-treated plants showed the highest activities of catalase, glucose-6-phosphate dehydrogenase, superoxide dismutase, and peroxidase, and lower increase rate of malondialdehyde. These findings indicate that micronutrients can impact the aphid metabolism, which may aid control strategies against this insect pest. We raise the potential for beneficial use of foliar fertilizer application as a pest management tool that could be further evaluated on a production and economical scale, as well as with other insect pests.Products derived from microalgae have great potential in diverse field. As a part of the enhancing agriculture application, various forms of microalgae applications have been developed so far. They are known to influence soil properties. The various forms of application may enhance soil in more or less similar manner. They can help improve soil health, nitrogen, and phosphorus content, and even carbon sequestration. Thus, overall, it can enhance fertility of the soil.

Preoperative eGFR has been found to be a reliable predictor of post-operative outcomes in patients with normal creatinine levels who undergo surgery. The aim of our study was to evaluate the impact of preoperative eGFR levels on short-term post-operative outcomes in patients undergoing pancreatectomy.

The American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) pancreatectomy file (2014-2017) was queried for all adult patients (age ≥ 18) who underwent pancreatic resection. Patients were stratified into two groups based on their preoperative eGFR (eGFR < 60mL/min/1.73m

and eGFR ≥ 60mL/min/1.73m

). Outcome measures included post-operative pancreatic fistula, discharge disposition, hospital length of stay, 30-day readmission rate, and 30-day morbidity and mortality. Multivariate logistic regression analysis was performed.

A total of 21,148 were included in the study of which 12% (n = 2256) had preoperative eGFR < 60mL/min/1.73m

. Patients in the eGFR < 60 group haatification and post-operative expectations.

Distress screening has become mandatory and essential in comprehensive cancer care. We evaluated an electronic psycho-oncological adaptive screening (EPAS) which assesses objective indicators of care needs and subjectively perceived care needs and subsequentlyprovides patient feedback with individualized recommendations about psychosocial care services.

Patients were assessed within clusters, i.e., different oncological facilities of the competence network of the University Cancer Center Hamburg (UCCH). Patients in the intervention arm underwent the screening, controls received standard care. Patients were assessed at baseline (t0), 3-month (t1), and 6-month (t2) follow-up. Outcomes included information level and use of/access to nine psychosocial services at UCCH, well-being (GAD-7, PHQ-9, SF-8), and treatment satisfaction (SCCC). Conditional linear and logistic regressions were used to identify screening effects at t1 and t2.

Of 1320 eligible patients across 11 clusters, 660 were included (50%). The a at ClinicalTrials.gov (number NCT04749056).Emotional information receives prioritized processing over concurrent cognitive processes. This can lead to distraction if emotional information has to be ignored. In the cognitive domain, mechanisms have been described that allow control of (cognitive) distractions. However, whether similar cognitive control mechanisms also can attenuate emotional distraction is an active area of research. This study asked whether cognitive control (triggered in the Color Stroop task) attenuates emotional distraction in the Emotional Stroop task. Theoretical accounts of cognitive control, and the Emotional Stroop task alike, predict such an interaction for tasks that employ the same relevant (e.g., color-naming) and irrelevant (e.g., word-reading) dimension. In an alternating-runs design with Color and Emotional Stroop tasks changing from trial to trial, we analyzed the impact of proactive and reactive cognitive control on Emotional Stroop effects. Four experiments manipulated predictability of congruency and emotional stimuli. Overall, results showed congruency effects in Color Stroop tasks and Emotional Stroop effects. Moreover, we found a spillover of congruency effects and emotional distraction to the other task, indicating that processes specific to one task impacted to the other task. However, Bayesian analyses and a mini-meta-analysis across experiments weigh against the predicted interaction between cognitive control and emotional distraction. The results point out limitations of cognitive control to block off emotional distraction, questioning views that assume a close interaction between cognitive control and emotional processing.In 2020 the world was captivated by the COVID-19 pandemic. Current scientific evidence suggests an interaction of SARS-CoV-2 and the human immune system. Multiple cases were reported of patients with COVID-19 presenting with encephalopathy, confusion or agitation, stroke, and other neurologic symptoms. We present a case of a 40-year-old man diagnosed with Susac syndrome after COVID-19, presenting with acute sensorineural hearing loss, encephalopathy, a splenial "snowball-like" lesion, and branch retinal artery occlusions with distal arterial wall hyperintensity. Although the pathophysiology of Susac syndrome remains unclear, this case is in line with the ongoing debate about the influence of SARS-CoV-2 on the human immune system. Corticosteroid treatment was initiated, followed by two treatments with rituximab, with clinical improvement of the symptomatology. Maintenance treatment currently consists of mycophenolic acid (MPA). Future research will need to focus on the underlying mechanisms for COVID-19-associated (autoimmune) complications.The involvement of the nervous system may occur in 36.4% of patients with COVID-19. Cases have been described of cerebrovascular diseases, encephalitis, encephalopathies, and changes in smell and taste. Venetoclax Two months after being discharged from hospital with COVID-19, a 63-year-old male patient presented with a predominantly demyelinating multiple sensory and motor mononeuropathy. A diagnostic possibility of multiple sensory and motor demyelinating mononeuropathy (Lewis-Sumner syndrome) was made. Treatment with human immunoglobulin was initiated. COVID-19 may be associated with multiple demyelinating sensory and motor mononeuropathy.The artery of Percheron is a small vessel whose occlusion causes bilateral paramedian thalamic and rostral midbrain stroke. COVID-19 is an independent risk factor for acute small vessel ischemic stroke. We presented the case of a young adult patient with infarction in the artery of Percheron territory as a presenting feature of COVID-19. Artery of Percheron infarction is a neurodiagnostic challenge in emergency during COVID-19 pandemic.Older people with HIV (PWH) experience increased risk of age-related neurodegenerative disorders and cognitive decline, such as amnestic mild cognitive impairment (aMCI). The objective of this study was to examine the relationship between aMCI and plasma VEGF biomarkers among older PWH. Data were collected at a university-based research center from 2011 to 2013. Participants were 67 antiretroviral therapy-treated, virally suppressed PWH. Participants completed comprehensive neurobehavioral and neuromedical evaluations. aMCI status was determined using adapted Jak/Bondi criteria, classifying participants as aMCI + if their performance was > 1 SD below the normative mean on at least two of four memory assessments. VEGF family plasma biomarkers (i.e., VEGF, VEGF-C, VEGF-D, and PIGF) were measured by immunoassay. Logistic regression models were conducted to determine whether VEGF biomarkers were associated with aMCI status. Participants were mostly non-Hispanic white (79%) men (85%) with a mean age of 57.7 years. Eighteen (26.9%) participants met criteria for aMCI. Among potential covariates, only antidepressant drug use differed by aMCI status, and was included as a covariate. VEGF-D was significantly lower in the aMCI + group compared to the aMCI - group. No other VEGF levels (VEGF, VEGF-C, PIGF) differed by aMCI classification (ps > .05). In a sample of antiretroviral therapy-treated, virally suppressed PWH, lower levels of VEGF-D were associated with aMCI status. Longitudinal analyses in a larger and more diverse sample are needed to support VEGF-D as a putative biological marker of aMCI in HIV.The concentrations of four heavy metals, zinc (Zn), lead (Pb), nickel (Ni), and cadmium (Cd), were determined in the liver, kidney, muscle, and brain of nine species of birds from the Chahnimeh Sistan from Iran to assess the metal levels and the potential risk to birds and to the people who eat them. Significantly higher levels of all metals were found in the brain than in the other tissues of other birds. There were no significant gender differences in heavy metals in all tissue. The levels of Pb, Cd, Ni, and Zn in the liver and kidney varied as a function of feeding habitats; the median levels were significantly higher in invertebrate predators than they were for fish predators and omnivorous species. Short-distance migrant birds had significantly higher median levels of heavy metals in the liver and kidney than long-distance migrant birds. Ni levels in the liver and kidney tissues in 56% of birds were higher than the critical threshold levels for effects in birds. Our data indicate that environmental exposures to metals were higher in the wintering populations of birds in the Chahnimeh of Sistan from Iran than elsewhere.