Electroconvulsive therapy in geriatric patients: A literature review and program report from Virginia Commonwealth University, Richmond, Virginia, USA

Electroconvulsive therapy (ECT) is an effective therapeutic intervention in the elderly patients with major depression, especially those with psychosis, suicidality, catatonia, nutritional compromise, and resistance to medications. Response rates can be as high as 80%. We present an extensive review of the relevant literature, provide a description of the ECT program at Virginia Commonwealth University in Richmond, Virginia, USA, and present results of our experience with ECT in fifty elderly patients. The treatments were safe, well tolerated, and produced high response rates, variably between 68% and 84%. Patients in the long‑term maintenance ECT program continue to show sustained benefits from ECT

Evaluation of Overlay/underlay Waveform via SD-SMSE Framework for Enhancing Spectrum Efficiency

Recent studies have suggested that spectrum congestion is mainly due to the inefficient use of spectrum rather than its unavailability. Dynamic Spectrum Access (DSA) and Cognitive Radio (CR) are two terminologies which are used in the context of improved spectrum efficiency and usage. The DSA concept has been around for quite some time while the advent of CR has created a paradigm shift in wireless communications and instigated a change in FCC policy towards spectrum regulations. DSA can be broadly categorized as using a 1) Dynamic Exclusive Use Model, 2) Spectrum Commons or Open sharing model or 3) Hierarchical Access model. The hierarchical access model envisions primary licensed bands, to be opened up for secondary users, while inducing a minimum acceptable interference to primary users. Spectrum overlay and spectrum underlay technologies fall within the hierarchical model, and allow primary and secondary users to coexist while improving spectrum efficiency. Spectrum overlay in conjunction with the present CR model considers only the unused (white) spectral regions while in spectrum underlay the underused (gray) spectral regions are utilized. The underlay approach is similar to ultra wide band (UWB) and spread spectrum (SS) techniques utilize much wider spectrum and operate below the noise floor of primary users. Software defined radio (SDR) is considered a key CR enabling technology. Spectrally modulated, Spectrally encoded (SMSE) multi-carrier signals such as Orthogonal Frequency Domain Multiplexing (OFDM) and Multi-carrier Code Division Multiple Access (MCCDMA) are hailed as candidate CR waveforms. The SMSE structure supports and is well-suited for SDR based CR applications. This work began by developing a general soft decision (SD) CR framework, based on a previously developed SMSE framework that combines benefits of both the overlay and underlay techniques to improve spectrum efficiency and maximizing the channel capacity. The resultant SD-SMSE framework provides a user with considerable flexibility to choose overlay, underlay or hybrid overlay/underlay waveform depending on the scenario, situation or need. Overlay/Underlay SD-SMSE framework flexibility is demonstrated by applying it to a family of SMSE modulated signals such as OFDM, MCCDMA, Carrier Interferometry (CI) MCCDMA and Transform Domain Communication System (TDCS). Based on simulation results, a performance analysis of Overlay, Underlay and hybrid Overlay/Underlay waveforms are presented. Finally, the benefits of combining overlay/underlay techniques to improve spectrum efficiency and maximize channel capacity are addressed

Pandemic governance: Developing a politics of informality.

South Africa had the privilege of learning from how other countries responded to the crisis engendered by the COVID-19 pandemic. However, this opportunity seems to have been lost as the South African government made the mistake of transposing a developed-world preventive response onto a largely developing-world populace. The government failed to map out how factors such as South Africa’s demographic composition, spatial architecture, the incidence of poverty and informality, and competing epidemics would interact synergistically and shape epidemiological outcomes. In this article shaped by sociological insights, we show how the application of governance systems can give rise to many unintended social consequences when the knowledge forms upon which they are based are not suitably tailored to meet the needs of the specific local context. We highlight how informality can play a valuable role in fighting the COVID crisis and suggest that, to truly succeed, the government should include rather than override informal principles of governance.Significance:We present a brief comparative analysis of the responses of different nation states to the COVID-19 pandemic. The insights contribute to the sociological literature as well as to other disciplines, highlighting how local contextual factors are (re)shaping the form of policy responses as well as their associated consequences. More specifically, we focus on the importance of adopting a political economy approach in the analysis of informality and motivate how and why this may be useful for consideration in areas related to policy development and governance more broadly

Cold Atmospheric Pressure Argon Plasma Jet Assisted Degradation of Malachite Green (MG) Aqueous Solution

The oxidative degradation of cold atmospheric pressure plasma assisted degradation of malachite Green (MG) was investigated in this study. Cold atmospheric pressure plasma assisted MG degradation process was carried out as a function various plasma treatment time (05, 10, and 15 mins). The % of degradation and presence carbon content in the plasma treated MG was examined by UV-Visible spectroscopy (UV-Vis) and total organic carbon (TOC) analyzer. Optical emission spectrometer was used to identify formation of various reactive species during in situ plasma treatment. The higher degradation percentage of 90% was obtained after plasma treatment time of 15 min and value of TOC also found to decreased significantly with increasing plasma treatment time.  Toxicity of the plasma-treated MG aqueous solution samples was also examined by Staphylococcus aureus (S.aureus) bacteria