Acute Traumatic Stress Screening Can Identify Patients and Their Partners at Risk for Posttraumatic Stress Disorder Symptoms After a Cardiac Arrest:A Multicenter Prospective Cohort Study

BACKGROUND: Posttraumatic stress disorder (PTSD) is prevalent in patients who have had a cardiac arrest and their partners. Accordingly, acute traumatic stress screening is recommended, but its association with later PTSD symptoms has never been addressed in postresuscitation settings. OBJECTIVE: The aim of this study was to examine whether acute traumatic stress is associated with PTSD symptoms in patients who have had a cardiac arrest and their partners. METHODS: This multicenter longitudinal study of 141 patients and 97 partners measures acute traumatic stress at 3 weeks and PTSD symptoms at 3 months and 1 year after resuscitation, using the Impact of Event Scale. Linear regression models were used to evaluate the association between severity of acute traumatic stress and PTSD symptoms and post hoc to explore effects of group (patients/partners), age, and sex on acute traumatic stress severity. We categorized Impact of Event Scale scores higher than 26 at 3 months and 1 year as clinical severe PTSD symptoms. RESULTS: Higher acute traumatic stress severity is significantly positively associated with higher PTSD symptom severity at 3 months (patients and partners: P < .001) and 1 year (patients and partners: P < .001) postresuscitation, with the strongest association for women compared with men (P = .03). Acute traumatic stress was higher in women compared with men across groups (P = .02). Clinical severe PTSD symptoms were present in 26% to 28% of patients and 45% to 48% of partners. CONCLUSION: Experiencing a cardiac arrest may elicit clinical severe PTSD symptoms in patients, but particularly in their partners. Screening patients and partners for acute traumatic stress postresuscitation is warranted to identify those at increased risk of long-term PTSD symptoms

Viscoelastic gels of guar and xanthan gum mixtures provide long-term stabilization of iron micro- and nanoparticles

Iron micro- and nanoparticles used for groundwater remediation and medical applications are prone to fast aggregation and sedimentation. Diluted single biopolymer water solutions of guar gum (GG) or xanthan gum (XG) can stabilize these particles for few hours providing steric repulsion and by increasing the viscosity of the suspension. The goal of the study is to demonstrate that amending GG solutions with small amounts of XG (XG/GG weight ratio 1:19; 3 g/L of total biopolymer concentration) can significantly improve the capability of the biopolymer to stabilize highly concentrated iron micro- and nanoparticle suspensions. The synergistic effect between GG and XG generates a viscoelastic gel that can maintain 20 g/L iron particles suspended for over 24 h. This is attributed to (i) an increase in the static viscosity, (ii) a combined polymer structure the yield stress of which contrasts the downward stress exerted by the iron particles, and (iii) the adsorption of the polymers to the iron surface having an anchoring effect on the particles. The XG/GG viscoelastic gel is characterized by a marked shear thinning behavior. This property, coupled with the low biopolymer concentration, determines small viscosity values at high shear rates, facilitating the injection in porous media. Furthermore, the thermosensitivity of the soft elastic polymeric network promotes higher stability and longer storage times at low temperatures and rapid decrease of viscosity at higher temperatures. This feature can be exploited in order to improve the flowability and the delivery of the suspensions to the target as well as to effectively tune and control the release of the iron particle

POLA KEANEKARAGAMAN DAN DISTRIBUSI SPESIES IKAN TERUMBU MENGGUNAKAN ENVIRONMENTAL DNA (eDNA) METABARCODING PADA JARAK LONGITUDINAL DARI TELUK JAKARTA

Keberadaan ikan terumbu tentunya erat kaitannya dengan keberadaan terumbu karang karena ekosistem tersebut merupakan habitat bagi ikan karang. Terumbu karang merupakan ekosistem yang banyak terdapat di pulau-pulau kecil di daerah tropis termasuk Kepulauan Seribu. Kepulauan Seribu adalah sekelompok 110 pulau yang terletak di lepas pantai Jakarta dan hingga 80 kilometer sebelah utara Laut Jawa. Dalam studi ini, kami meneliti distribusi spesies dan keanekaragaman spesies ikan terumbu pada dua lokasi yaitu Pulau Untung Jawa dan Pulau Harapan yang berbeda jarak di Teluk Jakarta menggunakan analisis metabarcoding DNA lingkungan (eDNA). Sebanyak 4 liter sampel air laut dikoleksi pada kedalaman 8-9 meter per lokasi lalu dilakukan analisis menggunakan primer spesifik (MiFish U) dengan marka 12s rRNA. Secara keseluruhan, kekayaan spesies yang lebih tinggi ditemukan di Pulau Harapan (52 spesies) diikuti oleh Pulau Untung Jawa (11 spesies). Indeks Shanon-Wiener juga menunjukkan bahwa Pulau Harapan memiliki keanekaragaman ikan terumbu yang lebih tinggi berdasarkan tiga tingkatan taksonomi (famili, genus, dan spesies). Hanya ada lima spesies ikan terumbu mutual yang ditemukan di dua lokasi tersebut, yakni Atherinomorus aetholepis, Auxis thazard, Cephalopholis sexmaculata, Epinephelus chlorostigma, dan Plectropomus areolatus. Hasil temuan dalam penelitian ini sejalan dengan perbedaan antropogenik dimana Pulau Untung Jawa lebih dekat dengan Teluk Jakarta dibandingkan dengan Pulau Harapan yang letaknya relatif jauh dari Teluk Jakarta.The existence of reef fish is certainly closely related to the existence of reefs coral because the ecosystem is a habitat for reef fish. Coral reefs are ecosystems that are commonly found on small islands in the tropics including the Seribu Islands. The Seribu Islands are a group of 110 islands located off the coast of Jakarta and up to 80 kilometers north of the Java Sea. In this study, we examined the species distribution and diversity of reef fish species on two different distance location in Jakarta Bay using environmental DNA (eDNA) metabarcoding analysis from two sites which are Untung Jawa Island and Harapan Island. The 4L eDNA seawater samples were collected at a depth of 8-9 meters at each site and then analysis using specific primer (MiFish U) of 12S rRNA. Overall, the higher species richness was found on Harapan Island (52 species) followed by Untung Jawa Island (11 species). The Shannon-Wiener Index also showed Harapan Island has higher reef fish diversity based on three taxonomic level (family, genus, and species). There were only five mutual reef fish species found in the two locations, namely Atherinomorus aetholepis, Auxis thazard, Cephalopholis sexmaculata, Epinephelus chlorostigma, and Plectropomus areolatus. The results of these findings in this current study are in line with anthropogenic pressure different where Untung Jawa Island is the closer one to Jakarta Bay than the Harapan Island that located relatively far from Jakarta Bay

Psychometric Properties and Validation of the EMOTICOM Test Battery in a Healthy Danish Population.

Disruptions in hot cognition, i.e., the processing of emotionally salient information, are prevalent in most neuropsychiatric disorders and constitute a potential treatment target. EMOTICOM is the first comprehensive neuropsychological test battery developed specifically to assess hot cognition. The aim of the study was to validate and establish a Danish language version and reference data for the EMOTICOM test battery. To evaluate the psychometric properties of 11 EMOTICOM tasks, we collected data from 100 healthy Danish participants (50 males, 50 females) including retest data from 49 participants. We assessed test-retest reliability, floor and ceiling effects, task-intercorrelations, and correlations between task performance and relevant demographic and descriptive factors. We found that test-retest reliability varied from poor to excellent while some tasks exhibited floor or ceiling effects. Intercorrelations among EMOTICOM task outcomes were low, indicating that the tasks capture different cognitive constructs. EMOTICOM task performance was largely independent of age, sex, education, and IQ as well as current mood, personality, and self-reported motivation and diligence during task completion. Overall, many of the EMOTICOM tasks were found to be useful and objective measures of hot cognition although select tasks may benefit from modifications to avoid floor and ceiling effects in healthy individuals

Oral particle uptake and organ targeting drives the activity of amphotericin B nanoparticles

There are very few drug delivery systems that target key organs via the oral route, as oral delivery advances normally address gastrointestinal drug dissolution, permeation, and stability. Here we introduce a nanomedicine in which nanoparticles, while also protecting the drug from gastric degradation, are taken up by the gastrointestinal epithelia and transported to the lung, liver, and spleen, thus selectively enhancing drug bioavailability in these target organs and diminishing kidney exposure (relevant to nephrotoxic drugs). Our work demonstrates, for the first time, that oral particle uptake and translocation to specific organs may be used to achieve a beneficial therapeutic response. We have illustrated this using amphotericin B, a nephrotoxic drug encapsulated within <i>N</i>-palmitoyl-<i>N</i>-methyl-<i>N</i>,<i>N</i>-dimethyl-<i>N</i>,<i>N</i>,<i>N</i>-trimethyl-6-<i>O</i>-glycol chitosan (GCPQ) nanoparticles, and have evidenced our approach in three separate disease states (visceral leishmaniasis, candidiasis, and aspergillosis) using industry standard models of the disease in small animals. The oral bioavailability of AmB-GCPQ nanoparticles is 24%. In all disease models, AmB-GCPQ nanoparticles show comparable efficacy to parenteral liposomal AmB (AmBisome). Our work thus paves the way for others to use nanoparticles to achieve a specific targeted delivery of drug to key organs via the oral route. This is especially important for drugs with a narrow therapeutic index

Young People and Development: The Role of Global Youth Work in Engagement and Learning

In this chapter I will outline the definitions and principles of what is known as global youth work and relate this to learning and development in the wider youth work sector. 1 will also look at how global youth work has been interpreted and what makes it distinctive, in terms of its approach, agenda and intended outcomes; be it young people’s personal, social and political development or awareness of global development issues. Historically many local government youth services and voluntary and community sector organisations in the UK and Ireland have explored global issues with young people through international work, including youth exchanges, links and intercultural learning as distinct curriculum areas. However this work has always been constrained by the limited funding available and a lack of understanding of the value of this work as a core activity at a strategic level within the youth work and development education (DE) sectors and government departments. This chapter will identify some of the perceived differences between global youth work and school-based development education in regard to aims and methodology, in particular youth work’s principle of ‘Voluntarism’ and a desire to be ‘action focused’ involving the active participation of young people in curriculum design and delivery

A sample of weak blazars at milli-arcsecond resolution

Aims. We started a follow up investigation on the 'Deep X-ray Radio Blazar Survey' objects with declination > -10 deg for a better understanding of the blazar phenomenon. We undertook a survey with the European Very Long Baseline Interferometry Network at 5 GHz to make the first images of a complete sample of weak blazars, aiming at a follow-up comparison between high- and low-power samples of blazars. Methods. We observed 87 sources with the EVN at 5 GHz along the period October 2009-May 2013. The observations were correlated at the Max-Planck-Institut fuer Radioastronomie and at the Joint Institute for VLBI in Europe. The correlator output was analysed using both the AIPS and DIFMAP software packages. Results. All of the sources observed were detected. Point-like sources on milli-arcsecond scale are found in 39 cases, 45 show core-jet structure, and 3 are triples. The total ux density distribution at 5 GHz has a median value =44+23-10 mJy. A total flux density ~150 mJy is observed in 68 out of 87 sources. Their brightness temperature Tb ranges between 10^7 K and 10^12 K. According to the spectral indices previously obtained with multi-frequency observations, 58 sources show a at spectral index, 29 sources show a steep spectrum or a spectrum peaking at a frequency around 1-2 GHz. 14 flat spectrum plus 1 steep spectrum sources are associated to gamma-ray emitters detected by the Fermi Gamma-ray Space Telescope. Conclusions. We performed the first milli-arcsecond resolution observations of a sample of suggested blazars. We found that among the 87 objects under investigation, 56 can be considered blazars. We also detected 2 Flat spectrum Narrow Line Radio Galaxies. 14 blazars plus a Steep Spectrum Radio Quasars, adding those observed with the EVN to those with ATCA oservations, are associated to gamma-ray objects. About 50% of them are BLLacs confirming they are more preferably detected among blazars gamma-emitters. We confirm the correlation found between the source core flux density and the gamma-ray photon fluxes down to fainter flux densities. We also found that weak blazars are also weaker gamma-ray emitters compared to bright blazars. 22 sources are SSRQs or Compact Steep-spectrum Sources and 7 are GigaHz Peaked Sources. The available X-ray ROSAT observations allowed us to suggest that CSS GPS quasars are not obscured by large column of cold gas surrounding the nuclei. We did not find any significant difference in X-ray luminosity between CSS and GPS quasars

THE STRATEGY OF REACHING THE INTERNATIONAL MARKET SHARE FOR PT. HILDAN FATHONI INDONESIA

PT. Hildan Fathoni Indonesia is a company that has two product lines, such as product safety, product and crafts. As the company does not yet have the experience in terms of export products. Therefore, a much-needed strategy to sell the company's products with the scale Internatioal. PT. Hildan Fathoni makes the United States as a target market. its marketing strategy using articles and YouTube with the title that is effetive and in accordance with the research that's been done