Patients' Post-/Long-COVID Symptoms, Vaccination and Functional Status-Findings from a State-Wide Online Screening Study.

(1) Background: Better understanding of post-/long-COVID and limitations in daily life due to the symptoms as well as the preventive potential of vaccinations is required. It is unclear whether the number of doses and timepoint interrelate with the trajectory of post-/long-COVID. Accordingly, we examined how many patients positively screened with post-/long-COVID were vaccinated and whether the vaccination status and the timepoint of vaccination in relation to the acute infection were related to post-/long-COVID symptom severity and patients' functional status (i.e., perceived symptom severity, social participation, workability, and life satisfaction) over time. (2) Methods: 235 patients suffering from post-/long-COVID were recruited into an online survey in Bavaria, Germany, and assessed at baseline (T1), after approximately three weeks (T2), and approximately four weeks (T3). (3) Results: 3.5% were not vaccinated, 2.3% were vaccinated once, 20% twice, and 53.3% three times. Overall, 20.9% did not indicate their vaccination status. The timepoint of vaccination was related to symptom severity at T1, and symptoms decreased significantly over time. Being vaccinated more often was associated with lower life satisfaction and workability at T2. (4) Conclusions: This study provides evidence to get vaccinated against SARS-CoV-2, as it has shown that symptom severity was lower in those patients who were vaccinated prior to the infection compared to those getting infected prior to or at the same time of the vaccination. However, the finding that being vaccinated against SARS-CoV-2 more often correlated with lower life satisfaction and workability requires more attention. There is still an urgent necessity for appropriate treatment for overcoming long-/post-COVID symptoms efficiently. Vaccination can be part of prevention measures, and there is still a need for a communication strategy providing objective information about the usefulness and risks of vaccinations

"An apple pie a day does not keep the doctor away": Fictional depictions of gout in contemporary film and television.

BACKGROUND: Fictional portrayals of illness and medical management in film and television can reflect and perpetuate cultural stereotypes about illness. The aim of this study was to analyse fictional depictions of gout in contemporary film and television. METHODS: We conducted a search for English language depictions of gout in film and television since 1990 using the Internet Movie Database (IMDb), other internet media databases, and member suggestions from the Gout, Hyperuricemia and Crystal-Associated Disease Network (G-CAN). Film and television episodes with gout content were analysed for depictions of characters with gout, causal factors, and management strategies (n=44). RESULTS: Gout was used to denote royalty or nobility in historical settings, and as a plot device to explain the absence of characters from key events. The most commonly depicted causes of gout were overindulgence of food and alcohol (61%), and portrayals of biological causes were infrequent (12%). Common management strategies were change in diet (36%) and short-term pain relief (32%), with only one mention of urate-lowering therapy (5%). The majority of films and television episodes depicted gout as humorous (59%) and embarrassing (50%). CONCLUSIONS: In contemporary film and television, gout is portrayed as a humorous and embarrassing condition, caused by dietary indulgence. These depictions may reinforce inaccurate beliefs about the causes of gout and its management

Greenhouse Evaluation of Air-Assisted Delivery Parameters for Mature Poinsettias

Understanding the performance characteristics of application equipment is important for helping make the most efficacious applications. While handguns making high volume applications are common in greenhouse production, it is difficult to achieve uniform distribution of product in a timely manner. Broadcast applications made using air-assistance can help aid canopy penetration and the volume of carrier required to make applications. The objectives of this research were to determine how air-assist sprayer application parameters influence spray deposits on the undersides of leaves in a mature poinsettia canopy. Bench-top trials were conducted using a motorized boom inside a greenhouse to treat a mature and dense poinsettia canopy. Sprayer treatments applied a tank mix of water and fluorescent tracer. Nylon screen targets were secured to the underside surfaces of leaves in the upper and lower elevation of target plants. A five-port, air-assist nozzle with flat fan nozzle tips was used to make the applications. Three air outlet speeds, two travel speeds, and three nozzle flow rates were evaluated. Each treatment was replicated three times. Spray deposits were highly variable. Upper elevation spray deposits were significantly greater than lower elevation deposits. Individually, higher air outlet speed (36.0 m s(-1)), slower travel speed (3.2 km h(-1)), and higher nozzle flow rate (1.17 L min(-1)) tended to produce higher sprayer deposits on the underside surfaces of leaves. The combination of travel speed and nozzle flow rate that produced the highest application rate (900 L ha(-1)) also produced the highest deposits. There was a 500% increase in underside leaf surface deposits in the lower canopy area for a corresponding 500% increase in application rate. However, the main effects produced no significant differences in spray deposits in the lower canopy area. Further improvements in directing sprays or providing canopy turbulence are necessary to improve deposition and management of insect pests feeding on the underside of poinsettia leaves

Cluster algebras of type A2(1)A_2^{(1)}

In this paper we study cluster algebras \myAA of type $A_2^{(1)}$. We solve the recurrence relations among the cluster variables (which form a T--system of type $A_2^{(1)}$). We solve the recurrence relations among the coefficients of \myAA (which form a Y--system of type $A_2^{(1)}$). In \myAA there is a natural notion of positivity. We find linear bases \BB of \myAA such that positive linear combinations of elements of \BB coincide with the cone of positive elements. We call these bases \emph{atomic bases} of \myAA. These are the analogue of the "canonical bases" found by Sherman and Zelevinsky in type $A_{1}^{(1)}$. Every atomic basis consists of cluster monomials together with extra elements. We provide explicit expressions for the elements of such bases in every cluster. We prove that the elements of \BB are parameterized by \ZZ^3 via their $\mathbf{g}$--vectors in every cluster. We prove that the denominator vector map in every acyclic seed of \myAA restricts to a bijection between \BB and \ZZ^3. In particular this gives an explicit algorithm to determine the "virtual" canonical decomposition of every element of the root lattice of type $A_2^{(1)}$. We find explicit recurrence relations to express every element of \myAA as linear combinations of elements of \BB.Comment: Latex, 40 pages; Published online in Algebras and Representation Theory, springer, 201

Field evaluation of application variables and plant density for bell pepper pest management

Bell peppers are a valuable vegetable crop in the U.S. Management of pepper insects and diseases relies on chemical control options. Because there are relatively few chemical options available for pepper pest management, it is critical to make efficacious application of pesticides. Foliar spray coverage and spray retention in the middle and bottom of bell pepper canopies were compared using fluorescent dyes and food coloring, respectively. Several delivery systems were evaluated, including air-induction and twin-fan nozzles, air-assisted delivery with conventional hydraulic nozzles, and pneumatic atomization nozzles producing electrically charged sprays. Plant spacing between and within rows was evaluated in the second year of the application trial. Travel speeds of 6.4 and 12.9 km h^-1 were also evaluated. Faster travel speeds did not significantly affect spray retention in twin-row canopies. The electrostatic sprayer produced the greatest differences in deposits between the middle and bottom of the canopy. Although there was no more than a 25 cm difference between leaves sampled from the middle and bottom canopy locations, spray retention on foliage in the bottom canopy locations had significantly lower retention than the middle canopy for almost all sprayer types. Despite differences in atomization characteristics, the performance of the twin-fan nozzle and the air-induction nozzle treatments were similar. Air-assisted delivery provided no advantage in the amount of spray retained on the foliage, but it produced more desirable spray quality on foliage and resulted in more spray retained on whole fruit

Effects of pumping on entomopathogenic nematodes and temperature increase within a spray system

Exposure to hydrodynamic stresses and increased temperature during hydraulic agitation within a spray system could cause permanent damage to biological pesticides during spray application. Damage to a benchmark biopesticide, entomopathogenic nematodes (EPNs), was measured after a single passage through three different pump types (centrifugal, diaphragm, and roller) at operating pressures up to 828 kPa. No mechanical damage to the EPNs due to passage through the pumps was observed. Separate tests evaluated the effect of pump recirculation on temperature increase of water within a laboratory spray system (56.8-L spray tank) and a conventional-scale spray system (1136-L spray tank). A constant volume of water (45.4 L) was recirculated through each pump at 15.1 L/min within the laboratory spray system. After 2 h, the temperature increase for the centrifugal pump was 33.6 degrees C, and for the diaphragm and roller pumps was 8.5 degrees C and 11.2 degrees C, respectively. The centrifugal pump was also evaluated within the conventional spray system, under both a constant (757 L) and reducing volume scenario, resulting in an average temperature increase of 3.2 degrees C and 6.5 degrees C, respectively, during the 3-h test period. When comparing the number of recirculations for each test, the rate of temperature increase was the same for the conventional spray, system (for both the constant and reducing volume scenarios), while for the laboratory spray system the temperature increased at a greater rate, suggesting that the volume capacity of the spray tank is the primary factor influencing the temperature increase. Results from this study indicate that thermal influences during pump recirculation could be more detrimental to EPNs than mechanical stress. Results show that extensive recirculation of the tank mix can cause considerable increases in the liquid temperature. Diaphragm and roller pumps (low-capacity pumps) are better suited for use with biopesticides compared to the centrifugal pump, which was found to contribute significant heat to the spray system

Screening and assessment for post-acute COVID-19 syndrome (PACS), guidance by personal pilots and support with individual digital trainings within intersectoral care: a study protocol of a randomized controlled trial.

BACKGROUND: Because the clinical patterns and symptoms that persist after a COVID-19 infection are diverse, a diagnosis of post-acute COVID-19 syndrome (PACS) is difficult to implement. The current research project therefore aims to evaluate the feasibility and the practicability of a comprehensive, interdisciplinary, and cross-sectoral treatment program consisting of a low-threshold online screening and holistic assessment for PACS. Furthermore, it aims to evaluate digital interventions and the use of so-called personal guides that may help to facilitate the recovery of PACS. METHODS: This German study consists of a low-threshold online screening for PACS where positively screened participants will be supported throughout by personal pilots. The personal pilots are aimed at empowering patients and helping them to navigate through the study and different treatment options. Patients will then be randomly assigned either to an intervention group (IG) or an active control group (ACG). The IG will receive a comprehensive assessment of physiological and psychological functioning to inform future treatment. The ACG does not receive the assessment but both groups will receive a treatment consisting of an individual digital treatment program (digital intervention platform and an intervention via a chatbot). This digital intervention is based on the needs identified during the assessment for participants in the IG. Compared to that, the ACG will receive a more common digital treatment program aiming to reduce PACS symptoms. Importantly, a third comparison group (CompG) will be recruited that does not receive any treatment. A propensity score matching will take place, ensuring comparability between the participants. Primary endpoints of the study are symptom reduction and return to work. Secondary outcomes comprise, for example, social participation and activities in daily life. Furthermore, the feasibility and applicability of the online screening tool, the holistic assessment, digital trainings, and personal pilots will be evaluated. DISCUSSION: This is one of the first large-scale studies to improve the diagnosis and the care of patients with PACS by means of empowerment. It is to be evaluated whether the methods utilized can be used for the German and international population. Trial registration ClinicalTrials.gov Identifier: NCT05238415; date of registration: February 14, 2022

Compaction and dilation rate dependence of stresses in gas-fluidized beds

A particle dynamics-based hybrid model, consisting of monodisperse spherical solid particles and volume-averaged gas hydrodynamics, is used to study traveling planar waves (one-dimensional traveling waves) of voids formed in gas-fluidized beds of narrow cross sectional areas. Through ensemble-averaging in a co-traveling frame, we compute solid phase continuum variables (local volume fraction, average velocity, stress tensor, and granular temperature) across the waves, and examine the relations among them. We probe the consistency between such computationally obtained relations and constitutive models in the kinetic theory for granular materials which are widely used in the two-fluid modeling approach to fluidized beds. We demonstrate that solid phase continuum variables exhibit appreciable ``path dependence'', which is not captured by the commonly used kinetic theory-based models. We show that this path dependence is associated with the large rates of dilation and compaction that occur in the wave. We also examine the relations among solid phase continuum variables in beds of cohesive particles, which yield the same path dependence. Our results both for beds of cohesive and non-cohesive particles suggest that path-dependent constitutive models need to be developed.Comment: accepted for publication in Physics of Fluids (Burnett-order effect analysis added

Promoting occupational health through gamification and e-coaching: A 5-month user engagement study

Social gamification systems have shown potential for promoting healthy lifestyles, but applying them to occupational settings faces unique design challenges. While occupational settings offer natural communities for social interaction, fairness issues due to heterogeneous personal goals and privacy concerns increase the difficulty of designing engaging games. We explored a two-level game-design, where the first level related to achieving personal goals and the second level was a privacy-protected social competition to maximize goal compliance among colleagues. The solution was strengthened by employing occupational physicians who personalized users’ goals and coached them remotely. The design was evaluated in a 5-month study with 53 employees from a Dutch university. Results suggested that the application helped half of the participants to improve their lifestyles, and most appreciated the role of the physician in goal-setting. However, long-term user engagement was undermined by the scalability-motivated design choice of one-way communication between employees and their physician. Implications for social gamification design in occupational health are discussed

Barriers and Facilitators of Safe Communication in Obstetrics: Results from Qualitative Interviews with Physicians, Midwives and Nurses.

Patient safety is an important objective in health care. Preventable adverse events (pAEs) as the counterpart to patient safety are harmful incidents that fell behind health care standards and have led to temporary or permanent harm or death. As safe communication and mutual understanding are of crucial importance for providing a high quality of care under everyday conditions, we aimed to identify barriers and facilitators that impact safe communication in obstetrics from the subjective perspective of health care workers. A qualitative study with 20 semi-structured interviews at two university hospitals in Germany was conducted to explore everyday perceptions from a subjective perspective (subjective theories). Physicians, midwives, and nurses in a wide span of professional experience and positions were enrolled. We identified a structural area of conflict at the professional interface between midwives and physicians. Mandatory interprofessional meetings, acceptance of subjective mistakes, mutual understanding, and debriefings of conflict situations are reported to improve collaboration. Additionally, emergency trainings, trainings in precise communication, and handovers are proposed to reduce risks for pAEs. Furthermore, the participants reported time-constraints and understaffing as a huge burden that hinders safe communication. Concluding, safety culture and organizational management are closely entwined and strategies should address various levels of which communication trainings are promising