Comparison of emotional approaches of medical doctors against COVID-19 pandemic: Eastern and Western Mediterranean countries

Background: Pandemics are states of disease that occur worldwide and sharply increase in populations. It causes life events which trigger anxiety, depression, anger, sleep deprivation, emotional distress and stress. World Health Organization (WHO) declared coronavirus disease 2019 (COVID-19) a pandemic on March 11, pointing to the over 118,000 cases in over 110 countries. Many healthcare workers became ill during the pandemic and some among them died. In this study, we aimed to evaluate and compare level of stress against COVID-19 pandemic among doctors from Turkey and Italy. Methods: This research is a cross-sectional study in which Perceived Stress Scale (PSS-10) and Secondary Traumatic Stress Scale (STSS) are administered online via social networks. All data collection tools were delivered to individuals between 1 and 15 June 2020 and filled in online with Google Forms application. In total, 618 individuals were included in this study and all of them were medical doctors. Results: Higher PS and STS levels were found related to female gender, being married, working in pandemic hospital and older ages. Stress levels were found statistically higher in Turkish doctors when compared to Italian doctors for both stress scales (Turkish/Italian PSS:20.18 ± 7.90/ 19.35 ± 6.71, STSS: 44.19 ± 13.29/ 38.83 ± 13.74). Conclusion: The number of doctors per 1000 of population is lower and per capita visits to a physician are higher in Turkey when compared to Italy. Besides pandemic, these heavier working conditions, increased weekly working hours can cause stress for Turkish doctors. Reporting information such this study is important and international collaborations are essential to plan future prevention strategies. We need to strengthen international ties and build more international collaborations rather than staying within our national silos. Additionally, interventions to promote mental well-being in health care professionals exposed to COVID-19 need to be immediately implemented

Relationships among Bone Metabolic Markers, Body Fat Composition and Carotid Intima–Media Thickness in Premenopausal Obese Women

Osteocalcin (OC) is inversely related to body fat distribution and fasting glucose levels. We sought to observe the effect of OC on fat distribution and subclinical atherosclerosis as measured by carotid intima-media thickness (CIMT) in premenopausal obese women. In this prospective observational study, totally, 73 premenopausal obese women (aged 17-55 years) and 53 healthy women (aged 20-50 years) with normal weight were included as controls. Anthropometric measurements, total fat and fat ratio, insulin, fasting blood glucose, and OC levels were estimated. Ultrasonography was used to assess fat distribution, and fat thickness was measured in 4 regions. Subcutaneous fat (SCF), visceral fat (VF), and preperitoneal fat (PPF) thicknesses were considerably higher in obese subjects (p<0.01) than healthy controls, while OC levels were significantly lower. No correlation was observed between OC levels and SCF, VF, or PPF. In a multiple regression analysis, OC was significantly positively associated with SCF (p=0.04, Beta=0.284). No associations were observed between OC levels and VF, PPF, or CIMT. A significant association was observed between parathyroid hormone (PTH) and VF (p=0.021, Beta=0.284), and vitamin D levels were inversely associated with VF (p=0.002, r=−0.366). OC levels were lower in premenopausal obese women than normal-weight healthy controls, but OC exhibited no correlation with VF or PPF, and only a weak positive association with SCF. Additionally, VF was positively correlated with PTH and inversely correlated with vitamin D. These results suggest that OC may be an early indicator of lipid accumulation in te subcutaneous area and development of atherosclerosis

Introduction and evaluation of the wood preservative potentials of the poisonous Sternbergia candidum extracts

The ability of Sternbergia candida (SB Candidum Mathew.) extract to suppress attack by Postia placenta (Fries) M. Larsen et Lombard (Mad 698), (a brown-rot) and Trametes versicolor (L.ex Fr.) Quel.(a white-rot) was investigated. The extract was dissolved from Sterinbergia Candidum’s bulb and leaves in 96% ethyl alcohol. Poisonous extract impregnated into wood blocks of Turkish oriental beech (Fagus orientalis L.) and Scots pine (Pinus sylvestris L.). Extract dosages were 0.25, 0.75, 1.50 and 3.00%. Treated blocks were exposed to P. placenta and T. versicolor attack for 12 weeks by the soil block method. Only extract dosages of 0.25 and 0.75% were found efficacious in suppressing attack. A tukey studentized test found both dosages significant at 5% level. In conclusion, the poisonous extracts could be used as effective wood preservative when concentration was adjusted

Non-equilibrium Condensation Process in a Holographic Superconductor

We study the non-equilibrium condensation process in a holographic superconductor. When the temperature T is smaller than a critical temperature T_c, there are two black hole solutions, the Reissner-Nordstrom-AdS black hole and a black hole with a scalar hair. In the boundary theory, they can be regarded as the supercooled normal phase and the superconducting phase, respectively. We consider perturbations on supercooled Reissner-Nordstrom-AdS black holes and study their non-linear time evolution to know about physical phenomena associated with rapidly-cooled superconductors. We find that, for T<T_c, the initial perturbations grow exponentially and, eventually, spacetimes approach the hairy black holes. We also clarify how the relaxation process from a far-from-equilibrium state proceeds in the boundary theory by observing the time dependence of the superconducting order parameter. Finally, we study the time evolution of event and apparent horizons and discuss their correspondence with the entropy of the boundary theory. Our result gives a first step toward the holographic understanding of the non-equilibrium process in superconductors.Comment: 20 pages, 7 figure

14.2 Causes of early death in juvenile onset systemic lupus erythematosus (JSLE)

PubMe

broadband visible light emission from nominally undoped and hbox cr 3 doped garnet nanopowders

Synthetic garnet nanopowders of Y 3 Al 5 O 12 (YAG) and Gd 3 Ga 5 O 12 (GGG) were produced, and the occurrence of a broadband bright visible emission by nominally undoped YAG and GGG and Cr 3+ doped GGG, depending on the environment pressure, as well as exciting on the pumping power, was demonstrated. The results indicate that high-intensity infrared laser irradiation in samples not only leads to heating (melting effects) but also produces visible broadband emission. Low pressure of the powders' environment favors the white light emission by lowering the threshold pumping power. A hypothesis on the nature of the emission is presented

Renal amyloidosis in children

Renal amyloidosis is a detrimental disease caused by the deposition of amyloid fibrils. A child with renal amyloidosis may present with proteinuria or nephrotic syndrome. Chronic renal failure may follow. Amyloid fibrils may deposit in other organs as well. The diagnosis is through the typical appearance on histopathology. Although chronic infections and chronic inflammatory diseases used to be the causes of secondary amyloidosis in children, the most frequent cause is now autoinflammatory diseases. Among this group of diseases, the most frequent one throughout the world is familial Mediterranean fever (FMF). FMF is typically characterized by attacks of clinical inflammation in the form of fever and serositis and high acute-phase reactants. Persisting inflammation in inadequately treated disease is associated with the development of secondary amyloidosis. The main treatment is colchicine. A number of other monogenic autoinflammatory diseases have also been identified. Among them cryopyrin-associated periodic syndrome (CAPS) is outstanding with its clinical features and the predilection to develop secondary amyloidosis in untreated cases. The treatment of secondary amyloidosis mainly depends on the treatment of the disease. However, a number of new treatments for amyloid per se are in the pipeline

A new approach to local hardness

The applicability of the local hardness as defined by the derivative of the chemical potential with respect to the electron density is undermined by an essential ambiguity arising from this definition. Further, the local quantity defined in this way does not integrate to the (global) hardness - in contrast with the local softness, which integrates to the softness. It has also been shown recently that with the conventional formulae, the largest values of local hardness do not necessarily correspond to the hardest regions of a molecule. Here, in an attempt to fix these drawbacks, we propose a new approach to define and evaluate the local hardness. We define a local chemical potential, utilizing the fact that the chemical potential emerges as the additive constant term in the number-conserving functional derivative of the energy density functional. Then, differentiation of this local chemical potential with respect to the number of electrons leads to a local hardness that integrates to the hardness, and possesses a favourable property; namely, within any given electron system, it is in a local inverse relation with the Fukui function, which is known to be a proper indicator of local softness in the case of soft systems. Numerical tests for a few selected molecules and a detailed analysis, comparing the new definition of local hardness with the previous ones, show promising results.Comment: 30 pages (including 6 figures, 1 table