46 research outputs found

    Awareness and preparedness of healthcare workers against the first wave of the COVID-19 pandemic: A cross-sectional survey across 57 countries.

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    BACKGROUND: Since the COVID-19 pandemic began, there have been concerns related to the preparedness of healthcare workers (HCWs). This study aimed to describe the level of awareness and preparedness of hospital HCWs at the time of the first wave. METHODS: This multinational, multicenter, cross-sectional survey was conducted among hospital HCWs from February to May 2020. We used a hierarchical logistic regression multivariate analysis to adjust the influence of variables based on awareness and preparedness. We then used association rule mining to identify relationships between HCW confidence in handling suspected COVID-19 patients and prior COVID-19 case-management training. RESULTS: We surveyed 24,653 HCWs from 371 hospitals across 57 countries and received 17,302 responses from 70.2% HCWs overall. The median COVID-19 preparedness score was 11.0 (interquartile range [IQR] = 6.0-14.0) and the median awareness score was 29.6 (IQR = 26.6-32.6). HCWs at COVID-19 designated facilities with previous outbreak experience, or HCWs who were trained for dealing with the SARS-CoV-2 outbreak, had significantly higher levels of preparedness and awareness (p<0.001). Association rule mining suggests that nurses and doctors who had a 'great-extent-of-confidence' in handling suspected COVID-19 patients had participated in COVID-19 training courses. Male participants (mean difference = 0.34; 95% CI = 0.22, 0.46; p<0.001) and nurses (mean difference = 0.67; 95% CI = 0.53, 0.81; p<0.001) had higher preparedness scores compared to women participants and doctors. INTERPRETATION: There was an unsurprising high level of awareness and preparedness among HCWs who participated in COVID-19 training courses. However, disparity existed along the lines of gender and type of HCW. It is unknown whether the difference in COVID-19 preparedness that we detected early in the pandemic may have translated into disproportionate SARS-CoV-2 burden of disease by gender or HCW type

    Safety and efficacy of fluoxetine on functional outcome after acute stroke (AFFINITY): a randomised, double-blind, placebo-controlled trial

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    Background Trials of fluoxetine for recovery after stroke report conflicting results. The Assessment oF FluoxetINe In sTroke recoverY (AFFINITY) trial aimed to show if daily oral fluoxetine for 6 months after stroke improves functional outcome in an ethnically diverse population. Methods AFFINITY was a randomised, parallel-group, double-blind, placebo-controlled trial done in 43 hospital stroke units in Australia (n=29), New Zealand (four), and Vietnam (ten). Eligible patients were adults (aged ≄18 years) with a clinical diagnosis of acute stroke in the previous 2–15 days, brain imaging consistent with ischaemic or haemorrhagic stroke, and a persisting neurological deficit that produced a modified Rankin Scale (mRS) score of 1 or more. Patients were randomly assigned 1:1 via a web-based system using a minimisation algorithm to once daily, oral fluoxetine 20 mg capsules or matching placebo for 6 months. Patients, carers, investigators, and outcome assessors were masked to the treatment allocation. The primary outcome was functional status, measured by the mRS, at 6 months. The primary analysis was an ordinal logistic regression of the mRS at 6 months, adjusted for minimisation variables. Primary and safety analyses were done according to the patient's treatment allocation. The trial is registered with the Australian New Zealand Clinical Trials Registry, ACTRN12611000774921. Findings Between Jan 11, 2013, and June 30, 2019, 1280 patients were recruited in Australia (n=532), New Zealand (n=42), and Vietnam (n=706), of whom 642 were randomly assigned to fluoxetine and 638 were randomly assigned to placebo. Mean duration of trial treatment was 167 days (SD 48·1). At 6 months, mRS data were available in 624 (97%) patients in the fluoxetine group and 632 (99%) in the placebo group. The distribution of mRS categories was similar in the fluoxetine and placebo groups (adjusted common odds ratio 0·94, 95% CI 0·76–1·15; p=0·53). Compared with patients in the placebo group, patients in the fluoxetine group had more falls (20 [3%] vs seven [1%]; p=0·018), bone fractures (19 [3%] vs six [1%]; p=0·014), and epileptic seizures (ten [2%] vs two [<1%]; p=0·038) at 6 months. Interpretation Oral fluoxetine 20 mg daily for 6 months after acute stroke did not improve functional outcome and increased the risk of falls, bone fractures, and epileptic seizures. These results do not support the use of fluoxetine to improve functional outcome after stroke

    Optimisation des propriétés émissives du BODIPY en phase condensée par modulation de la nature des substituants

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    Fluorescence properties of Boron DIPYromethene derivatives (BODIPY) bearing bulky moieties are studied in condensed state in order to frame the nature of the substituents that would give the best emission efficiency. 3,5-bis-adamantane 8-mesityl BODIPY derivative shows a preponderant formation of H aggregates as well as J dimers, which fluorescence quantum yield is up to only about 5 times less than the monomer. Spectroscopic properties in solid state have also been studied on a set of four BODIPY derivatives substituted by [2.2]paracyclophane (PcP) on positions 3 and 5 on one hand, respectively H, methyl, ethyl and propyl on positions 2 and 6 on the other hand (BODIPY H-, Alkyl-PcP). BODIPY H-PcP shows aggregation preferentially in H type whereas substitution by an alkyl chain in position 2 and 6 favours the formation of J aggregates. The longer is the alkyl chain the more the BODIPY derivative emits, according to the measurement of relative quantum yield and the analysis of fluorescence lifetime imaging data. Both BODIPY Et-PcP and Pr-PcP show better emission efficiency than a non hindered BODIPY derivative. Preliminary work on derivatives bearing benzothiophene and p-Bromo-bisphenyl moieties on positions 3 and 5 supports the conclusion that unsaturated and planar substituents do not necessarily lead to more &#960--&#960- stacking, responsible for fluorescence quenching in solid state, compared to alkyl substituents or unsaturated and spherical substituents (Ad, PcP). Particles have also been obtained through two different approaches : the first one consists in fonctionnalizing aza-BODIPY derivatives on polystyrene beads in order to build a pH sensor - in the second one, a BODIPY derivative is polymerized according to RAFT method to give an amphiphilic polymer which is then reorganized into micelles. Those particles can be easily post-functionnalized to give a broad range of sensors.Une investigation des propriĂ©tĂ©s d’émission de fluorescence Ă  l’état condensĂ© a Ă©tĂ© effectuĂ©e sur des dĂ©rivĂ©s encombrĂ©s du Boron DIPYrromethene (BODIPY). L’objectif est de dĂ©terminer la nature de l’encombrement stĂ©rique afin d’optimiser l’efficacitĂ© d’émission en minimisant les interactions intermolĂ©culaires. L’étude en films de PMMA du 3,5-di-adamantane, 8-mĂ©sityle BODIPY a mis en Ă©vidence la formation prĂ©pondĂ©rante d’agrĂ©gats H et celle de dimĂšres J, dont le rendement quantique de fluorescence n’est diminuĂ© que d’un facteur 5 par rapport Ă  la molĂ©cule non agrĂ©gĂ©e. Une deuxiĂšme Ă©tude spectroscopique en films Ă©vaporĂ©s a Ă©galement Ă©tĂ© effectuĂ©e sur une sĂ©rie de quatre dĂ©rivĂ©s substituĂ©s sur les positions 3 et 5 par des groupements [2.2]paracyclophane et sur les positions 2 et 6 par les groupements respectifs : propyle, Ă©thyle, mĂ©thyle et H (BODIPY H-, Alkyl-PcP). L’absence de substitution sur les positions 2 et 6 favorise la formation des agrĂ©gats H tandis que la prĂ©sence d’une chaĂźne alkyle conduit Ă  la formation prĂ©pondĂ©rante d’agrĂ©gats J. La mesure des rendements quantiques relatifs ainsi que l’analyse des images de fluorescence rĂ©solues en temps dĂ©montrent une augmentation de l’efficacitĂ© d’émission et de la durĂ©e de vie de fluorescence de la phase solide lorsque la chaĂźne alkyle s’allonge. Les composĂ©s BODIPY Et-PcP et Pr-PcP prĂ©sentent tous deux une Ă©mission de fluorescence supĂ©rieure Ă  un dĂ©rivĂ© non encombrĂ©. Enfin, une Ă©tude prĂ©liminaire des phases solides de dĂ©rivĂ©s BODIPY substituĂ©s par des groupements insaturĂ©s planaires (benzothiophĂšne, p-bromo-diphĂ©nyle) a Ă©tĂ© menĂ©e afin d’étudier l’influence de la gĂ©omĂ©trie des substituants. La synthĂšse de l’ensemble des rĂ©sultats permet de conclure que les substituants insaturĂ©s planaires ne conduisent pas systĂ©matiquement Ă  une perte du rendement quantique de fluorescence Ă  l’état solide, en comparaison aux substituants saturĂ©s et insaturĂ©s sphĂ©riques. Deux mĂ©thodes d’élaboration de particules ont Ă©tĂ© explorĂ©es : la premiĂšre consiste Ă  greffer des dĂ©rivĂ©s d’aza-BODIPY sur des billes de polystyrĂšne afin d’obtenir des particules sondes de pH - la deuxiĂšme approche repose sur la polymĂ©risation d’un dĂ©rivĂ© BODIPY selon la mĂ©thode RAFT suivie de la formulation du polymĂšre amphiphile obtenu en micelles de taille nanomĂ©trique. Ces particules offrent la possibilitĂ© d’une post-fonctionnalisation permettant d’élaborer des capteurs

    Optimization of the fluorescence properties of BODIPY derivatives by tuning the nature of the substituants

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    Une investigation des propriĂ©tĂ©s d’émission de fluorescence Ă  l’état condensĂ© a Ă©tĂ© effectuĂ©e sur des dĂ©rivĂ©s encombrĂ©s du Boron DIPYrromethene (BODIPY). L’objectif est de dĂ©terminer la nature de l’encombrement stĂ©rique afin d’optimiser l’efficacitĂ© d’émission en minimisant les interactions intermolĂ©culaires. L’étude en films de PMMA du 3,5-di-adamantane, 8-mĂ©sityle BODIPY a mis en Ă©vidence la formation prĂ©pondĂ©rante d’agrĂ©gats H et celle de dimĂšres J, dont le rendement quantique de fluorescence n’est diminuĂ© que d’un facteur 5 par rapport Ă  la molĂ©cule non agrĂ©gĂ©e. Une deuxiĂšme Ă©tude spectroscopique en films Ă©vaporĂ©s a Ă©galement Ă©tĂ© effectuĂ©e sur une sĂ©rie de quatre dĂ©rivĂ©s substituĂ©s sur les positions 3 et 5 par des groupements [2.2]paracyclophane et sur les positions 2 et 6 par les groupements respectifs : propyle, Ă©thyle, mĂ©thyle et H (BODIPY H-, Alkyl-PcP). L’absence de substitution sur les positions 2 et 6 favorise la formation des agrĂ©gats H tandis que la prĂ©sence d’une chaĂźne alkyle conduit Ă  la formation prĂ©pondĂ©rante d’agrĂ©gats J. La mesure des rendements quantiques relatifs ainsi que l’analyse des images de fluorescence rĂ©solues en temps dĂ©montrent une augmentation de l’efficacitĂ© d’émission et de la durĂ©e de vie de fluorescence de la phase solide lorsque la chaĂźne alkyle s’allonge. Les composĂ©s BODIPY Et-PcP et Pr-PcP prĂ©sentent tous deux une Ă©mission de fluorescence supĂ©rieure Ă  un dĂ©rivĂ© non encombrĂ©. Enfin, une Ă©tude prĂ©liminaire des phases solides de dĂ©rivĂ©s BODIPY substituĂ©s par des groupements insaturĂ©s planaires (benzothiophĂšne, p-bromo-diphĂ©nyle) a Ă©tĂ© menĂ©e afin d’étudier l’influence de la gĂ©omĂ©trie des substituants. La synthĂšse de l’ensemble des rĂ©sultats permet de conclure que les substituants insaturĂ©s planaires ne conduisent pas systĂ©matiquement Ă  une perte du rendement quantique de fluorescence Ă  l’état solide, en comparaison aux substituants saturĂ©s et insaturĂ©s sphĂ©riques. Deux mĂ©thodes d’élaboration de particules ont Ă©tĂ© explorĂ©es : la premiĂšre consiste Ă  greffer des dĂ©rivĂ©s d’aza-BODIPY sur des billes de polystyrĂšne afin d’obtenir des particules sondes de pH - la deuxiĂšme approche repose sur la polymĂ©risation d’un dĂ©rivĂ© BODIPY selon la mĂ©thode RAFT suivie de la formulation du polymĂšre amphiphile obtenu en micelles de taille nanomĂ©trique. Ces particules offrent la possibilitĂ© d’une post-fonctionnalisation permettant d’élaborer des capteurs.Fluorescence properties of Boron DIPYromethene derivatives (BODIPY) bearing bulky moieties are studied in condensed state in order to frame the nature of the substituents that would give the best emission efficiency. 3,5-bis-adamantane 8-mesityl BODIPY derivative shows a preponderant formation of H aggregates as well as J dimers, which fluorescence quantum yield is up to only about 5 times less than the monomer. Spectroscopic properties in solid state have also been studied on a set of four BODIPY derivatives substituted by [2.2]paracyclophane (PcP) on positions 3 and 5 on one hand, respectively H, methyl, ethyl and propyl on positions 2 and 6 on the other hand (BODIPY H-, Alkyl-PcP). BODIPY H-PcP shows aggregation preferentially in H type whereas substitution by an alkyl chain in position 2 and 6 favours the formation of J aggregates. The longer is the alkyl chain the more the BODIPY derivative emits, according to the measurement of relative quantum yield and the analysis of fluorescence lifetime imaging data. Both BODIPY Et-PcP and Pr-PcP show better emission efficiency than a non hindered BODIPY derivative. Preliminary work on derivatives bearing benzothiophene and p-Bromo-bisphenyl moieties on positions 3 and 5 supports the conclusion that unsaturated and planar substituents do not necessarily lead to more &#960--&#960- stacking, responsible for fluorescence quenching in solid state, compared to alkyl substituents or unsaturated and spherical substituents (Ad, PcP). Particles have also been obtained through two different approaches : the first one consists in fonctionnalizing aza-BODIPY derivatives on polystyrene beads in order to build a pH sensor - in the second one, a BODIPY derivative is polymerized according to RAFT method to give an amphiphilic polymer which is then reorganized into micelles. Those particles can be easily post-functionnalized to give a broad range of sensors

    Testning och optimering av Unicorn Fluid-Structure Interaction lösare för att simulera ett industriellt problem

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    In industry applications, such as power supply plants, the issue of interaction between fluid and structure is always presented. More precisely, the fluid flow affects the structure by applying force(s) on it and vice versa. As a result, the structure can move (vibrate) or deform. A good understanding of this problem can help to design the system in term of safety, stability and efficiency. This project aims to optimize and test the Unicorn FSI solver from the FEniCS project [1] to simulate the interaction of fluid and structure in an experiment, which was carried out at Vattenfall Research and Development. The target is to improve the Unicorn FSI solver to cope with a real industrial problem. Moreover, some results of the simulation can be used as a tool to predict the behavior of a system under the effect of fluid flowI industriapplikationer, sÄsom kraftverk, Àr frÄgan om samspelet mellan fluid och struktur alltid nÀrvarande. NÀrmare bestÀmt pÄverkar fluiden kraftverkets struktur genom att applicera en kraft pÄ det och vice versa. Som ett resultat av fluidens kraftpÄverkan, kan kraftverkets struktur vibrera eller deformeras. En god förstÄelse för detta FSI problem kan bidra till att utforma system ifrÄga om sÀkerhet, stabilitet och effektivitet. Detta projekt syftar till att optimera och testa Unicorn FSI lösaren frÄn FEniCS projektet. Denna FSI lösare ska dÀrefter anvÀndas till att simulera samspelet mellan vÀtska och struktur i ett experiment, som utförts pÄ Vattenfalls forsknings och utvecklingsavdeling. MÄlet Àr att förbÀttra Unicorn FSI-lösaren för att klara av ett verkligt industriellt problem. Dessutom kan vissa resultaten av simuleringen anvÀndas som ett verktyg för att förutsÀga beteendet hos ett system under inverkan av en fluid

    Optimisation des propriétés émissives du BODIPY en phase condensée par modulation de la nature des substituants

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    Une investigation des propriétés d émission de fluorescence à l état condensé a été effectuée sur des dérivés encombrés du Boron DIPYrromethene (BODIPY). L objectif est de déterminer la nature de l encombrement stérique afin d optimiser l efficacité d émission en minimisant les interactions intermoléculaires. L étude en films de PMMA du 3,5-di-adamantane, 8-mésityle BODIPY a mis en évidence la formation prépondérante d agrégats H et celle de dimÚres J, dont le rendement quantique de fluorescence n est diminué que d un facteur 5 par rapport à la molécule non agrégée. Une deuxiÚme étude spectroscopique en films évaporés a également été effectuée sur une série de quatre dérivés substitués sur les positions 3 et 5 par des groupements [2.2]paracyclophane et sur les positions 2 et 6 par les groupements respectifs : propyle, éthyle, méthyle et H (BODIPY H-, Alkyl-PcP). L absence de substitution sur les positions 2 et 6 favorise la formation des agrégats H tandis que la présence d une chaßne alkyle conduit à la formation prépondérante d agrégats J. La mesure des rendements quantiques relatifs ainsi que l analyse des images de fluorescence résolues en temps démontrent une augmentation de l efficacité d émission et de la durée de vie de fluorescence de la phase solide lorsque la chaßne alkyle s allonge. Les composés BODIPY Et-PcP et Pr-PcP présentent tous deux une émission de fluorescence supérieure à un dérivé non encombré. Enfin, une étude préliminaire des phases solides de dérivés BODIPY substitués par des groupements insaturés planaires (benzothiophÚne, p-bromo-diphényle) a été menée afin d étudier l influence de la géométrie des substituants. La synthÚse de l ensemble des résultats permet de conclure que les substituants insaturés planaires ne conduisent pas systématiquement à une perte du rendement quantique de fluorescence à l état solide, en comparaison aux substituants saturés et insaturés sphériques. Deux méthodes d élaboration de particules ont été explorées : la premiÚre consiste à greffer des dérivés d aza-BODIPY sur des billes de polystyrÚne afin d obtenir des particules sondes de pH - la deuxiÚme approche repose sur la polymérisation d un dérivé BODIPY selon la méthode RAFT suivie de la formulation du polymÚre amphiphile obtenu en micelles de taille nanométrique. Ces particules offrent la possibilité d une post-fonctionnalisation permettant d élaborer des capteurs.Fluorescence properties of Boron DIPYromethene derivatives (BODIPY) bearing bulky moieties are studied in condensed state in order to frame the nature of the substituents that would give the best emission efficiency. 3,5-bis-adamantane 8-mesityl BODIPY derivative shows a preponderant formation of H aggregates as well as J dimers, which fluorescence quantum yield is up to only about 5 times less than the monomer. Spectroscopic properties in solid state have also been studied on a set of four BODIPY derivatives substituted by [2.2]paracyclophane (PcP) on positions 3 and 5 on one hand, respectively H, methyl, ethyl and propyl on positions 2 and 6 on the other hand (BODIPY H-, Alkyl-PcP). BODIPY H-PcP shows aggregation preferentially in H type whereas substitution by an alkyl chain in position 2 and 6 favours the formation of J aggregates. The longer is the alkyl chain the more the BODIPY derivative emits, according to the measurement of relative quantum yield and the analysis of fluorescence lifetime imaging data. Both BODIPY Et-PcP and Pr-PcP show better emission efficiency than a non hindered BODIPY derivative. Preliminary work on derivatives bearing benzothiophene and p-Bromo-bisphenyl moieties on positions 3 and 5 supports the conclusion that unsaturated and planar substituents do not necessarily lead to more &#960-&#960- stacking, responsible for fluorescence quenching in solid state, compared to alkyl substituents or unsaturated and spherical substituents (Ad, PcP). Particles have also been obtained through two different approaches : the first one consists in fonctionnalizing aza-BODIPY derivatives on polystyrene beads in order to build a pH sensor - in the second one, a BODIPY derivative is polymerized according to RAFT method to give an amphiphilic polymer which is then reorganized into micelles. Those particles can be easily post-functionnalized to give a broad range of sensors.CACHAN-ENS (940162301) / SudocSudocFranceF

    IMPACT OF PROCESSING AND FREEZING STORAGE CONDITIONS ON SOME PHYSICOCHEMICAL AND BIOLOGICAL PROPERTIES OF TRA FISH BALLS (Pangasius hypophthalmus).

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    The present study attempts to investigate the effects of time and temperature during blanching on the changes in physicochemical properties such as texture, brightness, and total bacterial count (TBC). The content of protein, fat, moisture, and pH of input materials (Tra fish) after the processing stages was also investigated. The product was preserved by freezing at -40 °C for 42 days and applied blanching/steaming conditions. The results showed that the blanching method is recommended for the product cooked stage at 90 °C for 4 min. After 42 days stored in frozen condition. TBC has been on an increasing trend and the structure has not changed significantly

    Psychometric properties of the medical outcomes study: social support survey among methadone maintenance patients in Ho Chi Minh City, Vietnam: a validation study

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    Abstract Background Social support plays a crucial role in the treatment and recovery process of patients engaging in methadone maintenance treatment (MMT). However, there is a paucity of research about social support among MMT patients, possibly due to a lack of appropriate measuring tools. This study aimed to evaluate the psychometric properties of the Vietnamese version of the Medical Outcomes Study: Social Support Survey (MOS-SSS) among MMT patients. Methods A cross-sectional survey of 300 patients was conducted in a methadone clinic in Ho Chi Minh City, Vietnam. MMT patients who agreed to participate in the study completed a face-to-face interview in a private room. The MOS-SSS was translated into Vietnamese using standard forward-backward process. Internal consistency was measured by Cronbach’s alpha. The intra-class correlation coefficient was used to determine the test-retest reliability of the MOS-SSS in 75 participants two weeks after the first survey. Concurrent validity of the MOS-SSS was evaluated by correlations with the Multidimensional Scale of Perceived Social Support (MSPSS) and the Perceived Stigma of Addiction Scale (PSAS). Construct validity was investigated by confirmatory factor analysis. Results The MOS-SSS had good internal consistency with Cronbach’s alpha from 0.95 to 0.97 for the four subscales and 0.97 for the overall scale. The two-week test-retest reliability was at moderate level with intra-class correlation coefficients of 0.61–0.73 for the four subscales and 0.76 for the overall scale. Strong significant correlations between the MOS-SSS and the MSPSS (r = 0.77; p < 0.001) and the PSAS (r = − 0.76; p < 0.001) indicated good concurrent validity. Construct validity of the MOS-SSS was established since a final four-factor model fitted the data well with Comparative Fit Index (0.97), Tucker-Lewis Index (0.97), Standardized Root Mean Square Residual (0.03) and Root Mean Square Error of Approximation (0.068; 90% CI = 0.059–0.077). Conclusions The MOS-SSS is a reliable and valid tool for measuring social support in Vietnamese MMT patients. Further studies among methadone patients at different stages of their treatment and among those from different areas of Vietnam are needed
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