The impact of the COVID-19 pandemic on a cohort of adults with epilepsy

Objectives: The aim of this study was to assess the direct and indirect impacts of the COVID-19 pandemic on adults with epilepsy in Glasgow. Methods: We used routinely collected data for a previously identified cohort of patients with epilepsy to evaluate access to scheduled and unscheduled care with quarterly rates of inpatient admissions, outpatient attendance and accident & emergency attendance calculated. Anti-seizure medication prescribing and persistence, incidence of anxiety and depression and deaths for a cohort of patients with epilepsy was evaluated prior to the pandemic in comparison to during the pandemic, from 2015 to 2021. Results: All-cause mortality and epilepsy related mortality showed a statistically significant reduction during the pandemic. Although overall rates of out-patient hospital attendance dropped during the early stages of the pandemic (and had not returned to pre-pandemic levels by the end of 2021) epilepsy-related services saw a maintenance of patient contact as a result of a rapid adoption of telephone clinics. A significant decrease in overall mortality was observed in PWE during the pandemic compared to the pre-pandemic period. COVID-19 was the single commonest cause of death in PWE during the pandemic (61/453) and 160 patients (3.7%) had at least 1 admission to hospital for COVID-19. Anti-seizure medication (ASM) prescribing remained rates remained stable during the pandemic. During the pandemic an average of 38.8% of cohort patients were treated for depression and 16.3% for anxiety per quarter, 8.2% and 12.4% of whom had not been previously treated for these conditions respectively. Conclusion: We have shown that during a national lockdown, in the context of a pandemic, mortality in patients with epilepsy has reduced, while out-patient services were delivered remotely, primarily via the telephone. The reasons for this remain unclear but suggest that some of the excess mortality in people with epilepsy may be potentially avoidable by changes in lifestyle

Influence of tillage, crop residue, controlled-release N fertilizer, and liquid swine manure management on greenhouse gas emissions in Saskatchewan, Canada

Non-Peer Reviewe

Molecular Dynamics Simulation of Sympathetic Crystallization of Molecular Ions

It is shown that the translational degrees of freedom of a large variety of molecules, from light diatomic to heavy organic ones, can be cooled sympathetically and brought to rest (crystallized) in a linear Paul trap. The method relies on endowing the molecules with an appropriate positive charge, storage in a linear radiofrequency trap, and sympathetic cooling. Two well--known atomic coolant species, ${}^9{\hbox{Be}}^+$ and ${}^{137}{\hbox{Ba}}^+$, are sufficient for cooling the molecular mass range from 2 to 20,000 amu. The large molecular charge required for simultaneous trapping of heavy molecules and of the coolant ions can easily be produced using electrospray ionization. Crystallized molecular ions offer vast opportunities for novel studies.Comment: Accepted for publication in Phys. Rev.

Collapsing fish stocks, gendered economies, and anxieties of entrapment in coastal Sierra Leone

This article explores the economic negotiations between Sierra Leonean fishermen and the women who compete to buy their fish; tracing how relationships of gendered intimacy and interdependence are being reconfigured in a context of deepening economic precarity. Fish stocks in Sierra Leone are in crisis. Fisherfolk look back with nostalgia to a past in which bountiful harvests had made it possible for transactions of fish to be simple and impersonal. Today, by contrast, it is almost impossible for women to access fish without working to develop strong personal relationships with fishermen: deploying gifts of food, loans of money, and even secret ‘medicines’ to secure the loyalty of potential customers. I analyze how men and women reflect on their growing impoverishment through discourses that emphasize their moral ambivalence at being drawn back into webs of interpersonal dependency and argue that these anxieties need to be understood in the context of Sierra Leone’s history of domestic slavery

Inflationary potentials yielding constant scalar perturbation spectral indices

We explore the types of slow-roll inflationary potentials that result in scalar perturbations with a constant spectral index, i.e., perturbations that may be described by a single power-law spectrum over all observable scales. We devote particular attention to the type of potentials that result in the Harrison--Zel'dovich spectrum.Comment: 8 pages, 3 figures. New general derivation method, structure change