Clinical Characteristics and Outcomes of Type 2 Diabetes Patients Infected with COVID-19: A Retrospective Study

Diabetes and its related metabolic disorders have been reported as the leading comorbidities in patients with coronavirus disease 2019 (COVID-19). This clinical study aims to investigate the clinical features, radiographic and laboratory tests, complications, treatments, and clinical outcomes in COVID-19 patients with or without diabetes. This retrospective study included 208 hospitalized patients (≥ 45 years old) with laboratory-confirmed COVID-19 during the period between 12 January and 25 March 2020. Information from the medical record, including clinical features, radiographic and laboratory tests, complications, treatments, and clinical outcomes, were extracted for the analysis. 96 (46.2%) patients had comorbidity with type 2 diabetes. In COVID-19 patients with type 2 diabetes, the coexistence of hypertension (58.3% vs 31.2%), coronary heart disease (17.1% vs 8.0%), and chronic kidney diseases (6.2% vs 0%) was significantly higher than in COVID-19 patients without type 2 diabetes. The frequency and degree of abnormalities in computed tomography (CT) chest scans in COVID-19 patients with type 2 diabetes were markedly increased, including ground-glass opacity (85.6% vs 64.9%, P < 0.001) and bilateral patchy shadowing (76.7% vs 37.8%, P < 0.001). In addition, the levels of blood glucose (7.23 mmol·L⁻¹ (interquartile range (IQR): 5.80–9.29) vs 5.46 mmol·L⁻¹ (IQR: 5.00–6.46)), blood low-density lipoprotein cholesterol (LDL-C) (2.21 mmol·L⁻¹ (IQR: 1.67–2.76) vs 1.75 mmol·L⁻¹ (IQR: 1.27–2.01)), and systolic pressure (130 mmHg (IQR: 120–142) vs 122 mmHg (IQR: 110–137)) (1 mmHg = 133.3 Pa) in COVID-19 patients with diabetes were significantly higher than in patients without diabetes (P < 0.001). The coexistence of type 2 diabetes and other metabolic disorders is common in patients with COVID-19, which may potentiate the morbidity and aggravate COVID-19 progression. Optimal management of the metabolic hemostasis of glucose and lipids is the key to ensuring better clinical outcomes. Increased clinical vigilance is warranted for COVID-19 patients with diabetes and other metabolic diseases that are fundamental and chronic conditions.     

Multi-innovation auto-constructed least squares identification for 4 DOF ship manoeuvring modelling with full-scale trial data

This research is concerned with the problem of 4 degrees of freedom (DOF) ship manoeuvring identification modelling with the full-scale trial data. To avoid the multi-innovation matrix inversion in the conventional multi-innovation least squares (MILS) algorithm, a new transformed multi-innovation least squares (TMILS) algorithm is first developed by virtue of the coupling identification concept. And much effort is made to guarantee the uniformly ultimate convergence. Furthermore, the auto-constructed TMILS scheme is derived for the ship manoeuvring motion identification by combination with a statistic index. Comparing with the existing results, the proposed scheme has the significant computational advantage and is able to estimate the model structure. The illustrative examples demonstrate the effectiveness of the proposed algorithm, especially including the identification application with full-scale trial data.     

Group sequential crossover trial designs with strong control of the familywise error rate

Crossover designs are an extremely useful tool to investigators, and group sequential methods have proven highly proficient at improving the efficiency of parallel group trials. Yet, group sequential methods and crossover designs have rarely been paired together. One possible explanation for this could be the absence of a formal proof of how to strongly control the familywise error rate in the case when multiple comparisons will be made. Here, we provide this proof, valid for any number of initial experimental treatments and any number of stages, when results are analyzed using a linear mixed model. We then establish formulae for the expected sample size and expected number of observations of such a trial, given any choice of stopping boundaries. Finally, utilizing the four-treatment, four-period TOMADO trial as an example, we demonstrate that group sequential methods in this setting could have reduced the trials expected number of observations under the global null hypothesis by over 33%.     

Juvenile competence to stand trial evaluations: A survey of current practices and test usage among psychologists.

What is the current standard of practice for evaluations of juvenile competence to stand trial (JCST)? The present study surveyed psychologists regarding the practices used when conducting JCST evaluations. Respondents rated the importance of 17 elements that might be included in a JCST evaluation report. Of these elements, 7 were considered essential by 70% or more of respondents, with 9 additional elements rated as either essential or recommended. A majority of respondents felt that the use of psychological and forensic instruments was important. A list of tests used is provided, and the implications for the development of standards and policy are discussed to provide practitioners with additional knowledge that will help to further the state of the discipline. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The ability of the Millon Clinical Multiaxial Inventory--Third Edition to detect malingering.

This study investigated the ability of the Millon Clinical Multiaxial Inventory--Third Edition (MCMI-III) to discriminate students malingering psychopathology (n=106) from bona fide psychiatric inpatients (n=202). Students were randomly assigned to a fake-bad or an honest-responding condition. Analyses investigated the ability of the modifier indices to discriminate fake-bad group participants from the psychiatric inpatients. Scale X raw cutoff score >178 yielded a positive predictive power (PPP) of 0.0, a negative predictive power (NPP) of 63.1, and a hit rate of 63.1%. Optimal cutoff scores were developed. Scale X Base Rate (BR) >84 provided a PPP of 55.6, an NPP of 72.1, and a hit rate of 65.2%. Scale Y BR     

A scheme to randomly generate surface dust points for the 3D complex variable boundary element method (CVBEM)

A scheme to randomly generate dust points on the surface of a three-dimensional (3D) object is proposed. This scheme will potentially eliminate the bias of a density of points which are approximately equally spaced on the surface, as well as eliminate possible weighting requirements for areas of higher density. This method has the potential to reduce computational effort, as fewer points might be required to define the surface area. The global trial function vector can be assigned to these dust points and then entered into the complex variable boundary element method (CVBEM) commercial code. This scheme can be applied to each piece of a system that is comprised of a connected multiple geometry. A noticeable benefit of this approach is that the same problem can be studied several times, using a new random distribution of surface points each time. The smallest error can then be determined and that run selected. The Mathematica code used to generate the scheme is attached as an appendix.     

Bioactivity of antifouling paints based on organotin toxicants

This paper discusses the bioactivity of antifouling paints based on organotin toxicants, such as tributyltin fluoride (TBTF) and triphenyltin fluoride (TPTF). These compounds were used alone or mixed as the main toxicant in formulations. The use of TPTF or mixtures of TPTF and TBTF, with vinyl binders, led to paints with satisfactory bioactivity during a 24 months immersion period. With the same binders, TBTF alone provided only 12 months of antifouling protection. The correlation coefficients calculated from the fouling attachment values and the rosin content in the binder showed that the bioactivity of the tested formulations depended on the solubility of the toxicant in sea water and on the composition and solubility of the binders.     

étude des rechutes constatés dans une cohorte de personnes jugées inptes à subir leur procés ou acquittées pour cause d'aliénation mentale.

[Correction Notice: An erratum for this article was reported in Vol 20(2) of Canadian Journal of Behavioural Science Revue canadienne des Sciences du comportement (see record 2007-09831-001). The abstract accompanying the original article was incorrect; the correct abstract (in French) is presented in the erratum.] We know little about individuals who are declared unfit to stand trial and/or not guilty by reason of insanity. The few existing studies are characterized by methodological weaknesses, notably by short follow-up periods and a lack of external validity. The present investigation, which aims to evaluate and explain readmissions that occurred during a seven- to nine-year period, corrects only some of these weaknesses. Sixty-one per cent of the subjects were rehospitalized during the period of study. It proved difficult to identify the factors associated with readmission. However, males with a diagnosis of schizophrenia and who had committed violent crimes were found the most likely to be readmitted. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

DETERMINATION OF TOTAL NITROGEN IN BARLEY AND MALT BY COMBUSTION METHOD—COLLABORATIVE TRIAL

A combustion method, relying on the Dumas principle, for the determination of total nitrogen in barley and malt, has been collaboratively tested by the Analysis Committee of the European Brewery Convention. Repeatability, r₉₅, and reproducibility, R₉₅, values were 0.063 and 0.116% of dry matter, respectively, for samples with nitrogen contents in the range 1.23 to 1.86% N of dry matter. There was no significant difference between these values for barley and malt. The Analysis Committee approved the adoption of the combustion method for inclusion in Analytica EBC as an alternative method.     

The Impact of Lightstruck and Stale Character in Beers on their Perceived Quality: A Consumer Study

The relative liking or disliking that beer drinkers have for characteristics generally regarded as off‐flavours by brewers, namely lightstruck and stale, has been explored in a consumer trial where products are presented branded and unbranded. Drinkers display a significant preference for fresh over lightstruck product, irrespective of branding. By contrast, drinkers seemed to be less clear about their liking or otherwise for stale character, although in this case they clearly prefer the branded product over the unbranded product when the beers are fresh and vice‐versa when the beer is aged. A stale version of a beer that consumers are familiar with fails to meet expectations for that product. Significant numbers of drinkers do declare a liking for lightstruck and aged character.