In this paper, the authors propose logic for the specification of some types of feelings, emotions and behaviours related to Narcissistic Personality Disorder disease. The targeted feelings here are Grandiosity, Truly/Wrongly Better Feeling, and Wrongly Right/Wrong Feeling, while the emotions are Envy and Admiration, and finally Exploitativeness is the unique behaviour studied. This research is multidisciplinary since it invokes both psychology and logic. Therefore, the authors had to draw the sources of this study in psychology to build a logical model that they used as a framework to represent some characteristics of the narcissistic personality. The logical model built allows expressing and recognizing the targeted feelings, emotions, and behaviours. They coupled it with an inference engine in order to use it as an aid in diagnosing whether a person is suffering from NPD, based on emotional, behavioural, and feeling information.
Background COVID-19 pandemic has led to a catastrophic shortage of ICU beds. This has resulted in the need to identify patients that can be discharged early before full clinical recovery. We designed this study to determine if in changes routine tests like CBCD and CRP can be a useful complement to clinical status when deciding to discharge patients from ICU. Methods This retrospective study was conducted in Rafic Hariri University Hospital. Levels of biomarkers measured at admission (T1) and within 3 days of outcome (T2) were collected and ratios (T2/T1) were calculated. The Odds Ratios of association between the changes in these biomarkers and outcome were estimated. Multivariate analysis and AUC for the performance of these biomarkers were also conducted. Results We found on multivariate analysis that reduction in counts of lymphocyte and platelets and elevation in counts of neutrophils and level of CRP (T2/T1 ratio > 1) are strongly associated with mortality with respective ORs estimated at 6.74, 3.26, 5.65 and 4.34 [p-values < 0.001]. AUCs were found to lie in a range of 0.68 to 0.81 indicating fair to good performance. Other factors found to impact survival were AKI, AF and ACS [p-values < 0.01]. In contrast to other studies, risk factors didn’t show an association with survival when adjusted for effects of complications and changes in biomarker levels. Conclusions Our results confirm that inexpensive tests like lymphocyte count and CRP can be reliably used to follow COVID-19 patients in ICU and to support the decision to discharge patients.
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