This study examined the neuropsychiatric sequelae of acutely ill patients with coronavirus disease 2019 (COVID-19) infection who received treatment in hospital isolation wards during the COVID-19 pandemic. Ten COVID-19 patients who received treatment in various hospitals in Chongqing, China; 10 age- and gender-matched psychiatric patients; and 10 healthy control participants residing in the same city were recruited. All participants completed a survey that collected information on demographic data, physical symptoms in the past 14 days and psychological parameters. Face-to-face interviews with COVID-19 patients were also performed using semi-structured questions. Among the COVID-19 patients, 40% had abnormal findings on the chest computed topography scan, 20% had dysosmia, 10% had dysgeusia, and 80% had repeated positivity on COVID-19 reverse-transcription polymerase chain reaction testing. COVID-19 and psychiatric patients were significantly more worried about their health than healthy controls (p = 0.019). A greater proportion of COVID-19 patients experienced impulsivity (p = 0.016) and insomnia (p = 0.039) than psychiatric patients and healthy controls. COVID-19 patients reported a higher psychological impact of the outbreak than psychiatric patients and healthy controls, with half of them having clinically significant symptoms of posttraumatic stress disorder. COVID-19 and psychiatric patients had higher levels of depression, anxiety and stress than healthy controls. Three themes emerged from the interviews with COVID-19 patients: (i) The emotions experienced by patients after COVID-19 infection (i.e., shock, fear, despair, hope, and boredom); (ii) the external factors that affected patients’ mood (i.e., discrimination, medical expenses, care by healthcare workers); and (iii) coping and self-help behavior (i.e., distraction, problem-solving and online support). The future direction in COVID-19 management involves the development of a holistic inpatient service to promote immune and psychological resilience.
Little is known of the patterns of expression of ACE2 and TMPRSS2 or the clinical characteristics of COVID-19 in patients with COVID-19 and colorectal cancer. We found in both bulk and single-cell RNA-seq profiles that ACE2 and TMPRSS2 were expressed at high levels on tumor and normal colorectal epithelial tissues. Clinically, patients with colorectal cancer and COVID-19 were more likely to have lymphopenia, higher respiratory rate, and high hypersensitive C-reactive protein levels than matched patients with COVID-19 but without cancer. These results suggest that patients with colorectal cancer may be particularly susceptible to SARS-CoV-2 infection. Further mechanistic studies are needed to support our findings.
A novel 5-dimensional (5D) memristive chaotic system is proposed, in which multi-scroll hidden attractors and multiwing hidden attractors can be observed on different phase planes. The dynamical system has multiple lines of equilibria or no equilibrium when the system parameters are appropriately selected, and the multi-scroll hidden attractors and multi-wing hidden attractors have nothing to do with the system equilibria. Particularly, the numbers of multi-scroll hidden attractors and multi-wing hidden attractors are sensitive to the transient simulation time and the initial values. Dynamical properties of the system, such as phase plane, time series, frequency spectra, Lyapunov exponent, and Poincaré map, are studied in detail. In addition, a state feedback controller is designed to select multiple hidden attractors within a long enough simulation time. Finally, an electronic circuit is realized in Pspice, and the experimental results are in agreement with the numerical ones.
In this paper, a fixed-time dynamic surface high-order sliding mode control approach is presented for chaos suppression and voltage stabilization in three-bus power system via design of current source converter-based static synchronous compensator controller. The proposed control strategy constructs two high-order sliding mode surfaces to achieve control objective. By combining backstepping idea with dynamic surface control (DSC) technique, highorder sliding mode controller is designed and the inherent problem of "explosion of complexity" in backstepping design is avoided. Further, a new stability concept is introduced into DSC design to achieve semiglobal uniform ultimate boundedness of the signals in high-order sliding mode system within finite time independent of initial condition. In addition, stability analysis is provided to show that the proposed control scheme can achieve semi-globally fixed-timely uniformly ultimately bounded stabilization. Finally, simulation results are given to demonstrate the effectiveness of the proposed control scheme and the superior performance over conventional DSC.
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