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Abstract Aims To evaluate the feasibility of a transthoracic echocardiogram using an apical-subcostal protocol in invasive mechanical ventilation (IMV) and prone position. Methods Prospective study of adults who required a prone position during IMV. A pillow was placed only under the left hemithorax in the prone position to elevate and ease the apical and subcostal windows. A critical care cardiologist (prone group) acquired and evaluated the images using the apical-subcostal protocol. Besides, we used ambulatory echocardiograms performed as a comparative group (supine group). Results 86 patients were included, 43 in the prone and 43 in the supine. In the prone group, the indication to perform an echocardiogram was hemodynamic monitoring. All patients were ventilated with protective parameters, and the mean end-expiratory pressure was 10.6 cmH2O. The protocol was performed entirely in 42 of 43 patients in the prone group because one patient did not have any acoustic window. In the 43 patients in the prone group analyzed and compared to the supine group, global biventricular function was assessed in 97.7% (p = 1.0), severe heart valve disease in 88.4% (p = 0.055), ruled out of the presence of pulmonary hypertension in 76.7% (p = 0.80), pericardial effusion in 93% (p = 0.12), and volume status by inferior vena cava in 93% (p = 0.48). Comparing prone versus supine position, a statistical difference was found when evaluating the left ventricle apical 2-chamber view (65.1 versus 100%, p

The distinct clinical and radiological characteristics of right temporal variant FTD have only been recently recognized. Methods: Eight patients with right temporal variant FTD were prospectively recruited and underwent a standardised neuropsychological assessment, clinical MRI, and quantitative neuroimaging. Results: Our voxelwise grey analyses captured bilateral anterior and mesial temporal grey matter atrophy with a clear right-sided predominance. Bilateral hippocampal involvement was also observed, as well as disease burden in the right insular and opercula regions. White matter integrity alterations were also bilateral in anterior temporal and sub-insular regions with a clear right-hemispheric predominance. Extra-temporal white matter alterations have also been observed in orbitofrontal and parietal regions. Significant bilateral but right-predominant thalamus, putamen, hippocampus, and amygdala atrophy was identified based on subcortical segmentation. The clinical profile of our patients was dominated by progressive indifference, decline in motivation, loss of interest in previously cherished activities, incremental social withdrawal, difficulty recognising people, progressive language deficits, increasingly rigid routines, and repetitive behaviours. Conclusions: Right temporal variant FTD has an insidious onset and may be mistaken for depression at symptom onset. It manifests in a combination of apathy, language, and behavioural features. Quantitative MR imaging captures a characteristic bilateral but right-predominant temporal imaging signature with extra-temporal frontal and parietal involvement.

IntroductionHospitalized children diagnosed with SARS-CoV-2-related conditions are at risk for new or persistent symptoms and functional impairments. Our objective was to analyze post-hospital symptoms, healthcare utilization, and outcomes of children previously hospitalized and diagnosed with acute SARS-CoV-2 infection or Multisystem Inflammatory Syndrome in Children (MIS-C).MethodsProspective, multicenter electronic survey of parents of children

El objetivo de este estudio es determinar la capacidad de almacenamiento energético del material obtenido de cascarilla de cacao en configuración de capacitor. El material lignocelulósico proviene de la cosecha de cacao ecuatoriano utilizado en procesos agroindustriales. Se realizó el análisis de los volátiles generados durante la pirólisis instantáneo mediante la técnica GC/MS; además, de la comparación del capacitor con dos electrólitos diferentes: ácido sulfúrico (H2SO4) y cloruro de sodio (NaCl). El procesamiento del material se realizó mediante un proceso de carbonización y otro de activación por vía química, los cuales se llevaron a cabo en un reactor de pirólisis en atmósfera inerte de nitrógeno (N2) a una velocidad de calefacción de 20 oC min-1 y se activaron a 850 oC en la misma atmósfera por 4 horas. A partir de este material se prepararon los electrodos y se probó mediante voltametría cíclica el almacenamiento de energía a diferentes velocidades de barrido para cinco ciclos. Los resultados del análisis GC/MS y de voltametría cíclica demostraron que la materia prima secundaria preparada puede utilizarse para obtener productos de alto valor agregado. Los principales compuestos volátiles identificados corresponden a fenoles, ácido acético y alcoholes. El máximo potencial fue de 1,1 kW kg-1 con electrolito de NaCl y, la máxima durabilidad se logró con electrolito de H2SO4 con una potencia de 0,29 kW kg-1 estos valores fueron obtenidos a una velocidad de 100 mV s-1.