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Background: Homeless population has been severely affected by the COVID-19 pandemic. Their living conditions, comorbidity with different pathologies and a greater frequency of mental disorders, make this population vulnerable. Method: We implemented a program of serial visits in a hostel for confined homeless of the city council social services, for the monitoring and treatment of mental disorders and substance abuse problems. Accompanied by serial phone and email contacts. Results: A highly significant percentage (63%) had mental disorders or substance abuse, requiring pharmacological intervention, and 37% began follow-up in resources of the Mental Health and Addiction network of the Psychiatric Service at the end of the program. Hospital emergency service visits were drastically reduced. None of them were infected with COVID-19. An individualized Social plan was drawn up in order to reintegrate them with support in the community. Conclusions: The Results have been really positive, meeting all the objectives and opening up developing new programs in the future, in the pandemic outbreak and out of it.

Anastomosing hemangiomas (AH) are rare benign masses. We report an occurrence of AH in the breast during pregnancy, its pathological analysis, and clinical management. Key in the evaluation of these rare vascular lesions is differentiating AH from angiosarcoma. A low proliferative Ki-67 index and small size on imaging and final pathology will confirm AH from angiosarcoma. Clinical management of AH requires surgical resection and standard interval mammography and clinical breast examination.

Sclerosing epithelioid fibrosarcoma (SEF) is a rare, aggressive soft-tissue tumor, commonly occurring in upper and lower extremities, the limb girdle, and the head and neck, which shows morphologic and molecular overlap with low-grade fibromyxoid sarcoma. For SEF in soft tissues, 100 case reports have been published. To our knowledge, the present case is the first to be reported in English literature for a primary SEF of the stomach with a rare FUS-CREM fusion. We report a case of gastric SEF in a 35-year-old female who presented with nonspecific symptoms, including night sweat, cough, and iron deficiency anemia for the past few months. Further workup showed, on computed tomography, a large, heterogeneously enhancing and centrally necrotic left upper quadrant mass, which measured approximately 8.4 cm. A laparoscopic partial gastrectomy with distal pancreatectomy and splenectomy was performed. Histological examination and immunohistochemical staining suggested the diagnosis of primary gastric SEF, which was later confirmed by sarcoma fusion panel showing FUS-CREM fusion. In this article, we report this first case of SEF in the stomach with a rare FUS-CREM fusion, which has been previously reported only once in SEFs of soft tissue.

The most usual asphalt mix applied for thin overlays on Spanish roads is produced with a gap-graded combination of aggregates and a polymer-modified binder. Nevertheless, reflective cracking usually affects the overlay so that the surface of the pavement soon begins to reveal a network of cracks. The brittleness and aging of asphalt mixes at low temperatures encourage the appearance and progress of these cracks. Asphalt mixes incorporating rubber from discarded tires are believed to control reflective cracking well. This paper presents a study performed on five gap-graded asphalt mixes, three containing rubber from tire waste. Every mix was tested at two stages of aging in accordance with the laboratory-accelerated aging processes proposed by SHRP. Dynamic moduli at several temperatures, ranging from −15°C to 40°C, and the fatigue life of each mix at 20°C were measured. The results are provided to help researchers build realistic models for studying reflective cracking as a function of the actual characteristics of the materials. The results show that the tire rubber, especially when incorporated by the wet process, enhances the fatigue life of the mixes. The thermal sensitivity of the mix decreases as the content of rubber arises, regardless of whether the rubber has been incorporated by the wet or the dry process. In addition, the paper reports the difficulties with the SHRP accelerated aging processes and raises some doubts about these aging processes when applied to rubberized asphalt mixes.

One of the current road maintenance problems continues to be the appearance of reflective cracks in asphalt overlays. It would be of real benefit if laboratory equipment were available during the design stage to allow the best solution to be selected for site laying. A new piece of laboratory equipment is reported on for the process known as the wheel reflective cracking (WRC) test based on the traditional wheel-tracking device. The WRC apparatus allows the chief failure mechanisms leading to the phenomenon of reflective cracks to be simulated in the laboratory. Initial results obtained with it on several overlay sections are consistent with the current Spanish experience in full-scale test sections. The WRC test can also be of help to researchers in this field since it enables test parameters to be varied for the purpose of carrying out sensitivity studies. In addition, it allows the loss of structural capacity and the shape of the cracks to be monitored beyond the mere comparison between different overlay sections.