A case report of a patient with Turner syndrome who develops catatonia secondary to psychotic symptoms.

RATIONALE: Turner syndrome (TS) is a genetic disorder associated with partial or complete monosomy X abnormalities; some patients may have a higher risk of psychiatric symptoms. Catatonia is associated with a wide range of life-threatening complications with complex pathogenesis; However, It very rare for patients with TS to develop psychotic symptoms and eventually progress to catatonia. This case report describes the diagnostic and therapeutic course of catatonia-associated TS. PATIENT CONCERNS: In this study, we report the case of a patient with TS who initially developed sudden hallucinations, delusions, and emotional instability, followed by catatonia. DIAGNOSES: The patient was diagnosed with: unspecified catatonia; TS. INTERVENTIONS: Treatment included administering a combination of esazolam injections and olanzapine tablets, placing a gastric tube and urinary catheter, and providing nutritional support. OUTCOMES: After treatment, the patient's hallucinations, delusions, and catatonia disappeared, with no residual sequelae, and social functioning returned to normal. LESSONS: For patients with TS who present with psychotic symptoms and catatonia, a comprehensive evaluation is necessary, and treatment with antipsychotics and benzodiazepines is effective.

An Experimental Investigation of the Effects of Block Proportion on Bimrocks, Considering Different Block-to-Matrix Strength Ratios.

The rock block proportion is one of the most important factors affecting the mechanical properties of bimrocks. Under different block-to-matrix strength ratios, the influence of rock block proportion is different. To explore the influence of rock block proportion on the mechanical properties of specimens under different block-to-matrix strength ratios, a new indoor test method for making bimrocks was proposed. A uniaxial compression test and a direct shear test were carried out on specimens with different rock block proportions. The results show that this method can control the block-to-matrix strength ratio well, and the influence of rock block proportion is obviously different under different block-to-matrix strength ratios. The strong matrix sample will decrease significantly after reaching the peak compressive strength, while the weak matrix will decrease slowly after reaching the peak strength. The rock block proportion is negatively correlated with the uniaxial compressive strength of strong matrix samples (the reduction was 12.53%) and is positively correlated with the uniaxial compressive strength of weak matrix samples as a whole, but it changes when block proportion is more than 50%. With the increase in normal stress and rock block proportion increases from 30% to 60%, the shear failure zone of the weak matrix sample increases, and the cracks are inclined, while the strong matrix sample has more secondary cracks. The results of this study also show that the effect of volumetric block proportion (VBP) on the internal friction angle and cohesion of the sample is less related to the block-to-matrix strength ratio.

Porosity and pore structure evolution during the weathering of black shale.

Pore type and pore structure evolves systematically across continuous black shale weathering profile. However, the extend and process of pore structure change is still an enigma. In this study, we try to unveil the pore structure evolution during weathering process through studying Cambrian Hetang shales in southern China. Fourteen shale samples, from protolith zone (PZ), fractured and weathered shale zone (FWZ), and saprolite zone (SZ), were collected to elucidate how porosity and pore structure develop during black shale weathering under subtropical condition. Through low pressure argon (Ar) gas adsorption (LP-ArGA), high pressure mercury intrusion (HPMI), nuclear magnetic resonance(NMR) and field emission scanning electron microscope (FESEM) observation, the results reveal significant differences in physical properties and pore structures among the PZ, FWZ, and SZ samples. Specifically, compared to PZ, FWZ and SZ samples are characterized by higher clay mineral content, lower organic matter (OM), and the absence of carbonates and pyrite. Total porosity, determined through HPMI and NMR, exhibits a gradual increase from PZ (6.70 % and 6.41 %) to FWZ (20.47 % and 13.45 %) and SZ (23.22 % and 12.48 %). Ar adsorption isotherms indicate a change in pore type from predominantly ink-bottle and slit-shaped in the PZ to mainly slit-shaped in FWZ and SZ. Integrated analysis of LP-ArGA, HPMI, NMR and SEM observation suggests a substantial decrease in the contribution of micropores to total pore volume (PV) and a concurrent increase in larger pores (meso-macropores) with the increase of weathering intensity. This results in smoother surfaces of micro-transition pores but rougher surfaces of macropores. Changes in mineralogy composition during weathering play a crucial role in influencing pore structure of shales and further accelerating the release and migration of toxic elements in black shale. Our study provides the essential theoretical foundation for the remediation of soil and water environmental pollution caused by black shale weathering.