The impact of the COVID-19 pandemic on current tertiary aviation education and future careers: Students' perspective.

This study investigates Australian undergraduate tertiary aviation students' perceptions of the aviation industry and skills required to succeed following the COVID-19 pandemic. By developing an understanding of the skills students perceive to be necessary for their careers following the COVID-19 pandemic, comparisons can be drawn with industry perspectives to determine whether these perspectives align and, more importantly, support students' successful development of skills as sought by the industry. An online survey of current undergraduate tertiary aviation students at Australian universities was conducted to determine the perceived impediments, additional skills required, post-graduation plans and how university courses should evolve post-COVID-19. The results show that students are cognisant of the current oversupply of aviation professionals due to the downturn in the industry and are seeking further support with the development of non-technical skills to better prepare themselves to be competitive following graduation. These findings have implications for both undergraduate aviation students and universities offering an undergraduate aviation program. By considering these findings universities can adapt their programs to better prepare students and support the development of skilled aviation professionals, equipped to deal with challenges of the post-COVID-19 aviation industry.

Impact of non-pharmaceutical interventions against COVID-19 in Europe: a quasi-experimental study

The current epidemic of COVID-19 is unparalleled in recent history as are the social distancing interventions that have led to a significant halt on the economic and social life of so many countries. However, there is very little empirical evidence about which social distancing measures have the most impact. We report a quasi-experimental study of the impact of various interventions for control of the outbreak. Data on case numbers and deaths were taken from the daily published figures by the European Centre for Disease Control and dates of initiation of various control strategies from the Institute of Health Metrics and Evaluation website and published sources. Our complementary analyses were modelled in R using Bayesian generalised additive mixed models (GAMM) and in Stata using multi-level mixed effects regression models. From both sets of modelling, we found that closure of education facilities, prohibiting mass gatherings and closure of some non-essential businesses were associated with reduced incidence whereas stay at home orders and closure of all non-businesses was not associated with any independent additional impact. Our results could help inform strategies for coming out of lockdown.

Admicelles in open-tube capillaries for chromatography and electrochromatography.

Surfactant bilayers or admicelles at the solid surface-liquid interface inside 50-200 µm inner diameter (i.d.) open-tube fused-silica capillaries were developed as 'soft' stationary pseudophases for the liquid chromatographic (LC) separations of neutral and charged analytes. Admicelles were formed in-situ from buffered aqueous mobile phases with cetytrimethylammonium bromide at concentrations between the critical surface aggregation concentration and critical micelle concentration, which were determined by electroosmotic flow measurements using capillary electrophoresis. There were no micelles in the mobile phase solution. Also, there was no solid phase that is classically required in LC. Pressure and voltage driven modes or open-tubular admicellar liquid chromatography (OT-AMLC) and electrochromatography, respectively were proposed based on the separation of neutral analytes. The parameters (i.e., pH, concentration of surfactant, salt, and methanol in the mobile phase and capillary i.d.) that affected the surprising chromatographic effect of admicelles at the interface were investigated. The analytical performance of OT-AMLC for small molecules were found acceptable. Applications to environmental water and biological (HepG cell line metabolism media) samples analysis with appropriate sample preparation procedures were also conducted. The use of pseudophases at the solid surface-liquid interface could be a viable solution to problems associated with the use of solid stationary or support materials in nano- and micro-liquid chromatography and electrochromatography.

Lithium usage and renal function testing in a large UK community population; a case-control study.

OBJECTIVE: This study investigates the prevalence of lithium use, monitoring practice and associated effects on renal function in a large UK community sample. METHOD: A large population-based renal function database was cross-referenced with a general practitioner database of 404,673 patients. The renal function of patients prescribed lithium during the 2-year period was compared with that of matched controls. The renal monitoring patterns of these cases were investigated in a naturalistic observational study. Data underwent parametric testing - continuous variables by analysis of variance, with appropriate adjustment, and categorical outcomes by χ(2) testing. Block analysis of variance was undertaken on case-control data. RESULTS: A total of 422 patients in the database were prescribed lithium. Renal function monitoring in accordance with published guidelines occurred in 69% of patients. Patients taking lithium had a significantly higher serum creatinine (5.8 µmol/L, P<.001) and lower glomerular filtration rate (5.9 ml/min, P<.001) when compared to matched controls. CONCLUSIONS: This is the first study carried out in a large community sample. Lithium remains widely prescribed in the community setting. The study confirms that lithium has a statistically and clinically significant negative effect on renal function. Despite published guidelines and recognition of the importance of serial measurements, monitoring of renal function is inconsistent.

A Novel Study of Comorbidity between Schizoaffective Disorder and Geschwind Syndrome.

Geschwind syndrome has been described in patients with temporal lobe epilepsy and is characterized by sexual behavioural disorders, hyperreligiosity, hypergraphia, and viscosity. Presented here is a case of a 53-year-old man with clinical findings consistent with Geschwind syndrome in the setting of a known diagnosis of schizoaffective disorder, with no identifiable comorbid illness of temporal lobe epilepsy or frontotemporal dementia. Brain MRI showed bilateral temporal lobe atrophy greater than would be expected for age and more prominent on the left side than the right. It is likely that these structural abnormalities may be related to this patient's clinical presentation of Geschwind syndrome. To our knowledge, this is the first reporting of a case of Geschwind syndrome in the setting of schizoaffective disorder. These symptoms of Geschwind syndrome were present irrespective of mental state status. The report highlights the importance in correct identification of underlying cause and differentiation between Geschwind syndrome and schizoaffective disorder in order to avoid mistreatment and consequent iatrogenic adverse events.

Salvaging kidneys with renal allograft compartment syndrome.

Renal allograft compartment syndrome is an under recognized cause of early allograft dysfunction which can be reversed by early intervention. It occurs early after renal transplantation where closure of the anterior abdominal wall seems to compress the transplant in the limited retroperitoneal space. The literature about this syndrome in renal transplantation is sparse. Our report describes the diagnostic criteria and the management of two renal transplant recipients with this syndrome. Its diagnosis depends upon duplex vascular scan findings of reversed or absent diastolic flow in the renal vasculature in the absence of any perigraft collection or severe acute tubular necrosis. In our hands emergency laparotomy, decompression of the transplant and closure with interposition mesh salvaged these kidneys.

Folic acid: neurochemistry, metabolism and relationship to depression.

The associations of folic acid and its derivatives with depressive disorder are reviewed. Derivatives of folic acid such as biopterins and the synthesis of S-adenosyl methionine (SAM) are known either to be associated with improvement or to have a direct therapeutic effect in depressive disorder. Studies investigating plasma and red cell folic acid levels in depressed patients have used differing assay methodologies which make comparison difficult, although there is substantial evidence of the association between depressive disorder (particularly severe depression) and low folic acid levels. The few studies available suggest folic acid has either antidepressant properties or can act as an augmenting agent for standard antidepressant treatment. A recently discovered genetic variant (5,10 MTHFR) leading to altered folic acid metabolism may explain why some individuals are vulnerable to the effects of folic acid deficiency, despite adequate intake. The links of 5,10 MTHFR to the presence of depressive disorder in the community are being investigated.

SSR125329A, a high affinity sigma receptor ligand with potent anti-inflammatory properties.

SSR125329A ([(Z)-3-(4-Adamantan-2-yl-3,5-dichloro-phenyl)-allyl]-cyclohexyl-ethyl-amine) is a new ligand exhibiting high affinity for sigma(1) and sigma(2) receptors and for the human Delta8-Delta7-sterol isomerase. Here we show that this molecule has potent immunoregulatory properties both in vitro and in vivo. SSR125329A inhibited staphylococcal enterotoxin B-induced mouse splenocyte proliferation in vitro, whereas in vivo it enhanced lipopolysaccharide-induced systemic release of interleukin-10 while simultaneously inhibiting tumor necrosis factor-alpha (TNF-alpha) synthesis. It also prevented graft-versus-host disease in B6D2F1 mice and protected Mrl/lpr mice against the development of its spontaneous rheumatoid-like syndrome. There is high interplay of pro- and anti-inflammatory cytokines in inflammatory processes, particularly in human rheumatoid arthritis. The results of this study provide substantial evidence that sigma receptor ligands may represent a new effective approach for rheumatoid arthritis treatment.