NeuroMedical Center

To reduce the energy consumption of buildings, natural-based insulation materials are being investigated today. The annual million tones amount of bark waste allows it to be used as an alternative material with the least impact on the environment. Various additives are being investigated to improve the physical and mechanical properties of bark insulation panels. In this study, the mechanical, physical, thermal properties of 11 types of composite insulating panels from the bark of the Pannnia poplar (Populus euramericana cv. Pannnia) were manufactured and investigated. The bark panels were supplemented and reinforced by short glass fibers, overlaying fibreglass mesh, fibreglass mat and fibreglass woven fabric and two types of paper, as well as an inner glass fiber mesh. The target density of the panels was 350 kg/m, and the thermal conductivity of the panels varied from 0.067 to 0.078 W/mK. Although the thermal conductivity of artificial insulation materials is lower, panels made of natural materials have less impact on the environment. Glass fiber reinforcement had little effect on thermal conductivity and mechanical properties. The preliminary heat treatment of the raw material influenced the thermal conductivity due to changing the structure and the appearance of cavities. It had an effect on the density that determines thermal conductivity.

IntroductionSARS-CoV-2 has been identified as the pathogen causing the outbreak of Coronavirus Disease 2019 (COVID-19) that started in Wuhan, China, in December 2019. SARS-CoV-2 has human-to-human transmission ability and universally contagious to all populations. The main transmission patterns are respiratory droplets transmission and contact transmission. The purpose of this study is to propose a protocol that may be used as a guide to reduce the incidence of COVID-19 infections among otolaryngology care teams.MethodsA prospective cohort study was conducted to show the efficacy of our protocol to prevent transmission to health-care providers from March 11, 2020 through April 14, 2020. The protocol consisted of a series of protective measures that we applied to all health-care providers, then testing of our providers for COVID-19 using reverse transcription polymerase chain reaction along with immunoglobulin M (IgM) and immunoglobulin G (IgG) testing at the end of the study period to ensure effectiveness.ResultsOur protocol resulted in zero transmissions to our health-care providers during the duration of the initial study. We were involved in greater than 150 sinonasal, skull base, open airway, and endoscopy procedures during this study. At the conclusion of the initial 5 weeks, we had no health-care providers test positive for SARS-CoV-2.ConclusionAccording to our proposed protocol, we were able to provide care for all patients in clinic, hospital, emergent, intensive, and surgical settings with no transmission of SARS-CoV-2 by symptomatology and post evaluation testing.

EcopsychologyVol. 5, No. S1 Invited EssaysThoughts on Katrina vs. Sandy: Darlyne G. NemethDarlyne G. NemethDarlyne G. NemethSearch for more papers by this authorPublished Online:26 Sep 2013https://doi.org/10.1089/eco.2013.0036AboutSectionsView articleView Full TextPDF/EPUB Permissions & CitationsPermissionsDownload CitationsTrack CitationsAdd to favorites Back To Publication ShareShare onFacebookTwitterLinked InRedditEmail View articleFiguresReferencesRelatedDetailsCited byThoughts on Katrina vs. Sandy: Robert B. Hamilton Robert B. Hamilton26 September 2013 | Ecopsychology, Vol. 5, No. S1 Volume 5Issue S1Sep 2013 InformationCopyright 2013, Mary Ann Liebert, Inc.To cite this article:Darlyne G. Nemeth.Thoughts on Katrina vs. Sandy: Darlyne G. Nemeth.Ecopsychology.Sep 2013.S-9-S-13.http://doi.org/10.1089/eco.2013.0036Published in Volume: 5 Issue S1: September 26, 2013PDF download

To present a case of mucosal melanoma of the Eustachian tube with a focus on surgical technique and to review the literature on treatment of mucosal melanoma of the head and neck, and review cases involving the middle ear and/or Eustachian tube. A 67-year-old man was diagnosed with mucosal melanoma of the middle ear and Eustachian tube. The patient underwent primary surgical resection including transtemporal/transpetrosal approach, endoscopic nasopharyngectomy, infratemporal fossa dissection, temporomandibular joint resection, ipsilateral neck dissection (levels II-IV), and superficial parotidectomy. The patient was discharged on postoperative Day 7 with a very good functional status. He did have early dysphagia and dysarthria as a result of the VII to XII anastomosis for facial nerve reconstruction, which did require PEG tube placement. However, at 4 months after surgery, the patient was eating solid foods and returning to normal activities. He received radiation therapy postoperatively. There has been no evidence of tumor recurrence at 8 months after treatment. The standard treatment of head and neck mucosal melanoma is primarily surgical. Surgical removal of mucosal melanoma in the Eustachian tube/middle ear can present challenges in achieving microscopically negative margins. However, gross tumor resection with postoperative radiotherapy has been shown to improve locoregional control.

Psychologists began to fight for independent insurance coverage in the 1970s. In the 1980s and 1990s, psychologists sought to expand their scope of practice by securing the right to have access to hospital privileges and Psychologist’s Emergency Certificates (PECs). The United States territory of Guam was the first to pass legislation granting prescriptive authority to psychologists with the proper training. This legislation, which was passed in 1998, provided comprehensive mental health services to members of the United States military (stationed in Guam). Shortly thereafter, the states of New Mexico and Louisiana successfully passed legislation allowing psychologists with the proper training to prescribe psychotropic medications. At present, psychologists in 20 states are actively seeking legislation for prescriptive authority (Wimberly, 2008). Even though a state may not currently have laws allowing psychologists to prescribe, many institutions of higher education are beginning to offer psychopharmacological training to psychologists who are interested in this specialty. Psychologists have begun to realize just how valuable psychopharmacological training can be. It can prepare the psychologist to (a) collaborate with physicians in order to craft the right psychopharmacological regimen for their mutual patients, (b) recognize which symptoms are likely to benefit from the use of medications, (c) examine possible drug–drug interactions, and (d) make sure that the prescription decisions being made are actually in the best interest of the patient. Psychopharmacological training for psychologists is the new face of psychology.