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We investigate experimentally the planar paths displayed by cylinders falling freely in a thin-gap cell containing liquid at rest, by varying the elongation ratio and the Archimedes number of the cylinders, and the solid-to-fluid density ratio. In the investigated conditions, the oscillatory falling motion features two main characteristics: the mean fall velocity 
$\overline {u_v}$ does not scale with the gravitational velocity, which overestimates 
$\overline {u_v}$ and is unable to capture the influence of the density ratio on it; and high-amplitude oscillations of the order of 
$\overline {u_v}$ are observed for both translational and rotational velocities. To model the body behaviour, we propose a force balance, including proper and added inertia terms, the buoyancy force and vortical contributions accounting for the production of vorticity at the body surface and its interaction with the cell walls. Averaging the equations over a temporal period provides a mean force balance that governs the mean fall velocity of the cylinder, revealing that the coupling between the translational and rotational velocity components induces a mean upward inertial force responsible for the decrease of 
$\overline {u_v}$. This mean force balance also provides a normalization for the frequency of oscillation of the cylinder in agreement with experimental measurements. We then consider the instantaneous force balance experienced by the body, and propose three contributions for the modelling of the vortical force. These can be interpreted as drag, lift and history forces, and their dependence on the control parameters is adjusted on the basis of the experimental measurements.
The use of long-acting treatments is a common clinical practice in psychiatry. No disease insight and the risk of treatment discontinuation in a significant portion of our patients, increase the demand for psychiatric emergency and hospital admissions. Treatment adherence must be facilitated, taking into account possible side effects and patient´s subjective satisfaction.
-Evaluate the type of long-acting intramuscular treatment in selected patients. -Evaluate the differences in treatment satisfaction between different types of long-acting intramuscular treatments as well as frequency of psychiatric emergency and hospital admissions in the last year.
We select patients with different severe mental disorders who stay in a Medium Stay Unit, Sociosanitary Community Residence, Supervise house and Residence for the elderly in Albacete (Spain); all of them, with intramuscular neuroleptic treatment (zuclopenthixol dihydrochloride, aripiprazole long acting, palmitate paliperidone monthly, 3-monthly and 6-monthly) at least 1 year.
We evaluate their sociodemographic characteristics, the satisfaction questionnaire with the treatment (TSQM-9) and the rate of psychiatric emergencies and admissions after current intramuscular treatment in last year.
We have selected 57 patients with an average age of 45.86. 78.94% with a diagnosis of schizophrenia, 12.28% with schizoaffective disorder, 5.26% bipolar disorder and 3.5% unspecified psychotic disorder.
We can see in the graphics below that the longer duration of the intramuscular treatment, the greater satisfaction in all the items of the TSQM-9 questionnaire.
31% of the patients with zuclopenthixol dihydrochloride treatment, have gone to psychiatric emergencies and 28% of psychiatric admissions in the last year.18% of the patients with aripiprazole long acting, 17% with paliperidone palmitate long acting-monthly and 12% de 3-monthly have gone to psychiatric emergencies and 15%, 12% and 12% needed psychiatric admissions respectively. Patients with palmitate long acting-monthly have not emergencies or psychiatric admissions in the last year.
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- The longer long acting of the intramuscular treatments, the better patient satisfaction.
- With the longer duration treatment (Palmitate paliperidone LD 6 month), we have lower psychiatric emergencies and hospital admissions.
None Declared
We investigate experimentally the coalescence cascade process for a confined swarm of deformable bubbles immersed in a bidimensional vertical cell filled with water. For different gas volume fractions, air bubbles of size 
$D_0$ larger than the cell thickness are injected at the bottom of the cell. The bubbles swarms transformation is explored using high-speed visualizations. The time evolution of each bubble in the swarm is determined using a specifically developed algorithm, enabling bubble tracking and coalescence detection. We determine the evolution of the bubble size distribution downstream from the injection point, and show that the stages of the coalescence cascade are characterized by the diameter, 
$D_{V90}$, representative of the largest bubbles. The collision frequency of pairs of bubbles of sizes 
$D_k$ and 
$D_{k'}$, 
$h(D_k, D_{k'})$, and their coalescence efficiency, 
$\lambda$, are obtained from the experiments. The efficiency is nearly constant, independently of the bubble sizes and of the gas volume fraction. Concerning collision frequency, our results reveal the existence of two different coalescence regimes depending on the capability of the bubbles to deform. Models describing 
$h(D_k, D_{k'})$ for both regimes are provided. They take into account the specific response of the bubble pair, which depends on the reduced diameter 
$D_p = 2 D_k D_{k'} / (D_k + D_{k'})$, to the global swarm-induced agitation governed by 
$D_{V90}$ and the gas volume fraction. In the first regime, occurring for smaller 
$D_p$, bubbles are brought together by agitation and rapidly coalesce, while for sufficiently large 
$D_p$, both bubbles are able to deform and spend more time adapting mutually their shapes before coalescing.
Electroconvulsive therapy is a highly effective treatment for severe psychopharmacological resistant patients but it is also a procedure that involves open airway management and has been considered as an aerosol generating procedure. The COVID-19 pandemic, has resulted in reduction in ECT services internationally. The COVID-19 pandemic has dramatically and rapidly transformed hospitals in heavily affected areas, decreasing mental health services. The need to locate critical patients in spaces intended for anesthesia, where we usually administered ECT, has forced us to decrease the number of procedures and be highly selective. In the same way, continuation and maintenance ECT (m-ECT) have also been dramatically reduced. The risk of contagion urged us to develop a protocol involving other areas of the hospital
To create a safe circuit from admission to the hospital to the ECT including emergency room and psychiatric Ward
Review of the tliterature and published protocols Workshops with Preventive Medicine, Anaesthesia and Emergency Service to elaborate a protocol Submission of the protocol to Management of the Hospital
The protocol (Figure 1) began with the screening for COVID-19 in every patient. If the PCR was (+) the patient was not excluded. We moved treatment from the PACU into the OR and if a patient tested positive It was determined that the ECT was administered in the OR
That was provided with negative pressure. Circuits were established within the Psychiatric Ward and in the areas of the hospital involved to reduce risks and patients remained isolated until negative test was confirmed The number of persons present in the treatment room was kept to the absolute minimum required and appropriate personal protective equipment was used, as prescribed by the WHO
We must keep in mind treating the most vulnerable of our patients. ECT should be seen as an essential medical procedure and made available
No significant relationships.
