D-DIMER A RISK FACTOR ASSOCIATED WITH C-REACTIVE PROTEIN FOR PREDICTING THE SEVERITY OF INFECTION BY COVID-19
Background: COVID-19, caused by SARS-CoV-2, has unresolved mortality risk factors and clinical course, highlighting the need for further research. Aims: The study aimed to asses D-dimer and C-Reactive Protein (CRP) as the risk factors for severity covid-19 and who are less capable of surviving. Methods: A retrospective study conduct of COVID-19 in adult inpatients aged >20 at Al-sadder and Alamal Hospital in Iraq. Demographics, clinical trials, treatments, and viral RNA samples were analyzed. The study involved 100 patients, with 67 discharged and 33 hospitalized died. The majority of the participants 45% were aged < 40, but 55% were aged >40 years. Results: A significant and 57% were male 37(55.2%) Survivor vs. 20 (60.6%) non-survivor, p=0.024), more than 43% were female (30(44.8%) Survivor vs. 13(39.4%) non-survivor, p=0.010. Patients had underlying comorbidities (66%), survivor 37(55%), and non-survivor 29(87%). The most prominent comorbidity in non-survivors more than survivors was diabetic mellitus 85%, asthma 58%, stroke 48%, renal failure 42%, heart strake 33%, and hypertension 18%. The study found significant differences in WBC, lymphocyte count, D-dimer, Ferritin, CRP, and LDH levels in non-survivors compared to survivor patients, with a positive correlation between D- dimer and these parameters. The ROC analysis curve showed CRP with a high AUC of 80.2%, 87.9% sensitivity, and 37.3% specificity, while D-dimer and LDH had AUCs of 0.74.9 and 70%, respectively. Discussion: The study found that older age, higher d-dimer, ferritin, CRP, and LDH are associated with disease severity and higher mortality risk in adult COVID-19 patients. Conclusions: These biomarkers could aid in early detection of disease progression signs and better patient management
Read ArticleEFFECT OF MECHANICAL ACTIVATION ON THE POTASSIUM AVAILABILITY OF PHONOLITE ROCK
Background: Researchers are carried out to assess rocks containing potassium as an alternative source of fertilizers. These studies are important in reducing the external dependence of Brazil on this commodity. Phonolite is a rock of volcanic origin that has in its mineralogical composition the predominance of feldspar and has been potential to use as an alternative potassium source. The studied rock has 6% total-K but is unavailable to plants in natural rock. Aim: This project evaluated the effect of mechanical activation, wet and dry, on K availability for extractors different and its K leaching curves of phonolite from Poços de Caldas, MG, Brazil. Methods: Phonolite rock was subjected to mechanical activation for 30 and 60 min by wet and dry processes. Particle size distribution, XRD, and FTIR analyses characterized phonolite activated. These results were compared to the behavior of the rock with no activation. K availability (total; water-soluble; exchangeable, non-exchangeable, and structural) was determined in samples activated and no activation. K leaching curves were obtained by successive extractions with 0.01 mol L-1 citric acid and Mehlich-1 solutions to 1812 h and analyzed by FAAS. Results: The samples mechanical activation promoted a reduction in the intensity of the diffraction peaks. In the sample dry mechanical activation for 60 min, K released increased by 15% in relation to the no activation sample. K leaching curves were observed with similar behavior for the extractors and higher K availability after 235 h of total contact time. Discussion: Mechanical activation promoted a decrease in structural K and an increase in non-exchangeable K, released into the soil solution in the medium term. Since the mineralogical composition was not changed, the process action is more efficient in creating the structural defects suggested. K leaching curves corroborate these results, with a continuous and slow K released for a longer contact time. Conclusions: It was concluded that the phonolite activated by dry mechanical activation for 60 min increased K-released content compared with the wet process and ratified the possibility of the activated phonolite rock as a slow-release fertilizer.
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