The MaD-CLINYC score: An easy tool for the prediction of the outcome of hospitalized COVID-19 patients.

BACKGROUND: Most outcome-predictive models for COVID-19 patients use hospital admission data, offering a spontaneous mortality risk estimation. We aimed to elaborate on a tool that could be applied repeatedly, thus being more suitable for these patients' rapidly changing clinical course. METHODS: In this prospective study, we evaluated 560 samples derived from 156 patients hospitalized for COVID-19 in a single center. Age >61 years, male sex, comorbidities >2, need for intensive care unit admission, lactate dehydrogenase (LDH) >408 U/L, Neutrophil/Lymphocyte Ratio (NLR) >17, C-reactive protein (CRP) >10 mg/dl, and D-dimers >3,200 ng/ml were incorporated in an eight-scale score (MaD-CLINYC) after optimal scaling, ridge regression, and bootstrapping, which was documented to correlate with outcome independently of one or more samples analyzed, day from admission at sampling, and need for delivery. Validation process was performed over 574 samples derived from three centers. RESULTS: The developing and the validation cohort Area under Curve (AUC) was 0.90 (95 % Confidence Interval: 0.82-0.98) and 0.91 (0.88-0.94), respectively (p =0.822). A MaD-CLINYC score ≥4 had 75 % sensitivity and 81 % specificity to predict fatal outcome. CONCLUSIONS: MaD-CLINYC score is a powerful, feasible, easy-to-use, dynamic tool to assess the risk of the outcome, thus assisting clinicians in close monitoring and timely decisions in COVID-19 hospitalized patients. HIPPOKRATIA 2021, 25 (3):119-125.

Air pollution effect of SO2 and/or aliphatic hydrocarbons on marble statues in Archaeological Museums.

This study allowed the identification of the main physicochemical characteristics of deterioration of the materials used in the construction of Greek ancient statues in order to plan a correct methodology of restoration. The method of Reversed-Flow Inverse Gas Chromatography is appropriate to investigate the influence of air pollutants on authentic pieces from the Greek Archaeological Museum of Kavala, near Salonica. Six local physicochemical quantities which refer to the influence of one or two pollutants (synergistic effect) were determined for each system. These quantities answer the question "when, why and how materials of cultural heritage are attacked".

Gas chromatographic study of degradation phenomena concerning building and cultural heritage materials.

Air pollution influences all aspects of social and economical life nowadays. In order to investigate the impact of air pollution on materials of works of art, the method of Reversed Flow-Inverse Gas Chromatography has been selected. The presence of various atmospheric pollutants is studied on marbles, oxides--building materials and samples of authentic statues from the Greek Archaeological Museums of Kavala and of Philippi. The method leads to the determination of several physicochemical quantities and the characterization of the heterogeneous surfaces of these solids. Moreover, the influence of a second pollutant (synergistic effect) is examined. The structure, the properties and the behavior of the materials are examined by X-Ray Diffraction, Scanning Electron Microscopy and Raman Spectroscopy. Therefore, the precise measurement of the above mentioned quantities form the scientific basis for elucidation of the mechanism of the whole phenomenon of the degradation, thus providing a scientific platform to conservation procedures.

Determination and evaluation of cadmium, copper, nickel, and zinc in agricultural soils of western Macedonia, Greece.

The objective of this study was to determine the levels of major phytotoxic metals--including cadmium (Cd), copper (Cu), nickel (Ni), and zinc (Zn)--in agricultural soils of Western Macedonia, Greece. We also wanted to determine the possible relationships among elements and between soil properties and elemental concentrations. Surface soil samples, n = 570, were collected and analyzed. The results of the elemental analysis showed that the mean metal concentrations were consistent with reported typical concentrations found in Greek agricultural soils in the cases of Zn and Cu. Cd exhibited lower and Ni higher mean concentrations than the typical levels reported in the literature. Metal concentrations in the majority of the examined samples (>69%) were found to be higher than the respective critical plant-deficiency levels. However, only 0.4% and 0.2% of the analyzed soil samples, respectively, exhibited Cd and Ni concentrations higher than the levels that cause plant toxicity, as referenced by other investigators. These results suggest that the soils studied can be considered as unpolluted with respect to the examined food-chain metal contaminants. However, the levels of the metal concentrations in some of the soil samples, and the low correlation of the metals with soil properties, suggest an anthropogenic rather that lithogenic origin.