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Zusammenfassung. Bei der transienten globalen Amnesie (TGA) handelt es sich um eine klinische Diagnose mit typischen Zeichen einer akuten, anterograden und retrograden Amnesie. Die Ursache ist bisher ungeklärt, verschiedenen Hypothesen werden diskutiert. Letztlich handelt es sich um eine passagere Funktionsstörung im Bereich der Hippocampi. Hierzu korrelierend findet man gehäuft in der DWI-Sequenz im MRI eine kleine, punktförmige Signalhyperintensität im Hippocampus, die in Verlaufsuntersuchungen nicht mehr darstellbar ist. Diese können uni- oder bilateral auftreten. Es existiert keine spezifische Therapie, eine Sekundärprophylaxe ist nicht indiziert. Die Prognose ist gut. Das Rezidivrisiko beträgt ca. 18%.

Bottled water is becoming more popular worldwide and possible contamination's need to be analyzed. Microplastics (MPs) are ubiquitous environmental pollutants and have recently been regarded as an important contaminant in bottled water due to oral intake and possible threats to human health. In the present study, MP amounts in 23 popular Iranian brands of bottled water were determined by filtration and counting under scanning electron microscopy (SEM). The effects of mechanical stress, environmental factors, and freezing on MP release also were investigated. The average amounts of MPs in water samples were 1496.7 ± 1452.2 particles/L (199.8 to 6626.7 particles/L). The amounts of MPs in different brands was significantly different (p 0.05). As much as 91.3% of detected particles had the size between 1 and 10 μm. The most likely polymers determined by FTIR spectroscopy was polyethylene terephthalate (PET). The freezing of water in the bottles did not show any significant effect on the MPs release, but mechanical stress to the bottles increased MP amounts in the water significantly. Environmental factors including sunlight exposure and the age of bottles showed the most degradative effects on the structure of polymers in the body of PET bottles and release of MPs. Regardless of their type, source and commercial brands, bottled water is contaminated with hundreds to thousands MPs/L. The main portion (above 90%) of these MPs are 5 μm particles with considerable effects on human health.

Memory Loss - a Case of Sudden Amnesia

Most case series of patients with ischemic stroke (IS) and COVID-19 are limited to selected centers or lack 3-month outcomes. The aim of this study was to describe the frequency, clinical and radiological features, and 3-month outcomes of patients with IS and COVID-19 in a nationwide stroke registry. From the Swiss Stroke Registry (SSR), we included all consecutive IS patients ≥18 years admitted to Swiss Stroke Centers or Stroke Units during the first wave of COVID-19 (25 February to 8 June 2020). We compared baseline features, etiology, and 3-month outcome of SARS-CoV-2 polymerase chain reaction-positive (PCR+) IS patients to SARS-CoV-2 PCR- and/or asymptomatic non-tested IS patients. Of the 2341 IS patients registered in the SSR during the study period, 36 (1.5%) had confirmed COVID-19 infection, of which 33 were within 1 month before or after stroke onset. In multivariate analysis, COVID+ patients had more lesions in multiple vascular territories (OR 2.35, 95% CI 1.08-5.14, p = 0.032) and fewer cryptogenic strokes (OR 0.37, 95% CI 0.14-0.99, p = 0.049). COVID-19 was judged the likely principal cause of stroke in 8 patients (24%), a contributing/triggering factor in 12 (36%), and likely not contributing to stroke in 13 patients (40%). There was a strong trend towards worse functional outcome in COVID+ patients after propensity score (PS) adjustment for age, stroke severity, and revascularization treatments (PS-adjusted common OR for shift towards higher modified Rankin Scale (mRS) = 1.85, 95% CI 0.96-3.58, p = 0.07). In this nationwide analysis of consecutive ischemic strokes, concomitant COVID-19 was relatively rare. COVID+ patients more often had multi-territory stroke and less often cryptogenic stroke, and their 3-month functional outcome tended to be worse.