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BACKGROUND Stressful life events are a risk factor for suicidal ideation and behaviour, but the strength and nature of this association is unclear. This review examined the prospective relationship between stressful life events and subsequent suicidal ideation and behaviours. METHODS Five databases were searched from inception to April 2019. Eligible studies included observational, quantitative longitudinal cohort studies with adult or adolescent samples. A random-effects meta-analysis model was used to examine the prospective relationship between stressful life events and subsequent suicidal ideation and behaviours. Sub-group analyses examined moderating factors. RESULTS Eight studies were identified in the systematic review, and seven studies comprising 2,639 participants were included in the meta-analysis. Six studies investigated suicidal ideation and one investigated suicidal behaviours. Stressful life events were associated with a 37% higher odds of subsequently reported suicidal ideation and behaviours combined (Odds Ratio (OR) 1.37, 95% CI 1.10 to 1.70), and a 45% increased risk for suicidal ideation (OR 1.45, 95% CI 1.20 to 1.75). This association was stronger in males, young adults, and studies with shorter term follow-up. LIMITATIONS The analyses indicated statistical heterogeneity was high (I2 = 76. 48, 95% CI 55.0 to 87.7%) and there was evidence of publication bias. CONCLUSIONS Stressful life events were shown to increase the risk of subsequently reported suicidal ideation and behaviours. These findings suggest that the experience of stressful life events should be incorporated into clinical suicide risk assessments and suicide interventions could include a component on developing resilience and adaptive coping to stressful life events. BACKGROUND Panic disorders during pregnancy and after delivery may have detrimental effects for mother and child, but no firm conclusions regarding the course and outcomes of peripartum panic disorders can be drawn from previous studies. METHODS N = 306 women were repeatedly interviewed with the Composite International Diagnostic Interview for Women. Social support and partnership quality, gestational outcomes, duration of breastfeeding, regulatory disorders, maternal bonding and parenting style were assessed via medical and maternal reports. Standardized observations of neuropsychological development, infant temperament and attachment were conducted 4 and 16 months after delivery. RESULTS Women reported heterogenous courses of panic disorders, and panic disorders/panic attacks were commonly observed during the early stages of pregnancy. Women with peripartum panic disorders presented with a worse psychosocial situation (e.g., lower social support). Clear behavioral differences (temperament, attachment) in infants of women with panic disorders as compared to women with no anxiety and depressive disorder could not be detected in this study, but differences concerning gestational outcomes, duration of breastfeeding, maternal parenting, and bonding as well as regulatory problems in infants were identified. LIMITATIONS This prospective-longitudinal multi-wave study is restricted by the relative small sizes of the particular groups that limit the power to detect group differences. CONCLUSIONS Heterogenous courses and outcomes of perinatal panic disorders require intensive monitoring of affected mother-infant-dyads who may benefit from early targeted interventions to prevent an escalation of dyadic problems. V.BACKGROUND Military sexual trauma (MST) is associated with increased risk for posttraumatic stress disorder (PTSD) and depression diagnoses, as well as suicidal ideation/behavior (SI/B). Little is known about the differential effect of gender on the association of MST and the aforementioned mental health outcomes. As females are the fastest growing subpopulation of the Veterans Health Administration (VHA), it is imperative to assess possible between-gender differences in the association of MST with PTSD, depression, and SI/B. METHODS Participants were 435,690 (n = 382,021, 87.7% men) 9/11 era veterans seen for care at the VHA between 2004 and 2014. Demographics, gender, PTSD and depression diagnoses, SI/B, and MST screen status were extracted from medical records. Adjusted logistic regression models assessed the moderating effect of gender on the association of MST with PTSD and depression diagnoses, as well as SI/B. RESULTS Women with MST had a larger increased risk for a PTSD diagnosis (predicted probability =0.56, 95% confidence interval [CI] [0.56, 0.56]) and comparable risk for a depression diagnosis (predicted probability = 0.63, 95% CI [0.63, 0.64]) compared to men with MST. Men were more likely to have evidence of SI/B (predicted probability = 1.07, 95% CI [0.10, 0.11]) relative to women, but the interaction between gender and MST was nonsignificant. LIMITATIONS Data were limited to veterans seeking care through VHA and the MST screen did not account for MST severity. CONCLUSIONS Non-VHA settings may consider screening for MST in both men and women, given that risk for PTSD and depression is heightened among female survivors of MST. V.Radionuclides released into the atmosphere following the Fukushima Dai-ichi Nuclear Power Plant (FDNPP) accident were detected by ground-based monitoring stations worldwide. The inter-continental dispersion of radionuclides provides a unique opportunity to evaluate the ability of atmospheric dispersion models to represent the processes controlling their transport and deposition in the atmosphere. Co-located measurements of radioxenon (133Xe) and caesium (137Cs) concentrations enable individual physical processes (dispersion, dry and wet deposition) to be isolated. In this paper we focus on errors in the prediction of 137Cs attributed to the representation of particle size and solubility, in the process of modelling wet deposition. Simulations of 133Xe and 137Cs concentrations using the UK Met Office NAME (Numerical Atmospheric-dispersion Modelling Environment) model are compared with CTBTO (Comprehensive Nuclear-Test-Ban Treaty Organisation) surface station measurements. NAME predictions of 137Cs using a bulkvides further evidence of the presence of insoluble Cs-rich microparticles in the release following the accident at FDNPP and suggests that these small particles travelled across the Pacific Ocean to the US and further across the North Atlantic Ocean towards Europe. Abnormal particulate radionuclides (65Zn, 134Cs and 137Cs) were detected at the CTBTO RN58 station which is located near North Korea between 12 and March 14, 2016. Detection ratio for caesium (134Cs/137Cs) shows that the product origin was nuclear explosion and dilution factors at RN58, released from DPRK test site, show clear correlation with radioactivity concentration of two samples. The detected radionuclides may be originated from the third nuclear test, February 2013. Half-life, radionuclides fractionation, MDC, and device design are attributed to no detection of other nuclides. Most of radionuclides have been decayed away and relatively long half-life nuclides might be in the third test site but they were displaced deep inside the area by fractionation during the explosion. Considering 65Zn activity ratio to 137Cs which is higher than historical ratios at Brunswick in 1968, there is a possibility that the third DPRK nuclear test was a "salted" nuclear bomb test using zinc as jacket instead of fissionable 238U around the secondary stage fusion fuel. Time-dependent thyroid doses were reconstructed for 45,837 members of the Southern Urals Population Exposed to Radiation Cohort (SUPER-C) living in the region around the Mayak Production Association facilities in Russia from 131I released to the atmosphere from all relevant exposure pathways. The dose calculations are implemented in a Monte Carlo framework that produces best estimates and stochastic realizations of dose time-histories. The arithmetic mean thyroid dose from 131I for SUPER-C members was 195 mGy; the median was 61 mGy. Overall, 131I-thyroid doses for about 3.6% of SUPER-C members were larger than 1 Gy. For children born in 1940-1950, the dose was about 10% higher than in previous studies because doses during the prenatal period for 9,117 individuals are included in the current work. Half of the individuals born in the region in 1950-1960 who remained in the study domain through 1972 received 9.4% or more of their total dose during the prenatal period. SUPER-C members residing in areas contaminated by discharges of liquid radioactive releases into the Techa River or the Kyshtym Accident in 1957 received 80% of their thyroid dose from airborne 131I emissions. Eight documented tritiated targets were stored, as well as some very old targets with unknown activity, in a room equipped with an ING-114 14 MeV fast neutron generator. When the neutron generator was running, the tritiated targets were irradiated with a deuterium beam. The aim of this work is to determine the tritium content in the room's atmosphere, as well as the radiation exposure of workers in the room. In this study, isotopic exchange was assumed. This means that tritium from the targets diffused into the air, where it reacted immediately with oxygen particles to form vapour. These vapour molecules diffused into open vessels containing deionized water (50 ml in 120 ml plastic containers). Fifty vessels were arranged along the length (every 0.50 m) and width (every 1 m) of the room. Additionally, there were three vessels placed in the room for shorter periods (5, 7, and 12 days) together with a vessel that was exposed to the tritium for the full duration of the experiment (18 days) to determine the saturation curve. Based on the measured tritium contents, a map of the spatial distribution of tritium in the room was created. The results were used to calculate the radiation dose for a person working in the room and showed no significant contribution to the approved average annual dose for workers. A committee classifier was developed for use in the application of real-time pattern recognition to gamma-ray spectra collected from airborne surveys. This technique was designed to enhance detection performance relative to that of a single linear discriminant analysis model. The approach was based on utilizing multiple classifiers to check one another through a signal averaging method. This resulted in an ability to reject random false detections while maximizing detection sensitivity. Making use of spectral preprocessing algorithms previously studied, the committee classifiers were applied to the detection of cesium-137 and cobalt-60 in spectra collected in the field during airborne surveys. Applying a z-score methodology to the classification scores allowed classifiers developed with different processing parameters to operate in the same dataspace for the purpose of classifying the target spectra. EGFR cancer The optimized classifiers were tested over 13 diverse locations, with nine of the sites containing the respective target isotopes. Results of the committee classifiers indicated an improvement in missed and false detection performance for both radioisotopes. In addition, work was performed to confirm that several suspected false detections were actually weak target signals only visible once co-added with other similar spectra. This result suggested the committee classifier performance may have exceeded the capabilities of the visual spectral inspection on which the performance statistics were based.
Homepage: https://www.selleckchem.com/EGFR(HER).html
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