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People with serious mental illness are at great risk of suicide, but little is known about the suicide rates among this population. We aimed to quantify the suicide rates among people with serious mental illness (bipolar disorder, major depression, or schizophrenia).
Methods
PubMed and Web of Science were searched to identify studies published from 1 January 1975 to 10 December 2020. We assessed English-language studies for the suicide rates among people with serious mental illness. Random-effects meta-analysis was used. Changes in follow-up time and the suicide rates were presented by a locally weighted scatter-plot smoothing (LOESS) curve. Suicide rate ratio was estimated for assessments of difference in suicide rate by sex.
Results
Of 5014 identified studies, 41 were included in this analysis. The pooled suicide rate was 312.8 per 100 000 person-years (95% CI 230.3–406.8). Europe was reported to have the highest pooled suicide rate of 335.2 per 100 000 person-years (95% CI 261.5–417.6). Major depression had the highest suicide rate of 534.3 per 100 000 person-years (95% CI 30.4–1448.7). There is a downward trend in suicide rate estimates over follow-up time. Excess risk of suicide in males was found [1.90 (95% CI 1.60–2.25)]. The most common suicide method was poisoning [21.9 per 100 000 person-years (95% CI 3.7–50.4)].
Conclusions
The suicide rates among people with serious mental illness were high, highlighting the requirements for increasing psychological assessment and monitoring. Further study should focus on region and age differences in suicide among this population.
The disease burden of infectious diarrhea cannot be underestimated. Its seasonal patterns indicate that weather patterns may play an important role and have an important effect on it. The objective of this study was to clarify the relationship between temperature and infectious diarrhea, and diarrhea-like illness.
Methods:
Distributed lag non-linear model, which was based on the definition of a cross-basis, was used to examine the effect.
Results:
Viral diarrhea usually had high incidence in autumn-winter and spring with a peak at -6°C; Norovirus circulated throughout the year with an insignificant peak at 8°C, while related bacteria usually tested positive in summer and peaked at 22°C. The lag-response curve of the proportion of diarrhea-like cases in outpatient and emergency cases revealed that at -6°C, with the lag days increasing, the proportion increased. Similar phenomena were observed at the beginning of the curves of virus and bacterial positive rate, showing that the risk increased as the lag days increased, peaking on days 16 and 9, respectively. The shape of lag-response curve of norovirus positive rate was different from others, presenting m-type, with 2 peaks on day 3 and day 18.
Conclusion:
Weather patterns should be taken into account when developing surveillance programs and formulating relevant public health intervention strategies.
Disclosing the diagnosis of Alzheimer's disease (AD) to a patient is controversial. There is significant stigma associated with a diagnosis of AD or dementia in China, but the attitude of the society toward disclosure of such a diagnosis had not been formally evaluated prior to our study. Therefore, we aimed to evaluate the attitude toward disclosing an AD diagnosis to patients in China with cognitive impairment from their caregivers, and the factors that may affect their attitude.
Methods:
We designed a 17-item questionnaire and administered this questionnaire to caregivers, who accompanied patients with cognitive impairment or dementia in three major hospitals in Shanghai, China. The caregiver's attitude toward disclosing the diagnosis of AD as evaluated by the questionnaire was compared to that of disclosing the diagnosis of terminal cancer.
Results:
A majority (95.7%) of the 175 interviewed participants (mean 14.2 years of education received) wished to know their own diagnosis if they were diagnosed with AD, and 97.6% preferred the doctor to tell their family members if they were diagnosed with AD. If a family member of the participants suffered from AD, 82.9% preferred to have the diagnosis disclosed to the patient. “Cognitive impairment” was the most accepted term by caregivers to disclose AD diagnosis in Chinese.
Conclusion:
This study suggests most of the well-educated individuals in a Chinese urban area favored disclosing the diagnosis when they or their family members were diagnosed with AD.
Large electrocaloric (EC) effects in ferroelectric polymers and in ferroelectric ceramics have attracted great attention for new refrigeration development which is more environmental friendly and more efficient and thus could be an alternative to the existing vapor-compression refrigerators which consume large energy and release large amount of green house gas. However in the past, all EC effects investigations have been focused on solid state dielectrics. It is interesting to ask whether a large EC effect can also be realized in dielectric fluids. A dielectric fluid with large EC effect could lead to new design of cooling devices with simpler structures than these based on solid state EC materials, for example, they can be utilized as both the refrigerant and heat exchange fluid. Here we present that a large EC effect can be realized in the liquid crystal (LC) 5CB near it's nematic-isotropic (N-I) phase transition. The LC 5CB possesses a large dielectric anisotropy which can induce large polarization change from the isotropic phase to the nematic phase near the N-I transition. An isothermal entropy change of more than 23 Jkg-1K-1 was observed near 39 oC that is just above the N-I transition.
The poly(vinylidene fluoride-trifluoroethylene) (P(VDF-TrFE)) based ferroelectric and relaxor materials have been proved to be good electrocaloric (EC) materials. To further enhance the EC effect in ferroelectric relaxor terpolymer poly(vinylidene fluoride–trifluoroethylene-chlorofluoroethylene) (P(VDF-TrFE-CFE)), composites such as polymer-polymer blends and nanocomposites filled with inorganic nanoparticles are fabricated and investigated. It is found that the addition of small amount of filler (such as P(VDF-TrFE) or nano-ZrO2) can increase terpolymer’s crystallinity and enhance its relaxor behavior through interface couplings. The increased crystallinity and enhanced relaxor behavior together result in enhanced electrocaloric effect. The results demonstrate the promise of composite approaches in tailoring and enhancing ECE in the relaxor terpolymers.
An efficient AHL (N-acyl-homoserine lactone) bioassay strain, JZA1, of Agrobacterium tumefaciens was used to detect the AHL production from Acidovorax avenae subsp. citrulli [the pathogen causing bacterial fruit blotch (BFB) of melons], and the results showed that A. avenae subsp. citrulli produced a 3-O-C8-homoserine (HSL) type signal molecule. Gene aiiA, which could degrade AHL molecules, was transformed into A. avenae subsp. citrulli strain NJF10, creating strain NJF10-aiiA. The AHL production from NJF10-aiiA was significantly reduced compared with wild-type NJF10. Inoculation tests showed that NJF10-aiiA had an obvious reduction of virulence on watermelon fruits. Our finds showed that AHL production by A. avenae subsp. citrulli was related to its pathogenicity. This work might provide a novel way to control BFB by QS (quorum sensing) interference.
A method of absolutely unfolding the atomic spectrum by a pinhole transmission grating spectrometer (TGS) is discussed in detail. The numerical process considers both the factors of higher-dispersive-order overlapping of TGS and source-size widening effects. Real soft-X-ray spectra of aluminum, copper, and gold plasmas are presented of experiments performed on the Six-Beam Laser Facility at the Shanghai Institute of Optics and Fine Mechanics.
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