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This study examined the pattern of medical utilization and the distribution of comorbidities shortly before death among adolescents who died from suicide and compared these data with those of living controls.
Methods
From Taiwan's National Health Insurance Research Database, this study identified adolescents aged 10–19 years who died from suicide (n = 935) between 1 January 2000, and 31 December 2016, by linking each patient with the national mortality database. The researchers conducted a nested case–control study through risk set sampling, and for each case, 20 age- and sex-matched controls (n = 18 700) were selected from the general population. The researchers applied conditional logistic regression to investigate differences in medical utilization and physical and psychiatric comorbidities between cases and controls.
Results
Cases had a higher proportion of contact with the psychiatric department but a similar proportion of contact with any non-psychiatric medical department within 1 year before suicide compared with controls. There were 18.6% of adolescent suicide victims who only had contacted with a psychiatric department 3 months before suicide. Moreover, cases had a higher proportion of contact with non-psychiatric services within 3 months before suicide, particularly with emergency, surgery, and internal medicine departments. Cases had higher risks of several psychiatric disorders and physical illnesses, including heart diseases, pneumonia, and ulcer disease, than did controls.
Conclusions
The findings of increased medical utilization and higher risks of physical and psychiatric comorbidities in adolescent suicide victims are crucial for developing specific interventions to prevent suicide in this population.
Southern China is affected by multi-stage tectonic activities, with strong fold deformation, complex fault systems and poor shale gas preservation conditions. Here, we used shale samples from the lower Silurian Longmaxi shale in the complex tectonic area of Southern China, to study the relationship between differential structural deformation, and pore structure and adsorption capacity. According to the deformation mechanism of the shale, it is further divided into brittle-slip rheological deformation (BD) and ductile-slip rheological deformation (DD). The results show that all micro-fractures can be observed under scanning electron microscopy in deformed shale samples, but in shale samples with different types of rheological deformation, the micro-fractures have large differences in scale, fracture length and lateral connectivity. The micro-fractures developed in DD shales are small in scale and short in fracture length, but have strong local connectivity. In contrast, brittle minerals are more developed in BD shales, and interlayer shearing has formed micro-fractures with large fracture length and good lateral connectivity, which is beneficial for later fracturing. In these two types of deformed shales, pores in organic matter are rare, and sporadic organic pores have small pore size and poor connectivity. The total pore volume (1.8–2.4 × 10−2 cm3 g–1) of BD shale samples is higher than that of DD shale samples (0.8–1.6 × 10−2 cm3 g–1). There is a positive correlation between total pore volume and quartz content. In addition, the specific surface area (12–18 m2 g–1) of DD shale samples is larger than that of BD shale samples (6–12 m2 g–1).
To study the variation of the stagnation point position of the flow impinging obliquely on a moving flat plate, we follow the mathematical approach of Dorrepall (J. Fluid Mech., vol. 163, 1986, p. 141) and obtain the analytical solution of the flow. Based on the solution, we derive an equation governing the variation of stagnation point position with both the plate velocity as well as the impinging angle. Results show that, when the plate is stationary, the stagnation point will stay in upstream if the flow is non-orthogonal, as concluded by previous studies. As soon as the plate starts to move, the stagnation point will move from upstream to downstream when the plate velocity increases beyond a small critical value, no matter whether the flow is orthogonal or non-orthogonal.
In this study, the petrology, zircon U–Pb ages, Lu–Hf isotopic compositions, whole-rock geochemistry and Sr–Nd isotopes for newly recognized low-Mg and high-Mg adakitic rocks from the North Altun orogenic belt were determined. The results will provide important insights for understanding the continuities of the North Qilian and North Altun orogenic belts during early Palaeozoic time. The low-Mg adakitic granitoids (445 to 439 Ma) are characterized by high SiO2 (69–70 wt %), low Mg no. (43–48) and low Cr and Ni contents. In contrast, the high-Mg adakitic granitoids (425 to 422 Ma) have relatively lower SiO2 (65–67 wt %), higher Mg no. (60–62) and higher Cr and Ni contents. The low-Mg adakitic rocks have high initial 87Sr/86Sr ratios (0.7073–0.7084), negative εNd(t) (−1.9 to −4.0) and εHf(t) values (−6.8 to −2.0), and old zircon Hf model ages (1.4–1.7 Ga). In contrast, the high-Mg adakitic rocks show lower initial 87Sr/86Sr ratios (0.7044–0.7057), higher εNd(t) (−0.7 to 3.1) and positive εHf(t) values (2.0 to 6.9), with younger zircon Hf model ages (0.9–1.2 Ga). These results suggest that the low-Mg adakitic rocks were probably generated by the partial melting of thickened crust, whereas the high-Mg adakitic rocks were derived from the anatexis of delaminated lower crust, which subsequently interacted with mantle magma upon ascent. The data obtained in this study provide significant information about the geological and tectonic processes after the closure of the Altun Ocean. The continent–continent collision and thickening probably occurred during 450–440 Ma with the formation of low-Mg adakitic rocks, and the transition of the tectonic regime from compression to extension probably occurred at 425–422 Ma with the formation of high-Mg adakitic rocks. The geochemical, geochronological and petrogenetic similarities between the North Altun and North Qilian adakitic rocks suggest that these two orogenic belts were subjected to similar tectonomagmatic processes during early Palaeozoic times.
Reproductive interference is one of the major factors mediating species exclusion among insects. The cryptic species Middle East-Asia Minor 1 (MEAM1) and Mediterranean (MED) of the whitefly Bemisia tabaci complex have invaded many parts of the world and often exhibit niche overlap and reproductive interference. However, contrasting patterns of competitive displacement between the two invaders have been observed between regions such as those in USA and China. Understanding the roles of reproductive interference in competitive interactions between populations of the two species in different regions will help unravel other factors related to their invasion. We integrated laboratory population experiments, behavioural observations and simulation modelling to investigate the role of reproductive interference on species exclusion between MEAM1 and MED in China. In mixed cohorts of the two species MEAM1 always excluded MED in a few generations when the initial proportion of MEAM1 was ⩾0.25. Even when the initial proportion of MEAM1 was only 0.10, however, MEAM1 still had a higher probability of excluding MED than that for MED to exclude MEAM1. Importantly, we show that as MEAM1 increased in relative abundance, MED populations became increasingly male-biased. Detailed behavioural observations confirmed that MEAM1 showed a stronger reproductive interference than MED, leading to reduced frequency of copulation and female progeny production in MED. Using simulation modelling, we linked our behavioural observations with exclusion experiments to show that interspecific asymmetric reproductive interference predicts the rate of species exclusion of MED by MEAM1. These findings not only reveal the importance of reproductive interference in the competitive interactions between the two invasive whiteflies as well as the detailed behavioural mechanisms, but also provide a valuable framework against which the effects of other factors mediating species exclusion can be explored.
We describe the specifications, characteristics, calibration, and analysis of data from the University of New South Wales Infrared Fabry–Perot (UNSWIRF) etalon. UNSWIRF is a near-infrared tunable imaging spectrometer, used primarily in conjunction with IRIS on the AAT, but suitable for use as a visitor instrument at other telescopes. The etalon delivers a resolving power in excess of 4000 (corresponding to a velocity resolution ∼75 km s−1), and allows imaging of fields up to 100″ in diameter on the AAT at any wavelength between 1·5 and 2·4 μm for which suitable blocking filters are available.
The cryptic species Middle East-Asia Minor 1 (MEAM1), formerly referred to as ‘B biotype’, of the whitefly Bemisia tabaci complex entered China in the mid 1990s, and the Mediterranean (MED) cryptic species, formerly referred to as ‘Q biotype’, of the same whitefly complex entered China around 2003. Field surveys in China after 2003 indicate that in many regions MED has been replacing the earlier invader MEAM1. The factors underlying this displacement are unclear. We conducted laboratory experiments and field sampling to examine the effects of insecticide application on the competitive interactions between MEAM1 and MED. In the laboratory, on cotton, a plant showing similar levels of suitability to both whitefly species, MEAM1 displaced MED in five generations when initial populations of the two species were equal and no insecticide was applied. In contrast, MED displaced MEAM1 in seven and two generations, respectively, when 12.5 and 50.0 mg l−1 imidacloprid was applied to the plants via soil drench. Field sampling indicated that in a single season MED displaced MEAM1 on crops heavily sprayed with neonicotinoid insecticides but the relative abundance of the two species changed little on crops without insecticide spray. We also examined the effects of host plants on the competitive interactions between the two species in the laboratory. When cohorts with equal abundance of MEAM1 and MED were set up on different host plants, MEAM1 displaced MED on cabbage and tomato in five and seven generations, respectively, but MED displaced MEAM1 on pepper in two generations. As field populations of MED have lower susceptibility than those of MEAM1 to nearly all commonly used insecticides including imidacloprid, insecticide application seems to have played a major role in shifting the species competitive interaction effects in favour of MED in the field across China. Host plants may also shape competition between the two species depending on the relative levels of plant suitability.
Drynaria fortunei (Kunze) J. Sm. (DF), a Chinese herb commonly used for the treatment of bone fracture, was previously shown to exert anabolic effects on bone. However, its active ingredients as well as the mechanisms of action are far from clear. The present study aimed to characterise the bone anabolic effects of DF flavonoid fraction (DFTF) in ovariectomised (OVX) mice and to determine if DFTF and its isolated compounds exert oestrogen-like effects in rat osteoblast-like UMR-106 cells. Young OVX C57/BL6J mice were treated orally with DFTF (0·087, 0·173 or 0·346 mg/g per d), 17β-oestradiol (2 μg/g per d) or its vehicle for 6 weeks. Serum and urine samples were collected for biochemical marker analysis. Bones were collected for computed tomography analysis. UMR-106 cells were treated with DFTF and isolated compounds naringin, (2S)-5,7,3′,5′-tetrahydroxy-flavonone 7-O-neohesperidoside (compound 1) and 5,7-dihydroxychromone 7-O-neohesperidoside (compound 2). DFTF exerted dose-dependent effects in improving bone mineral densities as well as bone strength at the femur, tibia and lumbar spine L1 in OVX mice. DFTF and the three isolated compounds stimulated osteoblastic cell proliferation and alkaline phosphatase activities in a dose-dependent manner. In addition, they stimulated the ratio of osteoprotegrin and receptor-activator NF-κB ligand mRNA expression, suggesting their involvement in inhibiting osteoclastogenesis. These stimulatory effects on osteoblastic functions were abolished in the presence of oestrogen receptor (ER) antagonist, ICI 182780. The present results suggested that DFTF is effective in protecting against OVX-induced bone loss in mice, and its actions in regulating osteoblastic activities appear to be mediated by ER.
There is increasing evidence to show that 2-cell stage mouse blastomeres have differing developmental properties. Additionally, it has been suggested that such a difference might be due to their distribution of mRNA and/or protein asymmetry. However, to date, the exact genes that are involved in the orientation and order of blastomere division are not known. In this study, some differentially expressed transcripts were identified. Axin1, cell division cycle 25 homolog C (Cdc25c) and cyclin-dependent inhibitor 2D (Cdkn2d) were selected for validation by real-time polymerase chain reaction (PCR) based on published data. Our real-time PCR results demonstrated that Axin1, Cdc25c and Cdkn2d genes had different levels of expression among blastomeres of the mouse 2-cell embryo i.e. the level of Axin1 mRNA was significantly higher in one blastomere when compared with the other blastomeres of the 2-cell embryo (p < 0.05). The variation in Cdc25c (p < 0.05) and Cdkn2d (p < 0.01) mRNA expression followed a similar trend to that of Axin1. In addition, the highest levels of expression of these three genes were detected in the same blastomere in the 2-cell embryo. We confirmed that there was an asymmetrical distribution pattern for Axin1, Cdc25c and Cdkn2d transcripts in 2-cell embryos. In conclusion, this study demonstrated clearly that there is embryonic asymmetry at the 2-cell stage and that these differentially expressed genes may result in differentiation in expression in embryo development.
To assess the influence of long-term fertilization on weed communities of early and late rice crops, the weed species composition was investigated in experimental plots initiated in 1981 at the Key Field Experimental Monitoring Station of the Reddish Paddy Soil Eco-Environment in Wangcheng, China. The treatments were (1) a control (CK), no fertilizer; (2) N–P, no K; (3) N–K, no P; (4) P–K, no N; (5) N–P–K; (6) N–P–K + Ca, N, P, and K plus lime; (7) N–P + S, N and P plus additional rice straw return; (8) N–P–K + S, N, P, and K plus additional rice straw; (9) N–K + M, N and K plus swine manure. The results indicated that weed flora composition and density were influenced by the different fertilization treatments. Multivariate analyses indicated that changes in the weed community composition were primarily due to soil-available N, followed by light intensity on the field surface, and soil-available P. More weed species and total weed density were observed in the control and P–K plots than in plots in which N, P, and K were applied together. Omission of N application had a greater effect on the weed community than the omission of P or K applications. Nutrients derived from synthetic fertilizers and organic manure or the additional application of lime had no obvious effect on the weed community of late rice crops.
Currently Vessel Traffic Service (VTS) does not have enough technical capability to monitor a crowded surveillance area to maintain safety. Without an efficient alerting system, many marine accidents have occurred due to operator oversight. In this article, a new fuzzy logic method is proposed to add vessel collision avoidance capability to VTS/AIS systems for all potential collision ships in the surveillance area. Starting from the VTS standpoint and integrating AIS data into the Marine Geographic Information System (MGIS) as a platform, the calculations of ship domain and ship inertial force are utilized to generate models of a guarding ring and danger index. By this means, a precise prediction of collision time and position can be achieved using a marine GIS spatial analyst module. The proposed method is able to enhance the VTS operator's decision-making abilities by providing a collision avoidance alerting system.
At a medical center in Taiwan, all workers were examined by chest radiography, to determine the prevalence of pulmonary tuberculosis. The prevalence of tuberculosis among all hospital workers was 0.12%, that among nurses was 0.35%, and that among externally contracted cleaners was 0.57%. All of the Mycobacterium tuberculosis isolates recovered from 2 nurses and from a patient with pulmonary tuberculosis were the Beijing strain, but the strains had different serotypes.
For the purpose of developing the corrosion-resistant and low-cost metallic bipolar plates for direct methanol fuel cell (DMFC), Ti mesh, stainless steel and Si(100) were coated with TiN by using the filtered cathodic vacuum arc system (FCVA). These TiN films have received considerable attention because of its high anti-corrosion behavior and low contact-resistance. In order to improve the corrosion protective ability of TiN films and decrease pinholes of coating, growth modifications such as thickness of the coatings and bias applied to substrates have also been carried out. The microstructures and composition of TiN film were identified by the instrumental analyses such as scanning electron microscopy (SEM), X-ray diffraction (XRD) and X-ray photoelectron spectroscopy (XPS). The corrosion behavior of TiN coatings was studied in 0.5 M H2SO4 solutions by using potentiodynamic polarization method. The DC bias of −150 V was applied to the substrates to achieve a dense structure of approximately 400 nm coating of TiN, so that good corrosion protection of the Ti mesh and stainless steel substrates can be achieved. The TiN coating on stainless steel exhibited excellent corrosion behavior especially in lower corrosion current than 2×10−7 A/cm2.
Treating laryngopharyngeal reflux is the most accepted treatment for laryngeal granulomas. However, response to this treatment is prolonged and in some cases persistent. The authors hypothesize that this is due to the continuous trauma to the mucoperichondrium fromadduction of the vocal folds thus preventing regeneration of healthy mucosa.
A prospective study was performed on six patients with laryngeal granulomas failing prolonged laryngopharyngeal reflux treatment, speech therapy, and surgical excisions. Botulinum toxin Awas injected into the affected thyroarytenoid to reduce adduction trauma. Video-stroboscopy wasused to assess response.
A 50 per cent reduction in the size of the granulomas was noted within two weeks with a complete and permanent response within two to eight weeks in five out of six patients. One patient had an obstructing pyogenic granuloma that required excision and recurred after excision but responded to a repeated injection.
The addition of a single injection of botulinum toxin A to the standard treatment expeditiously eliminated persistent and recurrent laryngeal granulomas.
An upwind finite-volume scheme is studied for solving the solutions of two dimensional Euler equations. It based on the MUSCL (Monotone Upstream Scheme for Conservation Laws) approach with the Roe approximate Riemann solver for the numerical flux evaluation. First, dissipation and dispersion relation, and group velocity of the scheme are derived to analyze the capability of the proposed scheme for capturing physical waves, such as acoustic, entropy, and vorticity waves. Then the scheme is greatly enhanced through a strategy on the numerical dissipation to effectively handle aeroacoustic computations. The numerical results indicate that the numerical dissipation strategy allows that the scheme simulates the continuous waves, such as sound and sine waves, at fourth-order accuracy and captures the discontinuous waves, such a shock wave, sharply as well as most of upwind schemes do. The tested problems include linear wave convection, propagation of a sine-wave packet, propagation of discontinuous and sine waves, shock and sine wave interaction, propagation of acoustic, vorticity, and density pulses in an uniform freestream, and two-dimensional traveling vortex in a low-speed freestream.