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It is unknown how much variation in adult mental health problems is associated with differences between societal/cultural groups, over and above differences between individuals.
To test these relative contributions, a consortium of indigenous researchers collected Adult Self-Report (ASR) ratings from 16 906 18- to 59-year-olds in 28 societies that represented seven culture clusters identified in the Global Leadership and Organizational Behavioral Effectiveness study (e.g. Confucian, Anglo). The ASR is scored on 17 problem scales, plus a personal strengths scale. Hierarchical linear modeling estimated variance accounted for by individual differences (including measurement error), society, and culture cluster. Multi-level analyses of covariance tested age and gender effects.
Across the 17 problem scales, the variance accounted for by individual differences ranged from 80.3% for DSM-oriented anxiety problems to 95.2% for DSM-oriented avoidant personality (mean = 90.7%); by society: 3.2% for DSM-oriented somatic problems to 8.0% for DSM-oriented anxiety problems (mean = 6.3%); and by culture cluster: 0.0% for DSM-oriented avoidant personality to 11.6% for DSM-oriented anxiety problems (mean = 3.0%). For strengths, individual differences accounted for 80.8% of variance, societal differences 10.5%, and cultural differences 8.7%. Age and gender had very small effects.
Overall, adults' self-ratings of mental health problems and strengths were associated much more with individual differences than societal/cultural differences, although this varied across scales. These findings support cross-cultural use of standardized measures to assess mental health problems, but urge caution in assessment of personal strengths.
To conduct international comparisons of self-reports, collateral reports, and cross-informant agreement regarding older adult psychopathology.
We compared self-ratings of problems (e.g. I cry a lot) and personal strengths (e.g. I like to help others) for 10,686 adults aged 60–102 years from 19 societies and collateral ratings for 7,065 of these adults from 12 societies.
Data were obtained via the Older Adult Self-Report (OASR) and the Older Adult Behavior Checklist (OABCL; Achenbach et al., 2004).
Cronbach’s alphas were .76 (OASR) and .80 (OABCL) averaged across societies. Across societies, 27 of the 30 problem items with the highest mean ratings and 28 of the 30 items with the lowest mean ratings were the same on the OASR and the OABCL. Q correlations between the means of the 0–1–2 ratings for the 113 problem items averaged across all pairs of societies yielded means of .77 (OASR) and .78 (OABCL). For the OASR and OABCL, respectively, analyses of variance (ANOVAs) yielded effect sizes (ESs) for society of 15% and 18% for Total Problems and 42% and 31% for Personal Strengths, respectively. For 5,584 cross-informant dyads in 12 societies, cross-informant correlations averaged across societies were .68 for Total Problems and .58 for Personal Strengths. Mixed-model ANOVAs yielded large effects for society on both Total Problems (ES = 17%) and Personal Strengths (ES = 36%).
The OASR and OABCL are efficient, low-cost, easily administered mental health assessments that can be used internationally to screen for many problems and strengths.
The surface modification of carbon nanotubes（CNTs）has been recently observed to influence the distribution of CNTs in epoxy resin and the mechanical properties and electrical conductivities of these CNTs. Accordingly, the treatment of CNTs with organic acids to oxidize them generates functional groups on the surface of CNTs. This investigation studies the consequent enhancement of the mechanical properties and electrical conductivities of CNTs. The influence of adding various proportions of CNTs to the epoxy resin on the mechanical properties and electrical conductivities of the composites thus formed is investigated, and the strength of the material is tested at different temperatures. Moreover, the creep behavior of carbon fiber （CF）/epoxy resin thermosetting composites was tested and analyzed at different temperatures and stresses. The creep exhibits only two stages- primary creep and steady-state creep. The effects of creep stress, creep time, and humidity on the creep of composites that contain various proportion of CNTs were investigated at various temperatures.
Creep strain is believed to increase with applied stress, creep time, humidity, and temperature. It also increases as hardness decrease. The test results also indicate that mechanical strength and electrical conductivity increase with the amount of CNTs added to the composites. Different coefficients of expansion of the matrix, fiber and CNTs, are such that overexpansion of the matrix at high temperature results in cracking in it. An SEM image of the fracture surface reveals debonding and the pulling out of longitudinal fibers because of poor interfacial bonding between fiber and matrix, which reduce overall strength.
Betel-nut use is associated with metabolic syndrome and obesity. However, the association between betel-nut chewing and risk for chronic kidney disease (CKD) is unknown. The present study was conducted to determine the association between betel-nut chewing and CKD in men.
We retrospectively reviewed health-check records of 3264 men in a hospital-based cross-sectional screening programme from 2003 to 2006. CKD was defined as estimated glomerular filtration rate less than 60 ml/min/1·73 m2 calculated by the Modification of Diet in Renal Disease formula. Risk factors for CKD including diabetes, hypertension, BMI, smoking, alcohol consumption and age were also considered.
A total of 677 (20·7 %) men were found to have CKD and 427 (13·1 %) participants reported a history of betel-nut use. The prevalence (24·8 %) of CKD in betel-nut users was significantly higher than that (11·3 %) of participants without betel-nut use (P = 0·026). In multivariate logistic regression analysis with adjustments for age, hypertension, diabetes and hyperlipidaemia, betel-nut use was independently associated with CKD (P < 0·001). The adjusted odds ratio for betel-nut use was 2·572 (95 % CI 1·917, 3·451).
Betel-nut use is associated with CKD in men. The association between betel-nut use and CKD is independent of age, BMI, smoking, alcohol consumption, hypertension, diabetes and hyperlipidaemia.
During April-July 1998, an increase in fatal cases of neurologic disease in young children occurred in Taiwan, with at least 55 fatalities reported. Concurrently, an outbreak of hand, foot, and mouth disease (HFMD) was also occurring. In fatal cases, the acute illness was characterized by fever, or rash, or mouth ulcers, followed by a rapid cardiopulmonary failure; death frequently occurred within 24 hours of hospitalization. Approximately three-fourths of the fatalities were in children less than 3 years of age. We report here the findings from autopsy specimens from two of the fatal cases of encephalomyelitis.
In Case 1, a 9-year-old female, H&E sections of central neurologic system (CNS) tissue showed perivascular infiltrate, areas of inflammation, necrosis, and neuronal degeneration. Immunohistochemical (IHC) staining was positive when using a monoclonal antibody for enterovirus 71 (EV71), a picornavirus associated with HFMD.
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