Self-immolation a common suicidal behaviour in eastern Sri Lanka.

A high number of self-burning injuries are noted in Batticaloa. The epidemiology, outcome and psychosocial aspects of 87 patients admitted with such burns over a 2-year-period was studied. The patients were compared with accidental burns and patients using other methods of suicide. Seventy nine percent of the victims were females and 72% were in the 15-34 years age-group. Most had marital problems. The majority were Tamils, but Muslims were fairly well represented. The median extent of burn was 48% of total body surface area (TBSA), with the top of the body mainly affected. The use of fire proved to have a high mortality in a group of patients who did not really want to die; 61 (70%) died. Mortality was higher than for accidental burns after matching for age and burn extent. The survivors had long hospital stays and suffered severe disfigurement. The cases where the patient denied self-harm, but in which the injuries were suggestive of this motive, were strikingly similar in age, sex and burn extent to the suicide group. In contrast, poison suicide records showed a male predominance and a gross under-representation of Muslims. Fire is a very significant method of suicide in our area. Social make-up and poor problem-solving ability may be contributing factors

Clinical and radiological recurrence after childhood arterial ischemic stroke

Background: Data on rates and risk factors for clinical and radiological recurrence of childhood arterial ischemic stroke (AIS) might inform secondary prevention strategies. Methods and Results: Consecutive Great Ormond Street Hospital patients with first AIS were identified retrospectively (1978–1990) and prospectively (1990–2000). Patients underwent repeat neuroimaging at the time of clinical recurrence or, if asymptomatic, at least 1 year after AIS. Cox and logistic regression analyses were used to explore the relationships between risk factors and clinical and radiological recurrence, respectively. A total of 212 patients were identified, of whom 97 had another prior diagnosis. Seventy-nine children had a clinical recurrence (29 strokes, 46 transient ischemic attacks [TIAs], 4 deaths with reinfarction 1 day to 11.5 years (median 267 days) later); after 5 years, 59% (95% confidence interval, 51% to 67%) were recurrence free. Moyamoya on angiography and low birth weight were independently associated with clinical recurrence in the whole group. Genetic thrombophilia was associated with clinical recurrence in previously healthy patients, independent of the presence of moyamoya. Sixty of 179 patients who had repeat neuroimaging had radiological reinfarction, which was clinically silent in 20. Previous TIA, bilateral infarction, prior diagnosis (specifically immunodeficiency), and leukocytosis were independently associated with reinfarction. Previous TIA and leukocytosis were also independently associated with clinically silent reinfarction. Conclusions: Clinical and radiological recurrence are common after childhood AIS. The risk of clinical recurrence is increased in children with moyamoya and, in previously healthy patients, in those with genetic thrombophilia. Preexisting pathology, including immunodeficiency, and persistent leukocytosis are risk factors for radiological recurrence, which suggests a potential role for chronic infection

Fe-spin reorientation in PrFeAsO : Evidences from resistivity and specific heat studies

We report the magnetic field dependence of resistivity ($\rho$) and specific heat ($C$) for the non-superconducting PrFeAsO compound. Our study shows a hitherto unobserved anomaly at $T_{SR}$ in the resistivity and specific heat data which arises as a result of the interplay of antiferromagnetic (AFM) Pr and Fe sublattices. Below the AFM transition temperature ($T_N^{\rm{Pr}}$), Pr moment orders along the crystallographic c axis and its effect on the iron subsystem causes a reorientation of the ordered inplane Fe moments in a direction out of the $ab$ plane. Application of magnetic field introduces disorder in the AFM Pr sublattice, which, in turn, reduces the out-of-plane Pr-Fe exchange interaction responsible for Fe spin reorientation. Both in $\rho$($T$) and $d(C/T)/dT$ curves, the peak at $T_{SR}$ broadens with the increase of $H$ due to the introduction of the disorder in the AFM Pr sublattice by magnetic field. In $\rho$($T$) curve, the peak shifts towards lower temperature with $H$ and disappears above 6 T while in $d(C/T)/dT$ curve the peak remains visible up to 14 T. The broadening of the anomaly at $T_N^{\rm{Pr}}$ in $C(T)$ with increasing $H$ further confirms that magnetic field induces disorder in the AFM Pr sublattice.Comment: 8 pages, 10 Figure

Copper chloride cathode for a secondary battery

Higher energy and power densities are achieved in a secondary battery based on molten sodium and a solid, ceramic separator such as a beta alumina and a molten catholyte such as sodium tetrachloroaluminate and a copper chloride cathode. The higher cell voltage of copper chloride provides higher energy densities and the higher power density results from increased conductivity resulting from formation of copper as discharge proceeds