Temporal patterns in the recorded annual incidence of common mental disorders over two decades in the United Kingdom: a primary care cohort study

BACKGROUND: Common mental disorders (CMDs) including depression, anxiety, and stress are very common, but it is unclear whether the last decades of social, economic, and political change have impacted incidence of CMD. This study explored temporal trends in the recorded incidence of CMD in the United Kingdom. METHODS: We used data from general practices in the United Kingdom (Clinical Practice Research Datalink) to estimate the annual recorded incidence of CMD for 2000-2020, including symptoms, diagnosis, or pharmaceutical treatment. Trends were explored by sex, age, ethnicity, region, deprivation, and comorbidity. RESULTS: We included 29 480 164 individuals who were followed up for 12.5 years on average (s.d. = 6.4 years). The recorded incidence of CMD episodes was 55.9 per 1000 person-years in 2000 [95% confidence interval (CI) 55.8-56.1], increasing to 79.6 per 1000 person-years in 2019 (95% CI 79.5-79.8). Females had higher recorded incidence rates, as did those living in more deprived areas. We observed striking patterns by age over time, with rates in ages 16-24 increasing from 40.2 per 1000 in 2000 (95% CI 39.8-40.5), to 107.8 per 1000 in 2019 (95% CI 107.0-108.6). In contrast, the rates in those aged ≥55 years decreased since 2014. There were differing patterns of incidence by ethnic group, with a steeper increase in Asian, Black, and mixed groups in recent years. CONCLUSIONS: Overall, the incidence of recorded CMD in the UK general practice increased between 2000 and 2019 with a small decrease in 2020. The overall trends obscured important differences across population subgroups, which may have implications for prevention

Temporal patterns in the recorded annual incidence of common mental disorders over two decades in the United Kingdom: a primary care cohort study

BACKGROUND: Common mental disorders (CMDs) including depression, anxiety, and stress are very common, but it is unclear whether the last decades of social, economic, and political change have impacted incidence of CMD. This study explored temporal trends in the recorded incidence of CMD in the United Kingdom. METHODS: We used data from general practices in the United Kingdom (Clinical Practice Research Datalink) to estimate the annual recorded incidence of CMD for 2000-2020, including symptoms, diagnosis, or pharmaceutical treatment. Trends were explored by sex, age, ethnicity, region, deprivation, and comorbidity. RESULTS: We included 29 480 164 individuals who were followed up for 12.5 years on average (s.d. = 6.4 years). The recorded incidence of CMD episodes was 55.9 per 1000 person-years in 2000 [95% confidence interval (CI) 55.8-56.1], increasing to 79.6 per 1000 person-years in 2019 (95% CI 79.5-79.8). Females had higher recorded incidence rates, as did those living in more deprived areas. We observed striking patterns by age over time, with rates in ages 16-24 increasing from 40.2 per 1000 in 2000 (95% CI 39.8-40.5), to 107.8 per 1000 in 2019 (95% CI 107.0-108.6). In contrast, the rates in those aged ≥55 years decreased since 2014. There were differing patterns of incidence by ethnic group, with a steeper increase in Asian, Black, and mixed groups in recent years. CONCLUSIONS: Overall, the incidence of recorded CMD in the UK general practice increased between 2000 and 2019 with a small decrease in 2020. The overall trends obscured important differences across population subgroups, which may have implications for prevention

#32 - Incorporating 3D Printing into Introductory Engineering Courses

Integration of hands-on activities, and design projects into course curriculum have been shown to significantly enhance and deepen understanding of concepts in the course. Three-dimensional (3D) printing has been a subject of many academic and industrial research projects. This abstract presents our efforts to integrate 3D printing technology into our pre-engineering and physics courses at University of North Georgia (UNG) Gainesville campus. The Physics Department in collaboration with the Art Department in the UNG Gainesville Campus opened a Digital Fabrication Lab (DFL) located in Dunlap Mathis Building. The goals of the lab are to assist faculty to develop the curriculum and to help students develop a deeper understanding of science and engineering techniques when creating a digital 3D object. A formal introduction to the DFL’s 3D printers is presented as a part of Computer-Aided Design (CAD) topics in the pre-engineering courses. As part of a semester group project, student project teams created CAD models of their design using Autodesk’s CAD software and 3D printed them with the assistance of the TAs. Most of the students who took part in this design projects had no or limited experience with both CAD modeling as well as 3D printing technology. But despite having limited prior experience, all student indicated a relatively high interest in learning more about 3D printing technology. Currently Physics, Pre-engineering, and Art students have been direct beneficiaries of the Digital Fabrication Lab. 3D printing technology helped students to successfully correlate and implement various science and engineering concepts that they learnt in class through hands-on activities. In the future, research will go into finding out ways 3D printing can be introduced to higher level science and engineering classes, by showcasing 3D printed objects and different filaments’ properties, such as tolerances, tensile strength, elastic strength etc

Development of a morphing wingtip based on compliant structures

© The Author(s) 2018. Compliant structures, such as flexible corrugated panels and honeycomb structures, are promising structural solutions for morphing aircraft. The compliant structure can be tailored to carry aerodynamic loads and achieve the geometry change simultaneously, while the reliability of the morphing aircraft can be guaranteed if conventional components and materials are used in the fabrication of the morphing structure. In this article, a compliant structure is proposed to change the dihedral angle of a morphing wingtip. Unsymmetrical stiffness is introduced in the compliant structure to induce the rotation of the structure. Trapezoidal corrugated panels are used, whose geometry parameters can be tailored to provide the stiffness asymmetry. An equivalent model of the corrugated panel is employed to calculate the deformation of the compliant structure. To provide the airfoil shape, a flexible honeycomb structure is used in the leading and trailing edges. An optimisation is performed to determine the geometry variables, while also considering the actuator requirements and the available space to instal the compliant structure. An experimental prototype has been manufactured to demonstrate the deformation of the morphing wingtip and conduct basic wind tunnel tests

Hydrogen-poor superluminous stellar explosions

Supernovae (SNe) are stellar explosions driven by gravitational or thermonuclear energy, observed as electromagnetic radiation emitted over weeks or more. In all known SNe, this radiation comes from internal energy deposited in the outflowing ejecta by either radioactive decay of freshly-synthesized elements (typically 56Ni), stored heat deposited by the explosion shock in the envelope of a supergiant star, or interaction between the SN debris and slowly-moving, hydrogen-rich circumstellar material. Here we report on a new class of luminous SNe whose observed properties cannot be explained by any of these known processes. These include four new SNe we have discovered, and two previously unexplained events (SN 2005ap; SCP 06F6) that we can now identify as members. These SNe are all ~10 times brighter than SNe Ia, do not show any trace of hydrogen, emit significant ultra-violet (UV) flux for extended periods of time, and have late-time decay rates which are inconsistent with radioactivity. Our data require that the observed radiation is emitted by hydrogen-free material distributed over a large radius (~10^15 cm) and expanding at high velocities (>10^4 km s^-1). These long-lived, UV-luminous events can be observed out to redshifts z>4 and offer an excellent opportunity to study star formation in, and the interstellar medium of, primitive distant galaxies.Comment: Accepted to Nature. Press embargoed until 2011 June 8, 18:00 U

Effectiveness of community interventions for protecting and promoting the mental health of working-age adults experiencing financial uncertainty: a systematic review

BACKGROUND: The COVID-19 pandemic has created a period of global economic uncertainty. Financial strain, personal debt, recent job loss and housing insecurity are important risk factors for the mental health of working-age adults. Community interventions have the potential to attenuate the mental health impact of these stressors. We examined the effectiveness of community interventions for protecting and promoting the mental health of working-age adults in high-income countries during periods of financial insecurity. METHODS: Eight electronic databases were systematically screened for experimental and observational studies published since 2000 measuring the effectiveness of community interventions on mental health outcomes. We included any non-clinical intervention that aimed to address the financial, employment, food or housing insecurity of participants. A review protocol was registered on the PROSPERO database (CRD42019156364) and results are reported in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. RESULTS: From 2326 studies screened, 15 met our inclusion criteria. Five categories of community intervention were identified: advice services colocated in healthcare settings; link worker social prescribing; telephone debt advice; food insecurity interventions; and active labour market programmes. In general, the evidence for effective and cost-effective community interventions delivered to individuals experiencing financial insecurity was lacking. From the small number of studies without a high risk of bias, there was some evidence that financial insecurity and associated mental health problems were amenable to change and differences by subpopulations were observed. CONCLUSION: There is a need for well-controlled studies and trials to better understand effective ingredients and to identify those interventions warranting wider implementation

An interdisciplinary intervention for older Taiwanese patients after surgery for hip fracture improves health-related quality of life

Abstract Background The effects of intervention programs on health-related quality of life (HRQOL) of patients with hip fracture have not been well studied. We hypothesized that older patients with hip fracture who received our interdisciplinary intervention program would have better HRQOL than those who did not. Methods A randomized experimental design was used. Older patients with hip fracture (N = 162), 60 to 98 years old, from a medical center in northern Taiwan were randomly assigned to an experimental (n = 80) or control (n = 82) group. HRQOL was measured by the SF-36 Taiwan version at 1, 3, 6, and 12 months after discharge. Results The experimental group had significantly better overall outcomes in bodily pain (β = 9.38, p = 0.002), vitality (β = 9.40, p < 0.001), mental health (β = 8.16, p = 0.004), physical function (β = 16.01, p < 0.001), and role physical (β = 22.66, p < 0.001) than the control group at any time point during the first year after discharge. Physical-related health outcomes (physical functioning, role physical, and vitality) had larger treatment effects than emotional/mental- and social functioning-related health outcomes. Conclusions This interdisciplinary intervention program may improve health outcomes of elders with hip fracture. Our results may provide a reference for health care providers in countries using similar programs with Chinese/Taiwanese immigrant populations. Trial registration NCT01052636http://deepblue.lib.umich.edu/bitstream/2027.42/78259/1/1471-2474-11-225.xmlhttp://deepblue.lib.umich.edu/bitstream/2027.42/78259/2/1471-2474-11-225.pdfPeer Reviewe

Reliability and tolerance comparison in water supply networks

The final publication is available at Springer via http://dx.doi.org/10.1007/s11269-010-9753-2Urban water supply is a high priority service and so looped networks are extensively used in order to considerably reduce the number of consumers affected by a failure. Looped networks may be redundant in connectivity and capacity. The concept of reliability has been introduced in an attempt to quantitatively measure the possibility of maintaining an adequate service for a given period. Numerous researchers have considered reliability as a measure of redundancy. This concept is usually implicit, but some researchers have even stated it explicitly. This paper shows why reliability cannot be considered a measure of redundancy given that branched networks can achieve high values of reliability and this would deny the fact that a looped network is more reliable than a branched network with a similar layout and size. To this end the paper discusses two quantitative indices for measuring expected network behavior: reliability and tolerance. These indices are calculated and a comparison is made between looped, branched, and mixed networks. © 2011 Springer Science+Business Media B.V.The authors wish to acknowledge the support received from project IDAWAS, DPI2009-11591, of the Directorate-General of Research at the Spanish Ministry of Education, the grant PAID-02-09 for a stay at the Universidad Politecnica de Valencia by the first author, and a grant MAEC-AECI 0000202066 awarded to the second author by the Ministerio de Asuntos Exteriores y Cooperacion of Spain. The use of English in this paper was revised by John Rawlins; and the revision was funded by the Universidad Politecnica de Valencia, Spain.Martínez-Rodríguez, JB.; Montalvo Arango, I.; Izquierdo Sebastián, J.; Pérez García, R. (2011). Reliability and tolerance comparison in water supply networks. Water Resources Management. 25(5):1437-1448. https://doi.org/10.1007/s11269-010-9753-2S14371448255Bao Y, Mays LW (1990) Model for water distribution system reliability. J Hydraul Eng ASCE 116(9):1119–1137Bouchart F, Goulter I (1991) Reliability improvements in design of water distribution networks recognizing valve location. Water Resour Res 27(12):3029–3040Carrión A, Solano H, Gamiz ML, Debón A (2010) Evaluation of the reliability of a water supply network from right-censored and left-truncated break data. Water Resour Manag, Springer Sci 24:2917–2935. Published online: 28 January 2010Chiong C (1985) Optimización de redes cerradas, Doctoral Thesis, CIH-CUJAE, Havana (in Spanish)Christodoulou SE (2010) Water network assessment and reliability analysis by use of survival analysis. Water Resour Manag, Springer Sci, Published online: 19 June 2010Cullinane MJ, Lansey KE, Mays LW (1992) Optimization-availability-based design of water distribution networks. J Hydraul Eng ASCE 118(3):420–441Duan N, Mays LW, Lansey KE (1990) Optimal reliability-based design of pumping and distribution systems. J Hydraul Eng ASCE 116(2):249–268Goulter I (1992) Systems analysis in water distribution network design: from theory to practice. J Water Resour Plan Manage ASCE 118(3):238–248Goulter I (1993) Modern concepts of a water distribution system. Policies for improvement of networks with shortcomings. In: Cabrera E, Martínez F (eds) Water supply systems: state of the art and future trends, Valencia (Spain). Comput Mech Publ, Southampton, pp 121–138Goulter I, Bouchart F (1990) Reliability-constrained pipe network model. J Hydraul Eng ASCE 116(2):211–229Gupta R, Bhave R (1994) Reliability analysis of water distribution systems. J Environ Eng ASCE 120(2):447–460Jacobs P, Goulter I (1991) Estimation of maximum cut-set size for water network failure. J Water Resour Plan Manage ASCE 117(5):588–605Jowitt P, Xu C (1993) Predicting pipe failure effects in water distribution networks. J Water Resour Plan Manage ASCE 119(l):18–31Kalungi P, Tanyimboh TT (2003) Redundancy model for water distribution systems. Rel Eng Syst Safety 82(3):275–286Khomsi D, Walters GA, Thorley ARD, Ouazar D (1996) Reliability tester for water-distribution networks. J Comput Civ Eng ASCE 10(l):10–9Lansey K, Duan N, Mays LW, Tung YK (1989) Water distribution system design under uncertainty. J Water Resour Plan Manage ASCE 115(5):630–645Loganathan GV, Shah MP, Sherali HP (1990) A two-phase network design heuristic for minimum cost water distribution systems under a reliability constraint. Eng Optim 15(4):311–336Martínez JB (2007) Quantifying the economy of water supply looped networks. J Hydraul Eng ASCE 133(1):88–97Martínez JB (2010) Cost and reliability comparison between branched and looped water supply networks. J Hydroinform IWA 12(2):150–160Morgan DR, Goulter IC (1985) Optimal urban water distribution design. Water Resour Res 21(5):642–652Park H, Leibman J (1993) Redundancy-constrained minimum-cost design of water distribution networks. J Water Resour Plan Manage ASCE 119(l):83–98Pinto J, Varum H, Bentes I, Agarwal J (2010) A theory of vulnerability of water pipe network. Water Resour Manag 24:4237–4254. Springer Science, Published online: 6 May 2010Quimpo R, Shamsi U (1991) Reliability-based distribution system maintenance. J Water Resour Plan Manage ASCE 117(3):321–339Su Y, Mays LW, Duan N, Lansey K (1987) Reliability based optimization model for water distribution systems. J Hydraul Eng ASCE 113(12):1539–1556Tanyimboh TT, Tabesh M, Burrows R (2001) Appraisal of source head methods for calculating reliability of water distribution networks. J Water Resour Plan Manage ASCE 127(4):206–213Walski TM, Weiler JS, Culver T (2006) Using criticality analysis to identify impact of valve location. In: Proc 8th annual water distrib systems analysis symposium, August 27–30, Cincinnati, Ohio, USA,Walters GA, Knezevic J (1989) Discussion of ‘Reliability based optimization model for water distribution systems’ by Su, Y., Mays, L. W. , Duan, N., and Lansey, K. J Hydraul Eng ASCE 115(8):1157–1158Xu C, Goulter I (1997) Simulation-based optimal design of reliable water distribution networks. In: Zayegh A (ed) Proc 3rd int conf on modeling and simulation. Victoria University of Technology, Melbourne, pp 107–112Xu C, Goulter I (1998) Probabilistic model for water distribution reliability. J Water Resour Plan Manage ASCE 124(4):218–228Xu C, Goulter I (1999) Reliability based optimal design of water distribution networks. J Water Resour Plan Manage ASCE 125(6):352–362Xu C, Goulter I (2000) A model for optimal design of reliable water distribution networks. In: Blain WR, Brebbia CA (eds) Hydraulic engineering software VIII. WIT, Southampton, pp 71–8

The effect of intumescent mat on post-fire performance of carbon fibre reinforced composites

This study investigated the effect of intumescent mats (M1 and M2) with different compositions on the post-fire performance of carbon fibre reinforced composites. The sandwich structure was designed for composites where M1 (carbon fibre reinforced composite-M1) or M2 (carbon fibre reinforced composite-M2) mats were covered on the composite surface. A significant reduction in the peak heat release rate and total heat release was observed from the cone calorimetric data, and carbon fibre reinforced composite-M1 showed the lowest value of 148 kW/m2 and 29 MJ/m2 for peak heat release rate and total heat release, respectively. In addition, a minor influence on mechanical properties was observed due to the variation of composite thickness and resin volume in the composite. The post-fire properties of composite were characterised, and the M1 mat presented better retention of flexural strength and modulus. The feasibility of two-layer model was confirmed to predict the post-fire performance of composites and reduce the reliance on the large amounts of empirical data. © The Author(s) 2019

Betibeglogene Autotemcel Gene Therapy for Non-β⁰/β⁰ Genotype β-Thalassemia

BACKGROUND: Betibeglogene autotemcel (beti-cel) gene therapy for transfusion-dependent β-thalassemia contains autologous CD34+ hematopoietic stem cells and progenitor cells transduced with the BB305 lentiviral vector encoding the β-globin (βA-T87Q) gene. METHODS: In this open-label, phase 3 study, we evaluated the efficacy and safety of beti-cel in adult and pediatric patients with transfusion-dependent β-thalassemia and a non-β0/β0 genotype. Patients underwent myeloablation with busulfan (with doses adjusted on the basis of pharmacokinetic analysis) and received beti-cel intravenously. The primary end point was transfusion independence (i.e., a weighted average hemoglobin level of ≥9 g per deciliter without red-cell transfusions for ≥12 months). RESULTS: A total of 23 patients were enrolled and received treatment, with a median follow-up of 29.5 months (range, 13.0 to 48.2). Transfusion independence occurred in 20 of 22 patients who could be evaluated (91%), including 6 of 7 patients (86%) who were younger than 12 years of age. The average hemoglobin level during transfusion independence was 11.7 g per deciliter (range, 9.5 to 12.8). Twelve months after beti-cel infusion, the median level of gene therapy-derived adult hemoglobin (HbA) with a T87Q amino acid substitution (HbAT87Q) was 8.7 g per deciliter (range, 5.2 to 10.6) in patients who had transfusion independence. The safety profile of beti-cel was consistent with that of busulfan-based myeloablation. Four patients had at least one adverse event that was considered by the investigators to be related or possibly related to beti-cel; all events were nonserious except for thrombocytopenia (in 1 patient). No cases of cancer were observed. CONCLUSIONS: Treatment with beti-cel resulted in a sustained HbAT87Q level and a total hemoglobin level that was high enough to enable transfusion independence in most patients with a non-β0/β0 genotype, including those younger than 12 years of age. (Funded by Bluebird Bio; HGB-207 ClinicalTrials.gov number, NCT02906202.)