Suicide first aid guidelines for Sri Lanka: a Delphi consensus study

Background: Sri Lanka has one of the highest suicide rates in the world. Gatekeeper programs aimed at specific target groups could be a promising suicide prevention strategy in the country. The aim of this study was to develop guidelines that help members of the public to provide first aid to persons in Sri Lanka who are at risk of suicide. Methods: The Delphi method was used to elicit consensus on potential helping statements to include in the guidelines. These statements describe information members of the public should have and actions they can take to help a person who is experiencing suicidal thoughts. An expert panel, comprised of mental health and suicide experts in Sri Lanka, rated each statement. The panellists were encouraged to suggest any additional action that was not included in the original questionnaire and, in particular, to include items that were culturally appropriate or gender specific. Responses to open-ended questions were used to generate new items. These items were included in the subsequent Delphi rounds. Three Delphi rounds were carried out. Statements were accepted for inclusion in the guidelines if they were endorsed (rated as essential or important) by at least 80 % of the panel. Statements endorsed by 70–79 % of the panel were re-rated in the following round. Statements with less than 70 % endorsement, or re-rated items that did not receive 80 % or higher endorsement were rejected. Results: The output from the Delphi process was a set of endorsed statements. In the first round questionnaire 473 statements were presented to the panel and 58 new items were generated from responses to the open-ended questions. Of the total 531 statements presented, 304 were endorsed. These statements were used to develop the suicide first aid guidelines for Sri Lanka. Conclusion: By engaging Sri Lankans who are experts in the field of mental health or suicide this research developed culturally appropriate guidelines for providing mental health first aid to a person at risk of suicide in Sri Lanka. The guidelines may serve as a basis for developing training for members of the public to provide mental health first aid to persons at risk of suicide as part of Sri Lanka’s suicide prevention strategy

Bioaccumulation of heavy metals in the selected commercially important edible fish species gray mullet (Mugil cephalus) from Negombo estuary

Consumption of fish contaminated with non essential heavy metals such as Pb, Hg and Cd metals which exceed the required limits pose a risk to human health. Bioaccumulations of heavy metals in fish depend on several factors such as increased levels of industrial pollution and domestic solid waste dumping in the estuary. Based on the pollution inputs into the estuary, it is considered that different localities within the estuary are polluted at different rates.The objectives of this study were to determine the non essential heavy metals concentration in fish tissues and assess the seasonal variations in the ecosystem. For this study, fish tissue samples were collected from nine sampling locations along the North (n =3), South (n=2), West (n=2), and East (n=2) parts of the estuary for a period of one year from January to December 2014. Fish tissue heavy metals levels were analyzed employing standard methods. Results revealed that the average concentrations (mg/kg) varied from Pb 0 to 0.15 ± 0.06, Cd 0.35 ± 0.16 to 1.04 ± 0.28 and Hg 0.0005 ± 0.0004 to 0.05 ± 0.046 mg/kg respectively. The detected levels were below the maximum permissible limits for hazardous substances in fish and fishery products for recommendation of FAO. The detected lead, mercury and cadmium contents in fish tissue were below the standard limits defined for each element < 0.5 mg/kg < 0.05 mg/kg and < 0.05 mg/kg respectively. Significant differences (P < 0.05) were observed for Pb and Hg depending on fish tissues. The levels of Pb and Hg metals in muscle tissue were lower than the standard limit for FAO. The value obtained on Cd 1.04 ± 0.28 mg/kg concentration was much higher than the permissible threshold limit observed in the north, south, east and west regions. The most prominent increases in Pb and Cd metal concentrations in fish tissue were found during the October, November and December study of 2014, which corresponded to peak periods from October, November and December which apparently coincided with the second inter monsoon of the island respectively

Luminescence of Cu2ZnSnS4 polycrystals described by the fluctuating potential model

The growth of Cu 2ZnSnS4 (CZTS) polycrystals from solid state reaction over a range of compositions, including the regions which produce the highest efficiency photovoltaic devices, is reported. X-ray measurements confirm the growth of crystalline CZTS. Temperature and intensity dependent photoluminescence (PL) measurements show an increase in the energy of the main CZTS luminescence peak with both increasing laser power and increasing temperature. Analysis of the PL peak positions and intensity behavior demonstrates that the results are consistent with the model of fluctuating potentials. This confirms that the polycrystals are heavily doped with the presence of a large concentration of intrinsic defects. The behavior of the main luminescence feature is shown to be qualitatively similar over a broad range of compositions although the nature and amount of secondary phases vary significantly. The implications for thin-film photovoltaic devices are discussed

Plasticity analysis by synchrotron radiation in a Mg97Y2Zn1 alloy with bimodal grain structure and containing LPSO phase

© 2015 Acta Materialia Inc. All rights reserved. Deformation behaviour has been examined by synchrotron radiation diffraction in an extruded magnesium - long-period-stacking-order phase alloy comprising three components of microstructure. The variation of internal strains and intensities of the important crystallographic planes of the two phases has been examined during compression at several temperatures. The long-period-stacking-order phase remains elastic to stresses beyond the macroscopic yield stress while deformation in the magnesium matrix is dominated by twinning and basal slip, with the coarse-grained regions deforming plastically at stresses well below the macroscopic yield stress while regions with fine grain size deform plastically only at much higher stresses.We would like to acknowledge financial support of the Spanish Ministry of Education and Science under project number MAT2012-34135. We would like to acknowledge the expert support of Miguel Acedo and Edurne Laurin for assistance with the extrusion processing and the metallographical preparation, respectively.Peer Reviewe

Ultrasound assisted casting of an AM60 based metal matrix nanocomposite, its properties, and recyclability

An AM60 magnesium alloy nanocomposite reinforced with 1 wt % of AlN nanoparticles was prepared using an ultrasound (US) assisted permanent-mould indirect-chill casting process. Ultrasonically generated cavitation and acoustic streaming promoted de-agglomeration of particle clusters and distributed the particles throughout the melt. Significant grain refinement due to nucleation on the AlN nanoparticles was accompanied by an exceptional improvement in properties: yield strength increased by 103%, ultimate tensile strength by 115%, and ductility by 140%. Although good grain refinement was observed, the large nucleation undercooling of 14 K limits further refinement because nucleation is prevented by the formation of a nucleation-free zone around each grain. To assess the industrial applicability and recyclability of the nanocomposite material in various casting processes, tests were performed to determine the effect of remelting on the microstructure. With each remelting, a small percentage of effective AlN nanoparticles was lost, and some grain growth was observed. However, even after the third remelting, excellent strength and ductility was retained. According to strengthening models, enhanced yield strength is mainly attributed to Hall-Petch strengthening caused by the refined grain size. A small additional contribution to strengthening is attributed to Orowan strengthening

Gender-Related Differences in the Prevalence of Cardiovascular Disease Risk Factors and their Correlates in Urban Tanzania.

\ud Urban areas in Africa suffer a serious problem with dual burden of infectious diseases and emerging chronic diseases such as cardiovascular diseases (CVD) and diabetes which pose a serious threat to population health and health care resources. However in East Africa, there is limited literature in this research area. The objective of this study was to examine the prevalence of cardiovascular disease risk factors and their correlates among adults in Temeke, Dar es Salaam, Tanzania. Results of this study will help inform future research and potential preventive and therapeutic interventions against such chronic diseases. The study design was a cross sectional epidemiological study. A total of 209 participants aged between 44 and 66 years were included in the study. A structured questionnaire was used to evaluate socioeconomic and lifestyle characteristics. Blood samples were collected and analyzed to measure lipid profile and fasting glucose levels. Cardiovascular risk factors were defined using World Health Organization criteria. The age-adjusted prevalence of obesity (BMI > or = 30) was 13% and 35%, among men and women (p = 0.0003), respectively. The prevalence of abdominal obesity was 11% and 58% (p < 0.0001), and high WHR (men: >0.9, women: >0.85) was 51% and 73% (p = 0.002) for men and women respectively. Women had 4.3 times greater odds of obesity (95% CI: 1.9-10.1), 14.2-fold increased odds for abdominal adiposity (95% CI: 5.8-34.6), and 2.8 times greater odds of high waist-hip-ratio (95% CI: 1.4-5.7), compared to men. Women had more than three-fold greater odds of having metabolic syndrome (p = 0.001) compared to male counterparts, including abdominal obesity, low HDL-cholesterol, and high fasting blood glucose components. In contrast, female participants had 50% lower odds of having hypertension, compared to men (95%CI: 0.3-1.0). Among men, BMI and waist circumference were significantly correlated with blood pressure, triglycerides, total, LDL-, and HDL-cholesterol (BMI only), and fasting glucose; in contrast, only blood pressure was positively associated with BMI and waist circumference in women. The prevalence of CVD risk factors was high in this population, particularly among women. Health promotion, primary prevention, and health screening strategies are needed to reduce the burden of cardiovascular disease in Tanzania.\u