68 research outputs found
Strength of Cold-Formed Steel Jamb Stud-To-Track Connections
The North American Standard for Cold-Formed Steel Framing - Wall Stud Design, AISI S211-07, provides a design expression for web crippling at the end reaction of the single stud-to-track connection. The subject of this report is an experimental investigation that was carried out at the University of Waterloo to establish a similar design expression for multiple jamb stud members. It is anticipated that the AISI Committee on Framing Standards will consider the results of this study in the development of future standards and the Cold-Formed Steel Engineers Institute in the development of design aids. The American Iron and Steel Institute and Steel Framing Alliance wish to express their appreciation to the researchers and project sponsors for this report
Occurrence and determinants of parental psychosocial stress and mental health disorders in parents and their children in early childhood: rationale, objectives, and design of the population-based SKKIPPI cohort study
Purpose: The postnatal period is a vulnerable time for parents and children but epidemiological and health care utilisation data for Germany on parental mental health during early childhood is scarce. This protocol describes the rationale, aim and study design of a population-based cohort study to assess the occurrence and determinants of psychosocial stress and mental health disorders, as well as the use and cost of health care and social services in early childhood.
Methods: As part of the collaborative SKKIPPI project, we will contact a random sample of 30,000 infants listed in the residents’ registration offices of three German towns and we expect to include 6,000 mother–child pairs. Both parents are invited to fill out an online screening questionnaire. Mothers with indications of psychosocial stress will be interviewed to assess mental health disorders, regulatory problems of their children, as well as health care and social services utilisation, with a follow-up assessment after 6 months.
Results: After description of sociodemographic and health data, we will analyse occurrences, patterns, and potential determinants (maternal age, social status, household factors, migration status etc.) of psychosocial stress and mental health disorders in the mothers and their children in early childhood.
Conclusions: Our study will identify potential risk and protective factors for postnatal mental health and health care utilization of psychosocially burdened families. This will help to improve prevention and treatment strategies to strengthen the parent–child relationship, to reduce persisting vulnerability of children, and to improve health care and social services.
Trial registration: The study has been registered in the German Clinical Trial Registry on February 8th 2019 (DRKS-ID: DRKS00016653)
Utilization and costs of health care and early support services in Germany and the influence of mental health burden during the postnatal period
Limited evidence is available about health care utilization and its determinants in the vulnerable postnatal period for
mothers and their children. Thus, the aim of our analyses was to assess determinants of health care and early support
services utilization regarding mothers and their children and associated costs in the postnatal period in Germany.
Moreover, we aimed to investigate the impact of noticeable mental health and psychosocial burdens on health care
and early support services utilization and costs. Using a two-step assessment process of parents from a randomly
selected sample of 30,000 recently born children in the multicenter observational population-based cohort study of
the SKKIPPI project, we firstly identified mothers who were potentially at risk of mental health and psychosocial
burden. These mothers were then invited to participate in an in-depth assessment, including a detailed self-developed
questionnaire focusing on early support and health care services utilization. A follow-up after 6 months was conducted.
Potential determinants of early support services utilization were analyzed using logistic regression. General
linear models with gamma distribution and log link functions were applied to analyze potential determinants of health
care costs and to estimate mean adjusted costs. Mothers with a noticeable mental health or psychosocial burden and
their children caused mean early support services costs of €1073 and caused total costs of €10,849 in the postnatal
period from a payer’s perspective compared to €349 (early support services) and €9136 (total costs) for mothers
without a noticeable mental health or psychosocial burden and their children. The main determinants of total costs
were facing a chronic disease (child), preterm delivery, bad experiences with doctors and midwives, and single
parenthood. The majority of participants (69 %) utilized some kind of early support services. The most important
determinants of early support service utilization in the postnatal period with respect to the children were facing a
chronic disease, being the first child, and being born as a twin. Our findings highlight the importance of sufficient
appreciation and treatment of mental health problems in the postnatal period from both a societal and payer’s
perspective. Future research should investigate whether these and more specific interventions could be a costeffective
way to support mothers with mental health or psychosocial burden and their children
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Genetic Deletion of SEPT7 Reveals a Cell Type-Specific Role of Septins in Microtubule Destabilization for the Completion of Cytokinesis
Cytokinesis terminates mitosis, resulting in separation of the two sister cells. Septins, a conserved family of GTP-binding cytoskeletal proteins, are an absolute requirement for cytokinesis in budding yeast. We demonstrate that septin-dependence of mammalian cytokinesis differs greatly between cell types: genetic loss of the pivotal septin subunit SEPT7 in vivo reveals that septins are indispensable for cytokinesis in fibroblasts, but expendable in cells of the hematopoietic system. SEPT7-deficient mouse embryos fail to gastrulate, and septin-deficient fibroblasts exhibit pleiotropic defects in the major cytokinetic machinery, including hyperacetylation/stabilization of microtubules and stalled midbody abscission, leading to constitutive multinucleation. We identified the microtubule depolymerizing protein stathmin as a key molecule aiding in septin-independent cytokinesis, demonstrated that stathmin supplementation is sufficient to override cytokinesis failure in SEPT7-null fibroblasts, and that knockdown of stathmin makes proliferation of a hematopoietic cell line sensitive to the septin inhibitor forchlorfenuron. Identification of septin-independent cytokinesis in the hematopoietic system could serve as a key to identify solid tumor-specific molecular targets for inhibition of cell proliferation
Global Boundary Stratotype Section and Point (GSSP) for the Anthropocene Series: Where and how to look for potential candidates
International audienc
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