Gaps between current practice in perinatal depression screening and guideline recommendations: a systematic review.

OBJECTIVE: Screening for perinatal depression is recommended by many guidelines to reduce the disease burden, but current implementation practices require clarification. METHOD: Fifteen databases were searched for observational studies using a pre-tested search strategy. In addition, the websites of academic organizations were searched for guidelines, recommendations, and reports. Literature published between January 1, 2010, and December 19, 2021, in either English or Chinese, was included. The standard form of the Joanna Briggs Institute (JBI) was used to assess risk of bias of the included studies. RESULTS: The data analysis covered 103 studies, 21 guidelines, 11 recommendations, five position statements, three reports, two committee opinions, three consensuses, one consultation, and one policy statement. All but one guideline recommended that mothers be routinely screened for perinatal depression at least once during the perinatal period. In addition, 39 documents recommended that perinatal mothers at risk of perinatal depression be provided with or referred to counseling services. In original studies, however, only 8.7% of the original studies conducted routine screenings, and only one-third offered referral services after the screening process. The EPDS emerged as the most frequently used screening tool to measure perinatal depression. 32% (n = 33) of studies reported the technology used for screening. The most commonly used method was face-to-face interviews (n = 22). Screening personnel the agents conducting the screening comprised researchers (n = 26), nurses (n = 15), doctors (n = 11). CONCLUSIONS: A significant disparity was observed between the recommendations and implementation of perinatal depression screening, highlighting the need to integrate routine screening and referral processes into maternal care services.

Influence of different demineralization treatments on physicochemical structure and thermal degradation of biomass.

To study the catalytic role of alkali and alkaline earth metallic species and eliminate their negative impact during biomass thermal utilization, different leaching methods have been applied in numerous experiments. Thus it is necessary to investigate the potential influence on biomass physicochemical structure using different agents. Rice straw was selected to study the demineralization impact on physicochemical structure and pyrolysis characteristics. It is shown that strong acid leaching exhibited higher removal efficiency of minerals, but it introduced more notable impact on physicochemical structure of biomass comparing to water and weak acid leaching. Different leaching methods give chance to study catalysis characteristics of intrinsic metals on biomass thermal reaction. Contrast to alkaline earth metals especially Ca hindering thermal decomposition, alkali metals promoted this reaction obviously. In addition, comparing to physicochemical structure changes created by leaching process, the influence of removal of minerals played the dominant role in biomass thermal behavior.

The 36-item short form health survey: reliability and validity in Chinese medical students.

OBJECTIVE: The 36-Item Short Form Health Survey (SF-36) is widely validated and popularly used in assessing the subjective quality of life (QOL) of patients and the general public. The aim of the study is to assess the psychometric properties of the 36-Item Short Form Health Survey (SF-36) in medical students in mainland of China. METHODS: The reliability and validity of the 36-Item Short Form Health Survey (SF-36) questionnaire were assessed by conducting a cross-sectional study of Chinese medical students in December 2011. All 1358 3(rd) year and 4(th) year medical students from 46 classes at China Medical University were investigated. RESULTS: The overall Cronbach's α coefficient of the SF-36 questionnaire was 0.791, while the respective Cronbach's α coefficients for each of the seven dimensions were > 0.70, except where the social function dimension was 0.631. Results showed that the SF-36 questionnaire was reliable and valid. CONCLUSION: In general, this study provides evidence that the SF-36 questionnaire is suitable measures for assess the QOL of medical students in China.

Release characteristics of alkali and alkaline earth metallic species during biomass pyrolysis and steam gasification process.

Investigating the release characteristics of alkali and alkaline earth metallic species (AAEMs) is of potential interest because of AAEM's possible useful service as catalysts in biomass thermal conversion. In this study, three kinds of typical Chinese biomass were selected to pyrolyse and their chars were subsequently steam gasified in a designed quartz fixed-bed reactor to investigate the release characteristics of alkali and alkaline earth metallic species (AAEMs). The results indicate that 53-76% of alkali metal and 27-40% of alkaline earth metal release in pyrolysis process, as well as 12-34% of alkali metal and 12-16% of alkaline earth metal evaporate in char gasification process, and temperature is not the only factor to impact AAEMs emission. The releasing characteristics of AAEMs during pyrolysis and char gasification process of three kinds of biomass were discussed in this paper.

A two-stage anaerobic system for biodegrading wastewater containing terephthalic acid and high strength easily degradable pollutants.

The high strength easily biodegradable pollutants (represented by CODE) are strong inhibitors of terephthalic acid (TA) anaerobic biodegradation. At the same time, TA can inhibit easily biodegradable pollutants removal under anaerobic conditions to a limited extent. This mutual inhibition could happen and cause a low removal efficiency of both TA and CODE, when the effluent from TA workshops containing TA and easily biodegradable pollutants are treated by a single anaerobic reactor system. Based upon the treatment kinetics analysis of both TA degradation and CODE removal, a two-stage up-flow anaerobic sludge blanket and up-flow fixed film reactor(UASB-UAFF) system for dealing with this kind of wastewater was developed and run successfully at laboratory scale. An UASB reactor with the methanogenic consortium as the first stage removes the easily biodegradable pollutants(CODE). An UAFF reactor as the second stage is mainly in charge of TA degradation. At a CODE loading of 15.3 g/(L.d) and a TA loading of 1.4 g/(L.d), HRT 18.5 h, the CODE and TA removal rate of the system reached 89.2% and 71.6%, respectively.

A novel technology for quick acclimation of an anaerobic microbial consortia used for biodegrading teraphthalic acid (TA).

The seed sludge originated from a methane fermentation reactor was enriched and acclimated with TA as sole carbon source under nitrate respiration mode first for 6 week, and then can be turned to methane fermentation conditions. After 6 weeks processing, the specific rate of TA degradation under nitrate respiration mode reached 23.8 mgTA/(L.gVSS), more than two times of that under methane fermentation mode 11.4 mg TA/(L.gVSS). The TA reductive cleavers' population density increased about 6 times and 20 times after 30 days and 90 days acclimation. After a total of 90 days for the enrichment and acclimation, the fermentative bacteria which originally existed in the seed sludge nearly disappeared, and instead of them, the TA reductive and cleaving bacteria group was formed in the new consortia, which was confirmed by the MPN counts and roll tube counts. Compared with the control experiment, the acclimation period can be shortened by about 50%.