Differences of chronological seasonality in drug overdose.

OBJECTIVE: To investigate the association between seasonality and intentional drug overdose (IDO), a commonly seen method of self-harm in daily emergency medicine practice. METHODS: Cases of IDO were retrospectively selected using the International Classification of Diseases (ICD)-10 coding system (codes T36-T50), in patients who attended the Emergency Department of MacKay Memorial Hospital between January 2018 and August 2019. Data regarding age, sex, arrival time, marital status, vital signs, comorbidities, psychiatric history, social conflicts, substance of overdose, and length of hospital stay by season, were analysed using Student's t-test and χ2-test. RESULTS: Of all included cases (n = 196), IDO occurred most frequently in spring (32.1%), particularly in male patients (28/49 male cases). First-time IDO occurred most frequently in spring (51/133 first-time cases) and most spring cases were first-time IDO (51/63 spring cases). Repeat IDO occurred most frequently in autumn (20/63 repeat cases). Female conflict with father and/or boyfriend, and personality disorder in patients who overdosed, showed seasonality with a spring peak. Hospital admission rate was highest in winter (10/45 winter cases [22.2%]). CONCLUSION: Episodes of IDO exhibited seasonality, with a spring peak, particularly for male patients, female patients in conflict with father and/or boyfriend, and those with personality disorder. Clinicians should pay close attention to the abovementioned patient groups.

Novel design of Sulfur-doped nickel cobalt layered double hydroxide and polypyrrole nanotube composites from zeolitic imidazolate Framework-67 as efficient active material of battery supercapacitor hybrids.

Nickel and cobalt layered double hydroxide (NiCo-LDH) has large specific surface area and interlayer spacing, multiple redox states and high ion-exchange capability, but poor electrical conductivity, severe agglomerations and structural defect restrict energy storage ability of NiCo-LDH as active materiel of battery supercapacitor hybrids (BSH). In this study, it is the first time to design sulfur-doped NiCo-LDH and polypyrrole nanotubes composites (NiCo-LDH-S/PNTs) from zeolitic imidazolate framework-67 (ZIF-67) as the efficient active material of BSH using electrospinning and hydrothermal processes. Effects of sulfur doping amounts are investigated. The one-dimensional hollow polypyrrole decorated with NiCo-LDH-S sheets with high aspect ratio provides straight charge-transfer routes and abundant contacts with electrolyte. The highest specific capacitance (CF) of 1936.3 F/g (specific capacity of 322.8 mAh/g) is achieved for the NiCo-LDH-S/PNTs with sulfur doping amount of 7% at 10 mV/s. The BSH comprising graphene LDH negative electrode and NiCo-LDH-S/PNTs positive electrode shows the maximum energy density of 16.28 Wh/kg at 650 W/kg. The CF retention of 74% and Coulombic efficiency of 90% are also achieved after 8000 charge/discharge cycles.

Sex-based differences in the predisposing factors of overdose: A retrospective study.

Drug overdose is one of the common events encountered in the emergency department (ED). The aim of the present study was to investigate the sex difference and predisposing factors of overdose in the ED. Data of 299 patients with self-poisoning reported at our poison center from January 2018 to August 2019 were retrospectively analyzed. Study cases categorized using the International Classification of Diseases, Tenth Revision coding system, which include codes T36 to T50, were selected. Data were collected including Glasgow Coma Scale scores and vital signs upon arrival (including body temperature, heart rate, systolic blood pressure, and diastolic blood pressure, sex, age, marital status, arrival time, season on admission, previous suicide attempts, psychiatric history, related comorbidities, recent arguments, categories of overdose with or without concurrent ethanol use, length of hospital stay, and survival to discharge) were analyzed. The top three types of substances that were frequently involved in drug overdose were benzodiazepine (42.9%), mixed medications (32.1%), and acetaminophen (6.1%). The 196 enrolled patients were aged 14 to 92 years (mean ± standard deviation, 39.2±18.3), and of these patients, male intentional overdose patients were 8.1 years older than their female counterparts (45.3±19.5 vs. 37.2±17.5, respectively; P<0.05). Most intentional overdose cases occurred during the spring season (n=63, 32.1%), especially in male patients (n=28, 57.1%; P<0.001). Approximately 11.2% (22/196) and 2% (4/196) of the total patients were admitted to the Toxicology ward and intensive care units, respectively. The length of hospital stay was 2±4.1 days. In summary, it is suggested that physicians notify the suicide prevention centers to be on alert for middle-aged men who are facing conflicts, especially during the spring season.

Polarization-independent distortion corrector fabricated using polymer-dispersed liquid crystals.

We demonstrate a polarization-independent distortion corrector fabricated using a polymer-dispersed liquid crystal (PDLC) cell placed on the intermediate image plane of an optical system. At low voltage, a hazy PDLC cell scatters the incident rays and redirects the off-axis propagated chief ray. The chief ray approaches the principal point of the lens element, thereby decreasing image distortion. At high voltage, the PDLC cell becomes transparent, thereby restoring the image distortion. The PDLC-based distortion corrector is an easy-to-fabricate universal device that can be applied to various optical systems. With a large lens diameter, the distortion of a PDLC-corrected image is approximately 1/5 of that of an uncorrected image.