A profile of Australian adults who have discussed their posthumous organ donation wishes with family members

Next of kin who are aware of the deceased's organ donation wishes usually will honor those wishes, while next of kin who are unaware of these wishes typically withhold consent for posthumous donation. Encouraging individuals to communicate or register their organ donation wishes is therefore important. Using a sample of 409 participants, the current study sought to develop a profile of Australian adults who had communicated their organ donation wishes to family members. Christian participants and those who had a higher income were more likely to have communicated their donation wishes. Conversely, participants were less likely to have communicated their donation wishes if they were unregistered and undecided/opposed to organ donation, unregistered but willing to donate, or fearful of death. Finally, whether participants had communicated, registered, or communicated and registered their donation wishes was associated with their age, religion, attitude toward organ donation, and recall of media content about organ donation. Messages encouraging the communication of organ donation wishes to family members should therefore be targeted toward those individuals who are most likely to be receptive toward enacting this behavior.

Height, aging and cognitive abilities across Europe

Previous research has found that as a marker of childhood circumstances, height is correlated with cognitive functioning at older ages. Using data from the Survey of Health, Ageing, and Retirement in Europe (SHARE) and about 17,000 respondents from 11 countries, we find that height is positively and significantly associated with cognitive functioning in later life despite controlling for a myriad of possible confounding factors. A 10 cm increase in height is associated with a 0.04 standard deviation increase in a summary cognitive score (mean 0.02, std. dev. 0.77). We find that being born in a country where the infant mortality rate at the time of birth is high has a negative and significant influence on cognitive functioning in later life. A 10% increase in the infant mortality rate is associated with a 0.1 standard deviation decrease in the summary cognitive score. We also find some evidence that height serves as a protective factor against age related deterioration in cognitive functioning. For persons of average stature, age related decreases in cognition scores are 3–5 percentage points smaller if they move up a quartile in the height distribution. Our results also suggest that there is a significant positive association between height and cognitive abilities across countries for this pre-1950 birth cohort of respondents, with correlations ranging from 0.4 to 0.8.

An effective VAR planning to improve dynamic voltage profile of distribution networks with distributed wind generation

This paper proposes an effective VAR planning based on reactive power margin for the enhancement of dynamic voltage stability in distribution networks with distributed wind generation. The analysis is carried over a distribution test system representative of the Kumamoto area in Japan. The detailed mathematical modeling of the system is also presented. Firstly, this paper provides simulation results showing the effects of composite load on voltage dynamics in the distribution network through an accurate time-domain analysis. Then, a cost-effective combination of shunt capacitor bank and distribution static synchronous compensator (D-STATCOM) is selected to ensure fast voltage recovery after a sudden disturbance. The analysis shows that the proposed approach can reduce the size of compensating devices, which in turn, reduces the cost. It also reduces power loss of the system.

Voltage profile improvement for distributed wind generation using D-STATCOM

This paper presents the application of FACTS devices for the enhancement of dynamic voltage stability in distribution networks with distributed wind generation. The analysis is carried over a test distribution system representative of the Kumamoto area in Japan. The detailed mathematical modelling of the system is also presented. Firstly, this paper provides simulation results showing the effects of higher and lower penetration of distributed wind generation on the voltage dynamics in a faulted system. Then, a distribution static synchronous compensator (D-STATCOM) is used to improve the voltage profile of the system. This analysis shows that D-STATCOM has significant performance to improve the voltage dynamics of distribution system compared to shunt capacitor.

Impact of high wind penetration on the voltage profile of distribution systems

In this paper, simulation results showing the effect of lower and higher penetration of distributed wind generation on the voltage profile in distribution systems have been presented. The analysis is carried out over two distribution test systems. The detailed mathematical modeling of the system is also presented. It also investigates the small-signal stability of distribution systems using eigenvalue approach. The analyses show that voltage variation problems occur in different nodes of the distribution networks with an increase of penetration level. However, proper selection of dispersion level can improve the voltage profile of the distribution systems

Is lithium in a class of its own? A brief profile of its clinical use

Lithium is a unique and effective psychotropic agent with a long-standing history of clinical use yet it is increasingly overlooked in lieu of newer agents. The purpose of the present paper was to succinctly review the therapeutic profile of lithium particularly with respect to the treatment of mood disorders and consider its unique properties and clinical utility. A comprehensive literature review pertaining to lithium was undertaken using electronic database search engines to identify relevant clinical trials, meta-analyses and Cochrane reviews. In addition articles and book chapters known to the authors were carefully reviewed, and the authors appraised published guidelines. The evidence from these sources was rated using National Health and Medical Research Council evidence levels and synthesized according to phenotype and mood states. In addition, the authors have drawn upon published guidelines and their own clinical experience. Lithium has specificity for mood disorders with proven efficacy in the treatment of both unipolar depression and bipolar disorder. The recommendations are based predominantly on Level I evidence, but its clinical use has to be tempered against potential side-effects and the need for ongoing monitoring. In practice, lithium should be considered a first-line option in bipolar disorder, especially in prophylaxis and when onset of action is not an imperative. Lithium has been in use in modern medicine for 60 years and as such has been tried and tested across the full range of mood disorders. Arguably, lithium is the only true mood stabilizer and because of its unique properties is in a class of its own.