129 resultados para suicide risk prediction model


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Supply chains are increasingly relying on information and communications technologies and in particular electronic commerce to facilitate transactions between supply chain partners. The adoption of these enabling technologies brings several enhancements to the conduct of business including gains in efficiency. However there are also drawbacks inherent in these technologies that include threats that are imposed on businesses that use them. This paper presents a study on retail supply chains and the risks and vulnerabilities that cooperating supply chain partners are exposed to when adopting these technologies. In particular, the paper discusses the various threats and vulnerabilities of retail supply and presents a conceptual model of such risks.

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Rod rolling is a process where the deformation state of the workpiece between the work rolls is quite different from the strip rolling process. However, in most microstructure evolution models, the simple area strains (natural logarithm of the area reduction ratio) multiplied by a constant have been used to compute pass-by-pass evolution of austenite grain size (AGS) in rod (or bar) rolling, without any verification. The strains at a given pass play a crucial role in determining the recrystallization behavior (static or dynamic). In this study, an analytical model that calculates the pass-by-pass strain and strain rate in rod rolling has been developed and verified by conducting four-pass (oval–round) bar and plate rolling experiments. Numerical simulations have then been carried out for the four-pass rolling sequence using the area strain model and the new analytical model, focusing on the effect of the method for calculating the strain on the recrystallization behavior and evolution of AGS. The AGS predicted was compared with those obtained from hot torsion tests. It is shown that the analytical model developed in this study is more appropriate in the analysis of bar (or rod) rolling. It was found that the recrystallization behavior and evolution of AGS during this process were influenced significantly by the calculation method for the deformation parameters (strain and strain rate). The pass-by-pass strain obtained from the simple area strain model is inadequate to be used as an input to the equations for recrystallization and AGS evolution under these rolling conditions.

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Several sets of model-based estimates (synthetic estimates) of the prevalence of risk factors for coronary heart disease for small areas in England have been developed. These have been used in policy documents to indicate which areas are in need of intervention. In general, these models have not been subjected to validity assessment. This paper describes a validity assessment of 16 sets of synthetic estimates, by comparison of the models with national, regional and local survey-based estimates, and local mortality rate estimates. Model-based estimates of the prevalence of smoking, low fruit and vegetable consumption, obesity, hypertension and raised cholesterol are found to be valid.

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Both the increasing private participation in public projects and the critical importance of appropriate risk allocation to the success of Public-private partnership (PPP) projects justify specific research on how to establish effective risk allocation strategies in PPP projects. Partner’s risk management capability is currently the main concern to risk allocation in PPP projects. Following the transaction cost economics, it is argued that factors such as partner’s commitment and risk management structure should be considered simultaneously in order to develop effective risk allocation strategies. Based on the holistic capability-commitment governance-driven view, this paper proposed a model for generating an optimal risk allocation strategy in PPP projects. The model is demonstrated and described. An artificial intelligent technique integrated with fuzzy logic for model testing and validation is then introduced and justified. The innovative model is expected to provide a logical and complete understanding of the risk allocation strategy selection process, and to provide stakeholders with a richer framework than previously existing ones to guide their decision-making on risk allocation strategies.

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Suicide-related behavior (SRB) among heroin users is a complex and multifaceted continuum, including such fringe areas as indifference and "risky" behavior. The article investigates the nuances and intersections of SRB, using qualitative semi-structured interviews with 60 regular heroin users recruited primarily from syringe programs in Geelong, Australia. Twenty-eight percent of interviewees reported a previous suicide attempt and 45% reported serious consideration of it. Types of SRB reported included: Suicide attempts, instrumental suicide-related behaviors, suicidal ideation, indifference and risk-taking thoughts and behaviors. Heroin users engage in much behavior which inhabits a grey area of SRB. The use of a nomenclature which addresses the elements of lethality and intent improves the ability of research to properly define and categorize SRB in drug-using populations. But the categories should not be overinclusive; indifferent attitudes towards death and risk-taking behaviors can sometimes be a functional response to the risk environment of heroin users.

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Objective: There is a paucity of data about risk factors for suicide attempts in bipolar disorder. The aim of this study is to examine the association between suicide attempts and obesity in people with bipolar disorder.

Methods: Two hundred fifty-five DSM-IV out-patients with bipolar disorder were consecutively recruited from the Bipolar Disorder Program at Hospital das Clínicas de Porto Alegre and the University Hospital at the Universidade Federal de Santa Maria, Brazil. Diagnosis and clinical variables were assessed with Structured Clinical Interview for DSM-IV-axis I (SCID I) and Program structured protocol. History of suicide attempts was obtained from multiple information sources including patients, relatives and review of medical records. Patients with body mass index (BMI) ≥ 30 were classified as obese.

Results: Over 30% of the sample was obese and over 50% had a history of suicide attempt. In the multivariate model, obese patients were nearly twice (OR = 1.97, 95% CI: 1.06–3.69, p = 0.03) as likely to have a history of suicide attempt(s).

Conclusion: Our results emphasise the relevance of obesity as an associated factor of suicide attempts in bipolar disorder. Obesity may be seen as correlate of severity and as such, must be considered in the comprehensive management of bipolar patients.

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In this article we operationalise the theoretical concepts of the Good Lives Model (GLM) of offender rehabilitation by providing a step-by-step framework for assessment, formulation, treatment planning, and monitoring with a high-risk violent offender residing in the community. The case study illustrates how the GLM can be applied to complement and enhance traditional Risk-Management interventions and shows how the GLM's clinical relevance extends from sex offending to broader offending typologies.