Suicidal behaviour in bipolar disorder

The Jorvi Bipolar Study (JoBS) is a collaborative ongoing bipolar research project between the Department of Mental Health and Alcohol Research of the National Public Health Institute, Helsinki, and the Department of Psychiatry, Jorvi Hospital, Helsinki University Central Hospital (HUCH), Espoo, Finland. The JoBS is a prospective, naturalistic cohort study of secondary level care psychiatric out-and inpatients with a new episode of Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV) bipolar disorder (BD). Altogether, 1630 patients (aged 18-59) years were screened using the Mood Disorder Questionnaire (MDQ) for a possible new episode of DSM-IV BD. 490 patients were interviewed with semi-structured interview [the Structured Clinical Interview for DSM-IV Disorders, research version with Psychotic Screen (SCID-I/P)]. 191 patients with new episode of DSM-IV BD were included in the bipolar cohort study. Psychiatric comorbidity was evaluated using semi-structured interviews. At 6- and 18-month follow-up, the interviews were repeated and life-chart methodology was used to integrate all available information about nature and duration of all different phases. Suicidal behaviour was examined both at intake and follow-up by psychometric scale [Scale for Suicidal Ideation (SSI)], interviewer s questions and medical and psychiatric records. The aim of this thesis was to evaluate prevalence of suicidal behaviour and incidence of suicide attempts, and examine the wide range of risk factors for attempted suicide both, at intake and follow-up, in representative secondary-level sample of psychiatric in- and outpatients with BD. In this study suicidal behaviour was common among psychiatric patients with BD. During the episode when patients were included into cohort study (index episode), 20% of the patients had attempted suicide and 61% had suicidal ideation. Severity of depressive episode and hopelessness were independent risk factors for suicidal ideation, whereas hopelessness, comorbid personality disorder and previous suicide attempt predicted suicide attempts during the index episode. There were no differences in prevalence of suicidal behaviour between bipolar I and II disorder; the risk factors were overlapping but not identical. During the index episode, suicide attempts took place during depressive, mixed and depressive mixed phases. Furthermore, there were marked differences regarding level of suicidal ideation during different phases, with the highest levels during the mixed phases of the illness. Hopelessness was independently associated with suicidal behaviour during the depressive phase. A subjective rating of severity of depression (Beck Depression Inventory) and younger age predicted suicide attempts during mixed phases. During the 18-month follow-up 20% of patients attempted suicide. Previous suicide attempts, hopelessness, depressive phase at index episode and younger age at intake were independent risk factors for suicide attempts during follow-up. Taken altogether, 55% patients attempted suicide before index episode, during index episode or during follow-up. The incidence of suicide attempts was 37-fold during combined mixed and depressive mixed states and 18-fold during major depressive phase as compared with other phases. Prior suicide attempt and time spent in combined mixed phases - mixed and depressive mixed - and depressive phases independently predicted the suicide attempt during follow-up. More than half of the patients have attempted suicide during their lifetime, a finding which highlights the public health importance of suicidal behaviour in bipolar disorder. Clinically, it is crucial to recognize BD and manage the mixed and depressive phases of bipolar patients fast and effectively, as time spent in depressive and mixed phases involves a remarkably high risk of suicide attempts.

CAE-based prediction of projectile residual velocity for impact on single and multi-layered metallic armour plates

The present, paper deals with the CAE-based study Of impact of jacketed projectiles on single- and multi-layered metal armour plates using LS-DYNA. The validation of finite element modelling procedure is mainly based on the mesh convergence study using both shell and solid elements for representing single-layered mild steel target plates. It, is shown that the proper choice of mesh density and the strain rate-dependent material properties are essential for all accurate prediction of projectile residual velocity. The modelling requirements are initially arrived at by correlating against test residual velocities for single-layered mild steel plates of different depths at impact velocities in the ran.-c of approximately 800-870 m/s. The efficacy of correlation is adjudged, in terms of a 'correlation index', defined in the paper: for which values close to unity are desirable. The experience gained for single-layered plates is next; used in simulating projectile impacts on multi-layered mild steel target plates and once again a high degree of correlation with experimental residual velocities is observed. The study is repeated for single- and multi-layered aluminium target plates with a similar level of success in test residual velocity prediction. TO the authors' best knowledge, the present comprehensive study shows in particular for the first time that, with a. proper modelling approach, LS-DYNA can be used with a great degree of confidence in designing perforation-resistant single and multi-layered metallic armour plates.

The partition of unity finite element method for elastic wave propagation in Reissner-Mindlin plates

This paper reports a numerical method for modelling the elastic wave propagation in plates. The method is based on the partition of unity approach, in which the approximate spectral properties of the infinite dimensional system are embedded within the space of a conventional finite element method through a consistent technique of waveform enrichment. The technique is general, such that it can be applied to the Lagrangian family of finite elements with specific waveform enrichment schemes, depending on the dominant modes of wave propagation in the physical system. A four-noded element for the Reissner-indlin plate is derived in this paper, which is free of shear locking. Such a locking-free property is achieved by removing the transverse displacement degrees of freedom from the element nodal variables and by recovering the same through a line integral and a weak constraint in the frequency domain. As a result, the frequency-dependent stiffness matrix and the mass matrix are obtained, which capture the higher frequency response with even coarse meshes, accurately. The steps involved in the numerical implementation of such element are discussed in details. Numerical studies on the performance of the proposed element are reported by considering a number of cases, which show very good accuracy and low computational cost. Copyright (C)006 John Wiley & Sons, Ltd.

Semi-empirical procedures for estimation of residual velocity and ballistic limit for impact on mild steel plates by projectiles

This paper deals with the development of simplified semi-empirical relations for the prediction of residual velocities of small calibre projectiles impacting on mild steel target plates, normally or at an angle, and the ballistic limits for such plates. It has been shown, for several impact cases for which test results on perforation of mild steel plates are available, that most of the existing semi-empirical relations which are applicable only to normal projectile impact do not yield satisfactory estimations of residual velocity. Furthermore, it is difficult to quantify some of the empirical parameters present in these relations for a given problem. With an eye towards simplicity and ease of use, two new regression-based relations employing standard material parameters have been discussed here for predicting residual velocity and ballistic limit for both normal and oblique impact. The latter expressions differ in terms of usage of quasi-static or strain rate-dependent average plate material strength. Residual velocities yielded by the present semi-empirical models compare well with the experimental results. Additionally, ballistic limits from these relations show close correlation with the corresponding finite element-based predictions.

Determination of the orthotropic plate parameters of stiffened plates and grillages in free vibration

It is well known that the analysis of vibration of orthogonally stiffened rectangular plates and grillages may be simplified by replacing the actual structure by an orthotropic plate. This needs a suitable determination of the four elastic rigidity constants Dx, Dy, Dxy, D1 and the mass {Mathematical expression} of the orthotropic plate. A method is developed here for determining these parameters in terms of the sectional properties of the original plate-stiffener combination or the system of interconnected beams. Results of experimental work conducted on aluminium plates agree well with the results of the theory developed here.

Large deflections of rectangular plates

Approximate solutions for the non-linear bending of thin rectangular plates are presented considering large deflections for various boundary conditions. In the case of stress-free edges, solutions are given for von Kármán's equations in terms of the stress function and the deflection of the plate. In the case of immovable edges, equations are constructed in terms of the three displacements and these are solved. The solution is given by using double series consisting of the appropriate Beam Functions which satisfy the boundary conditions. The differential equations are satisfied by using the orthogonality properties of the series. Numerical results for square plates with uniform lateral load indicate good convergence of the series solution presented here.

Thermal stresses in rectangular plates

A method of determining the thermal stresses in a flat rectangular isotropic plate of constant thickness with arbitrary temperature distribution in the plane of the plate and with no variation in temperature through the thickness is presented. The thermal stress have been obtained in terms of Fourier series and integrals that satisfy the differential equation and the boundary conditions. Several examples have been presented to show the application of the method.

Buckling of clamped skew plates

IN this Note, a condensed version of Ref. 1, only the results are presented. The available results for buckling of clamped skew plates are few and far from complete.2'3 In the present investigation, results for several new plate configurations and loading conditions as well as more accurate results for configurations reported in previous literature are obtained.In general, for a given a/b, the critical values increase with increasing skew angle. The results also confirm the conjecture of Ref. 4 that in the case of buckling under shear (Nxv)> "two critical values exist, the positive shear (one tending to reduce the skew angle) being numerically greater than the negative shear. However, reliable values for positive shear could not be obtained in Ref. 4 because of convergence difficulties.

Bending, vibration and buckling of simply supported thick orthotropic rectangular plates and laminates

This paper presents a unified exact analysis for the statics and dynamics of a class of thick laminates. A three-dimensional, linear, small deformation theory of elasticity solution is developed for the bending, vibration and buckling of simply supported thick orthotropic rectangular plates and laminates. All the nine elastic constants of orthotropy are taken into account. The solution is formally exact and leads to simple infinite series for stresses and displacements in flexure, forced vibration and "beam-column" type problems and to closed form characteristic equations for free vibration and buckling problems. For free vibration of plates, the present analysis yields a triply infinite spectrum of frequencies instead of only one doubly infinite spectrum by thin plate theory or three doubly infinite spectra by Reissner-Mindlin type analyses. Some numerical results are presented for plates and laminates. Comparison of results from thin plate, Reissner and Mindlin analyses with these yield some important conclusions regarding the validity and effects of the assumptions made in the approximate theories.

Vibration of rectangular orthotropic plates

An approximate analytical procedure has been given to solve the problem of a vibrating rectangular orthotropic plate, with various combinations of simply supported and clamped boundary conditions. Numerical results have been given for the case of a clamped square plate. Nomenclature 2a, 2b sides of the rectangular plate h plate thickness Eprime x , Eprime y , EPrime, G elastic constants of te orthotropic material D x Eprime x h 3/12 D y Eprime y h 3/12 H xy EPrimeh 3/12+Gh 3/6 D x , D y and H xy are rigidity constants of the orthotropic platergr mass of the plate per unit area ngr Poisson's ratio W deflection of the plate p circular frequency gamma b/a ratio X m , Y characteristic functions of the vibrating beam problem -lambda rgrp 2 a 2 b 2/H xy the frequency parameter.

An exact analysis for vibration of simply-supported homogeneous and laminated thick rectangular plates

A three-dimensional linear, small deformation theory of elasticity solution by the direct method is developed for the free vibration of simply-supported, homogeneous, isotropic, thick rectangular plates. The solution is exact and involves determining a triply infinite sequence of eigenvalues from a doubly infinite set of closed form transcendental equations. As no restrictions are placed on the thickness variation of stresses or displacements, this formulation yields a triply infinite spectrum of frequencies, instead of only one doubly infinite spectrum by thin plate theory and three doubly infinite spectra by Mindlin's thick plate theory. Further, the present analysis yields symmetric thickness modes which neither of the approximate theories can identify. Some numerical results from the two approximate theories are compared with those from the present solution and some important conclusions regarding the effect of the assumptions made in the approximate theories are drawn. The thickness variations of stresses and displacements are also discussed. The analysis is readily extended for laminated plates of isotropic materials. Numerical results are also given for three-ply laminates, and are used to assess the accuracy of thin plate theory predictions for laminates. Extension to general lateral surface conditions and forced vibrations is indicated.

Vibration of simply-supported trapezoidal plates I. Symmetric trapezoids

A detailed investigation of the natural frequencies and mode shapes of simply supported symmetric trapezoidal plates is undertaken in this paper. For numerical calculations, the relationship that exists between the eigenvalue problem of a polygonal simply supported plate and the eigenvalue problem of polygonal membrane of the same shape is utilized with advantage. The deflection surface is expressed in terms of a Fourier sine series in transformed coordinates and the Galerkin method is used. Results are presented in the form of tables and graphs. Several features like the crossing of frequency curves and the metamorphosis of some of the nodal patterns are observed. By a suitable interpretation of the modes of those symmetric trapezoidal plates which have the median as the nodal line, the results for some of the modes of unsymmetrical trapezoidal plates are also deduced.

An exact analysis of free vibrations of simply-supported viscoelastic plates

In this paper an exact three-dimensional analysis for free vibrations of a class of simply-supported viscoelastic rectangular plates is given. The characteristic equation defining the eigenvalues is of closed form. Some numerical results are presented for standard linear solids. Results from thin plate and Mindlin theories are also given for the purpose of comparison.

Free convection heat transfer between vertical parallel plates

A new mathematical model for the solution of the problem of free convection heat transfer between vertical parallel flat isothermal plates under isothermal boundary conditions, has been presented. The set of boundary layer equations used in the model are transformed to nonlinear coupled differential equations by similarity type variables as obtained by Ostrach for vertical flat plates in an infinite fluid medium. By utilising a parameter ηw* to represent the outer boundary, the governing differential equations are solved numerically for parametric values of Pr = 0.733. 2 and 3, and ηw* = 0.1, 0.5, 1, 2, 3, 4, ... and 8.0. The velocity and temperature profiles are presented. Results indicate that ηw* can effectively classify the system into (1) thin layers where conduction predominates, (2) intermediate layers and (3) thick layers whose results can be predicted by the solutions for vertical flat plates in infinite fluid medium. Heat transfer correlations are presented for the 3 categories. Several experimental and analytical results available in the literature agree with the present correlations.