SummaryBackgroundInflammatory bowel disease (IBD) can be exacerbated by stress and depression. Type D personality, characterised by high negative affectivity and social inhibition, represents a vulnerability towards stressors and is associated with adverse outcomes in coronary heart disease.AimsTo assess the prevalence of Type D personality in IBD patients and investigate potential associations with disease course.MethodsWe tested for associations between Type D (Type D Scale‐14), depressive symptoms (Hospital Anxiety and Depression Scale's depression subscore ≥11) and recurrent IBD amongst Swiss IBD cohort patients. We built regression models for cross‐sectional and Cox proportional hazards models for time‐to‐event analyses. IBD disease course was assessed by the future occurrence of active disease (Crohn's Disease Activity Index ≥150/Modified Truelove & Witts activity index ≥10) and several IBD‐relevant endpoints.ResultsAmongst 2275 patients (1005 ulcerative colitis, 1270 Crohn's disease), 672 (29.5%) had Type D. Type D was a significant risk factor for future active disease (adjusted hazard ratio, aHR: 1.60, corrected P value, q = 0.007) and predicted the future presence of depressive symptoms (aHR: 3.30, P < 0.001). The combination of Type D and depressive symptoms further increased the risk for active disease (aHR: 3.98, q < 0.001). However, Type D associated depressive symptoms seemed to be the main contributor to this effect as Type D's predictive power decreased considerably in models corrected for depressive symptoms (aHR: 1.32, CI: 0.97‐1.79, q = 0.292).ConclusionsType D personality's prevalence amongst IBD patients was comparable with its prevalence in the general population. Type D was strongly associated with depressive symptoms and showed modest independent associations with IBD prognosis.
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During the period of "Twelfth Five-Year Plan", China's energy structure is dominated by coal. Due to a few reasons in our country, such as uneven distribution of coal resources, the bottlenecks of railway transportation, the problems of coal resources integration as well as the bad weather and other factors, China's coal supply presents the characteristics of fluctuation and uncertainty which make it difficult to meet the demand for coal. To ensure the stable supply of national energy, there is need to determine a reasonable coal inventory level. This has a vital significance with regard to China's security of energy supply during the period of "Twelfth Five-Year Plan". Based on the previous research on safety stock, the article establishes a new model of safety coal inventory, aiming at coal production, coal demand uncertainty, the customer service level and other specific circumstances .The article offers a new train of thought for early warning in coal industry and has provided the basis for forecasting coal safety inventory during the period of "Twelfth Five-Year Plan" .In 2011, the actual data basically coincide with the predicted model data, establishing a preliminary evidence that the model is basically reasonable and effective.
AIMS OF THE STUDY: Switzerland is traditionally an agricultural country with more than 50,000 farms and 1.5 million registered cows. However, contemporary literature on cattle-related trauma in Switzerland remain limited. The purpose of this study was to examine injury patterns and outcomes of patients who presented to a tertiary trauma centre in Switzerland following cattle-related trauma. METHODS: Retrospective single-centre study over a 10-year period (2012–2021) including all patients experiencing cattle-related trauma. From retrieved charts demographics, injury data, and outcomes were collected and subsequently analysed. RESULTS: A total of 94 patients with cattle-related injuries were identified. The median age was 52 years (interquartile range [IQR] 37–63) and 75% were male. Cattle-related injuries were most frequent among farmers (73%) and were most often caused by cows (86%), followed by bulls (10%). Blunt trauma (89%) was the leading mechanism of injury including headbutt (36%), kick (35%), physical contact (20%) and trampling injury (12%). Penetrating injury occurred in 11%, all caused by headbutt. Contusions (82%) and lacerations (45%) were the leading injuries, followed by face fractures (28%), closed head trauma (19%) and chest injuries (17%). Overall, 10% of all patients had a head abbreviated injury scale (AIS) score of ≥3 and 8% had a chest AIS of ≥3. The hospital admission rate was 49% for cow-related injury vs 90% for bull-related injuries, p = 0.023. Overall, in-hospital mortality was 3% and the median length of stay was 4.5 days (IQR 3–8) among patients admitted to the hospital. CONCLUSIONS: Cattle-related injuries in Switzerland mainly affect farmers and are associated with considerable morbidity, especially when caused by bulls. Facial fractures, head injuries and chest injuries are common, and the latter two in particular can be severe. The results of the present study can be used for the implementation of data-driven prevention measures for the safe handling of cattle in Switzerland.
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