In 2021, in Argentina there were 3,639 deaths by suicide, equivalent to one death every three hours. Evidence indicates that brief suicide preventive interventions in emergency services, such as the ...Safety Planning Intervention (SPI), effectively reduce future suicidal ideation and attempts in both adults and adolescents.
To evaluate the perception of self-efficacy, and the feasibility and usefulness of a training in SPI in early career mental health professionals.
Sixty-nine early career mental health professionals from Buenos Aires participated in a 3-hour SPI training. Through an online survey, measurements were taken in three times: before and after the training and 8-10 weeks after the training.
All participants completed the pre- and post-training measures, and 43 of them completed the follow-up survey. Post-training measures showed an increase in self-efficacy, maintaining the effect at 8-10 weeks. The SPI was found useful and feasible to be implemented in clinical care. More than half of the participants reported having used the SPI during follow-up.
Results suggest that training in SPI is associated with an increased perception of self-efficacy of early career mental health professionals; this is maintained after 2 months post-training. In addition, the intervention is perceived as feasible, acceptable and useful for professionals in training.
Safety is one of the key issues of future automobile development. Car maker as well as suppliers need to prove that, despite increasing complexity, their electronic systems will deliver the required ...functionality safely and reliably. Future development and integration of these functionalities will even strengthen the need of safe system development processes and the possibility to provide evidence that all reasonable safety objectives are satisfied. Obviously with the trend of increasing complexity, there are increasing risks from systematic failures and random hardware faults that could impact negatively on vehicle safety. Safety relevant systems (such as advanced driving assistance and vehicle dynamic control units) require microcontrollers able to guarantee safety and availability with an acceptable cost. Safety must be achieved with respect to both systematic and hardware random faults, including soft-errors and common-cause failures. To provide availability, efficient and fast fault detection mechanisms shall be combined with infrastructures able to collect error events with enough details to allow reactions by the remaining hardware and the operating system. Costs shall be minimized by introducing as much robustness as needed and not more: this shall be done by avoiding unnecessary redundancies and reducing at the minimum the impact on system performances, therefore maximizing the usage of the available resources. This paper will give a short introduction on main concept of functional safety and ISO/DIS 26262, underlining the impact of such requirements on microprocessors and microcontrollers design. Some examples will be given on current approaches used to answer ISO/DIS 26262 requirements.
Objective: We evaluated the efficacy of fine needle aspiration cytology (FNAC) of the thyroid in a series of 5469 lesions with histological control and studied the causes of, and the possibility of ...reducing the limitations of the method.
Methods: FNAC was always performed by a pathologist under the guidance of a clinician, using a 22‐gauge needle. Generally two aspirations were carried out, and usually four slides were obtained for each nodule; they were then stained with May–Grünwald–Giemsa and with Papanicolaou. The cytological diagnoses were classified in four groups: inadequate, benign, suspicious and malignant.
Results: We obtained a complete sensitivity of 93.4%, a positive predictive value of malignancy of 98.6%, and a specificity of 74.9%. At histological control, the cytological diagnosis of Hurthle cell neoplasm corresponded to a significantly higher incidence of malignant neoplasms than the diagnosis of non‐Hurthle cell follicular neoplasm (32.1% versus 15.5%). There were 66 false‐negative findings, the main cause of diagnostic error (24 cases) being failure to recognize the follicular variant of papillary carcinoma. The number of inadequate FNACs was low (4.2%).
Conclusion: Our study confirmed the great efficacy of thyroid FNAC. A cytological diagnosis of Hurthle cell neoplasm should be considered an indicator of high risk. Awareness that failure to recognize the follicular variant of papillary carcinoma was the main problem in the interpretation of thyroid FNAC should lead to a decrease of false‐negative diagnoses. The inadequate rate was very low, as it was the pathologist personally who performed the needle aspiration.
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