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Background and PurposeThe risk of suicide or suicide attempts is reported higher in people with epilepsy (PWE) than in the general population. Although epileptic, psychiatric, and psychosocial factors are known risk factors for suicide or suicide attempt, no studies have evaluated the predictors of the severity of suicidal ideation-which is a warning sign for suicide attempts-in PWE. Therefore, we measured the severity of suicidal ideation and its risk factors.MethodsConsecutive PWE who were medicated with antiepileptic drugs (AEDs) and attended epilepsy clinic were included in the study. The subjects completed self-reported questionnaires, which included the Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Symptom Checklist-90-Revised (SCL-90-R), and Scale for Suicide Ideation-Beck (SSI-Beck). We compared the patients' demographic and clinical variables, and BDI, BAI, and SCL-90-R scores with their SSI-Beck score, and used our findings to determine the predictors for suicidal ideation.ResultsIn total, 257 PWE were enrolled in the study. SSI-Beck scores correlated strongly with several seizure-related variables, duration of education, IQ, BDI and BAI scores, and nine domains of the SCL-90-R questionnaire. However, the strongest predictor for suicidal ideation was BDI score (β=0.41, p<0.001), followed by several SCL-90-R domains, such as obsessive-compulsive (β=-0.39, p<0.001), depression (β=0.38, p<0.001), hostility (β=0.22, p=0.002), paranoid ideation (β=0.17, p=0.01), and IQ (β=-0.10, p=0.017). These variables explained 59% of the variance in the SSI-Beck score. The seizure-related variables that influenced the BDI score were seizure frequency, duration of education, MRI abnormality, and number of AEDs. However, these variables explained only 18% of the variance in the BDI score.ConclusionsMajor risk factors for suicidal ideation in PWE were depressive and psychiatric symptoms rather than seizure-related variables. Therefore, clinicians should focus on screening for depression and other psychiatric problems and treat them appropriately in order to reduce suicidal behavior in PWE. Since seizure-related variables also exhibited a minor role in determining depressive symptoms, stronger seizure-related risk factors for depression should be sought, such as seizure severity or psychosocial factors, to minimize suicidal behavior.

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It has been shown that the laser shock cleaning ͑LSC͒ method is effective for eliminating micronand submicron-scale particulates from solid surfaces. In the LSC process, a high-power laser pulse induces optical breakdown of the ambient gas close to the solid surface to be cleaned and the subsequently-created shock wave followed by a high-speed flow stream detaches the particles. Therefore, there should be a strong correlation between the dynamics of the shock wave and the cleaning performance. In this work, experimental analyses are conducted to measure the cleaning performance using micron-sized alumina particles attached to a silicon surface. The experimental data showing the particle-removal performance are compared with the results of the dynamics of the laser-induced shock waves, leading to a simple model for particle removal by the LSC scheme in the continuum-flow regime.

Via a simple and facile disodium phosphate-assisted sonochemical route, highly uniform zinc phosphate hexagonal bipyramid crystals were selectively synthesized under ambient conditions. All the facets of hexagonal bipyramids are smooth. The average size (from pole to pole) and the standard deviation were 1.437 µm and 562 nm, respectively. The concentration of HPO 4 2in the aqueous precursor solution is thought to be a key factor in getting hexagonal bipyramidal morphology. This method is simple, fast, economical, and environmentally benign. It is expected that this sonochemical technique can be readily adopted in realizing other forms of various micro/nanostructured materials.