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Background: Delayed-onset post-traumatic stress disorder after catastrophes is a major public health issue. However, good designs for identifying post-traumatic stress disorder (PTSD) among earthquake survivors are rare. This is the first nested case-control study to explore the possible factors associated with delayed-onset PTSD symptoms.Methods: A nested case-control study was conducted. The baseline (2011) and follow-up (2018) surveys were utilized to collect data. A total of 361 survivors of the Wenchuan earthquake were investigated and 340 survivors underwent follow-up. The survivors, from the hardest-hit areas, who met the criteria for PTSD were included in the case group, and PTSD-free survivors from the same area, matched for age, were included in the control group, with a ratio of one to four. Conditional logistic regression was used to evaluate the variables' odds ratio (OR).Results: The overall prevalence of delayed-onset PTSD symptoms in survivors of the Wenchuan earthquake was 9.7% (33/340). The unemployed earthquake survivors had a higher risk of developing delayed-onset PTSD symptoms (OR = 4.731, 95% CI = 1.408–15.901), while higher perceived social support was a protective factor against delayed-onset PTSD symptoms (OR = 0.172, 95% CI = 0.052–0.568).Conclusion: Delayed-onset PTSD symptoms, after a disaster, should not be ignored. Active social support and the provision of stable jobs can contribute to the earthquake survivors' mental health.

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Additive metal manufacturing-has been attracting attention for various applications such as aircraft parts. However, the parts manufactured exhibit anisotropy characteristics due to the columnar crystal structure induced by rapid melting and solidification. In this work, an equiaxed solidification structure is obtained by adding Zr to promote nucleation. Samples were fabricated by additive manufacturing using Zr-added SUS304L powder. Their microstructures were observed by scanning electron microscopy and transmission electron microscopy. The mechanical and corrosion resistance properties were evaluated by comparison with samples fabricated by additive manufacturing using SUS316L. The microstructure observation revealed that the formation of columnar crystals in the SUS304L-Zr-3DP samples was suppressed compared with the SUS316L-3DP samples and that the average grain size was reduced to 1/3 or less. The transmission electron microscopy revealed a ZrN crystallized substance, which may have contributed to the suppression of columnar crystal formation. Tensile test results showed that the SUS304L-Zr-3DP exhibited isotropic mechanical properties. Corrosion resistance tests using electrochemical methods showed that they exhibited higher corrosion resistance than the SUS316L-3DP. These results demonstrate that the solidification structure formed during additive manufacturing can be controlled by adding Zr into the alloy matrix as nucleation sites.

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