The incidence of adverse reactions in blood donation differ across the countries which might be related to the donors' characteristics. The difference did even existed in studies conducted in the same country and the same year. This suggests that many factors can cause adverse reactions in blood donation, and that a wide range of them investigated in one study, most of which were systemic.This study considers when, whether, and how spouses encourage professional mental health care by analyzing qualitative data from 90 in-depth interviews with gay, lesbian, and heterosexual spouses. Findings show that a majority of spouses are engaged in promoting each other's mental health care but that the strategies used to promote care vary by gender and the gender composition of the couple. The majority of gay men and lesbian women promote care by framing mental health problems as largely biochemical, fixable only with professional care or medicine, and work to destigmatize this care. Lesbian women uniquely emphasize the influence of a spouse's symptoms on marital quality as a reason to pursue care. Some heterosexual women and men also report seeing their spouse's mental health care as something for them to deal with on their own and thus do not encourage care. ABT-869 chemical structure This study has important implications for researchers looking to understand why some individuals seek mental health care and others do not and provides policymakers insight into mental health interventions via spouses.Dual-junction GaAs photovoltaic (PV) cells and modules at sub millimeter scale are demonstrated for efficient wireless power transfer for Internet of Things (IoT) and bio-implantable applications under low-flux illumination. The dual-junction approach meets demanding requirements for these applications by increasing the output voltage per cell with reduced area losses from isolation and interconnects. A single PV cell (150 μm × 150 μm) based on the dual-junction design demonstrates power conversion efficiency above 22% with greater than 1.2 V output voltage under low-flux 850 nm near-infrared LED illumination at 6.62 μW/mm2, which is sufficient for batteryless operation of miniaturized CMOS IC chips. The output voltage of dual-junction PV modules with 4 series-connected cells demonstrates greater than 5 V for direct battery charging while maintaining a module power conversion efficiency of more than 23%.Learning of classification models from real-world data often requires substantial human effort devoted to instance annotation. As this process can be very time-consuming and costly, finding effective ways to reduce the annotation cost becomes critical for building such models. To address this problem we explore a new type of human feedback - region-based feedback. Briefly, a region is defined as a hypercubic subspace of the input data space and represents a subpopulation of data instances; the region's label is a human assessment of the class proportion of the data subpopulation. By using learning from label proportions algorithms one can learn instance-based classifiers from such labeled regions. In general, the key challenge is that there can be infinite many regions one can define and query in a given data space. To minimize the number and complexity of region-based queries, we propose and develop a hierarchical active learning solution that aims at incrementally building a concise hierarchy of regions. Furthermore, to avoid building a possibly class-irrelevant region hierarchy, we further propose to grow multiple different hierarchies in parallel and expand those more informative hierarchies. Through experiments on numerous data sets, we demonstrate that methods using region-based feedback can learn very good classifiers from very few and simple queries, and hence are highly effective in reducing human annotation effort needed for building classification models. Alcohol use/problems and emotion dysregulation are associated with increased intimate partner violence (IPV) perpetration. Additionally, alcohol use is an overt coping mechanism for dysregulated emotion. While past research has examined alcohol use/problems as a mediator between emotion dysregulation and IPV, research is limited within clinical samples. The current study sought to fill this gap by examining a theoretical model by which emotion dysregulation and alcohol use/problems influence IPV perpetration in a sample of men arrested for domestic violence. Consistent with prior research, it was hypothesized that alcohol use/problems would mediate the relationship between emotion dysregulation and psychological aggression. Additionally, we hypothesized that emotion dysregulation would positively associate with increased alcohol use/problems, which would relate to increased physical assault perpetration through psychological aggression perpetration. Using a cross-sectional sample of 391 men arrested for domestic violence and court-referred to Batterer Intervention Programs (BIP), the present study used structural equation modeling to examine proposed pathways from emotion dysregulation to IPV perpetration directly and indirectly through alcohol use/problems. Alcohol use/problems explained the relation between emotion dysregulation and psychological aggression perpetration. In addition, emotion dysregulation related to psychological aggression which explained the relation between alcohol use/problems and physical assault perpetration. These findings underline the importance of assessing and addressing emotion dysregulation and alcohol use/problems as risk factors for IPV in existing BIP as well as within theoretical models.These findings underline the importance of assessing and addressing emotion dysregulation and alcohol use/problems as risk factors for IPV in existing BIP as well as within theoretical models. Importance of inferomedial supporting screws in preventing varus collapse has been investigated for the proximal humerus fracture. However, few studies reported the results of osteoporotic complex fracture. This study aimed to demonstrate the stress distribution pattern, particularly in osteoporotic 3-part proximal humerus fractures involving greater tuberosity (GT) with different screw configurations. Using the computed tomography (CT) images of 2 patients, who had osteoporosis and the other had normal bone density, 3-part fractures involving the GT, without medial support were reconstructed. To reflect the osteoporosis or real bone density, Hounsfield unit of CT scans were utilized. A force of 200 N was applied in 30° varus direction. The proximal screws were set in 2 ways 6 screws without inferomedial supporting screws and 9 screws with inferomedial supporting screws. Qualitative and quantitative analysis of internal stress distribution were performed. The most proximal part area near humeral head vertex and near the 1st screw's passage and tip had more stress concentrated in osteoporotic 3-part fractures.