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In acute ischemic stroke, a longer time from onset to endovascular treatment (EVT) is associated with worse clinical outcome. We investigated the association of clinical outcome with time from last known well to arrival at the EVT hospital and time from hospital arrival to arterial access for anterior circulation large vessel occlusion patients treated > 6 hours from last known well.
Methods:
Retrospective analysis of the prospective, multicenter cohort study ESCAPE-LATE. Patients presenting > 6 hours after last known well with anterior circulation large vessel occlusion undergoing EVT were included. The primary outcome was the modified Rankin Scale (mRS) score at 90 days. Secondary outcomes were good (mRS 0–2) and poor clinical outcomes (mRS 5–6) at 90 days, as well as the National Institutes of Health Stroke Scale at 24 hours. Associations of time intervals with outcomes were assessed with univariable and multivariable logistic regression.
Results:
Two hundred patients were included in the analysis, of whom 85 (43%) were female. 90-day mRS was available for 141 patients. Of the 150 patients, 135 (90%) had moderate-to-good collaterals, and the median Alberta Stroke Program Early CT Score (ASPECTS) was 8 (IQR = 7–10). No association between ordinal mRS and time from last known well to arrival at the EVT hospital (odds ratio [OR] = 1.01, 95% CI = 1.00–1.02) or time from hospital arrival to arterial access (OR = -0.01, 95% CI = -0.02–0.00) was seen in adjusted regression models.
Conclusion:
No relationship was observed between pre-hospital or in-hospital workflow times and clinical outcomes. Baseline ASPECTS and collateral status were favorable in the majority of patients, suggesting that physicians may have chosen to predominantly treat slow progressors in the late time window, in whom prolonged workflow times have less impact on outcomes.
To determine the mediating effect of direct preschool and parent nutrition education on changes in skin carotenoids scores over 2 years in children of Mexican heritage.
Design:
In a quasi-experimental, community-based study, two school districts were randomly assigned to either a comparison group (parent workshops unrelated to nutrition) or a childhood obesity prevention intervention group which included nutrition education at family nights for parents and at school for children. Changes in skin carotenoid intensity scores (diffCAROT, year 2015 minus 2013) were measured in children as a proxy for fruit and vegetable consumption using Resonance Raman Spectroscopy.
Setting:
Two rural, low-income, school districts from a county in California’s Central Valley.
Participants:
316 Mexican heritage families with children aged 3–8 years.
Results:
Intervention group children improved over 2 years in skin carotenoid scores relative to comparison group children (diffCAROT mean +1419 (sd 9540) v. –3473 (sd 9272), P = 0·0001). Parent attendance at nutrition education classes partially mediated the intervention effect on diffCAROT (P = 0·02). Controlling for child’s age and other covariates, participation in preschool during the study had a significant positive effect on diffCAROT among intervention children compared with controls (P < 0·03), whereas no significant difference by group was observed among those not enrolled in preschool or already enrolled in elementary school.
Conclusions:
Programmes that combine direct parent and preschool nutrition education may be effective in low-income Mexican heritage families to improve children’s intake of fruit and vegetables.
Locations of gamma dose rate sensors have often been chosen by administrative or geometrical criteria. Nowadays computational capacity allows for a more realistic basis. We use simulations of potential radioactive plumes based on weather data of one year to investigate the threats to regions without own nuclear power plants and to find good numbers and locations of sensors to detect such plumes. We optimise sensor locations by minimising a cost function that can take into account numbers of undetected plumes, their dose to the region in general, or on the population. Besides we assess the effect of administrative constraints, be it that sensors have to cover administrative units, or that optimisation is done for sub-regions separately. Finally we evaluate the robustness of the approach if less or other plumes are used. The main findings are that sensors at boundaries are often best, but also typical paths of plumes may be important, and that administrative constraints may necessitate much more sensors. The small numbers of sensors actually deployed in these regions seem sufficient. However, the latter may be an artefact of the low number of plumes we considered. Altogether, combined with other considerations, this approach can contribute to better decisions about gamma dose rate sensor locations.
The IntCal04 and Marine04 radiocarbon calibration curves have been updated from 12 cal kBP (cal kBP is here defined as thousands of calibrated years before AD 1950), and extended to 50 cal kBP, utilizing newly available data sets that meet the IntCal Working Group criteria for pristine corals and other carbonates and for quantification of uncertainty in both the 14C and calendar timescales as established in 2002. No change was made to the curves from 0–12 cal kBP. The curves were constructed using a Markov chain Monte Carlo (MCMC) implementation of the random walk model used for IntCal04 and Marine04. The new curves were ratified at the 20th International Radiocarbon Conference in June 2009 and are available in the Supplemental Material at www.radiocarbon.org.
As part of a larger program to study spatially resolved jet / interstellar medium interactions in nearby Seyfert galaxies, we have obtained high spatial resolution spectrographic observations of the central regions of M 51 and its extra-nuclear cloud (XNC, Ford et al. 1985), using STIS on-board the Hubble Space Telescope (HST). In this paper, we present very preliminary results from these observations.To search for other articles by the author(s) go to: http://adsabs.harvard.edu/abstract_service.html
The microstructure and chemistry of (Ba,Sr)TiO3 thin films deposited on Pt/SiO2/Si substrates by metalorganic chemical vapor deposition were studied using highresolution transmission electron microscopy and quantitative spectrum imaging in electron energy loss spectroscopy. The grain boundaries in all films with overall Ti content ranging from 50.7% to 53.4% exhibit a significant increase in Ti/Ba ratio as compared to the grain interiors. The results suggest that the deviations of Ti/(Ba + Sr) ratio from the stoichiometric value of unity are accommodated by the creation of Ba/Sr vacancies, which segregate to the grain boundary regions. The films with Ti contents equal to or greater than 52% additionally contained an amorphous Ti-rich phase at some grain boundaries and multiple grain junctions; the amount of this phase increases with increasing overall Ti content. The analysis indicates that the amorphous phase can only partially account for the significant drop in dielectric permittivity accompanying increases in the Ti/(Ba + Sr) ratio.
Thin films of composition (Ba,Sr)yTiO2+y with 0.43 ≤ y ≤; 1.64, were deposited by metalorganic chemical vapor deposition on (100) MgO substrates at various growth conditions. X-ray diffraction and transmission electron microscopy studies showed that the films were composed of epitaxial Ba1–xSrxTiO3 (x ≈0.06) grains and an amorphous phase. The orientation of the tetragonal Ba1–xSrxTiO3 grains (pure a axis, pure c axis, or a mix of the two) was found to be strongly dependent upon film composition. This composition dependence is explained for the majority of the Ti-rich films by an analysis of average strains in the two-phase films, assuming a compressive strain of ≈1% in the amorphous phase.
Near-field second harmonic microscopy is ideally suited for studies of local nonlinearity and poling of ferroelectric materials at the microscopic level. Its main advantages in comparison with other scanning probe techniques are the possibility of fast time-resolved measurements, and substantially smaller perturbation of the sample under investigation caused by the optical probe. We report second harmonic imaging of the surface of thin BaTiO3 films obtained in a near-field microscopy setup using a Ti:sapphire laser system consisting of an oscillator and a regenerative amplifier operating at 810 nm. Optical resolution on the order of 80 nm has been achieved.
The ALFA mission is designed to map the entire sky at frequencies between approximately 0.3 and 30 MHz with angular resolution limited by interstellar and interplanetary scattering. Most of this region of the spectrum is inaccessible from the ground because of absorption and refraction by the Earth’s ionosphere. A wide range of astrophysical questions concerning solar system, galactic, and extragalactic objects could be answered with high resolution images at low frequencies, where absorption effects and coherent emission processes become important and the synchrotron lifetimes of electrons are comparable to the age of the universe.
The superconducting filaments in (Bi, Pb)2Sr2Ca2Cu3Ox/Ag composite tapes have been imaged directly through the outer silver sheath of an unpolished tape by means of a magneto-optical imaging technique. The images reveal the morphology and alignment of the uppermost layer of filaments located as much as 112 μm below the unpolished tape surface, the depths of these filaments, and the homogeneity of the magnetic flux distribution within these filaments. These results demonstrate that the magneto-optical technique is a valuable nondestructive tool for analyzing (Bi, Pb)2Sr2Ca2Cu3Ox composite tapes.
Raman spectroscopy was used to examine the structure of polycrystalline and epitaxial barium titanium oxide thin films grown by metal-organic chemical vapor deposition. The Raman spectra confirmed the presence of the tetragonal ferroelectric phase of BaTiO3 and also revealed several other Ba-Ti-O phases. These films were also characterized by X-ray diffraction and TEM imaging. The structural information provided by the Raman spectra was qualitatively consistent with the X-ray and TEM results. The temperature dependencies of the Raman spectra of two films were examined in the range 25°C-175°C. Raman peaks due to tetragonal BaTiO3 were observed at temperatures well above 132°C, which is the tetragonal-cubic phase transition temperature for bulk single-crystal BaTiO3. This may indicate stabilization of the tetragonal phase by an anisotropic film-substrate interaction or by inter-grain stresses.
Polycrystalline thin films of BaTiO3 were deposited on fused quartz substrates at 600°C by metalorganic chemical vapor deposition (MOCVD). The films were characterized by x-ray powder diffraction (XRD), transmission electron microscopy (TEM), secondary ion mass spectroscopy (SIMS) and Raman spectroscopy. Films prepared in the early stages of this study that had appeared to contain only crystalline BaTiO3 by XRD were found to have nonuniform composition and microstructure through the film thickness by SIMS and TEM. The MOCVD system was then modified by installing a process gas bypass apparatus and an elevated pressure bubbler for the titanium isopropoxide precursor. A 1.2 μm thick BaTiO3 film prepared in the modified system demonstrated much improved compositional and microstructural uniformity through the thickness of the film. This film had a columnar microstructure with grain widths of 0.1–0.2 μm and exhibited tetragonality as detected by Raman spectroscopy.
Specimens of Nb-18 at. % Al were bend-tested at 20° C, 1200° C, and 1600° C, and the deformed microstructures were characterized using TEM to determine phase distributions and slip systems. Material deformed at 20° C showed brittle fracture and was characterized by large grains of a Nb-Al phase showing B2 ordering. Lamellar colonies of heavily dislocated massively transformed Nb3Al (A15) were present at grain boundaries. The slip system for dislocations in Nb3Al, was determined to be {100}/<001>, with defects typically extending in <011> directions. Fracture at 1200° C was ductile, and TEM observations revealed a bcc Nb-Al(ss) matrix with second phase growth of Nb3Al and α -Al2O3. The Nb3Al phase contained total dislocations and slip-induced planar defects on {100} planes terminating in partial dislocations. In tilting experiments, the planar defects exhibited stacking fault contrast consistent with a displacement vector of R=a/4<100>. Fracture at 1600° C was also ductile, and the deformed material consisted of a niobium matrix with equiaxed inclusions of alumina resulting from internal oxidation during deformation. The creep resistance reported previously was attributed to a combination of dispersion hardening of the refractory metal matrix and inherent creep resistance of Nb3Al.
At the lowest radio frequencies (≤30 MHz), the Earth's ionosphere transmits poorly or not at all. This relatively unexplored region of the electromagnetic spectrum is thus an area where high resolution, high sensitivity observations can open a new window for astronomical investigations. Also, extending observations down to very low frequencies brings astronomy to a fundamental physical limit where the Milky Way becomes optically thick over relatively short path lengths due to diffuse free-free absorption.
A new experimental technique to determine Si/SiO2 interface morphology is described. Thermal oxides of silicon are chemically removed, and the resulting surface topography is measured with scanning tunneling microscopy. Interfaces prepared by oxidation of Si (100) and (111) surfaces, followed by post oxidation anneal (POA) at different temperatures, have been characterized. Correlations between interface structure, chemistry, and electrical characteristics are described.
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