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Risso’s dolphin (Grampus griseus) is a widely distributed oceanic species; its global and regional population structure remains poorly understood. To assess their genetic diversity and connectivity in British waters, we analysed tissue samples from stranded individuals collected between 1992 and 2016 using 16 nuclear microsatellite loci and a 433-bp mitochondrial DNA (mtDNA) sequence. Microsatellite analyses (STRUCTURE, AMOVA, and PCA) consistently indicated a single genetic cluster with no significant geographic differentiation among sampling sites, suggesting a panmictic population. BayesAss results further supported high gene flow and limited isolation among regions. The mtDNA dataset identified six haplotypes with low haplotype and nucleotide diversity, showing no spatial structuring within the British Isles. Phylogenetic reconstruction revealed that all British haplotypes were endemic and formed a monophyletic clade closely related to haplotypes from the Azores in the North Atlantic. Together, the nuclear and mtDNA data indicate low genetic diversity and a lack of population subdivision among British Risso’s dolphins. These findings imply recent colonisation and high dispersal capability, consistent with patterns observed in other wide-ranging marine mammals. Continued monitoring, broader geographic sampling, and large-scale photo-identification are needed to refine understanding of Risso’s dolphin population dynamics and to inform conservation management.
Central nervous system stimulants like methamphetamines and cocaine are known to increase the risk of intracranial haemorrhage (ICH) in adults. However, the effects of prenatal methamphetamine exposure on neonatal cerebrovascular outcomes remain underexplored despite its growing prevalence.
Aims
To assess whether prenatal methamphetamine exposure increases offspring ICH risk versus unexposed pregnancies, and to compare findings with 3,4-methylenedioxymethamphetamine (MDMA)/opioid exposures, including stratification by gestational age.
Method
This nationwide, population-based cohort study in Taiwan included pregnancies resulting in live births between 2004 and 2018, and followed offspring through 31 December 2019 to examine the association between prenatal exposure to methamphetamines, MDMA or opioids and incident ICH in offspring. The cohort included 53 455 pairs of pregnant women and their first offspring, with 10 691 exposed to illicit drugs and 42 764 matched controls. Cox proportional hazards models estimated adjusted hazard ratios (aHRs), accounting for maternal age, comorbidities, socioeconomic status and other confounders.
Results
Prenatal methamphetamine exposure was associated with a higher risk of ICH in offspring compared with unexposed controls (0.4 v. 0.2%, aHR = 1.72, 95% CI 1.06–2.79). This elevated risk persisted among those exclusively exposed to methamphetamines (aHR = 1.82, 95% CI 1.04–3.29). No statistically significant association was observed for MDMA (0.2 v. 0.2%; aHR = 1.58, 95% CI 0.64–3.93; p = 0.324) or illicit opioids (0.4 v. 0.2%; aHR = 1.43, 95% CI 0.81–2.53; p = 0.214). Stratified analyses showed methamphetamine exposure increased ICH risk among full-term infants (aHR = 4.30, 95% CI 2.08–8.88), with no statistically significant association observed in preterm infants (aHR = 1.00, 95% CI 0.52–1.93).
Conclusions
Prenatal methamphetamine exposure was associated with a higher risk of offspring ICH, particularly among full-term infants. These findings support the importance of efforts to reduce methamphetamine use during pregnancy.
Although rare, coronary artery anomalies can have significant clinical implications. Total anomalous origin of the coronary arteries from the pulmonary artery (TCAPA) represents a rare subtype of coronary artery anomaly for which little is known. The aim of this review was to characterise the presentation, utilised diagnostic modalities, associated cardiac lesions, and treatment strategies in patients with TCAPA.
Methods:
A systematic review was performed for cases of TCAPA using PubMed, Embase, and Web of Science. Keywords searched included “total anomalous origin of the coronary arteries from the pulmonary artery,” “single ostium anomalous coronary artery from the pulmonary artery,” and “anomalous origin of both coronary arteries from the pulmonary artery.”
Results:
Fifty-seven cases of TCAPA were identified in 50 manuscripts. Fifty-eight per cent of patients were male and the median age at presentation was 10 days (mean 1.71 ± 6.6 years, range 0 days–39 years). Most patients were symptomatic at the time of presentation; cyanosis (n = 22) and respiratory distress (n = 14) were the most common symptoms. Cases were most commonly diagnosed at autopsy (n = 26, 45.6%), but operative intervention was pursued in 22 cases (45.6%); aortic re-implantation (n = 14) and a Takeuchi-type repair (n = 7) were the most common routes of repair.
Conclusions:
The clinical presentation of patients with TCAPA was found to be variable, likely related to the presence of associated cardiac lesions. TCAPA should be considered in patients with suspected anomalous origin of the left coronary artery from the pulmonary artery for the serious consequences that can occur if not promptly corrected.
To develop a theoretical model explaining the longitudinal changes in the caregiving process for family caregivers of persons with mild cognitive impairment (MCI) in Taiwan.
Methods:
A longitudinal, grounded theory approach using in-depth face-to-face interviews and an open-ended interview guide. We conducted 42 interviews over a two-year period; each participant was interviewed at least once every six months. All participants were interviewed in their home. The participants total of 13 family caregivers of persons with MCI.
Results:
One core theme emerged: “protective preparation.” This reflected the family caregiving process of preparation for a further decline in cognitive function, and protection from the impact of low self-esteem, accidents, and symptoms of comorbidities for the family member with MCI. Protective preparation contained three components: ambivalent normalization, vigilant preparation, and protective management.
Conclusions:
Interventions to help family caregivers manage the changes in persons with MCI can reduce caregiver burden. Our findings could provide a knowledge base for use by healthcare providers to develop and implement strategies to reduce caregiver burden for family caregivers of persons with MCI.
Advance directives are important for nursing home residents with dementia; for those with advanced dementia, surrogates determine medical decisions. However, in Taiwan, little is known about what influences the completion of these advance directives. The purpose of this study was to identify factors, which influence the presence of advance directives for nursing home residents with dementia in Taiwan.
Method:
Our cross-sectional study analyzed a convenience sample of 143 nursing home dyads comprised of residents with dementia and family surrogates. Documentation of residents’ advance directives, physical and cognitive status was obtained from medical charts. Surrogates completed the stress of end-of-life care decision scale and a questionnaire regarding their demographic characteristics. Nursing home characteristics were obtained from each chief administrator.
Results:
Less than half of the nursing home residents (39.2%) had advance directives and most (96.4%) had been completed by family surrogates. The following were predictors of an advance directive: surrogates had previously signed a do-not-resuscitate as a proxy and had been informed of advance directives by a healthcare provider; nursing homes had policies for advance directives and a religious affiliation.
Conclusions:
Advance directives were uncommon for nursing home residents with dementia. Presence of an advance directive was associated with surrogate characteristics and the nursing home facilities; there was no association with characteristics of the nursing home resident. Our findings emphasize the need to develop policies and strategies, which ensure that all residents of nursing homes and their surrogates are aware of their right to an advance directive.
Let G be a locally compact group G (which may be non-abelian) and Ap(G) the p-Fourier algebra of Herz (1971). This paper is concerned with the Fourier algebra Al, p(G) = Ap(G) ∩ L1(G) and various relations that exist between Al, p(G), Ap(G) and G.
The problem of a semi-infinite propagating crack in the piezoelectric material subjected to a dynamic anti-plane concentrated body force is investigated in the present study. It is assumed that between the growing crack surfaces there is a permeable vacuum free space, in which the electrostatic potential is nonzero. It is noted that this problem has characteristic lengths and a direct attempt towards solving this problem by transform and Wiener-Hopf techniques [1] is not applicable. This paper proposes a new fundamental solution for propagating crack in the piezoelectric material and the transient response of the propagating crack is determined by superposition of the fundamental solution in the Laplace transform domain. The fundamental solution represents the responses of applying exponentially distributed loadings in the Laplace transform domain on the propagating crack surface. Exact analytical transient solutions for the dynamic stress intensity factor and the dynamic electric displacement intensity factor are obtained by using the Cagniard-de Hoop method [2,3] of Laplace inversion and are expressed in explicit forms. Finally, numerical results based on analytical solutions are calculated and are discussed in detail.
To investigate the potential reservoir and mode of transmission of pandrug-resistant (PDR) Acinetobacter baumannii in a 7-day-old neonate who developed PDR A. baumannii bacteremia that was presumed to be the iceberg of a potential outbreak.
Design.
Outbreak investigation based on a program of prospective hospital-wide surveillance for nosocomial infection.
Setting.
A 24-bed neonatal intensive care unit in a 2,200-bed major teaching hospital in Taiwan that provides care for critically ill neonates born in this hospital and those transferred from other hospitals.
Interventions.
Samples from 33 healthcare workers' hands and 40 samples from the environment were cultured. Surveillance cultures of anal swab specimens and sputum samples were performed for neonates on admission to the neonatal intensive care unit and every 2 weeks until discharge. The PDR A. baumannii isolates, defined as isolates resistant to all currently available systemic antimicrobials except polymyxin B, were analyzed by pulsed-field gel electrophoresis. Control measures consisted of implementing contact isolation, reinforcing hand hygiene adherence, cohorting of nurses, and environmental cleaning.
Results.
One culture of an environmental sample and no cultures of samples from healthcare workers' hands grew PDR A. baumannii. The positive culture result involved a sample obtained from a ventilation tube used by the index patient. During the following 2 months, active surveillance identified PDR A. baumannii in 8 additional neonates, and isolates from 7 had the same electrokaryotype. Of the 9 neonates colonized or infected with PDR A. baumannii, 1 died from an unrelated condition. Reinforcement of infection control measures resulted in 100% adherence to proper hand hygiene protocol. The outbreak was stopped without compromising patient care.
Conclusions.
In the absence of environmental contamination, transient hand carriage by personnel who cared for neonates colonized or infected with PDR A. baumannii was suspected to be the mode of transmission. Vigilance, prompt intervention and strict adherence to hand hygiene protocol were the key factors that led to the successful control of this outbreak. Active surveillance appears to be an effective measure to identify potential transmitters and reservoirs of PDR A. baumannii.
Among the copper precursors used, cupric β-diketonate complexes exhibit a high sublimationrate and a low pyrolysis temperature. This work explored the possibility of using a nonfluorinated t-butylacetato complex of Cu(II) as the precursor. Secondary ion mass spectrometry and temperature-program desorption studies on the adsorption and decomposition of the ligand, tert-butyl acetoacetate (tBAA), of this precursor on Si(100) showed that at low doses, all tBAA molecules dissociated readily upon adsorption on the surface at substrate temperatures as low as –160°C. For dissociation through tBAA bonding via the ester oxygen to the surface, the bond scission occurring at the tBu-O bond resulted in the formation of surface tert-butylfragments, which in turn underwent a β-hydride elimination reaction to yield isobutene and surface hydride. In addition, the bond scission occurring at the tBuO-CO bond produced surface tert-butoxy specie, of which the hydrogen atom in the â position can be transferred to the oxygen atom of the butoxy group to yield isobutene and surface hydroxyl species. Its implication in the quality of the copper film generated is discussed.
We study the possible humps or deviation from the single-power law for the size distribution of the Kuiper Belt Objects (KBOs). Both the current observational data and theoretical simulations show evidence of such humps. We conclude that this is an imprint of the depletion of the outer Solar System in the Kuiper Belt region.
Integration of piezoelectric Pb(Zr,Ti)O3 (PZT) thin films promises to provide silicon-based microelectromechanical systems (MEMS) with added functionality. PZT films with compositions near the tetragonal/rhombohedral morphotropic boundary have been deposited on iridium-coated Si substrates by a thermal chemical vapor deposition (CVD) process using flash vaporized metalorganic precursors. Process variables including (A-site)-to-(B-site) ratios in the precursor mix and deposition times have been surveyed. Stoichiometric, perovskite films with nominal Zr/Ti ratios ranging from 40/60 to 60/40 were obtained. Parallel-plate capacitor structures have been fabricated by depositing Pt top electrodes using e-beam evaporation through shadow masks. Ferroelectric hysteresis loops were measured using a standard ferroelectric tester. Remenant polarization values in the range of 20∼30 μC/cm2 were obtained. For films of 0.5 μm or thicker, piezoelectric hysteresis loops were characterized by dual-beam interferometry. Longitudinal piezoelectric coefficients (d33) of 30∼60 pm/V were observed on the films deposited between 550 and 600°C.
Incorporation of ferroelectric thin films into integrated microelectronics requires deposition temperatures compatible with back-end processing. Pb(Zr,Ti)O3 (PZT) thin films have been deposited at low temperatures by a thermal chemical vapor deposition process using flash-vaporized metalorganic precursors. Deposition temperatures, A-site to B-site ratios in the precursor solution, and bottom electrodes have been surveyed. Stoichiometric perovskite films with (Zr/Ti) ratios ranging from 20/80 to 50/50 were obtained. Films deposited at temperatures below 500°C possess very fine grain structures. Capacitor structures were fabricated by depositing top electrodes using electron-beam evaporation, followed in some cases by a post-electrode anneal at 650°C. Remanent polarizations greater than 20 μC/cm2 were observed on films deposited on Pt at temperatures as low as 475°C. Perovskite films were obtained on Ir electrodes at temperatures as low as 450°C, with remanent polarization greater than 10μC/cm2 in the as-deposited condition.
We have applied real time spectroellipsometry (RTSE) to study hydrogenated amorphous silicon (a-Si:H) solar cells fabricated in the Cr/n-i-p configuration using plasma-enhanced chemical vapor deposition (PECVD) in a single-chamber system. The microstructural evolution of the n-, i-, and p-layers of the devices has been determined, including the thicknesses of the bulk, interface, and surface roughness layers versus time. The optical properties of the individual layers, including the dielectric functions and optical gaps, have also been obtained in the same analysis. In this study, we have focused on i/p interface formation and, in particular, on the nucleation process for differently-prepared a-Si:C:H and mixed-phase μc-Si:H/a-Si1-xCx:H p-layers on the a-Si:H i-layer. From the thickness dependence of the p-layer void volume fraction, we can obtain an estimate of the thickness at which nuclei make contact to form a continuous film. For the mixed-phase p-layers, the nuclei contact thickness can be reduced by exposing the i-layer to a H2-plasma prior to p-layer deposition. We have found that for similarly-prepared p-layers this reduction in contact thickness leads to an increase in open-circuit voltage of the solar cell
We have developed a real time spectroellipsometry data analysis procedure that allows us to characterize compositionally- graded amorphous semiconductor alloy thin films prepared by plasma-enhanced chemical vapor deposition (PECVD). As an example, we have applied the analysis to obtain the depth-profile of the optical gap and alloy composition with ≤15 Å resolution for a hydrogenated amorphous silicon-carbon alloy (a-Si1−xCx:H) film prepared by continuously varying the gas flow ratio z=[CH4]/{[CH4]+[SiH4]} in the PECVD process. The graded layer has been incorporated at the p/i interface of widegap a-Si1−xCx:H (x∼0.05) p-i-n solar cells, and consistent improvements in open-circuit voltage have been demonstrated. The importance of the graded-layer characterization is the ability to relate improvements in device performance directly to the physical properties of the interface layer, rather to the deposition parameters with which they were prepared.
We have applied real time spectroscopie ellipsometry (RTSE) to monitor the successive growth of p-type a-Si1-xCx:H and i-type a-Si:H on specular SnO2:F (i.e., the superstrate solar cell configuration) in a single-chamber deposition system. Both the microstructural evolution, which includes the surface roughness and bulk layer thicknesses versus time and bulk layer void volume fraction, as well as the optical properties, which include the dielectric function (1.5–4.0 eV) and optical gap of the individual layers, were determined from RTSE data collected during growth. The accuracy of our approach is demonstrated by correlating structural parameters obtained both by RTSE and atomic force microscopy. Based on prior information deduced by RTSE, the TCO/p/i structure was fabricated with optimized procedures that have sought to minimize TCO/'p and p/i interfacial problems. These studies illustrate that RTSE can be a valuable tool for identifying problems in the fabrication of a-Si:H solar cells and ultimately improving cell performance.
Time-resolved light scattering has been employed to elucidate the dynamics of phase segregation of poly-p-phenylene terephthalamide (PPTA)/ amorphous nylon (AN) molecular composites. Miscible PPTA/AN blends can be prepared from sulfuric acid solution by rapidly coagulating the solution in distilled water. The composites, however, undergo phase segregation upon thermal treatment and exhibit a miscibility window reminiscent of a lower critical solution temperature (LCST). Several temperature-jump experiments were undertaken from ambient to a two-phase temperature region of 240, 250 and 260°C. Time-evolution of scattering profiles are analyzed in accordance with non-linear and dynamical scaling theories.
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