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Failure of the patent ductus arteriosus to close is common among extremely low birth weight neonates and has been associated with increased morbidities. The objective of this study was to compare outcomes between early and late surgical ligation in extremely low birth weight patients.
Methods:
This was a single-centre retrospective cohort study of infants who required surgical closure of patent ductus arteriosus between January 2017 and August 2022.
Results:
A total of 43 neonates were identified with birth weight less than 1 kg that underwent surgical patent ductus arteriosus ligation. Compared to the late ligation group, the early ligation group experienced fewer total days of mechanical ventilation (43.9 days vs. 97.2 days, p < 0.05) and a shorter length of hospital stay (114.2 days vs. 169.0 days, p < 0.05).
Conclusion:
Early surgical ligation of haemodynamically significant patent ductus arteriosus in extremely low birth weight neonates may improve hospital morbidity, including improved ventilatory outcomes and a shorter length of stay.
Guided parent-delivered cognitive behavioural therapy (GPD-CBT) is an effective low-intensity treatment for childhood anxiety disorder in Western countries and can increase access to evidence-based psychological therapies.
Aim:
This study aimed to examine its feasibility in a Japanese sample.
Method:
Twelve children with anxiety disorders and their parents participated in the study, and ten children and parents completed the program. Participants were assessed at pre-, post- and one-month follow-up using a diagnostic interview for anxiety disorders, self- and parent-report measures for anxiety, depression, parental behaviour, and parental anxiety.
Results:
Four children (40% of completers) were free from their primary diagnoses immediately following the brief treatment, and seven children (70%) at the one-month follow-up. Changes in disorder severity, child and parent reported anxiety symptoms, and child reported depression symptoms were consistent with those found in Western trials of GPD-CBT and of Japanese trials of more intensive CBT for child anxiety disorders that involves both the child and the parent. Moderate increases were also found in child reported parental autonomy behaviours; however, there were only small changes in parent self-reported anxiety.
Conclusion:
These results support the potential of GPD-CBT to increase access to evidence-based treatments for anxiety disorders in Japanese children.
We report a neonate who presented with spontaneous thrombus formation in the native aortic root after Norwood palliation for hypoplastic left heart syndrome. Thrombus formation led to myocardial ischaemia due to decreased coronary blood flow with electrocardiographic signs of ischaemia and elevated cardiac enzymes. Aggressive thrombolysis and anticoagulation therapy were major contributors to successful outcome.
The unidentified infrared (UIR) bands, whose carriers are thought to be organics, have been widely observed in various astrophysical environments. However, our knowledge of the detailed chemical composition and formation process of the carriers is still limited. We have synthesized laboratory organics named Quenched Nitrogen-included Carbonaceous Composite (QNCC) by quenching plasma produced from nitrogen gas and hydrocarbon solids. Infrared and X-ray analyses of QNCC showed that infrared properties of QNCC well reproduce the UIR bands observed in novae and amine structures contained in QNCC play an important role in the origin of the broad 8 m feature, which characterizes the UIR bands in novae. QNCC is at present the best laboratory analog of organic dust formed around dusty classical novae, which carries the UIR bands in novae via thermal emission process [Endo et al.(2021)].
Branch pulmonary artery valve implantation has been reported in larger patients with dysfunctional right ventricular outflow tracts via routine femoral access. Here, we report treatment of severe pulmonary insufficiency with bilateral branch pulmonary artery Melody valve implantation (Medtronic, Minneapolis, Minnesota). To the best of our knowledge, this is the first report of bilateral valve implantation utilising the hybrid approach in a small-size patient.
Over the past 20 years, many designer drugs derived from controlled substances have been widely distributed as easily available psychoactive substances and have become a serious problem in Japan. In order to determine the absolute structures of four new designer drugs derived from medicines (methylphenidate and phenmetrazine) X-ray single-crystal structure analyses were performed using the BL26B1 beamline of synchrotron radiation facility SPring-8. The results show that the molecular configuration of these designer drugs (having two asymmetric carbons), which were distributed in the illegal drug market had threo-forms as found for methylphenidate and phenmetrazine.
The Great East Japan Earthquake of March 11, 2011 may have influenced the long-term health of those in the disaster area. It is important to collect current and future health information of the people living in the post-disaster area to provide appropriate health support and quality-oriented care. However, public perceptions of health and genomic studies in the Great East Japan Earthquake disaster area are still unknown.
Methods
A questionnaire survey was conducted in one town affected by the Great East Japan Earthquake and subsequent tsunami. The results of the questionnaire were tailed and the differences in responses to each question were assessed by sex and age.
Results
In 284 eligible people (137 men, 147 women), almost all participants agreed to join a health survey investigating the adverse effects of the disaster, and over 80% of the total participants agreed to genomic analysis. Over 70% of the participants wanted to receive pharmacogenetic testing and to receive feedback on which medications were suitable or unsuitable for them.
Conclusions
Most people living in the disaster area are interested in health surveys. Most of the participants also showed interest in genomic analysis.
IshikuroM, NakayaN, ObaraT, SatoY, MetokiH, KikuyaM, TsuchiyaN, NakamuraT, NagamiF, KuriyamaS, HozawaA, the ToMMo Study Group. Public Attitudes toward an Epidemiological Study with Genomic Analysis in the Great East Japan Earthquake Disaster Area. Prehosp Disaster Med. 2016;31(3):330–334.
The magnesium compound Mg2Si and its solid solutions are expected as n-type thermoelectric (TE) material because they are non-toxic, have a large Clarke number, and are light weight. In this study, we improved TE performance by doping Ge into Sb-doped Mg2Si to cause phonon scattering and increase carrier concentration. A bulk of Sb-doped Si-Ge alloy as the raw material was fabricated using an arc-melting method. A high-purity Mg2Si was synthesized from metal Mg and Sb-doped Si-Ge alloy using spark plasma sintering equipment. For the samples with the same Sb concentration, the electrical conductivity was equivalent. On the other hand, the Seebeck coefficient was dependent on Ge concentration. Due to phonon scattering, thermal conductivity decreased by a small amount of Ge doping and κph dominated for thermal conduction. The minimum thermal conductivity of Mg2Si0.90Ge0.10 was 2.25 W/mK (κph: 2.06 W/mK, κel: 0.19 W/mK). The dimensionless figure of merit (ZT) for the Mg2Si0.945Ge0.05Sb0.005 sample was higher than that of the others due to reducing thermal conductivity and increasing carrier concentration. The maximum ZT was 0.47 at 713 K.
In this study, we fabricated Mg2Si from metal Mg and Si with different particle sizes (425 - 300, 300 - 180, and 75 μm or less) using spark plasma sintering (SPS) equipment. Additionally, the Mg2Si formation was investigated. A sieved Si powder was mixed with metal Mg powder in an inert gas (Ar) atmosphere. The mixture was placed in a graphite die while still in an Ar atmosphere and subjected to SPS at 923 K and 1113 K. The obtained sintering bodies were Mg2Si particles with a size of about 5 μm. Then, the sintered bodies were evaluated by X-ray diffraction (XRD). As a result, it was confirmed that generation of Mg2Si increased with decreasing Si particle size.
Magnesium silicide (Mg2Si) has attracted much interest as an n-type thermoelectric material because it is eco-friendly, non-toxic, light, and relatively abundant compared with other thermoelectric materials. In this study, we tried to improve the thermoelectric performance by doping Sb and Ge in the Mg2Si, as well as further optimizing x in the carrier concentration to cause phonon scattering. A high purity Mg2Si was synthesized from metal Mg and Sb doped Si-Ge alloy by using spark plasma sintering (SPS) equipment. The sintered samples were cut and polished. They were evaluated by using X-ray diffraction (XRD) and X-ray fluorescence (XRF) analyses. The carrier concentration of the samples was measured by using Hall measurement equipment. The electrical conductivity and Seebeck coefficient were measured by using a standard four-probe method in a He atmosphere. The thermal conductivity was measured by using a laser-flash system. We succeeded in obtaining a Sb doped Mg2Si0.95Ge0.05 sintered body easily without any impurities with the SPS equipment. The electrical conductivity of the sample was increased, and thermal conductivity was decreased by increasing the amount of doped Sb. The dimensionless figure of merit ZT became 0.74 at 733 K in the Mg2Si0.95-xGe0.05Sbx sample with x = 0.0022.
NaxCoO2 has a particularly high contact resistance because it forms an insulated layer of NaHCO3 and Na2CO3, which are produced in a chemical reaction with carbon dioxide and water in air on the surface. In this study, we tried to improve the interface resistance between NaxCoO2 and Ag sheet electrodes by connecting these materials with the spark plasma sintering (SPS) technique. The interface resistance between NaxCoO2 and Ag sheet electrodes connected by SPS is compared with that connected with Ag paste. In an experiment, the interface resistance of a sample treated by decrease to less than 1/600 of the former value. It is thought that the NaHCO3 and Na2CO3 insulated layer is decomposed through the application of a large value of applied DC current by using the SPS technique.
Many breeding colonies of Procellariiformes have been threatened with extinction. Chick translocation has been shown to be an effective method for establishing new “safer” colonies of burrow-nesting species, but techniques for surface-nesting species have not been fully developed. The entire breeding population of the threatened Short-tailed Albatross Phoebastoria albatrus is restricted to two sites, Torishima Island and the Senkaku Islands, and neither site is secure due to volcanic activity or political instability. The Short-tailed Albatross Recovery Team has recommended facilitating the recovery of this species by establishing at least one additional colony through the translocation and hand-rearing of chicks at a safe historical breeding site. To evaluate the feasibility of this approach, we hand-reared 10 post-guard phase chicks of two related species in 2006–2007: Laysan Albatross P. immutabilis translocated from Midway Atoll to Kaua’i Island, Hawai’i and Black-footed Albatross P. nigripes translocated from a nearby islet in the Ogasawara (Bonin) Islands to Mukojima Island, Japan. In these pilot studies, 40% of Laysan Albatross chicks and 90% of Black-footed Albatross chicks fledged successfully. Following this groundwork, 40 post-guard phase Short-tailed Albatross chicks were translocated from Torishima Island to Mukojima Island in February 2008–2010 and hand-reared to fledging. Their fledging success has been 100% in all three years. Fledging body sizes were similar or greater in hand-reared chicks at the release site than parent-reared chicks on Torishima Island. There were significant differences in levels of some blood chemistry parameters between pre-fledging hand-reared and parent-reared chicks. The techniques developed in our studies have broad-reaching implications for the future conservation of threatened populations of other surface-nesting seabirds.
A cold-adapted influenza A virus, CR-37 (H1N1), derived from genetic reassortment between A/Ann Arbor/6/60 (H2N2) cold-adapted variant virus and A/California/10/78 (H1N1) wild-type virus, was tested in Japanese adult volunteers. The CR-37 live virus preparation induced only low-grade clinical reactionsin volunteers for the first 3–4 days after inoculation. Two vaccinees who did not show any antibody changes became febrile (over 38–0 °C). Skin tests using the vaccine preparation and uninfected allantoic fluid were performed, and indicated that one of these two vaccinees was positive for the CR-37 vaccine preparation. A high proportion of the vaccinees whose sera had a haemagglutination-inhibition (HI) antibody titre against thevaccine strain of ≤ 64 before inoculation, seroconverted in both HI and neuraminidase-inhibition (NA1) antibody titrations, and only a few seroconverted in the titration of antibody against type-specific internal antigens. The serological examinations against heterotypic H1N1 variants indicated that the cold-adapted live influenza virus vaccine could induce a broad spectrum of HI antibody reactivity and immunity of long duration.
Degradation of current gain for ion implanted 4H-SiC bipolar junction transistor is described. The influence of bandgap-narrowing to the collector and base currents of the transistor was investigated using ISE-TCAD simulator. Simulated results show good agreement with the measured results, which show that the common emitter current gain of 3.9 is obtained at a maximum base concentration of 2×1017/cm3 and a maximum emitter concentration of 4×1019/cm3 for ion implanted 4H-SiC BJTs.
We investigated triple ion implanted 4H-SiC BJT with etched extrinsic base regions. To remove the defects induced by ion implantation between emitter and base regions, the characteristics of triple ion implanted 4H-SiC BJT were significantly improved. Maximum common current gain was improved from 1.7 to 7.5.
Whole-genome scans have identified Dmo1 as a major quantitative trait locus (QTL) for obesity
and dyslipidaemia in the Otsuka Long Evans Tokushima Fatty (OLETF) rat. We have produced
congenic rats for the Dmo1 locus, using marker-assisted speed congenic protocols, enforced by
selective removal of other QTL regions (QTL-marker-assisted counterselection), to efficiently
transfer chromosomal segments from non-diabetic Fischer 344 (F344) rats into the OLETF
background. In the third generation of congenic animals, we observed a substantial therapeutic
effect of the Dmo1 locus on lipid metabolism, obesity control and plasma glucose homeostasis. We
conclude that single-allele correction of an impaired genetic pathway can generate a substantial
therapeutic effect, despite the complex polygenic nature of type II diabetic syndromes.
The extractive properties of two malonamide extractants, DMDBO3NPDA and DMDBMA were investigated for the extraction of lanthanide(III) and uranyl(VI) ions in benzene-nitric acid systems. It was found that DMDBO3NPDA has a higher extractive capacity than DMDBMA. The difference in their extracting capacities is discussed, based on the enthalpy changes for the extraction reactions and IR data for complexes of metal nitrates with malonamides. In addition, the applicability of a mixed solvent of n-dodecane and some aliphatic alcohols as a diluent for DMDBO3NPDA was examined. The longer the carbon chain and the higher the concentration of the aliphatic alcohol, the more the phase compatibility improves. The distribution ratios of neodymium(III) ion increase with an increase in the carbon chain length of linear aliphatic alcohol and with a decrease in its concentration.
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