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Infants with prenatally diagnosed CHD are at high risk for adverse outcomes owing to multiple physiologic and psychosocial factors. Lack of immediate physical postnatal contact because of rapid initiation of medical therapy impairs maternal–infant bonding. On the basis of expected physiology, maternal–infant bonding may be safe for select cardiac diagnoses.
This is a single-centre study to assess safety of maternal–infant bonding in prenatal CHD.
In total, 157 fetuses with prenatally diagnosed CHD were reviewed. On the basis of cardiac diagnosis, 91 fetuses (58%) were prenatally approved for bonding and successfully bonded, 38 fetuses (24%) were prenatally approved but deemed not suitable for bonding at delivery, and 28 (18%) were not prenatally approved to bond. There were no complications attributable to bonding. Those who successfully bonded were larger in weight (3.26 versus 2.6 kg, p<0.001) and at later gestation (39 versus 38 weeks, p<0.001). Those unsuccessful at bonding were more likely to have been delivered via Caesarean section (74 versus 49%, p=0.011) and have additional non-cardiac diagnoses (53 versus 29%, p=0.014). There was no significant difference regarding the need for cardiac intervention before hospital discharge. Infants who bonded had shorter hospital (7 versus 26 days, p=0.02) and ICU lengths of stay (5 versus 23 days, p=0.002) and higher survival (98 versus 76%, p<0.001).
Fetal echocardiography combined with a structured bonding programme can permit mothers and infants with select types of CHD to successfully bond before ICU admission and intervention.
Terrestrial gastropods are problematical for radiocarbon (14C) measurement because they tend to incorporate carbon from ancient sources as a result of their dietary behavior. The 14C ecology of the pulmonate land snail, Helix melanostoma in Cyrenaica, northeastern Libya, was investigated as part of a wider study on the potential of using terrestrial mollusk shell for 14C dating of archaeological deposits. H. melanostoma was selected out of the species available in the region as it has the most predictable 14C ecology and also had a ubiquitous presence within the local archaeology. The ecological observations indicate that H. melanostoma has a very homogenous 14C ecology with consistent variations in F14C across sample sites controlled by availability of dietary vegetation. The majority of dated specimens from non-urbanized sample locations have only a small old-carbon effect, weighted mean of 476±48 14C yr, with between ~1% and 9% of dietary F14C from non-organic carbonate sources. Observed instabilities in the 14C ecology can all be attributed to the results of intense human activity not present before the Roman Period. Therefore, H. melanostoma and species with similar ecological behavior are suitable for 14C dating of archaeological and geological deposits with the use of a suitable offset.
Resilience is the capacity of individuals to resist mental disorders despite exposure to stress. Little is known about its neural underpinnings. The putative variation of white-matter microstructure with resilience in adolescence, a critical period for brain maturation and onset of high-prevalence mental disorders, has not been assessed by diffusion tensor imaging (DTI). Lower fractional anisotropy (FA) though, has been reported in the corpus callosum (CC), the brain's largest white-matter structure, in psychiatric and stress-related conditions. We hypothesized that higher FA in the CC would characterize stress-resilient adolescents.
Three groups of adolescents recruited from the community were compared: resilient with low risk of mental disorder despite high exposure to lifetime stress (n = 55), at-risk of mental disorder exposed to the same level of stress (n = 68), and controls (n = 123). Personality was assessed by the NEO-Five Factor Inventory (NEO-FFI). Voxelwise statistics of DTI values in CC were obtained using tract-based spatial statistics. Regional projections were identified by probabilistic tractography.
Higher FA values were detected in the anterior CC of resilient compared to both non-resilient and control adolescents. FA values varied according to resilience capacity. Seed regional changes in anterior CC projected onto anterior cingulate and frontal cortex. Neuroticism and three other NEO-FFI factor scores differentiated non-resilient participants from the other two groups.
High FA was detected in resilient adolescents in an anterior CC region projecting to frontal areas subserving cognitive resources. Psychiatric risk was associated with personality characteristics. Resilience in adolescence may be related to white-matter microstructure.
This paper discusses three groups of rock art in their local, Tripolitanian, context and in terms of their wider relationship with the known corpus of Saharan prehistoric art. The rock carvings at Maia Dib, Udei el Chel/Caf el-Metchia and el-Tolga are described and some preliminary thoughts advanced as to their date and significance. Some suggestions are also made regarding the possible relationship between these carvings and the climatic and environmental changes which characterised the Sahara in later prehistory.
Two seasons of work have now been conducted by British and French survey teams, in conjunction with members of the Libyan Antiquities Department, under the charge of Dr. Abdullah Shaiboub. The objectives of the survey are to locate, survey and analyse the extensive remains of the ancient agricultural settlements that can be found in the wadis of the hinterlands of Tripolitania and the Sirtica. Within the framework established by the Department in cooperation with Unesco lies the archaeological aim of recording the evidence for periods when extensive areas of the pre-desert were, for whatever reasons, cultivated in ways that are not similarly practised today. In the longer term the programme is designed to locate those areas where modern farming might be re-established. Archaeology is thus brought into line with the aims of the modern world.
For the purposes of this report we intend to concentrate on the period which we call the Romano/Libyan in which the great majority of those farming settlements flourished. The prehistoric evidence is in any case mainly of the palaeolithic period, on which there is a separate section.
The preferred zone of settlement in Tripolitania has traditionally been the well watered coastal plain and the adjacent limestone hills of the Tarhuna Gebel as far south as the town of Beni Ulid, for these regions have more than 200 mm of rain a year, regarded as the threshold for settled farming without irrigation. Prehistoric settlement concentrated here, and mixed farming has probably characterised this zone from the fourth millennium b.c. In the Roman period the coastal cities like Sabratha and Leptis Magna were supported by prosperous farms on the plain and in the Gebel. In the Islamic period, too, the same region was densely settled.
Three seasons of intensive survey in the central Tripolitanian pre-desert, primarily in the regions of the Wadis Sofeggin and Zem Zem, have provided a new basis for the study of pre-desert cultures. Not only have hundreds of new sites been discovered, but the combination of environmental and geomorphological studies with archaeological survey is now providing important information about the underlying mechanisms which supported them. An increasing settlement density and social complexity can be identified in the Romano–Libyan period together with the development of intensive farming and elaborate irrigation systems. There is little evidence for significant climatic change to account for this increased settlement intensity or for its subsequent decline. The explanation for this must probably be sought in a complex relationship between social organisation, population change, and the agricultural system, and its impact on the environment.
Interpretations of ancient wall-technologies in the Libyan pre-desert are briefly reviewed. The forms, patterns, distributions and geological/geomorphic/hydrologic relationships of walls in a series of study areas are described and interpreted with the aid of a new, non-genetic, ‘wall-technology’ classification. The remarkable hydrological and geomorphic insights of their constructors are clear. Several wall types are shown to have been primarily concerned with functions other than water control, although this aspect is usually dominant. In some cases the location of the walls appears to have been likely to exacerbate the perennial problems of soil erosion and gullying, in others walls appear to have been constructed specifically to control soil erosion. These data have implications for reconstructing past land use and evaluating the degree of success or failure experienced in particular situations.
This report presents the preliminary results of the final season of the UNESCO Libyan Valleys Survey, that took place in October 1989. The fieldwork was divided in two parts. The first part of the work concentrated on the settlements in the Wadi Buzra, a northern tributary of the Wadi Sofeggin, especially at Souk el Awty. The major monument here consists of a substantial church (published elsewhere by D. A. Welsby in this volume), which was investigated by architectural survey and limited excavation, as were the surrounding late Romano-Libyan farms. The modern name of the settlement suggests that it may have been an important centre in Islamic as well as the Romano-Libyan periods, but the excavation did not obtain conclusive chronological evidence. The second part of the fieldwork was in the Wadi Umm el-Kharab, a southern tributary of the Sofeggin. Here, the team carried out a detailed study of a series of fortified farms of the later Romano-Libyan period, to compare with the open farm of the earlier Romano-Libyan period in Wadi el Amud previously studied by the project. An analysis of the constructional details of the major farms was integrated with excavations to recover stratified dating evidence from within the farms and faunal and botanical evidence from associated middens, and with a survey of the water-control systems of walls down the length of the wadi. The study indicates that the wadi was settled by people living in open farms and nucleated settlements in the first four centuries AD, but that by the fifth and sixth centuries AD these were replaced by fortified farms. There is evidence that the occupants of the fortified farms cultivated the wadi within an integrated economic system characterised by centralised food storage, rather than as independent units.
A fourth season of work was carried out in the Spring of 1984. The centrepiece of the programme was the investigation of the well-preserved farm in the Wadi el-Amud (Lamout). The main farm buildings were excavated, faunal and botanical samples were collected systematically from within and between them, the field systems and sluices were examined in detail and investigations begun on the geomorphological and hydrological context. This report presents the basic description of the archaeological data resulting from excavation and survey; a second report will present the results of the various laboratory studies which were generated by the field work.
This article describes the interdisciplinary methods developed by the UNESCO Libyan Valleys Survey in connection with the study of ancient agriculture. These methods combine the techniques of settlement archaeology with those of the earth sciences and palaeoeconomics. The interactive nature of the enquiry does not resolve all the questions, but it can help to re-shape those questions and suggest new lines of enquiry. The example of the Wadi Mansur is used here to demonstrate the application of both conventional and new techniques and the contribution this can make to our appreciation of ancient land use in an arid zone. This provisional statement of results describes the geomorphology of the wadi, the settlement archaeology, ceramic dating evidence, palaeoeconomic data (including palynological evidence), wadi wall technology and typology.
Digital image data from the Landsat satellite Multispectral scanner have been analysed using a Dipex Image Processor. The image data were classified by a clustering algorithm to produce a thematic map for trial use in areas of archaeological interest. The archaeological, pedological, geomorphic and geological importance of these new data are discussed in the context of ground data obtained during the UNESCO April 1984 field season.
The final season of the three-year programme to survey the central Tripolitanian pre-desert examined the region to the west of the regions of the Wadis Sofeggin and Zem Zem, casting important light on the route between the interior of Libya and the coast during the prehistoric and Roman periods. In particular, a detailed account is given of the archaeological sites of the Bir Scedua Basin and of the Severan fort at Gheriat el-Garbia.
The sedimentological properties of samples collected from exposures in wadi floors are reported. These studies emphasise the natural variability of erosional and depositional processes in this environment. Some of the sedimentological changes observed appear to be of archaeological significance. They indicate that in the recent geological past, either increased flooding occurring as a result of natural environmental fluctuations, or irrigation practice, has caused the elevation of saline groundwaters in the wadi floor sediments to levels which might have had deleterious effects on the contemporary agricultural system. Sites at the margins of the wadis are more sensitive to such changes than those more centrally located on the wadi floor. No evidence for significant climatic change at the times of the extensive Romano-Libyan occupation of the pre-desert region has been detected. There is, however, evidence of much wetter periods in the more distant past, which have left a legacy of mature soils on the basalt plateaus, which may have been extensively used in the Romano-Libyan period.
This paper describes the system architecture of a newly constructed radio telescope – the Boolardy engineering test array, which is a prototype of the Australian square kilometre array pathfinder telescope. Phased array feed technology is used to form multiple simultaneous beams per antenna, providing astronomers with unprecedented survey speed. The test array described here is a six-antenna interferometer, fitted with prototype signal processing hardware capable of forming at least nine dual-polarisation beams simultaneously, allowing several square degrees to be imaged in a single pointed observation. The main purpose of the test array is to develop beamforming and wide-field calibration methods for use with the full telescope, but it will also be capable of limited early science demonstrations.
White matter (WM) abnormalities are proposed as potential endophenotypic markers of bipolar disorder (BD). In a diffusion tensor imaging (DTI) voxel-based analysis (VBA) study of families multiply affected with BD, we previously reported that widespread abnormalities of fractional anisotropy (FA) are associated with both BD and genetic liability for illness. In the present study, we further investigated the endophenotypic potential of WM abnormalities by applying DTI tractography to specifically investigate tracts implicated in the pathophysiology of BD.
Diffusion magnetic resonance imaging (MRI) data were acquired from 19 patients with BD type I from multiply affected families, 21 of their unaffected first-degree relatives and 18 healthy volunteers. DTI tractography was used to identify the cingulum, uncinate fasciculus (UF), arcuate portion of the superior longitudinal fasciculus (SLF), inferior longitudinal fasciculus (ILF), corpus callosum, and the anterior limb of the internal capsule (ALIC). Regression analyses were conducted to investigate the effect of participant group and genetic liability on FA and radial diffusivity (RD) in each tract.
We detected a significant effect of group on both FA and RD in the cingulum, SLF, callosal splenium and ILF driven by reduced FA and increased RD in patients compared to controls and relatives. Increasing genetic liability was associated with decreased FA and increased RD in the UF, and decreased FA in the SLF, among patients.
WM microstructural abnormalities in limbic, temporal and callosal pathways represent microstructural abnormalities associated with BD whereas alterations in the SLF and UF may represent potential markers of endophenotypic risk.
The combination of lateral patterning techniques with refined molecular beam epitaxy methods will give considerable opportunities for the fabrication and study of extended nanostructures in the coming decade. A first target will be the understanding and exploitation of a host of quantum transport phenomena discovered in the last few years. The prospect of practicable quantum devices and circuits which utilise the coherent wave properties of the electron remains problematic but a range of new devices which exploit the Coulomb blockade is under investigation. The latter hold promise for high temperature operation and strong immunity against quantum fluctuations. The next decade should see the first exploration of the granular electronic limit in which one carrier might be expected to represent one bit of information. The granular electronic regime will provide an important arena for the resolution of fundamental controversies in quantum mechanics.