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COVID-19 has caused a major global pandemic and necessitated unprecedented public health restrictions in almost every country. Understanding risk factors for severe disease in hospitalised patients is critical as the pandemic progresses. This observational cohort study aimed to characterise the independent associations between the clinical outcomes of hospitalised patients and their demographics, comorbidities, blood tests and bedside observations. All patients admitted to Northwick Park Hospital, London, UK between 12 March and 15 April 2020 with COVID-19 were retrospectively identified. The primary outcome was death. Associations were explored using Cox proportional hazards modelling. The study included 981 patients. The mortality rate was 36.0%. Age (adjusted hazard ratio (aHR) 1.53), respiratory disease (aHR 1.37), immunosuppression (aHR 2.23), respiratory rate (aHR 1.28), hypoxia (aHR 1.36), Glasgow Coma Scale <15 (aHR 1.92), urea (aHR 2.67), alkaline phosphatase (aHR 2.53), C-reactive protein (aHR 1.15), lactate (aHR 2.67), platelet count (aHR 0.77) and infiltrates on chest radiograph (aHR 1.89) were all associated with mortality. These important data will aid clinical risk stratification and provide direction for further research.
One of the WHO's innovations for improving the ICD-11 chapter Mental and Behavioral Disorders was the creation of the Global Clinical Practice Network (GCPN), an international network of more than 12,000 mental health and primary care professionals from 144 countries.
Aims and objectives
In order to evaluate perceived clinical utility of the ICD-11 guidelines, the case-controlled field studies that involved the application of the proposed diagnostic guidelines to standardized case material were implemented via the Internet in different languages.
Two hundred and seventy-eight Russian mental health care professionals, the GCPN members, have participated in case controlled Internet study for the chapter “Schizophrenia and Other Primary Psychotic Disorders”. Russian participants were represented by psychiatrists mostly (89%) and much less by psychologists (8%) which corresponds with the general situation in the Russian mental health care system.
Russian clinicians have used the proposed ICD-11 diagnostic guidelines successfully to assess delusional disorder as well as schizophrenia. But there were certain categories (schizoaffective disorder, subthreshold delusions) with which the participants seemed to struggle. The critical comments were focused on opposing so called syndrome-based assessment and nosological diagnostics. Most concerns were about elimination of Schizophrenia subtypes.
Russian mental health care professionals proved to be interested in ICD revision process and demonstrated their special diagnostics opinion based on rich clinical traditions and psychopathological approach. In order to use ICD-11 guidelines in clinical practice more efficiently supplementary appropriate training would be needed.
Disclosure of interest
The authors have not supplied their declaration of competing interest.
A survey of hospital antimicrobial stewardship programs was performed to validate core element achievement data from the National Healthcare Safety Network’s (NHSN) Patient Safety Component Annual Survey. In total, 89% of hospitals met all 7 core elements, compared to only 68% according to the NHSN survey.
Fomesafen is a protoporphyrinogen oxidase–inhibitor herbicide with an alternative mode of action that provides PRE weed control in strawberry [Fragaria×ananassa (Weston) Duchesne ex Rozier (pro sp.) [chiloensis×virginiana]] produced in a plasticulture setting in Florida. Plasticulture mulch could decrease fomesafen dissipation and increase crop injury in rotational crops. Field experiments were conducted in Balm, FL, to investigate fomesafen persistence and movement in soil in Florida strawberry systems for the 2014/2015 and 2015/2016 production cycles. Treatments included fomesafen preplant at 0, 0.42, and 0.84 kg ai ha−1. Soil samples were taken under the plastic from plots treated with fomesafen at 0.42 kg ha−1 throughout the production cycle. Fomesafen did not injure strawberry or decrease yield. Fomesafen concentration data for the 0.0- to 0.1-m soil depth were described using a three-parameter logistic function. The fomesafen 50% dissipation times were 37 and 47 d for the 2014/2015 and 2015/2016 production cycles, respectively. At the end of the study, fomesafen was last detected in the 0.0- to 0.1-m depth soil at 167 and 194 d after treatment in the 2014/2015 and 2015/2016 production cycles, respectively. Fomesafen concentration was less than 25 ppb on any sampling date for 0.1- to 0.2-m and 0.2- to 0.3-m depths. Fomesafen concentration decreased significantly after strawberry was transplanted and likely leached during overhead and drip irrigation used during the crop establishment.
A study conducted as part of the development of the Eleventh International Classification of Mental Disorders for Primary Health Care (ICD-11 PHC) provided an opportunity to test the relationships among depressive, anxious and somatic symptoms in PHC.
Primary care physicians participating in the ICD-11 PHC field studies in five countries selected patients who presented with somatic symptoms not explained by known physical pathology by applying a 29-item screening on somatic complaints that were under study for bodily stress disorder. Patients were interviewed using the Clinical Interview Schedule-Revised and assessed using two five-item scales that measure depressive and anxious symptoms. Structural models of anxious-depressive symptoms and somatic complaints were tested using a bi-factor approach.
A total of 797 patients completed the study procedures. Two bi-factor models fit the data well: Model 1 had all symptoms loaded on a general factor, along with one of three specific depression, anxiety and somatic factors [x2 (627) = 741.016, p < 0.0011, RMSEA = 0.015, CFI = 0.911, TLI = 0.9]. Model 2 had a general factor and two specific anxious depression and somatic factors [x2 (627) = 663.065, p = 0.1543, RMSEA = 0.008, CFI = 0.954, TLI = 0.948].
These data along with those of previous studies suggest that depressive, anxious and somatic symptoms are largely different presentations of a common latent phenomenon. This study provides support for the ICD-11 PHC conceptualization of mood disturbance, especially anxious depression, as central among patients who present multiple somatic symptoms.
Fomesafen is a protoporphyrinogen oxidase (PROTOX) inhibitor that has the potential to be used as an alternative mechanism of action for PRE nutsedge and broadleaf weed control in Florida production of small fruit and vegetables. Fumigation in the raised-bed plasticulture system may increase herbicide persistence. Fomesafen persistence could dissuade Florida growers from using the herbicide for fear of injury to subsequent susceptible crops. Field experiments were conducted in Balm, FL, in 2015 and 2016 to investigate the effect of fumigation on fomesafen dissipation, eggplant tolerance, and purple nutsedge control. Treatments included fomesafen at 0.42 kg ai ha−1, S-metolachlor at 1.06 kg ai ha−1, and a nontreated control in either a fumigated bed injected with a combination of 39% 1,3-dichloropropene and 59.6% chloropicrin at 336 kg ha−1 or no fumigant. Fomesafen concentration in the soil decreased by 83% and 96% from application to harvest in 2015 and 2016, respectively. Fumigation did not affect fomesafen dissipation in either year. At 2 wk after transplant (WATr), fomesafen caused 14% eggplant injury. Injury decreased to less than 5% at 6 WATr. Fomesafen and S-metolachlor treatments did not reduce eggplant height or yields compared with the nontreated control. Fumigation and fomesafen did not decrease purple nutsedge density; however, S-metolachlor applications resulted in a 48% reduction. Further research is needed to assess efficacy on broadleaf and grass weeds.
Mulches used in plasticulture systems could decrease dissipation of fomesafen, a protoporphyrinogen oxidase inhibitor, and dissuade producers from using the herbicide for fear of crop injury in subsequent growing seasons. Field experiments were conducted in Balm, FL, in 2015 and 2016 to investigate the effect of different plastic mulches on fomesafen dissipation, squash tolerance, and efficacy on purple nutsedge. Squash was injured less than 5% from fomesafen applications. The use of plastic mulches reduced purple nutsedge density at transplant by 60% compared with the no-mulch treatment. At transplant, treatments with low-density polyethylene mulch (LDPE), virtually impermeable film (VIF), and totally impermeable film (TIF) mulch had greater than 2-fold the fomesafen concentrations than treatments with clear or no mulch. At harvest in 2015, LDPE, VIF, and TIF treatments had greater fomesafen concentrations than clear and no-mulch treatments; however, concentrations in 2016 were similar for all treatments. Fomesafen can persist at high concentrations throughout the growing season in Florida plasticulture possibly limiting producer options for crop rotation and the use of cover crops.
AIDA (Asteroid Impact and Deflection Assessment) is a project of a joint mission demonstration of asteroid deflection and characterisation of the kinetic impact effects. It involves the Johns Hopkins Applied Physics Laboratory (with support from members of NASA centers including Goddard Space Flight Center, Johnson Space Center, and the Jet Propulsion Laboratory), and the European Space Agency (with support from members of the french CNRS/Cte dAzur Observatory and the german DLR). This assessment will be done using a binary asteroid target. AIDA consists of two independent but mutually supporting mission concepts, one of which is the asteroid kinetic impactor and the other is the characterisation spacecraft. The objective and status of the project will be presented.
The nickel-aluminum (Ni/Al) intermetallic system is useful for a variety of reactive material applications, and reaction characteristics are well studied at the normal self-heating rates of 103–106 K/s. Recent experiments at 1011–1012 K/s have measured the kinetic energy of material ejected from the reaction zone, indicating additional kinetic energy from the reactive system despite high heating rates. In order to better probe reaction phenomena at these time scales, and determine the presence of expected elements and their temperatures, we report on emission spectroscopy of electrically heated, patterned Ni/Al bridge wires, time resolved over 350 ns through the use of a streak camera. Unlike previous studies where emission was dominated by Ar and N from residual gasses in the vacuum test chamber, here we report on experiments with encapsulated laminates allowing better quantification of Al and Ni emission. We were able to identify all major spectral lines from the dominant elements present in the films, and found the multilayered Ni/Al laminates to exhibit a brighter and longer duration emission than either Al or Ni control samples. We also found the measured electrical energy absorption of the Ni/Al laminates to follow that of the Al samples up to 150 ns following the onset of emission, indicating that the exothermic mixing of vapor phase Ni and Al was the most likely source for the higher emission intensity. These results will be important for new, energetically enhanced, high efficiency bridge wire applications, where shock initiation of subsequent energetic reactions may be accomplished with less electrical energy than is currently required.
It has been reported  that microwave radiation can enhance many of the mechanical properties of Bombyx mori silkworm cocoon silk, as measured in constant strain rate tensile tests to failure and in stress relaxation tests. The consequences of microwave radiation will affect decisions about the use of silk in settings subjected to significant microwave exposure – for example, as a reinforcing fiber in an epoxy matrix composite that may be microwave cured, or as a component in aircraft radomes.
There are two possible mechanisms by which microwave radiation may affect a material : (i) the radiation may enable chemical and/or microstructural changes – and therefore property changes – in the same way that conventional heating would, or (ii) the high heating rates that are achievable by microwaving may selectively favor changes that would be masked under conventional conditions, where heating rates are low enough to give preference to changes that have a lower activation energy. Here we explore the former possibility for silk.
We characterized several mechanical properties of degummed and subsequently annealed B. mori silk, and compared them to the corresponding properties of degummed B. mori silk that was not annealed. The annealing treatment was carried out at 140 °C for 7 hours (conditions that optimally increased crystal size in an unrelated study of B. mori silk ), and then the fibers were allowed to cool gradually to room temperature over the course of an hour. Comparison of mechanical properties revealed no differences between the materials that we tested. Thus, for annealed silk, we do not observe the enhancements that can be achieved by microwaving. We conclude that in cases where microwaving affects the properties of silk, those changes are not a simple consequence of annealing by the microwaves.
Field studies were conducted in 2007 and 2008 near Lubbock and Lamesa, TX, to determine the effects of propazine alone and in combination with glyphosate applied PRE and POST on cotton growth, yield, and lint value (fiber quality). Propazine at 0.56, 0.84, and 1.12 kg ai ha−1 and in combination with glyphosate at 0.86 kg ae ha−1 was applied PRE, early POST, and mid-POST. Up to 11% injury was observed after propazine applied early POST and mid-POST at Lubbock in 1 of 2 yr, and up to 13% at all three application timings was observed at Lamesa in 1 of 2 yr. The greatest injury was observed 58 d after application following propazine at 1.12 kg ai ha−1 applied PRE; however, no injury was apparent 80 d after application. Cotton yield, lint values, and gross revenues were not affected by any treatment.
We report simple and effective methods to develop long-term, stable silicon nanowire-based pH sensors and systematic studies of the performance of the developed sensors. In this work, we fabricate silicon nanowire pH sensors based on top-down fabrication processes such as E-beam lithography and conventional photolithography. In order to improve the stability of the sensor performance, the sensors are coated with a passivation layer (silicon nitride) for effective electrical insulation and ion-blocking. The stability, the pH sensitivity, and the repeatability of the sensor response are critically analyzed with regard to the physics of sensing interface between sample liquid and the sensing surface. The studies verify that the sensor with a passivation layer over critical thickness show long-term, stable sensor response without long-term drift. The studies also show the detection of pH level with silicon nanowire sensors is repeatable only after proper rinsing of sensor surfaces and there exists trade-off between the stability and the pH sensitivity of sensor response.
We have developed material (Bi0.7Dy0.3FeO3)(BDFO) which exhibits the multiferroic behavior at room temperature with significant coupling in bulk as well as thin films. If these properties could be fashioned in nano rods, implementation in devices could be certainly more prominent and straight forward. We have therefore used vertically aligned arrays of silicon rods (~5 μm in length and ~ 500 nm in diameter) as base material to direct the growth of BDFO in rod form. BDFO is deposited on the surface of Si rods by using pulsed laser deposition technique. These BDFO/Si rods are then separated from the support, dispersed into propanol and transferred onto SiO2/Si substrates for testing. X-ray diffraction (XRD) results indicate presence of phase pure BDFO layer on Si rods. Saturation observed at room temperature in magnetic and ferroelectric hysteresis loops confirm the coexistence of ferromagnetic and ferroelectric properties. Change in ferroelectric polarization measured on single rod in the presence of applied magnetic field suggests the coupling behavior between two order parameters. Moreover, change in magnetic domain pattern of BDFO rods associated with applied electric field further supports the presence of coupling behavior in both ways. The vertical and lateral displacement occurring in BDFO/Si rods with applied electric field helps to confirm their piezoresponce behavior. BDFO/Si nanorods with multifunctional properties could find variety of novel device applications with flexibility and simplicity in operation. It might include single rod power generation by means of applied stress or magnetic field.
We report white light emission from ZnO nanostructures in powder form, prepared by microwave irradiation-assisted chemical synthesis, in the presence of a structure directing agent. Determination of their crystallinity, actual shape, and orientation was made using X-ray diffraction, scanning electron microscopy (SEM) and transmission electron microscopy (TEM), and optical properties have been studied through photoluminescence (PL), measured using He-Cd laser (325 nm) as the excitation source. There is a noticeable variation in the luminescence correlated with variation of process parameters, such as microwave power, duration of irradiation, and the type/concentration of surfactants. The CIE (Commission Internationale l’Eclairage) diagram shows that the luminescence lies in yellow region of the color space. As the luminescence from the powder of ZnO lies in the yellow region, it is possible to produce white light from the powder of ZnO by using a blue laser as the excitation source.
We develop a novel patterning technique to create 3D patterns of micro, nanoparticle assembly via evaporative self-assembly based on confinement/release of micro/nano particles assembly based on the coffee-ring effect of evaporating suspension. Based on the presented technique, we demonstrate that the patterns of 3D assembly of various sizes of microparticles (Silica), metal oxide nanoparticles (TiO2, ZnO) and metallic nanoparticles (Ag) can be successfully generated by low-concentrated particle suspension (1.25 wt % ~ 5 wt %) without additional sintering steps and we also show the geometries of the patterns can be finely controlled by adjusting the parameters of the process.