To send content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about sending content to .
To send content items to your Kindle, first ensure firstname.lastname@example.org
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about sending to your Kindle.
Note you can select to send to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
The purpose of this work was to develop accurate calibration standards which were fully characterized in terms of uniformity and concentration using fundamental measuring methods. Three similar sets of vacuum deposits were commercially made, each set containing the single deposits CuS, KCl, CaF2, Cr, Fe, Cu, RbNO3, SrF2, MoO3 , BaF2, and Pb. Thickness variations in each deposit were measured with PIXEA (proton induced x-ray excitation analysis) measurements taken at 6 to 8 positions along the deposit diameters. Relative elemental concentrations on corresponding deposits from each set were measured using multiple XRF intercomparisons. One set of deposits was destructively analyzed at the National Bureau of Standards with isotope dilution thermal ionization mass spectrometry (IDMS) in order to calibrate the remaining sets of vacuum deposits. The calibrated deposits were compared with standards from two commercial sources. For seven elements heavier than chlorine there was an average deviation of 13.5% between the calibrated deposits and the commercial standards. Disagreements as large as 15% were observed between standards from the two commercial suppliers.
The objective was to compare the performance of the updated Charlson comorbidity index (uCCI) and classical CCI (cCCI) in predicting 30-day mortality in patients with Staphylococcus aureus bacteraemia (SAB). All cases of SAB in patients aged ⩾14 years identified at the Microbiology Unit were included prospectively and followed. Comorbidity was evaluated using the cCCI and uCCI. Relevant variables associated with SAB-related mortality, along with cCCI or uCCI scores, were entered into multivariate logistic regression models. Global model fit, model calibration and predictive validity of each model were evaluated and compared. In total, 257 episodes of SAB in 239 patients were included (mean age 74 years; 65% were male). The mean cCCI and uCCI scores were 3.6 (standard deviation, 2.4) and 2.9 (2.3), respectively; 161 (63%) cases had cCCI score ⩾3 and 89 (35%) cases had uCCI score ⩾4. Sixty-five (25%) patients died within 30 days. The cCCI score was not related to mortality in any model, but uCCI score ⩾4 was an independent factor of 30-day mortality (odds ratio, 1.98; 95% confidence interval, 1.05–3.74). The uCCI is a more up-to-date, refined and parsimonious prognostic mortality score than the cCCI; it may thus serve better than the latter in the identification of patients with SAB with worse prognoses.
Shiga toxin-producing Escherichia coli (STEC) is a significant cause of gastrointestinal infection and the haemolytic-uremic syndrome (HUS). STEC outbreaks are commonly associated with food but animal contact is increasingly being implicated in its transmission. We report an outbreak of STEC affecting young infants at a nursery in a rural community (three HUS cases, one definite case, one probable case, three possible cases and five carriers, based on the combination of clinical, epidemiological and laboratory data) identified using culture-based and molecular techniques. The investigation identified repeated animal contact (animal farming and petting) as a likely source of STEC introduction followed by horizontal transmission. Whole genome sequencing (WGS) was used for real-time investigation of the incident and revealed a unique strain of STEC O26:H11 carrying stx2a and intimin. Following a public health intervention, no additional cases have occurred. This is the first STEC outbreak reported from Israel. WGS proved as a useful tool for rapid laboratory characterization and typing of the outbreak strain and informed the public health response at an early stage of this unusual outbreak.
This is a status report on a continuing program using the Hubble Space Telescope (HST) Wide–Field Camera (WFC) to probe the stellar population of the Galactic bulge to fainter magnitudes. We seek the mean age of the stars and the initial mass function (IMF). Galactic bulge stars offer the only opportunity to investigate the IMF of a super metal–rich population. They are 100 times closer than the next nearest sample.
La commission vient de perdre l’un de ses membres les plus actifs dans l’élaboration et la construction des instruments. Le Dr F. G. Pease est décédé le 7 février 1938, après une très courte maladie qui l’emporta en quelques jours.
Mme Ed. Chandon suggère que la commission étudie systématiquement, aux divers points de vues des observations astronomiques, l’œil, cet instrument auquel tous les autres aboutissent et aux imperfections duquel ils doivent remédier.
L’œil est un instrument multiple. Ses qualités photométriques et colorimétriques jouent un rôle fondamental dans les observations des étoiles variables. Comme instrument de coïncidences, l’astigmatisme qu’il peut présenter n’intervient pas de la même manière dans les observations des passages, dans les mesures des hauteurs, etc.
Since the date of the 1935 Paris meeting two total eclipses have been successfully observed. Throughout the long path crossing Siberia and Japan the weather on June 19, 1936 on the whole about lived up to predictions. On account of widely scattered clouds neighbouring expeditions had quite different luck with the weather. In contrast, the June 8, 1937 eclipse was seen throughout the whole track under universally clear skies, which is all the more surprising for the reason that eclipse expeditions to the tropics usually fare badly with the weather. Stewart and Stokley in a ship at sea were able to observe the eclipse with a measured duration of 7 min. 6 sec., the longest period of totality in 1200 years.
The president calls attention to the large and increasing membership of Commission 12 and the policy of concentrating in it all matters relating to the sun. The result makes it comparable in breadth of field and in membership to the former Union for Co-operation in Solar Research. The main point in favour of this policy is the increased interest in the meetings of the Commission and the larger number of individuals reached compared with the meetings of small committees. One recalls the general sessions of the Solar Union in which each one present felt himself a part of the Union and in real touch with the work of different sections and after the discussions went away with fuller knowledge of what it was all about. This was a valuable result not attained to the same degree from the general sessions of the present Union, but in a measure it does follow from the meetings of the Solar Physics Committee. On the other hand the question may be raised whether or not the merging of independent commissions into subdivisions of a large commission lessens their interest to an extent not balanced by the advantages. If the present policy holds, it seems to the president that a re-organisation of Commission 12 is advisable by which more responsibility is laid upon the directors of centres. The basis of membership in the Commission may well be considered and recommendations formulated for transmission to the Executive Committee.
(i) 1936, June 19. The Eclipse Committees of Japan and the U.S.S.R. have been making preliminary meteorological studies of the weather conditions along the belt of totality in their respective countries. The Japanese Committee report (Bulldin, Kwasan Observatory, 283, 1934) that, while at the extreme east and west of their totality zone the weather prospects are unfavourable, for the central part, along the north-east coast of the island of Hokkaido, from Esasi to Monpetu and in a region round Syari the weather conditions are as good as in the best seasons of Tokyo and Kyoto in an ordinary year. A pamphlet giving all information is being prepared and will shortly be circulated in astronomical circles, but it may be mentioned that Monpetu and Syari are accessible by rail from the port of Otaru. There is electric current, 100 V, A.c., labour is readily available and accommodation will be possible for small parties.
La Commission n’a pas été informée de travaux particuliers importants concernant les matières d’optique. Il convient toutefois de mentionner dans cet ordre d’idées les résultats intéressants obtenus par application d’une pellicule d’aluminium comme surface réfléchissante, pour les miroirs astronomiques.
Le dépôt est fait par évaporation dans le vide et s’applique immédiatement aux miroirs en verre de petites dimensions. Pour les grandes surfaces, l’installation capable de résister à la pression atmosphérique peut présenter de grandes difficultés. Cependant, il a été possible de traiter ainsi, par exemple, le miroir de 90 cm. de diamètre de l’Observatoire de Lick. Plusieurs observatoires américains ont mis en service des miroirs aluminisés.
An obesity paradox has been proposed in many conditions including HIV. Studies conducted to investigate obesity and its effect on HIV disease progression have been inconclusive and are lacking for African settings. This study investigated the relationship between overweight/obesity (BMI≥25 kg/m2) and HIV disease progression in HIV+ asymptomatic adults not on antiretroviral treatment (ART) in Botswana over 18 months. A cohort study in asymptomatic, ART-naïve, HIV+ adults included 217 participants, 139 with BMI of 18·0–24·9 kg/m2 and seventy-eight participants with BMI≥25 kg/m2. The primary outcome was time to event (≥25 % decrease in cluster of differentiation 4 (CD4) cell count) during 18 months of follow-up; secondary outcomes were time to event of CD4 cell count<250 cells/µl and AIDS-defining conditions. Proportional survival hazard models were used to compare hazard ratios (HR) on time to events of HIV disease progression over 18 months. Higher baseline BMI was associated with significantly lower risk of an AIDS-defining condition during the follow-up (HR 0·218; 95 % CI 0·068, 0·701; P=0·011). Higher fat mass at baseline was also significantly associated with decreased risk of AIDS-defining conditions during the follow-up (HR 0·855; 95 % CI 0·741, 0·987; P=0·033) and the combined outcome of having CD4 cell count≤250/µl and AIDS-defining conditions, whichever occurred earlier (HR 0·918; 95 % CI 0·847, 0·994; P=0·036). All models were adjusted for covariates. Higher BMI and fat mass among the HIV-infected, ART-naïve participants were associated with slower disease progression. Mechanistic research is needed to evaluate the association between BMI, fat mass and HIV disease progression.
To prospectively examine whether negative life events (NLE) and low perceived coping efficacy (CE) increase the risk for the onset of various forms of psychopathology and low CE mediates the associations between NLE and incident mental disorders.
A representative community sample of adolescents and young adults (N = 3017, aged 14–24 at baseline) was prospectively followed up in up to three assessment waves over 10 years. Anxiety, depressive and substance use disorders were assessed at each wave using the DSM-IV/M-CIDI. NLE and CE were assessed at baseline with the Munich Event List and the Scale for Self-Control and Coping Skills. Associations (odds ratios, OR) of NLE and CE at baseline with incident mental disorders at follow-up were estimated using logistic regressions adjusted for sex and age.
NLE at baseline predicted the onset of any disorder, any anxiety disorder, panic disorder, agoraphobia, generalised anxiety disorder, any depression, major depressive episodes, dysthymia, any substance use disorder, nicotine dependence and abuse/dependence of illicit drugs at follow-up (OR 1.02–1.09 per one NLE more). When adjusting for any other lifetime disorder prior to baseline, merely the associations of NLE with any anxiety disorder, any depression, major depressive episodes, dysthymia and any substance use disorder remained significant (OR 1.02–1.07). Low CE at baseline predicted the onset of any disorder, any anxiety disorder, agoraphobia, generalised anxiety disorder, any depression, major depressive episodes, dysthymia, any substance use disorder, alcohol abuse/dependence, nicotine dependence and abuse/dependence of illicit drugs at follow-up (OR 1.16–1.72 per standard deviation). When adjusting for any other lifetime disorder prior to baseline, only the associations of low CE with any depression, major depressive episodes, dysthymia, any substance use disorder, alcohol abuse/dependence, nicotine dependence and abuse/dependence of illicit drugs remained significant (OR 1.15–1.64). Low CE explained 9.46, 13.39, 12.65 and 17.31% of the associations between NLE and any disorder, any depression, major depressive episodes and dysthymia, respectively. When adjusting for any other lifetime disorder prior to baseline, the reductions in associations for any depression (9.77%) and major depressive episodes (9.40%) remained significant, while the reduction in association for dysthymia was attenuated to non-significance (p-value > 0.05).
Our findings suggest that NLE and low perceived CE elevate the risk for various incident mental disorders and that low CE partially mediates the association between NLE and incident depression. Subjects with NLE might thus profit from targeted early interventions strengthening CE to prevent the onset of depression.
There are inconclusive findings regarding whether danger and loss events differentially predict the onset of anxiety and depression.
A community sample of adolescents and young adults (n = 2304, age 14–24 years at baseline) was prospectively followed up in up to four assessments over 10 years. Incident anxiety and depressive disorders were assessed at each wave using the DSM-IV/M-CIDI. Life events (including danger, loss and respectively mixed events) were assessed at baseline using the Munich Event List (MEL). Logistic regressions were used to reveal associations between event types at baseline and incident disorders at follow-up.
Loss events merely predicted incident ‘pure’ depression [odds ratio (OR) 2.4 per standard deviation, 95% confidence interval (CI) 1.5–3.9, p < 0.001] whereas danger events predicted incident ‘pure’ anxiety (OR 2.3, 95% CI 1.1–4.6, p = 0.023) and ‘pure’ depression (OR 2.5, 95% CI 1.7–3.5, p < 0.001). Mixed events predicted incident ‘pure’ anxiety (OR 2.9, 95% CI 1.5–5.7, p = 0.002), ‘pure’ depression (OR 2.4, 95% CI 1.6–3.4, p < 0.001) and their co-morbidity (OR 3.6, 95% CI 1.8–7.0, p < 0.001).
Our results provide further evidence for differential effects of danger, loss and respectively mixed events on incident anxiety, depression and their co-morbidity. Since most loss events referred to death/separation from significant others, particularly interpersonal loss appears to be highly specific in predicting depression.
Threshold and subthreshold forms of generalized anxiety disorder (GAD) are highly prevalent and impairing conditions among adults. However, there are few general population studies that have examined these conditions during the early life course. The primary objectives of this study were to: (1) examine the prevalence, and sociodemographic and clinical characteristics of threshold and subthreshold forms of GAD in a nationally representative sample of US youth; and (2) test differences in sociodemographic and clinical characteristics between threshold and subthreshold forms of the disorder.
The National Comorbidity Survey-Adolescent Supplement is a nationally representative face-to-face survey of 10 123 adolescents 13 to 18 years of age in the continental USA.
Approximately 3% of adolescents met criteria for threshold GAD. Reducing the required duration from 6 months to 3 months resulted in a 65.7% increase in prevalence (5.0%); further relaxing the uncontrollability criterion led to an additional 20.7% increase in prevalence (6.1%). Adolescents with all forms of GAD displayed a recurrent clinical course marked by substantial impairment and co-morbidity with other psychiatric disorders. There were few significant differences in sociodemographic and clinical characteristics between threshold and subthreshold cases of GAD. Results also revealed age-related differences in the associated symptoms and clinical course of GAD.
Findings demonstrate the clinical significance of subthreshold forms of GAD among adolescent youth, highlighting the continuous nature of the GAD construct. Age-related differences in the associated symptoms and clinical course of GAD provide further support for criteria that capture variation in clinical features across development.
We have obtained HST/STIS long slit spectroscopy of the aligned emission line nebulae in three compact steep spectrum (CSS) radio sources — 3C 67, 3C 277.1, and 3C 303.1. We find systematic offsets (˜300–500 kms) of the emission line velocities on one or both sides of the radio sources. We also see evidence for broad lines (FWHM ˜500 kms) and complex emission line profiles. In 3C 303.1 the data are consistent with multiple components and possibly split lines. The amplitude of the velocity variations is not so large as to exclude gravitationally-induced motions. However, the complex kinematics, the lack of a signature of Keplerian rotation, and the association of the velocity variations with the radio lobes are consistent with the observed ˜300–500 kms velocities being driven by the expansion of the radio source. Acceleration of the clouds by the bow shock is plausible given the estimated densities in the clouds and the velocities observed in the much smaller compact symmetric objects and with expansion velocities estimated from spectral ageing. This conclusion is unchanged if we consider the scenario in which the cloud acceleration is dominated by the post bow shock flow.
We have obtained long slit spectra of 3C 67 and 3C 277.1 with the HST/STIS spectrograph. We present our preliminary results on the diagnostic emission line ratios along the radio source axes in 3C 67 and 3C 277.1.
The development of the triphenylethylene derivatives has been a major advance in the treatment of breast carcinoma, due to their low toxicity. Currently there is controversy not only about their mode of action but in three main areas of clinical practice: (A) adjuvant therapy in premenopausal and oestrogen receptor-negative cases; (B) primary therapy in the elderly; (C) the prevention of breast cancer.
The United States' National Institute of Health consensus of 1985 that adjuvant tamoxifen be confined to postmenopausal women with positive nodes and ER positive tumours has been refuted by randomised clinical trials. The evidence that ER negative tumours also respond to tamoxifen has added to laboratory evidence that tamoxifen acts other than purely by oestrogen antagonism at the ER.
The use of tamoxifen as sole treatment in primary breast cancer in the elderly is being evaluated in randomised clinical trials. Two that have been reported so far have flaws which make their contradictory conclusions difficult to assess.
Recent results from the CRC trial suggest that tamoxifen has more benefit than simply preventing cancer deaths and clarification of the effects of triphenylethylenes on bone metabolism and the cardiovascular system may strengthen the case for a trial of prophylactic tamoxifen in those at risk of developing breast carcinoma.
Increasing the elastic modulus and hardness of low K films is one of the key
challenges towards integration of these materials into future integrated
circuits. Several approaches are explored for increasing the hardness of
carbon doped oxide (CDO) dielectrics. Several low K precursors and their
mixtures specifically chosen to enhance the hardness (H) and modulus (E) of
CDO films through chemically induced cross-linking. Composition and FTIR
measurements suggest the presence of C-C and C-Si cross-linking with
concurrent observation of improved film hardness and modulus at relatively
low deposition temperatures. Films deposited at 373°C using
diethoxy-methyl-oxiranyl have a hardness and modulus of 2.5 GPa and 18.1 GPa
respectively. Films deposited at 180°C using tetramethylcyclotetrasiloxane
(TMCTS) and 25% hardener have hardness and modulus of 1.5 GPa and 9.4 GPa,
respectively. These film properties are significantly higher than those
observed for TMCTS alone under similar deposition conditions. Based on these
results a low temperature process with 25% hardener and 75% TMCTS combined
with a porogen was used to produce a porous film with a k<2.5 and a
hardness of 0.72GPa.
A unique approach to MOCVD of complex oxides enables deposition of a number of materials of technological importance through the use of liquid delivery of metalorganic precursors. Methodologies for control of composition and exploration of. process space are compared for two film systems, one in a relatively mature state of development ((Ba,Sr)Ti03), the other in an early state of development (Ni-ferrite). In both cases, composition was controlled by mixing metalorganic precursors dissolved in solvents using a liquid delivery system. Films with excellent crystalline quality were deposited in both cases. Polycrystalline BST films displayed properties suitable for DRAM applications: charge storage densities > 80 fF/μm2 and leakage current density < 10−8 A/cm2 for films as thin as 15 nm. Growth mechanisms and rates were determined for the single component oxides of the ferrite films. Epitaxial NiFe204 films were deposited on MgO single crystal substrates at 650°C; x-ray rocking curves yielded FWHM values of 0.046°, commensurate with the substrate.
Perovskite-structured LaxSryMnO3 thin-films have been deposited onto LaAlO3 substrates via liquid delivery chemical vapor deposition (LD-CVD) using metal(β-diketonato) precursors, M(thd)x [where M= Ca, Sr, La and Mn, thd = 2,2,6,6-tetramethyl-3,5-heptanedionato and x = 2–3]. Thin films were deposited at temperatures between 500 and 700 °C and subsequently annealed at 1000 °C under O2. These films possess stoichiometries that are: i) vastly different from the La0.67Sr0.33MnO3 compositions commonly reported in the literature and ii) display high temperature, low field responses that may be technologically important. Resistance versus temperature measurements revealed a metal to semiconductor transition at room temperature and above. Hall measurements on a film of La0.35Sr0.24MnO3 displayed a magnetoresistive response (MR) of -10% at 57 °C in a fixed magnetic field of 780 Oe. Based upon our research, the observed film properties are directly related to the deposited film stoichiometry and the best results were observed at Sr / La ratios between 0.30 and 1.0 for A-site deficient LaxSryMnO3 thin-films after thermal annealing.