Objectives: Medical devices and the hospital environment can be contaminated easily by multidrug-resistant bacteria. The effectiveness of cleaning practices is often suboptimal because environmental cleaning in hospitals is complex and depends on human factors, the physical and chemical characteristics of environment, and the viability of the microorganisms. Ultraviolet-C (UV-C) lamps can be used to reduce the spread of microorganisms. We evaluated the effectiveness of an ultraviolet-C (UV-C) device on terminal room cleaning and disinfection. Methods: The study was conducted at an ICU of a medical center in Taiwan. We performed a 3-stage evaluation for the effectiveness of UV-C radiation, including pre–UV-C radiation, UV-C radiation, and a bleaching procedure. The 3 stages of evaluation were implemented in the ICU rooms from which a patient had been discharged or transferred. We collected the data from adenosine triphosphate (ATP) bioluminescence testing, colonized strains, and their corresponding colony counts by sampling from the environmental surfaces and air. We tested 8 high-touch surfaces, including 2 sides of bed rails, headboards, footboards, bedside tables, monitors, pumping devices, IV stands, and oxygen flow meters. Results: In total, 1,696 environmental surfaces and 72 air samples were analyzed. The levels of ATP bioluminescence and colony counts of isolated bacteria decreased significantly after UV-C radiation and bleaching disinfection for both the environmental and air samples (P < .001). Resistant bacteria (vancomycin-resistant Enterococcus, VRE) were commonly isolated on the hard-to-clean surfaces of monitors, oxygen flow meters, and IV pumps. However, they were also eradicated (P < .001). Conclusions: UV-C can significantly reduce environmental contamination by multidrug-resistant microorganisms. UV-C is an effective device to assist staff in cleaning the hospital environment.

In view of the rise in child abuse in Singapore, our Family Service Centre developed a child welfare practice model to guide and anchor our practitioners in trauma-informed approaches. This practice model was developed over two years through literature reviews and qualitative interviews with practitioners. Three aspects of the practice model were found to be key in ensuring practitioners were trauma-informed in their practices, these being: the principles and values related to trauma-informed practice; reflection by practitioners on their attachment history and self; and the assessment of caregivers’ characteristics. Despite this practice model being largely beneficial for practitioners in our agency, implementation in the local context gives rise to certain challenges due to differences in beliefs about disciplining children.

The present study was performed to identify the genotype of a hypertrophic cardiomyopathy family and investigate the clinicopathogenic characteristics and prognostic features of relevant genetic abnormalities. Target sequence capture sequencing was performed to screen for pathogenic alleles in a 32-year-old female patient (proband). Sanger sequencing was carried out to verify the results. Sanger sequencing was also performed on other family members to identify allele carriers. A survival analysis was carried out using published literature and our findings. We found that the proband and her son harboured a Gly716Arg sequence variant of the β-myosin heavy chain. Neither the proband’s father nor the mother were carriers of this sequence variant; thus, the mutation was classified as “de novo”. Further survival analysis revealed that female patients appear to have a longer life expectancy compared with males. Our study may provide an effective approach for the genetic diagnosis of hypertrophic cardiomyopathy.

The Doba gabbro was collected from an exploration well through the Cretaceous Doba basin of southern Chad. The gabbro is composed mostly of plagioclase, clinopyroxene and Fe–Ti oxide minerals and displays cumulus mineral textures. Whole-rock 40Ar–39Ar step-heating geochronology yielded a Late Permian plateau age of 257 ± 1 Ma. The major and trace elemental geochemistry shows that the gabbro is tholeiitic in composition and has trace element ratios (i.e. La/YbN > 7; Sm/YbPM > 3.4; Nb/Y > 1; Zr/Y > 5) indicative of a basaltic melt derived from a garnet-bearing mantle source. The moderately enriched Sr–Nd isotopes (i.e. ISr = 0.70495 to 0.70839; ɛNd(T) = −1.0 to −1.3) fall within the mantle array (i.e. OIB-like) and are similar to other Late Permian plutonic rocks of North-Central Africa (i.e. ISr = 0.7040 to 0.7070). The enriched isotopic composition of the Doba gabbro contrasts with the more depleted compositions of the spatially associated Neoproterozoic post-Pan-African within-plate granites. The contrasting Nd isotope composition between the older within-plate granites and the younger Doba gabbro indicates that different mantle sources produced the rocks and thus may mark the southern boundary of the Saharan Metacraton.

The defect structure of the GaN film grown on sapphire by plasma-assisted molecular beam epitaxy (PAMBE) technique was found to be dependent on the AlN buffer layer growth temperature. This buffer growth temperature controlled the defect density in GaN film but had shown contrary effects on the density of screw threading dislocation (TD) and edge TD. The density of screw TD was high on lower temperature buffer but low on the higher temperature buffer. Meanwhile the density of edge TD had shown the opposite. Further examinations have suggested that the defect structure was closely related to the stress in the GaN film, which can be controlled by the growth temperature of the AlN buffer. Using the 525°C AlN buffer, optimum quality GaN film with relatively low screw and edge TDs were achieved.

ZnO films were grown on (0001) sapphire substrates by atomic layer deposition (ALD) using diethylzinc (DeZn) and nitrous oxide (N2O) in an inductively heated reactor operated at atmospheric pressure. Low-temperature (LT) ZnO buffer layers having various thicknesses were deposited at 400¢J followed by subsequent growth of ZnO films at 600¢J. Some of the ZnO films were then post-annealed at 1000¢J in the N2O flow. Under certain growth conditions, ZnO nanowires were formed on the post-annealed ZnO samples. Room temperature (RT) photoluminescence (PL) spectra of the ZnO nanowires show strong ultraviolet (UV) near band edge emissions at 3.27 eV with a typical full width at half-maximum ( FWHM ) of ~130 meV and quenched defect luminescence at 2.8 eV. 10 K PL spectra of the post-annealed ZnO all exhibit sharp excitonic emissions with the dominant emission being located at 3.36 eV having a FWHM of 4.6 meV.

Customers can directly express their preferences on many options when ordering products today. Mass customization manufacturing thus has emerged as a new trend for its aiming to satisfy the needs of individual customers. This process of offering a wide product variety often induces an exponential growth in the volume of information and redundancy for data storage. Thus, a technique for managing product configuration is necessary, on the one hand, to provide customers faster configured and lower priced products, and on the other hand, to translate customers' needs into the product information needed for tendering and manufacturing. This paper presents a decision-making scheme through constructing a product family model (PFM) first, in which the relationship between product, modules, and components are defined. The PFM is then transformed into a product configuration network. A product configuration problem assuming that customers would like to have a minimum-cost and customized product can be easily solved by finding the shortest path in the corresponding product configuration network. Genetic algorithms (GAs), mathematical programming, and tree-searching methods such as uniform-cost search and iterative deepening A* are applied to obtain solutions to this problem. An empirical case is studied in this work as an example. Computational results show that the solution quality of GAs retains 93.89% for a complicated configuration problem. However, the running time of GAs outperforms the running time of other methods with a minimum speed factor of 25. This feature is very useful for a real-time system.

One-dimensional CdS nanocrystallites were used as precursors for preparation of mesoporous CdS nanorods through an ion-exchange process at room temperature. The results from x-ray photoelectron spectroscopy, transmission electron microscopy, energy-dispersive x-ray analysis, and x-ray powder diffraction techniques showed that Ag+ did not affect the electronic structure of CdS or cause the disorder of crystal structure although the product contained a considerable amount of Ag2S. The visible absorption of Ag2S nanoparticles in the mesoporous structure led to the result that the intensities of Raman scattering peaks of the mesoporous nanorods were weaker than those of CdS initial nanorods.

Growth and development of 207 children (49% males; mean age 5.4 years [SD 0.2], range 4 to 7.3 years whose mothers received iodine during pregnancy, and children who received iodine first in their 2nd year, were examined in 1996; 192 children (49% males; mean age 6.5 years[SD 0.2], range 5.8 to 6.9 years) whose mothers received iodine while pregnant were seen in 1998. Children were from the southern part of China's Xinjiang Province which has the lowest levels of iodine in water and soil ever recorded. Head circumference but not height was improved for those who received iodine during pregnancy (compared with those receiving iodine at age 2) and for those supplemented before the end of the 2nd trimester (relative to those supplemented during the 3rd trimester). Iodine before the 3rd trimester predicted higher psychomotor test scores for children relative to those provided iodine later in pregnancy or at 2 years. Results from the test for cognitive development resulted in trend only differences between those children supplemented during pregnancy versus later. The results address the question of when maternal iodine supplements should begin in public health programs world wide. Findings may be relevant to the treatment of maternal and newborn thyroid deficiency in industrialized countries, particularly for those infants delivered before the end of the second trimester.

Nanorods Bi3Se4 were synthesized directly through the reaction between BiCl3 and elemental selenium in an autoclave with hydrazine hydrate as solvent at 165 °C for 10 h. X-ray powder diffraction patterns, x-ray photoelectron spectra, and transmission electron microscope images show that the products are well-crystallized hexagonal Bi3Se4 nanorods. The solvent hydrazine hydrate played an important role in formation and growth of Bi3Se4 nanorods. The possible reaction mechanism was proposed.

Real-time x-ray reflectivity and diffraction measurements under in situ sputtering conditions were employed to study the growth behavior of LaNiO3 thin films on a Si substrate. Our results clearly show there is a transition layer of 60 Å, which grew in the first 6 min of deposition. The in situ x-ray-diffraction patterns indicated that this transition layer is amorphous. Subsequently, a polycrystalline overlayer grew as observed from the in situ x-ray reflectivity curves and diffraction patterns. Nucleation and growth took place on this transition layer with random orientation and then the polycrystalline columnar textures of (100) and (110) grew on the top of this random orientation layer. By comparing the integrated intensities of two Bragg peaks in the plane normal of x-ray diffraction, it was found that a crossover of the growth orientation from the ⟨110⟩ to the ⟨100ߩ direction occurred and the ability of (100) texturization enhanced with increasing film thickness beyond a certain critical value.

A novel one-step solvothermal decomposition process (SDP) was successfully developed for fabrication of Bi2S3 nanowires via a reaction between BiCl3 and thiourea in polar solvents at 140 °C for 6–12 h. The influence of solvents, reaction temperature, and reaction time on the formation of Bi2S3 nanowires was investigated. The yield was as high as 98%. The particle sizes of Bi2S3 nanowires are controlled by the choice of solvents. The possible formation mechanism of Bi2S3 nanowires via the so-called SDP method is proposed. The present technique is expected to synthesize other nanostructural metal chalcogenides under mild conditions.

Real-time x-ray reflectivity and diffraction measurements under in-situ sputtering deposition conditions were performed to study the crystallization behavior of LaNiO3thin films on Si substrate. We found that an amorphous layer of 60 Å was grown in the first 6 min of the deposition and subsequently a polycrystalline overlayer was developed as observed from the in-situ x-ray reflectivity curves and diffraction patterns. Polycrystalline columnar textures of (110) and (100) were grown on the top of this amorphous film. By comparing the integrated intensities of two Bragg peaks in the plane normal of x-ray diffraction, it was found that the ability of (100)-texturization enhanced with increasing film thickness over a certain critical value.