In view of the increasing complexity of both cardiovascular implantable electronic devices (CIEDs) and patients in the current era, practice guidelines, by necessity, have become increasingly specific. This document is an expert consensus statement that has been developed to update and further delineate indications and management of CIEDs in pediatric patients, defined as ≤21 years of age, and is intended to focus primarily on the indications for CIEDs in the setting of specific disease categories. The document also highlights variations between previously published adult and pediatric CIED recommendations and provides rationale for underlying important differences. The document addresses some of the deterrents to CIED access in low- and middle-income countries and strategies to circumvent them. The document sections were divided up and drafted by the writing committee members according to their expertise. The recommendations represent the consensus opinion of the entire writing committee, graded by class of recommendation and level of evidence. Several questions addressed in this document either do not lend themselves to clinical trials or are rare disease entities, and in these instances recommendations are based on consensus expert opinion. Furthermore, specific recommendations, even when supported by substantial data, do not replace the need for clinical judgment and patient-specific decision-making. The recommendations were opened for public comment to Pediatric and Congenital Electrophysiology Society (PACES) members and underwent external review by the scientific and clinical document committee of the Heart Rhythm Society (HRS), the science advisory and coordinating committee of the American Heart Association (AHA), the American College of Cardiology (ACC), and the Association for European Paediatric and Congenital Cardiology (AEPC). The document received endorsement by all the collaborators and the Asia Pacific Heart Rhythm Society (APHRS), the Indian Heart Rhythm Society (IHRS), and the Latin American Heart Rhythm Society (LAHRS). This document is expected to provide support for clinicians and patients to allow for appropriate CIED use, appropriate CIED management, and appropriate CIED follow-up in pediatric patients.

Two new species, Begonia bracteolata and Begonia keralensis, are described from the Western Ghats of India. They are placed in the newly created Begonia sect. Flocciferae, along with B. albo-coccinea Hook. and B. floccifera Bedd. Lectotypes are designated for three names within this section. Colour photoplates, illustrations and an identification key to Begonia sect. Flocciferae are also provided.

We examined the influence of the microwave power on the diagonal resistance in the GaAs/AlGaAs two dimensional electron system (2DES), in order to extract the electron temperature and determine microwave induced heating as a function of the microwave power. The study shows that microwaves produce a small discernable increase in the electron temperature both at null magnetic field and at finite magnetic fields in the GaAs/AlGaAs 2DES. The heating effect at null field appears greater in comparison to the examined finite field interval, although the increase in the electron temperature in the zero-field limit appears smaller than theoretical predictions.

We use particle-resolved direct numerical simulation (PR-DNS) as a model-free physics-based numerical approach to validate particle acceleration modelling in gas-solid suspensions. To isolate the effect of the particle acceleration model, we focus on point-particle direct numerical simulation (PP-DNS) of a collision-free dilute suspension with solid-phase volume fraction $\unicode[STIX]{x1D719}=0.001$ in a decaying isotropic turbulent particle-laden flow. The particle diameter $d_{p}$ in the suspension is chosen to be the same as the initial Kolmogorov length scale $\unicode[STIX]{x1D702}_{0}$ ($d_{p}/\unicode[STIX]{x1D702}_{0}=1$) in order to overlap with the regime where PP-DNS is valid. We assess the point-particle acceleration model for two different particle Stokes numbers, $St_{\unicode[STIX]{x1D702}}=1$ and 100. For the high Stokes number case, the Stokes drag model for particle acceleration under-predicts the true particle acceleration. In addition, second moment quantities which play key roles in the physical evolution of the gas–solid suspension are not correctly captured. Considering finite Reynolds number corrections to the acceleration model improves the prediction of the particle acceleration probability density function and second moment statistics of the point-particle model compared with the particle-resolved simulation. We also find that accounting for the undisturbed fluid velocity in the acceleration model can be of greater importance than using the most appropriate acceleration model for a given physical problem.

The linear stability of three-dimensional vortices in rotating, stratified flows has been studied by analysing the non-hydrostatic inviscid Boussinesq equations. We have focused on a widely used model of geophysical and astrophysical vortices, which assumes an axisymmetric Gaussian structure for pressure anomalies in the horizontal and vertical directions. For a range of Rossby numbers ($-0.5<Ro<0.5$) and Burger numbers ($0.02<Bu<2.3$) relevant to observed long-lived vortices, the growth rate and spatial structure of the most unstable eigenmodes have been numerically calculated and presented as a function of $Ro{-}Bu$. We have found neutrally stable vortices only over a small region of the $Ro{-}Bu$ parameter space: cyclones with $Ro\sim 0.02{-}0.05$ and $Bu\sim 0.85{-}0.95$. However, we have also found that anticyclones in general have slower growth rates compared to cyclones. In particular, the growth rate of the most unstable eigenmode for anticyclones in a large region of the parameter space (e.g. $Ro<0$ and $0.5\lesssim Bu\lesssim 1.3$) is slower than 50 turnaround times of the vortex (which often corresponds to several years for ocean eddies). For cyclones, the region with such slow growth rates is confined to $0<Ro<0.1$ and $0.5\lesssim Bu\lesssim 1.3$. While most calculations have been done for $f/\bar{N}=0.1$ (where $f$ and $\bar{N}$ are the Coriolis and background Brunt–Väisälä frequencies), we have numerically verified and explained analytically, using non-dimensionalized equations, the insensitivity of the results to reducing $f/\bar{N}$ to the more ocean-relevant value of 0.01. The results of our stability analysis of Gaussian vortices both support and contradict the findings of earlier studies with QG or multilayer models or with other families of vortices. The results of this paper provide a stepping stone to study the more complicated problems of the stability of geophysical (e.g. those in the atmospheres of giant planets) and astrophysical vortices (in accretion disks).

Bats are known to be reservoirs of several medically important viruses including lyssaviruses. However, no systematic surveillance for bat rabies has been carried out in India, a canine rabies endemic country with a high burden of human rabies. Surveillance for rabies virus (RABV) infection in bats was therefore carried out in Nagaland, a north-eastern state in India at sites with intense human–bat interfaces during traditional bat harvests. Brain tissues and sera from bats were tested for evidence of infection due to RABV. Brain tissues were subjected to the fluorescent antibody test for detection of viral antigen and real-time reverse transcriptase PCR for presence of viral RNA. Bat sera were tested for the presence of rabies neutralizing antibodies by the rapid fluorescent focus inhibition test. None of the bat brains tested (n = 164) were positive for viral antigen or viral RNA. However, rabies neutralizing antibodies were detected in 4/78 (5·1%) bat sera tested, suggesting prior exposure to RABV or related lyssaviruses. The serological evidence of lyssaviral infection in Indian bats may have important implications in disease transmission and rabies control measures, and warrant extensive bat surveillance to better define the prevalence of lyssaviral infection in bats.

The present cross-sectional study was conducted to determine the vitamin D status of pregnant Indian women and their breast-fed infants. Subjects were recruited from the Department of Obstetrics, Armed Forces Clinic and Army Hospital (Research and Referral), Delhi. A total of 541 apparently healthy women with uncomplicated, single, intra-uterine gestation reporting in any trimester were consecutively recruited. Of these 541 women, 299 (first trimester, ninety-seven; second trimester, 125; third trimester, seventy-seven) were recruited in summer (April–October) and 242 (first trimester, fifty-nine, second trimester, ninety-three; third trimester, ninety) were recruited in winter (November–March) to study seasonal variations in vitamin D status. Clinical, dietary, biochemical and hormonal evaluations for the Ca–vitamin D–parathormone axis were performed. A subset of 342 mother–infant pairs was re-evaluated 6 weeks postpartum. Mean serum 25-hydroxyvitamin D (25(OH)D) of pregnant women was 23·2 (sd 12·2) nmol/l. Hypovitaminosis D (25(OH)D < 50 nmol/l) was observed in 96·3 % of the subjects. Serum 25(OH)D levels were significantly lower in winter in the second and third trimesters, while serum intact parathormone (iPTH) and alkaline phosphatase levels were significantly higher in winter in all three trimesters. A significant negative correlation was found between serum 25(OH)D and iPTH in mothers (r − 0·367, P = 0·0001) and infants (r − 0·56, P = 0·0001). A strong positive correlation was observed between 25(OH)D levels of mother–infant pairs (r 0·779, P = 0·0001). A high prevalence of hypovitaminosis D was observed in pregnancy, lactation and infancy with no significant inter-trimester differences in serum 25(OH)D levels.

The VO2 phase of vanadium oxide is known to exhibit large changes in the electrical and optical properties in the vicinity of the structural phase transition at 68C. Here, we report on the fabrication and study of thin film vanadium oxide (VO2) devices deposited on R-plane sapphire. Thin films prepared by electron beam evaporation have been processed by photolithography into two-terminal strips for electrical measurements. Measurements on such specimens exhibit reproducibility across a chip, in addition to hysteretic transport, and a one-to-two orders of magnitude change in the resistance in the vicinity of the structural transition. In sum, these experiments show that e-beam evaporation of VO2 constitutes a simple and useful approach to realizing devices from this technologically important material.

—Bioassays were conducted with Bacillus sphaericus (Neide) 1593M (Bsph) and a neem based biopesticide formulation, Neemtox® (0.03% azadirachtin), independently and in different combinations, to evaluate any synergistic effects on Culex quinquefasciatus Say (Diptera: Culicidae) larvae susceptible to Bsph. The results indicated that the two biopesticides have no synergistic interaction on the larvae. These results are discussed in light of earlier experiments with resistant C. quinquefasciatus, in which Bspfc-Neemtox synergism was seen.

—Organophosphorus-derived pesticides are commonly used to control Culex quinquefasciatus, the principal vector of filariasis in India. This paper reports on the susceptibility of C. quinquefasciatus from Madurai city, Tamil Nadu and its environs, to the organophosphate Malathion. It was observed that both larval and adult mosquitoes had low levels of resistance to the pesticide, with resistance ratios at LC50, LC90, and LC95 varying from 0.94 to 3.07 in larvae, and 0.93 to 34.68 in adults. This observation indicates the possibility of higher resistance developing in C. quinquefasciatus populations, the limitation of organophosphorus compounds as larvicides in mosquito breeding sites as a measure to control filariasis, and the importance of research into alternative measures for managing C. quinquefasciatus.

Two major problems associated with Si-based MEMS devices are stiction and wear. Surface modifications are needed to reduce both adhesion and friction in micromechanical structures to solve these problems. In this paper, we will present a process used to selectively coat MEMS devices with tungsten using a CVD (Chemical Vapor Deposition) process. The selective W deposition process results in a very conformal coating and can potentially solve both stiction and wear problems confronting MEMS processing. The selective deposition of tungsten is accomplished through silicon reduction of WF6, which results in a self-limiting reaction. The selective deposition of W only on polysilicon surfaces prevents electrical shorts. Further, the self-limiting nature of this selective W deposition process ensures the consistency necessary for process control. Selective tungsten is deposited after the removal of the sacrificial oxides to minimize process integration problems. This tungsten coating adheres well and is hard and conducting, requirements for device performance. Furthermore, since the deposited tungsten infiltrates under adhered silicon parts and the volume of W deposited is less than the amount of Si consumed, it appears to be possible to release stuck parts that are contacted over small areas such as dimples. Results from tungsten deposition on MEMS structures with dimples will be presented. The effect of wet and vapor phase cleans prior to the deposition will be discussed along with other process details. The W coating improved wear by orders of magnitude compared to uncoated parts. Tungsten CVD is used in the integrated-circuit industry, which makes this approach manufacturable.