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Purpose First-episode psychosis (FEP) is characterised by wide heterogeneity in terms of symptom presentation and illness course. However, the heterogeneity of quality of life (QoL) in FEP is not well understood. We investigated whether subgroups can be identified using participants' responses on four QoL domains (physical health, psychological, social relationships, and environmental) 18-months into the recovery phase of FEP. We then examined the discriminant validity of these subgroups with respect to clinical, cognitive, and functioning features of FEP. Method Demographic and clinical characteristics, QoL, cognition, and functioning were assessed in 100 people with FEP at the 18-month follow-up of a randomised controlled trial of Individual Placement Support, which aims to facilitate vocational recovery. QoL was measured using the World Health Organisation’s QoL-BRIEF. A two-stage clustering approach using Ward’s method and Squared Euclidean Distance with a k-means confirmation was conducted. Multinomial logistic regressions were used to establish external validity. Results Three QoL subgroups emerged: a ‘good’ subgroup with relatively high QoL across all domains (31%), an ‘intermediate’ subgroup with relatively low psychological QoL (48%) and a ‘poor’ subgroup with markedly low social relationship QoL (21%). Negative symptoms, depressive symptoms, social/occupational functioning, and social inclusion at follow-up predicted subgroup membership. Sensitivity analysis found similar results. Conclusion Although some individuals with FEP have QoL comparable to individuals without mental ill health, QoL can remain concerningly low despite treatment efforts. Future research on interventions that target factors associated with poor QoL, such as low social inclusion, is required to counteract prolonged poor QoL in FEP.

Background Substance use remains a barrier to recovery for young people accessing early intervention services for psychosis. While correlates of use have been explored in populations experiencing a first episode of psychosis (FEP), sample sizes have been small and less research assesses cohorts at ultrahigh risk of psychosis (UHR). Methods This study uses data from a naturalistic cohort including UHR and FEP participants (N = 1252) to elucidate clinical correlates of use in the past 3 months of any illicit substance, amphetamine-type stimulants (ATS), cannabis, and tobacco. Moreover, network analysis based on use of these substances and additionally alcohol, cocaine, hallucinogens, sedatives, inhalants, and opioids was completed. Results Young people with FEP used substances at significantly higher rates than those at UHR. High concurrence of use was seen between substances. In the FEP group, participants who had used any illicit substance, ATS, and/or tobacco had increased positive symptoms and decreased negative symptoms. Young people with FEP who used cannabis had increased positive symptoms. In the UHR group, participants who had used any illicit substance, ATS, and/or cannabis in the past 3 months showed decreased negative symptoms compared to those who had not. Conclusion A distinct clinical picture of more florid positive symptoms and alleviated negative symptoms seen in those who use substances in the FEP group appears muted in the UHR cohort. Treating young people at UHR in early intervention services represents the earliest opportunity to address substance use early to improve outcomes.

headspace centres provide enhanced primary mental healthcare for young people. A priority is to provide services for all young people irrespective of a range of social disadvantages or social exclusion. The aims of this study were to: (i) delineate extent of social inclusion across domains of housing, studying/employment, functioning, alcohol, and other drug use; and (ii) map profiles of young people deemed vulnerable to experiencing additional barriers to accessing services based on their social inclusion domains (e.g., those living in unstable housing, not in employment/education, and/or experiencing intersecting or multiple forms of disadvantage or difficulties), including detailing their clinical characteristics.Young people were recruited from five headspace centres. Data relevant to social inclusion were examined. Multivariate logistic regression models were used to determine overlap between vulnerable groups, functional, social, clinical, and behavioural factors.1107 young people participated, aged 12-25 years (M = 18.1 years, SD = 3.3), most living in stable housing (96.5%) and engaged in studying/employment (84.8%). Specific vulnerabilities were evident in young people with NEET status (15.2%); in unstable accommodation (3.5%); of culturally diverse backgrounds (CALD) (12.2%); living in regional areas (36.1%); and identifying as lesbian, gay, bisexual, transgender, intersex, queer/questioning, and asexual plus (LGBTIQA+; 28.2%). Higher levels of distress, substance use, functional impairment, and lower social support were reported by those who were NEET and/or in unstable housing. LGBTIQA+ status was associated with high distress, depressive symptoms, and suicidal ideation.Most participants reported good social support, stable housing, and engagement in work or education. Those deemed vulnerable were likely to experience social exclusion across multiple domains and reported more mental health problems. The co-occurrence of mental ill-health and social exclusion highlights the importance of integrated mental healthcare.

Headspace services provide treatment options to young people seeking mental healthcare. To obtain a better understanding of needs and characteristics of this population, and effectively evaluate services, we require novel youth-specific outcome measures. As part of our broad research program to establish such measures, a sample of young people were recruited and assessed. The study describes (i) methodology used to obtain clinical, functioning, and substance use characteristics of young people presenting to headspace services; and (ii) an overview of these characteristics.Young people presenting to headspace centres were recruited. Multidimensional information was obtained relating to clinical and functional outcomes, demographic information, and lifestyle factors.1107 young help-seeking individuals were recruited. Participants were most likely young adults aged M = 18.1 years, SD = 3.3, with diagnoses of depression and/or anxiety (76.6%, n = 801), engaged in work and study (84.9%, n = 890), and living with parent(s) (68.9%, n = 736). Impairments in functioning were moderate as indicated by the Social and Occupational Functioning Assessment Scale (M = 65.2, SD = 9.5), substance use was common (alcohol 62.7%, n = 665; illicit substances 30.5%, n = 324), and current suicidal ideation was reported by a third (33.6%, n = 358).A broad dataset was obtained providing an insight into key clinical, functional and quality of life characteristics of these individuals. We observed that young people present with complex problems, comorbid diagnoses, moderate levels of symptomatology, impairments in functioning, substance use, and suicidal ideation. This work provides the foundation for our broader research program aiming to develop novel, relevant and youth-specific, change and outcome measures.

Ichthyofaunal diversity of the Dianshan lake in Shanghai, China was assessed during the year 2013 from samples of finfish harvested using fleets of gillnets and trawls of different mesh sizes with the aim of generating necessary data that could support sustainable use of finfish in this lake. Morphometric parameters of specimens caught were taken following standard procedures. Totally 21,308 specimens belonging to 40 species, 15 families and 7 orders were encountered throughout the study period. Seasonal abundance was lowest (395 individuals) during March (spring) and highest (4428 individuals) during August (summer). Cyprinidae was the dominant family (22 species) and Coilia ecetenes taihuensis was the most abundant species (30.69%), followed by Acheilognathus taenianalis (17.8618%), Plagiognathops microlepis (16.567%), Carassius auratus (14.492%). The evenness, richness and biodiversity of the faunal assemblage were also evaluated by Shannon–Wiener index (H′), Margalef’s diversity Index (d) and evenness index (J) respectively. Hypophthalmichthys nobilis was the largest and heaviest fish (34.909 cm, FL; 889.355 g, W), the smallest fish in length recorded was Odontamblyopus rubicundus (4.19 cm) while Plecoglossus altivelis altivelis (1.1 g) was the lowest in terms of mean weight. The mean condition factor for all fish species was (K = 1.72), showing fish species were generally in ‘good’ condition. Fluctuations in species occurrence and abundance noted in our study may be accounted from the variation in the physico-chemical parameters of the Lake in respect to time. But, under such a situation it is evident that the small fish species increased to a great extent and a few like Coilia ecetenes taihuensis became the dominant.

Triangular trihedral corner reflector (CR) has been widely used as point target for synthetic aperture radar (SAR) calibration and image quality assessment. The additional “tip” of the triangular plate does not contribute to the reflector’s theoretical RCS and if it interacts with a perfectly reflecting ground plane, it will yield an increase of RCS at the radar bore-sight and decrease the accuracy of SAR calibration and image quality assessment. Regarding this problem, two types of CRs were manufactured. One was the hexagonal trihedral CR. It is a self-illuminating CR with relatively small plate edge length, while large edge length usually introduces unexpected edge diffraction error. The other was the triangular trihedral CR with extended bottom plate which considers the effect of ‘tip’ into the total RCS. In order to assess the performance of the two types of new CRs, flight campaign over the National Calibration and Validation Site for High Resolution Remote Sensors was carried out. Six hexagonal trihedral CRs and two bottom-extended trihedral CRs, as well as several traditional triangular trihedral CRs, were deployed. KOMPSAT-5 X-band SAR image was acquired for the performance analysis of the hexagonal trihedral CRs. C-band airborne SAR images were acquired for the performance analysis of the bottom-extended trihedral CRs. The analysis results showed that the impulse response function of both the hexagonal trihedral CRs and bottom-extended trihedral CRs were much closer to the ideal sinc-function than the traditional triangular trihedral CRs. The flight campaign results validated the advantages of new types of CRs and they might be useful in the future SAR calibration mission., {"references":["Y. S. Zhou, W. Hong, Y. P. Wang, and Y. R. Wu, \"Maximal effective baseline for polarimetric interferometric SAR forest height estimation,\" Science China Information Sciences, vol. 55, no. 4, pp. 867-876, 2012.","A. Freeman, \"SAR calibration: An overview,\" IEEE Transactions on Geoscience and Remote Sensing, vol. 30, no. 6, pp. 1107-1121, Nov. 1992.","A. W. Doerry, \"Reflectors for SAR Performance Testing,\" Sandia National Laboratories 2008.","K. Sarabandi and T. C. Chiu, \"Optimum corner reflectors for calibration of imaging radars,\" IEEE Transactions on Geoscience and Remote Sensing, vol. 44, no. 10, pp. 1348-1361, 1996.","C. R. Li, Y. S. Zhou and L. L. Ma, \"Analysis of Optimal Panel Geometry for Self-Illustration Corner Reflector,\" in Proc. Progress in Electromagnetics Research Symposium, Guangzhou, China, pp. 1425-1429.","Y. S. Zhou, C. R. Li, L. L. Ma, M. Y. Yang, and Q. Liu, \"Improved trihedral corner reflector for high-precision SAR calibration and validation,\" in Proc. 2014 IEEE International Geoscience and Remote Sensing Symposium, Quebec, Canada, 2014, pp. 454-457.","A. W. Doerry and B. C. Brock, \"Radar Cross Section of Triangular Trihedral Reflector with Extended Bottom Plate,\" Sandia National Laboratories 2009."]}

The Ti-6Al-4V alloy was treated in concentrated phosphoric acid solution and by powder blasting, respectively, subsequently coated by silica using sol–gel dip-coating technique. A barrier layer of titanium pyrophosphate (TiP2O7) was synthesized at the Ti-6Al-4V substrate surface after the heat treatment. XRD and SEM/EDS analysis revealed that an amorphous silica coating was formed on the alloy. The isothermal and cyclic oxidation behavior of the treated alloy with silica coating and the corresponding bare alloy was investigated at 600 °C in static air to investigate the synergetic effect of the SiO2 coating and surface treatment on the oxidation resistance of the alloy by thermogravimetry. The average parabolic rate constants of the treated specimens with silica coating were greatly reduced. The stratified oxide layer formed on the bare alloy, while thinner oxide layer formed on the treated alloys with silica coating. The oxidation resistance of the present alloy was improved. The effect of silica coating on the microhardness of the substrate was investigated.

Silica coating derived by sol–gel processing was deposited on an orthorhombic phase Ti–22Al–26Nb alloy by dip-coating technique. Isothermal oxidation at 800 and 900 °C and cyclic oxidation at 900 °C in static air of the coated and uncoated specimens were performed to investigate the effect of the silica coating on the oxidation behavior of the Ti–22Al–26Nb alloy by thermogravimetry, SEM and XRD. The average parabolic rate constants of the coated specimens were lower than those of uncoated ones. Additionally, the present film exhibited a beneficial effect on the cyclic oxidation resistance of the alloy in air. TiO2, Nb2TiO7 or AlNbO4 were the main phases formed on the alloy. The thin film could inhibit the growth of the oxides. The possible mechanism of the thin film on the oxidation behavior of the alloy was discussed.

Al2O3/ZrO2 duplex films were deposited on a γ-TiAl based alloy by sol–gel processing starting from aluminum isopropoxide (Al(OC3H7)3) and zirconium (IV) oxychloride octahydrate (ZrOCl2 · 8H2O) as raw materials. Isothermal oxidation at 900 and 1,000 °C in 0.1 MPa O2 and cyclic oxidation at 1,000 °C in air of the coated and uncoated specimens were performed to investigate the effect of the duplex films on the oxidation behavior of the γ-TiAl alloy. The results of the isothermal oxidation tests indicated that the parabolic rate constants of the alloy were decreased due to the applied thin film. Additionally, the present film exhibited a beneficial effect on the cyclic oxidation resistance of the alloy in air. The duplex film could restrain the growth of TiO2, causing an increase of the Al2O3 content in the oxide mixture and thus decreased the oxidation rate.

GaMnN and Mg-codoped GaMnN films were grown via molecular beam epitaxy using the GaN single precursor Et 2 Ga(N 3 )NH 2 C(CH 3 ) 3 . Through a comparative study, it was confirmed that hole carriers mediate ferromagnetism in GaMnN at room temperature. Furthermore, the effects of Mg codoping on the conductivity and magnetization properties of the layers were investigated. Mn in GaN is shown to be inefficient as a dopant in generating itinerant carriers and this limits the saturation magnetization. On the other hand, Mg revealed higher efficiency in producing holes, and as a consequence could greatly enhance the magnetization via increased ferromagnetic coupling among Mn atoms. The results suggest that the magnetic ordering can be adjusted by separate control of the carrier concentration and the content of the magnetic element in films of III-V ferromagnetic semiconductors.

Summary Presented are the relationships between fork length (FL) and weight (W) for nine fish species sampled from 2010 to 2012 in Lake Dianshan, Shanghai, China. Values of the parameters a ranged from 0.005 to 0.017 and b values ranged from 2.590 to 3.511; all r2 for the relationships were higher than 0.950. A new maximum length for Plagiognathops microlepis is also reported.

Nanojunctions made from one-dimensional nanostructures could provide fascinating opportunities to reveal new mesoscopic physics and could offer huge technological potential as well. Here we report highly controlled fabrication of boron nanowire nanojunctions with unilateral feather-like morphology by radio-frequency magnetron sputtering of a boron and boron oxide mixture in argon atmosphere. The branched boron nanowires nucleated on the same sidewall of the stems, grew airwards, and aligned in parallel to form multiple T- and/or Y-type nanojunctions. The boron nanofeathers self-assembled into large-scale, highly ordered arrays on various substrates without the use of patterned catalysts. This process might enable the creation of nanometre-size heterojunctions of a wide variety of one-dimensional nanostructures.

Spatial characteristics of the plasma generated by 532-nm Nd:YAG laser irradiation of aluminum alloy in air were studied. The electron density inferred by measuring the Stark broadened line profile of Al II at 281.62 nm decreases with increasing distance from the target surface. The electron temperature was determined by using the Boltzmann plot method. Due to thermal conduction towards the solid target and radiative cooling of the plasma, as well as conversion of thermal energy to kinetic energy, the electron temperature decreases both at the plasma edge and close to the target surface.

The aim of our study was to assess the potential role of thyroid-stimulating hormone (TSH) in the risk of developing atherosclerosis in subclinical hypothyroidism (SCH). A cohort of 240 SCH patients and 150 euthyroid volunteers were recruited for the study. SCH patients were stratified into 2 groups according to TSH levels (group A: TSH10 mIU/l; group B: TSH10 mIU/l). All subjects were examined for clinical and biochemical parameters. Visfatin, omentin-1, and circulating endothelial biomarkers were measured. Patients in group B received l-thyroxine replacement to achieve euthyroidism; after 6 months of euthyroidism all measurements were repeated. Patients with SCH had higher total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C), and C-reactive protein (CRP) levels and lower nitric oxide (NO) and omentin-1 levels compared to euthyroid subjects (all p0.05). TC, LDL-C, and CRP decreased significantly, while NO and omentin-1 levels increased significantly after l-thyroxine replacement. Based on multivariate liner stepwise regression analysis, omentin-1 was independently correlated with BMI and TSH; NO was independently correlated with age, TSH, LDL-C, and omentin-1. High TSH level contributes to endothelial dysfunction in SCH, while TSH-induced decrease of omentin-1 provides a new link between SCH and atherogenic risk.

Problem gamblers are not a homogeneous group and recent data suggest that subtyping can improve treatment outcomes. This study administered three readiness rulers and aimed to identify subtypes of gamblers accessing a national web-based counselling service based on these rulers.Participants were 1204 gamblers (99.4% problem gamblers) who accessed a single session of web-based counselling in Australia. Measures included three readiness rulers (importance, readiness and confidence to resist an urge to gamble), demographics and the Problem Gambling Severity Index (PGSI).Gamblers reported high importance of change [mean = 9.2, standard deviation (SD) = 1.51] and readiness to change (mean = 8.86, SD = 1.84), but lower confidence to resist an urge to gamble (mean = 3.93, SD = 2.44) compared with importance and readiness. The statistical fit indices of a latent class analysis identified a four-class model. Subtype 1 was characterized by a very high readiness to change and very low confidence to resist an urge to gamble (n = 662, 55.0%) and subtype 2 reported high readiness and low confidence (n = 358, 29.7%). Subtype 3 reported moderate ratings on all three rulers (n = 139, 11.6%) and subtype 4 reported high importance of change but low readiness and confidence (n = 45, 3.7%). A multinomial logistic regression indicated that subtypes differed by gender (P0.001), age (P = 0.01), gambling activity (P0.05), preferred mode of gambling (P0.001) and PGSI score (P0.001).Problem gamblers in Australia who seek web-based counselling comprise four distinct subgroups based on self-reported levels of readiness to change, confidence to resist the urge to gamble and importance of change.

A monolayer of orthorhombic arsenic (arsenene) is a promising candidate for nanoelectronic devices due to the uniquely electronic properties. To further extend its practical applications, an additional layer is introduced to tune the electronic structures. Four layer-stacking manners, namely AA-, AB-, AB'-, and AC-stacking, are constructed and studied through using first-principles calculations. Compared with monolayer, an indirect-direct gap transition is realized in AB-stacking. More importantly, a semimetal feature appears in the AC-and AB'-stacked bilayers, leaving the electronic structure of AA-stacking trivial. In addition, the energy dispersion around Gamma is largely tuned from the layer-stacking effect. To understand the underlying physics, the k center dot p approximation is taken to address this issue. Our results show that the level repulsion from the additional layer domaintes the anisotropy of energy dispersion around Gamma. The works like ours would shed new light on the tunability of the electronic structure in layered arsenene. Copyright (C) EPLA, 2017

Well-aligned boron nanowire arrays were grown vertically on silicon substrates over areas up to several tens of square centimeters using radio-frequency magnetron sputtering of highly pure boron. During growth and self-assembly of boron nanowire arrays, no template or catalyst was needed. The morphology, structure, and composition of the self-organized boron nanowires were characterized in detail using scanning electron microscopy, transmission electron microscopy, and electron energy-loss spectroscopy. Our results might provide insight into the controllable formation of a wide variety of ordered nanostructures with advanced properties.

The antioxidative capacity of endomorphins (EMs), endogenous μ-opioid receptor agonists, has been demonstrated by IN VIVO assays. In this study, we attempt to evaluate the effects of endomorphin 1 (EM1) and endomorphin 2 (EM2) on pancreatic islet injuries induced by streptozotocin (STZ), alloxan (ALX) and H(2)O(2), respectively. Wistar rats' islets were isolated and purified. The function of the islet cells, the insulin response to glucose stimulation was examined by insulin Radio Immuno Assay and the cell viability was measured by MTT assay. DNA fragments were performed to evaluate the apoptosis, while the cell cycle distribution was analyzed by PI staining flow cytometric analysis. Furthermore, the islet were treated with EM1, EM2 or ALX for 24 h, and the expression of p53 and p21 protein were determined by Western blot. The results showed that STZ, ALX, and H(2)O(2) displayed clear concentration-dependent inhibitory effects on the pancreatic islet cells. While EMs improved the viability of islet induced by STZ, ALX or H(2)O(2), and EMs enhanced insulin accumulation of the cell supernatant after ALX and STZ stimulation. Our data also showed both that EMs inhibited cell apoptosis and cell cycle G1 arrest induced by STZ and ALX through down-regulaing p53 and p21 expression. Taken together, these results demonstrate that EMs can protect islet cells from STZ, ALX and H(2)O(2) induced injuries. Our observations imply that the endomorphins may have protective effects on islet cells oxidative injury.

Physical review / B 82, 5 (2010). doi:10.1103/PhysRevB.82.054111, Published by APS, College Park, Md.

Alpha-1-6 fucosylated alpha-fetoprotein (AFP) is known to be elevated in patients with primary hepatoma and has been suggested as being useful as an early indicator and predictor of the poor prognosis for hepatoma. Although GDP-L-fucosyl-N-acetyl-beta-D-glucosaminide alpha-1-6 fucosyltransferase (alpha-1-6 FucT), is the key enzyme involved in alpha-1-6 fucosylation of AFP, when and how the expression of alpha-1-6 FucT is enhanced during hepatocarcinogenesis is unknown. Recently, we established a convenient assay method for this enzyme and were successful in the purification and cDNA cloning of alpha-1-6 FucT from human gastric cancer, as well as from porcine brain. In the present study, levels of alpha-1-6 FucT activity and mRNA expression have been determined during hepatocarcinogenesis in LEC rats which spontaneously develop hereditary hepatitis and hepatoma. The fetal liver contained the highest enzymatic activity, which tended to increase in inverse proportion to gestation. The enzymatic activity was significantly increased in hepatoma tissues as compared with uninvolved adjacent tissues. Northern-blot analysis revealed high expression of alpha-1-6 FucT mRNA in hepatoma tissues, whereas the expression was fairly low in normal, hepatitis and uninvolved adjacent liver tissues. While the fetal liver had the highest enzymatic activity, the expression of alpha-1-6 FucT mRNA was low, suggesting that another alpha-1-6 FucT is induced in fetal liver or that post-translational modification occurs. High expression of alpha-1-6 FucT was also observed in 3'-MeDAB-induced rat hepatomas and some rat hepatoma cell lines. Collectively, alpha-1-6 FucT was strongly enhanced from an early stage of hepatocarcinogenesis and was maintained at a high level in rat hepatomas.

Silver iodide (AgI-V) is an archetypical ionic compound for studying the formation mechanism of a superionic state. Previous studies have proven that superionic AgI with high ionic conductivity greater than 0.1 Ω(-1)cm(-1) could only be obtained at high temperatures. We show in this paper that high pressure could also induce the superionic state in AgI even at ambient temperature. Using electrochemical impedance spectroscopy, we investigated Ag(+) ions diffusing in rock-salt structured AgI-III and KOH-type AgI-V under high pressures and directly observed the superionic state in AgI-V. The diffusion coefficient of AgI-V is ∼3.4 × 10(-4)-8.6 × 10(-4) cm(2)/s in the investigated pressure range of 12-17 GPa, comparable with those of superionic α-AgI and AgI-III'. By analyzing the half infinite length Warburg diffusion process, two parameters α and β, which closely relate to the disordered state of Ag(+) ions, have been determined and it was suggested that Ag(+) ions in AgI-V become disordered. The ionic conductivity of AgI-V is three orders of magnitude higher than that of AgI-III, and has reached around 0.1 Ω(-1)cm(-1). Evidence for all three, the diffusion coefficient, α and β, and conductivity have proven that AgI-V is a superionic conductor at ambient temperature.

Little is known of the endorphins' role in sepsis-induced respiratory distress and naloxone's effect as a treatment of it. Thirteen piglets were infused with live Escherichia coli at a rate of 2 to 10 x 10(8) colony-forming units per hour for six hours or until death and were divided into two groups: the septic control group (n = 8), and the naloxone-treated group (n = 5), which received 8 mg/kg/h of naloxone by continuous infusion. The results showed a significant reduction of QS/QT, VD/VT, and arterial carbon dioxide pressure at one hour and a significant increase of arterial carbon dioxide pressure and minute ventilation at 1, 3, and 4 hours in the naloxone-treated group, compared with the untreated septic group. None of the piglets in the naloxone-treated group developed ventilatory depression, while 75% of those in the untreated septic group did. Among the latter ficial effects of naloxone are likely related to its action on the central and peripheral respiratory regulatory mechanisms. A transient protection of the cardiac output and relatively decreased extravascular lung water with naloxone treatment may also, in part, improve the ventilation-perfusion maldistribution and secondarily reduce QS/QT and VD/VT.

From 1973 to 1989, a total of 59 consecutive patients with recurrent lung cancer had completion pneumonectomy. Completion pneumonectomy was done on the right side in 35 patients and left side in 24. The median interval between the first pulmonary resection and completion pneumonectomy for patients was 35 months (5 m-9.5 y). In this series postoperative complications and mortality were comparable to those for routine pneumonectomy. The 1, 3, 5 and 10 year survival rates were 88.5%, 30.2%, 21.4% and 16.7% respectively. None of those patients with histologically proved gross tumor remaining in the hemithorax at the time of reoperation survived longer than 2 years. The authors emphasized that the planning for such an operation must be done meticulously but aggressively. It is obvious that incomplete surgical resection of bronchial carcinoma should be avoided either at initial operation or at completion pneumonectomy because of poor prognosis.

Diamond films with various thicknesses (0.15–9 μm) were grown by microwave plasma chemical vapor deposition. The lowest threshold field strength for electron emission was 4 V/μm for the ∼1.5-μm-thick diamond film. The results were analyzed by effective emission areas and effective work function according to Fowler–Nordheim theory. It was found that the threshold voltage was strongly affected by the ratio of (111) and (110) oriented grains in the films. The larger the fraction of (111) oriented grains, the lower the effective work function in agreement with the reported negative electron affinity of (111) surfaces.

The field emission characteristics of diamond films with different surface morphologies were studied. The diamond films were grown on silicon substrates by chemical vapor deposition technique under different deposition conditions. The nucleation density and surface morphological properties were analyzed by means of scanning electron microscopy and atomic force microscopy. Results from these studies showed that the diamond film with small crystal size and high nucleation densities had better field emission characteristics. In addition, (110) and (111) oriented films exhibited better field emission properties than (100) oriented films.

New polymeric reagents are synthesized, based on a polystyrene-bound benzotriazole containing an o-acetylsalicyl or 9-fluorenyl labelling moiety. This is used in an off-line mode, prior to high performance liquid chromatography (HPLC), for derivatizations of trace primary and secondary amines, polyamines, and related compounds in connection with HPLC. Standards are prepared, characterized by physical and spectral properties, and then used as external standards to determine percent derivatizations. The polymeric reagents are characterized by elemental analyses and loading determinations. The feasibility and applicability of this reagent for derivatization of nucleophiles is confirmed with a number of amines under optimized conditions. The activated labelling moiety, bonded to the polymeric support, makes the derivatization reactions extremely rapid and efficient under mild reaction conditions. This alone provides significant advantages over the analogous solution derivatizations for the same amines. A comparison of solution and solid phase derivatization reactions is reported. The limits of detection are 1 to 2 pmol for polyamines, such as cadaverine, putrescine, and 1,7-diaminoheptane, using the benzotriazole fluorenyl reagent followed by fluorescence detection.

Sixty-five cases of chylothorax treated at the Shanghai Chest Hospital over the past 30 years are reviewed. The causes of chylothorax in this series were mainly traumatic and postoperative (47/65). Two cases were associated with chylopericardium and another 2 with chylous sputum. The authors believe that untreated chylothorax is a serious, often life-threatening entity and that the following principles are applicable in its management: (1) If daily chyle loss exceeds 1000 ml in adults with no tendency of subsidence, surgery is indicated especially in the effusion may lead to disastrous nutritional and immunologic consequences; (2) Ligation of the thoracic duct is effective by a mass ligature encircling all tissues between the azygos vein and the aorta. The most favorable site for ligation is immediately above the diaphragm. Over dissection of the thoracic duct should be avoided; (3) The proper surgical approach is on the side of the effusion in unilateral chylothorax, but right side approach is preferred in case of bilateral chylothorax or when the origin of chylous fistula is unknown; (4) Pleurodesis is indicated for those cases if the duct is not obviously present or chyle comes from the pleural lymphatics. Concentrated glucose solution with or without Talc suspension is recommendable.

A new analytical approach has been developed for the determination of d,l -amphetamine in urine using on-line solid phase derivatizations in HPLC—UV/FL. Several other enantiomeric drugs were also investigated using the same method. The method was validated by several experiments, including: (1) kinetic studies for the reaction of each enantiomeric drug with the solid phase chiral reagent; (2) “single blind spiking” experiments; and (3) polarimetry for confirmation of the enantiomeric composition determined by the solid phase diastereomer formation—HPLC—UV/FL method. The resulting diastereomers were well resolved ( R s = 1.05–1.40) under typical reversed-phase HPLC conditions. Enantiomeric contamination at the 1.1% level could be detected. The lowest amount of d,l -amphetamine that could be simultaneously derivatized and detected was about 50 ng ml −1 . The linearity of the overall measurement was 3–4 orders of magnitude. d,l -Amphetamine spiked into urine at different concentration levels and different d,l -ratios, only followed by filtration, were directly injected into the on-line solid phase derivatization—HPLC—UV/FL system for quantitation with relative standard deviations 1.8–6.4% and relative errors 0.6–9.8%.