OH 12.8-0.9: A New Water-Fountain Source

We present observational evidence that the OH/IR star OH 12.8-0.9 is the fourth in a class of objects previously dubbed "water-fountain" sources. Using the Very Long Baseline Array, we produced the first images of the water maser emission associated with OH 12.8-0.9. We find that the masers are located in two compact regions with an angular separation of ~109 mas on the sky. The axis of separation between the two maser regions is at a position angle of 1.5 deg. East of North with the blue-shifted (-80.5 to -85.5 km/s) masers located to the North and the red-shifted (-32.0 to -35.5 km/s) masers to the South. In addition, we find that the blue- and red-shifted masers are distributed along arc-like structures ~10-12 mas across oriented roughly perpendicular to the separation axis. The morphology exhibited by the water masers is suggestive of an axisymmetric wind with the masers tracing bow shocks formed as the wind impacts the ambient medium. This bipolar jet-like structure is typical of the three other confirmed water-fountain sources. When combined with the previously observed spectral characteristics of OH 12.8-0.9, the observed spatio-kinematic structure of the water masers provides strong evidence that OH 12.8-0.9 is indeed a member of the water-fountain class.Comment: 12 pages, 2 figures (1 color), accepted for publication in the Ap J Letter

Cigarette smoking during pregnancy and adverse perinatal outcomes: a cross-sectional study over 10 years.

It has been shown that active exposure to tobacco is associated with adverse pregnancy outcomes including, but not limited to, intrauterine fetal death, reduced fetal weight, and higher risk of preterm birth. We want to investigate these effects in a high-income country. This cross-sectional study examined 20,843 pregnant women who delivered over 10 years at the Maternity Hospital of the Centre Hospitalier Universitaire Vaudois (CHUV) in Lausanne, Switzerland. The objective was to evaluate a dose-response relationship between daily cigarette use during pregnancy and possible adverse perinatal outcomes. The social and clinical characteristics as well as obstetric and neonatal outcomes were compared between the smoking and the non-smoking groups. Adjusted odds ratios (aOR) and trend analyses (p <sub>trend</sub> ) were calculated. Nineteen thousand five hundred fifty-four pregnant women met the inclusion criteria and 2,714 (13.9%) of them were smokers. Even after adjusting for confounding factors, smoking during pregnancy was associated with preterm birth, birthweight < 2500 g, intrauterine growth restriction, neonatal respiratory and gastrointestinal diseases, transfer to the neonatal intensive care unit, and neonatal intensive care unit admissions > 7 days. Intrauterine death and neonatal infection were associated with heavy smoking (≥ 20 cigarettes/day). Smoking appeared to be a protective factor for pre-eclampsia and umbilical cord arterial pH below 7.1. A significant trend (p <sub>trend</sub> < 0.05) was identified for preterm birth, intrauterine growth restriction, birthweight < 2500 g, umbilical cord arterial pH below 7.1, transfers to our neonatal intensive care unit, and neonatal intensive care unit admissions more than 7 days. Cigarette smoking is associated with several adverse perinatal outcomes of pregnancy with a dose-dependent effect

Microstructural Controls on the Uniaxial Compressive Strength of Porous Rocks Through the Granular to Non‐Granular Transition

Under uniaxial compression, a porous rock fails by coalescence of stress‐induced microcracks. The micromechanical models developed to analyze uniaxial compressive strength data consider a single mechanism for the initiation and propagation of microcracks and a fixed starting microstructure. Because the microstructure of clastic porous rock transitions from granular to non‐granular as porosity decreases during diagenesis, their strength cannot be captured by a single model. Using synthetic samples with independently controlled porosity and initial grain radius we show that high‐porosity granular samples, where microcracks grow at grain‐to‐grain contacts, are best described by a grain‐based model. Low‐porosity non‐granular samples, where microcracks grow from pores, are best described by a pore‐based model. The switch from one model to the other depends on porosity and grain radius. We propose a regime plot that indicates which micromechanical model may be more suitable to predict strength for a given porosity and grain radius

Study of supports for the final doublets of ATF2

We investigated supports for the final doublets of ATF2 with vertical relative motion to the floor of final doublets below 10nm. Our calculations of relative motion were done by using data of ATF ground motion. We studied the vibratory behaviour of a steel lightweight honeycomb table as a base for fixing magnets. First, the table was fixed to the floor by four steel feet at its corners. Its first vertical resonance was at 41Hz, which induces a non negligible relative motion (5.7nm) compared to ATF2 tolerances. Modal shape measurements show that the six first resonances of the table (below 150Hz) are rigid body modes in the six degrees of freedom. The conclusion of these measurements is that the table is very rigid and well adapted for ATF2 project but the rigidity of the four steel feet is not sufficient compared to the rigidity of the table. Consequently, the table was fixed to the floor on one entire face to break these six rigid body modes by three large steel plates. The first vertical resonance was then at higher frequencies (92Hz), which show that good boundary conditions were chosen for the table. The relative motion was then low (3.5nm above 0.1Hz) compared to ATF2 tolerances. To finish, we studied the vibratory behaviour of one ATF2 FD sextupole and one ATF2 FD quadrupole with their intermediary supports made at LAPP and used to fix these magnets to the honeycomb table. The measurements showed that the final doublets with their intermediary supports were well designed because the first resonance of sextupoles and quadrupoles was at high frequency (above 100 Hz and at 76Hz respectively), which induced a small relative motion of final doublets to the floor compared to ATF2 tolerances

The Influence of Grain Size Distribution on Mechanical Compaction and Compaction Localization in Porous Rocks

The modes of formation of clastic rocks result in a wide variety of microstructures, from poorly-sorted heterogeneous rocks to well-sorted and nominally homogeneous rocks. The mechanical behavior and failure mode of clastic rocks is known to vary with microstructural attributes such as porosity and grain size. However, the influence of the grain size distribution, in particular the degree of polydispersivity or modality of the distribution, is not yet fully understood, because it is difficult to study experimentally using natural rocks. To better understand the influence of grain size distribution on the mechanical behavior of porous rocks, we prepared suites of synthetic samples consisting of sintered glass beads with polydisperse grain size distributions. We performed hydrostatic compression experiments and found that, all else being equal, the onset of grain crushing occurs much more progressively and at lower pressure in polydisperse synthetic samples than in monodisperse samples. We conducted triaxial experiments in the regime of shear-enhanced compaction and found that the stress required to reach inelastic compaction was lower in polydisperse samples compared to monodisperse samples. Further, our microstructural observations show that compaction bands developed in monomodal polydisperse samples while delocalized cataclasis developed in bimodal polydisperse samples, where small grains were systematically crushed while largest grains remained intact. In detail, as the polydispersivity increases, microstructural deformation features appear to transition from localized to delocalized through a hybrid stage where a compaction front with diffuse bands propagates from both ends of the sample toward its center with increasing bulk strain

Informing about childbirth without increasing anxiety: a qualitative study of first-time pregnant women and partners' perceptions and needs.

Complications requiring medical interventions during childbirth are far from rare, even after uncomplicated pregnancies. It is often a challenge for maternity healthcare professionals to know how to prepare future parents for these eventualities without causing unnecessary anxiety. Studies on traumatic birth experiences have shown that feelings of loss of control, insufficient information, and lack of participation in medical decisions during childbirth are factors of difficult experiences. However, little is known about the information and communication needs of expectant parents about childbirth during the prenatal period. To gain a deeper understanding of the information and communication needs of first-time pregnant women and partners, we explored their perceptions and expectations for their upcoming childbirth, and the actions they initiated to prepare for it. Semi-structured interviews were conducted individually with first-time pregnant women and partners of pregnant women aged 18 years or older, with an uncomplicated pregnancy. Thematic analysis was used to identify themes and sub-themes. Twenty expectant parents (15 pregnant women and five partners of pregnant women) were interviewed. Six themes were identified: Childbirth event; Childbirth experience; Childbirth environment; Organisation of care; Participation in decision making; Roles within the couple and transition to parenthood. This study contributes to a better understanding of the information needs of future parents expecting their first child. Results highlighted that the notion of "childbirth risks" went beyond the prospect of complications during birth, but also encompassed concerns related to a feeling of loss of control over the event. Expectant parents showed an ambivalent attitude towards consulting risk information, believing it important to prepare for the unpredictability of childbirth, while avoiding information they considered too worrying. They expressed a desire to receive concrete, practical information, and needed to familiarise themselves in advance with the birth environment. Establishing a respectful relationship with the healthcare teams was also considered important. The findings suggest that information on childbirth should not be limited to the transmission of knowledge, but should primarily be based on the establishment of a relationship of trust with healthcare professionals, taking into account each person's individual values and expectations

Heterogeneity in testing practices for infections during pregnancy: national survey across Switzerland.

QUESTION: Detection and treatment of infections during pregnancy are important for both maternal and child health. The objective of this study was to describe testing practices and adherence to current national guidelines in Switzerland. METHODS: We invited all registered practicing obstetricians and gynaecologists in Switzerland to complete an anonymous web-based questionnaire about strategies for testing for 14 infections during pregnancy. We conducted a descriptive analysis according to demographic characteristics. RESULTS: Of 1138 invited clinicians, 537 (47.2%) responded and 520 (45.6%) were eligible as they are currently caring for pregnant women. Nearly all eligible respondents tested all pregnant women for group B streptococcus (98.0%), hepatitis B virus (HBV) (96.5%) and human immunodeficiency virus (HIV) (94.7%), in accordance with national guidelines. Although testing for toxoplasmosis is not recommended, 24.1% of respondents tested all women and 32.9% tested at the request of the patient. Hospital doctors were more likely not to test for toxoplasmosis than doctors working in private practice (odds ratio [OR] 2.52, 95% confidence interval [CI] 1.04-6.13, p = 0.04). Only 80.4% of respondents tested all women for syphilis. There were regional differences in testing for some infections. The proportion of clinicians testing all women for HIV, HBV and syphilis was lower in Eastern Switzerland and the Zurich region (69.4% and 61.2%, respectively) than in other regions (range 77.1-88.1%, p <0.001). Most respondents (74.5%) said they would appreciate national guidelines about testing for infections during pregnancy. CONCLUSIONS: Testing practices for infections in pregnant women vary widely in Switzerland. More extensive national guidelines could improve consistency of testing practices

Gynecological, reproductive and sexual outcomes after uterine artery embolization for post-partum haemorrage.

In this case control study, long-term gynecological, reproductive and sexual outcomes after uterine artery embolization (UAE) for postpartum hemorrhage (PPH) were evaluated. The study was performed in a single referral hospital for PPH in Lausanne from 2003 to 2013. Each woman whose delivery was complicated by PPH and treated by UAE was included, and compared to a control group of women whose delivery was uncomplicated. Cases were matched by maternal age, parity, ethnicity, year and mode of delivery, birth weight and gestational age in a 1-3 ratio. A total of 77 patients treated by UAE for PPH were identified in our obstetrical database. Among them, 63 were included and compared to 189 matched patients (no PPH). The mean interval time between UAE and this study was 8.1 years. Time to menstrual cycle recovery after delivery (3.9 vs 5.6 months, p = 0.66), spotting (7.9% vs 7.2%, p = 0.49), dysmenorrhea (25.4% vs 22.2%, p = 0.60) and amenorrhea (14.3% vs 12.2%, p = 0.66) were similar between the two groups. There was no difference in the FSFI score between the groups (23.2 ± 0.6 vs 23.8 ± 0.4; p = 0.41). However, the interval time to subsequent pregnancy was longer for patients after UAE than the control group (35 vs 18 months, p = 0.002). In case of pregnancy desire, the success rate was lower after UAE compared to controls (55% vs 93.5%, p < 0.001). The rate of PPH was higher in those with previous PPH (6.6% vs 36.4%, p = 0.010). Patients treated by UAE for PPH did not report higher rates of gynecological symptoms or sexual dysfunction compared to patients with uneventful deliveries. The inter-pregnancy interval was increased and the success rate was reduced. In subsequent pregnancies, a higher rate of PPH was observed in those that underwent UAE