Resolving the backbone tilt of crystalline poly(3-hexylthiophene) with resonant tender X-ray diffraction

The way in which conjugated polymers pack in the solid state strongly affects the performance of polymer-based optoelectronic devices. However, even for the most crystalline conjugated polymers the precise packing of chains within the unit cell is not well established. Here we show that by performing resonant X-ray diffraction experiments at the sulfur K-edge we are able to resolve the tilting of the planar backbones of crystalline poly(3-hexylthiophene) (P3HT) within the unit cell. This approach exploits the anisotropic nature of the X-ray optical properties of conjugated polymers, enabling us to discern between different proposed crystal structures. By comparing our data with simulations based on different orientations, a tilting of the planar conjugated backbone with respect to the side chain stacking direction of 30 ± 5° is determined

Attributing human influence on July 2017 Chinese heatwave: the influence of sea-surface temperatures

On 21st-25thJuly 2017 a record breaking heatwave occurred in Central Eastern China affecting nearly half of the national population and causing severe impacts on public health, agriculture and infrastructure. Here, we compare attribution results from two UK Met Office Hadley Centre models, HadGEM3-GA6 and weather@home (HadAM3P driving 50km HadRM3P). Within HadGEM3-GA6 July 2017-like heatwaves were unequaled in the ensemble representing the world without human influences. Such heatwaves became approximately a 1 in 50 year event and increased by a factor of 4.8 (5-95% range of 3.1 to 8.0) in weather@home as a result of human activity. Considering the risk ratio (RR) for the full range of return periods shows a discrepancy at all return times between the two model results. Within weather@home a range of different counterfactual Sea Surface Temperature (SST) patterns were used whereas HadGEM3-GA6 used a single estimate. The global mean difference in SST (between factual and counterfactual simulations) is shown to be related to the Generalised Extreme Value (GEV) location parameter and consequently the RR, especially for return periods less than 50 years. It is suggested that a suitable range of SST patterns are used for future attribution studies to ensure that this source of uncertainty is represented within the simulations and subsequent attribution results. It is shown that the risk change between factual and counterfactual simulations is not purely a simple shift in the distribution (i.e. change in GEV location parameter). For return periods greater than 50 years the GEV shape parameter is found to strongly influence the RR determined with the GEV scale parameter affecting only the most severe events

Individual and environmental determinants associated with longer times to access pediatric rheumatology centers for patients with juvenile idiopathic arthritis, a JIR cohort study.

Despite guidelines, poor access to appropriate care for juvenile idiopathic arthritis (JIA) patients remains a global issue. Prompt referral to a pediatric rheumatology (PR) center and effective care is known to be critical for changing the natural history of the disease and improving long-term prognosis. This project assesses socio-economic factors of delayed referral to a pediatric rheumatologist (PRst) for JIA patients in France and Switzerland within the Juvenile Inflammatory Rheumatism (JIR) Cohort. All patients diagnosed with JIA, presenting at one center of the JIRcohort in France or Switzerland with additional data on referral pathway were included. Patient characteristics at first visit to the PR center, dates of visits to healthcare providers during referral, and parent characteristics were extracted from the JIRcohort database. Two hundred fifty children were included. The overall median time to first PR assessment was 2.4 months [1.3; 6.9] and ranged widely across the JIA subtypes, from 1.4 months [0.6; 3.8] for children with systemic juvenile idiopathic arthritis (sJIA) to 5.3 months [2.0; 19.1] for children with enthesitis-related arthritis (ERA). A diagnosis of ERA and an appointment with an orthopedist during the referral pathway were significantly associated with a longer time before the first PR visit (hazard ratio HR 0.50 [95% CI: 0.29; 0.84]) and HR 0.68 [95% CI: 0.49; 0.93], respectively) in multivariable analysis. Having a mother with a post-graduate educational attainment level was tendentially associated with a shorter time before the first PR visit, (HR 1.32 [95% CI: 0.99; 1.78]). Time to first PRst visit was most often short compared to other studies and close to the British recommendations. However, this time remained too long for many patients. We observed no social inequities in access to a PRst, but we show the need to improve effective pathway and access to a PR center for JIA patients

Attribution of extreme precipitation in the lower reaches of the Yangtze River during May 2016

May 2016 was the third wettest May on record since 1961 over central eastern China based on station observations, with total monthly rainfall 40% more than the climatological mean for 1961–2013. Accompanying disasters such as waterlogging, landslides and debris flow struck part of the lower reaches of the Yangtze River. Causal influence of anthropogenic forcings on this event is investigated using the newly updated Met Office Hadley Centre system for attribution of extreme weather and climate events. Results indicate that there is a significant increase in May 2016 rainfall in model simulations relative to the climatological period, but this increase is largely attributable to natural variability. El Ni ̃no years have been found to be correlatedwith extreme rainfall in the Yangtze River region in previous studies—the strong El Ni ̃no of 2015–2016 may account for the extreme precipitation event in 2016. However, on smaller spatial scales we find that anthropogenic forcing has likely played a role in increasing the risk of extreme rainfall to the north of the Yangtze and decreasing it to the south