571 research outputs found
Photoabsorption in formaldehyde: Intensities and assignments in the discrete and continuous spectral intervals
Theoretical investigations of total and partialâchannel photoabsorption cross sections in molecular formaldehyde are reported employing the StieltjesâTchebycheff (SâT) technique and separatedâchannel staticâexchange (IVO) calculations. Vertical oneâelectron dipole spectra for the 2b_2(n), 1b_1(Ï), 5a_1(Ï), 1b_2, and 4a_1 canonical molecular orbitals are obtained using HartreeâFock frozenâcore functions and large basis sets of compact and diffuse normalizable Gaussians to describe the photoexcited and ejected electrons. The calculated discrete excitation spectra provide reliable zerothâorder approximations to both valence and Rydberg transitions, and, in particular, the 2b_2(n) ânsa_1, npa_1, npb_2, and nda_2 IVO spectra are in excellent accord with recent experimental assignments and available intensity measurements. Convergent (SâT) photoionization cross sections in the staticâexchange (IVO) approximation are obtained for the 15 individual partial channels associated with ionization of the five occupied molecular orbitals considered. Resonance features in many of the individualâchannel photoionization cross sections are attributed to contributions from valencelike a_1Ï^â (CO), a_1Ï^â (CH), and b_2Ï^â (CH)/Ï_y^â (CO) molecular orbitals that appear in the photoionization continua, rather than in the corresponding oneâelectron discrete spectral intervals. The vertical electronic cross sections for ^1A_1â^1B_1, ^1B_2, and ^1A_1 excitations are in generally good accord with previously reported CI (SâT) predictions of continuum orbital assignments and intensities, although some discrepancies due to basisâset differences are present in the ^1B_1 and ^1B_2 components, and larger discrepancies apparently due to channel coupling are present in the ^1A_1â^1A_1 cross section. Partialâchannel vertical electronic cross sections for the production of the five lowest parentâion electronic states are found to be in general agreement with the results of very recent synchrotronâradiation photoelectron branchingâratio measurements in the 20 to 30 eV excitation energy interval. Most important in this connection is the tentative verification of the predicted orderings in intensities of the partialâ channel cross sections, providing support for the presence of a strong ka_1Ï^â (CO) resonance in the (5a_1^(â1))^2A_1 channel. Finally, the total vertical electronic cross sections for absorption and ionization are in general accord with photoabsorption measurements, photoionizationâmassâspectrometric studies, and the previously reported CI (SâT) calculations. Although further refined calculations including vibrational degrees of freedom and autoionization line shapes are required for a more precise quantitative comparison between theory and experiment, the present study should provide a reliable zerothâorder account of discrete and continuum electronic dipole excitations in molecular formaldehyde
Prevalence and main outcomes of placenta accreta spectrum: a systematic review and metaanalysis
OBJECTIVE: The objective of this study was to evaluate the prevalence of placenta accreta spectrum in general population studies and the main maternal outcomes at delivery. STUDY DESIGN: Data sources: We searched PubMed, Google Scholar, clinicalTrials.gov and MEDLINE between 1982 and 2018. STUDY ELIGIBILITY CRITERIA: Articles providing data on the number of cases of placenta accreta spectrum per pregnancies, births or deliveries in a defined population. STUDY APPRAISAL AND SYNTHESIS METHODS: Study characteristics were evaluated by two independent reviewers using a predesigned protocol. Primary outcomes were the prevalence of placenta accreta spectrum and clinical diagnostic at birth and pathologic criteria used to confirm the diagnosis. Secondary outcomes included cases requiring transfusion, incidence of peripartum hysterectomy and maternal mortality rates. Heterogeneity between studies was analysed with the Cochran's Q-test and the I2 statistics. RESULTS: Of the 98 full-text studies identified, 29 articles met the defined criteria including 22 retrospective and 7 prospective studies comprising 7,001 cases of placenta accreta spectrum out 5,719,992 births. Prevalence rates ranged between 0.01 and 0.1% with an overall pooled prevalence of 0.17% (95% CI 0.14-0.19). Only 10 studies provided with detailed histopathologic data. The pool prevalence for the adherent versus the invasive grades was 0.5 (95% CI 0.3-0.36) and 0.3 (95% CI 0.2-0.4) per 1000 births, respectively. The pooled incidence for peripartum hysterectomy was 52.2% (95% CI 38.3-66.4; I2= 99.8%) and 46.9% (95 % CI 34-59.9, I2= 98.8%) for haemorrhage requiring transfusion. The pooled estimate of maternal death was 0.05% (95% CI 0.06-0.69, I2=73%). We found large amounts of heterogeneity between studies for all parameters and further quantifying was limited because of methodological inconsistencies between studies with regards to clinical criteria used for the diagnosis of the condition at birth and the histopathologic confirmation of the diagnosis and differential diagnosis between adherent and invasive accreta placentation. CONCLUSIONS: This meta-analysis indicates wide variation between studies for the prevalence rate of placenta accreta spectrum and for the different grades of accreta placentation, highlighting the need for consistency in definitions used to describe placenta accreta spectrum at birth and in reporting on this increasing common obstetric complication
Epidemiology of placenta previa accreta: a systematic review and meta-analysis
Objective To estimate the prevalence and incidence of
placenta previa complicated by placenta accreta spectrum
(PAS) and to examine the different criteria being used for
the diagnosis.
Design Systematic review and meta-analysis.
Data sources PubMed, Google Scholar, ClinicalTrials.gov
and MEDLINE were searched between August 1982 and
September 2018.
Eligibility criteria Studies reporting on placenta previa
complicated by PAS diagnosed in a defined obstetric
population.
Data extraction and synthesis Two independent
reviewers performed the data extraction using a
predefined protocol and assessed the risk of bias using
the Newcastle-Ottawa scale for observational studies, with
difference agreed by consensus. The primary outcomes
were overall prevalence of placenta previa, incidence
of PAS according to the type of placenta previa and the
reported clinical outcomes, including the number of
peripartum hysterectomies and direct maternal mortality.
The secondary outcomes included the criteria used for the
prenatal ultrasound diagnosis of placenta previa and the
criteria used to diagnose and grade PAS at birth.
Results A total of 258 articles were reviewed and 13
retrospective and 7 prospective studies were included in
the analysis, which reported on 587 women with placenta
previa and PAS. The meta-analysis indicated a significant
(p<0.001) heterogeneity between study estimates for
the prevalence of placenta previa, the prevalence of
placenta previa with PAS and the incidence of PAS in
the placenta previa cohort. The median prevalence of
placenta previa was 0.56% (IQR 0.39â1.24) whereas the
median prevalence of placenta previa with PAS was 0.07%
(IQR 0.05â0.16). The incidence of PAS in women with a
placenta previa was 11.10% (IQR 7.65â17.35).
Conclusions The high heterogeneity in qualitative and
diagnostic data between studies emphasises the need
to implement standardised protocols for the diagnoses
of both placenta previa and PAS, including the type of
placenta previa and grade of villous invasiveness.
PROSPERO registration number CRD4201706858
Photoexcitation and ionization in molecular fluorine: StieltjesâTchebycheff calculations in the static-exchange approximation
Theoretical investigation of outer (1pig, 1piu, 3sigmag) and inner (2sigmau, 2sigmag) valence-shell electronic photoexcitation and ionization cross sections in molecular fluorine are reported employing separated-channel static-exchange calculations and StieltjesâTchebycheff (SâT) moment-theory techniques. The discrete vertical electronic 1pig excitation series are found to be in good agreement with recent spectral assignments and previously reported theoretical studies, and those for 1piu, 3sigmag, 2sigmau and 2sigmag excitations are in general accord with position and intensity estimates based on quantum-defect analysis. Certain of the partial-channel photoionization cross sections in F2 are seen to exhibit resonancelike features similar to those reported recently in related SâT studies of photoionization in N2, CO, and O2. The resonances can be attributed to valencelike and pre-Rydberg diabatic states that cross the outer limbs of appropriate Rydberg series and corresponding ionic-state potential curves as functions of internuclear coordinate, giving rise to large continuum transition intensities at the ground-state equilibrium internuclear separation. In contrast to the situation in N2, CO, and O2, however, there is no evidence of a resonance like sigma-->sigma* feature in the 3sigmag-->ksigmau photoionization channel in F2. Rather, this resonance in F2 appears as a strong N-->Vg transition below the 3sigmag ionization threshold, and the corresponding partial-channel photoionization cross section is seen to be structureless. Although experimental studies of partial-channel photoionization cross sections are apparently unavailable for comparison, the calculations reported here should provide reliable approximations to the dipole excitation/ionization spectra in F2, and are helpful in understanding and clarifying the dependences of photoionization spectra in light diatomic molecules on shell occupancy and equilibrium internuclear separation when compared with the results of previous studies of photoionization in N2, CO, and O2
Low-Energy Nondipole Effects in Molecular Nitrogen Valence-Shell Photoionization
Observations are reported for the first time of significant nondipole effects in the photoionization of the outer-valence orbitals of diatomic molecules. Measured nondipole angular-distribution parameters for the 3sigmag, 1piu, and 2sigmau shells of N2 exhibit spectral variations with incident photon energies from thresholds to ~200 eV which are attributed via concomitant calculations to particular final-state symmetry waves arising from (E1)[direct-product](M1,E2) radiation-matter interactions first-order in photon momentum. Comparisons with previously reported K-edge studies in N2 verify linear scaling with photon momentum, accounting in part for the significantly enhanced nondipole behavior observed in inner-shell ionization at correspondingly higher momentum values in this molecule
Reference population for international comparisons and time trend surveillance of preterm delivery proportions in three countries
<p>Abstract</p> <p>Background</p> <p>International comparison and time trend surveillance of preterm delivery rates is complex. New techniques that could facilitate interpretation of such rates are needed.</p> <p>Methods</p> <p>We studied all live births and stillbirths (â„ 28 weeks gestation) registered in the medical birth registers in Sweden, Denmark and Norway from 1995 through 2004. Gestational age was determined by best estimate. A reference population of pregnant women was designed using the following criteria: 1) maternal age 20â35, 2) primiparity, 3) spontaneously conceived pregnancy, 4) singleton pregnancy and 5) mother born in the respective country. National preterm delivery rate, preterm delivery rate in the reference population and rate of spontaneous preterm delivery in the reference population were calculated for each country.</p> <p>Results</p> <p>The total national preterm delivery rate (< 37 completed gestational weeks), increased in both Denmark (5.3% to 6.1%, p < 0.001) and Norway (6.0% to 6.4%, p = 0.006), but remained unchanged in Sweden, during 1995â2004. In Denmark, the preterm delivery rate in the reference population (5.3% to 6.3%, p < 0.001) and the spontaneous preterm delivery rate in the reference population (4.4% to 6.8%, p < 0.001) increased significantly. No similar increase was evident in Norway. In Sweden, rates in the reference population remained stable.</p> <p>Conclusion</p> <p>Reference populations can facilitate overview and thereby explanations for changing preterm delivery rates. The model also permits comparisons over time. This model may in its simplicity prove to be a valuable supplement to assessments of national preterm delivery rates for public health surveillance.</p
Non-Dipolar Electron Angular Distributions from Fixed-in-Space Molecules
The first indication of nondipole effects in the azimuthal dependence of photoelectron angular distributions emitted from fixed-in-space molecules is demonstrated in N2. Comparison of the results with angular distributions observed for randomly oriented molecules and theoretical derivations for the nondipole correction first order in photon momentum suggests that higher orders will be needed to describe distributions measured in the molecular frame
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