Destruction and regrowth of lithospheric mantle beneath large igneous provinces

Large igneous provinces (LIPs) are formed by enormous (i.e., frequently >106 km3) but short-lived magmatic events that have profound effects upon global geodynamic, tectonic, and environmental processes. Lithospheric structure is known to modulate mantle melting, yet its evolution during and after such dramatic periods of magmatism is poorly constrained. Using geochemical and seismological observations, we find that magmatism is associated with thin (i.e., ≲80 km) lithosphere and we reveal a striking positive correlation between the thickness of modern-day lithosphere beneath LIPs and time since eruption. Oceanic lithosphere rethickens to 125 km, while continental regions reach >190 km. Our results point to systematic destruction and subsequent regrowth of lithospheric mantle during and after LIP emplacement and recratonization of the continents following eruption. These insights have implications for the stability, age, and composition of ancient, thick, and chemically distinct lithospheric roots, the distribution of economic resources, and emissions of chemical species that force catastrophic environmental change

The effects of injection of bovine vaccine into a human digit: a case report

BACKGROUND: The incidence of needlestick injuries in farmers and veterinary surgeons is significant and the consequences of such an injection can be serious. CASE PRESENTATION: We report accidental injection of bovine vaccine into the base of the little finger. This resulted in increased pressure in the flexor sheath causing signs and symptoms of ischemia. Amputation of the digit was required despite repeated surgical debridement and decompression. CONCLUSION: There have been previous reports of injection of oil-based vaccines into the human hand resulting in granulomatous inflammation or sterile abscess and causing morbidity and tissue loss. Self-injection with veterinary vaccines is an occupational hazard for farmers and veterinary surgeons. Injection of vaccine into a closed compartment such as the human finger can have serious sequelae including loss of the injected digit. These injuries are not to be underestimated. Early debridement and irrigation of the injected area with decompression is likely to give the best outcome. Frequent review is necessary after the first procedure because repeat operations may be required

Correlative In Situ Multichannel Imaging for Large-Area Monitoring of Morphology Formation in Solution-Processed Perovskite Layers

To scale up production of perovskite photovoltaics, state-of-the-art laboratory recipes and processes must be transferred to large-area coating and drying systems. The development of in situ monitoring methods that provide real-time feedback for process control is pivotal to overcome this challenge. Herein, correlative in situ multichannel imaging (IMI) obtaining reflectance, photoluminescence intensity, and central photoluminescence emission wavelength images on areas larger than 100 cm2 with subsecond temporal resolution using a simple, cost-effective setup is demonstrated. Installed on top of a drying channel with controllable laminar air flow and substrate temperature, IMI is shown to consistently monitor solution film drying, perovskite nucleation, and perovskite crystallization. If the processing parameters differ, IMI reveals characteristic changes in large-area perovskite formation dynamics already before the final annealing step. Moreover, when IMI is used to study >130 blade-coated devices processed at the same parameters, about 90% of low-performing devices contain coating inhomogeneities detected by IMI. The results demonstrate that IMI should be of value for real-time 2D monitoring and feedback control in industrial-scale, high-throughput fabrication such as roll-to-roll printing

Upscaling of perovskite solar modules: The synergy of fully evaporated layer fabrication and all‐laser‐scribed interconnections

Given the outstanding progress in research over the past decade, perovskite photovoltaics (PV) is about to step up from laboratory prototypes to commercial products. For this to happen, realizing scalable processes to allow the technology to transition from solar cells to modules is pivotal. This work presents all-evaporated perovskite PV modules with all thin films coated by established vacuum deposition processes. A common 532-nm nanosecond laser source is employed to realize all three interconnection lines of the solar modules. The resulting module interconnections exhibit low series resistance and a small total lateral extension down to 160 μm. In comparison with interconnection fabrication approaches utilizing multiple scribing tools, the process complexity is reduced while the obtained geometrical fill factor of 96% is comparable with established inorganic thin-film PV technologies. The all-evaporated perovskite minimodules demonstrate power conversion efficiencies of 18.0% and 16.6% on aperture areas of 4 and 51 cm$^{2}$, respectively. Most importantly, the all-evaporated minimodules exhibit only minimal upscaling losses as low as 3.1%$_{rei}$ per decade of upscaled area, at the same time being the most efficient perovskite PV minimodules based on an all-evaporated layer stack sequence

Double-periodic blue variables in the Magellanic Clouds

We report the discovery, based on an inspection of the OGLE-II database, of a group of blue variables in the Magellanic Clouds showing simultaneously two kinds of photometric variability: a short-term cyclic variability with typical amplitude $\Delta I \sim$ 0.05 mag and period $P_{1}$ between 4 and 16 days and a sinusoidal, long-term cyclic oscillation with much larger amplitude $\Delta I \sim$ 0.2 mag with period $P_{2}$ in the range of 150-1000 days. We find that both periods seems to be coupled through the relationship $P_{2}$ = 35.2 $\pm$ 0.8 $P_{1}$. In general, the short term variability is reminiscent of those shown by Algol-type binaries. We propose that the long-term oscillation could arise in the precession of a elliptical disc fed by a Roche-lobe filling companion in a low mass ratio Algol system.Comment: submitted to A&A letter

Characteristics of effective collaborative care for treatment of depression: a systematic review and meta-regression of 74 randomised controlled trials

This is a freely-available open access publication. Please cite the published version which is available via the DOI link in this record.BACKGROUND: Collaborative care is a complex intervention based on chronic disease management models and is effective in the management of depression. However, there is still uncertainty about which components of collaborative care are effective. We used meta-regression to identify factors in collaborative care associated with improvement in patient outcomes (depressive symptoms) and the process of care (use of anti-depressant medication). METHODS AND FINDINGS: Systematic review with meta-regression. The Cochrane Collaboration Depression, Anxiety and Neurosis Group trials registers were searched from inception to 9th February 2012. An update was run in the CENTRAL trials database on 29th December 2013. Inclusion criteria were: randomised controlled trials of collaborative care for adults ≥18 years with a primary diagnosis of depression or mixed anxiety and depressive disorder. Random effects meta-regression was used to estimate regression coefficients with 95% confidence intervals (CIs) between study level covariates and depressive symptoms and relative risk (95% CI) and anti-depressant use. The association between anti-depressant use and improvement in depression was also explored. Seventy four trials were identified (85 comparisons, across 21,345 participants). Collaborative care that included psychological interventions predicted improvement in depression (β coefficient -0.11, 95% CI -0.20 to -0.01, p = 0.03). Systematic identification of patients (relative risk 1.43, 95% CI 1.12 to 1.81, p = 0.004) and the presence of a chronic physical condition (relative risk 1.32, 95% CI 1.05 to 1.65, p = 0.02) predicted use of anti-depressant medication. CONCLUSION: Trials of collaborative care that included psychological treatment, with or without anti-depressant medication, appeared to improve depression more than those without psychological treatment. Trials that used systematic methods to identify patients with depression and also trials that included patients with a chronic physical condition reported improved use of anti-depressant medication. However, these findings are limited by the observational nature of meta-regression, incomplete data reporting, and the use of study aggregates.NIH

Ovarian cancer symptom awareness and anticipated delayed presentation in a population sample

Background: While ovarian cancer is recognised as having identifiable early symptoms, understanding of the key determinants of symptom awareness and early presentation is limited. A population-based survey of ovarian cancer awareness and anticipated delayed presentation with symptoms was conducted as part of the International Cancer Benchmarking Partnership (ICBP). Methods: Women aged over 50 years were recruited using random probability sampling (n = 1043). Computer-assisted telephone interviews were used to administer measures including ovarian cancer symptom recognition, anticipated time to presentation with ovarian symptoms, health beliefs (perceived risk, perceived benefits/barriers to early presentation, confidence in symptom detection, ovarian cancer worry), and demographic variables. Logistic regression analysis was used to identify the contribution of independent variables to anticipated presentation (categorised as < 3 weeks or ≥ 3 weeks). Results: The most well-recognised symptoms of ovarian cancer were post-menopausal bleeding (87.4%), and persistent pelvic (79.0%) and abdominal (85.0%) pain. Symptoms associated with eating difficulties and changes in bladder/bowel habits were recognised by less than half the sample. Lower symptom awareness was significantly associated with older age (p ≤ 0.001), being single (p ≤ 0.001), lower education (p ≤ 0.01), and lack of personal experience of ovarian cancer (p ≤ 0.01). The odds of anticipating a delay in time to presentation of ≥ 3 weeks were significantly increased in women educated to degree level (OR = 2.64, 95% CI 1.61 – 4.33, p ≤ 0.001), women who reported more practical barriers (OR = 1.60, 95% CI 1.34 – 1.91, p ≤ 0.001) and more emotional barriers (OR = 1.21, 95% CI 1.06 – 1.40, p ≤ 0.01), and those less confident in symptom detection (OR = 0.56, 95% CI 0.42 – 0.73, p ≤ 0.001), but not in those who reported lower symptom awareness (OR = 0.99, 95% CI 0.91 – 1.07, p = 0.74). Conclusions: Many symptoms of ovarian cancer are not well-recognised by women in the general population. Evidence-based interventions are needed not only to improve public awareness but also to overcome the barriers to recognising and acting on ovarian symptoms, if delays in presentation are to be minimised

Risk factors for delay in symptomatic presentation: a survey of cancer patients

Background: Delay in symptomatic presentation leading to advanced stage at diagnosis may contribute to poor cancer survival. To inform public health approaches to promoting early symptomatic presentation, we aimed to identify risk factors for delay in presentation across several cancers. Methods: We surveyed 2371 patients with 15 cancers about nature and duration of symptoms using a postal questionnaire. We calculated relative risks for delay in presentation (time from symptom onset to first presentation >3 months) by cancer, symptoms leading to diagnosis and reasons for putting off going to the doctor, controlling for age, sex and deprivation group. Results: Among 1999 cancer patients reporting symptoms, 21% delayed presentation for >3 months. Delay was associated with greater socioeconomic deprivation but not age or sex. Patients with prostate (44%) and rectal cancer (37%) were most likely to delay and patients with breast cancer least likely to delay (8%). Urinary difficulties, change of bowel habit, systemic symptoms (fatigue, weight loss and loss of appetite) and skin symptoms were all common and associated with delay. Overall, patients with bleeding symptoms were no more likely to delay presentation than patients who did not have bleeding symptoms. However, within the group of patients with bleeding symptoms, there were significant differences in risk of delay by source of bleeding: 35% of patients with rectal bleeding delayed presentation, but only 9% of patients with urinary bleeding. A lump was a common symptom but not associated with delay in presentation. Twenty-eight percent had not recognised their symptoms as serious and this was associated with a doubling in risk of delay. Embarrassment, worry about what the doctor might find, being too busy to go to the doctor and worry about wasting the doctor’s time were also strong risk factors for delay, but were much less commonly reported (<6%). Interpretation: Approaches to promote early presentation should aim to increase awareness of the significance of cancer symptoms and should be designed to work for people of the lowest socioeconomic status. In particular, awareness that rectal bleeding is a possible symptom of cancer should be raised

Drying Dynamics of Solution‐Processed Perovskite Thin‐Film Photovoltaics: In Situ Characterization, Modeling, and Process Control

A key challenge for the commercialization of perovskite photovoltaics is the transfer of high‐quality spin coated perovskite thin‐films toward applying industry‐scale thin‐film deposition techniques, such as slot‐die coating, spray coating, screen printing, or inkjet printing. Due to the complexity of the formation of polycrystalline perovskite thin‐films from the precursor solution, efficient strategies for process transfer require advancing the understanding of the involved dynamic processes. This work investigates the fundamental interrelation between the drying dynamics of the precursor solution thin‐film and the quality of the blade coated polycrystalline perovskite thin‐films. Precisely defined drying conditions are established using a temperature‐stabilized drying channel purged with a laminar flow of dry air. The dedicated channel is equipped with laser reflectometry at multiple probing positions, allowing for in situ monitoring of the perovskite solution thin‐film thickness during the drying process. Based on the drying dynamics as measured at varying drying parameters, namely at varying temperature and laminar air flow velocity, a quantitative model on the drying of perovskite thin‐films is derived. This model enables process transfer to industry‐scale deposition systems beyond brute force optimization. Via this approach, homogeneous and pinhole‐free blade coated perovskite thin‐films are fabricated, demonstrating high power conversion efficiencies of up to 19.5% (17.3% stabilized) in perovskite solar cells