Delayed delivery of surviving triplet after fetal reduction and spontaneous abortion

In multiple pregnancies, survival of remaining fetuses after premature death and delivery of one fetus is uncommon. We report a case of a triplet pregnancy that was reduced to twins at the 14th gestational week and then had preterm premature rupture of membranes and intrauterine fetal death of one twin at the 17th gestational week. To save the surviving fetus, delivery of the dead fetus and ligation of the umbilical cord at the cervical level were performed. We also performed McDonald cervical cerclage to keep the placenta of the dead fetus as well as that of the surviving one in the uterine cavity. After a series of aggressive procedures, including immediate administration of tocolytic agents, and antibiotic prophylaxis to prevent infection and preterm labor, the surviving fetus was delivered vaginally 73 days later due to intractable uterine contractions. After a 10-week hospital stay, the infant boy, weighing 2,500 g, was discharged without any sequelae. To our knowledge, this was the longest interval between deliveries in a triplet pregnancy reported in Taiwan. With adequate intensive management, a satisfactory outcome of the fetus and mother in such cases is possible.     

Ultra-shallow p-junction formation in silicon by excimer laser doping: a heat and mass transfer perspective

Heat and mass transfer at the nanosecond time scale and the nanometer length scale in pulsed laser fabrication of ultra-shallow p⁺-junctions is studied in this work. A new technique is developed to fabricate the ultra-shallow p⁺-junctions with pulsed laser doping of crystalline silicon with a solid spin-on-glass (SOG) dopant, through the nanosecond pulsed laser heating, melting, and boron mass diffusion in the 100 nm thin silicon layer close to the surface. High boron concentration of 10²⁰ atoms cc⁻¹ and the ‘box-like’ junction profile are achieved. The key mechanism determining the ‘box-like’ junction shape is found to be the melt-solid interface limited diffusion. The ultra-shallow p⁺-junctions with the depth from 30 to 400 nm are successfully made by the excimer laser. The optimal laser fluence condition for SOG doping is found about 0.6–0.8 J cm⁻² by studying the ultra-shallow p⁺-junction boron profiles measured by the secondary ion mass spectroscopy (SIMS) vs the laser fluence and the pulse number. The one-dimensional numerical analysis agrees reasonably with the experiment, within the available physical picture. Possible mechanisms such as boron diffusivity dependence on the dopant concentration in the molten silicon are proposed.     

Exceptional convergent evolution in a virus

Replicate lineages of the bacteriophage phiX 174 adapted to growth at high temperature on either of two hosts exhibited high rates of identical, independent substitutions. Typically, a dozen or more substitutions accumulated in the 5.4-kilobase genome during propagation. Across the entire data set of nine lineages, 119 independent substitutions occurred at 68 nucleotide sites. Over half of these substitutions, accounting for one third of the sites, were identical with substitutions in other lineages. Some convergent substitutions were specific to the host used for phage propagation, but others occurred across both hosts. Continued adaptation of an evolved phage at high temperature, but on the other host, led to additional changes that included reversions of previous substitutions. Phylogenetic reconstruction using the complete genome sequence not only failed to recover the correct evolutionary history because of these convergent changes, but the true history was rejected as being a significantly inferior fit to the data. Replicate lineages subjected to similar environmental challenges showed similar rates of substitution and similar rates of fitness improvement across corresponding times of adaptation. Substitution rates and fitness improvements were higher during the initial period of adaptation than during a later period, except when the host was changed.     

A comprehensive approach to the solution of direct-coupledmultislice model of skewed rotor induction motors using time-steppingeddy-current finite element method

Normally a complicated three-dimensional (3-D) approach is needed to study the field pattern of induction machines with skewed rotor bars. In this paper, a time-stepping two-dimensional (2-D) eddy-current finite element method, based on multislice technique, is described to study the steady-state operation and the starting process of skewed rotor induction machines. The fields of the multislices are being solved en bloc simultaneously, and thus, the effects of the eddy current and saturation can be taken into account directly. New forms of the governing equations for the multislice model are derived, which allow the meshes of multislices to be taken as one 2-D mesh so that the algorithm is very similar to that of general 2-D problems. Special techniques required for the mesh generation in the multislice model and the salient structures of the software are also described. The results obtained by using the program being developed have very good correlation with test data     

Extraction of halide quaternary salts in an organic solvent/water system: Hydrodynamics and mass transfer

The hydrodynamic characteristics and mass transfers of halide quaternary salts between two immiscible phases in a stirred membrane permeation cell were investigated. The concentration of quaternary salt, temperature, solvent and the four kinds of halide quaternary salts were evaluated to achieve the extractive optimum condition. The diffusivity, overall mass‐transfer coefficients and individual mass‐transfer coefficients were determined and correlated in terms of the conventional Sh‐Re‐Sc relationship. The transfer time of quaternary salts across the membrane and the thickness of the hydrodynamic diffusion boundary layer were determined as well, so as to characterize the extractive phenomenon of quaternary salts between the two phases that is useful in phase‐transfer catalysis.     

Preparation of core–shell type nanoparticles of diblock copolymers of poly(L‐lactide)/poly(ethylene glycol) and their characterization in vitro

Core–shell type nanoparticles of poly(L ‐lactide)/poly(ethylene glycol) (LE) diblock copolymer were prepared by a dialysis technique. Their size was confirmed as 40–70 nm using photon correlation spectroscopy. The ¹H‐NMR analysis confirmed the formation of core–shell type nanoparticles and drug loading. The particle size, drug loading, and drug release rate of the LE nanoparticles were slightly changed by the initial solvents that were used. The drug release behavior of LE core–shell type nanoparticles showed an initial burst during the first 12 h and then a sustained release until 100 h. The degradation behavior of LE block copolymer nanoparticles was divided into three phases: the initial rapid degradation phase, the stationary phase, and the rapid degradation phase until complete degradation. It was suggested that lidocaine release kinetics were predominantly governed by the diffusion mechanism in the initial burst phase and after that by both of the diffusion and degradation mechanisms. © 2002 Wiley Periodicals, Inc. J Appl Polym Sci 85: 2625–2634, 2002     

Hilar cholangiocarcinoma: thin-section spiral CT findings with cholangiographic correlation

Hilar cholangiocarcinoma, a highly lethal tumor, is difficult to diagnose with conventional computed tomography (CT) because of its small size. Spiral CT allows more effective evaluation of these small lesions and better demonstrates the status of the hepatic arterial or portal venous circulation. Among 27 patients with hilar cholangiocarcinoma (infiltrative in 21, exophytic in two, polypoid in one, diffuse in three), thin-section spiral CT allowed identification of each tumor as an area of focal wall thickening that obliterated the lumen. Seventeen of the infiltrative tumors (81%) showed high attenuation. Identification of the level of biliary obstruction was possible in 63% of the patients (17 of 27). The level of obstruction was underestimated in six patients and overestimated in four. Spiral CT is a valuable method for diagnosis of hilar cholangiocarcinoma; however, spiral CT is less accurate in evaluation of intraductal tumor extent because of the limited z-axis resolution.