Implementation of China's new policies on organ procurement: An important but challenging step forward

In the last decade, health authorities in China have made a series of policy announcements concerning organ procurement programs and changes in practice have been intermittently reported (1). The international community of transplant professionals has followed these reports closely, preoccupied with one fundamental issue: the procurement of organs from executed prisoners, a practice that for many years has provided the majority of organs transplanted in China. Sharif et al. describe this practice as “ethically indefensible” (2), an evaluation that reflects the position embraced by the international community for more than two decades (3-5). Sharif et al. express concern that whilst some transplant programs in China have ceased using organs from executed prisoners, others continue to do so, and that all organs procured from the deceased may be allocated through a collective pool as part of the new China Organ Transplant Response System, effectively “laundering” organs obtained from prisoners. They also note that one of the new strategies to encourage deceased donation of organs among the Chinese public has involved financial incentives for donor families, another practice that has been strongly critiqued by the international professional community and global health authorities (6,7).

In China and in the United States, proponents of organ procurement from executed prisoners have argued that prisoners should not be denied the option to donate organs after their death if they so choose, as this may provide them or their families solace and an opportunity for moral, spiritual or social redemption (8,9). However, the predominant argument in favour of the practice appears to be essentially pragmatic: prisoners condemned to death represent an additional pool of potential “donors” with organs that will otherwise “go to waste” (10). In contrast, international professional societies and the World Health Organization among others have argued that the practice not only violates the core principles of medical ethics but also thereby undermines efforts to establish a sufficient supply of deceased donor organs. In this commentary, we reaffirm the ethics policy of The Transplantation Society (TTS) concerning organ procurement from executed prisoners (4), and briefly discuss the implications of this policy for international professional engagement with China at this time of significant evolution of Chinese organ procurement programs.

One-step amino-functionalization of milled carbon fibre for enhancement of thermo-physical properties of epoxy composites

Development of new chemical approaches for preparation of engineered carbon-based fillers is critical for high-performance applications. Herein, an efficient method for covalent functionalization of polyacrylonitrile-based carbon fibre through azo radical addition under mild condition is demonstrated. In this way, isobutyronitrile radicals in situ produced from thermal decomposition of 2,2′-azobisisobutyronitrile (AIBN), were covalently grafted on milled carbon fibre (MCF) surface, assisted by microwave irradiation, as evidenced by FTIR, Raman, and TGA analysis. The grafted isobutyronitriles on MCF surface (n-MCF) were applied for further MCF amino-functionalization (a-MCF) via nucleophilic reaction of an amine-rich compound. Then, both pure MCF and a-MCF were incorporated into epoxy matrix; and its curing process and thermo-physical properties were investigated using DSC, rheometry, DMA, TGA, and flexural analysis. The Tg and flexural strength of epoxy/a-MCF composites, compared to epoxy/MCF, increased by ∼3.5% and ∼10.2%, resulting from good adhesion between a-MCF and epoxy matrix which confirmed by SEM observations.

Numerical simulation of a Savonius turbine above an infinite-width forward facing step

The Savonius turbine, although simple in construction, typically has a maximum power coefficient (cP) of about 0.2. This is significantly lower than the cP of the axial flow propeller-type turbine which typically can be as high as 0.5. However, a simple means to improve the cP of a Savonius turbine is to install it above a forward facing step, for example, a cliff or a building. In this work, prior experimental results of the tow testing of a Savonius turbine installed above a finite-width bluff body were used to validate computational fluid dynamics simulation of the same experimental conditions. The validated simulation settings were then used to obtain the maximum cP of a similar turbine of finite width but installed above an infinite-width forward facing step over a range of installation positions above and behind the step.

A cluster analytic approach to identifying predictors and moderators of psychosocial treatment for bipolar depression: results from STEP-BD

Background We sought to address how predictors and moderators of psychotherapy for bipolar depression - identified individually in prior analyses - can inform the development of a metric for prospectively classifying treatment outcome in intensive psychotherapy (IP) versus collaborative care (CC) adjunctive to pharmacotherapy in the Systematic Treatment Enhancement Program (STEP-BD) study. Methods We conducted post-hoc analyses on 135 STEP-BD participants using cluster analysis to identify subsets of participants with similar clinical profiles and investigated this combined metric as a moderator and predictor of response to IP. We used agglomerative hierarchical cluster analyses and k-means clustering to determine the content of the clinical profiles. Logistic regression and Cox proportional hazard models were used to evaluate whether the resulting clusters predicted or moderated likelihood of recovery or time until recovery. Results The cluster analysis yielded a two-cluster solution: 1) "less-recurrent/severe" and 2) "chronic/recurrent." Rates of recovery in IP were similar for less-recurrent/severe and chronic/recurrent participants. Less-recurrent/severe patients were more likely than chronic/recurrent patients to achieve recovery in CC (p=.040, OR=4.56). IP yielded a faster recovery for chronic/recurrent participants, whereas CC led to recovery sooner in the less-recurrent/severe cluster (p=.034, OR=2.62). Limitations Cluster analyses require list-wise deletion of cases with missing data so we were unable to conduct analyses on all STEP-BD participants. Conclusions A well-powered, parametric approach can distinguish patients based on illness history and provide clinicians with symptom profiles of patients that confer differential prognosis in CC vs. IP.

“Step by step”: high frequency short-distance epizoochorous dispersal of aquatic macrophytes

Aquatic macrophytes can successfully colonise and re-colonise areas separated by space and time. The mechanisms underlying such “mobility” are not well understood, but it has often been hypothesised that epizoochory (external dispersal) plays an important role. Yet, there is only limited, and mostly anecdotal, evidence concerning successful epizoochorous dispersal of aquatic macrophytes, particularly in the case of short-distance dispersal. Here we examine in situ and ex situ dispersal of aquatic macrophytes, including three invasive alien species. A high frequency of Lemna minor Linnaeus dispersal was observed in situ, and this was linked to bird-mediated epizoochory. We concluded that wind had no effect on dispersal. Similarly, in an ex situ examination Lemna minuta Kunth and Azolla filiculoides Lamarck, were found to be dispersed with a high frequency by mallard ducks (Anas platyrhynchos). No dispersal was measured for Elodea nuttalli (Planchon) H. St. John. It is concluded that short-distance or “stepping-stone” dispersal via bird-mediated epizoochory can occur with high frequencies, and therefore can play an important role in facilitating colonisation, range expansion and biological invasion of macrophytes.

Test de step y capacidad de trabajo en jugadoras de voleibol: la paradoja de un mejor rendimiento en las jugadoras mayores

El objetivo del presente estudio fue comparar dos pruebas submáximas de capacidad aeróbica, el YMCA step test y la prueba de capacidad de trabajo físico a 170 ppm (P170) de frecuencia cardíaca (FC), en jugadoras de voleibol femenino. Se analizaron en 152 participantes variables antropométricas, el rendimiento, la frecuencia cardiaca final (Stepend) y la frecuencia cardiaca en el primer minuto de recuperación (Steprec) en la prueba YMCA step test, la P170 fue analizada expresando los resultados en valores absolutos (P170,abs, W) y relativos (P170,rel, W.kg-1). Además, un subgrupo (n=14) fue analizado otra vez después de un año. Los resultados mostraron como el YMCA step test correlacionó altamente (Steprec) y muy altamente (Stepend) con la P170 rel (r = –0.58 and r = –0.76, p < 0.001, respectively), y con la P170,abs (r = –0.54 and r = –0.68, p < 0.001, respectively). No se encontraron correlaciones entre los porcentajes de cambio en los test de capacidad aeróbica después de un año (p>0.05). La edad presentó una correlación baja a moderada con todos los índices de capacidad aeróbica (0.23 ≤ ŇrŇ ≤ 0.45, p<0.05), viendo como las mayores edades tenían una mejor capacidad aeróbica. Basándonos en estos resultados podemos concluir que la prueba YMCA step test (especialmente el parámetro Stepend) y la P170 podrian ser utilizadas indistintamente por entrenadores y preparadores físicos para monitorizar la capacidad aeróbica de jugadoras de voleibol. El paradójico incremento de la capacidad aeróbica con la edad puede ser atribuido a los métodos de evaluación utilizados que están basados en la FC y al descenso de la FC máxima con la edad. Por lo tanto, estos test deberían ser utilizados solo con edades inferiores.

The abolition of defensive homicide : a step towards populist punitivism at the expense of mentally impaired offenders

The offence of defensive homicide was abolished in Victoria in November 2014, following a widely held perception that it was being abused by violent men. While primarily associated with battered women who killed in response to prolonged family violence — but who were unable to establish their offending as self-defence — a less publicised rationale underpinning the introduction of defensive homicide was to provide an alternative offence for offenders with cognitive impairments not covered by the mental impairment (formerly the insanity) defence. Cognitive impairments are complex and varied in their nature and symptomatology. Offenders presenting with cognitive impairments therefore require an appropriate range of legal responses to capture the nuances and appropriate moral culpability of their conduct. Drawing from an analysis of the cases of defensive homicide heard over its 10–year lifespan, this article contends that the abolition of defensive homicide did not adequately take into consideration the potential impacts on individuals whose mental conditions are not typically covered by the restrictive mental impairment defence. We further argue that the decision to abolish defensive homicide was driven by dominant, populist voices, without sufficient attention given to the offence’s potential to achieve the aims underpinning its enactment, including providing an alternative offence for women who kill in response to prolonged family violence.

Criminalising controlling and coercive behaviour: the next step in the prosecution of family violence?

A new offence of controlling or coercive behaviour in intimate or family relationships has recently come into force in England. The parliament of Scotland is contemplating introducing a related offence. The offence is distinctive because it criminalises conduct – controlling and coercive behaviour – which has specified negative behavioural and psychological consequences without necessarily requiring that a victim sustain physical injury or fear death or serious harm. This significant extension of the criminal law supplements anti-stalking legislation and has been justified on the basis that it addresses a core feature of abusive relationships, is essential to protect the human rights of victims of domestic abuse, and has community support. In the context of the ongoing debate about how best to tackle the problem of domestic abuse in Australia, this development provides an innovative – albeit still untested – model and should be closely examined.

Semantic Web for the legal domain: the next step

Ontology-driven systems with reasoning capabilities in the legal field are now better understood. Legal concepts are not discrete, but make up a dynamic continuum between common sense terms, specific technical use, and professional knowledge, in an evolving institutional reality. Thus, the tension between a plural understanding of regulations and a more general understanding of law is bringing into view a new landscape in which general legal frameworks – grounded in well-known legal theories stemming from 20th-century c. legal positivism or sociological jurisprudence – are made compatible with specific forms of rights management on the Web. In this sense, Semantic Web tools are not only being designed for information retrieval, classification, clustering, and knowledge management. They can also be understood as regulatory tools, i.e. as components of the contemporary legal architecture, to be used by multiple stakeholders – front-line practitioners, policymakers, legal drafters, companies, market agents, and citizens. That is the issue broadly addressed in this Special Issue on the Semantic Web for the Legal Domain, overviewing the work carried out over the last fifteen years, and seeking to foster new research in this field, beyond the state of the art.

One-step synthesis of graphene quantum dots from defective CVD graphene and their application in IGZO UV thin film phototransistor

Chemical vapor deposition (CVD) has recently been considered as the most reliable method to prepare high-quality monolayer graphene films, yet the as-grown graphene usually contains wrinkles and cracks or suffers from discontinuity. These defects can easily result in the shredding of large-sized graphene into small pieces even under a gentle disturbance. Herein, this work presents a cost-effective new method to produce high-quality GQDs by vigorous sonication of defective CVD graphene. The prepared GQDs can be easily and stably dispersed in organic solvents. Morphology and optical properties of the GQDs are investigated using a number of techniques. And we observed the as-prepared GQDs are highly homogeneous, mostly consisted of single-layered graphene, roughly round shapes less than 8 nm in a diameter, and exhibited a strong blue luminescence. Impressively, it is also confirmed that the as-obtained GQDs can act as a promising light absorption material for phototransistor with a hybrid film of GQDs and indium gallium zinc oxide (IGZO) as the channel layer. The GQD/IGZO phototransistor exhibited an appreciated photocurrent, which is 10 times larger than that of the IGZO one when exposed to 270 nm light.

One-step preparation of graphene nanosheets via ball milling of graphite and the application in lithium-ion batteries

An improved method for mass production of good-quality graphene nanosheets (GNs) via ball milling pristine graphite with dry ice is presented. We also report the enhanced performance of these GNs as working electrode in lithium-ion batteries (LIBs). In this improved method, the decrease of necessary ball milling time from 48 to 24 h and the increase of Brunauer–Emmett–Teller surface area from 389.4 to 490 m2/g might be resulted from the proper mixing of stainless steel balls with different diameters and the optimization of agitation speed. The as-prepared GNs are investigated in detail using a number of techniques, such as scanning electron microscope, atomic force microscope, high-resolution transmission electron microscopy, selected area electron diffraction, X-ray diffractometer, and Fourier transform infrared spectroscopic. To demonstrate the potential applications of these GNs, the performances of the LIBs with pure Fe3O4 electrode and Fe3O4/graphene (Fe3O4/G) composite electrode were carefully evaluated. Compared to Fe3O4-LIBs, Fe3O4/G-LIBs exhibited prominently enhanced performance and a reversible specific capacity of 900 mAh g−1 after 5 cycles at 100 and 490 mAh g−1 after 5 cycles at 800 mA g−1. The improved cyclic stability and enhanced rate capability were also obtained.

In Situ Observation of the Thermal Decomposition of Weddelite by Heating Stage Environmental Scanning Electron Microscopy

The morphological and chemical changes occurring during the thermal decomposition of weddelite, CaC2O4·2H2O, have been followed in real time in a heating stage attached to an Environmental Scanning Electron Microscope operating at a pressure of 2 Torr, with a heating rate of 10 °C/min and an equilibration time of approximately 10 min. The dehydration step around 120 °C and the loss of CO around 425 °C do not involve changes in morphology, but changes in the composition were observed. The final reaction of CaCO3 to CaO while evolving CO2 around 600 °C involved the formation of chains of very small oxide particles pseudomorphic to the original oxalate crystals. The change in chemical composition could only be observed after cooling the sample to 350 °C because of the effects of thermal radiation.

Thermal treatment of weddellite—a Raman and infrared emission spectroscopic study

Thermal transformations of natural calcium oxalate dihydrate known in mineralogy as weddellite have been undertaken using a combination of Raman microscopy and infrared emission spectroscopy. The vibrational spectroscopic data was complimented with high resolution thermogravimetric analysis combined with evolved gas mass spectrometry. TG–MS identified three mass loss steps at 114, 422 and 592 °C. In the first mass loss step water is evolved only, in the second and third steps carbon dioxide is evolved. The combination of Raman microscopy and a thermal stage clearly identifies the changes in the molecular structure with thermal treatment. Weddellite is the phase in the temperature range up to the pre-dehydration temperature of 97 °C. At this temperature, the phase formed is whewellite (calcium oxalate monohydrate) and above 114 °C the phase is the anhydrous calcium oxalate. Above 422 °C, calcium carbonate is formed. Infrared emission spectroscopy shows that this mineral decomposes at around 650 °C. Changes in the position and intensity of the C=O and C---C stretching vibrations in the Raman spectra indicate the temperature range at which these phase changes occur.

Pattern-based analysis of EAI languages : the case of the business modelling language

Enterprise Application Integration (EAI) is a challenging area that is attracting growing attention from the software industry and the research community. A landscape of languages and techniques for EAI has emerged and is continuously being enriched with new proposals from different software vendors and coalitions. However, little or no effort has been dedicated to systematically evaluate and compare these languages and techniques. The work reported in this paper is a first step in this direction. It presents an in-depth analysis of a language, namely the Business Modeling Language, specifically developed for EAI. The framework used for this analysis is based on a number of workflow and communication patterns. This framework provides a basis for evaluating the advantages and drawbacks of EAI languages with respect to recurrent problems and situations.