221,505 research outputs found
Thermal instability with the effect of cosmic-ray diffusion
We study dynamical effects of cosmics rays (CRs) on the thermal instability
in the linear regime. CRs and the thermal plasma are treated as two different
interacting fluids, in which CRs can diffuse along the magnetic field lines. We
show that growth rate of the magnetothermal condensation mode is reduced
because of the existence of CRs and this stabilizing effect depends on the
diffusion coefficient and the ratio of the CRs pressure to gas pressure. Thus,
a slower rate of structure formation via thermal instability is predicted when
CRs are considered.Comment: accepted by MNRA
Dupilumab efficacy in uncontrolled, moderate-to-severe asthma with self-reported chronic rhinosinusitis
BACKGROUND: Dupilumab, a fully human monoclonal antibody, blocks the shared receptor component for IL-4 and IL-13 signaling, key drivers of type 2 inflammation. In the phase 3 study (NCT02414854), add-on dupilumab 200 mg/300 mg every 2 weeks, versus placebo, significantly reduced severe asthma exacerbations and improved pre-bronchodilator forced expiratory volume in 1 second (FEV
OBJECTIVE: To assess the efficacy and safety of dupilumab in patients with uncontrolled, moderate-to-severe asthma with or without self-reported comorbid chronic rhinosinusitis (CRS or non-CRS).
METHODS: Comorbid CRS was self-reported by patients using an e-diary. Annualized severe exacerbation rates, changes from baseline in pre- and post-bronchodilator FEV
RESULTS: CRS was self-reported by 382 of 1902 (20.1%) patients. Dupilumab 200 mg/300 mg reduced annualized severe exacerbation rates by 63%/61%, respectively, in patients with CRS, and by 42%/40% in patients without CRS (all P \u3c .001 vs placebo). Dupilumab also improved lung function and patient-reported asthma control and quality of life, and suppressed type 2 biomarkers versus placebo in both subgroups. Clinical responses were rapid, with near-maximal responses observed at the earliest measured time points and sustained at week 52. Improvements observed in the CRS subgroup were similar to or numerically greater than those in the non-CRS subgroup.
CONCLUSION: Dupilumab showed efficacy and was generally well tolerated in patients with uncontrolled, moderate-to-severe asthma with or without CRS
A case-control study of medical, psychological and socio-economic factors influencing the severity of chronic rhinosinusitis
BACKGROUND: Chronic rhinosinusitis (CRS) is a common and debilitating disorder. Little is known about the epidemiology of this disease. The aims of the study were to identify differences in socio-economic variables and quality of life between patients with chronic rhinosinusitis and healthy controls, to identify any significant associations between CRS and other medical co-morbidities, psychiatric disease or environmental exposure and to explore the experience of CRS from the perspective of CRS sufferers. METHODS: Participants were recruited from ENT clinics from 30 centres across the UK. They completed a study-specific questionnaire considering environmental, medical and socio-economic factors, and SF-36 and SNOT-22 scores. All participants with CRS were diagnosed by a clinician and categorised as having CRS (with polyposis, without polyposis or allergic fungal rhinosinusitis (AFRS)). Controls included family and friends of those attending ENT outpatient clinics and hospital staff who had no diagnosis of nose or sinus problems and had not been admitted to hospital in the previous 12 months. RESULTS: A total of 1470 study participants (1249 patients and 221 controls) were included in the final analysis. Highly significant differences were seen in generic and disease-specific quality of life scores between CRS sufferers and controls; mean SNOT-22 score 45.0 for CRS compared with 12.1 amongst controls. There were no clear differences in socioeconomic variables including social class, index of multiple deprivation and educational attainment between cases and controls. Common comorbidities with a clear association included respiratory and psychiatric disorders, with a higher frequency of reported upper respiratory tract infections. CONCLUSIONS: CRS is associated with significant impairment in quality of life and with certain medical co-morbidities. In contrast to other common ENT disorders, no socioeconomic differences were found between patients and controls in this study
Interpretation of the excess of antiparticles within a modified paradigm of galactic cosmic rays
We argue that the anomalously high fluxes of positrons and antiprotons found
in cosmic rays (CR) can be satisfactorily explained by introducing two
additional elements to the current "standard" paradigm of Galactic CRs. First,
we propose that the antiparticles are effectively produced in interactions of
primary CRs with the surrounding gas not only in the interstellar medium (ISM)
but also inside the accelerators. Secondly, we postulate the existence of two
source populations injecting CRs into the ISM with different, (1) soft (close
to ) and (2) hard ( or harder),
energy distributions. Assuming that CRs in the 2nd population of accelerators
accumulate "grammage" of the order of before their leakage
into ISM, we can explain the energy distributions and absolute fluxes of both
positrons and antiprotons, as well as the fluxes of secondary nuclei of the
(Li,Be,B) group. The superposition of contributions of two source populations
also explains the reported hardening of the spectra of CR protons and nuclei
above 200 GV. The 2nd source population accelerating CRs with a rate at the
level below 10 percent of the power of the 1st source population, can be
responsible for the highest energy protons and nuclei of Galactic CRs up to the
"knee" around .Comment: accepted for publication in PR
Superdiffusion of Cosmic Rays: Implications for Cosmic Ray Acceleration
Diffusion of cosmic rays (CRs) is the key process of understanding their
propagation and acceleration. We employ the description of spatial separation
of magnetic field lines in MHD turbulence in Lazarian & Vishniac (1999) to
quantify the divergence of magnetic field on scales less than the injection
scale of turbulence and show this divergence induces superdiffusion of CR in
the direction perpendicular to the mean magnetic field. The perpendicular
displacement squared increases, not as distance along magnetic field, which
is the case for a regular diffusion, but as the for freely streaming
CRs. The dependence changes to for the CRs propagating diffusively
along magnetic field. In the latter case we show that it is important to
distinguish the perpendicular displacement in respect to the mean field and to
the local magnetic field. We consider how superdiffusion changes the
acceleration of CRs in shocks and show how it decreases efficiency of the CRs
acceleration in perpendicular shocks. We also demonstrate that in the case when
small-scale magnetic field is being generated in the pre-shock region, an
efficient acceleration can take place for the CRs streaming without collisions
along magnetic loops.Comment: 18 pages, 6 figures, erratum in eqs.(12,13) and table 1 included, ApJ
accepte
Non-thermal Emissions from Cool Cores Heated by Cosmic-Rays in Galaxy Clusters
We study non-thermal emissions from cool cores in galaxy clusters. We adopted
a recent model, in which cosmic-rays (CRs) prevail in the cores and stably heat
them through CR streaming. The non-thermal emissions come from the interaction
between CR protons and intracluster medium (ICM). Comparison between the
theoretical predictions and radio observations shows that the overall CR
spectra must be steep, and most of the CRs in the cores are low-energy CRs.
Assuming that the CRs are injected through AGN activities, we study the nature
of the shocks that are responsible for the CR acceleration. The steep CR
spectra are likely to reflect the fact that the shocks travel in hot ICM with
fairly small Much numbers. We also study the dependence on the CR streaming
velocity. The results indicate that synchrotron emissions from secondary
electrons should be observed as radio mini-halos in the cores. In particular,
low-frequency observations (e.g. LOFAR) are promising. On the other hand, the
steepness of the spectra makes it difficult to detect non-thermal X-ray and
gamma-ray emissions from the cores. The low-energy CRs may be heating optical
filaments observed in the cores.Comment: Accepted for publication in Ap
Interference and Deployment Issues for Cognitive Radio Systems in Shadowing Environments
In this paper we describe a model for calculating the aggregate interference
encountered by primary receivers in the presence of randomly placed cognitive
radios (CRs). We show that incorporating the impact of distance attenuation and
lognormal fading on each constituent interferer in the aggregate, leads to a
composite interference that cannot be satisfactorily modeled by a lognormal.
Using the interference statistics we determine a number of key parameters
needed for the deployment of CRs. Examples of these are the exclusion zone
radius, needed to protect the primary receiver under different types of fading
environments and acceptable interference levels, and the numbers of CRs that
can be deployed. We further show that if the CRs have apriori knowledge of the
radio environment map (REM), then a much larger number of CRs can be deployed
especially in a high density environment. Given REM information, we also look
at the CR numbers achieved by two different types of techniques to process the
scheduling information.Comment: to be presented at IEEE ICC 2009. This posting is the same as the
original one. Only author's list is updated that was unfortunately not
correctly mentioned in first versio
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