Use of combined suspension laryngoscopy, flexible bronchoscopy and high frequency jet ventilation for Y-shaped airway stents delivery

La trachée et les bronches proximales sont de fins conduits subtils, ingénieusement structurés par une partie cartilagineuse antérieure résistante aux variations de pression et une partie membraneuse postérieure souple. Par leurs faibles volumes (espace mort) ils délivrent un grand pourcentage de l'air inspiré aux voies distales, puis au parenchyme pulmonaire, permettant les échanges de gaz. Cette belle harmonie respiratoire peut être rapidement mise à mal dès qu'un processus atteint ces voies respiratoires proximales, soit en les comprimant, processus sténosant, soit en affaiblissant leur structure, trachéo-bronchomalacie, soit en ouvrant leur paroi sur les structures médiastinales, fistule trachéo/broncho-médiastinales, pleurales ou autres. Le pronostic vital est alors rapidement engagé au vu de l'absolue nécessité du bon fonctionnement de ces fins conduits, une petite diminution du calibre de leurs fines lumières provoquant une baisse importante de leurs surfaces. Dans ces situations à haut potentiel de complication majeure les interventions endoscopiques pour restaurer l'intégrité de ces conduits sont alors fort risquées, et il est primordial de pouvoir les effectuer dans un cadre sécurisé au maximum. La réalisation de ces gestes par la technique décrite dans notre article « Use of combined suspension laryngoscopy, flexible bronchoscopy and high frequency jet ventilation forY-shaped airway stents delivery" permet la sécurité nécessaire à ces situations instable, en effet -la laryngoscopie en suspension expose les voies proximales en offrant un accès le plus large possible à l'arbre trachéobronchique ce qui permet l insertion de multiples instruments parfois volumineux, -la Jet ventilation assure une oxygénation et une ventilation adéquate par un fin cathéter placé soit dans le poumon sain, soit en distalité de la lésion -la bronchoscopie souple, passant au travers d'endroits exigus et courbes permet le déploiement sous vision direct, au millimètre près, de divers dispositifs. Cette association remplace avantageusement la technique traditionnelle qui insère les stents à l'aveugle, et en apnée, ce qui représente de haut risque de mauvais positionnement des stents avec des conséquences immédiates sur l'oxygénation et la ventilation souvent déjà bien altérées. Perspective et conclusion : cette technique est utile pour l'insertion des stents en Y, centraux, comme décrit dans notre article, et les indications peuvent être étendues aux stents distaux pour lesquels l'accès n'est parfois pas aisé avec le bronchoscope rigide, et pour d'autres interventions endoscopiques, laser, cryothérapie, radiofréquence ou l'insertion de nouveaux dispositifs

Refined architecture of the WASP-8 system: a cautionary tale for traditional Rossiter-McLaughlin analysis

Probing the trajectory of a transiting planet across the disk of its star through the analysis of its Rossiter-McLaughlin effect can be used to measure the differential rotation of the host star and the true obliquity of the system. Highly misaligned systems could be particularly conducive to these mesurements, which is why we reanalysed the HARPS transit spectra of WASP-8b using the 'Rossiter-McLaughlin effect reloaded' (reloaded RM) technique. This approach allows us to isolate the local stellar CCF emitted by the planet-occulted regions. As a result we identified a $\sim$35% variation in the local CCF contrast along the transit chord, which might trace a deepening of the stellar lines from the equator to the poles. Whatever its origin, such an effect cannot be detected when analyzing the RV centroids of the disk-integrated CCFs through a traditional velocimetric analysis of the RM effect. Consequently it injected a significant bias into the results obtained by Queloz et al. (2010) for the projected rotational velocity $v_{eq} \sin i_{\star}$ (1.59$\stackrel{+0.08}{_{-0.09}}$ km/s) and the sky-projected obliquity $\lambda$ (-123.0$\stackrel{+3.4}{_{-4.4}}^{\circ}$). Using our technique, we measured these values to be $v_{eq} \sin i_{\star}$ = 1.90$\pm$0.05 km/s and $\lambda$ = -143.0$\stackrel{+1.6}{_{-1.5}}^{\circ}$. We found no compelling evidence for differential rotation of the star, although there are hints that WASP-8 is pointing away from us with the stellar poles rotating about 25% slower than the equator. Measurements at higher accuracy during ingress/egress will be required to confirm this result. In contrast to the traditional analysis of the RM effect, the reloaded RM technique directly extracts the local stellar CCFs, allowing us to analyze their shape and to measure their RV centroids, unbiased by variations in their contrast or FWHM.Comment: Accepted for publication in A&A. 12 page

A new wavelength calibration for echelle spectrographs using Fabry-Perot etalons

The study of Earth-mass extrasolar planets via the radial-velocity technique and the measurement of the potential cosmological variability of fundamental constants call for very-high-precision spectroscopy at the level of \updelta\lambda/\lambda<10^{-9}. Wavelength accuracy is obtained by providing two fundamental ingredients: 1) an absolute and information-rich wavelength source and 2) the ability of the spectrograph and its data reduction of transferring the reference scale (wavelengths) to a measurement scale (detector pixels) in a repeatable manner. The goal of this work is to improve the wavelength calibration accuracy of the HARPS spectrograph by combining the absolute spectral reference provided by the emission lines of a thorium-argon hollow-cathode lamp (HCL) with the spectrally rich and precise spectral information of a Fabry-P\'erot-based calibration source. On the basis of calibration frames acquired each night since the Fabry-P\'erot etalon was installed on HARPS in 2011, we construct a combined wavelength solution which fits simultaneously the thorium emission lines and the Fabry-P\'erot lines. The combined fit is anchored to the absolute thorium wavelengths, which provide the `zero-point' of the spectrograph, while the Fabry-P\'erot lines are used to improve the (spectrally) local precision. The obtained wavelength solution is verified for auto-consistency and tested against a solution obtained using the HARPS Laser-Frequency Comb (LFC). The combined thorium+Fabry-P\'erot wavelength solution shows significantly better performances compared to the thorium-only calibration. The presented techniques will therefore be used in the new HARPS and HARPS-N pipeline, and will be exported to the ESPRESSO spectrograph.Comment: 15 pages, 8 figure

Impact of micro-telluric lines on precise radial velocities and its correction

Context: In the near future, new instruments such as ESPRESSO will arrive, allowing us to reach a precision in radial-velocity measurements on the order of 10 cm/s. At this level of precision, several noise sources that until now have been outweighed by photon noise will start to contribute significantly to the error budget. The telluric lines that are not neglected by the masks for the radial velocity computation, here called micro-telluric lines, are one such noise source. Aims: In this work we investigate the impact of micro-telluric lines in the radial velocities calculations. We also investigate how to correct the effect of these atmospheric lines on radial velocities. Methods: The work presented here follows two parallel lines. First, we calculated the impact of the micro-telluric lines by multiplying a synthetic solar-like stellar spectrum by synthetic atmospheric spectra and evaluated the effect created by the presence of the telluric lines. Then, we divided HARPS spectra by synthetic atmospheric spectra to correct for its presence on real data and calculated the radial velocity on the corrected spectra. When doing so, one considers two atmospheric models for the synthetic atmospheric spectra: the LBLRTM and TAPAS. Results: We find that the micro-telluric lines can induce an impact on the radial velocities calculation that can already be close to the current precision achieved with HARPS, and so its effect should not be neglected, especially for future instruments such as ESPRESSO. Moreover, we find that the micro-telluric lines' impact depends on factors, such as the radial velocity of the star, airmass, relative humidity, and the barycentric Earth radial velocity projected along the line of sight at the time of the observation.Comment: Accepted in A&

Radial Velocities with CRIRES: Pushing precision down to 5-10 m/s

With the advent of high-resolution infrared spectrographs, Radial Velocity (RV) searches enter into a new domain. As of today, the most important technical question to address is which wavelength reference is the most suitable for high-precision RV measurements. In this work we explore the usage of atmospheric absorption features. We make use of CRIRES data on two programs and three different targets. We re-analyze the data of the TW Hya campaign, reaching a dispersion of about 6 m/s on the RV standard in a time scale of roughly 1 week. We confirm the presence of a low-amplitude RV signal on TW Hya itself, roughly 3 times smaller than the one reported at visible wavelengths. We present RV measurements of Gl 86 as well, showing that our approach is capable of detecting the signal induced by a planet and correctly quantifying it. Our data show that CRIRES is capable of reaching a RV precision of less than 10 m/s in a time-scale of one week. The limitations of this particular approach are discussed, and the limiting factors on RV precision in the IR in a general way. The implications of this work on the design of future dedicated IR spectrographs are addressed as well.Comment: 9 pages, accepted for publication in A&

Comparison of different exoplanet mass detection limit methods using a sample of main-sequence intermediate-type stars

The radial velocity (RV) technique is a powerful tool for detecting extrasolar planets and deriving mass detection limits that are useful for constraining planet pulsations and formation models. Detection limit methods must take into account the temporal distribution of power of various origins in the stellar signal. These methods must also be able to be applied to large samples of stellar RV time series We describe new methods for providing detection limits. We compute the detection limits for a sample of ten main sequence stars, which are of G-F-A type, in general active, and/or with detected planets, and various properties. We use them to compare the performances of these methods with those of two other methods used in the litterature. We obtained detection limits in the 2-1000 day period range for ten stars. Two of the proposed methods, based on the correlation between periodograms and the power in the periodogram of the RV time series in specific period ranges, are robust and represent a significant improvement compared to a method based on the root mean square of the RV signal. We conclude that two of the new methods (correlation-based method and local power analysis, i.e. LPA, method) provide robust detection limits, which are better than those provided by methods that do not take into account the temporal sampling.Comment: 18 pages, 15 figures Accepted in Astronomy & Astrophysic

Freshwater reservoir offsets and food crusts: Isotope, AMS, and lipid analyses of experimental cooking residues

Freshwater reservoir offsets (FROs) occur when AMS dates on charred, encrusted food residues on pottery predate a pot’s chronological context because of the presence of ancient carbon from aquatic resources such as fish. Research over the past two decades has demonstrated that FROs vary widely within and between water bodies and between fish in those water bodies. Lipid analyses have identified aquatic biomarkers that can be extracted from cooking residues as potential evidence for FROs. However, lacking has been efforts to determine empirically how much fish with FROs needs to be cooked in a pot with other resources to result in significant FRO on encrusted cooking residue and what percentage of fish C in a residue is needed to result in the recovery of aquatic biomarkers. Here we provide preliminary assessments of both issues. Our results indicate that in historically-contingent, high alkalinity environments\u3c20%C from fish may result in a statistically significant FRO, but that biomarkers for aquatic resources may be present in the absence of a significant FRO

Strong HI Lyman-α\alpha variations from the 11 Gyr-old host star Kepler-444: a planetary origin ?

Kepler-444 provides a unique opportunity to probe the atmospheric composition and evolution of a compact system of exoplanets smaller than the Earth. Five planets transit this bright K star at close orbital distances, but they are too small for their putative lower atmosphere to be probed at optical/infrared wavelengths. We used the Space Telescope Imaging Spectrograph instrument onboard the Hubble Space Telescope to search for the signature of the planet's upper atmospheres at six independent epochs in the Ly-$\alpha$ line. We detect significant flux variations during the transits of both Kepler-444e and f (~20%), and also at a time when none of the known planets was transiting (~40%). Variability in the transition region and corona of the host star might be the source of these variations. Yet, their amplitude over short time scales (~2-3 hours) is surprisingly strong for this old (11.2+-1.0Gyr) and apparently quiet main-sequence star. Alternatively, we show that the in-transits variations could be explained by absorption from neutral hydrogen exospheres trailing the two outer planets (Kepler-444e and f). They would have to contain substantial amounts of water to replenish such hydrogen exospheres, which would reveal them as the first confirmed ocean-planets. The out-of-transit variations, however, would require the presence of a yet-undetected Kepler-444g at larger orbital distance, casting doubt on the planetary origin scenario. Using HARPS-N observations in the sodium doublet, we derived the properties of two Interstellar Medium clouds along the line-of-sight toward Kepler-444. This allowed us to reconstruct the stellar Ly-$\alpha$ line profile and to estimate the XUV irradiation from the star, which would still allow for a moderate mass loss from the outer planets after 11.2Gyr. Follow-up of the system at XUV wavelengths will be required to assess this tantalizing possibility.Comment: Accepted for publication in A&A Name of the system added to the title in most recent versio

A cautionary tale: limitations of a brightness-based spectroscopic approach to chromatic exoplanet radii

Determining wavelength-dependent exoplanet radii measurements is an excellent way to probe the composition of exoplanet atmospheres. In light of this, Borsa et al. (2016) sought to develop a technique to obtain such measurements by comparing ground-based transmission spectra to the expected brightness variations during an exoplanet transit. However, we demonstrate herein that this is not possible due to the transit light curve normalisation necessary to remove the effects of the Earth's atmosphere on the ground-based observations. This is because the recoverable exoplanet radius is set by the planet-to-star radius ratio within the transit light curve; we demonstrate this both analytically and with simulated planet transits, as well as through a reanalysis of the HD 189733b data.Comment: 5 pages, 2 figures, 1 table, accepted to A&

Extrasolar planets and brown dwarfs around A-F type stars V. A planetary system found with HARPS around the F6IV-V star HD 60532

Aims: In the frame of the search for extrasolar planets and brown dwarfs around early-type stars, we present the results obtained for the F-type main-sequence star HD 60532 (F6V) with HARPS. Methods: Using 147 spectra obtained with HARPS at La Silla on a time baseline of two years, we study the radial velocities of this star. Results: HD 60532 radial velocities are periodically variable, and the variations have a Keplerian origin. This star is surrounded by a planetary system of two planets with minimum masses of 1 and 2.5 Mjup and orbital separations of 0.76 and 1.58 AU respectively. We also detect high-frequency, low-amplitude (10 m/s peak-to-peak) pulsations. Dynamical studies of the system point toward a possible 3:1 mean-motion resonance which should be confirmed within the next decade.Comment: 7 pages, 11 figures, accepted for publication in A&