Deaths certified as asthma and use of medical services: A national case-control study

This is an open access publication. The official published version can be accessed from the link below.Background: Studies have linked asthma death to either increased or decreased use of medical services. Methods: A population based case-control study of asthma deaths in 1994–8 was performed in 22 English, six Scottish, and five Welsh health authorities/boards. All 681 subjects who died were under the age of 65 years with asthma in Part I on the death certificates. After exclusions, 532 hospital controls were matched to 532 cases for age, district, and date of asthma admission/death. Data were extracted blind from primary care records. Results: The median age of the subjects who died was 53 years; 60% of cases and 64% of controls were female. There was little difference in outpatient attendance (55% and 55%), hospital admission for asthma (51% and 54%), and median inpatient days (20 days and 15 days) in the previous 5 years. After mutual adjustment and adjustment for sex, using conditional logistic regression, three variables were independently associated with asthma death: fewer general practice contacts (odds ratio 0.82 (95% confidence interval (CI) 0.74 to 0.91) per 5 contacts) in the previous year, more home visits (1.14 (95% CI 1.08 to 1.21) per visit) in the previous year, and fewer peak expiratory flow recordings (0.83 (95% CI 0.74 to 0.92) per occasion) in the previous 3 months. These associations were similar after adjustment for markers of severity, psychosocial factors, systemic steroids, short acting bronchodilators and antibiotics, although the association with peak flow was weakened and just lost significance. Conclusion: Asthma death is associated with less use of primary care services. Both practice and patient factors may be involved and a better understanding of these may offer possibilities for reducing asthma death.This study was funded jointly between the National Research and Development Asthma Management Programme (contract number AM1/ 05/002) and the National Asthma Campaign through a grant from Glaxo Wellcome (now GlaxoSmithKline)

51 Pegasi - a planet-bearing Maunder minimum candidate

We observed 51 Peg, the first detected planet-bearing star, in a 55 ks XMM-Newton pointing and in 5 ks pointings each with Chandra HRC-I and ACIS-S. The star has a very low count rate in the XMM observation, but is clearly visible in the Chandra images due to the detectors' different sensitivity at low X-ray energies. This allows a temperature estimate for 51 Peg's corona of T<1MK; the detected ACIS-S photons can be plausibly explained by emission lines of a very cool plasma near 200eV. The constantly low X-ray surface flux and the flat-activity profile seen in optical CaII data suggest that 51 Peg is a Maunder minimum star; an activity enhancement due to a Hot Jupiter, as proposed by recent studies, seems to be absent. The star's X-ray fluxes in different instruments are consistent with the exception of the HRC Imager, which might have a larger effective area below 200eV than given in the calibration.Comment: accepted by A&

Solar Carbon Monoxide, Thermal Profiling, and the Abundances of C, O, and their Isotopes

A solar photospheric "thermal profiling" analysis is presented, exploiting the infrared rovibrational bands of carbon monoxide (CO) as observed with the McMath-Pierce Fourier transform spectrometer (FTS) at Kitt Peak, and from above the Earth's atmosphere by the Shuttle-borne ATMOS experiment. Visible continuum intensities and center-limb behavior constrained the temperature profile of the deep photosphere, while CO center-limb behavior defined the thermal structure at higher altitudes. The oxygen abundance was self consistently determined from weak CO absorptions. Our analysis was meant to complement recent studies based on 3-D convection models which, among other things, have revised the historical solar oxygen (and carbon) abundance downward by a factor of nearly two; although in fact our conclusions do not support such a revision. Based on various considerations, an oxygen abundance of 700+/-100 ppm (parts per million relative to hydrogen) is recommended; the large uncertainty reflects the model sensitivity of CO. New solar isotopic ratios also are reported for 13C, 17O, and 18O.Comment: 90 pages, 19 figures (some with parts "a", "b", etc.); to be published in the Astrophysical Journal Supplement

A far-UV survey of three hot, metal-polluted white dwarf stars: WD0455-282, WD0621-376, and WD2211-495

Using newly obtained high-resolution data ($R\sim{1\times{10}^{5}}$) from the \textit{Hubble Space Telescope}, and archival UV data from the \textit{Far Ultraviolet Spectroscopic Explorer} we have conducted a detailed UV survey of the three hot, metal-polluted white dwarfs WD0455-282, WD0621-376, and WD2211-495. Using bespoke model atmospheres we measured $T_{\mathrm{eff}}$, log $g$, and photospheric abundances for these stars. In conjunction with data from Gaia we measured masses, radii, and gravitational redshift velocities for our sample of objects. We compared the measured photospheric abundances with those predicted by radiative levitation theory, and found that the observed Si abundances in all three white dwarfs, and the observed Fe abundances in WD0621-376 and WD2211-495, were larger than those predicted by an order of magnitude. These findings imply not only an external origin for the metals, but also ongoing accretion, as the metals not supported by radiative levitation would sink on extremely short timescales. We measured the radial velocities of several absorption features along the line of sight to the three objects in our sample, allowing us to determine the velocities of the photospheric and interstellar components along the line of sight for each star. Interestingly, we made detections of circumstellar absorption along the line of sight to WD0455-282 with three velocity components. To our knowledge, this is the first such detection of multi-component circumstellar absorption along the line of sight to a white dwarf.Comment: 19 pages, 23 figures, 8 tables. Accepted for publication in the Monthly Notices of the Royal Astronomical Societ

FK Comae Berenices, King of Spin: The COCOA-PUFS Project

COCOA-PUFS is an energy-diverse, time-domain study of the ultra-fast spinning, heavily spotted, yellow giant FK Com (HD117555; G4 III). This single star is thought to be a recent binary merger, and is exceptionally active by measure of its intense ultraviolet and X-ray emissions, and proclivity to flare. COCOA-PUFS was carried out with Hubble Space Telescope in the UV (120-300 nm), using mainly its high-performance Cosmic Origins Spectrograph, but also high-precision Space Telescope Imaging Spectrograph; Chandra X-ray Observatory in the soft X-rays (0.5-10 keV), utilizing its High-Energy Transmission Grating Spectrometer; together with supporting photometry and spectropolarimetry in the visible from the ground. This is an introductory report on the project. FK Com displayed variability on a wide range of time scales, over all wavelengths, during the week-long main campaign, including a large X-ray flare; "super-rotational broadening" of the far-ultraviolet "hot-lines" (e.g., Si IV 139 nm (T~80,000 K) together with chromospheric Mg II 280 nm and C II 133 nm (10,000-30,000 K); large Doppler swings suggestive of bright regions alternately on advancing and retreating limbs of the star; and substantial redshifts of the epoch-average emission profiles. These behaviors paint a picture of a highly extended, dynamic, hot (10 MK) coronal magnetosphere around the star, threaded by cooler structures perhaps analogous to solar prominences, and replenished continually by surface activity and flares. Suppression of angular momentum loss by the confining magnetosphere could temporarily postpone the inevitable stellar spindown, thereby lengthening this highly volatile stage of coronal evolution.Comment: to be published in ApJ

Construction of the Soudan 2 detector

Progress in the construction of the Soudan 2 nucleon decay detector which is being built at the Soudan iron mine in Minnesota is discussed. The expected event rate and characteristics of low energy neutrino events, muon events, multiple muon events, and other cosmic ray phenomena are discussed

Recent atmospheric neutrino results from Soudan 2

An updated measurement of the atmospheric nu_mu/nu_e ratio-of-ratios, 0.68+-0.11+-0.06, has been obtained using a 4.6-kty exposure of the Soudan-2 iron tracking calorimeter. The L/E distributions have been analyzed for effects of nu_mu -> nu_x oscillations, and an allowed region in the Delta m^2 vs. sin^2 2 theta plane has been determined.Comment: 3 pages, 4 figures; presented at TAUP99, the 6th Int. Workshop on Topics in Astroparticle and Underground Physics, Sept. 6-10, 1999, College de France, Paris, Franc

First high-resolution look at the quiet Sun with ALMA at 3 mm

We present an overview of high resolution quiet Sun observations, from disk center to the limb, obtained with the Atacama Large mm and sub-mm Array (ALMA) at 3 mm. Seven quiet Sun regions were observed with resolution of up to 2.5" by 4.5". We produced both average and snapshot images by self-calibrating the ALMA visibilities and combining the interferometric images with full disk solar images. The images show well the chromospheric network, which, based on the unique segregation method we used, is brighter than the average over the fields of view of the observed regions by $\sim 305$ K while the intranetwork is less bright by $\sim 280$ K, with a slight decrease of the network/intranetwork contrast toward the limb. At 3 mm the network is very similar to the 1600 \AA\ images, with somewhat larger size. We detected for the first time spicular structures, rising up to 15" above the limb with a width down to the image resolution and brightness temperature of $\sim$ 1800 K above the local background. No trace of spicules, either in emission or absorption, was found on the disk. Our results highlight ALMA's potential for the study of the quiet chromosphere.Comment: Astronomy and Astrophysics (Letters), in pres

Soft coronal X-rays from \beta{} Pictoris

A type stars are expected to be X-ray dark, yet weak emission has been detected from several objects in this class. We present new Chandra/HRC-I observations of the A5 V star \beta{} Pictoris. It is clearly detected with a flux of 9+-2 10^{-4} counts/s. In comparison with previous data this constrains the emission mechanism and we find that the most likely explanation is an optically thin, collisionally dominated, thermal emission component with a temperature around 1.1 MK. We interpret this component as a very cool and dim corona, with \log L_X/L_{bol}=-8.2 (0.2-2.0 keV). Thus, it seems that \beta{} Pictoris shares more characteristics with cool stars than previously thought.Comment: accepted by ApJ, 5 pages, 2 figure