The health and welfare of rural and urban cancer survivors in Missouri

INTRODUCTION: An estimated 2.8 million cancer survivors reside in rural areas in the United States. We compared the risk behaviors, psychosocial factors, health outcomes, quality of life, and follow-up care of rural and urban cancer survivors in Missouri. METHODS: We used 2009–2010 Missouri Behavioral Risk Factor Surveillance System data to examine various health outcomes, behaviors, and psychosocial factors among rural and urban cancer survivors and their respective rural and urban counterparts without a cancer history. Cancer survivors also were asked about receipt of survivorship care plan components. Sociodemographic factors, access to medical care, and chronic conditions were examined as potential explanatory factors for differences among the 4 groups. RESULTS: An estimated 9.4% of rural and 7.9% of urban Missourians aged 18 years or older reported a cancer history. Rural survivors reported the highest rates of poor self-reported health, physical distress, and activity limitation; however differences between rural and urban survivors were attributable largely to sociodemographic differences. Both rural and urban cancer survivors reported more fatigue than their respective counterparts without a cancer history. Rural survivors also were less likely to meet Centers for Disease Control and Prevention recommendations for physical activity than their rural controls. The prevalence of smoking among rural survivors was higher than among urban survivors. Only 62% of rural survivors versus 78% of urban survivors reported receiving advice about cancer follow-up care. CONCLUSION: Rural cancer survivors face many health challenges. Interventions to improve quality of life and health behaviors should be adapted to meet the needs of rural cancer survivors

Nonlinear coherent transport of waves in disordered media

We present a diagrammatic theory for coherent backscattering from disordered dilute media in the nonlinear regime. The approach is non-perturbative in the strength of the nonlinearity. We show that the coherent backscattering enhancement factor is strongly affected by the nonlinearity, and corroborate these results by numerical simulations. Our theory can be applied to several physical scenarios like scattering of light in nonlinear Kerr media, or propagation of matter waves in disordered potentials.Comment: 4 pages, 3 figure

A Persistent Disk Wind in GRS 1915+105 with NICER

The bright, erratic black hole X-ray binary GRS 1915+105 has long been a target for studies of disk instabilities, radio/infrared jets, and accretion disk winds, with implications that often apply to sources that do not exhibit its exotic X-ray variability. With the launch of NICER, we have a new opportunity to study the disk wind in GRS 1915+105 and its variability on short and long timescales. Here we present our analysis of 39 NICER observations of GRS 1915+105 collected during five months of the mission data validation and verification phase, focusing on Fe XXV and Fe XXVI absorption. We report the detection of strong Fe XXVI in 32 (>80%) of these observations, with another four marginal detections; Fe XXV is less common, but both likely arise in the well-known disk wind. We explore how the properties of this wind depends on broad characteristics of the X-ray lightcurve: mean count rate, hardness ratio, and fractional RMS variability. The trends with count rate and RMS are consistent with an average wind column density that is fairly steady between observations but varies rapidly with the source on timescales of seconds. The line dependence on spectral hardness echoes known behavior of disk winds in outbursts of Galactic black holes; these results clearly indicate that NICER is a powerful tool for studying black hole winds.Comment: Accepted for publication in ApJL. Comments welcom

Methodological checklists for improving research quality and reporting consistency

This is the author accepted manuscript. The final version is available from Cambridge University Press via the DOI in this recor

GRO J1655-40: Early Stages of the 2005 Outburst

The black-hole X-ray binary transient GRO J1655-40 underwent an outburst beginning in early 2005. We present the results of our multi-wavelength observational campaign to study the early outburst spectral and temporal evolution, which combines data from X-ray (RXTE, INTEGRAL), radio (VLA) and optical (ROTSE, SMARTS) instruments. During the reported period the source left quiescence and went through four major accreting black hole states: low-hard, hard intermediate, soft intermediate and high-soft. We investigated dipping behavior in the RXTE band and compare our results to the 1996-1997 case, when the source was predominantly in the high-soft state, finding significant differences. We consider the evolution of the low frequency quasi-periodic oscillations and find that the frequency strongly correlates with the spectral characteristics, before shutting off prior to the transition to the high-soft state. We model the broad-band high-energy spectrum in the context of empirical models, as well as more physically motivated thermal and bulk-motion Comptonization and Compton reflection models. RXTE and INTEGRAL data together support a statistically significant high energy cut-off in the energy spectrum at 100~200 keV during the low-hard state. The RXTE data alone also show it very significantly during the transition, but cannot see one in the high-soft state spectra. We consider radio, optical and X-ray connections in the context of possible synchrotron and synchrotron self-Compton origins of X-ray emission in low-hard and intermediate states. In this outburst of GRO J1655-40, the radio flux does not rise strongly with the X-ray flux.Comment: 23 pages, 16 figures, accepted for publication in Ap

A transient relativistic radio jet from Cygnus X-1

We report the first observation of a transient relativistic jet from the canonical black hole candidate, Cygnus X-1, obtained with the Multi-Element Radio-Linked Interferometer Network (MERLIN). The jet was observed in only one of six epochs of MERLIN imaging of the source during a phase of repeated X-ray spectral transitions in 2004 Jan--Feb, and this epoch corresponded to the softest 1.5-12 keV X-ray spectrum. With only a single epoch revealing the jet, we cannot formally constrain its velocity. Nevertheless, several lines of reasoning suggest that the jet was probably launched 0.5-4.0 days before this brightening, corresponding to projected velocities of 0.2c < v_app < 1.6c, and an intrinsic velocity of > 0.3c. We also report the occurrence of a major radio flare from Cyg X-1, reaching a flux density of ~120 mJy at 15 GHz, and yet not associated with any resolvable radio emission, despite a concerted effort with MERLIN. We discuss the resolved jet in terms of the recently proposed 'unified model' for the disc-jet coupling in black hole X-ray binaries, and tentatively identify the 'jet line' for Cyg X-1. The source is consistent with the model in the sense that a steady jet appears to persist initially when the X-ray spectrum starts softening, and that once the spectral softening is complete the core radio emission is suppressed and transient ejecta / shock observed. However, there are some anomalies, and Cyg X-1 clearly does not behave like a normal black hole transient in progressing to the canonical soft / thermal state once the ejection event has happened.Comment: Accepted for publication in MNRA

Faraday rotation in the MOJAVE blazars: 3C 273 a case study

Radio polarimetric observations of Active Galactic Nuclei can reveal the magnetic field structure in the parsec-scale jets of these sources. We have observed the gamma-ray blazar 3C 273 as part of our multi-frequency survey with the Very Long Baseline Array to study Faraday rotation in a large sample of jets. Our observations re-confirm the transverse rotation measure gradient in 3C 273. For the first time the gradient is seen to cross zero which is further indication for a helical magnetic field and spine-sheath structure in the jet. We believe the difference to previous epochs is due to a different part of the jet being illuminated in our observations.Comment: 6 pages, 3 figures. To appear in the proceedings of "Beamed and Unbeamed Gamma-rays from Galaxies", held in Muonio, Finland, April 11-15, 2011. Journal of Physics: Conference Serie

Millisecond Oscillations in X-Ray Binaries

The first millisecond X-ray variability phenomena from accreting compact objects have recently been discovered with the Rossi X-ray Timing Explorer. Three new phenomena are observed from low-mass X-ray binaries containing low-magnetic-field neutron stars: millisecond pulsations, burst oscillations and kiloHertz quasi-periodic oscillations. Models for these new phenomena involve the neutron star spin, and orbital motion closely around the neutron star and rely explicitly on our understanding of strong gravity and dense matter. I review the observations of these new neutron-star phenomena and possibly related ones in black-hole candidates, and describe the attempts to use them to perform measurements of fundamental physical interest in these systems.Comment: 40 pages, 17 figures, 4 tables - submitted to the Annual Review of Astronomy and Astrophysics; to appear September 200

Relations Between Timing Features and Colors in the X-Ray Binary 4U 0614+09

We study the correlations between timing and X-ray spectral properties in the low mass X-ray binary 4U 0614+09 using a large (265-ks) data set obtained with the Rossi X-ray Timing Explorer. We find strong quasi-periodic oscillations (QPOs) of the X-ray flux, like the kilohertz QPOs in many other X-ray binaries with accreting neutron stars, with frequencies ranging from 1329 Hz down to 418 Hz and, perhaps, as low as 153 Hz. We report the highest frequency QPO yet from any low mass X-ray binary at 1329+-4 Hz, which has implications for neutron star structure. This QPO has a 3.5-sigma single-trial significance, for an estimated 40 trials the significance is 2.4-sigma. Besides the kilohertz QPOs, the Fourier power spectra show four additional components: high frequency noise (HFN), described by a broken power-law with a break frequency between 0.7 and 45 Hz, very low frequency noise (VLFN), which is fitted as a power-law below 1 Hz, and two broad Lorentzians with centroid frequencies varying from 6 to 38 Hz and 97 to 158 Hz, respectively. We find strong correlations between the frequencies of the kilohertz QPOs, the frequency of the 6 to 38 Hz broad Lorentzian, the break frequency of the HFN, the strength of both the HFN and the VLFN and the position of the source in the hard X-ray color vs. intensity diagram. The frequency of the 97 to 158 Hz Lorentzian does not correlate with these parameters. We also find that the relation between power density and break frequency of the HFN is similar to that established for black hole candidates in the low state. We suggest that the changing mass accretion rate is responsible for the correlated changes in all these parameters.Comment: ApJ, referee