Reducing the anxiety of patients undergoing an oral biopsy by means of graphic novels: an open-label randomized clinical trial

Background: The use of graphic novels is a trending topic in health communication as a new form of visual storytelling which explores narratives of health care, cancer, healing, and disability. The objective of the present study was to evaluate - for the first time in the literature - the effect of graphic novels in reducing the anxiety of patients waiting for an incisional biopsy in an oral oncology setting. Material and methods: This open-label randomized clinical trial comprised 50 patients with a clinical suspicion of oral potentially malignant disorders. Twenty-five patients were randomly allocated to the test group, and a colourful graphic novel was provided. Subsequently, the Beck Depression Inventory and the Depression Anxiety Stress Scales-21 were administered to all 50 recruited patients, after which a biopsy was performed on each patient. Results: No statistically significant difference was observed between the test and control groups for the variables regarding the demographic data (p>0.2). There was a significant difference after the introduction of the graphic novel, regardless of which questionnaire was used. The graphic novel demonstrated an improvement in the ability of the test group to tolerate anxiety while waiting for an oral biopsy in both psychological tests (p<0.05). Conclusions: In light of these initial positive results, the authors of this study would like to suggest the use of graphic novels in oral oncology, dentistry, and medicine with the aim of reducing patient anxiety

An XMM-Newton look at the strongly variable radio-weak BL Lac Fermi J1544-0639

Fermi J1544-0639/ASASSN-17gs/AT2017egv was identified as a gamma-ray/optical transient on May 15, 2017. Subsequent multiwavelength observations suggest that this source may belong to the new class of radio-weak BL Lacs. We studied the X-ray spectral properties and short-term variability of Fermi J1544-0639 to constrain the X-ray continuum emission mechanism of this peculiar source. We present the analysis of an XMM-Newton observation, 56 ks in length, performed on February 21, 2018. The source exhibits strong X-ray variability, both in flux and spectral shape, on timescales of ~10 ks, with a harder-when-brighter behaviour typical of BL Lacs. The X-ray spectrum is nicely described by a variable broken power law, with a break energy of around 2.7 keV consistent with radiative cooling due to Comptonization of broad-line region photons. We find evidence for a `soft excess', nicely described by a blackbody with a temperature of ~0.2 keV, consistent with being produced by bulk Comptonization along the jet.Comment: 11 pages, 12 figures. Accepted for publication in Astronomy & Astrophysic

FERMI transient J1544-0649: a flaring radio-weak BL Lac

On May 15th, 2017, the \emph{FERMI}/LAT gamma-ray telescope observed a transient source not present in any previous high-energy catalogue: J1544-0649. It was visible for two consecutive weeks, with a flux peak on May 21st. Subsequently observed by a \emph{Swift}/XRT follow-up starting on May 26, the X-ray counterpart position was coincident with the optical transient ASASSN-17gs = AT2017egv, detected on May 25, with a potential host galaxy at $z$=0.171. We conducted a 4-months follow-up in radio (Effelsberg-100m) and optical (San Pedro M\'artir, 2.1m) bands, in order to build the overall Spectral Energy Distribution (SED) of this object. The radio data from 5 to 15 GHz confirmed the flat spectrum of the source, favoring a line of sight close to jet axis, not showing significant variability in the explored post-burst time-window. The Rx ratio, common indicator of radio loudness, gives a value at the border between the radio-loud and radio-quiet AGN populations. The Ca$_{\rm{II}}$ H\&K break value (0.29$\pm$0.05) is compatible with the range expected for the long-sought intermediate population between BL Lacs and FRI radio galaxies. An overall SED fitting from Radio to $\gamma$-ray band shows properties typical of a low-power BL Lac. As a whole, these results suggest that this transient could well be a new example of the recently discovered class of radio-weak BL Lac, showing for the first time a flare in the gamma/X-ray bands.Comment: Accepted for publication in ApJ Letter

The SXI telescope on board EXIST: scientific performances

The SXI telescope is one of the three instruments on board EXIST, a multiwavelength observatory in charge of performing a global survey of the sky in hard X-rays searching for Supermassive Black Holes. One of the primary objectives of EXIST is also to study with unprecedented sensitivity the most unknown high energy sources in the Universe, like high redshift GRBs, which will be pointed promptly by the Spacecraft by autonomous trigger based on hard X-ray localization on board. The recent addition of a soft X-ray telescope to the EXIST payload complement, with an effective area of ~950 cm2 in the energy band 0.2-3 keV and extended response up to 10 keV will allow to make broadband studies from 0.1 to 600 keV. In particular, investigations of the spectra components and states of AGNs and monitoring of variability of sources, study of the prompt and afterglow emission of GRBs since the early phases, which will help to constrain the emission models and finally, help the identification of sources in the EXIST hard X-ray survey and the characterization of the transient events detected. SXI will also perform surveys: a scanning survey with sky coverage of about 2pi and limiting flux of 5x10^{-14}cgs plus other serendipitous. We give an overview of the SXI scientific performance and also describe the status of its design emphasizing how it has been derived by the scientific requirements.Comment: 9 pages, 6 figures, to be published in Proc. of SPIE, vol 7435-11, 200

INTEGRAL high energy monitoring of the X-ray burster KS 1741-293

KS 1741-293, discovered in 1989 by the X-ray camera TTM in the Kvant module of the Mir space station and identified as an X-ray burster, has not been detected in the hard X band until the advent of the INTEGRAL observatory. Moreover this source has been recently object of scientific discussion, being also associated to a nearby extended radio source that in principle could be the supernova remnant produced by the accretion induced collapse in the binary system. Our long term monitoring with INTEGRAL, covering the period from February 2003 to May 2005, confirms that KS 1741-293 is transient in soft and hard X band. When the source is active, from a simultaneous JEM-X and IBIS data analysis, we provide a wide band spectrum from 5 to 100 keV, that can be fit by a two component model, a multiple blackbody for the soft emission and a Comptonized or a cut-off power law model for the hard component. Finally, by the detection of two X-ray bursters with JEM-X, we confirm the bursting nature of KS 1741-293, including this source in the class of the hard tailed X-ray bursters.Comment: 7 pages, accepted for publication on MNRA