4,583 research outputs found
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 1994â8 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)
The Taurus Tunable Filter Field Galaxy Survey: Sample Selection and Narrowband Number-Counts
Recent evidence suggests a falling volume-averaged star-formation rate (SFR)
over z ~ 1. It is not clear, however, the extent to which the selection of such
samples influences the measurement of this quantity. Using the Taurus Tunable
Filter (TTF) we have obtained an emission-line sample of faint star-forming
galaxies over comparable lookback times: the TTF Field Galaxy Survey. By
selecting through emission-lines, we are screening galaxies through a quantity
that scales directly with star-formation activity for a given choice of initial
mass function. The scanning narrowband technique furnishes a galaxy sample that
differs from traditional broadband-selected surveys in both its volume-limited
nature and selection of galaxies through emission-line flux. Three discrete
wavelength intervals are covered, centered at H-alpha redshifts z = 0.08, 0.24
and 0.39.
Galaxy characteristics are presented and comparisons made with existing
surveys of both broadband and emission-line selection. When the number-counts
of emission-line objects are compared with those expected on the basis of
existing H-alpha surveys, we find an excess of ~ 3 times at the faintest
limits. While these detections are yet to be independently confirmed,
inspection of the stronger subsample of galaxies detected in both the line and
continuum (line-on-continuum subsample; 13 %) is sufficient to support an
excess population. This increase in the emission-line field population implies
higher star-formation densities over z ~ 0.4. However, further study in the
form of multi-object spectroscopic follow-up is necessary to quantify this and
confirm the faintest detections in the sample.Comment: 48 pages, 12 figures. To appear in the Astrophysical Journal. An
abridged version of the Abstract is shown her
NGC 300: an extremely faint, outer stellar disk observed to 10 scale lengths
We have used the Gemini Multi-object Spectrograph (GMOS) on the Gemini South
8m telescope in exceptional conditions (0.6" FWHM seeing) to observe the outer
stellar disk of the Sculptor group galaxy NGC 300 at two locations. At our
point source detection threshold of r' = 27.0 (3-sigma) mag, we trace the
stellar disk out to a radius of 24', or 2.2 R_25 where R_25 is the 25
mag/arcsec**2 isophotal radius. This corresponds to about 10 scale lengths in
this low-luminosity spiral (M_B = -18.6), or about 14.4 kpc at a cepheid
distance of 2.0 +/- 0.07 Mpc. The background galaxy counts are derived in the
outermost field, and these are within 10% of the mean survey counts from both
Hubble Deep Fields. The luminosity profile is well described by a nucleus plus
a simple exponential profile out to 10 optical scale lengths. We reach an
effective surface brightness of 30.5 mag/arcsec**2 (2-sigma) at 55%
completeness which doubles the known radial extent of the optical disk. These
levels are exceedingly faint in the sense that the equivalent surface
brightness in B or V is about 32 mag/arcsec**2. We find no evidence for
truncation of the stellar disk. Only star counts can be used to reliably trace
the disk to such faint levels, since surface photometry is ultimately limited
by nonstellar sources of radiation. In the Appendix, we derive the expected
surface brightness of one such source: dust scattering of starlight in the
outer disk.Comment: ApJ accepted -- 30 pages, 13 figures -- see
ftp://www.aao.gov.au/pub/local/jbh/astro-ph/N300 for full resolution figures
and preprin
Damping by slow relaxing rare earth impurities in Ni80Fe20
Doping NiFe by heavy rare earth atoms alters the magnetic relaxation
properties of this material drastically. We show that this effect can be well
explained by the slow relaxing impurity mechanism. This process is a
consequence of the anisotropy of the on site exchange interaction between the
4f magnetic moments and the conduction band. As expected from this model the
magnitude of the damping effect scales with the anisotropy of the exchange
interaction and increases by an order of magnitude at low temperatures. In
addition our measurements allow us to determine the relaxation time of the 4f
electrons as a function of temperature
Finite-size effects in amorphous Fe90Zr10/Al75Zr25 multilayers
The thickness dependence of the magnetic properties of amorphous Fe90Zr10
layers has been explored using Fe90Zr10/Al75Zr25 multilayers. The Al75Zr25
layer thickness is kept at 40 \AA, while the thickness of the Fe90Zr10 layers
is varied between 5 and 20 \AA. The thickness of the Al75Zr25 layers is
sufficiently large to suppress any significant interlayer coupling. Both the
Curie temperature and the spontaneous magnetization decrease non-linearly with
decreasing thickness of the Fe90Zr10 layers. No ferromagnetic order is observed
in the multilayer with 5 {\AA} Fe90Zr10 layers. The variation of the Curie
temperature with the Fe90Zr10 layer thickness is fitted with a
finite-size scaling formula [1-\Tc(t)/\Tc(\infty)]=[(t-t')/t_0]^{-\lambda},
yielding , and a critical thickness \AA, below which the
Curie temperature is zero.Comment: 8 pages, 8 figure
Discovery of an optical bow-shock around pulsar B0740-28
We report the discovery of a faint H-alpha pulsar wind nebula (PWN) powered
by the radio pulsar B0740-28. The characteristic bow-shock morphology of the
PWN implies a direction of motion consistent with the previously measured
velocity vector for the pulsar. The PWN has a flux density more than an order
of magnitude lower than for the PWNe seen around other pulsars, but, for a
distance 2 kpc, it is consistent with propagation through a medium of atomic
density n_H ~ 0.25 cm^{-3}, and neutral fraction of 1%. The morphology of the
PWN in the area close to the pulsar is distinct from that in downstream
regions, as is also seen for the PWN powered by PSR B2224+65. In particular,
the PWN associated with PSR B0740-28 appears to close at its rear, suggesting
that the pulsar has recently passed through a transition from low density to
high density ambient gas. The faintness of this source underscores that deep
searches are needed to find further examples of optical pulsar nebulae.Comment: 5 pages, 1 figure, to appear in Astronomy & Astrophysics Letter
Suppression of the near-infrared OH night sky lines with fibre Bragg gratings - first results
The background noise between 1 and 1.8 microns in ground-based instruments is
dominated by atmospheric emission from hydroxyl molecules. We have built and
commissioned a new instrument, GNOSIS, which suppresses 103 OH doublets between
1.47 - 1.7 microns by a factor of ~1000 with a resolving power of ~10,000. We
present the first results from the commissioning of GNOSIS using the IRIS2
spectrograph at the AAT. The combined throughput of the GNOSIS fore-optics,
grating unit and relay optics is ~36 per cent, but this could be improved to
~46 per cent with a more optimal design. We measure strong suppression of the
OH lines, confirming that OH suppression with fibre Bragg gratings will be a
powerful technology for low resolution spectroscopy. The integrated OH
suppressed background between 1.5 and 1.7 microns is reduced by a factor of 9
compared to a control spectrum using the same system without suppression. The
potential of low resolution OH suppressed spectroscopy is illustrated with
example observations.
The GNOSIS background is dominated by detector dark current below 1.67
microns and by thermal emission above 1.67 microns. After subtracting these we
detect an unidentified residual interline component of ~ 860 +/ 210
ph/s/m^2/micron/arcsec^2. This component is equally bright in the suppressed
and control spectra. We have investigated the possible source of the interline
component, but were unable to discriminate between a possible instrumental
artifact and intrinsic atmospheric emission. Resolving the source of this
emission is crucial for the design of fully optimised OH suppression
spectrographs. The next generation OH suppression spectrograph will be focussed
on resolving the source of the interline component, taking advantage of better
optimisation for a FBG feed. We quantify the necessary improvements for an
optimal OH suppressing fibre spectrograph design.Comment: Accepted for publication in MNRAS. 15 pages, 18 figure
The Radial Extent and Warp of the Ionized Galactic Disk. II. A Likelihood Analysis of Radio-Wave Scattering Toward the Anticenter
We use radio-wave scattering data to constrain the distribution of ionized
gas in the outer Galaxy. Like previous models, our model for the H II disk
includes parameters for the radial scale length and scale height of the H II,
but we allow the H II disk to warp and flare. Our model also includes the
Perseus arm. We use a likelihood analysis on 11 extragalactic sources and 7
pulsars. Scattering in the Perseus arm is no more than 60% of the level
contributed by spiral arms in the inner Galaxy, equivalent to a 1 GHz
scattering diameter of 1.5 mas. Our analysis favors an unwarped, nonflaring
disk with a 1 kpc scale height, though this may reflect the non-uniform and
coarse coverage provided by the available data. The lack of a warp indicates
that VLBI observations near 1 GHz with an orbiting station having baseline
lengths of a few Earth diameters will not be affected by interstellar
scattering at Galactic latitudes |b| ~ 15 degrees. The radial scale length is
15--20 kpc, but the data cannot distinguish between a gradual decrease in the
electron density and a truncated distribution. We favor a truncated one,
because we associate the scattering with massive star formation, which is also
truncated near 20 kpc. The distribution of electron density turbulence
decreases more rapidly with Galactocentric distance than does the hydrogen
distribution. Alternate ionizing and turbulent agents---the intergalactic
ionizing flux and satellite galaxies passing through the disk---do not
contribute significantly to scattering. We cannot exclude the possibility that
a largely ionized, but quiescent disk extends to >~ 100 kpc, similar to that
for some Ly-alpha absorbers.Comment: 34 pages, LaTeX2e with AASTeX aaspp4 macro, 9 figures in 9 PostScript
files, accepted for publication in Ap
Multi-phase High-Velocity Clouds toward HE 0226-4110 and PG 0953+414
We study the physical conditions, elemental abundances, and kinematics of the
high-velocity clouds (HVCs) along the sight lines toward active galaxies
HE0226-4110 and PG0953+414 using Hubble Space Telescope Imaging Spectrograph
and Far Ultraviolet Spectroscopic Explorer data. Our observations reveal
multiple components of HVC absorption in lines of HI, CII, CIII, CIV, OVI,
SiII, SiIII, and SiIV in both directions. We investigate whether
photoionization by the extragalactic background radiation or by escaping Milky
Way radiation can explain the observed ionization pattern. We find that
photoionization is a good explanation for the CII, CIII, SiII, and SiIII
features, but not for the OVI or CIV associated with the HVCs, suggesting that
two principal phases exist: a warm (T~10^4K), photoionized phase and a hotter
(T=1-3x10^5K), collisionally-ionized phase. The warm HVCs toward HE0226-4110
have high levels of ionization (97-99%), and metallicities ([Z/H] between -0.9
and -0.4) close to those in the Magellanic Stream, which lies eleven degrees
away on the sky at similar velocities. These HVCs have thermal pressures that
would place them close to equilibrium in a fully ionized 10^6 K Galactic corona
with n_H=4-9x10^{-5}cm^{-3} at 50 kpc. A mini-survey of the hot, collisionally
ionized HVC components seen here and in five other sight lines finds that in
11/12 cases, the high ions have kinematics and ionic ratios that are consistent
with an origin in conductive interfaces. However, the broad absorption wing on
the OVI profile toward PG0953+414 is not completely explained by the interface
scenario, and may be tracing the outflow of hot gas into the Milky Way halo as
part of a Galactic fountain or wind.Comment: 27 pages, 12 figures (9 in color), accepted for publication in Ap
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