Multifrequency Radio Observations of a SNR in the LMC. The Case of SNR J0527-6549 (DEM l204)

We present a detailed study and results of new Australia Telescope Compact Array (ATCA) observations of supernova remnant, SNR J0527-6549. This Large Magellanic Cloud (LMC) ob ject follows a typical supernova remnant (SNR) horseshoe morphology with a diameter of D=(66x58)+-1 pc which is among the largest SNRs in the LMC. Its relatively large size indicates older age while a steeper than expected radio spectral index of aplha=-0.92+-0.11 is more typical for younger and energetic SNRs. Also, we report detections of regions with a high order of polarization at a peak value of ~54+-17% at 6 cm.Comment: 9 Pages, 6 figures, accepted for publication in SA

Evaluation of cardiovascular risk in adults with type 1 diabetes: Poor concordance between the 2019 ESC risk classification and 10-year cardiovascular risk prediction according to the Steno Type 1 Risk Engine

Background: Patients with type 1 diabetes (T1D) have higher mortality risk compared to the general population; this is largely due to increased rates of cardiovascular disease (CVD). As accurate CVD risk stratification is essential for an appropriate preventive strategy, we aimed to evaluate the concordance between 2019 European Society of Cardiology (ESC) CVD risk classification and the 10-year CVD risk prediction according to the Steno Type 1 Risk Engine (ST1RE) in adults with T1D. Methods: A cohort of 575 adults with T1D (272F/303M, mean age 36 ± 12 years) were studied. Patients were stratified in different CVD risk categories according to ESC criteria and the 10-year CVD risk prediction was estimated with ST1RE within each category. Results: Men had higher BMI, WC, SBP than women, while no difference was found in HbA1c levels between genders. According to the ESC classification, 92.5% of patients aged 20 years) alone identified few patients (< 30%) among those aged ≥35 years, who were at very high risk according to ESC, in whom this condition was confirmed by ST1RE; conversely, the coexistence of two or more of these criteria identified about half of the patients at high/very high risk also according to this predicting algorithm. When only patients aged ≥ 50 years were considered, there was greater concordance between ESC classification and ST1RE prediction, since as many as 78% of those at high/very high risk according to ESC were confirmed as such also by ST1RE. Conclusions: Using ESC criteria, a large proportion (45%) of T1D patients without CVD are classified at very high CVD risk; however, among them, none of those < 35 years and only 12% of those ≥ 35 years could be confirmed at very high CVD risk by the ST1RE predicting algorithm. More studies are needed to characterize the clinical and metabolic features of T1D patients that identify those at very high CVD risk, in whom a very aggressive cardioprotective treatment would be justified

Radio emission from Supernova Remnants

The explosion of a supernova releases almost instantaneously about 10^51 ergs of mechanic energy, changing irreversibly the physical and chemical properties of large regions in the galaxies. The stellar ejecta, the nebula resulting from the powerful shock waves, and sometimes a compact stellar remnant, constitute a supernova remnant (SNR). They can radiate their energy across the whole electromagnetic spectrum, but the great majority are radio sources. Almost 70 years after the first detection of radio emission coming from a SNR, great progress has been achieved in the comprehension of their physical characteristics and evolution. We review the present knowledge of different aspects of radio remnants, focusing on sources of the Milky Way and the Magellanic Clouds, where the SNRs can be spatially resolved. We present a brief overview of theoretical background, analyze morphology and polarization properties, and review and critical discuss different methods applied to determine the radio spectrum and distances. The consequences of the interaction between the SNR shocks and the surrounding medium are examined, including the question of whether SNRs can trigger the formation of new stars. Cases of multispectral comparison are presented. A section is devoted to reviewing recent results of radio SNRs in the Magellanic Clouds, with particular emphasis on the radio properties of SN 1987A, an ideal laboratory to investigate dynamical evolution of an SNR in near real time. The review concludes with a summary of issues on radio SNRs that deserve further study, and analyzing the prospects for future research with the latest generation radio telescopes.Comment: Revised version. 48 pages, 15 figure

Discovery of a pulsar-powered bow shock nebula in the Small Magellanic Cloud supernova remnant DEMS5

We report the discovery of a new Small Magellanic Cloud pulsar wind nebula (PWN) at the edge of the supernova remnant (SNR) DEMS5. The pulsar powered object has a cometary morphology similar to the Galactic PWN analogues PSR B1951+32 and ´the mouse´. It is travelling supersonically through the interstellar medium.We estimate the pulsar kick velocity to be in the range of 700-2000 km s-1 for an age between 28 and 10 kyr. The radio spectral index for this SNR-PWN-pulsar system is flat (-0.29 ± 0.01) consistent with other similar objects. We infer that the putative pulsar has a radio spectral index of -1.8, which is typical for Galactic pulsars. We searched for dispersion measures up to 1000 cm-3 pc but found no convincing candidates with an S/N greater than 8. We produce a polarization map for this PWN at 5500 MHz and find a mean fractional polarization of P ∼ 23 per cent. The X-ray power-law spectrum (τ ∼ 2) is indicative of non-thermal synchrotron emission as is expected from PWN-pulsar system. Finally, we detect DEMS5 in infrared (IR) bands. Our IR photometric measurements strongly indicate the presence of shocked gas that is expected for SNRs. However, it is unusual to detect such IR emission in an SNR with a supersonic bow shock PWN.We also find a low-velocity HI cloud of ∼107 km s-1 that is possibly interacting with DEMS5. SNR DEMS5 is the first confirmed detection of a pulsar-powered bow shock nebula found outside the Galaxy.Fil: Alsaberi, Rami Z. E.. Western Sydney University; AustraliaFil: Maitra, C.. Max Planck Institut Für Extraterrestrische Physik; AlemaniaFil: Filipovic, M. D.. Western Sydney University; AustraliaFil: Bozzetto, L.M.. Western Sydney University; AustraliaFil: Haberl, F.. Max Planck Institut Für Extraterrestrische Physik; AlemaniaFil: Maggi, P.. Université de Strasbourg; FranciaFil: Sasaki, M.. Universitat Erlangen-Nuremberg; AlemaniaFil: Manjolovic, P.. Western Sydney University; AustraliaFil: Velovic, V.. University Of Belgrade; SerbiaFil: Kavanagh, P.. Dublin Institute For Advanced Studies; IrlandaFil: Maxted, N. I.. University Of New South Wales (unsw) Australia; AustraliaFil: Urosevic, D.. Isaac Newton Institute Of Chile; ChileFil: Rowell, G. P.. University of Adelaide; AustraliaFil: Wong, G. F.. University Of New South Wales (unsw) Australia; AustraliaFil: For, B. Q.. The University Ofwestern Australia; AustraliaFil: O'Brien, A. N.. Western Sydney University; AustraliaFil: Galvin, T. J.. Western Sydney University; AustraliaFil: Staveley-Smith, L.. The University Ofwestern Australia; AustraliaFil: Norris, R. P.. Western Sydney University; AustraliaFil: Jarrett, T.. University Of Cape Town; SudáfricaFil: Kothes, R.. National Research Council Canada; CanadáFil: Luken, K. J.. Western Sydney University; AustraliaFil: Hurley-Walker, N.. Curtin University; AustraliaFil: Sano, H.. Nagoya University; JapónFil: Onic, D.. University Of Belgrade; SerbiaFil: Dai, S. T.. Australia Telescope National Facility; AustraliaFil: Pannuti, G.. Morehead State University; Estados UnidosFil: Tothill, N. F. H.. Western Sydney University; AustraliaFil: Crawford, Evan. Western Sydney University; AustraliaFil: Yew, M.. Western Sydney University; AustraliaFil: Bojicic, I.. Western Sydney University; AustraliaFil: Dénes, H.. Netherlands Foundation For Research In Astronomy; BélgicaFil: McClure-Griffiths, N.. Australian National University; AustraliaFil: Gurovich, Sebastian. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba. Instituto de Astronomía Teórica y Experimental. Universidad Nacional de Córdoba. Observatorio Astronómico de Córdoba. Instituto de Astronomía Teórica y Experimental; ArgentinaFil: Fukui, Y.. Nagoya University; Japó

The association of hydration status with physical signs, symptoms and survival in advanced cancer-The use of Bioelectrical Impedance Vector Analysis (BIVA) technology to evaluate fluid volume in palliative care: An observational study

Background Hydration in advanced cancer is a controversial area; however, current hydration assessments methods are poorly developed. Bioelectrical impedance vector analysis (BIVA) is an accurate hydration tool; however its application in advanced cancer has not been explored. This study used BIVA to evaluate hydration status in advanced cancer to examine the association of fluid status with symptoms, physical signs, renal biochemical measures and survival. Materials and methods An observational study of 90 adults with advanced cancer receiving care in a UK specialist palliative care inpatient unit was conducted. Hydration status was assessed using BIVA in addition to assessments of symptoms, physical signs, performance status, renal biochemical measures, oral fluid intake and medications. The association of clinical variables with hydration was evaluated using regression analysis. A survival analysis was conducted to examine the influence of hydration status and renal failure. Results The hydration status of participants was normal in 43 (47.8%), 'more hydrated' in 37 (41.1%) and 'less hydrated' in 10 (11.1%). Lower hydration was associated with increased symptom intensity (Beta = -0.29, p = 0.04) and higher scores for physical signs associated with dehydration (Beta = 10.94, p = 0.02). Higher hydration was associated with oedema (Beta = 2.55, p<0.001). Median survival was statistically significantly shorter in 'less hydrated' patients (44 vs. 68 days; p = 0.049) and in pre-renal failure (44 vs. 100 days; p = 0.003). Conclusions In advanced cancer, hydration status was associated with clinical signs and symptoms. Hydration status and pre-renal failure were independent predictors of survival. Further studies can establish the utility of BIVA as a standardised hydration assessment tool and explore its potential research application, in order to inform the clinical management of fluid balance in patients with advanced cancer

Low-frequency radio absorption in Cassiopeia A

Cassiopeia A is one of the best-studied supernova remnants. Its shocked ejecta emits brightly in radio and X-rays. Its unshocked ejecta can be studied through infrared emission, the radio-active decay of $^{44}$Ti, and low frequency free-free absorption due to cold gas internal to the shell. Free-free absorption is affected by the mass, geometry, temperature, and ionisation conditions in the absorbing gas. Observations at the lowest radio frequencies constrain a combination of these properties. We use LOFAR LBA observations at 30-77 MHz and L-band VLA observations to compare $u-v$-matched images with a common resolution of 17". We simultaneously fit, per pixel, for the emission measure and the ratio of the emission from the unabsorbed front of the shell versus the absorbed back of the shell. We explore the effects that low temperatures and a high degree of clumping can have on the derived physical properties, such as mass and density. We also compile published radio flux measurements, fit for the absorption processes that occur in the radio band, and consider how they affect the secular decline of the source. We find a mass in the unshocked ejecta of $M = 2.95 \pm {0.48} \,M_{\odot}$ for an assumed gas temperature of $T=100$ K. This estimate is reduced for colder gas temperatures and if the ejecta are clumped. We measure the reverse shock to have a radius of $114$" $\pm$6". We also find that a decrease in the amount of mass in the unshocked ejecta (as more and more material meets the reverse shock and heats up) cannot account for the observed low frequency behaviour of the secular decline rate. To reconcile our low frequency absorption measurements with models that predict little mass in the unshocked ejecta we need the ejecta to be very clumped, or the temperature in the cold gas to be low ($\sim10$ K). Both conditions can jointly contribute to the high absorption.Comment: Accepted for publication in A&A v2: including the DOI, language edit

Quality of life and treatment satisfaction in adults with Type 1 diabetes: A comparison between continuous subcutaneous insulin infusion and multiple daily injections

Aims: The aim of this case-control study was to compare quality of life (QoL) and treatment satisfaction in adults with Type 1 diabetes (T1DM) treated with either continuous subcutaneous insulin infusion (CSII) or multiple daily injections (MDI). Methods: Consecutive patients aged between 18 and 55 years, and attending diabetes clinics for a routine visit, completed the Diabetes-Specific Quality-of-Life Scale (DSQOLS), the Diabetes Treatment Satisfaction Questionnaire (DTSQ) and the SF-36 Health Survey (SF-36). Case (CSII) and control subjects (MDI) were recruited in a 1 : 2 ratio. Results: Overall, 1341 individuals were enrolled by 62 diabetes clinics; 481 were cases and 860 control subjects. Cases had a longer diabetes duration and were more likely to have eye and renal complications. Age, school education, occupation and HbA1c were similar. Of control subjects, 90% followed glargine-based MDI regimens and 10% used NPH-based MDI regimens. On multivariate analysis, after adjusting for socioeconomic and clinical characteristics, scores in the following areas of the DSQOLS were higher in cases than control subjects: diet restrictions (β = 5.96; P &lt; 0.0001), daily hassles (β = 3.57; P = 0.01) and fears about hypoglycaemia (β = 3.88; P = 0.006). Treatment with CSII was also associated with a markedly higher DTSQ score (β = 4.13; P &lt; 0.0001) compared with MDI. Results were similar when CSII was compared separately with glargine- or NPH-based MDI regimens. Conclusions: This large, non-randomized, case-control study suggests quality of life gains deriving from greater lifestyle flexibility, less fear of hypoglycaemia, and higher treatment satisfaction, when CSII is compared with either glargine-based or NPH-based MDI regimens. © 2008 The Authors

Prenatal exposures and exposomics of asthma

This review examines the causal investigation of preclinical development of childhood asthma using exposomic tools. We examine the current state of knowledge regarding early-life exposure to non-biogenic indoor air pollution and the developmental modulation of the immune system. We examine how metabolomics technologies could aid not only in the biomarker identification of a particular asthma phenotype, but also the mechanisms underlying the immunopathologic process. Within such a framework, we propose alternate components of exposomic investigation of asthma in which, the exposome represents a reiterative investigative process of targeted biomarker identification, validation through computational systems biology and physical sampling of environmental medi