2,218 research outputs found
The Amazing Old Nova Q Cygni: A Far Ultraviolet Synthetic Spectral Analysis
Q Cygni (Nova Cygni 1876) is the third oldest old novae (after WY Sge and
V841 Oph) with a long orbital period of 10.08 hours and spectroscopic
peculiarities in the optical including the presence of variable wind outflow
revealed by optical P Cygni profiles in the HeI lines and H alpha beta (Kafka
et al. 2003). We have carried out a synthetic spectral analysis of a far
ultraviolet IUE archival spectrum of Q Cygni using our optically thick, steady
state, accretion disk models and model white dwarf photospheres. We find that
the accretion light of a luminous accretion disk dominates the FUV flux of the
hot component with a rate of accretion 2-3 1.E-9 Msun/yr. We find that Q Cygni
lies at a distance of 741 \pm 110 pc . The implications of our results for
theoretical predictions for old novae are presented.Comment: PASP, August 201
Melting of a p-H2 monolayer on a lithium substrate
Adsorption of para-hydrogen films on Alkali metals substrates at low
temperature is studied theoretically by means of Path Integral Monte Carlo
simulations. Realistic potentials are utilized to model the interaction between
two para-hydrogen molecules, as well as between a para-hydrogenmolecule and the
substrate, assumed smooth. Results show that adsorption of para-hydrogen on a
Lithium substrate, the most attractive among the Alkali, occurs through
completion of successive solid adlayers. Each layer has a two-dimensional
density approximatley equal 0.070 inverse square Angstroms. A solid
para-hydrogen monolayer displays a higher degree of confinement, in the
direction perpendicular to the substrate, than a monolayer Helium film, and has
a melting temperature of about 6.5 K. The other Alkali substrates are not
attractive enough to be wetted by molecular hydrogen at low temperature. No
evidence of a possible superfluid phase of para-hydrogen is seen in these
systems.Comment: Scales on the y-axis in Figs. 4,5 and 7 are off by a factor 2 in
published version; corrected her
Differences in phagocytosis by polymorphonuclear leucocytes (PMNs) and monocytes (Mos) in endotoxemia and endotoxin (ET) tolerance
Diffuse postoperative peritonitis -value of diagnostic parameters and impact of early indication for relaparotomy
<p>Abstract</p> <p>Objective</p> <p>Current criteria for performing relaparotomy for suspected peritonitis are non explicit and based on non-quantitative, subjective arguments or hospital practice. The aim of this study was to determine the value of routinely used clinical and diagnostic parameters in early detection of postoperative, diffuse peritonitis (PP). Furthermore, the prognosis and outcome after early indication for relaparotomy in patients with PP compared to community-aquired peritonitis (CAP) was evaluated.</p> <p>Methods</p> <p>Between 1999 and 2008, a total of 251 patients with diffuse secondary peritonitis either postoperative (PP) or community acquired (CAP) were analyzed retrospectively. PP (n = 114) and CAP (n = 137) were compared regarding physical examination, MPI-Score, APACHE II-Score, evidence of organ failure, laboratory parameters, diagnostic instruments and clinical course. The treatment regimen comprised surgical source control (with/without programmed lavage), abdominal closure and relaparotomy on demand, broad spectrum antibiotic therapy and intensive care support.</p> <p>Results</p> <p>The APACHE II-Score (20 CAP vs. 22 PP, p = 0.012), MPI-Score (27 CAP vs. 30 PP, p = 0.001) and the number of lavages differed significantly. Positive phyiscal testing and signs of sepsis [abdominal pain (81.6% PP vs. CAP 97.1%, p = 0.03), rebound tenderness (21.9% vs. 35.8%, p = 0.02), fever (35.1% vs. 51.8%, p = 0.03)] occurred significantly less often in the PP patients than in the CAP group. Conventional radiography (66.2%) and ultrasonography (44.3%) had a lower diagnostic sensitivity than did abdominal CT-scan (97.2%). Mortality was higher in the PP group but did not differ significantly between the two groups (47.4% PP vs. 35.8% CAP, p = 0.06).</p> <p>Conclusion</p> <p>The value of physical tests and laboratory parameters in diagnosing abdominal sepsis is limited. CT-scanning revealed the highest diagnostic accuracy. A treatment regimen of early relaprotomy appears to be the most reasonable strategy for as early discovery of postoperative peritonitis as possible.</p
Do we need a basis bolus concept for sedoanalgesia of mechanically ventilated patients in ICU?
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