AGN's UV and X-ray luminosities in clumpy accretion flows

We consider the fuelling of the central massive black hole in Active Galactic Nuclei, through an inhomogeneous accretion flow. Performing simple analytical treatments, we show that shocks between elements (clumps) forming the accretion flow may account for the UV and X-ray emission in AGNs. In this picture, a cascade of shocks is expected, where optically thick shocks give rise to optical/UV emission, while optically thin shocks give rise to X-ray emission. The resulting blue bump temperature is found to be quite similar in different AGNs. We obtain that the ratio of X-ray luminosity to UV luminosity is smaller than unity, and that this ratio is smaller in massive objects compared to less massive sources. This is in agreement with the observed $L_{X}/L_{UV}$ ratio and suggests a possible interpretation of the $\alpha_{OX}-l_{UV}$ anticorrelation.Comment: 8 pages, 1 figure, accepted for publication in A&

Exploring X-ray and radio emission of type 1 AGN up to z ~ 2.3

X-ray emission from AGN is dominated by the accretion disk around a SMBH. The radio luminosity, however, has not such a clear origin except in the most powerful sources where jets are evident. The origin (and even the very existence) of the local bi-modal distribution in radioloudness is also a debated issue. By analysing X-ray, optical and radio properties of a large sample of type 1 AGN up to z>2, where the bulk of this population resides, we aim to explore the interplay between radio and X-ray emission in AGN, in order to further our knowledge on the origin of radio emission, and its relation to accretion. We analyse a large (~800 sources) sample of type 1 AGN and QSOs selected from the 2XMMi X-ray source catalogue, cross-correlated with the SDSS DR7 spectroscopic catalogue, covering a redshift range from z~0.3 to z~2.3. SMBH masses are estimated from the Mg II emission line, bolometric luminosities from the X-ray data, and radio emission or upper limits from the FIRST catalogue. Most of the sources accrete close to the Eddington limit and the distribution in radioloudness does not appear to have a bi-modal behaviour. We confirm that radioloud AGN are also X-ray loud, with an X-ray-to-optical ratio up to twice that of radioquiet objects, even excluding the most extreme strongly jetted sources. By analysing complementary radio-selected control samples, we find evidence that these conclusions are not an effect of the X-ray selection, but are likely a property of the dominant QSO population. Our findings are best interpreted in a context where radio emission in AGN, with the exception of a minority of beamed sources, arises from very close to the accretion disk and is therefore heavily linked to X-ray emission. We also speculate that the RL/RQ dichotomy might either be an evolutionary effect that developed well after the QSO peak epoch, or an effect of incompleteness in small samples.Comment: Accepted for publication in A&A; 16 pages, 5 tables, 10 figures; tables 3-5 are only available in electronic form at the CDS via anonymous ftp to cdsarc.u-strasbg.fr (130.79.128.5) or via http://cdsweb.u-strasbg.fr/cgi-bin/qcat?J/A+A

Mortality after surgery in Europe: a 7 day cohort study

Background: Clinical outcomes after major surgery are poorly described at the national level. Evidence of heterogeneity between hospitals and health-care systems suggests potential to improve care for patients but this potential remains unconfirmed. The European Surgical Outcomes Study was an international study designed to assess outcomes after non-cardiac surgery in Europe.Methods: We did this 7 day cohort study between April 4 and April 11, 2011. We collected data describing consecutive patients aged 16 years and older undergoing inpatient non-cardiac surgery in 498 hospitals across 28 European nations. Patients were followed up for a maximum of 60 days. The primary endpoint was in-hospital mortality. Secondary outcome measures were duration of hospital stay and admission to critical care. We used χ² and Fisher’s exact tests to compare categorical variables and the t test or the Mann-Whitney U test to compare continuous variables. Significance was set at p<0·05. We constructed multilevel logistic regression models to adjust for the differences in mortality rates between countries.Findings: We included 46 539 patients, of whom 1855 (4%) died before hospital discharge. 3599 (8%) patients were admitted to critical care after surgery with a median length of stay of 1·2 days (IQR 0·9–3·6). 1358 (73%) patients who died were not admitted to critical care at any stage after surgery. Crude mortality rates varied widely between countries (from 1·2% [95% CI 0·0–3·0] for Iceland to 21·5% [16·9–26·2] for Latvia). After adjustment for confounding variables, important differences remained between countries when compared with the UK, the country with the largest dataset (OR range from 0·44 [95% CI 0·19 1·05; p=0·06] for Finland to 6·92 [2·37–20·27; p=0·0004] for Poland).Interpretation: The mortality rate for patients undergoing inpatient non-cardiac surgery was higher than anticipated. Variations in mortality between countries suggest the need for national and international strategies to improve care for this group of patients.Funding: European Society of Intensive Care Medicine, European Society of Anaesthesiology