Effect of supervised exercise on physical function and balance in patients with intermittent claudication

Background The aim of the study was to identify whether a standard supervised exercise programme (SEP) for patients with intermittent claudication improved specific measures of functional performance including balance. Methods A prospective observational study was performed at a single tertiary vascular centre. Patients with symptomatic intermittent claudication (Rutherford grades 1–3) were recruited to the study. Participants were assessed at baseline (before SEP) and 3, 6 and 12 months afterwards for markers of lower-limb ischaemia (treadmill walking distance and ankle : brachial pressure index), physical function (6-min walk, Timed Up and Go test, and Short Physical Performance Battery (SPPB) score), balance impairment using computerized dynamic posturography with the Sensory Organization Test (SOT), and quality of life (VascuQoL and Short Form 36). Results Fifty-one participants underwent SEP, which significantly improved initial treadmill walking distance (P = 0·001). Enrolment in a SEP also resulted in improvements in physical function as determined by 6-min maximum walking distance (P = 0·006), SPPB score (P < 0·001), and some domains of both generic (bodily pain, P = 0·025) and disease-specific (social domain, P = 0·039) quality of life. Significant improvements were also noted in balance, as determined by the SOT (P < 0·001). Conclusion Supervised exercise improves both physical function and balance impairment

Low-Mass Eclipsing Binaries in the Initial Kepler Data Release

We identify 231 objects in the newly released Cycle 0 dataset from the Kepler Mission as double-eclipse, detached eclipsing binary systems with Teff < 5500 K and orbital periods shorter than ~32 days. We model each light curve using the JKTEBOP code with a genetic algorithm to obtain precise values for each system. We identify 95 new systems with both components below 1.0 M_sun and eclipses of at least 0.1 magnitudes, suitable for ground-based follow-up. Of these, 14 have periods less than 1.0 day, 52 have periods between 1.0 and 10.0 days, and 29 have periods greater than 10.0 days. This new sample of main-sequence, low-mass, double-eclipse, detached eclipsing binary candidates more than doubles the number of previously known systems, and extends the sample into the completely heretofore unexplored P > 10.0 day period regime. We find preliminary evidence from these systems that the radii of low-mass stars in binary systems decrease with period. This supports the theory that binary spin-up is the primary cause of inflated radii in low-mass binary systems, although a full analysis of each system with radial-velocity and multi-color light curves is needed to fully explore this hypothesis. As well, we present 7 new transiting planet candidates that do not appear among the recently released list of 706 candidates by the Kepler team, nor in the Kepler False Positive Catalog, along with several other new and interesting systems. We also present novel techniques for the identification, period analysis, and modeling of eclipsing binaries.Comment: 22 pages in emulateapj format. 9 figures, 4 tables, 2 appendices. Accepted to AJ. Includes a significant addition of new material since last arXiv submission and an updated method for estimating masses and radi

Gravity and Light: Combining Gravitational Wave and Electromagnetic Observations in the 2020s

As of today, we have directly detected exactly one source in both gravitational waves (GWs) and electromagnetic (EM) radiation, the binary neutron star merger GW170817, its associated gamma-ray burst GRB170817A, and the subsequent kilonova SSS17a/AT 2017gfo. Within ten years, we will detect hundreds of events, including new classes of events such as neutron-star-black-hole mergers, core-collapse supernovae, and almost certainly something completely unexpected. As we build this sample, we will explore exotic astrophysical topics ranging from nucleosynthesis, stellar evolution, general relativity, high-energy astrophysics, nuclear matter, to cosmology. The discovery potential is extraordinary, and investments in this area will yield major scientific breakthroughs. Here we outline some of the most exciting scientific questions that can be answered by combining GW and EM observations

Promoting Colorectal Cancer Screening Among Haitian Americans

Background: Few studies have examined colorectal cancer screening among Haitian Americans, although striking disparities in colorectal cancer screening and mortality are well-documented among U.S. Blacks. Race, socioeconomic status, and place of birth are factors associated with colorectal cancer incidence and mortality patterns. Methods: In this article, we summarize published studies on colorectal cancer screening among Haitian Americans, identified through bibliographic searches in PubMed and CINAHL through August 2015, and offer recommendations for further research. Results: Only one qualitative study and three quantitative surveys have examined colorectal cancer screening among Haitian Americans. A qualitative study found important differences in perceptions of the curability of colorectal cancer, preventive practices, and preferred sources of information among Haitian Americans and other ethnic subgroups of U.S. Blacks. Awareness of colorectal cancer screening tests, risk perception, healthcare provider recommendation, and self-reported use of screening are suboptimal among Haitian Americans and other subgroups. In preliminary quantitative studies, Haitian immigrants have been found to have lower colorectal cancer screening rates than other groups such as African Americans. Conclusions: Culturally appropriate educational interventions are needed to encourage Haitian American adults aged \u3e 50 years to undergo screening for colorectal cancer and to ensure that they are well informed about the value of healthy eating and physical activity

Nuclear Physics Multimessenger Astrophysics Constraints on the Neutron Star Equation of State: Adding NICER's PSR J0740+6620 Measurement

In the past few years, new observations of neutron stars (NSs) and NS mergers have provided a wealth of data that allow one to constrain the equation of state (EOS) of nuclear matter at densities above nuclear saturation density. However, most observations were based on NSs with masses of about 1.4 M⊙, probing densities up to ∼three to four times the nuclear saturation density. Even higher densities are probed inside massive NSs such as PSR J0740+6620. Very recently, new radio observations provided an update to the mass estimate for PSR J0740+6620, and X-ray observations by the NICER and XMM telescopes constrained its radius. Based on these new measurements, we revisit our previous nuclear physics multimessenger astrophysics constraints and derive updated constraints on the EOS describing the NS interior. By combining astrophysical observations of two radio pulsars, two NICER measurements, the two gravitational-wave detections GW170817 and GW190425, detailed modeling of the kilonova AT 2017gfo, and the gamma-ray burst GRB 170817A, we are able to estimate the radius of a typical 1.4 M⊙ NS to be 11.94-0.87+0.76 km at 90% confidence. Our analysis allows us to revisit the upper bound on the maximum mass of NSs and disfavors the presence of a strong first-order phase transition from nuclear matter to exotic forms of matter, such as quark matter, inside NSs

Supplement: Going the Distance: Mapping Host Galaxies of LIGO and Virgo Sources in Three Dimensions Using Local Cosmography and Targeted Follow-up

This is a supplement to the Letter of Singer et al. (https://arxiv.org/abs/1603.07333), in which we demonstrated a rapid algorithm for obtaining joint 3D estimates of sky location and luminosity distance from observations of binary neutron star mergers with Advanced LIGO and Virgo. We argued that combining the reconstructed volumes with positions and redshifts of possible host galaxies can provide large-aperture but small field of view instruments with a manageable list of targets to search for optical or infrared emission. In this Supplement, we document the new HEALPix-based file format for 3D localizations of gravitational-wave transients. We include Python sample code to show the reader how to perform simple manipulations of the 3D sky maps and extract ranked lists of likely host galaxies. Finally, we include mathematical details of the rapid volume reconstruction algorithm.Comment: For associated data release, see http://asd.gsfc.nasa.gov/Leo.Singer/going-the-distanc

Methane in the atmosphere of the transiting hot Neptune GJ436b?

We present an analysis of seven primary transit observations of the hot Neptune GJ436b at 3.6, 4.5 and $8~\mu$m obtained with the Infrared Array Camera (IRAC) on the Spitzer Space Telescope. After correcting for systematic effects, we fitted the light curves using the Markov Chain Monte Carlo technique. Combining these new data with the EPOXI, HST and ground-based $V, I, H$ and $K_s$ published observations, the range $0.5-10~\mu$m can be covered. Due to the low level of activity of GJ436, the effect of starspots on the combination of transits at different epochs is negligible at the accuracy of the dataset. Representative climate models were calculated by using a three-dimensional, pseudo-spectral general circulation model with idealised thermal forcing. Simulated transit spectra of GJ436b were generated using line-by-line radiative transfer models including the opacities of the molecular species expected to be present in such a planetary atmosphere. A new, ab-initio calculated, linelist for hot ammonia has been used for the first time. The photometric data observed at multiple wavelengths can be interpreted with methane being the dominant absorption after molecular hydrogen, possibly with minor contributions from ammonia, water and other molecules. No clear evidence of carbon monoxide and dioxide is found from transit photometry. We discuss this result in the light of a recent paper where photochemical disequilibrium is hypothesised to interpret secondary transit photometric data. We show that the emission photometric data are not incompatible with the presence of abundant methane, but further spectroscopic data are desirable to confirm this scenario.Comment: 19 pages, 10 figures, 1 table, Astrophysical Journal in pres