Change in Physiological Variables in the Last Two Weeks of Life: An Observational Study of Hospitalized Adults With Heart Failure

Context Recognition of dying is a difficult task in end-stage heart failure, yet it remains an important clinical skill in providing good palliative care to these patients. Objectives To use routinely collected data to explore evidence for physiological change in the final two weeks of life in end-stage heart failure. Methods This was a retrospective cohort study of routinely collected data from hospital inpatients dying as a result of heart failure during a one-year period in a U.K. hospital. Data were analyzed using descriptive techniques and multilevel modeling. Results Results were obtained on 81 patients. Respiratory function (evidenced by falling oxygen saturation and rising respiratory rate) deteriorated by a clinically significant amount in the final two weeks of life (P < 0.001). Renal function (evidenced by rising serum urea and creatinine) also demonstrated a clinically significant deterioration over the same period (P < 0.001 and P = 0.005, respectively). Serum albumin fell over a period of months (P < 0.001). Heart rate and blood pressure did not demonstrate clinically significant change over the same period. Conclusions Deteriorating respiratory and renal function may indicate imminent dying in heart failure. A fall in serum albumin may signify poor prognosis over a timescale of weeks to months. Conversely, hemodynamic parameters may remain relatively stable in the final days of life and should not be reassuring in end-stage heart failure patients

SNhunt151: An explosive event inside a dense cocoon

Indexación: Scopus.We thank S. Spiro, R. Rekola, A. Harutyunyan, and M. L. Graham for their help with the observations. We are grateful to the collaboration of Massimo Conti, Giacomo Guerrini, Paolo Rosi, and Luz Marina Tinjaca Ramirez from the Osservatorio Astronomico Provinciale di Montarrenti. The staffs at the different observatories provided excellent assistance with the observations.The research leading to these results has received funding from the European Union Seventh Framework Programme (FP7/2007-2013) under grant agreement No. 267251, ‘Astronomy Fellowships in Italy’ (AstroFIt)’. NE-R acknowledges financial support from MIUR PRIN 2010-2011, ‘The Dark Universe and the Cosmic Evolution of Baryons: From Current Surveys to Euclid’. NE-R, AP, SB, LT, MT, and GP are partially supported by the PRIN-INAF 2014 (project ‘Transient Universe: Unveiling New Types of Stellar Explosions with PESSTO’). GP acknowledges support provided by the Millennium Institute of Astrophysics (MAS) through grant IC120009 of the Programa Iniciativa Cientíifica Milenio del Ministerio de Economía, Fomento y Turismo de Chile. TK acknowledges financial support from the Emil Aaltonen Foundation. CRTS was supported by the NSF grants AST-0909182, AST-1313422, and AST-1413600. AVF is grateful for generous financial assistance from the Christopher R. Redlich Fund, the TABASGO Foundation, the Miller Institute for Basic Research in Science (UC Berkeley), and NASA/HST grant GO-14668 from the Space Telescope Science Institute, which is operated by AURA, Inc. under NASA contract NAS5-26555. The work of AVF was conducted in part at the Aspen Center for Physics, which is supported by NSF grantPHY-1607611; he thanks the Center for its hospitality during the neutron stars workshop in June and July 2017. NE-R acknowledges the hospitality of the ‘Institut de Ciències de l'Espai (CSIC), where this work was completed.This research is based on observations made with the Nordic Optical Telescope, operated by the Nordic Optical Telescope Scientific Association at the Observatorio del Roque de los Muchachos, La Palma, Spain, of the Instituto de Astrofísica de Canarias; the Gran Telescopio Canarias (GTC), installed in the Spanish Observatorio del Roque de los Muchachos of the Instituto de Astrofísica de Canarias, on the island of La Palma; the Italian Telescopio Nazionale Galileo (TNG), operated on the island of La Palma by the Fundaci Galileo Galilei of the INAF (Istituto Nazionale di Astrofisica) at the Spanish Observatorio del Roque de los Muchachos of the Instituto de Astrofísica de Canarias; the Liverpool Telescope, operated on the island of La Palma by Liverpool John Moores University in the Spanish Observatorio del Roque de los Muchachos of the Instituto de Astrofísica de Canarias with financial support from the UK Science and Technology Facilities Council; the 1.82-m Copernico Telescope and the Schmidt 67/92 cm of INAF-Asiago Observatory; the Catalina Real Time Survey (CRTS) Catalina Sky Survey (CSS) 0.7-m Schmidt Telescope; and the Las Cumbres Observatory (LCO) network. This work is also based in part on archival data obtained with the NASA/ESA Hubble Space Telescope, obtained from the Data Archive at the Space Telescope Science Institute (STScI), which is operated by the Association of Universities for Research in Astronomy (AURA), Inc., under NASA contract NAS5-26555; the Spitzer Space Telescope, which is operated by the Jet Propulsion Laboratory, California Institute of Technology, under a contract with NASA (support was provided by NASA through an award issued by JPL/Caltech); and the Swift telescope.This work has made use of the NASA/IPAC Extragalactic Database (NED), which is operated by the Jet Propulsion Laboratory, California Institute of Technology, under contract with NASA.SNhunt151 was initially classified as a supernova (SN) impostor (nonterminal outburst of a massive star). It exhibited a slow increase in luminosity, lasting about 450 d, followed by a major brightening that reaches M V ≈ -18 mag. No source is detected to M V ≳ -13 mag in archival images at the position of SNhunt151 before the slow rise. Low-to-mid-resolution optical spectra obtained during the pronounced brightening show very little evolution, being dominated at all times by multicomponent Balmer emission lines, a signature of interaction between the material ejected in the new outburst and the pre-existing circumstellar medium. We also analysed mid-infrared images from the Spitzer Space Telescope, detecting a source at the transient position in 2014 and 2015. Overall, SNhunt151 is spectroscopically a Type IIn SN, somewhat similar to SN 2009ip. However, there are also some differences, such as a slow pre-discovery rise, a relatively broad light-curve peak showing a longer rise time (~50 d), and a slower decline, along with a negligible change in the temperature around the peak (T ≤ 10 4 K). We suggest that SNhunt151 is the result of an outburst, or an SN explosion, within a dense circumstellar nebula, similar to those embedding some luminous blue variables like η Carinae and originating from past mass-loss events. © 2017 The Author(s).https://academic.oup.com/mnras/article/475/2/2614/479530

The measurement of liner - piston skirt oil film thickness by an ultrasonic means

The paper presents a novel method for the measurement of lubricant film thickness in the piston-liner contact. Direct measurement of the film in this conjunction has always posed a problem, particularly under fired conditions. The principle is based on capturing and analysing the reflection of an ultrasonic pulse at the oil film. The proportion of the wave amplitude reflected can be related to the thickness of the oil film. A single cylinder 4-stroke engine on a dyno test platform was used for evaluation of the method. A piezo-electric transducer was bonded to the outside of the cylinder liner and used to emit high frequency short duration ultrasonic pulses. These pulses were used to determine the oil film thickness as the piston skirt passed over the sensor location. Oil films in the range 2 to 21 μm were recorded varying with engine speeds. The results have been shown to be in agreement with detailed numerical predictions

The long-lived Type IIn SN 2015da: Infrared echoes and strong interaction within an extended massive shell star star star

In this paper we report the results of the first similar to four years of spectroscopic and photometric monitoring of the Type IIn supernova SN 2015da (also known as PSN J13522411+3941286, or iPTF16tu). The supernova exploded in the nearby spiral galaxy NGC 5337 in a relatively highly extinguished environment. The transient showed prominent narrow Balmer lines in emission at all times and a slow rise to maximum in all bands. In addition, early observations performed by amateur astronomers give a very well-constrained explosion epoch. The observables are consistent with continuous interaction between the supernova ejecta and a dense and extended H-rich circumstellar medium. The presence of such an extended and dense medium is difficult to reconcile with standard stellar evolution models, since the metallicity at the position of SN 2015da seems to be slightly subsolar. Interaction is likely the mechanism powering the light curve, as confirmed by the analysis of the pseudo bolometric light curve, which gives a total radiated energy greater than or similar to 10(51) erg. Modeling the light curve in the context of a supernova shock breakout through a dense circumstellar medium allowed us to infer the mass of the prexisting gas to be similar or equal to 8 M-circle dot, with an extreme mass-loss rate for the progenitor star similar or equal to 0.6 M-circle dot yr(-1), suggesting that most of the circumstellar gas was produced during multiple eruptive events. Near- and mid-infrared observations reveal a fluxexcess in these domains, similar to those observed in SN 2010jl and other interacting transients, likely due to preexisting radiatively heated dust surrounding the supernova. By modeling the infrared excess, we infer a mass greater than or similar to 0.4 x 10(-3) M-circle dot for the dustSpanish MICINN gran

WD + MS systems as the progenitor of SNe Ia

We show the initial and final parameter space for SNe Ia in a ($\log P^{\rm i}, M_{\rm 2}^{\rm i}$) plane and find that the positions of some famous recurrent novae, as well as a supersoft X-ray source (SSS), RX J0513.9-6951, are well explained by our model. The model can also explain the space velocity and mass of Tycho G, which is now suggested to be the companion star of Tycho's supernova. Our study indicates that the SSS, V Sge, might be the potential progenitor of supernovae like SN 2002ic if the delayed dynamical-instability model due to Han & Podsiadlowski (2006) is appropriate. Following the work of Meng, Chen & Han (2009), we found that the SD model (WD + MS) with an optically thick wind can explain the birth rate of supernovae like SN 2006X and reproduce the distribution of the color excess of SNe Ia. The model also predicts that at least 75% of all SNe Ia may show a polarization signal in their spectra.Comment: 6 pages, 2 figures, accepted for publication in Astrophysics & Space Science (Proceeding of the 4th Meeting on Hot Subdwarf Stars and Related Objects, edited by Zhanwen Han, Simon Jeffery & Philipp Podsiadlowski

Kepler-22b: A 2.4 Earth-radius Planet in the Habitable Zone of a Sun-like Star

A search of the time-series photometry from NASA's Kepler spacecraft reveals a transiting planet candidate orbiting the 11th magnitude G5 dwarf KIC 10593626 with a period of 290 days. The characteristics of the host star are well constrained by high-resolution spectroscopy combined with an asteroseismic analysis of the Kepler photometry, leading to an estimated mass and radius of 0.970 +/- 0.060 MSun and 0.979 +/- 0.020 RSun. The depth of 492 +/- 10ppm for the three observed transits yields a radius of 2.38 +/- 0.13 REarth for the planet. The system passes a battery of tests for false positives, including reconnaissance spectroscopy, high-resolution imaging, and centroid motion. A full BLENDER analysis provides further validation of the planet interpretation by showing that contamination of the target by an eclipsing system would rarely mimic the observed shape of the transits. The final validation of the planet is provided by 16 radial velocities obtained with HIRES on Keck 1 over a one year span. Although the velocities do not lead to a reliable orbit and mass determination, they are able to constrain the mass to a 3{\sigma} upper limit of 124 MEarth, safely in the regime of planetary masses, thus earning the designation Kepler-22b. The radiative equilibrium temperature is 262K for a planet in Kepler-22b's orbit. Although there is no evidence that Kepler-22b is a rocky planet, it is the first confirmed planet with a measured radius to orbit in the Habitable Zone of any star other than the Sun.Comment: Accepted to Ap

The Measurement of Liner - Piston Skirt Oil Film Thickness by an Ultrasonic Means

The paper presents a novel method for the measurement of lubricant film thickness in the piston-liner contact. Direct measurement of the film in this conjunction has always posed a problem, particularly under fired conditions. The principle is based on capturing and analysing the reflection of an ultrasonic pulse at the oil film. The proportion of the wave amplitude reflected can be related to the thickness of the oil film. A single cylinder 4-stroke engine on a dyno test platform was used for evaluation of the method. A piezo-electric transducer was bonded to the outside of the cylinder liner and used to emit high frequency short duration ultrasonic pulses. These pulses were used to determine the oil film thickness as the piston skirt passed over the sensor location. Oil films in the range 2 to 21 μm were recorded varying with engine speeds. The results have been shown to be in agreement with detailed numerical predictions

Making things happen : a model of proactive motivation

Being proactive is about making things happen, anticipating and preventing problems, and seizing opportunities. It involves self-initiated efforts to bring about change in the work environment and/or oneself to achieve a different future. The authors develop existing perspectives on this topic by identifying proactivity as a goal-driven process involving both the setting of a proactive goal (proactive goal generation) and striving to achieve that proactive goal (proactive goal striving). The authors identify a range of proactive goals that individuals can pursue in organizations. These vary on two dimensions: the future they aim to bring about (achieving a better personal fit within one’s work environment, improving the organization’s internal functioning, or enhancing the organization’s strategic fit with its environment) and whether the self or situation is being changed. The authors then identify “can do,” “reason to,” and “energized to” motivational states that prompt proactive goal generation and sustain goal striving. Can do motivation arises from perceptions of self-efficacy, control, and (low) cost. Reason to motivation relates to why someone is proactive, including reasons flowing from intrinsic, integrated, and identified motivation. Energized to motivation refers to activated positive affective states that prompt proactive goal processes. The authors suggest more distal antecedents, including individual differences (e.g., personality, values, knowledge and ability) as well as contextual variations in leadership, work design, and interpersonal climate, that influence the proactive motivational states and thereby boost or inhibit proactive goal processes. Finally, the authors summarize priorities for future researc