The Supportive Care Needs of Cancer Patients: a Systematic Review

Cancer, and the complex nature of treatment, has a profound impact on lives of patients and their families. Subsequently, cancer patients have a wide range of needs. This study aims to identify and synthesise cancer patients' views about areas where they need support throughout their care. A systematic  search of the literature from PsycInfo, Embase and Medline databases was conducted, and a narrative. Synthesis of results was carried out using the Corbin & Strauss "3 lines of work" framework. For each line of work, a group of key common needs were identified. For illness-work, the key needs idenitified were; understanding their illness and treatment options, knowing what to expect, communication with healthcare professionals, and staying well. In regards to everyday work, patients wanted to maintain a sense of normalcy and look after their loved ones. For biographical work, patients commonly struggled with the emotion impact of illness and a lack of control over their lives. Spiritual, sexual and financial problems were less universal. For some types of support, demographic factors influenced the level of need reported. While all patients are unique, there are a clear set of issues that are common to a majority of cancer journeys. To improve care, these needs should be prioritised by healthcare practitioners

(Sub)millimetre interferometric imaging of a sample of COSMOS/AzTEC submillimetre galaxies. II. The spatial extent of the radio-emitting regions

Radio emission at centimetre wavelengths from highly star-forming galaxies, like submillimetre galaxies (SMGs), is dominated by synchrotron radiation arising from supernova activity. Hence, radio continuum imaging has the potential to determine the spatial extent of star formation in these types of galaxies. Using deep, high-resolution (1σ = 2.3 μJy beam-1; 0.75 arcsec) centimetre radio-continuum observations taken by the Karl G. Jansky Very Large Array (VLA)-COSMOS 3 GHz Large Project, we studied the radio-emitting sizes of a flux-limited sample of SMGs in the COSMOS field. The target SMGs were originally discovered in a 1.1 mm continuum survey carried out with the AzTEC bolometer, and followed up with higher resolution interferometric (sub)millimetre continuum observations. Of the 39 SMGs studied here, 3 GHz emission was detected towards 18 of them (~46 ± 11%) with signal-to-noise ratios in the range of S/N = 4.2-37.4. Towards four SMGs (AzTEC2, 5, 8, and 11), we detected two separate 3 GHz sources with projected separations of ~1''&dotbelow;5-6''&dotbelow;6, but they might be physically related in only one or two cases (AzTEC2 and 11). Using two-dimensional elliptical Gaussian fits, we derived a median deconvolved major axis FWHM size of 0''&dotbelow;54±0''&dotbelow;11 for our 18 SMGs detected at 3 GHz. For the 15 SMGs with known redshift we derived a median linear major axis FWHM of 4.2 ± 0.9 kpc. No clear correlation was found between the radio-emitting size and the 3 GHz or submm flux density, or the redshift of the SMG. However, there is a hint of larger radio sizes at z ~ 2.5-5 compared to lower redshifts. The sizes we derived are consistent with previous SMG sizes measured at 1.4 GHz and in mid-J CO emission, but significantly larger than those seen in the (sub)mm continuum emission (typically probing the rest-frame far-infrared with median FWHM sizes of only ~1.5-2.5 kpc). One possible scenario is that SMGs have i) an extended gas component with a low dust temperature, which can be traced by low- to mid-J CO line emission and radio continuum emission; and ii) a warmer, compact starburst region giving rise to the high-excitation line emission of CO, which could dominate the dust continuum size measurements. Because of the rapid cooling of cosmic-ray electrons in dense starburst galaxies (~104-105 yr), the more extended synchrotron radio-emitting size being a result of cosmic-ray diffusion seems unlikely. Instead, if SMGs are driven by galaxy mergers - a process where the galactic magnetic fields can be pulled out to larger spatial scales - the radio synchrotron emission might arise from more extended magnetised interstellar medium around the starburst region

A CO emission line from the optical and near-IR undetected submillimeter galaxy GN10

We report the detection of a CO emission line from the submillimiter galaxy (SMG) GN10 in the GOODS-N field. GN10 lacks any counterpart in extremely deep optical and near-IR imaging obtained with the Hubble Space Telescope and ground-based facilities. This is a prototypical case of a source that is extremely obscured by dust, for which it is practically impossible to derive a spectroscopic redshift in the optical/near-IR. Under the hypothesis that GN10 is part of a proto-cluster structure previously identified at z~4.05 in the same field, we searched for CO[4-3] at 91.4 GHz with the IRAM Plateau de Bure Interferometer, and successfully detected a line. We find that the most likely redshift identification is z=4.0424+-0.0013, based on: 1) the very low chance that the CO line is actually serendipitous from a different redshift; 2) a radio-IR photometric redshift analysis; 3) the identical radio-IR SED, within a scaling factor, of two other SMGs at the same redshift. The faintness at optical/near-IR wavelengths requires an attenuation of A_V~5-7.5 mag. This result supports the case that a substantial population of very high-z SMGs exists that had been missed by previous spectroscopic surveys. This is the first time that a CO emission line has been detected for a galaxy that is invisible in the optical and near-IR. Our work demonstrates the power of existing and planned facilities for completing the census of star formation and stellar mass in the distant Universe by measuring redshifts of the most obscured galaxies through millimeter spectroscopy.Comment: 5 pages, 4 figures. ApJ Letters in pres

EXCITATION of COUPLED STELLAR MOTIONS in the GALACTIC DISK by ORBITING SATELLITES

We use a set of high-resolution N-body simulations of the Galactic disk to study its interactions with the population of cosmologically predicted satellites. One simulation illustrates that multiple passages of massive satellites with different velocities through the disk generate a wobble, which has the appearance of rings in face-on projections of the stellar disk. They also produce flares in the outer disk parts and gradually heat the disk through bending waves. A different numerical experiment shows that an individual satellite as massive as the Sagittarius dwarf galaxy passing through the disk will drive coupled horizontal and vertical oscillations of stars in underdense regions with small associated heating. This experiment shows that vertical excursions of stars in these low-density regions can exceed 1 kpc in the Solar neighborhood, resembling the recently locally detected coherent vertical oscillations. They can also induce non-zero vertical streaming motions as large as 10-20 km s-1, which is consistent with recent observations in the Galactic disk. This phenomenon appears as a local ring with modest associated disk heating. © 2016. The American Astronomical Society. All rights reserved

ApoC-III and visceral adipose tissue contribute to paradoxically normal triglyceride levels in insulin-resistant African-American women

Background: African-Americans are more insulin-resistant than whites but have lower triglyceride (TG) concentrations. The metabolic basis for this is unknown. Our goal was to determine in a cross-sectional study the effect of insulin resistance, visceral adipose tissue (VAT) and the apolipoproteins, B, C-III and E, on race differences in TG content of very low density lipoproteins (VLDL). Methods: The participants were 31 women (16 African-American, 15 white) of similar age (37 ± 9 vs. 38 ± 11y (mean ± SD), P = 0.72) and BMI (32.4 ± 7.2 vs. 29.3 ± 6.0 kg/m2, P = 0.21). A standard diet (33% fat, 52% carbohydrate, 15% protein) was given for 7 days followed by a test meal (40% fat, 40% carbohydrate, 20% protein) on Day 8. Insulin sensitivity index (SI) was calculated from the minimal model. VAT was measured at L2-3. The influence of race, SI, VAT and apolipoproteins on the TG content of VLDL was determined by random effects models (REM). Results: African-Americans were more insulin-resistant (SI: 3.6 ± 1.3 vs. 5.6 ± 2.6 mU/L-1.min-1, P < 0.01) with less VAT (75 ± 59 vs. 102 ± 71 cm2, P < 0.01). TG, apoB and apoC-III content of light and dense VLDL were lower in African-Americans (all P < 0.05 except for apoC-III in light VLDL, P = 0.11). ApoE content did not vary by race. In REM, VAT but not SI influenced the TG concentration of VLDL. In models with race, SI, VAT and all apolipoproteins entered, race was not significant but apoC-III and VAT remained significant determinants of TG concentration in light and dense VLDL. Conclusions: Low concentrations of apoC-III and VAT in African-Americans contribute to race differences in TG concentrations. Trial registration ClinicalTrials.gov Identifier: NCT0048486

Rest-Frame Ultraviolet to Near Infrared Observations of an Interacting Lyman Break Galaxy at z = 4.42

We present the rest-frame ultraviolet through near infrared spectral energy distribution for an interacting Lyman break galaxy at a redshift z=4.42, the highest redshift merging system known with clearly resolved tidal features. The two objects in this system - HDF-G4 and its previously unidentified companion - are both B_{435} band dropouts, have similar V_{606}-i_{775} and i_{775}-z_{850} colors, and are separated by 1", which at z=4.42 corresponds to 7 kpc projected nuclear separation; all indicative of an interacting system. Fits to stellar population models indicate a stellar mass of M_\star = 2.6\times 10^{10} M_\odot, age of \tau_\star = 720 My, and exponential star formation history with an e-folding time \tau_0 = 440 My. Using these derived stellar populations as constraints, we model the HDF-G4 system using hydrodynamical simulations, and find that it will likely evolve into a quasar by z\sim3.5, and a quiescent, compact spheroid by z\sim 2.5 similar to those observed at z > 2. And, the existence of such an object supports galaxy formation models in which major mergers drive the high redshift buildup of spheroids and black holes.Comment: 7 pages, 7 figures, accepted for publication in Ap

The Self-Regulated Growth of Supermassive Black Holes

We present a series of simulations of the self--regulated growth of supermassive black holes (SMBHs) in galaxies via three different fueling mechanisms: major mergers, minor mergers, and disk instabilities. The SMBHs in all three scenarios follow the same black hole fundamental plane (BHFP) and correlation with bulge binding energy seen in simulations of major mergers, and observed locally. Furthermore, provided that the total gas supply is significantly larger than the mass of the SMBH, its limiting mass is not influenced by the amount of gas available or the efficiency of black hole growth. This supports the assertion that SMBHs accrete until they reach a critical mass at which feedback is sufficient to unbind the gas locally, terminating the inflow and stalling further growth. At the same time, while minor and major mergers follow the same projected correlations (e.g., the $M_{BH}-\sigma$ and Magorrian relations), SMBHs grown via disk instabilities do not, owing to structural differences between the host bulges. This finding is supported by recent observations of SMBHs in pseudobulges and bulges in barred systems, as compared to those hosted by classical bulges. Taken together, this provides support for the BHFP and binding energy correlations as being more "fundamental" than other proposed correlations in that they reflect the physical mechanism driving the co-evolution of SMBHs and spheroids.Comment: 15 pages, 16 figures, accepted for publication in Ap

Quest for COSMOS Submillimeter Galaxy Counterparts using CARMA and VLA: Identifying Three High-redshift Starburst Galaxies

We report on interferometric observations at 1.3 mm at 2"-3" resolution using the Combined Array for Research in Millimeter-wave Astronomy. We identify multi-wavelength counterparts of three submillimeter galaxies (SMGs; F_(1mm) > 5.5 mJy) in the COSMOS field, initially detected with MAMBO and AzTEC bolometers at low, ~10"-30", resolution. All three sources—AzTEC/C1, Cosbo-3, and Cosbo-8—are identified to coincide with positions of 20 cm radio sources. Cosbo-3, however, is not associated with the most likely radio counterpart, closest to the MAMBO source position, but with that farther away from it. This illustrates the need for intermediate-resolution (~2") mm-observations to identify the correct counterparts of single-dish-detected SMGs. All of our three sources become prominent only at NIR wavelengths, and their mm-to-radio flux based redshifts suggest that they lie at redshifts z ≳ 2. As a proof of concept, we show that photometric redshifts can be well determined for SMGs, and we find photometric redshifts of 5.6 ± 1.2, 1.9^(+0.9)_(–0.5), and ~4 for AzTEC/C1, Cosbo-3, and Cosbo-8, respectively. Using these we infer that these galaxies have radio-based star formation rates of ≳ 1000 M_☉ yr^(–1) and IR luminosities of ~10^(13) L_☉ consistent with properties of high-redshift SMGs. In summary, our sources reflect a variety of SMG properties in terms of redshift and clustering, consistent with the framework that SMGs are progenitors of z ~ 2 and today's passive galaxies