276 research outputs found
Chip-based Brillouin processing for carrier recovery in coherent optical communications
Modern fiber-optic coherent communications employ advanced
spectrally-efficient modulation formats that require sophisticated narrow
linewidth local oscillators (LOs) and complex digital signal processing (DSP).
Here, we establish a novel approach to carrier recovery harnessing large-gain
stimulated Brillouin scattering (SBS) on a photonic chip for up to 116.82
Gbit/sec self-coherent optical signals, eliminating the need for a separate LO.
In contrast to SBS processing on-fiber, our solution provides phase and
polarization stability while the narrow SBS linewidth allows for a
record-breaking small guardband of ~265 MHz, resulting in higher
spectral-efficiency than benchmark self-coherent schemes. This approach reveals
comparable performance to state-of-the-art coherent optical receivers without
requiring advanced DSP. Our demonstration develops a low-noise and
frequency-preserving filter that synchronously regenerates a low-power
narrowband optical tone that could relax the requirements on very-high-order
modulation signaling and be useful in long-baseline interferometry for
precision optical timing or reconstructing a reference tone for quantum-state
measurements.Comment: Part of this work has been presented as a postdealine paper at CLEO
Pacific-Rim'2017 and OSA Optic
An Introduction to the Chandra Carina Complex Project
The Great Nebula in Carina provides an exceptional view into the violent
massive star formation and feedback that typifies giant HII regions and
starburst galaxies. We have mapped the Carina star-forming complex in X-rays,
using archival Chandra data and a mosaic of 20 new 60ks pointings using the
Chandra X-ray Observatory's Advanced CCD Imaging Spectrometer, as a testbed for
understanding recent and ongoing star formation and to probe Carina's regions
of bright diffuse X-ray emission. This study has yielded a catalog of
properties of >14,000 X-ray point sources; >9800 of them have multiwavelength
counterparts. Using Chandra's unsurpassed X-ray spatial resolution, we have
separated these point sources from the extensive, spatially-complex diffuse
emission that pervades the region; X-ray properties of this diffuse emission
suggest that it traces feedback from Carina's massive stars. In this
introductory paper, we motivate the survey design, describe the Chandra
observations, and present some simple results, providing a foundation for the
15 papers that follow in this Special Issue and that present detailed catalogs,
methods, and science results.Comment: Accepted for the ApJS Special Issue on the Chandra Carina Complex
Project (CCCP), scheduled for publication in May 2011. All 16 CCCP Special
Issue papers are available at
http://cochise.astro.psu.edu/Carina_public/special_issue.html through 2011 at
least. 43 pages; 18 figure
Muscle Loss Is Associated with Overall Survival in Patients with Metastatic Colorectal Cancer Independent of Tumor Mutational Status and Weight Loss
Background: Survival in patients with metastatic colorectal cancer (mCRC) has been associated with tumor mutational status, muscle loss, and weight loss. We sought to explore the combined effects of these variables on overall survival.
Materials and methods: We performed an observational cohort study, prospectively enrolling patients receiving chemotherapy for mCRC. We retrospectively assessed changes in muscle (using computed tomography) and weight, each dichotomized as >5% or ≤5% loss, at 3, 6, and 12 months after diagnosis of mCRC. We used regression models to assess relationships between tumor mutational status, muscle loss, weight loss, and overall survival. Additionally, we evaluated associations between muscle loss, weight loss, and tumor mutational status.
Results: We included 226 patients (mean age 59 ± 13 years, 53% male). Tumor mutational status included 44% wild type, 42% RAS-mutant, and 14% BRAF-mutant. Patients with >5% muscle loss at 3 and 12 months experienced worse survival controlling for mutational status and weight (3 months hazard ratio, 2.66; p 5% muscle loss with BRAF-mutational status at 6 and 12 months. Weight loss was not associated with survival nor mutational status.
Conclusion: Increased muscle loss at 3 and 12 months may identify patients with mCRC at risk for decreased overall survival, independent of tumor mutational status. Specifically, >5% muscle loss identifies patients within each category of tumor mutational status with decreased overall survival in our sample. Our findings suggest that quantifying muscle loss on serial computed tomography scans may refine survival estimates in patients with mCRC.
Implications for practice: In this study of 226 patients with metastatic colorectal cancer, it was found that losing >5% skeletal muscle at 3 and 12 months after the diagnosis of metastatic disease was associated with worse overall survival, independent of tumor mutational status and weight loss. Interestingly, results did not show a significant association between weight loss and overall survival. These findings suggest that muscle quantification on serial computed tomography may refine survival estimates in patients with metastatic colorectal cancer beyond mutational status
Chandra Observations of Associates of Car: I. Luminosities
The region around the Car nebula has three OB associations, which
contain a Wolf-Rayet star and several massive O3 stars. An early Chandra ACIS-I
image was centered on Car and includes Trumpler 16 and part of Trumpler
14. The Chandra image confirms the well-known result that O and very early B
stars are X-ray sources with L 10 L over an
X-ray luminosity range of about 100. Two new anomalously strong X-ray sources
have been found among the hot star population, Tr 16-244, a heavily-reddened O3
I star, and Tr 16-22, a heavily-reddened O8.5 V star. Two stars have an
unusually large L/L: HD 93162, a Wolf-Rayet star (and possible
binary), and Tr 16-22, a possible colliding wind binary In addition, a
population of sources associated with cool stars is detected. In the
color-magnitude diagram, these X-ray sources sit above the sequence of field
stars in the Carina arm. The OB stars are on average more X-ray luminous than
the cool star X-ray sources. X-ray sources among A stars have similar X-ray
luminosities to cooler stars, and may be due to cooler companions. Upper limits
are presented for B stars which are not detected in X-rays. These upper limits
are also the upper limits for any cool companions which the hot stars may have.
Hardness ratios are presented for the most luminous sources in bands 0.5 to 0.9
keV, 0.9 to 1.5 keV, and 1.5 to 2.04 kev. The available information on the
binary nature of the hot stars is discussed, but binarity does not correlate
with X-ray strength in a simple way.Comment: accepted by Ap
Genetic dysregulation of endothelin-1 is implicated in coronary microvascular dysfunction.
AIMS: Endothelin-1 (ET-1) is a potent vasoconstrictor peptide linked to vascular diseases through a common intronic gene enhancer [(rs9349379-G allele), chromosome 6 (PHACTR1/EDN1)]. We performed a multimodality investigation into the role of ET-1 and this gene variant in the pathogenesis of coronary microvascular dysfunction (CMD) in patients with symptoms and/or signs of ischaemia but no obstructive coronary artery disease (CAD). METHODS AND RESULTS: Three hundred and ninety-one patients with angina were enrolled. Of these, 206 (53%) with obstructive CAD were excluded leaving 185 (47%) eligible. One hundred and nine (72%) of 151 subjects who underwent invasive testing had objective evidence of CMD (COVADIS criteria). rs9349379-G allele frequency was greater than in contemporary reference genome bank control subjects [allele frequency 46% (129/280 alleles) vs. 39% (5551/14380); P = 0.013]. The G allele was associated with higher plasma serum ET-1 [least squares mean 1.59 pg/mL vs. 1.28 pg/mL; 95% confidence interval (CI) 0.10-0.53; P = 0.005]. Patients with rs9349379-G allele had over double the odds of CMD [odds ratio (OR) 2.33, 95% CI 1.10-4.96; P = 0.027]. Multimodality non-invasive testing confirmed the G allele was associated with linked impairments in myocardial perfusion on stress cardiac magnetic resonance imaging at 1.5 T (N = 107; GG 56%, AG 43%, AA 31%, P = 0.042) and exercise testing (N = 87; -3.0 units in Duke Exercise Treadmill Score; -5.8 to -0.1; P = 0.045). Endothelin-1 related vascular mechanisms were assessed ex vivo using wire myography with endothelin A receptor (ETA) antagonists including zibotentan. Subjects with rs9349379-G allele had preserved peripheral small vessel reactivity to ET-1 with high affinity of ETA antagonists. Zibotentan reversed ET-1-induced vasoconstriction independently of G allele status. CONCLUSION: We identify a novel genetic risk locus for CMD. These findings implicate ET-1 dysregulation and support the possibility of precision medicine using genetics to target oral ETA antagonist therapy in patients with microvascular angina. TRIAL REGISTRATION: ClinicalTrials.gov: NCT03193294.The Wellcome Trust 107715/Z/15/Z
1-year outcomes of angina management guided by invasive coronary function testing (CorMicA)
Objectives:
The aim of this study was to test the hypothesis that invasive coronary function testing at time of angiography could help stratify management of angina patients without obstructive coronary artery disease.
Background:
Medical therapy for angina guided by invasive coronary vascular function testing holds promise, but the longer-term effects on quality of life and clinical events are unknown among patients without obstructive disease.
Methods:
A total of 151 patients with angina with symptoms and/or signs of ischemia and no obstructive coronary artery disease were randomized to stratified medical therapy guided by an interventional diagnostic procedure versus standard care (control group with blinded interventional diagnostic procedure results). The interventional diagnostic procedure–facilitated diagnosis (microvascular angina, vasospastic angina, both, or neither) was linked to guideline-based management. Pre-specified endpoints included 1-year patient-reported outcome measures (Seattle Angina Questionnaire, quality of life [EQ-5D]) and major adverse cardiac events (all-cause mortality, myocardial infarction, unstable angina hospitalization or revascularization, heart failure hospitalization, and cerebrovascular event) at subsequent follow-up.
Results:
Between November 2016 and December 2017, 151 patients with ischemia and no obstructive coronary artery disease were randomized (n = 75 to the intervention group, n = 76 to the control group). At 1 year, overall angina (Seattle Angina Questionnaire summary score) improved in the intervention group by 27% (difference 13.6 units; 95% confidence interval: 7.3 to 19.9; p < 0.001). Quality of life (EQ-5D index) improved in the intervention group relative to the control group (mean difference 0.11 units [18%]; 95% confidence interval: 0.03 to 0.19; p = 0.010). After a median follow-up duration of 19 months (interquartile range: 16 to 22 months), major adverse cardiac events were similar between the groups, occurring in 9 subjects (12%) in the intervention group and 8 (11%) in the control group (p = 0.803).
Conclusions:
Stratified medical therapy in patients with ischemia and no obstructive coronary artery disease leads to marked and sustained angina improvement and better quality of life at 1 year following invasive coronary angiography. (Coronary Microvascular Angina [CorMicA]; NCT03193294
Ischemia and no obstructive coronary artery disease: prevalence and correlates of coronary vasomotion disorders
Background:
Determine the prevalence and correlates of microvascular and vasospastic angina in patients with symptoms and signs of ischemia but no obstructive coronary artery disease (INOCA).
Methods:
Three hundred ninety-one patients with angina were enrolled at 2 regional centers over 12 months from November 2016 (NCT03193294). INOCA subjects (n=185; 47%) had more limiting dyspnea (New York Heart Association classification III/IV 54% versus 37%; odds ratio [OR], 2.0 [1.3–3.0]; P=0.001) and were more likely to be female (68% INOCA versus 38% in coronary artery disease; OR, 1.9 [1.5 to 2.5]; P<0.001) but with lower cardiovascular risk scores (ASSIGN score median 20% versus 24%; P=0.003). INOCA subjects had similar burden of angina (Seattle Angina Questionnaire) but reduced quality of life compared with coronary artery disease; subjects (EQ5D-5 L index 0.60 versus 0.65 units; P=0.041).
Results:
An interventional diagnostic procedure with reference invasive tests including coronary flow reserve, microvascular resistance, and vasomotor responses to intracoronary acetylcholine (vasospasm provocation) was performed in 151 INOCA subjects. Overall, 78 (52%) had isolated microvascular angina, 25 (17%) had isolated vasospastic angina, 31 (20%) had both, and 17 (11%) had noncardiac chest pain. Regression analysis showed inducible ischemia on treadmill testing (OR, 7.5 [95% CI, 1.7–33.0]; P=0.008) and typical angina (OR, 2.7 [1.1–6.6]; P=0.032) were independently associated with microvascular angina. Female sex tended to associate with a diagnosis of microvascular angina although this was not significant (OR, 2.7 [0.9–7.9]; P=0.063). Vasospastic angina was associated with smoking (OR, 9.5 [2.8–32.7]; P<0.001) and age (OR, 1.1 per year, [1.0–1.2]; P=0.032].
Conclusions:
Over three quarters of patients with INOCA have identifiable disorders of coronary vasomotion including microvascular and vasospastic angina. These patients have comparable angina burden but reduced quality of life compared to patients with obstructive coronary artery disease. Microvascular angina and vasospastic angina are distinct disorders that may coexist but differ in associated clinical characteristics, symptoms, and angina severity
An X-ray Census of Young Stars in the Massive Southern Star-Forming Complex NGC 6357
We present the first high spatial resolution X-ray study of the massive star
forming region NGC 6357, obtained in a 38 ks Chandra/ACIS observation. Inside
the brightest constituent of this large HII region complex is the massive open
cluster Pismis 24. It contains two of the brightest and bluest stars known, yet
remains poorly studied; only a handful of optically bright stellar members have
been identified. We investigate the cluster extent and Initial Mass Function
and detect ~800 X-ray sources with a limiting sensitivity of 10^{30} ergs
s^{-1}; this provides the first reliable probe of the rich intermediate-mass
and low-mass population of this massive cluster, increasing the number of known
members from optical study by a factor of ~50. The high luminosity end (log
L_h[2-8 keV]\ge 30.3 ergs s^{-1}) of the observed X-ray luminosity function in
NGC 6357 is clearly consistent with a power law relation as seen in the Orion
Nebula Cluster and Cepheus B, yielding the first estimate of NGC 6357's total
cluster population, a few times the known Orion population. We investigate the
structure of the cluster, finding small-scale substructures superposed on a
spherical cluster with 6 pc extent, and discuss its relationship to the nebular
morphology. The long-standing Lx - 10^{-7}L_{bol} correlation for O stars is
confirmed. Twenty-four candidate O stars and one possible new obscured massive
YSO or Wolf-Rayet star are presented. Many cluster members are estimated to be
intermediate-mass stars from available infrared photometry (assuming an age of
1 Myr), but only a few exhibit K-band excess. We report the first detection of
X-ray emission from an Evaporating Gaseous Globule at the tip of a molecular
pillar; this source is likely a B0-B2 protostar.Comment: 64 pages (double columns), 9 table, 17 figures (reduced resolution),
ApJ accepted. Please contact J. Wang for full table
MFA15 (MFA 2015)
Catalogue of a culminating student exhibition held at the Mildred Lane Kemper Art Museum, May 1 - August 2, 2015 . Introduction / Heather Corcoran and Patricia Olynyk -- Diana Casanova / Emily J. Hanson -- Andrea M. Coates : in the operating theater / Stephanie Dering -- Margaux Crump -- Brandon Daniels -- Addoley Dzegede : do you prefer answers or truth? / Aaron Coleman -- Vita Eruhimovitz -- Carling Hale -- Amanda Helman -- Mike Helms / Ming Ying Hong -- Ming Ying Hong / Emily J. Hanson -- Sea A Joung / Ervin Malakaj -- Stephanie Kang / Jeremy Shipley -- Dayna Jean Kriz / Andrew Johnson -- Thomas Moore : you should move to the city / Nathaniel Rosenthalis -- Jacob Muldowney -- Laurel Panella / Garrett Clough -- Caitlin Penny -- On the bridge, between Juarez and El Paso / Eric Lyle Schultz -- Jeremy Shipley -- Emmeline Solomon -- Kellie Spano / Margaux Crump -- Michael Aaron Williams -- Austin R. Wolf : monumental labor / Adam Turl.https://openscholarship.wustl.edu/books/1015/thumbnail.jp
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