Density Variations over Subparsec Scales in Diffuse Molecular Gas

We present high-resolution observations of interstellar CN, CH, CH^{+}, \ion{Ca}{1}, and \ion{Ca}{2} absorption lines toward the multiple star systems HD206267 and HD217035. Substantial variations in CN absorption are observed among three sight lines of HD206267, which are separated by distances of order 10,000 AU; smaller differences are seen for CH, CH^{+}, and \ion{Ca}{1}. Gas densities for individual velocity components are inferred from a chemical model, independent of assumptions about cloud shape. While the component densities can differ by factors of 5.0 between adjacent sightlines, the densities are always less than 5000 cm^{-3}. Calculations show that the derived density contrasts are not sensitive to the temperature or reaction rates used in the chemical model. A large difference in the CH^{+} profiles (a factor of 2 in column density) is seen in the lower density gas toward HD217035.Comment: 9 pages, 2 figures. Accepted for publication in ApJ

OH+ in Diffuse Molecular Clouds

Near ultraviolet observations of OH+ and OH in diffuse molecular clouds reveal a preference for different environments. The dominant absorption feature in OH+ arises from a main component seen in CH+ (that with the highest CH+/CH column density ratio), while OH follows CN absorption. This distinction provides new constraints on OH chemistry in these clouds. Since CH+ detections favor low-density gas with small fractions of molecular hydrogen, this must be true for OH+ as well, confirming OH+ and H2O+ observations with the Herschel Space Telescope. Our observed correspondence indicates that the cosmic ray ionization rate derived from these measurements pertains to mainly atomic gas. The association of OH absorption with gas rich in CN is attributed to the need for high enough density and molecular fraction before detectable amounts are seen. Thus, while OH+ leads to OH production, chemical arguments suggest that their abundances are controlled by different sets of conditions and that they coexist with different sets of observed species. Of particular note is that non-thermal chemistry appears to play a limited role in the synthesis of OH in diffuse molecular clouds.Comment: 15 pages, 4 figures, to appear in ApJ Letter

Cloud Structure and Physical Conditions in Star-forming Regions from Optical Observations. I. Data and Component Structure

We present high-resolution optical spectra (at ~0.6--1.8 km s-1) of interstellar CN, CH, CH^+, \ion{Ca}{1}, \ion{K}{1}, and \ion{Ca}{2} absorption toward 29 lines of sight in three star-forming regions, \rho Oph, Cep OB2, and Cep OB3. The observations and data reduction are described. The agreement between earlier measurements of the total equivalent widths and our results is quite good. However, our higher resolution spectra reveal complex structure and closely blended components in most lines of sight. The velocity component structure of each species is obtained by analyzing the spectra of the six species for a given sight line together. The tabulated column densities and Doppler parameters of individual components are determined by using the method of profile fitting. Total column densities along lines of sight are computed by summing results from profile fitting for individual components and are compared with column densities from the apparent optical depth method. A more detailed analysis of these data and their implications will be presented in a companion paper.Comment: 66 pages, 15 figures, accepted to ApJ

Prevention of toxoplasmosis in pregnancy: knowledge of risk factors.

BACKGROUND: Infection with Toxoplasma gondii is common and usually asymptomatic, although it can have catastrophic consequences in a pregnant woman if passed to her developing fetus. Counseling of pregnant women about risk factor reduction may reduce the risk of congenital toxoplasmosis. This study was undertaken to assess and compare the knowledge of obstetricians and internists or family practitioners regarding well-established risk factors for toxoplasmosis infection. METHODS: The study surveyed 102 obstetricians, internists and family practitioners to assess their knowledge of risk factors for toxoplasmosis infection as well as their practices for primary prevention counseling of pregnant women. Responses were analyzed for differences. RESULTS: Obstetricians were more likely than internists or family practitioners to provide appropriate counseling on reducing the two most common risk factors for toxoplasmosis infection (undercooked meat consumption and gardening without gloves). However, over one quarter of all participants inappropriately advised pregnant women to avoid all cat contact. Obstetricians, internists and family practitioners were all likely to fail to identify undercooked meat consumption as the primary risk factor for toxoplasmosis transmission. CONCLUSIONS: Obstetricians appear to provide more appropriate counseling for primary prevention of toxoplasmosis than internists and family practitioners, but both groups of physicians inappropriately advised avoidance of all cat contact. Education of obstetricians, internists and family practitioners on risk factors for toxoplasmosis transmission is needed and may lower the rate of congenital toxoplasmosis as well as decrease the frequency of cat abandonment during pregnancy

Boron Abundances in Diffuse Interstellar Clouds

We present a comprehensive survey of B abundances in diffuse interstellar clouds from HST/STIS observations along 56 Galactic sight lines. Our sample is the result of a complete search of archival STIS data for the B II resonance line at 1362 angstroms, with each detection confirmed by the presence of absorption from other dominant ions at the same velocity. The data probe a range of astrophysical environments including both high-density regions of massive star formation as well as low-density paths through the Galactic halo, allowing us to clearly define the trend of B depletion onto interstellar grains as a function of gas density. Many extended sight lines exhibit complex absorption profiles that trace both local gas and gas associated with either the Sagittarius-Carina or Perseus spiral arm. Our analysis indicates a higher B/O ratio in the inner Sagittarius-Carina spiral arm than in the vicinity of the Sun, which may suggest that B production in the current epoch is dominated by a secondary process. The average gas-phase B abundance in the warm diffuse ISM is consistent with the abundances determined for a variety of Galactic disk stars, but is depleted by 60 percent relative to the solar system value. Our survey also reveals sight lines with enhanced B abundances that potentially trace recent production of B-11 either by cosmic-ray or neutrino-induced spallation. Such sight lines will be key to discerning the relative importance of the two production routes for B-11 synthesis.Comment: To be published in the proceedings of the IAU Symposium 268, Light Elements in the Universe, C. Charbonnel, M. Tosi, F. Primas & C. Chiappini, ed

Generalization of the NpNnN_pN_n Scheme and the Structure of the Valence Space

The $N_pN_n$ scheme, which has been extensively applied to even-even nuclei, is found to be a very good benchmark for odd-even, even-odd, and doubly-odd nuclei as well. There are no apparent shifts in the correlations for these four classes of nuclei. The compact correlations highlight the deviant behavior of the Z=78 nuclei, are used to deduce effective valence proton numbers near Z=64, and to study the evolution of the Z=64 subshell gap.Comment: 10 pages, 4 figure

The Interstellar Rubidium Isotope Ratio toward Rho Ophiuchi A

The isotope ratio, 85Rb/87Rb, places constraints on models of the nucleosynthesis of heavy elements, but there is no precise determination of the ratio for material beyond the Solar System. We report the first measurement of the interstellar Rb isotope ratio. Our measurement of the Rb I line at 7800 A for the diffuse gas toward rho Oph A yields a value of 1.21 +/- 0.30 (1-sigma) that differs significantly from the meteoritic value of 2.59. The Rb/K elemental abundance ratio for the cloud also is lower than that seen in meteorites. Comparison of the 85Rb/K and 87Rb/K ratios with meteoritic values indicates that the interstellar 85Rb abundance in this direction is lower than the Solar System abundance. We attribute the lower abundance to a reduced contribution from the r-process. Interstellar abundances for Kr, Cd, and Sn are consistent with much less r-process synthesis for the solar neighborhood compared to the amount inferred for the Solar System.Comment: 12 pages with 2 figures and 1 table; will appear in ApJ Letter

Use of Denosumab in Children With Osteoclast Bone Dysplasias: Report of Three Cases.

Denosumab has been used successfully to treat disease-associated osteoclast overactivity, including giant cell tumor of bone. Given its mechanism of action, denosumab is a potent potential treatment of other osteoclast bone dysplasias including central giant cell granuloma (CGCG), aneurysmal bone cyst (ABC), and cherubism. Relatively little is known about the safety and efficacy of denosumab in patients with these conditions, especially in children. We report on 3 pediatric patients treated with denosumab over a 3-year period at UCLA Medical Center (Los Angeles and Santa Monica, CA, USA): a 12-year-old with recurrent ABC of the pelvis, a 14-year-old with CGCG of the mandible, and a 12-year-old with cherubism. All were started on a 1-year course of 15 doses 120 mg s.c., given monthly with two loading doses on day 8 and 15. All patients demonstrated rapid and pronounced clinical improvement while on denosumab, including a significant reduction in pain and sclerosis of lytic lesions on radiographs. Within 1 month of initiating therapy, 2 patients experienced hypocalcemia (Common Terminology Criteria for Adverse Events [CTCAE] grade 2) and hypophosphatemia, with 1 patient experiencing symptoms. One patient went on to experience symptomatic rebound hypercalcemia (CTCAE grade 4) 5 months after completing therapy, requiring bisphosphonates and calcitonin. For the second patient, we developed a schedule to wean denosumab involving the progressive lengthening of time between doses from 1 to 4 months in 1-month increments before cessation. We found that denosumab therapy results in significant clinical and radiographic improvement for pediatric patients with nonresectable ABC, CGCG, and cherubism. Problems with serum calcium may be more common in younger patients, with symptomatic and protracted rebound hypercalcemia after cessation of therapy the most significant. We present a potential solution to this problem with progressive spacing of doses. Potential serious adverse events from alterations in calcium homeostasis should be explored in prospective clinical trials. © 2019 The Authors. JBMR Plus published by Wiley Periodicals, Inc. on behalf of American Society for Bone and Mineral Research