28 research outputs found
Images of Betelgeuse with VLTI/MATISSE across the Great Dimming
From Nov. 2019 to May 2020, the red supergiant star Betelgeuse experienced an unprecedented drop of brightness in the visible domain called the Great Dimming event (GDE). Large atmospheric dust clouds and large photospheric convective features are suspected to be responsible for it. To better understand the dimming event, we used mid-infrared long-baseline spectro-interferometric measurements of Betelgeuse taken with the Very Large Telescope Interferometer/Multi AperTure mid-Infrared SpectroScopic Experiment (VLTI/MATISSE) instrument before (Dec. 2018), during (Feb. 2020), and after (Dec. 2020) the GDE. We present data in the 3.98-4.15 µm range to cover SiO spectral features molecules as well as adjacent continuum. We have employed geometrical models, image reconstruction, as well as radiative transfer models to monitor the spatial distribution of SiO over the stellar surface. We find a strongly inhomogeneous spatial distribution of SiO that appears to be looking very different between our observing epochs, indicative of a vigorous activity in the stellar atmosphere. The contrast of our images is small in the pseudo-continuum for all epochs, implying that our MATISSE observations support both cold spot and dust cloud model
Locating dust and molecules in the inner circumstellar environment of R Sculptoris with MATISSE
Stars and planetary system
The extended atmosphere and circumstellar environment of the cool evolved star VX Sagittarii as seen by MATISSE
Stars and planetary system
First MATISSE L-band observations of HD 179218: is the inner 10 au region rich in carbon dust particles?
Stars and planetary system
VLTI-MATISSE L- and N-band aperture-synthesis imaging of the unclassified B[e] star FS Canis Majoris
Stars and planetary system
Mid-infrared circumstellar emission of the long-period Cepheid l Carinae resolved with VLTI/MATISSE
Stars and planetary system
MATISSE, the VLTI mid-infrared imaging spectro-interferometer
GalaxiesStars and planetary systemsInstrumentatio
Evaluation of appendicitis risk prediction models in adults with suspected appendicitis
Background
Appendicitis is the most common general surgical emergency worldwide, but its diagnosis remains challenging. The aim of this study was to determine whether existing risk prediction models can reliably identify patients presenting to hospital in the UK with acute right iliac fossa (RIF) pain who are at low risk of appendicitis.
Methods
A systematic search was completed to identify all existing appendicitis risk prediction models. Models were validated using UK data from an international prospective cohort study that captured consecutive patients aged 16–45 years presenting to hospital with acute RIF in March to June 2017. The main outcome was best achievable model specificity (proportion of patients who did not have appendicitis correctly classified as low risk) whilst maintaining a failure rate below 5 per cent (proportion of patients identified as low risk who actually had appendicitis).
Results
Some 5345 patients across 154 UK hospitals were identified, of which two‐thirds (3613 of 5345, 67·6 per cent) were women. Women were more than twice as likely to undergo surgery with removal of a histologically normal appendix (272 of 964, 28·2 per cent) than men (120 of 993, 12·1 per cent) (relative risk 2·33, 95 per cent c.i. 1·92 to 2·84; P < 0·001). Of 15 validated risk prediction models, the Adult Appendicitis Score performed best (cut‐off score 8 or less, specificity 63·1 per cent, failure rate 3·7 per cent). The Appendicitis Inflammatory Response Score performed best for men (cut‐off score 2 or less, specificity 24·7 per cent, failure rate 2·4 per cent).
Conclusion
Women in the UK had a disproportionate risk of admission without surgical intervention and had high rates of normal appendicectomy. Risk prediction models to support shared decision‐making by identifying adults in the UK at low risk of appendicitis were identified