Time Delays on Carotid Endarterectomy: Institutional Experience and Improvement Strategies

Objetivos: Avaliar as vias de referenciação dos doentes com estenoses carotídeas sintomáticas que foram operados na nossa instituição; estruturar os tempos de espera desde os primeiros sintomas neurológicos à data da cirurgia; identificar os fatores responsáveis pelos atrasos e criar estratégias que permitam reduzi-los. Material e métodos: Realizou-se um estudo observacional retrospetivo de todos os doentes com estenoses carotídeas sintomáticas submetidas a endarterectomia carotídea na nossa instituição entre 2011-2013. Foram identificadas as etapas essenciais no processo de referenciação dos doentes e foram colhidos dados referentes às datas do início dos sintomas, primeiro contacto médico, exames de imagem vascular, referenciação ao cirurgião, consulta de cirurgia vascular e da endarterectomia carotídea. O tempo decorrido entre o evento neurológico e a cirurgia foi calculado em dias e todos os atrasos identificados foram analisados detalhadamente. Resultados: A mediana do tempo de espera do evento neurológico à cirurgia foi de 27,5 dias (intervalo 7-581).Os maiores atrasos verificaram-se entre a data em que é colocada a indicação cirúrgica e a endarterectomia carotídea (mediana 9 dias; intervalo 1-349); na referenciação dos doentes à consultadecirurgia vascular (mediana 6,5 dias; intervalo 0-97)e entre o primeiro contacto médico e a realização dos exames de imagem vascular (mediana 6 dias; intervalo 1-71). Dos 60 doentes incluídos, apenas 21,7% foram operados nos primeiros 14 dias após o evento neurológico. O atraso foi significativamente menor nos doentes admitidos de forma urgente por transferência inter/intra-hospitalar (n=30; mediana 15 dias, intervalo 7-163) comparativamente aos doentes admitidos eletivamente pela consulta (n=30; mediana 86 dias, intervalo 13-581 dias) (p<0,0001).Discussão: Apesar da evidência atual, ainda existem atrasos significativos no processo de referenciação dos doentes com estenoses carotídeas sintomáticas. Estratégias direcionadas à redução destes atrasos poderão aumentar substancialmente a proporção de doentes submetidos a endarterectomia carotídea até 14 dias após o evento neurológico inicial

Noncommutative cosmological models coupled to a perfect fluid and a cosmological constant

In this work we carry out a noncommutative analysis of several Friedmann-Robert-Walker models, coupled to different types of perfect fluids and in the presence of a cosmological constant. The classical field equations are modified, by the introduction of a shift operator, in order to introduce noncommutativity in these models. We notice that the noncommutative versions of these models show several relevant differences with respect to the correspondent commutative ones.Comment: 27 pages. 7 figures. JHEP style.arXiv admin note: substantial text overlap with arXiv:1104.481

Can lepton flavor violating interactions explain the atmospheric neutrino problem?

We investigate whether flavor changing neutrino interactions (FCNIs) can be sufficiently large to provide a viable solution to the atmospheric neutrino problem. Effective operators induced by heavy boson exchange that allow for flavor changing neutrino scattering off quarks or electrons are related by an $SU(2)_L$ rotation to operators that induce anomalous tau decays. Since $SU(2)_L$ violation is small for New Physics at or above the weak scale, one can use the upper bounds on lepton flavor violating tau decays or on lepton universality violation to put severe, model-independent bounds on the relevant non-standard neutrino interactions. Also $Z$-induced flavor changing neutral currents, due to heavy singlet neutrinos, are too small to be relevant for the atmospheric neutrino anomaly. We conclude that the FCNI solution to the atmospheric neutrino problem is ruled out.Comment: 16 pages, no figures, Late

Atmospheric aerosols at the Pierre Auger Observatory and environmental implications

The Pierre Auger Observatory detects the highest energy cosmic rays. Calorimetric measurements of extensive air showers induced by cosmic rays are performed with a fluorescence detector. Thus, one of the main challenges is the atmospheric monitoring, especially for aerosols in suspension in the atmosphere. Several methods are described which have been developed to measure the aerosol optical depth profile and aerosol phase function, using lasers and other light sources as recorded by the fluorescence detector. The origin of atmospheric aerosols traveling through the Auger site is also presented, highlighting the effect of surrounding areas to atmospheric properties. In the aim to extend the Pierre Auger Observatory to an atmospheric research platform, a discussion about a collaborative project is presented.Comment: Regular Article, 16 pages, 12 figure

Classical and semi-classical energy conditions

The standard energy conditions of classical general relativity are (mostly) linear in the stress-energy tensor, and have clear physical interpretations in terms of geodesic focussing, but suffer the significant drawback that they are often violated by semi-classical quantum effects. In contrast, it is possible to develop non-standard energy conditions that are intrinsically non-linear in the stress-energy tensor, and which exhibit much better well-controlled behaviour when semi-classical quantum effects are introduced, at the cost of a less direct applicability to geodesic focussing. In this article we will first review the standard energy conditions and their various limitations. (Including the connection to the Hawking--Ellis type I, II, III, and IV classification of stress-energy tensors). We shall then turn to the averaged, nonlinear, and semi-classical energy conditions, and see how much can be done once semi-classical quantum effects are included.Comment: V1: 25 pages. Draft chapter, on which the related chapter of the book "Wormholes, Warp Drives and Energy Conditions" (to be published by Springer), will be based. V2: typos fixed. V3: small typo fixe

The seesaw mechanism at TeV scale in the 3-3-1 model with right-handed neutrinos

We implement the seesaw mechanism in the 3-3-1 model with right-handed neutrinos. This is accomplished by the introduction of a scalar sextet into the model and the spontaneous violation of the lepton number. We identify the Majoron as a singlet under $SU_L(2)\otimes U_Y(1)$ symmetry, which makes it safe under the current bounds imposed by electroweak data. The main result of this work is that the seesaw mechanism works already at TeV scale with the outcome that the right-handed neutrino masses lie in the electroweak scale, in the range from MeV to tens of GeV. This window provides a great opportunity to test their appearance at current detectors, though when we contrast our results with some previous analysis concerning detection sensitivity at LHC, we conclude that further work is needed in order to validate this search.Comment: about 13 pages, no figure

CALIFA : a diameter-selected sample for an integral field spectroscopy galaxy survey

JMA acknowledges support from the European Research Council Starting Grant (SEDmorph; P.I. V. Wild).We describe and discuss the selection procedure and statistical properties of the galaxy sample used by the Calar Alto Legacy Integral Field Area (CALIFA) survey, a public legacy survey of 600 galaxies using integral field spectroscopy. The CALIFA "mother sample" was selected from the Sloan Digital Sky Survey (SDSS) DR7 photometric catalogue to include all galaxies with an r-band isophotal major axis between 45 '' and 79 : 2 '' and with a redshift 0 : 005 M-r > -23 : 1 and over a stellar mass range between 10(9.7) and 10(11.4) M-circle dot. In particular, within these ranges, the diameter selection does not lead to any significant bias against - or in favour of - intrinsically large or small galaxies. Only below luminosities of M-r = -19 (or stellar masses <10(9.7) M-circle dot) is there a prevalence of galaxies with larger isophotal sizes, especially of nearly edge-on late-type galaxies, but such galaxies form <10% of the full sample. We estimate volume-corrected distribution functions in luminosities and sizes and show that these are statistically fully compatible with estimates from the full SDSS when accounting for large-scale structure. For full characterization of the sample, we also present a number of value-added quantities determined for the galaxies in the CALIFA sample. These include consistent multi-band photometry based on growth curve analyses; stellar masses; distances and quantities derived from these; morphological classifications; and an overview of available multi-wavelength photometric measurements. We also explore different ways of characterizing the environments of CALIFA galaxies, finding that the sample covers environmental conditions from the field to genuine clusters. We finally consider the expected incidence of active galactic nuclei among CALIFA galaxies given the existing pre-CALIFA data, finding that the final observed CALIFA sample will contain approximately 30 Sey2 galaxies.Peer reviewe

The Mass-Metallicity relation explored with CALIFA: I. Is there a dependence on the star formation rate?

We present the results on the study of the global and local M-Z relation based on the first data available from the CALIFA survey (150 galaxies). This survey provides integral field spectroscopy of the complete optical extent of each galaxy (up to 2-3 effective radii), with enough resolution to separate individual HII regions and/or aggregations. Nearly $\sim$3000 individual HII regions have been detected. The spectra cover the wavelength range between [OII]3727 and [SII]6731, with a sufficient signal-to-noise to derive the oxygen abundance and star-formation rate associated with each region. In addition, we have computed the integrated and spatially resolved stellar masses (and surface densities), based on SDSS photometric data. We explore the relations between the stellar mass, oxygen abundance and star-formation rate using this dataset. We derive a tight relation between the integrated stellar mass and the gas-phase abundance, with a dispersion smaller than the one already reported in the literature ($\sigma_{\Delta{\rm log(O/H)}}=$0.07 dex). Indeed, this dispersion is only slightly larger than the typical error derived for our oxygen abundances. However, we do not find any secondary relation with the star-formation rate, other than the one induced due to the primary relation of this quantity with the stellar mass. We confirm the result using the $\sim$3000 individual HII regions, for the corresponding local relations. Our results agree with the scenario in which gas recycling in galaxies, both locally and globally, is much faster than other typical timescales, like that of gas accretion by inflow and/or metal loss due to outflows. In essence, late-type/disk dominated galaxies seem to be in a quasi-steady situation, with a behavior similar to the one expected from an instantaneous recycling/closed-box model.Comment: 19 Pages, 8 figures, Accepted for Publishing in Astronomy and Astrophysics (A&A

Primordial Nucleosynthesis Constraints on Z' Properties

In models involving new TeV-scale Z' gauge bosons, the new U(1)' symmetry often prevents the generation of Majorana masses needed for a conventional neutrino seesaw, leading to three superweakly interacting ``right-handed'' neutrinos nu_R, the Dirac partners of the ordinary neutrinos. These can be produced prior to big bang nucleosynthesis by the Z' interactions, leading to a faster expansion rate and too much ^4He. We quantify the constraints on the Z' properties from nucleosynthesis for Z' couplings motivated by a class of E_6 models parametrized by an angle theta_E6. The rate for the annihilation of three approximately massless right-handed neutrinos into other particle pairs through the Z' channel is calculated. The decoupling temperature, which is higher than that of ordinary left-handed neutrinos due to the large Z' mass, is evaluated, and the equivalent number of new doublet neutrinos Delta N_nu is obtained numerically as a function of the Z' mass and couplings for a variety of assumptions concerning the Z-Z' mixing angle and the quark-hadron transition temperature T_c. Except near the values of theta_E6 for which the Z' decouples from the right-handed neutrinos, the Z' mass and mixing constraints from nucleosynthesis are much more stringent than the existing laboratory limits from searches for direct production or from precision electroweak data, and are comparable to the ranges that may ultimately be probed at proposed colliders. For the case T_c = 150 MeV with the theoretically favored range of Z-Z' mixings, Delta N_nu 4.3 TeV for any value of theta_E6. Larger mixing or larger T_c often lead to unacceptably large Delta N_nu except near the nu_R decoupling limit.Comment: 22 pages, 5 figures; two additional references adde