25 research outputs found
The Advanced Spectral Library (ASTRAL): Reference Spectra for Evolved M Stars
The HST (Hubble Space Telescope) Treasury Program Advanced Spectral Library Project: Cool Stars was designed to collect representative, high-quality ultraviolet spectra of eight evolved F-M type cool stars. The Space Telescope Imaging Spectrograph (STIS) echelle spectra of these objects enable investigations of a broad range of topics, including stellar and interstellar astrophysics. This paper provides a guide to the spectra of the two evolved M stars, the M2 Iab super giant alpha Ori and the M3.4 giant gamma Cru, with comparisons to the prototypical K1.5 giant alpha Boo. It includes identifications of the significant atomic and molecular emission and absorption features and discusses the character of the photospheric and chromospheric continua and line spectra. The fluorescent processes responsible for a large portion of the emission-line spectrum, the characteristics of the stellar winds, and the available diagnostics for hot and cool plasmas are also summarized. This analysis will facilitate the future study of the spectra, outer atmospheres, and winds, not only of these objects but of numerous other cool, low-gravity stars, for years to come
Close ties: an exploratory Colored Eco-Genetic Relationship Map (CEGRM) study of social connections of men in Familial Testicular Cancer (FTC) families
The natural history of hemangioblastomas of the central nervous system in patients with von Hippel-Lindau disease.
OBJECT: The goals of this study were to define the natural history and growth pattern of hemangioblastomas of the central nervous system (CNS) that are associated with von Hippel-Lindau (VHL) disease and to correlate features of hemangioblastomas that are associated with the development of symptoms and the need for treatment.
METHODS: The authors reviewed serial magnetic resonance images and clinical histories of 160 consecutive patients with VHL disease who harbored CNS hemangioblastomas and serially measured the volumes of tumors and associated cysts Six hundred fifty-five hemangioblastomas were identified in the cerebellum (250 tumors), brainstem (64 tumors, all of which were located in the posterior medulla oblongata), spinal cord (331 tumors, 96% of which were located in the posterior half of spinal cord), and the supratentorial brain (10 tumors). The symptoms were related to a mass effect. A serial increase in hemangioblastoma size was observed in cerebellar, brainstem, and spinal cord tumors as patients progressed from being asymptomatic to symptomatic and requiring surgery (p \u3c 0.0001). Twenty-one (72%) of 29 symptom-producing cerebellar tumors had an associated cyst, whereas only 28 (13%) of 221 nonsymptomatic cerebellar tumors had tumor-associated cysts (p \u3c 0.0001). Nine (75%) of 12 symptomatic brainstem tumors had associated cysts, compared with only four (8%) of 52 nonsymptomatic brainstem lesions (p \u3c 0.0001). By the time the symptoms appeared and surgery was required, the cyst was larger than the causative tumor; cerebellar and brainstem cysts measured 34 and 19 times the size of their associated tumors at surgery, respectively. Ninety-five percent of symptom-producing spinal hemangioblastomas were associated with syringomyelia. The clinical circumstance was dynamic. Among the 88 patients who had undergone serial imaging for 6 months or longer (median 32 months), 164 (44%) of 373 hemangioblastomas and 37 (67%) of 55 tumor-associated cysts enlarged. No tumors or cysts spontaneously diminished in size. Symptomatic cerebellar and brainstem tumors grew at rates six and nine times greater, respectively, than asymptomatic tumors in the same regions. Cysts enlarged seven (cerebellum) and 15 (brainstem) times faster than the hemangioblastomas causing them. Hemangioblastomas frequently demonstrated a pattern of growth in which they would enlarge for a period of time (growth phase) and then stabilize in a period of arrested growth (quiescent phase). Of 69 patients with documented tumor growth, 18 (26%) harbored tumors with at least two growth phases. Of 160 patients with hemangioblastomas, 34 patients (median follow up 51 months) were found to have 115 new hemangioblastomas and 15 patients new tumor-associated cysts.
CONCLUSION: In this study the authors define the natural history of CNS hemangioblastomas associated with VHL disease. Not only were cysts commonly associated with cerebellar, brainstem, and spinal hemangioblastomas, the pace of enlargement was much faster for cysts than for hemangioblastomas. By the time symptoms appeared, the majority of mass effect-producing symptoms derived from the cyst, rather than from the tumor causing the cyst. These tumors often have multiple periods of tumor growth separated by periods of arrested growth, and many untreated tumors may remain the same size for several years. These characteristics must be considered when determining the optimal timing of screening for individual patients and for evaluating the timing and results of treatment
The Advanced Spectral Library (ASTRAL): Reference Spectra for Evolved M Stars
The HST Treasury Program Advanced Spectral Library Project: Cool Stars was designed to collect representative, high-quality UV spectra of eight evolved FM type cool stars. The Space Telescope Imaging Spectrograph (STIS)echelle spectra of these objects enable investigations of a broad range of topics, including stellar and interstellar astrophysics. This paper provides a guide to the spectra of the two evolved M stars, the M2 Iab supergiant Oriand the M3.4 giant Cru, with comparisons to the prototypical K1.5 giant Boo. It includes identifications of the significant atomic and molecular emission and absorption features and discusses the character of the photospheric and chromospheric continua and line spectra. The fluorescent processes responsible for a large portion of the emission-line spectrum, the characteristics of the stellar winds, and the available diagnostics for hot and cool plasmas are also summarized. This analysis will facilitate the future study of the spectra, outer atmospheres, and winds, not only of these objects but of numerous other cool, low-gravity stars, for years to come
Association of Germline Mutations in the Fumarate Hydratase Gene and Uterine Fibroids in Women With Hereditary Leiomyomatosis and Renal Cell Cancer
Lung Cysts, Spontaneous Pneumothorax, and Genetic Associations in 89 Families with Birt-Hogg-Dubé Syndrome
Rationale: Birt-Hogg-Dubé syndrome (BHDS) is an autosomal, dominantly inherited genodermatosis that predisposes to fibrofolliculomas, kidney neoplasms, lung cysts, and spontaneous pneumothorax