Adherence to secondary stroke prevention strategies - Results from the German stroke data bank

Only very limited data are available concerning patient adherence to antithrombotic medication intended to prevent a recurrent stroke. Reduced adherence and compliance could significantly influence the effects of any stroke prevention strategies. This study from a large stroke data bank provides representative data concerning the rate of stroke victims adhering to their recommended preventive medication. During a 2-year period beginning January 1, 1998, all patients with acute stroke or TIA in 23 neurological departments with an acute stroke unit were included in the German Stroke Data Bank. Data were collected prospectively, reviewed, validated and processed in a central data management unit. Only 12 centers with a follow-up rate of 80% or higher were included in this evaluation. 3,420 patients were followed up after 3 months, and 2,640 patients were followed up one year after their stroke. After one year, 96% of all patients reported still adhere to at least one medical stroke prevention strategy. Of the patients receiving aspirin at discharge, 92.6% reported to use that medication after 3 months and 84% after one year, while 81.6 and 61.6% were the respective figures for clopidogrel, and 85.2 and 77.4% for oral anticoagulation. Most patients who changed medication switched from aspirin to clopidogrel. Under the conditions of this observational study, adherence to stroke prevention strategies is excellent. The highest adherence rate is noticed for aspirin and oral anticoagulation. After one year, very few patients stopped taking stroke preventive medication. Copyright (C) 2003 S. Karger AG, Basel

Combined cerebellar and bilateral cervical posterior spinal artery stroke demonstrated on MRI

Combined cerebellar and spinal ischemic stroke is a rare, critical condition. We report a patient with combined cerebellar and bilateral posterolateral cervical spinal cord infarction due to bilateral stenosis of the vertebral arteries. MRI is the method of choice for imaging this condition; diffusion-weighted imaging of the spinal cord gives reliable results

Quasar outflow energetics from broad absorption line variability

Quasar outflows have long been recognized as potential contributors to the co-evolution between supermassive black holes (SMBHs) and their host galaxies. The role of outflows in AGN feedback processes can be better understood by placing observational constraints on wind locations and kinetic energies. We utilize broad absorption line (BAL) variability to investigate the properties of a sample of 71 BAL quasars with P$\thinspace$V broad absorption. The presence of P$\thinspace$V BALs indicates that other BALs like C$\thinspace$IV are saturated, such that variability in those lines favours clouds crossing the line of sight. We use these constraints with measurements of BAL variability to estimate outflow locations and energetics. Our data set consists of multiple-epoch spectra from the Sloan Digital Sky Survey and MDM Observatory. We detect significant (4$\sigma$) BAL variations from 10 quasars in our sample over rest frame time-scales between < 0.2-3.8 yr. Our derived distances for the 10 variable outflows are nominally < 1-10 pc from the SMBH using the transverse-motion scenario, and < 100-1000 pc from the central source using ionization-change considerations. These distances, in combination with the estimated high outflow column densities (i.e. $N_{\textrm{H}}$ > 10$^{22}$ cm$^{-2}$), yield outflow kinetic luminosities between ~ 0.001-1 times the bolometric luminosity of the quasar, indicating that many absorber energies within our sample are viable for AGN feedback.Comment: 19 pages, 3 figures, 4 tables, 1 supplementary figure, accepted to MNRA

Probing the BLR in AGNs using time variability of associated absorption line

It is know that most of the clouds producing associated absorption in the spectra of AGNs and quasars do not completely cover the background source (continuum + broad emission line region, BLR). We note that the covering factor derived for the absorption is the fraction of photons occulted by the absorbing clouds, and is not necessarily the same as the fractional area covered. We show that the variability in absorption lines can be produced by the changes in the covering factor caused by the variation in the continuum and the finite light travel time across the BLR. We discuss how such a variability can be distinguished from the variability caused by other effects and how one can use the variability in the covering factor to probe the BLR.Comment: 12 pages, latex(aaspp4.sty), 2 figures, (To appear in ApJ

The Metallicity of the Redshift 4.16 Quasar BR2248-1242

We estimate the metallicity in the broad emission-line region of the redshift z=4.16 quasar, BR2248-1242, by comparing line ratios involving nitrogen to theoretical predictions. BR2248-1242 has unusually narrow emission lines with large equivalent widths, thus providing a rare opportunity to measure several line-ratio abundance diagnostics. The combined diagnostics indicate a metallicity of ~2 times solar. This result suggests that an episode of vigorous star formation occurred near BR2248-1242 prior to the observed z=4.16 epoch. The time available for this enrichment episode is only ~1.5 Gyr at z=4.16 (for H_{0}=65 km s^-1 Mpc^-1, Omega_{m}=0.3 and Omega_Lambda ~< 1). This evidence for high metallicities and rapid star formation is consistent with the expected early-epoch evolution of dense galactic nuclei.Comment: 8 pages, 3 figures. Prepared in AAStex. Submitted to the Astrophysical Journal Revised version: added 1 referenc

Wind ionization structure of the short-period eclipsing LMC Wolf-Rayet binary BAT99-129: preliminary results

BAT99-129 is a rare, short-period eclipsing Wolf-Rayet binary in the Large Magellanic Cloud. We present here medium-resolution NTT/EMMI spectra that allow us to disentangle the spectra of the two components and find the orbital parameters of the binary. We also present VLT/FORS1 spectra of this binary taken during the secondary eclipse, i.e. when the companion star passes in front of the Wolf-Rayet star. With these data we are able to extract, for the first time in absolute units for a WR+O binary, the sizes of the line emitting regions.Comment: 6 pages, 5 figures, to appear in proc. of "Close Binaries in the 21st Century: New Opportunities and Challenges", 2005 - Corrected Figure

Evidence for a Kondo destroying quantum critical point in YbRh2Si2

The heavy-fermion metal YbRh$_{2}$Si$_{2}$ is a weak antiferromagnet below $T_{N} = 0.07$ K. Application of a low magnetic field $B_{c} = 0.06$ T ($\perp c$) is sufficient to continuously suppress the antiferromagnetic (AF) order. Below $T \approx 10$ K, the Sommerfeld coefficient of the electronic specific heat $\gamma(T)$ exhibits a logarithmic divergence. At $T < 0.3$ K, $\gamma(T) \sim T^{-\epsilon}$ ($\epsilon: 0.3 - 0.4$), while the electrical resistivity $\rho(T) = \rho_{0} + aT$ ($\rho_{0}$: residual resistivity). Upon extrapolating finite-$T$ data of transport and thermodynamic quantities to $T = 0$, one observes (i) a vanishing of the "Fermi surface crossover" scale $T^{*}(B)$, (ii) an abrupt jump of the initial Hall coefficient $R_{H}(B)$ and (iii) a violation of the Wiedemann Franz law at $B = B_{c}$, the field-induced quantum critical point (QCP). These observations are interpreted as evidence of a critical destruction of the heavy quasiparticles, i.e., propagating Kondo singlets, at the QCP of this material.Comment: 20 pages, 8 figures, SCES 201