Validity of two common asthma-specific quality of life questionnaires: Juniper mini asthma quality of life questionnaire and Sydney asthma quality of life questionnaire

Background This study explored the psychometric properties (internal consistency, construct validity, discriminative ability) of the Juniper Mini Asthma Quality of Life Questionnaire (Mini AQLQ-J) and the Sydney Asthma Quality of Life Questionnaire (AQLQ-S). Methods One hundred fourty-six adults (18-45 years) with asthma requiring regular inhaled corticosteroids were recruited to a trial of written emotional disclosure. Correlational analyses were performed to understand the relationship of the two measures with each other, with symptoms, lung function, asthma control, asthma bother and generic quality of life. Median quality of life scores were compared according to gender, health care usage and levels of asthma severity. Results AQLQ-J and AQLQ-S total scores correlated strongly with each other (rho = -0.80) and moderately with the EuroQol Current Health Status Scale (AQLQ-J: rho = 0.35; AQLQ-S: rho = -0.40). Domain score correlations between AQLQ-J and AQLQ-S were mostly moderate (0.5 < rho < 0.8). Both QoL measures were significantly correlated with symptom score. Correlations with the symptom score asthma module (AQLQ-J: rho = -0.69; AQLQ-S: rho = 0.50) were stronger compared with the total symptom score and the symptom score rhinitis module (AQLQ-J: rho = -0.41; AQLQ-M: rho =0.31). Neither QoL measure was significantly correlated with FEV1 % predicted at the total or the domain level. Total scores of both measures were significantly correlated with subjective asthma control (AQLQ-J: rho = 0.68; AQLQ-S: rho = -0.61) and asthma bother (AQLQ-J: rho = -0.73; AQLQ-M: rho = 0.73). Conclusions This study provides further evidence for the validity of the AQLQ-J and the AQLQ-S in a British population of adult patients with asthma managed in primary care. Correlations with lung function parameters were weak or absent. Correlations with generic quality of life were moderate, those with asthma symptoms, asthma control and asthma bother were strong. Both measures are able to discriminate between levels of asthma severity

An Infrared Study of the Circumstellar Material Associated with the Carbon Star R Sculptoris

The asymptotic giant branch (AGB) star R Sculptoris (R Scl) is one of the most extensively studied stars on the AGB. R Scl is a carbon star with a massive circumstellar shell ($M_{shell}\sim 7.3\times10^{-3}~M_{\odot}$) which is thought to have been produced during a thermal pulse event $\sim2200$ years ago. To study the thermal dust emission associated with its circumstellar material, observations were taken with the Faint Object InfraRed CAMera for the SOFIA Telescope (FORCAST) at 19.7, 25.2, 31.5, 34.8, and 37.1 $\mu$m. Maps of the infrared emission at these wavelengths were used to study the morphology and temperature structure of the spatially extended dust emission. Using the radiative transfer code DUSTY and fitting the spatial profile of the emission, we find that a geometrically thin dust shell cannot reproduce the observed spatially resolved emission. Instead, a second dust component in addition to the shell is needed to reproduce the observed emission. This component, which lies interior to the dust shell, traces the circumstellar envelope of R Scl. It is best fit by a density profile with $n \propto r^{\alpha}$ where $\alpha=0.75^{+0.45}_{-0.25}$ and dust mass of $M_d=9.0^{+2.3}_{-4.1}\times10^{-6}~M_{\odot}$. The strong departure from an $r^{-2}$ law indicates that the mass-loss rate of R Scl has not been constant. This result is consistent with a slow decline in the post-pulse mass-loss which has been inferred from observations of the molecular gas.Comment: 10 pages, 10 figures, accepted to Ap

Change in anxiety following successful and unsuccessful attempts at smoking cessation: cohort study

Background Despite a lack of empirical evidence, many smokers and health professionals believe that tobacco smoking reduces anxiety, which may deter smoking cessation. Aims The study aim was to assess whether successful smoking cessation or relapse to smoking after a quit attempt are associated with changes in anxiety. Method A total of 491 smokers attending National Health Service smoking cessation clinics in England were followed up 6 months after enrolment in a trial of pharmacogenetic tailoring of nicotine replacement therapy (ISRCTN14352545). Results There was a points difference of 11.8 (95% CI 7.7-16.0) in anxiety score 6 months after cessation between people who relapsed to smoking and people who attained abstinence. This reflected a three-point increase in anxiety from baseline for participants who relapsed and a nine-point decrease for participants who abstained. The increase in anxiety in those who relapsed was largest for those with a current diagnosis of psychiatric disorder and whose main reason for smoking was to cope with stress. The decrease in anxiety on abstinence was larger for these groups also. Conclusions People who achieve abstinence experience a marked reduction in anxiety whereas those who fail to quit experience a modest increase in the long term. These data contradict the assumption that smoking is a stress reliever, but suggest that failure of a quit attempt may generate anxiety

Modeling the Multiwavelength Evolution of the V960 Mon System

We study the evolution of the FU Ori object V960 Mon since its outburst, using available multi-wavelength photometric time series over 8 years, complemented by several epochs of moderate-dispersion spectrophotometry. We find that the source fading can be well-described by a decrease in the temperature of the inner disk, which results from a combination of decreasing accretion rate and increasing inner disk radius. We model the system with a disk atmosphere model that produces the observed variations in multi-band photometry (this paper) and high resolution spectral lines (a companion paper).Comment: 15 pages, 13 figures, 2 tables, Accepted to Ap

Resolving Decades of Periodic Spirals from the Wolf-Rayet Dust Factory WR 112

WR 112 is a dust-forming carbon-rich Wolf-Rayet (WC) binary with a dusty circumstellar nebula that exhibits a complex asymmetric morphology, which traces the orbital motion and dust formation in the colliding winds of the central binary. Unraveling the complicated circumstellar dust emission around WR 112 therefore provides an opportunity to understand the dust formation process in colliding-wind WC binaries. In this work, we present a multi-epoch analysis of the circumstellar dust around WR 112 using seven high spatial resolution (FWHM $\sim0.3-0.4''$) N-band ($\lambda \sim12$ $\mu$m) imaging observations spanning almost 20 years and includes newly obtained images from Subaru/COMICS in Oct 2019. In contrast to previous interpretations of a face-on spiral morphology, we observe clear evidence of proper motion of the circumstellar dust around WR 112 consistent with a nearly edge-on spiral with a $\theta_s=55^\circ$ half-opening angle and a $\sim20$-yr period. The revised near edge-on geometry of WR 112 reconciles previous observations of highly variable non-thermal radio emission that was inconsistent with a face-on geometry. We estimate a revised distance to WR 112 of $d = 3.39^{+0.89}_{-0.84}$ kpc based on the observed dust expansion rate and a spectroscopically derived WC terminal wind velocity of $v_\infty= 1230\pm260$ km s$^{-1}$. With the newly derived WR 112 parameters we fit optically-thin dust spectral energy distribution models and determine a dust production rate of $\dot{M}_d=2.7^{+1.0}_{-1.3}\times10^{-6}$ M$_\odot$ yr$^{-1}$, which demonstrates that WR 112 is one of the most prolific dust-making WC systems known.Comment: 17 pages, 9 figures, 1 animated gif, accepted for publication in Ap

Resolving Decades of Periodic Spirals from the Wolf–Rayet Dust Factory WR 112

WR 112 is a dust-forming carbon-rich Wolf–Rayet (WC) binary with a dusty circumstellar nebula that exhibits a complex asymmetric morphology, which traces the orbital motion and dust formation in the colliding winds of the central binary. Unraveling the complicated circumstellar dust emission around WR 112 therefore provides an opportunity to understand the dust formation process in colliding-wind WC binaries. In this work, we present a multi-epoch analysis of the circumstellar dust around WR 112 using seven high spatial resolution (FWHM ~ 0farcs3–0farcs4) N-band (λ ~ 12 μm) imaging observations spanning almost 20 yr and that includes images obtained from Subaru/COMICS in 2019 October. In contrast to previous interpretations of a face-on spiral morphology, we observe clear evidence of proper motion of the circumstellar dust around WR 112 consistent with a nearly edge-on spiral with a θ_s = 55° half-opening angle and a ~20 yr period. The revised near edge-on geometry of WR 112 reconciles previous observations of highly variable nonthermal radio emission that was inconsistent with a face-on geometry. We estimate a revised distance to WR 112 of d = 3.39_(-0.84)^(+0.89) kpc based on the observed dust expansion rate and a spectroscopically derived WC terminal wind velocity of v_∞ = 1230 ± 260 km s⁻¹. With the newly derived WR 112 parameters, we fit optically thin dust spectral energy distribution models and determine a dust production rate of Ṁ_d = 2.7_(-1.3)^(+1.0) x 10⁻⁶ M_⊙ yr⁻¹, which demonstrates that WR 112 is one of the most prolific dust-making WC systems known