25 research outputs found

    Real world data in primary care: validation of diagnosis of atrial fibrillation in primary care electronic medical records and estimated prevalence among consulting patients

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    Primary care electronic medical records contain clinical-administrative information on a high percentage of the population. Before this information can be used for epidemiological purposes, its quality must be verified. This study aims to validate diagnoses of atrial fibrillation (AF) recorded in primary care electronic medical records and to estimate the prevalence of AF in the population attending primary care consultations. Methods: We performed a cross-sectional validation study of all diagnoses of AF recorded in primary care electronic medical records in Madrid (Spain). We also performed simple random sampling of diagnoses of AF (ICPC-2 code K78) registered by 55 physicians and random age- and sex-matched sampling of the records that included a diagnosis of AF. Electrocardiograms, echocardiograms, and hospital discharge or cardiology clinic reports were matched. Sensitivity, specificity, positive and negative predictive values (PPV and NPV), and overall agreement were calculated using the kappa statistic (κ). The prevalence of AF in the community of Madrid was estimated considering the sensitivity and specificity obtained in the validation. All calculations were performed overall and by sex and age groups. Results: The degree of agreement was very high (κ = 0.952), with a sensitivity of 97.84%, specificity of 97.39%, PPV of 97.37%, and NPV of 97.85%. The prevalence of AF in the population aged over 18 years was 2.41% (95%CI 2.39–2.42% [2.25% in women and 2.58% in men]). This increased progressively with age, reaching 16.95% in those over 80 years of age (15.5% in women and 19.44% in men). Conclusions: The validation results obtained enable diagnosis of AF recorded in primary care to be used as a tool for epidemiological studies. A high prevalence of AF was found, especially in older patientsThis study forms part of research funded by the FIS (Fondo de Investigaciones Sanitarias—Health Research Fund, Instituto de Salud Carlos III) grants no. PI13/00632, and co-funded by the European Union through the Fondo Europeo de Desarrollo Regional (FEDER, “A way of shaping Europe”. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript

    Southern African Large Telescope Spectroscopy of BL Lacs for the CTA project

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    In the last two decades, very-high-energy gamma-ray astronomy has reached maturity: over 200 sources have been detected, both Galactic and extragalactic, by ground-based experiments. At present, Active Galactic Nuclei (AGN) make up about 40% of the more than 200 sources detected at very high energies with ground-based telescopes, the majority of which are blazars, i.e. their jets are closely aligned with the line of sight to Earth and three quarters of which are classified as high-frequency peaked BL Lac objects. One challenge to studies of the cosmological evolution of BL Lacs is the difficulty of obtaining redshifts from their nearly featureless, continuum-dominated spectra. It is expected that a significant fraction of the AGN to be detected with the future Cherenkov Telescope Array (CTA) observatory will have no spectroscopic redshifts, compromising the reliability of BL Lac population studies, particularly of their cosmic evolution. We started an effort in 2019 to measure the redshifts of a large fraction of the AGN that are likely to be detected with CTA, using the Southern African Large Telescope (SALT). In this contribution, we present two results from an on-going SALT program focused on the determination of BL Lac object redshifts that will be relevant for the CTA observatory

    CTA – the World’s largest ground-based gamma-ray observatory

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    Southern African Large Telescope Spectroscopy of BL Lacs for the CTA project

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    In the last two decades, very-high-energy gamma-ray astronomy has reached maturity: over 200 sources have been detected, both Galactic and extragalactic, by ground-based experiments. At present, Active Galactic Nuclei (AGN) make up about 40% of the more than 200 sources detected at very high energies with ground-based telescopes, the majority of which are blazars, i.e. their jets are closely aligned with the line of sight to Earth and three quarters of which are classified as high-frequency peaked BL Lac objects. One challenge to studies of the cosmological evolution of BL Lacs is the difficulty of obtaining redshifts from their nearly featureless, continuum-dominated spectra. It is expected that a significant fraction of the AGN to be detected with the future Cherenkov Telescope Array (CTA) observatory will have no spectroscopic redshifts, compromising the reliability of BL Lac population studies, particularly of their cosmic evolution. We started an effort in 2019 to measure the redshifts of a large fraction of the AGN that are likely to be detected with CTA, using the Southern African Large Telescope (SALT). In this contribution, we present two results from an on-going SALT program focused on the determination of BL Lac object redshifts that will be relevant for the CTA observatory

    Monte Carlo Simulations and Validation of NectarCAM, a Medium Sized Telescope Camera for CTA

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    The upcoming Cherenkov Telescope Array (CTA) ground-based gamma-ray observatory will open up our view of the very high energy Universe, offering an improvement in sensitivity of 5-10 times that of previous experiments. NectarCAM is one of the proposed cameras for the Medium-Sized Telescopes (MST) which have been designed to cover the core energy range of CTA, from 100 GeV to 10 TeV. The final camera will be capable of GHz sampling and provide a field of view of 8 degrees with its 265 modules of 7 photomultiplier each (for a total of 1855 pixels). In order to validate the performance of NectarCAM, a partially-equipped prototype has been constructed consisting of only the inner 61-modules. It has so far undergone testing at the integration test-bench facility in CEA Paris-Saclay (France) and on a prototype of the MST structure in Adlershof (Germany). To characterize the performance of the prototype, Monte Carlo simulations were conducted using a detailed model of the 61 module camera in the CORSIKA/sim_telarray framework. This contribution provides an overview of this work including the comparison of trigger and readout performance on test-bench data and trigger and image parameterization performance during on-sky measurements

    Sensitivity of CTA to gamma-ray emission from the Perseus galaxy cluster

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    In these proceedings we summarize the current status of the study of the sensitivity of the Cherenkov Telescope Array (CTA) to detect diffuse gamma-ray emission from the Perseus galaxy cluster. Gamma-ray emission is expected in galaxy clusters both from interactions of cosmic rays (CR) with the intra-cluster medium, or as a product of annihilation or decay of dark matter (DM) particles in case they are weakly interactive massive particles (WIMPs). The observation of Perseus constitutes one of the Key Science Projects to be carried out by the CTA Consortium. In this contribution, we focus on the DM-induced component of the flux. Our DM modelling includes the substructures we expect in the main halo which will boost the annihilation signal significantly. We adopt an ON/OFF observation strategy and simulate the expected gamma-ray signals. Finally we compute the expected CTA sensitivity using a likelihood maximization analysis including the most recent CTA instrument response functions. In absence of signal, we show that CTA will allow us to provide stringent and competitive constraints on TeV DM, especially for the case of DM decay

    The Cherenkov Telescope Array: layout, design and performance

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    The Cherenkov Telescope Array (CTA) will be the next generation very-high-energy gamma-ray observatory. CTA is expected to provide substantial improvement in accuracy and sensitivity with respect to existing instruments thanks to a tenfold increase in the number of telescopes and their state-of-the-art design. Detailed Monte Carlo simulations are used to further optimise the number of telescopes and the array layout, and to estimate the observatory performance using updated models of the selected telescope designs. These studies are presented in this contribution for the two CTA stations located on the island of La Palma (Spain) and near Paranal (Chile) and for different operation and observation conditions

    Sensitivity of the Cherenkov Telescope Array to emission from the gamma-ray counterparts of neutrino events

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    We investigate the possibility of detection of the VHE gamma-ray counterparts to the neutrino astrophysical sources within the Neutrino Target of Opportunity (NToO) program of CTA using the populations simulated by the FIRESONG software to resemble the diffuse astrophysical neutrino flux measured by IceCube. We derive the detection probability for different zenith angles and geomagnetic field configurations. The difference in detectability of sources between CTA-North and CTA-South for the average geomagnetic field is not substantial. We investigate the effect of a higher night-sky background and the preliminary CTA Alpha layout on the detection probability

    Reconstruction of stereoscopic CTA events using deep learning with CTLearn

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    The Cherenkov Telescope Array (CTA), conceived as an array of tens of imaging atmospheric Cherenkov telescopes (IACTs), is an international project for a next-generation ground-based gamma-ray observatory, aiming to improve on the sensitivity of current-generation instruments a factor of five to ten and provide energy coverage from 20 GeV to more than 300 TeV. Arrays of IACTs probe the very-high-energy gamma-ray sky. Their working principle consists of the simultaneous observation of air showers initiated by the interaction of very-high-energy gamma rays and cosmic rays with the atmosphere. Cherenkov photons induced by a given shower are focused onto the camera plane of the telescopes in the array, producing a multi-stereoscopic record of the event. This image contains the longitudinal development of the air shower, together with its spatial, temporal, and calorimetric information. The properties of the originating very-high-energy particle (type, energy, and incoming direction) can be inferred from those images by reconstructing the full event using machine learning techniques. In this contribution, we present a purely deep-learning driven, full-event reconstruction of simulated, stereoscopic IACT events using CTLearn. CTLearn is a package that includes modules for loading and manipulating IACT data and for running deep learning models, using pixel-wise camera data as input

    Prototype Open Event Reconstruction Pipeline for the Cherenkov Telescope Array

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    The Cherenkov Telescope Array (CTA) is the next-generation gamma-ray observatory currently under construction. It will improve over the current generation of imaging atmospheric Cherenkov telescopes (IACTs) by a factor of five to ten in sensitivity and it will be able to observe the whole sky from a combination of two sites: a northern site in La Palma, Spain, and a southern one in Paranal, Chile. CTA will also be the first open gamma-ray observatory. Accordingly, the data analysis pipeline is developed as open-source software. The event reconstruction pipeline accepts raw data of the telescopes and processes it to produce suitable input for the higher-level science tools. Its primary tasks include reconstructing the physical properties of each recorded shower and providing the corresponding instrument response functions. ctapipe is a framework providing algorithms and tools to facilitate raw data calibration, image extraction, image parameterization and event reconstruction. Its main focus is currently the analysis of simulated data but it has also been successfully applied for the analysis of data obtained with the first CTA prototype telescopes, such as the Large-Sized Telescope 1 (LST-1). pyirf is a library to calculate IACT instrument response functions, needed to obtain physics results like spectra and light curves, from the reconstructed event lists. Building on these two, protopipe is a prototype for the event reconstruction pipeline for CTA. Recent developments in these software packages will be presented
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