8 research outputs found
The evolution of galaxy groups and of galaxies therein
Properties of groups of galaxies depend sensitively on the algorithm for
group selection, and even the most recent catalogs of groups built from
redshift-space selection should suffer from projections and infalling galaxies.
The cosmo-dynamical evolution of groups from initial Hubble expansion to
collapse and virialization leads to a fundamental track (FT) in
virial-theorem-M/L vs crossing time. The increased rates of mergers, both
direct and after dynamical friction, in groups relative to clusters, explain
the higher fraction of elliptical galaxies at given local number density in
X-ray selected groups, relative to clusters, even when the hierarchical
evolution of groups is considered. Galaxies falling into groups and clusters
should later travel outwards to typically 2 virial radii, which is somewhat
less than the outermost radius where observed galaxy star formation
efficiencies are enhanced relative to field galaxies of same morphological
type. An ongoing analysis of the internal kinematics of X-ray selected groups
suggests that the radial profiles of line of sight velocity dispersion are
consistent with isotropic NFW distributions for the total mass density, with
higher (lower) concentrations than LambdaCDM predictions in groups of high
(low) mass. The critical mass, at M200 ~ 10^13 M_sun is consistent with
possible breaks in the X-ray luminosity-temperature and Fundamental Plane
relations. The internal kinematics of groups indicate that the M-T relation of
groups should agree with that extrapolated from clusters with no break at the
group scale. The analyses of observed velocity dispersion profiles and of the
FT both suggest that low velocity dispersion groups (compact and loose, X-ray
emitting or undetected) are quite contaminated by chance projections.Comment: Invited review, ESO workshop "Groups of Galaxies in the Nearby
Universe", held in Santiago, Chile, 5-9 December 2005, ed. I. Saviane, V.
Ivanov & J. Borissova, 16 page
Distribution and outcomes of a phenotype-based approach to guide COPD management: Results from the CHAIN cohort
Rationale: The Spanish guideline for COPD (GesEPOC) recommends COPD treatment according to four clinical phenotypes: non-exacerbator phenotype with either chronic bronchitis or emphysema (NE), asthma-COPD overlap syndrome (ACOS), frequent exacerbator phenotype with emphysema (FEE) or frequent exacerbator phenotype with chronic bronchitis (FECB). However, little is known on the distribution and outcomes of the four suggested phenotypes. Objective: We aimed to determine the distribution of these COPD phenotypes, and their relation with one-year clinical outcomes. Methods: We followed a cohort of well-characterized patients with COPD up to one-year. Baseline characteristics, health status (CAT), BODE index, rate of exacerbations and mortality up to one year of follow-up were compared between the four phenotypes. Results: Overall, 831 stable COPD patients were evaluated. They were distributed as NE, 550 (66.2%); ACOS, 125 (15.0%); FEE, 38 (4.6%); and FECB, 99 (11.9%); additionally 19 (2.3%) COPD patients with frequent exacerbations did not fulfill the criteria for neither FEE nor FECB. At baseline, there were significant differences in symptoms, FEV1 and BODE index (all p<0.05). The FECB phenotype had the highest CAT score (17.1±8.2, p<0.05 compared to the other phenotypes). Frequent exacerbator groups (FEE and FECB) were receiving more pharmacological treatment at baseline, and also experienced more exacerbations the year after (all p<0.05) with no differences in one-year mortality. Most of NE (93%) and half of exacerbators were stable after one year. Conclusions: There is an uneven distribution of COPD phenotypes in stable COPD patients, with significant differences in demographics, patient-centered outcomes and health care resources use
Timescales of major mergers from simulations of isolated binary galaxy collisions
A six-dimensional parameter space based on high-resolution numerical simulations of isolated binary galaxy collisions has been constructed to investigate the dynamical friction timescales, τ, for major mergers. Our experiments follow the gravitational encounters between ∼600 pairs of similarly massive late- and early-type galaxies with orbital parameters that meet the predictions of the Λ-cold dark matter (ΛCDM) cosmology. We analyse the performance of different schemes for tracking the secular evolution of mergers, finding that the product of the intergalactic distance and velocity is best suited to identify the time of coalescence. In contrast, a widely used merger-time estimator such as the exhaustion of the orbital spin is shown to systematically underpredict τ, resulting in relative errors that can reach 60% for nearly radial encounters. We find that the internal spins of the progenitors can lead to total variations in the merger times larger than 30% in highly circular encounters, whereas only the spin of the principal halo is capable of modulating the strength of the interaction prevailing throughout a merger. The comparison of our simulated merger times with predictions from different variants of a well-known fitting formula has revealed an only partially satisfactory agreement, which has led us to recalculate the values of the coefficients of these expressions to obtain relations that fit major mergers perfectly. The observed biases between data and predictions, which do not only apply to the present work, are inconsistent with expectations from differences in the degree of idealisation of the collisions, their metric, spin-related biases, or the simulation set-up. This indicates a certain lack of accuracy of the dynamical friction modelling, arising perhaps from a still incomplete identification of the parameters governing orbital decay. © ESO 2018.The authors acknowledge financial support from the Spanish AEI and European FEDER funds through the research project AYA2016-76682-C3 as well as from the Program for Promotion of High-Level Scientific and Technical Research of Spain under contract AYA2013-40609-P.Peer Reviewe
Clinical and prognostic impact of low diffusing capacity for carbon monoxide values in patients with global initiative for obstructive lung disease I COPD
Background
The Global Initiative for Obstructive Lung Disease (GOLD) does not promote diffusing capacity for carbon monoxide (Dlco) values in the evaluation of COPD. In GOLD spirometric stage I COPD patients, the clinical and prognostic impact of a low Dlco has not been explored.
Research Question
Could a Dlco threshold help define an increased risk of death and a different clinical presentation in these patients?
Study Design and Methods
GOLD stage I COPD patients (n = 360) were enrolled and followed over 109 ± 50 months. Age, sex, pack-years’ history, BMI, dyspnea, lung function measurements, exercise capacity, BODE index, and history of exacerbations were recorded. A cutoff value for Dlco was identified for all-cause mortality and the clinical and physiological characteristics of patients above and below the threshold compared. Cox regression analysis explored the predictive power of that cutoff value for all-cause mortality.
Results
A Dlco cutoff value of <60% predicted was associated with all-cause mortality (Dlco ≥ 60%: 9% vs Dlco < 60%: 23%, P = .01). At a same FEV1% predicted and Charlson score, patients with Dlco < 60% had lower BMI, more dyspnea, lower inspiratory capacity (IC)/total lung capacity (TLC) ratio, lower 6-min walk distance (6MWD), and higher BODE. Cox multiple regression analysis confirmed that after adjusting for age, sex, pack-years history, smoking status, and BMI, a Dlco < 60% is associated with all-cause mortality (hazard ratio [HR], 95% CI = 3.37, 1.35-8.39; P = .009)
Interpretation
In GOLD I COPD patients, a Dlco < 60% predicted is associated with increased risk of death and worse clinical presentation. What the cause(s) of this association are and whether they can be treated need to be determined
Impact of applying the global lung initiative criteria for airway obstruction in GOLD defined COPD cohorts: the BODE and CHAIN experience
Introduction: The Global Lung Function Initiative (GLI) has proposed new criteria for airflow limitation (AL) and recommends using these to interpret spirometry. The objective of this study was to explore the impact of the application of the AL GLI criteria in two well characterized GOLD-defined COPD cohorts.
Methods: COPD patients from the BODE (n=360) and the COPD History Assessment In SpaiN (CHAIN) cohorts (n=722) were enrolled and followed. Age, gender, pack-years history, BMI, dyspnea, lung function measurements, exercise capacity, BODE index, history of exacerbations and survival were recorded. CT-detected comorbidities were registered in the BODE cohort. The proportion of subjects without AL by GLI criteria was determined in each cohort. The clinical, CT-detected comorbidity, and overall survival of these patients were evaluated.
Results: In total, 18% of the BODE and 15% of the CHAIN cohort did not meet GLI AL criteria. In the BODE and CHAIN cohorts respectively, these patients had a high clinical burden (BODE≥3: 9% and 20%; mMRC≥2: 16% and 45%; exacerbations in the previous year: 31% and 9%; 6MWD<350m: 15% and 19%, respectively), and a similar prevalence of CT-diagnosed comorbidities compared with those with GLI AL. They also had a higher rate of long-term mortality - 33% and 22% respectively.
Conclusions: An important proportion of patients from 2 GOLD-defined COPD cohorts did not meet GLI AL criteria at enrolment, although they had a significant burden of disease. Caution must be taken when applying the GLI AL criteria in clinical practice
Increased power by harmonizing structural MRI site differences with the ComBat batch adjustment method in ENIGMA
10.1016/j.neuroimage.2020.116956NeuroImage21811695
The collaborative outcomes study on health and functioning during infection times in adults (COH-FIT-Adults): Design and methods of an international online survey targeting physical and mental health effects of the COVID-19 pandemic.
. High-quality comprehensive data on short-/long-term physical/mental health effects of the COVID-19 pandemic are needed.
. The Collaborative Outcomes study on Health and Functioning during Infection Times (COH-FIT) is an international, multi-language (n=30) project involving >230 investigators from 49 countries/territories/regions, endorsed by national/international professional associations. COH-FIT is a multi-wave, on-line anonymous, cross-sectional survey [wave 1: 04/2020 until the end of the pandemic, 12 months waves 2/3 starting 6/24 months threreafter] for adults, adolescents (14-17), and children (6-13), utilizing non-probability/snowball and representative sampling. COH-FIT aims to identify non-modifiable/modifiable risk factors/treatment targets to inform prevention/intervention programs to improve social/health outcomes in the general population/vulnerable subgrous during/after COVID-19. In adults, co-primary outcomes are change from pre-COVID-19 to intra-COVID-19 in well-being (WHO-5) and a composite psychopathology P-Score. Key secondary outcomes are a P-extended score, global mental and physical health. Secondary outcomes include health-service utilization/functioning, treatment adherence, functioning, symptoms/behaviors/emotions, substance use, violence, among others.
. Starting 04/26/2020, up to 14/07/2021 >151,000 people from 155 countries/territories/regions and six continents have participated. Representative samples of ≥1,000 adults have been collected in 15 countries. Overall, 43.0% had prior physical disorders, 16.3% had prior mental disorders, 26.5% were health care workers, 8.2% were aged ≥65 years, 19.3% were exposed to someone infected with COVID-19, 76.1% had been in quarantine, and 2.1% had been COVID 19-positive.
. Cross-sectional survey, preponderance of non-representative participants.
. Results from COH-FIT will comprehensively quantify the impact of COVID-19, seeking to identify high-risk groups in need for acute and long-term intervention, and inform evidence-based health policies/strategies during this/future pandemics
Validation of the Collaborative Outcomes study on Health and Functioning during Infection Times (COH-FIT) questionnaire for adults.
The Collaborative Outcome study on Health and Functioning during Infection Times (COH-FIT; www.coh-fit.com) is an anonymous and global online survey measuring health and functioning during the COVID-19 pandemic. The aim of this study was to test concurrently the validity of COH-FIT items and the internal validity of the co-primary outcome, a composite psychopathology "P-score".
The COH-FIT survey has been translated into 30 languages (two blind forward-translations, consensus, one independent English back-translation, final harmonization). To measure mental health, 1-4 items ("COH-FIT items") were extracted from validated questionnaires (e.g. Patient Health Questionnaire 9). COH-FIT items measured anxiety, depressive, post-traumatic, obsessive-compulsive, bipolar and psychotic symptoms, as well as stress, sleep and concentration. COH-FIT Items which correlated r ≥ 0.5 with validated companion questionnaires, were initially retained. A P-score factor structure was then identified from these items using exploratory factor analysis (EFA) and confirmatory factor analyses (CFA) on data split into training and validation sets. Consistency of results across languages, gender and age was assessed.
From >150,000 adult responses by May 6th, 2022, a subset of 22,456 completed both COH-FIT items and validated questionnaires. Concurrent validity was consistently demonstrated across different languages for COH-FIT items. CFA confirmed EFA results of five first-order factors (anxiety, depression, post-traumatic, psychotic, psychophysiologic symptoms) and revealed a single second-order factor P-score, with high internal reliability (ω = 0.95). Factor structure was consistent across age and sex.
COH-FIT is a valid instrument to globally measure mental health during infection times. The P-score is a valid measure of multidimensional mental health