A Quantitative Analysis of IRAS Maps of Molecular Clouds

We present an analysis of IRAS maps of five molecular clouds: Orion, Ophiuchus, Perseus, Taurus, and Lupus. For the classification and description of these astrophysical maps, we use a newly developed technique which considers all maps of a given type to be elements of a pseudometric space. For each physical characteristic of interest, this formal system assigns a distance function (a pseudometric) to the space of all maps; this procedure allows us to measure quantitatively the difference between any two maps and to order the space of all maps. We thus obtain a quantitative classification scheme for molecular clouds. In this present study we use the IRAS continuum maps at 100$\mu$m and 60$\mu$m to produce column density (or optical depth) maps for the five molecular cloud regions given above. For this sample of clouds, we compute the ``output'' functions which measure the distribution of density, the distribution of topological components, the self-gravity, and the filamentary nature of the clouds. The results of this work provide a quantitative description of the structure in these molecular cloud regions. We then order the clouds according to the overall environmental ``complexity'' of these star forming regions. Finally, we compare our results with the observed populations of young stellar objects in these clouds and discuss the possible environmental effects on the star formation process. Our results are consistent with the recently stated conjecture that more massive stars tend to form in more ``complex'' environments.Comment: 27 pages Plain TeX, submitted to ApJ, UM-AC 93-15, 15 figures available upon reques

Servicing Mission 4 and the Extraordinary Science of the Hubble Space Telescope

Just two years ago, NASA astronauts performed a challenging and flawless final Space Shuttle servicing mission to the orbiting Hubble Space Telescope. With science instruments repaired on board and two new ones installed, the observatory. is more powerful now than ever before. I will show the dramatic highlights of the servicing mission and present some of the early scientific results from the refurbished telescope. Its high sensitivity and multi-wavelength capabilities are revealing the highest redshift galaxies ever seen, as well as details of the cosmic web of intergalactic medium, large scale structure formation, solar system bodies, and stellar evolution. Enlightening studies of dark matter, dark energy, and exoplanet atmospheres add to the profound contributions to astrophysics that are being made with Hubble, setting a critical stage for future observatories such as the James Webb Space Telescope

VLA Ammonia Observations of IRAS 16253-2429: A Very Young and Low Mass Protostellar System

IRAS l6253-2429. the source of the Wasp-Waist Nebula seen in Spitzer IRAC images, is an isolated very low luminosity ("VeLLO") Class 0 protostar in the nearby rho Ophiuchi cloud. We present VLA ammonia mapping observations of the dense gas envelope feeding the central core accreting system. We find a flattened envelope perpendicular to the outflow axis, and gas cavities that appear to cradle the outflow lobes as though carved out by the flow and associated (apparently precessing) jet. Based on the NH3 (1,1) and (2,2) emission distribution, we derive the mass, velocity fields and temperature distribution for the envelope. We discuss the combined evidence for this source as possibly one of the youngest and lowest mass sources in formation yet known

Formal Results Regarding Metric-Space Techniques for the Study of Astrophysical Maps

We extend a newly developed formal system for the description of astrophysical maps. In this formalism, we consider the difference between maps to be the distance between elements of a pseudometric space (the space of all such maps). This ansatz allows us to measure quantitatively the difference between any two maps and to order the space of all maps. For each physical characteristic of interest, this technique assigns an ``output'' function to each map; the difference between the maps is then determined from the difference between their corresponding output functions. In this present study, we show that the results of this procedure are invariant under a class of transformations of the maps and the domains of the maps. In addition, we study the propagation of errors (observational uncertainties) through this formalism. We show that the uncertainties in the output functions can be controlled provided that the signal to noise ratios in the original astrophysical maps are sufficiently high. The results of this paper thus increase the effectiveness of this formal system for the description, classification, and analysis of astrophysical maps.Comment: 30 pages Plain Tex, submitted to ApJ, UM-AC 93-1

Identifying Young Stellar Objects in the Outer Galaxy: l = 224 deg Region in Canis Major

We study a very young star-forming region in the outer Galaxy that is the most concentrated source of outflows in the Spitzer Space Telescope GLIMPSE360 survey. This region, dubbed CMa-l224, is located in the Canis Major OB1 association. CMa-l224 is relatively faint in the mid-infrared, but it shines brightly at the far-infrared wavelengths as revealed by the Herschel Space Observatory data from the Hi-GAL survey. Using the 3.6 and 4.5 $\mu$m data from the Spitzer/GLIMPSE360 survey, combined with the JHK$_s$ 2MASS and the 70-500 $\mu$m Herschel/Hi-GAL data, we develop a young stellar object (YSO) selection criteria based on color-color cuts and fitting of the YSO candidates' spectral energy distributions with YSO 2D radiative transfer models. We identify 293 YSO candidates and estimate physical parameters for 210 sources well-fit with YSO models. We select an additional 47 sources with GLIMPSE360-only photometry as `possible YSO candidates'. The vast majority of these sources are associated with high H$_2$ column density regions and are good targets for follow-up studies. The distribution of YSO candidates at different evolutionary stages with respect to Herschel filaments supports the idea that stars are formed in the filaments and become more dispersed with time. Both the supernova-induced and spontaneous star formation scenarios are plausible in the environmental context of CMa-l224. However, our results indicate that a spontaneous gravitational collapse of filaments is a more likely scenario. The methods developed for CMa-l224 can be used for larger regions in the Galactic plane where the same set of photometry is available.Comment: Accepted for publication in the Astrophysical Journal Supplement Series; 54 pages including appendice

Effects on quality of life, anti-cancer responses, breast conserving surgery and survival with neoadjuvant docetaxel: a randomised study of sequential weekly versus three-weekly docetaxel following neoadjuvant doxorubicin and cyclophosphamide in women with primary breast cancer

<p>Abstract</p> <p>Background</p> <p>Weekly docetaxel has occasionally been used in the neoadjuvant to downstage breast cancer to reduce toxicity and possibly enhance quality of life. However, no studies have compared the standard three weekly regimen to the weekly regimen in terms of quality of life. The primary aim of our study was to compare the effects on QoL of weekly versus 3-weekly sequential neoadjuvant docetaxel. Secondary aims were to determine the clinical and pathological responses, incidence of Breast Conserving Surgery (BCS), Disease Free Survival (DFS) and Overall Survival (OS).</p> <p>Methods</p> <p>Eighty-nine patients receiving four cycles of doxorubicin and cyclophosphamide were randomised to receive twelve cycles of weekly docetaxel (33 mg/m²) or four cycles of 3-weekly docetaxel (100 mg/m²). The Functional Assessment of Cancer Therapy-Breast and psychosocial questionnaires were completed.</p> <p>Results</p> <p>At a median follow-up of 71.5 months, there was no difference in the Trial Outcome Index scores between treatment groups. During weekly docetaxel, patients experienced less constipation, nail problems, neuropathy, tiredness, distress, depressed mood, and unhappiness. There were no differences in overall clinical response (93% vs. 90%), pathological complete response (20% vs. 27%), and breast-conserving surgery (BCS) rates (49% vs. 42%). Disease-free survival and overall survival were similar between treatment groups.</p> <p>Conclusions</p> <p>Weekly docetaxel is well-tolerated and has less distressing side-effects, without compromising therapeutic responses, Breast Conserving Surgery (BCS) or survival outcomes in the neoadjuvant setting.</p> <p>Trial registration</p> <p>ISRCTN: <a href="http://www.controlled-trials.com/ISRCTN09184069">ISRCTN09184069</a></p

In-vitro engineering of high modulus cartilage-like constructs.

To date, the outcomes of cartilage repair have been inconsistent and have frequently yielded mechanically inferior fibro-cartilage, thereby increasing the chances of damage recurrence. Implantation of constructs with biochemical composition and mechanical properties comparable to natural cartilage could be advantageous for long term repair. This study attempted to create such constructs, in-vitro, using tissue engineering principles. Bovine synoviocytes were seeded on non-woven polyethylene terephthalate fibre scaffolds and cultured in chondrogenic medium for 4 weeks, after which uniaxial compressive loading was applied using an in-house bioreactor for 1 hour per day, at a frequency of 1 Hz, for a further 84 days. The initial loading conditions, determined from the mechanical properties of the immature constructs after 4 weeks in chondrogenic culture, were strains ranging between 13 and 23 %. After 56 days (sustained at 84 days) of loading, the constructs were stained homogenously with Alcian blue and for type-II collagen. Dynamic compressive moduli were comparable to the high end values for native cartilage and proportional to Alcian blue staining intensity. We suggest that these high moduli values were attributable to the bioreactor setup, which caused the loading regime to change as the constructs developed i.e. the applied stress and strain increased with construct thickness and stiffness, providing continued sufficient cell stimulation as further matrix was deposited. Constructs containing cartilage-like matrix with response to load similar to that of native cartilage could produce long-term effective cartilage repair when implanted

American Head and Neck Society Endocrine Section clinical consensus statement: North American quality statements and evidence‐based multidisciplinary workflow algorithms for the evaluation and management of thyroid nodules

BackgroundCare for patients with thyroid nodules is complex and multidisciplinary, and research demonstrates variation in care. The objective was to develop clinical guidelines and quality metrics to reduce unwarranted variation and improve quality.MethodsMultidisciplinary expert consensus and modified Delphi approach. Source documents were workflow algorithms from Kaiser Permanente Northern California and Cancer Care of Ontario based on the 2015 American Thyroid Association management guidelines for adult patients with thyroid nodules and differentiated thyroid cancer.ResultsA consensus‐based, unified preoperative, perioperative, and postoperative workflow was developed for North American use. Twenty‐one panelists achieved consensus on 16 statements about workflow‐embedded process and outcomes metrics addressing safety, access, appropriateness, efficiency, effectiveness, and patient centeredness of care.ConclusionA panel of Canadian and United States experts achieved consensus on workflows and quality metric statements to help reduce unwarranted variation in care, improving overall quality of care for patients diagnosed with thyroid nodules.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/148340/1/hed25526_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/148340/2/hed25526.pd

Equity In Health care financing in low-and middle-income countries: A systematic review of evidence from studies using benefit and financing incidence analyses

© 2016 Asante et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Introduction: Health financing reforms in low-and middle-income countries (LMICs) over the past decades have focused on achieving equity in financing of health care delivery through universal health coverage. Benefit and financing incidence analyses are two analytical methods for comprehensively evaluating how well health systems perform on these objectives. This systematic review assesses progress towards equity in health care financing in LMICs through the use of BIA and FIA. Methods and Findings: Key electronic databases including Medline, Embase, Scopus, Global Health, CinAHL, EconLit and Business Source Premier were searched. We also searched the grey literature, specifically websites of leading organizations supporting health care in LMICs. Only studies using benefit incidence analysis (BIA) and/or financing incidence analysis (FIA) as explicit methodology were included. A total of 512 records were obtained from the various sources. The full texts of 87 references were assessed against the selection criteria and 24 were judged appropriate for inclusion. Twelve of the 24 studies originated from sub-Saharan Africa, nine from the Asia-Pacific region, two from Latin America and one from the Middle East. The evidence points to a pro-rich distribution of total health care benefits and progressive financing in both sub-Saharan Africa and Asia-Pacific. In the majority of cases, the distribution of benefits at the primary health care level favoured the poor while hospital level services benefit the better-off. A few Asian countries, namely Thailand, Malaysia and Sri Lanka, maintained a pro-poor distribution of health care benefits and progressive financing. Conclusion: Studies evaluated in this systematic review indicate that health care financing in LMICs benefits the rich more than the poor but the burden of financing also falls more on the rich. There is some evidence that primary health care is pro-poor suggesting a greater investment in such services and removal of barriers to care can enhance equity. The results overall suggest that there are impediments to making health care more accessible to the poor and this must be addressed if universal health coverage is to be a reality

2-Acetyl­pyridinium bromanilate

In the crystal of the title mol­ecular salt (systematic name: 2-acetyl­pyridinium 2,5-dibromo-4-hydr­oxy-3,6-dioxocyclo­hexa-1,4-dienolate), C7H8NO+·C6HBr2O4 −, centrosymmetric rings consisting of two cations and two anions are formed, with the components linked by alternating O—H⋯O and N—H⋯O hydrogen bonds. Short O⋯Br contacts [3.243 (2) and 3.359 (2) Å] may help to consolidate the packing