Quiescent NIR and optical counterparts to candidate black hole X-ray binaries

We present near-infrared and optical imaging of fifteen candidate black hole X-ray binaries. In addition to quiescent observations for all sources, we also observed two of these sources (IGR J17451-3022 and XTE J1818-245) in outburst. We detect the quiescent counterpart for twelve out of fifteen sources, and for the remaining three we report limiting magnitudes. The magnitudes of the detected counterparts range between $K_s$ = 17.59 and $K_s$ = 22.29 mag. We provide (limits on) the absolute magnitudes and finding charts of all sources. Of these twelve detections in quiescence, seven represent the first quiescent reported values (for MAXI J1543-564, XTE J1726-476, IGR J17451-3022, XTE J1818-245, MAXI J1828-249, MAXI J1836-194, Swift J1910.2-0546) and two detections show fainter counterparts to XTE J1752-223 and XTE J2012+381 than previously reported. We used theoretical arguments and observed trends, for instance between the outburst and quiescent X-ray luminosity and orbital period $P_{orb}$ to derive an expected trend between $\Delta K_s$ and $P_{orb}$ of $\Delta K_s \propto \log P_{orb}^{0.565}$. Comparing this to observations we find a different behaviour. We discuss possible explanations for this result.Comment: 18 pages, 6 figures. Accepted for publication in MNRA

Recent advances in minimally invasive colorectal cancer surgery

Laparoscopy has improved surgical treatment of various diseases due to its limited surgical trauma and has developed as an interesting therapeutic alternative for the resection of colorectal cancer. Despite numerous clinical advantages (faster recovery, less pain, fewer wound and systemic complications, faster return to work) the laparoscopic approach to colorectal cancer therapy has also resulted in unusual complications, i.e. ureteral and bladder injury which are rarely observed with open laparotomy. Moreover, pneumothorax, cardiac arrhythmia, impaired venous return, venous thrombosis as well as peripheral nerve injury have been associated with the increased intraabdominal pressure as well as patient's positioning during surgery. Furthermore, undetected small bowel injury caused by the grasping or cauterizing instruments may occur with laparoscopic surgery. In contrast to procedures performed for nonmalignant conditions, the benefits of laparoscopic resection of colorectal cancer must be weighed against the potential for poorer long-term outcomes of cancer patients that still has not been completely ruled out. In laparoscopic colorectal cancer surgery, several important cancer control issues still are being evaluated, i.e. the extent of lymph node dissection, tumor implantation at port sites, adequacy of intraperitoneal staging as well as the distance between tumor site and resection margins. For the time being it can be assumed that there is no significant difference in lymph node harvest between laparoscopic and open colorectal cancer surgery if oncological principles of resection are followed. As far as the issue of port site recurrence is concerned, it appears to be less prevalent than first thought (range 0-2.5%), and the incidence apparently corresponds with wound recurrence rates observed after open procedures. Short-term (3-5 years) survival rates have been published by a number of investigators, and survival rates after laparoscopic surgery appears to compare well with data collected after conventional surgery for colorectal cancer. However, long-term results of prospective randomized trials are not available. The data published so far indicate that the oncological results of laparoscopic surgery compare well with the results of the conventional open approach. Nonetheless, the limited information available from prospective studies leads us to propose that minimally invasive surgery for colorectal cancer surgery should only be performed within prospective trials

A tidal disruption flare in a massive galaxy? Implications for the fuelling mechanisms of nuclear black holes

We argue that the `changing look' AGN recently reported by LaMassa et al. could be a luminous flare produced by the tidal disruption of a super-solar mass star passing just a few gravitational radii outside the event horizon of a $\sim 10^8 M_{\odot}$ nuclear black hole. This flare occurred in a massive, star forming galaxy at redshift $z=0.312$, robustly characterized thanks to repeated late-time photometric and spectroscopic observations. By taking difference-photometry of the well sampled multi-year SDSS Stripe-82 light-curve, we are able to probe the evolution of the nuclear spectrum over the course of the outburst. The tidal disruption event (TDE) interpretation is consistent with the very rapid rise and the decay time of the flare, which displays an evolution consistent with the well-known $t^{-5/3}$ behaviour (with a clear superimposed re-brightening flare). Our analysis places constraints on the physical properties of the TDE, such as the putative disrupted star's mass and orbital parameters, as well as the size and temperature of the emitting material. The properties of the broad and narrow emission lines observed in two epochs of SDSS spectra provide further constraints on the circum-nuclear structure, and could be indicative that the system hosted a moderate-luminosity AGN as recently as a few $10^4$ years ago, and is likely undergoing residual accretion as late as ten years after peak, as seen from the broad H$\alpha$ emission line. We discuss the complex interplay between tidal disruption events and gas accretion episodes in galactic nuclei, highlighting the implications for future TDE searches and for estimates of their intrinsic rates.Comment: 20 pages, 9 figures, 3 tables. Accepted for publication in MNRA

Finding counterparts for All-sky X-ray surveys with Nway: a Bayesian algorithm for cross-matching multiple catalogues

We release the AllWISE counterparts and Gaia matches to 106,573 and 17,665 X-ray sources detected in the ROSAT 2RXS and XMMSL2 surveys with |b|>15. These are the brightest X-ray sources in the sky, but their position uncertainties and the sparse multi-wavelength coverage until now rendered the identification of their counterparts a demanding task with uncertain results. New all-sky multi-wavelength surveys of sufficient depth, like AllWISE and Gaia, and a new Bayesian statistics based algorithm, NWAY, allow us, for the first time, to provide reliable counterpart associations. NWAY extends previous distance and sky density based association methods and, using one or more priors (e.g., colors, magnitudes), weights the probability that sources from two or more catalogues are simultaneously associated on the basis of their observable characteristics. Here, counterparts have been determined using a WISE color-magnitude prior. A reference sample of 4524 XMM/Chandra and Swift X-ray sources demonstrates a reliability of ~ 94.7% (2RXS) and 97.4% (XMMSL2). Combining our results with Chandra-COSMOS data, we propose a new separation between stars and AGN in the X-ray/WISE flux-magnitude plane, valid over six orders of magnitude. We also release the NWAY code and its user manual. NWAY was extensively tested with XMM-COSMOS data. Using two different sets of priors, we find an agreement of 96% and 99% with published Likelihood Ratio methods. Our results were achieved faster and without any follow-up visual inspection. With the advent of deep and wide area surveys in X-rays (e.g. SRG/eROSITA, Athena/WFI) and radio (ASKAP/EMU, LOFAR, APERTIF, etc.) NWAY will provide a powerful and reliable counterpart identification tool.Comment: MNRAS, Paper accepted for publication. Updated catalogs are available at www.mpe.mpg.de/XraySurveys/2RXS_XMMSL2 . NWAY available at https://github.com/JohannesBuchner/nwa

Ischemic preconditioning attenuates portal venous plasma concentrations of purines following warm liver ischemia in man

Background/Aims: Degradation of adenine nucleotides to adenosine has been suggested to play a critical role in ischemic preconditioning (IPC). Thus, we questioned in patients undergoing partial hepatectomy whether (i) IPC will increase plasma purine catabolites and whether (ii) formation of purines in response to vascular clamping (Pringle maneuver) can be attenuated by prior IPC. Methods: 75 patients were randomly assigned to three groups: group I underwent hepatectomy without vascular clamping; group II was subjected to the Pringle maneuver during resection, and group III was preconditioned (10 min ischemia and 10 min reperfusion) prior to the Pringle maneuver for resection. Central, portal venous and arterial plasma concentrations of adenosine, inosine, hypoxanthine and xanthine were determined by high-performance liquid chromatography. Results: Duration of the Pringle maneuver did not differ between patients with or without IPC. Surgery without vascular clamping had only a minor effect on plasma purine transiently increased. After the Pringle maneuver alone, purine plasma concentrations were most increased. This strong rise in plasma purines caused by the Pringle maneuver, however, was significantly attenuated by IPC. When portal venous minus arterial concentration difference was calculated for inosine or hypoxanthine, the respective differences became positive in patients subjected to the Pringle maneuver and were completely prevented by preconditioning. Conclusion: These data demonstrate that (i) IPC increases formation of adenosine, and that (ii) the unwanted degradation of adenine nucleotides to purines caused by the Pringle maneuver can be attenuated by IPC. Because IPC also induces a decrease of portal venous minus arterial purine plasma concentration differences, IPC might possibly decrease disturbances in the energy metabolism in the intestine as well. Copyright (C) 2005 S. Karger AG, Basel

Interactive decision support in hepatic surgery

BACKGROUND: Hepatic surgery is characterized by complicated operations with a significant peri- and postoperative risk for the patient. We developed a web-based, high-granular research database for comprehensive documentation of all relevant variables to evaluate new surgical techniques. METHODS: To integrate this research system into the clinical setting, we designed an interactive decision support component. The objective is to provide relevant information for the surgeon and the patient to assess preoperatively the risk of a specific surgical procedure. Based on five established predictors of patient outcomes, the risk assessment tool searches for similar cases in the database and aggregates the information to estimate the risk for an individual patient. RESULTS: The physician can verify the analysis and exclude manually non-matching cases according to his expertise. The analysis is visualized by means of a Kaplan-Meier plot. To evaluate the decision support component we analyzed data on 165 patients diagnosed with hepatocellular carcinoma (period 1996–2000). The similarity search provides a two-peak distribution indicating there are groups of similar patients and singular cases which are quite different to the average. The results of the risk estimation are consistent with the observed survival data, but must be interpreted with caution because of the limited number of matching reference cases. CONCLUSION: Critical issues for the decision support system are clinical integration, a transparent and reliable knowledge base and user feedback

Two Qubits in the Dirac Representation

A general two qubit system expressed in terms of the complete set of unit and fifteen traceless, Hermitian Dirac matrices, is shown to exhibit novel features of this system. The well-known physical interpretations associated with the relativistic Dirac equation involving the symmetry operations of time-reversal T, charge conjugation C, parity P, and their products are reinterpreted here by examining their action on the basic Bell states. The transformation properties of the Bell basis states under these symmetry operations also reveal that C is the only operator that does not mix the Bell states whereas all others do. In a similar fashion, expressing the various logic gates introduced in the subject of quantum computers in terms of the Dirac matrices shows for example, that the NOT gate is related to the product of time-reversal and parity operators.Comment: 11 page

NuSTAR + XMM-Newton monitoring of the neutron star transient AX J1745.6-2901

AX J1745.6-2901 is a high-inclination (eclipsing) transient neutron star (NS) Low Mass X-ray Binary (LMXB) showcasing intense ionised Fe K absorption. We present here the analysis of 11 XMM-Newton and 15 NuSTAR new data-sets (obtained between 2013-2016), therefore tripling the number of observations of AX J1745.6-2901 in outburst. Thanks to simultaneous XMM-Newton and NuSTAR spectra, we greatly improve on the fitting of the X-ray continuum. During the soft state the emission can be described by a disk black body ($kT\sim1.1-1.2$ keV and inner disc radius $r_{DBB}\sim14$ km), plus hot ($kT\sim2.2-3.0$ keV) black body radiation with a small emitting radius ($r_{BB}\sim0.5-0.8$ km) likely associated with the boundary layer or NS surface, plus a faint Comptonisation component. Imprinted on the spectra are clear absorption features created by both neutral and ionised matter. Additionally, positive residuals suggestive of an emission Fe K$\alpha$ disc line and consistent with relativistic ionised reflection are present during the soft state, while such residuals are not significant during the hard state. The hard state spectra are characterised by a hard ($\Gamma\sim1.9-2.1$) power law, showing no evidence for a high energy cut off ($kT_e>60-140$ keV) and implying a small optical depth ($\tau<1.6$). The new observations confirm the previously witnessed trend of exhibiting strong Fe K absorption in the soft state, that significantly weakens during the hard state. Optical (GROND) and radio (GMRT) observations suggest for AX J1745.6-2901 a standard broad band SED as typically observed in accreting neutron stars.Comment: Accepted for publication in MNRA