ARMADA. I. Triple Companions Detected in B-type Binaries α Del and ν Gem

This is the author accepted manuscript. The final version is available from IOP Publishing via the DOI in this recordGround-based optical long-baseline interferometry has the power to measure the orbits of close binary systems at ∼10 μas precision. This precision makes it possible to detect "wobbles" in the binary motion due to the gravitational pull from additional short-period companions. We started the ARrangement for Micro-Arcsecond Differential Astrometry (ARMADA) survey with the Michigan Infra-Red Combiner (MIRC)/MIRC-X instrument at the Center for High Angular Resoloution Astronomy (CHARA) array for the purpose of detecting giant planets and stellar companions orbiting individual stars in binary systems. We describe our observations for the survey, and introduce the wavelength calibration scheme that delivers precision at the tens of microarcseconds level for <0.″2 binaries. We test our instrument performance on a known triple system, κ Peg, and show that our survey is delivering a factor of 10 better precision than previous similar surveys. We present astrometric detections of tertiary components to two B-type binaries: a 30 day companion to α Del, and a 50 day companion to ν Gem. We also collected radial velocity data for α Del with the Tennessee State University Automated Spectroscopic Telescope at Fairborn Observatory. We are able to measure the orbits and masses of all three components in these systems. We find that the previously published radial velocity orbit for the inner pair of ν Gem is not consistent with our visual orbit. The precision achieved for these orbits suggests that our ARMADA survey will be successful at discovering new compact triple systems to A/B-type binary systems, leading to better statistics of hierarchical system architectures and formation history.NASANational Science Foundation (NSF)Michigan Space Grant ConsortiumEuropean Research Council (ERC)Science and Technology Facilities Council (STFC

Blood cultures in ambulatory outpatients

BACKGROUND: Blood cultures are a gold standard specific test for diagnosing many infections. However, the low yield may limit their usefulness, particularly in low-risk populations. This study was conducted to assess the utility of blood cultures drawn from ambulatory outpatients. METHODS: Blood cultures drawn at community-based collection sites in the Calgary Health Region (population 1 million) in 2001 and 2002 were included in this study. These patients were analyzed by linkages to acute care health care databases for utilization of acute care facilities within 2 weeks of blood culture draw. RESULTS: 3102 sets of cultures were drawn from 1732 ambulatory outpatients (annual rate = 89.4 per 100,000 population). Significant isolates were identified from 73 (2.4%) sets of cultures from 51 patients, including Escherichia coli in 18 (35%) and seven (14%) each of Staphylococcus aureus and Streptococcus pneumoniae. Compared to patients with negative cultures, those with positive cultures were older (mean 49.6 vs. 40.1 years, p < 0.01), and more likely to subsequently receive care at a regional emergency department, outpatient antibiotic clinic, or hospital (35/51 vs. 296/1681, p < 0.0001). Of the 331 (19%) patients who received acute care treatment, those with positive cultures presented sooner after community culture draw (median 2 vs. 3 days, p < 0.01) and had longer median treatment duration (6 vs. 2 days, p < 0.01). CONCLUSION: Blood cultures drawn in outpatient settings are uncommonly positive, but may define patients for increased intensity of therapy. Strategies to reduce utilization without excluding patients with positive cultures need to be developed for this patient population