FM 047-02: a collisional pair of galaxies with a ring

Aims. We investigate the nature of the galaxy pair FM 047-02, which has been proposed as an archetype of the Solitaire types of peculiar (collisional) ring galaxies. Methods. The study is based on long-slit spectrophotometric data in the range of 3500-9500 angstrons obtained with the Gemini Multi-ObjectComment: 07 pages, 06 figures, 02 tables. arXiv admin note: text overlap with arXiv:1206.071

Patients First:Toward a Patient-Centered Instrument to Measure Impact of Chronic Pain

Background. Numerous instruments are available to measure the impact of chronic pain, yet most have been developed with little or no patient involvement. This study seeks to start bridging that gap by determining which health aspects or attributes (to be included in a future instrument) are considered most important by people with chronic pain. Objective. The goal of this study was to reveal which attributes reflecting impact of chronic pain are considered most important by people with chronic pain and to analyze differences in importance according to gender, age categories, diagnostic subgroups, and pain intensity categories. Design. This study used a sequential explanatory mixed-methods design: literature search, focus group meetings, and online survey. Methods. First, a literature search was performed to identify the attributes in existing instruments. In 68 instruments meeting inclusion criteria, 155 unique attributes were identified, 85 of which remained after applying the exclusion criteria. Second, 2 focus group meetings, with 6 and 4 patients, respectively, were held to verify that no attributes had been missed. Three attributes were subsequently added. Third, individuals with chronic pain were then sent an online survey through several patient organizations. Results. A total of 939 patients were asked to select the 8 attributes they deemed most important, which resulted in the following list: fatigue, social life, cramped muscles, sleeping, housekeeping, concentration, not being understood, and control over pain. The importance assigned to these 8 attributes varied slightly according to age, gender, and diagnostic subgroup. Limitations. Participation rate could not be established because of the online survey. Conclusions. Attributes reflecting impact of chronic pain deemed most important by patients are revealed. Importance of impact differs according to subgroups. The "patients-first" methodology used here revealed attributes that were not comprehensively covered in currently available instruments for measuring the impact of chronic pain

Multi-criteria decision analysis (MCDA):testing a proposed MCDA framework for orphan drugs

BACKGROUND: Since the introduction of the orphan drugs legislation in Europe, it has been suggested that the general method of assessing drugs for reimbursement is not necessarily suitable for orphan drugs. The National Institute for Health and Clinical Excellence indicated that several criteria other than cost and efficacy could be considered in reimbursement decisions for orphan drugs. This study sought to explore the multi-criteria decision analysis (MCDA) framework proposed by (Orphanet J Rare Dis 7:74, 2012) to a range of orphan drugs, with a view to comparing the aggregate scores to the average annual cost per patient for each product, and thus establishing the merit of MCDA as a tool for assessing the value of orphan drugs in relation to their pricings. METHODS: An MCDA framework was developed using the nine criteria proposed by (Orphanet J Rare Dis 7:74, 2012) for the evaluation of orphan drugs, using the suggested numerical scoring system on a scale of 1 to 3 for each criterion. Correlations between the average annual cost of the drugs and aggregate MCDA scores were tested and plotted graphically. Different weightings for each of the attributes were also tested. A further analysis was conducted to test the impact of including the drug cost as an attribute in the aggregate index scores. RESULTS: In the drugs studied, the R (2), that statistically measures how close the data are to the fitted regression line was 0.79 suggesting a strong correlation between the drug scores and the average annual cost per patient. CONCLUSION: Despite several limitations of the proposed model, this quantitative study provided insight into using MCDA and its relationship to the average annual costs of the products

N-band Imaging of Seyfert Nuclei and the MIR-X-ray correlation

We present new mid-infrared (N-band) images of a sample of eight nearby Seyfert galaxies. In all of our targets, we detect a central unresolved source, which in some cases has been identified for the first time. In particular, we have detected the mid-infrared emission from the active nucleus of NGC 4945, which previously remained undetected at any wavelength but hard X-rays. We also detect circumnuclear extended emission in the Circinus galaxy along its major axis, and find marginal evidence for extended circumnuclear emission in NGC 3281. The high spatial resolution (1.7") of our data allows us to separate the flux of the nuclear point sources from the extended circumnuclear starburst (if present). We complement our sample with literature data for a number of non-active starburst galaxies, and relate the nuclear N-band flux to published hard (2-10 kev) X-ray fluxes. We find tight and well-separated correlations between nuclear N-band flux and X-ray flux for both Seyfert and starburst nuclei which span over 3 orders of magnitude in luminosity. We demonstrate that these correlations can be used as a powerful classification tool for galactic nuclei. For example, we find strong evidence against NGC 1808 currently harbouring an active Seyfert nucleus based on its position in the mid-infrared-X-ray diagram. On the other hand, we confirm that NGC 4945 is in fact a Seyfert 2 galaxy.Comment: 31 pages, incl. 4 figures, uses AASTex. Replaced with accepted version after minor modifications. To appear in Ap

Elusive Active Galactic Nuclei

A fraction of active galactic nuclei do not show the classical Seyfert-type signatures in their optical spectra, i.e. they are optically "elusive". X-ray observations are an optimal tool to identify this class of objects. We combine new Chandra observations with archival X-ray data in order to obtain a first estimate of the fraction of elusive AGN in local galaxies and to constrain their nature. Our results suggest that elusive AGN have a local density comparable to or even higher than optically classified Seyfert nuclei. Most elusive AGN are heavily absorbed in the X-rays, with gas column densities exceeding 10^24 cm^-2, suggesting that their peculiar nature is associated with obscuration. It is likely that in elusive AGN, the nuclear UV source is completely embedded and the ionizing photons cannot escape, which prevents the formation of a classical Narrow Line Region. Elusive AGN may contribute significantly to the 30 keV bump of the X-ray background.Comment: accepted for publication in MNRAS Letters, 6 pages, 3 figures, typos and references correcte

Efeito de níveis de metionina sobre o número de furos do disco germinal de ovos de codornas.

Com o objetivo de predizer resultados de incubatório, avaliou-se o número de furos, feitos por espermatozoides, próximos ao disco germinal de ovos de codornas que receberam diferentes níveis de metionina na dieta, formulada à base de milho e farelo de soja, sendo os tratamentos: T1 = sem adição de metionina, somente a aportada pelos alimentos, T2 = inclusão de metionina estabelecida de acordo com Rostagno et al. (2011) para a espécie e T3 = inclusão de 20% superior à recomendada para a espécie (T2). Os ovos foram coletados, processados e o número de furos avaliado. Este trabalho não encontrou diferença significativa para os níveis de metionina testados. With the aim to predict hatching results, the number of sperm holes in the germinal disc area of Japanese quail eggs submitted to different dietary methionine content were counted. Treatments were stablished as: T1 = no supplementary methionine (just from the ingredients content), T2 = methionine content according to Rostagno et al. (2011), and T3 = T2 plus 20% additional methionine. The eggs were collected, processed, and the number of holes in the germinal disc area were recorded. No significant difference was observed for the dietary methionine levels tested

Decision for reconstructive interventions of the upper limb in individuals with tetraplegia: the effect of treatment characteristics

Objective: To determine the effect of treatment characteristics on the\ud decision for reconstructive interventions for the upper extremities (UE) in\ud subjects with tetraplegia. - \ud Setting: Seven specialized spinal cord injury centres in the Netherlands. - \ud Method: Treatment characteristics for UE reconstructive interventions were\ud determined. Conjoint analysis (CA) was used to determine the contribution\ud and the relative importance of the treatment characteristics on the decision\ud for therapy. Therefore, a number of different treatment scenarios using these\ud characteristics were established. Different pairs of scenarios were presented\ud to subjects who were asked to choose the preferred scenario of each set. - \ud Results: forty nine subjects with tetraplegia with a stable C5, C6 or C7\ud lesion were selected. All treatment characteristics significantly influenced\ud the choice for treatment. Relative importance of treatment characteristics\ud were: intervention type (surgery or surgery with FES implant) 13%, number\ud of operations 15%, in patient rehabilitation period 22%, ambulant\ud rehabilitation period 9%, complication rate 15%, improvement of elbow\ud function 10%, improvement of hand function 15%. In deciding for therapy\ud 40% of the subjects focused on one characteristic. - \ud Conclusion: CA is applicable in Spinal Cord Injury medicine to study the\ud effect of health outcomes and non-health outcomes on the decision for\ud treatment. Non-health outcomes which relate to the intensity of treatment\ud are equally important or even more important than functional outcome in the\ud decision for reconstructive UE surgery in subjects with tetraplegia

Translation, adaptation and validation of the diabetes distress scale for Indonesian diabetic outpatients with various types of complications

Objectives: To translate, adapt and validate the Diabetes Distress Scale (DDS) instrument for Indonesian type 2 diabetes mellitus (T2DM) outpatients with various types of complications. Methods: Participants were recruited from four hospitals and two primary healthcare facilities. The procedure of the study included forward and backward translations, an adaptation testing with a small subset of participants, and a validation test. Factor analysis with maximum likelihood estimation and promax rotation was used to investigate the instrument structure. Internal consistency among the items was estimated using Cronbach's alpha for each of the four domains of the DDS. The instrument form resulting from this study was labeled DDS17 Bahasa Indonesia. Results: 324 participants (246 from hospitals and 78 from primary healthcare facilities) were involved in this study. Understanding of the exact meaning of questions by study participants was improved by adding T2DM daily activity examples (e.g. diet, exercise and adherence to therapy) to several questions after the translations and adaptation procedure. The factor analysis showed correlation among the four factors ranging from 0.40 to 0.67. The order in the factor analysis was first interpersonal distress, followed by emotional burden, physician distress, and regimen distress. The internal consistency for the four domains ranged from 0.78 to 0.83. Conclusions: The DDS17 Bahasa Indonesia provides a valid and reliable scale for assessing distress of Indonesian T2DM outpatients. The use of this instrument in future research and clinical trials is recommended for the Indonesian context

The nuclear star cluster of the Milky Way

The nuclear star cluster of the Milky Way is a unique target in the Universe. Contrary to extragalactic nuclear star clusters, using current technology it can be resolved into tens of thousands of individual stars. This allows us to study in detail its spatial and velocity structure as well as the different stellar populations that make up the cluster. Moreover, the Milky Way is one of the very few cases where we have firm evidence for the co-existence of a nuclear star cluster with a central supermassive black hole, Sagittarius A*. The number density of stars in the Galactic center nuclear star cluster can be well described, at distances $\gtrsim1$ pc from Sagittarius A*, by a power-law of the form $\rho(r)\propto r^{-\gamma}$ with an index of $\gamma\approx1.8$. In the central parsec the index of the power-law becomes much flatter and decreases to $\gamma\approx1.2$. We present proper motions for more than 6000 stars within 1 pc in projection from the central black hole. The cluster appears isotropic at projected distances $\gtrsim0.5$ pc from Sagittarius A*. Outside of 0.5 pc and out to 1.0 pc the velocity dispersion appears to stay constant. A robust result of our Jeans modeling of the data is the required presence of $0.5-2.0\times10^{6} M_{\odot}$ of extended (stellar) mass in the central parsec of the Galaxy.Comment: To appear in the proceedings of "The Universe under the Microscope - Astrophysics at High Angular Resolution", Journal of Physics:Conference Series (IOP; http://www.iop.org/EJ/conf) This version has been slightly modified (e.g. double-log plot in right hand panel of Figure 5

A study of the remarkable galaxy system AM 546-324 (the core of Abell S0546)

We report first results of an investigation of the tidally disturbed galaxy system AM\,546-324, whose two principal galaxies 2MFGC 04711 and AM\,0546-324 (NED02) were previously classified as interacting doubles. This system was selected to study the interaction of ellipticals in a moderately dense environment. We provide spectral characteristics of the system and present an observational study of the interaction effects on the morphology, kinematics, and stellar population of these galaxies. The study is based on long-slit spectrophotometric data in the range of $\sim$ 4500-8000 $\AA$ obtained with the Gemini Multi-Object Spetrograph at Gemini South (GMOS-S). We have used the stellar population synthesis code STARLIGHT to investigate the star formation history of these galaxies. The Gemini/GMOS-S direct r-G0303 broad band pointing image was used to enhance and study fine morphological structures. The main absorption lines in the spectra were used to determine the radial velocity. Along the whole long-slit signal, the spectra of the Shadowy galaxy (discovered by us), 2MFGC 04711, and AM\,0546-324 (NED02) resemble that of an early-type galaxy. We estimated redshifts of z= 0.0696, z= 0.0693 and z= 0.0718, corresponding to heliocentric velocities of 20\,141 km s$^{-1}$, 20\,057 km s$^{-1}$, and 20\,754 km s$^{-1}$ for the Shadowy galaxy, 2MFGC 04711 and AM\,0546-324 (NED02), respectively. ..