Health-Related Quality of Life and Needs of Care and Support of Adult Tanzanians with Cancer: A Mixed-Methods Study.

Cancer is among the three leading causes of death in low income countries and the highest increase with regard to incidence figures for cancer diseases are found in these countries. This is the first report of the health-related quality of life (HRQOL) and needs of care and support of adult Tanzanians with cancer. A mixed-methods design was used. The study was conducted at Ocean Road Cancer Institute (ORCI) in Dar es Salaam, Tanzania. One hundred and one patients with a variety of cancer diagnoses treated and cared for at ORCI answered the Kiswahili version of the EORTC QLQ-C30 investigating HRQOL. Thirty-two of the patients participated in focus group interviews discussing needs of care and support. Data from focus group interviews were analyzed with content analysis. The findings show that the patients, both women and men, report a low quality of life, especially with regard to physical, role, and social function and a high level of symptoms and problems especially with financial difficulties and pain. Financial difficulties are reported to a remarkably high extent by both women and men. The patients, both women and men report least problems with emotional function. A content analysis of the interview data revealed needs of food and water, hygienic needs, emotional needs, spiritual needs, financial needs, and needs of closeness to cancer care and treatment services. The high score for pain points out that ORCI is facing severe challenges regarding care and treatment. However, when considering this finding it should be noted that the pain subscale of the Kiswahili version of the EORTC QLQ-C30 did not reach acceptable internal consistency and showed less than satisfactory convergent validity. This also applies to the subscales cognitive function and global health/quality of life. Attention should be drawn to meet the identified needs of Tanzanian cancer patients while hospitalized but also when at home. Increased accessibility of mosquito nets, pads, and pain-killers would help to fulfil some needs

Kepler-210: An active star with at least two planets

We report the detection and characterization of two short-period, Neptune-sized planets around the active host star Kepler-210. The host star's parameters derived from those planets are (a) mutually inconsistent and (b) do not conform to the expected host star parameters. We furthermore report the detection of transit timing variations (TTVs) in the O-C diagrams for both planets. We explore various scenarios that explain and resolve those discrepancies. A simple scenario consistent with all data appears to be one that attributes substantial eccentricities to the inner short-period planets and that interprets the TTVs as due to the action of another, somewhat longer period planet. To substantiate our suggestions, we present the results of N-body simulations that modeled the TTVs and that checked the stability of the Kepler-210 system.Comment: 8 pages, 8 Encapsulated Postscript figure

Low albedos of hot to ultra-hot Jupiters in the optical to near-infrared transition regime

The depth of a secondary eclipse contains information of both the thermally emitted light component of a hot Jupiter and the reflected light component. If the dayside atmosphere of the planet is assumed to be isothermal, it is possible to disentangle both. In this work, we analyze 11 eclipse light curves of the hot Jupiter HAT-P-32b obtained at 0.89 $\mu$m in the z' band. We obtain a null detection for the eclipse depth with state-of-the-art precision, -0.01 +- 0.10 ppt. We confirm previous studies showing that a non-inverted atmosphere model is in disagreement to the measured emission spectrum of HAT-P-32b. We derive an upper limit on the reflected light component, and thus, on the planetary geometric albedo $A_g$. The 97.5%-confidence upper limit is $A_g$ < 0.2. This is the first albedo constraint for HAT-P-32b, and the first z' band albedo value for any exoplanet. It disfavors the influence of large-sized silicate condensates on the planetary day side. We inferred z' band geometric albedo limits from published eclipse measurements also for the ultra-hot Jupiters WASP-12b, WASP-19b, WASP-103b, and WASP-121b, applying the same method. These values consistently point to a low reflectivity in the optical to near-infrared transition regime for hot to ultra-hot Jupiters.Comment: accepted for publication in A&

TESS unveils the phase curve of WASP-33b. Characterization of the planetary atmosphere and the pulsations from the star

We present the detection and characterization of the full-orbit phase curve and secondary eclipse of the ultra-hot Jupiter WASP-33b at optical wavelengths, along with the pulsation spectrum of the host star. We analyzed data collected by the Transiting Exoplanet Survey Satellite (TESS) in sector 18. WASP-33b belongs to a very short list of highly irradiated exoplanets that were discovered from the ground and were later visited by TESS. The host star of WASP-33b is of delta Scuti-type and shows nonradial pulsations in the millimagnitude regime, with periods comparable to the period of the primary transit. These completely deform the photometric light curve, which hinders our interpretations. By carrying out a detailed determination of the pulsation spectrum of the host star, we find 29 pulsation frequencies with a signal-to-noise ratio higher than 4. After cleaning the light curve from the stellar pulsations, we confidently report a secondary eclipse depth of 305.8 +/- 35.5 parts-per-million (ppm), along with an amplitude of the phase curve of 100.4 +/- 13.1 ppm and a corresponding westward offset between the region of maximum brightness and the substellar point of 28.7 +/- 7.1 degrees, making WASP-33b one of the few planets with such an offset found so far. Our derived Bond albedo, A_B = 0.369 +/- 0.050, and heat recirculation efficiency, epsilon = 0.189 +/- 0.014, confirm again that he behavior of WASP-33b is similar to that of other hot Jupiters, despite the high irradiation received from its host star. By connecting the amplitude of the phase curve to the primary transit and depths of the secondary eclipse, we determine that the day- and nightside brightness temperatures of WASP-33b are 3014 +/- 60 K and 1605 +/- 45 K, respectively. From the detection of photometric variations due to gravitational interactions, we estimate a planet mass of M_P = 2.81 +/- 0.53 M$_J.Comment: 19 pages, 15 figure

First Light of Engineered Diffusers at the Nordic Optical Telescope Reveal Time Variability in the Optical Eclipse Depth of WASP-12b

We present the characterization of two engineered diffusers mounted on the 2.5 meter Nordic Optical Telescope, located at Roque de Los Muchachos, Spain. To assess the reliability and the efficiency of the diffusers, we carried out several test observations of two photometric standard stars, along with observations of one primary transit observation of TrES-3b in the red (R-band), one of CoRoT-1b in the blue (B-band), and three secondary eclipses of WASP-12b in V-band. The achieved photometric precision is in all cases within the sub-millimagnitude level for exposures between 25 and 180 seconds. Along a detailed analysis of the functionality of the diffusers, we add a new transit depth measurement in the blue (B-band) to the already observed transmission spectrum of CoRoT-1b, disfavouring a Rayleigh slope. We also report variability of the eclipse depth of WASP-12b in the V-band. For the WASP-12b secondary eclipses, we observe a secondary-depth deviation of about 5-sigma, and a difference of 6-sigma and 2.5-sigma when compared to the values reported by other authors in similar wavelength range determined from Hubble Space Telescope data. We further speculate about the potential physical processes or causes responsible for this observed variabilityComment: 11 pages, 9 figure

Transmission spectroscopy of the inflated exo-Saturn HAT-P-19b

We observed the Saturn-mass and Jupiter-sized exoplanet HAT-P-19b to refine its transit parameters and ephemeris as well as to shed first light on its transmission spectrum. We monitored the host star over one year to quantify its flux variability and to correct the transmission spectrum for a slope caused by starspots. A transit of HAT-P-19b was observed spectroscopically with OSIRIS at the Gran Telescopio Canarias in January 2012. The spectra of the target and the comparison star covered the wavelength range from 5600 to 7600 AA. One high-precision differential light curve was created by integrating the entire spectral flux. This white-light curve was used to derive absolute transit parameters. Furthermore, a set of light curves over wavelength was formed by a flux integration in 41 wavelength channels of 50 AA width. We analyzed these spectral light curves for chromatic variations of transit depth. The transit fit of the combined white-light curve yields a refined value of the planet-to-star radius ratio of 0.1390 pm 0.0012 and an inclination of 88.89 pm 0.32 degrees. After a re-analysis of published data, we refine the orbital period to 4.0087844 pm 0.0000015 days. We obtain a flat transmission spectrum without significant additional absorption at any wavelength or any slope. However, our accuracy is not sufficient to significantly rule out the presence of a pressure-broadened sodium feature. Our photometric monitoring campaign allowed for an estimate of the stellar rotation period of 35.5 pm 2.5 days and an improved age estimate of 5.5^+1.8_-1.3 Gyr by gyrochronology.Comment: 14 pages, 9 figures, Accepted for publication in A&