FUSE Observations of Outflowing OVI in the Dwarf Starburst Galaxy NGC1705

We report FUSE far-UV spectroscopy of the prototypical dwarf starburst galaxy NGC 1705. These data allow us for the first time to probe the coronal-phase gas (T = 10E5 to 10E6 K) that may dominate the radiative cooling of the supernova-heated ISM and thereby determine the dynamical evolution of starburst-driven outflows. We detect a broad (100 km/s) and blueshifted (by 80 km/s) OVI absorption-line arising in the previously-known galactic outflow. The properties of the OVI absorption are inconsistent with the standard superbubble model in which this gas arises in a conductive interface inside the outer shell. We show that the superbubble in NGC 1705 is blowing out of the galaxy ISM. During blow-out, coronal-phase gas can be created by hydrodynamical mixing as hot gas rushes out through fissures in the fragmenting shell of cool gas. As the coronal gas cools radiatively, it can naturally produce the observed OVI column density and outflow speed. The OVI data show that the cooling rate in the coronal-phase gas is less than about 10% of the supernova heating rate. Since the X-ray luminosity from hotter gas is even smaller, we conclude that radiative losses are insignificant. The outflow should be able to vent its metals and kinetic energy out of the galaxy. This process has potentially important implications for the evolution of dwarf galaxies and the IGM.Comment: ApJ (in press

On the Escape of Ionizing Radiation from Starbursts

Far-ultraviolet spectra obtained with $FUSE$ show that the strong $CII\lambda$1036 interstellar absorption-line is essentially black in five of the UV-brightest local starburst galaxies. Since the opacity of the neutral ISM below the Lyman-edge will be significantly larger than in the $CII$ line, these data provide strong constraints on the escape of ionizing radiation from these starbursts. Interpreted as a a uniform absorbing slab, the implied optical depth at the Lyman edge is huge ($\tau_0 \geq 10^2$). Alternatively, the areal covering factor of opaque material is typically $\geq$ 94%. Thus, the fraction of ionizing stellar photons that escape the ISM of each galaxy is small: our conservative estimates typically yield $f_{esc} \leq 6$. Inclusion of extinction due to dust will further decrease $f_{esc}$. An analogous analysis of the rest-UV spectrum of the star-forming galaxy $MS 1512-CB58$ at $z$ =2.7 leads to similar constraints on $f_{esc}$. These new results agree with the constraints provided by direct observations below the Lyman edge in a few other local starbursts. However, they differ from the recently reported properties of star-forming galaxies at $z \geq$ 3. We assess the idea that the strong galactic winds seen in many powerful starbursts clear channels through their neutral ISM. We show empirically that such outflows may be a necessary - but not sufficient - part of the process for creating a relatively porous ISM. We note that observations will soon document the cosmic evolution in the contribution of star-forming galaxies to the metagalactic ionizing background, with important implications for the evolution of the IGM.Comment: 17 pages; ApJ, in pres

The Metal-Enriched Outer Disk of NGC 2915

We present optical emission-line spectra for outlying HII regions in the extended neutral gas disk surrounding the blue compact dwarf galaxy NGC 2915. Using a combination of strong-line R23 and direct oxygen abundance measurements, we report a flat, possibly increasing, metallicity gradient out to 1.2 times the Holmberg radius. We find the outer-disk of NGC 2915 to be enriched to a metallicity of 0.4 Z_solar. An analysis of the metal yields shows that the outer disk of NGC 2915 is overabundant for its gas fraction, while the central star-foming core is similarly under-abundant for its gas fraction. Star formation rates derived from very deep ~14 ks GALEX FUV exposures indicate that the low-level of star formation observed at large radii is not sufficient to have produced the measured oxygen abundances at these galactocentric distances. We consider 3 plausible mechanisms that may explain the metal-enriched outer gaseous disk of NGC 2915: radial redistribution of centrally generated metals, strong galactic winds with subsequent fallback, and galaxy accretion. Our results have implications for the physical origin of the mass-metallicity relation for gas-rich dwarf galaxies.Comment: 11 pages, 4 figures, accepted to ApJ April 8th, 201

Metal Transport to the Gaseous Outskirts of Galaxies

We present a search for outlying H II regions in the extended gaseous outskirts of nearby ( D < 40 Mpc) galaxies and subsequent multi-slit spectroscopy used to obtain the H II region nebular oxygen abundances. The galaxies in our sample have extended H I disks and/or interaction-related H I features that extend well beyond their primary stellar components. We report oxygen abundance gradients out to 2.5 times the optical radius for these galaxies which span a range of morphologies and masses. We analyze the underlying stellar and neutral H I gas distributions in the vicinity of the H II regions to understand the physical processes that give rise to the observed metal distributions in galaxies. These measurements, for the first time, convincingly show flat abundance distributions out to large radii in a wide variety of systems and have broad implications for galaxy chemodynamical evolution.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/90754/1/0004-637X_735_2_71.pd

Factors and outcomes in primary care physician retention in rural areas

Background: This paper examines factors influencing physicians’ decisions to practise in rural communities as well as the results of a programme focused on rural recruitment and retention. Methods: Data from two sources were analysed and discussed: 1) telephone interviews with 20 of 33 (61%) recently located rural physicians regarding practice and community factors influencing their practice decisions and 2) a database of 107 graduates of a rural medical education programme who have been in practice for at least three years to examine specialty choice and practice location(s), including moves from their original practice sites.Results: Most rural physicians in this study decided to practise in rural areas because of family ties. Eighty per cent of the physicians participating in the interviews mentioned no negative personal or family factors related to their community of practice. Outcome data on graduates from the rural medical education programme are encouraging. Over 70% opt for primary care and rural practice. Over 80% have remained in their original rural practice location. Conclusion: Keys to success in rural physician retention seem to include identifying and recruiting medical students of rural origin and focusing on a healthy practice environment. Policy makers need to work with local government, schools and employers to offer programmes that provide information on health careers in rural areas and begin to identify local youth for induction in rural health care. Keywords: retention; rural; primary care; physicians; workforc

Effect of Testing and Treatment on Emergency Department Length of Stay Using a National Database

Objectives:  Testing and treatment are essential aspects of the delivery of emergency care. Recognition of the effects of these activities on emergency department (ED) length of stay (LOS) has implications for administrators planning efficient operations, providers, and patients regarding expectations for length of visit; researchers in creating better models to predict LOS; and policy‐makers concerned about ED crowding. Methods:  A secondary analysis was performed using years 2006 through 2008 of the National Hospital Ambulatory Medical Care Survey (NHAMCS), a nationwide study of ED services. In univariate and bivariate analyses, the authors assessed ED LOS and frequency of testing (blood test, urinalysis, electrocardiogram [ECG], radiograph, ultrasound, computed tomography [CT], or magnetic resonance imaging [MRI]) and treatment (providing a medication or performance of a procedure) according to disposition (discharged or admitted status). Two sets of multivariable models were developed to assess the contribution of testing and treatment to LOS, also stratified by disposition. The first was a series of logistic regression models to provide an overview of how testing and treatment activity affects three dichotomized LOS cutoffs at 2, 4, and 6 hours. The second was a generalized linear model (GLM) with a log‐link function and gamma distribution to fit skewed LOS data, which provided time costs associated with tests and treatment. Results:  Among 360 million weighted ED visits included in this analysis, 227 million (63%) involved testing, 304 million (85%) involved treatment, and 201 million (56%) involved both. Overall, visits with any testing were associated with longer LOS (median = 196 minutes; interquartile range [IQR] = 125 to 305 minutes) than those with any treatment (median = 159 minutes; IQR = 91 to 262 minutes). This difference was more pronounced among discharged patients than admitted patients. Obtaining a test was associated with an adjusted odds ratio (OR) of 2.29 (95% confidence interval [CI] = 1.86 to 2.83) for experiencing a more than 4‐hour LOS, while performing a treatment had no effect (adjusted OR = 0.84; 95% CI = 0.68 to 1.03). The most time‐costly testing modalities included blood test (adjusted marginal effects on LOS = +72 minutes; 95% CI = 66 to 78 minutes), MRI (+64 minutes; 95% CI = 36 to 93 minutes), CT (+59 minutes; 95% CI = 54 to 65 minutes), and ultrasound (US; +56 minutes; 95% CI = 45 to 67 minutes). Treatment time costs were less substantial: performing a procedure (+24 minutes; 95% CI = 20 to 28 minutes) and providing a medication (+15 minutes; 95% CI = 8 to 21 minutes). Conclusions:  Testing and less substantially treatment were associated with prolonged LOS in the ED, particularly for blood testing and advanced imaging. This knowledge may better direct efforts at streamlining delivery of care for the most time‐costly diagnostic modalities or suggest areas for future research into improving processes of care. Developing systems to improve efficient utilization of these services in the ED may improve patient and provider satisfaction. Such practice improvements could then be examined to determine their effects on ED crowding.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/92123/1/j.1553-2712.2012.01353.x.pd

Imaging of Ultraluminous Infrared Galaxies in the Near-UV

We present the first ground-based U' (3410 angstroms) images of Ultraluminous Infrared Galaxies (ULIGs). Strong U' emission (median total M_U' = -20.8) is seen in all systems and in some cases the extended tidal features (both the smooth stellar distribution and compact star-forming features) contribute up to 60-80% of the total flux. The star-forming regions in both samples are found to have ages based on spectral synthesis models in the range 10-100 Myrs, and most differences in color between them can be attributed to the effects of dust reddening. Additionally, it is found that star-formation in compact knots in the tidal tails is most prominent in those ULIGs which have double nuclei, suggesting that the star-formation rate in the tails peaks prior to the actual coalescence of the galaxy nuclei and diminishes quickly thereafter. Similar to results at other wavelengths, the observed star formation at U' can only account for a small fraction of the known bolometric luminosity of the ULIGs. Azimuthally averaged radial light profiles at U' are characterized by a sersic law with index n=2, which is intermediate between an exponential disk and an r^(-1/4) law and closely resembles the latter at large radii. The implications of this near-ultraviolet imaging for optical/near-infrared observations of high redshift counterparts of ULIGs are discussed.Comment: 30 pages, 4 tables, and 9 figures, 2 of which are JPEGs. To appear in the August, 2000 edition of the Astronomical Journa