Optical and near-infrared spectroscopy of the black hole swift J1753.5-0127

We report on a multiwavelength observational campaign of the black hole (BH) X-ray binary Swift J1753.5-0127 that consists of an ESO/X-shooter spectrum supported by contemporaneous Swift/X-ray Telescope+Ultra-Violet/Optical Telescope (UVOT) and Australia Telescope Compact Array data. Interstellar medium absorption lines in the X-shooter spectrum allow us to determine E(B-V)=0.45+/- 0.02 along the line of sight to the source. We also report detection of emission signatures of He ii λ 4686, Hα, and, for the first time, H i λ 10906 and Paβ. The double-peaked morphology of these four lines is typical of the chromosphere of a rotating accretion disk. Nonetheless, the paucity of disk features points toward a low level of irradiation in the system. This is confirmed through spectral energy distribution modeling, and we find that the UVOT+X-shooter continuum mostly stems from the thermal emission of a viscous disk. We speculate that the absence of reprocessing is due to the compactness of an illumination-induced envelope that fails to reflect enough incoming hard X-ray photons back to the outer regions. The disk also marginally contributes to the Compton-dominated X-ray emission and is strongly truncated, with an inner radius about 1000 times larger than the BH's gravitational radius. A near-infrared excess is present, and we associate it with synchrotron radiation from a compact jet. However, the measured X-ray flux is significantly higher than what can be explained by the optically thin synchrotron jet component. We discuss these findings in the framework of the radio-quiet versus X-ray-bright hypothesis, favoring the presence of a residual disk, predicted by evaporation models, that contributes to the X-ray emission without enhancing the radio flux

Year in review in Intensive Care Medicine 2009: II. Neurology, cardiovascular, experimental, pharmacology and sedation, communication and teaching

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A História da Alimentação: balizas historiográficas

Os M. pretenderam traçar um quadro da História da Alimentação, não como um novo ramo epistemológico da disciplina, mas como um campo em desenvolvimento de práticas e atividades especializadas, incluindo pesquisa, formação, publicações, associações, encontros acadêmicos, etc. Um breve relato das condições em que tal campo se assentou faz-se preceder de um panorama dos estudos de alimentação e temas correia tos, em geral, segundo cinco abardagens Ia biológica, a econômica, a social, a cultural e a filosófica!, assim como da identificação das contribuições mais relevantes da Antropologia, Arqueologia, Sociologia e Geografia. A fim de comentar a multiforme e volumosa bibliografia histórica, foi ela organizada segundo critérios morfológicos. A seguir, alguns tópicos importantes mereceram tratamento à parte: a fome, o alimento e o domínio religioso, as descobertas européias e a difusão mundial de alimentos, gosto e gastronomia. O artigo se encerra com um rápido balanço crítico da historiografia brasileira sobre o tema

Insight from an Italian Delphi Consensus on EVAR feasibility outside the instruction for use: the SAFE EVAR Study

Background: The SAfety and FEasibility of standard EVAR outside the instruction for use (SAFE-EVAR) Study was designed to define the attitude of Italian vascular surgeons towards the use of standard endovascular repair (EVAR) for infrarenal abdominal aortic aneurysm (AAA) outside the instruction for use (IFU) through a Delphi consensus endorsed by the Italian Society of Vascular and Endovascular Surgery (Società Italiana di Chirurgia Vascolare ed Endovascolare - SICVE). Methods: A questionnaire consisting of 26 statements was developed, validated by an 18-member Advisory Board, and then sent to 600 Italian vascular surgeons. The Delphi process was structured in three subsequent rounds which took place between April and June 2023. In the first two rounds, respondents could indicate one of the following five degrees of agreement: 1) strongly agree; 2) partially agree; 3) neither agree nor disagree; 4) partially disagree; 5) strongly disagree; while in the third round only three different choices were proposed: 1) agree; 2) neither agree nor disagree; 3) disagree. We considered the consensus reached when ≥70% of respondents agreed on one of the options. After the conclusion of each round, a report describing the percentage distribution of the answers was sent to all the participants. Results: Two-hundred-forty-four (40.6%) Italian Vascular Surgeons agreed to participate the first round of the Delphi Consensus; the second and the third rounds of the Delphi collected 230 responders (94.3% of the first-round responders). Four statements (15.4%) reached a consensus in the first rounds. Among the 22 remaining statements, one more consensus (3.8%) was achieved in the second round. Finally, seven more statements (26.9%) reached a consensus in the simplified last round. Globally, a consensus was reached for almost half of the proposed statements (46.1%). Conclusions: The relatively low consensus rate obtained in this Delphi seems to confirm the discrepancy between Guideline recommendations and daily clinical practice. The data collected could represent the source for a possible guidelines' revision and the proposal of specific Good Practice Points in all those aspects with only little evidence available