Galactic vs. Extragalactic Origin of the Peculiar Transient SCP 06F6

We study four scenarios for the SCP 06F6 transient event that was announced recently. Some of these were previously briefly discussed as plausible models for SCP 06F6, in particular with the claimed detection of a z=0.143 cosmological redshift of a Swan spectrum of a carbon rich envelope. We adopt this value of z for extragalactic scenarios. We cannot rule out any of these models, but can rank them from most to least preferred. Our favorite model is a tidal disruption of a CO white dwarf (WD) by an intermediate-mass black hole (IMBH). To account for the properties of the SCP 06F6 event, we have to assume the presence of a strong disk wind that was not included in previous numerical simulations. If the IMBH is the central BH of a galaxy, this explains the non detection of a bright galaxy in the direction of SCP 06F6. Our second favorite scenario is a type Ia-like SN that exploded inside the dense wind of a carbon star. The carbon star is the donor star of the exploded WD. Our third favorite model is a Galactic source of an asteroid that collided with a WD. Such a scenario was discussed in the past as the source of dusty disks around WDs, but no predictions exist regarding the appearance of such an event. Our least favorite model is of a core collapse SN. The only way we can account for the properties of SCP 06F6 with a core collapse SN is if we assume the occurrence of a rare type of binary interaction.Comment: Accepted by New Astronom

Sex-specific associations between adolescent categories of BMI with cardiovascular and non-cardiovascular mortality in midlife

Context Most studies linking long-term consequences of adolescent underweight and obesity are limited to men. Objective: To assess the sex-specific association of adolescent BMI with cardiovascular- and non-cardiovascular-related mortality in young adulthood and midlife. Setting: A nationwide cohort. Participants: 927,868 women, 1,366,271 men. Interventions Medical examination data at age 17, including BMI, were linked to the national death registry. Main outcomes Death attributed to cardiovascular (CVD) and non-CVD causes. Results: During 17,346,230 women-years and 28,367,431 men-years of follow-up, there were 451 and 3208 CVD deaths, respectively, and 6235 and 22,223 non-CVD deaths, respectively. Compared to low-normal BMI (18.5–22.0 kg/m2), underweight women had a lower adjusted risk for CVD mortality (Cox hazard ratio (HR) = 0.68; 95% CI 0.46–0.98) in contrast to underweight men (HR = 0.99; 0.88–1.13). The latter were at higher risk for non-CVD mortality (HR = 1.04; 1.00–1.09), unlike underweight women (HR = 1.01; 0.93–1.10). Findings, which persisted when the study sample was limited to those with unimpaired health, were accentuated for the obese with ≥ 30 years follow-up. Both sexes exhibited similarly higher risk estimates already in the high-normal BMI range (22.0 ≤ BMI < 25.0 kg/m2) with overall no interaction between sex and BMI (p = 0.62). Adjusted spline models suggested lower BMI values for minimal mortality risk among women (16.8 and 18.2 kg/m2) than men (18.8 and 20.0 kg/m2), for CVD and non-CVD death, respectively. Conclusions: Underweight adolescent females have favorable cardiovascular outcomes in adulthood. Otherwise the risk patterns were similar between the sexes. The optimal BMI value for women and men with respect to future CVD outcomes is within or below the currently accepted low-normal BMI range. Electronic supplementary material The online version of this article (10.1186/s12933-018-0727-7) contains supplementary material, which is available to authorized users

Incidence of Ventricular Fibrillation and Sustained Ventricular Tachycardia Complicating Non-ST Segment Elevation Myocardial Infarction

Background: Primary ventricular fibrillation (VF) and sustained ventricular tachycardia (VT) are potentially lethal complications in patients suffering from acute myocardial infarction (MI). In contrast with the profound data regarding the incidence and prognostic value of ventricular arrhythmias in ST elevation myocardial infarction (STEMI) patients, data regarding contemporary non-ST elevation myocardial infarction (NSTEMI) patients with ventricular arrhythmias is scarce. The aim of the current study was to investigate the incidence of VF/VT complicating NSTEMI among patients admitted to an intensive coronary care unit (ICCU). Methods: Prospective, single-center study of patients diagnosed with NSTEMI admitted to ICCU between June 2019 and December 2022. Data including demographics, presenting symptoms, comorbid conditions, and physical examination, as well as laboratory and imaging data, were analyzed. Patients were continuously monitored for arrhythmias during their admission. The study endpoint was the development of VF/sustained VT during admission. Results: A total of 732 patients were admitted to ICCU with a diagnosis of NSTEMI. Of them, six (0.8%) patients developed VF/VT during their admission. Nevertheless, three were excluded after they were misdiagnosed with NSTEMI instead of posterior ST elevation myocardial infarction (STEMI). Hence, only three (0.4%) NSTEMI patients had VF/VT during admission. None of the patients died during 1-year follow-up. Conclusions: VF/VT in NSTEMI patients treated according to contemporary guidelines including early invasive strategy is rare, suggesting these patients may not need routine monitoring and ICCU setup

MOESM1 of Sex-specific associations between adolescent categories of BMI with cardiovascular and non-cardiovascular mortality in midlife

Additional file 1. Additional tables

MOESM1 of Clinical impact of diabetes mellitus in patients undergoing transcatheter aortic valve replacement

Additional file 1: Table S1. Complication rates based on HbA1c levels