1,051 research outputs found

    Pressure and Volume Limited Ventilation for the Ventilatory Management of Patients with Acute Lung Injury: A Systematic Review and Meta-Analysis

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    Acute lung injury (ALI) and acute respiratory distress syndrome (ARDS) are life threatening clinical conditions seen in critically ill patients with diverse underlying illnesses. Lung injury may be perpetuated by ventilation strategies that do not limit lung volumes and airway pressures. We conducted a systematic review and meta-analysis of randomized controlled trials (RCTs) comparing pressure and volume-limited (PVL) ventilation strategies with more traditional mechanical ventilation in adults with ALI and ARDS.We searched Medline, EMBASE, HEALTHSTAR and CENTRAL, related articles on PubMed™, conference proceedings and bibliographies of identified articles for randomized trials comparing PVL ventilation with traditional approaches to ventilation in critically ill adults with ALI and ARDS. Two reviewers independently selected trials, assessed trial quality, and abstracted data. We identified ten trials (n = 1,749) meeting study inclusion criteria. Tidal volumes achieved in control groups were at the lower end of the traditional range of 10-15 mL/kg. We found a clinically important but borderline statistically significant reduction in hospital mortality with PVL [relative risk (RR) 0.84; 95% CI 0.70, 1.00; p = 0.05]. This reduction in risk was attenuated (RR 0.90; 95% CI 0.74, 1.09, p = 0.27) in a sensitivity analysis which excluded 2 trials that combined PVL with open-lung strategies and stopped early for benefit. We found no effect of PVL on barotrauma; however, use of paralytic agents increased significantly with PVL (RR 1.37; 95% CI, 1.04, 1.82; p = 0.03).This systematic review suggests that PVL strategies for mechanical ventilation in ALI and ARDS reduce mortality and are associated with increased use of paralytic agents

    Using the Galactic Dynamics of M7 Dwarfs to Infer the Evolution of Their Magnetic Activity

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    We present a spectroscopic study and dynamical analysis of ~2600 M7 dwarfs. We confirm our previous finding that the fraction of magnetically active stars decreases with vertical distance from the Galactic plane. We also show that the mean luminosity of the H-alpha emission has a small but statistically significant decrease with distance. Using space motions for ~1300 stars and a simple one-dimensional dynamical simulation, we demonstrate that the drop in the activity fraction of M7 dwarfs can be explained by thin disk dynamical heating and a rapid decrease of magnetic activity at a mean stellar age of ~6-7 Gyr.Comment: 6 pages, accepted for publication in A

    Supernova PTF 09uj: A possible shock breakout from a dense circumstellar wind

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    Type-IIn supernovae (SNe), which are characterized by strong interaction of their ejecta with the surrounding circumstellar matter (CSM), provide a unique opportunity to study the mass-loss history of massive stars shortly before their explosive death. We present the discovery and follow-up observations of a Type IIn SN, PTF 09uj, detected by the Palomar Transient Factory (PTF). Serendipitous observations by GALEX at ultraviolet (UV) wavelengths detected the rise of the SN light curve prior to the PTF discovery. The UV light curve of the SN rose fast, with a time scale of a few days, to a UV absolute AB magnitude of about -19.5. Modeling our observations, we suggest that the fast rise of the UV light curve is due to the breakout of the SN shock through the dense CSM (n~10^10 cm^-3). Furthermore, we find that prior to the explosion the progenitor went through a phase of high mass-loss rate (~0.1 solar mass per year) that lasted for a few years. The decay rate of this SN was fast relative to that of other SNe IIn.Comment: Accepted to Apj, 6 pages, 4 figure

    The GALEX Time Domain Survey. II. Wavelength-Dependent Variability of Active Galactic Nuclei in the Pan-STARRS1 Medium Deep Survey

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    We analyze the wavelength-dependent variability of a sample of spectroscopically confirmed active galactic nuclei selected from near-UV (NUV) variable sources in the GALEX Time Domain Survey that have a large amplitude of optical variability (difference-flux S/N > 3) in the Pan-STARRS1 Medium Deep Survey (PS1 MDS). By matching GALEX and PS1 epochs in five bands (NUV, g_(P1), r_(P1), i_(P1), z_(P1)) in time, and taking their flux difference, we create co-temporal difference-flux spectral energy distributions (ΔƒSEDs) using two chosen epochs for each of the 23 objects in our sample, on timescales of about a year. We confirm the "bluer-when-brighter" trend reported in previous studies, and measure a median spectral index of the ΔƒSEDs of ɑ_⋋ = 2.1 that is consistent with an accretion disk spectrum. We further fit the ΔƒSEDs of each source with a standard accretion disk model in which the accretion rate changes from one epoch to the other. In our sample, 17 out of 23 (~74%) sources are described well by this variable accretion-rate disk model, with a median average characteristic disk temperature T^* of 1.2 x 10^5 K that is consistent with the temperatures expected, given the distribution of accretion rates and black hole masses inferred for the sample. Our analysis also shows that the variable accretion rate model is a better fit to the ΔƒSEDs than a simple power law

    Quark masses and mixings in the RS1 model with a condensing 4th generation

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    We study the hierarchy of quark masses and mixings in a model based on a 5-dimensional spacetime with constant curvature of Randall-Sundrum type with two branes, where the Electroweak Symmetry Breaking is caused dynamically by the condensation of a 4th generation of quarks, due to underlying physics from the 5D bulk and the first KK gluons. We first study the hierarchy of quark masses and mixings that can be obtained from purely adjusting the profile localizations, finding that realistic masses are not reproduced unless non trivial hierarchies of underlying 4-fermion interactions from the bulk are included. Then we study global U(1) symmetries that can be imposed in order to obtain non-symmetric modified Fritzsch-like textures in the mass matrices that reproduce reasonably well quark masses and CKM mixings.Comment: Minor changes. Version accepted for publication in JHE
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