Periodic Modulations in an X-ray Flare from Sagittarius A*

We present the highly significant detection of a quasi-periodic flux modulation with a period of 22.2 min seen in the X-ray data of the Sgr A* flare of 2004 August 31. This flaring event, which lasted a total of about three hours, was detected simultaneously by EPIC on XMM-Newton and the NICMOS near-infrared camera on the HST. Given the inherent difficulty in, and the lack of readily available methods for quantifying the probability of a periodic signal detected over only several cycles in a data set where red noise can be important, we developed a general method for quantifying the likelihood that such a modulation is indeed intrinsic to the source and does not arise from background fluctuations. We here describe this Monte Carlo based method, and discuss the results obtained by its application to a other XMM-Newton data sets. Under the simplest hypothesis that we witnessed a transient event that evolved, peaked and decayed near the marginally stable orbit of the supermassive black hole, this result implies that for a mass of 3.5 x 10^{6} Msun, the central object must have an angular momentum corresponding to a spin parameter of a=0.22.Comment: 4 pages, 6 figures, submitted to ApJ

The Broadband Spectrum of Galaxy Clusters

We examine whether nonthermal protons energized during a cluster merger are simultaneously responsible for the Coma cluster's diffuse radio flux (via secondary decay) and the departure of its intra-cluster medium (ICM) from a thermal profile via Coulomb collisions between the quasithermal electrons and the hadrons. Rather than approximating the influence of nonthermal proton/thermal electron collisions as extremely rare events which cause an injection of nonthermal, power-law electrons (the `knock-on' approximation), we self-consistently solve (to our knowledge, for the first time) the covariant kinetic equations for the two populations. The electron population resulting from these collisions is out of equilibrium, yet not a power law, and importantly displays a higher bremsstrahlung radiative efficiency than a pure power law. Observations with GLAST will test this model directly.Comment: Accepted for publication in Ap

The AGASA/SUGAR Anisotropies and TeV Gamma Rays from the Galactic Center: A Possible Signature of Extremely High-energy Neutrons

Recent analysis of data sets from two extensive air shower cosmic ray detectors shows tantalizing evidence of an anisotropic overabundance of cosmic rays towards the Galactic Center (GC) that ``turns on'' around $10^{18}$ eV. We demonstrate that the anisotropy could be due to neutrons created at the Galactic Center through charge-exchange in proton-proton collisions, where the incident, high energy protons obey an $\sim E^{-2}$ power law associated with acceleration at a strong shock. We show that the normalization supplied by the gamma-ray signal from EGRET GC source 3EG J1746-2851 -- ascribed to pp induced neutral pion decay at GeV energies -- together with a very reasonable spectral index of 2.2, predicts a neutron flux at $\sim 10^{18}$ eV fully consistent with the extremely high energy cosmic ray data. Likewise, the normalization supplied by the very recent GC data from the HESS air-Cerenkov telescope at \~TeV energies is almost equally-well compatible with the $\sim 10^{18}$ eV cosmic ray data. Interestingly, however, the EGRET and HESS data appear to be themselves incompatible. We consider the implications of this discrepancy. We discuss why the Galactic Center environment can allow diffusive shock acceleration at strong shocks up to energies approaching the ankle in the cosmic ray spectrum. Finally, we argue that the shock acceleration may be occuring in the shell of Sagittarius A East, an unusual supernova remnant located very close to the Galactic Center. If this connection between the anisotropy and Sagittarius A East could be firmly established it would be the first direct evidence for a particular Galactic source of cosmic rays up to energies near the ankle.Comment: 57 pages, 2 figure

Patients’ and caregivers’ contested perspectives on spiritual care for those affected by advanced illnesses: A qualitative descriptive study

Context; Spiritual care refers to practices and rituals addressing spiritual/religious concerns. It supports coping with loss and finding hope, meaning, and peace. Although integral to palliative care, its implementation is challenging. Objective: To understand an Australian cohort of patients’ and caregivers’ perspectives about experiencing and optimizing spiritual care in the context of advanced illness. Methods: Patients and caregivers of patients with #12 month prognosis were recruited from a broader spiritual study via criterion sampling and agreed to opt-in interviews. Participants from an Australian, metropolitan health service received a spiritual care definition and were interviewed. Transcripts were analyzed using qualitative description. Results: 30 patients (17 male; mean age 70 years) and 10 caregivers (six male; mean age 58.9 years) participated. 27 identified as Christian, and 10 had no religion. Participants described multifaceted and contested beliefs about spirituality. Many queried the tangibility of spirituality, but all valued respectful staff who affirmed personhood, that is, each individual’s worth, especially when care exceeded expectations. They also resonated with positive organizational and environmental tones that improved holistic well-being. Participants stressed the importance of the hospital’s welcoming context and skilled care, which comforted and reassured. Conclusion: Although many patients and caregivers did not resonate with the term ‘‘spiritual care,’’ all described how the hospital’s hospitality could affirm their values and strengthen coping. The phrase ‘‘spiritual care and hospitality’’ may optimally articulate and guide care in similar, pluralist inpatient palliative care contexts, recognizing that such care encompasses an interplay of generalist and specialist pastoral care staff and organizational and environmental qualities

Timing of palliative care referral and aggressive cancer care toward the end-of-life in pancreatic cancer: A retrospective, single-center observational study

Background: Pancreatic cancer is noted for its late presentation at diagnosis, limited prognosis and physical and psychosocial symptom burden. This study examined associations between timing of palliative care referral (PCR) and aggressive cancer care received by pancreatic cancer patients in the last 30 days of life through a single health service. Method: A retrospective cohort analysis of end-of-life (EOL) care outcomes of patients with pancreatic cancer who died between 2012 and 2016. Key indicators of aggressive cancer care in the last 30 days of life used were: ≥1 emergency department (ED) presentations, acute inpatient/intensive care unit (ICU) admission, and chemotherapy use. We examined time from PCR to death and place of death. Early and late PCR were defined as \u3e 90 and ≤ 90 days before death respectively. Results: Out of the 278 eligible deaths, 187 (67.3%) were categorized as receiving a late PCR and 91 (32.7%) an early PCR. The median time between referral and death was 48 days. Compared to those receiving early PCR, those with late PCR had: 18.1% (95% CI 6.8–29.4%) more ED presentations; 12.5% (95% CI 1.7–24.8%) more acute hospital admissions; with no differences in ICU admissions. Pain and complications of cancer accounted for the majority of overall ED presentations. Of the 166 patients who received chemotherapy within 30 days of death, 23 (24.5%) had a late PCR and 12 (16.7%) an early PCR, with no association of PCR status either unadjusted or adjusted for age or gender. The majority of patients (55.8%) died at the inpatient palliative care unit. Conclusion: Our findings reaffirm the benefits of early PCR for pancreatic cancer patients to avoid inappropriate care toward the EOL. We suggest that in modern cancer care, there can sometimes be a need to reconsider the use of the term ‘aggressive cancer care’ at the EOL when the care is appropriately based on an individual patient’s presenting physical and psychosocial needs. Pancreatic cancer patients warrant early PCR but the debate must thus continue as to how we best achieve and benchmark outcomes that are compatible with patient and family needs and healthcare priorities

On the development of QPOs in Bondi-Hoyle accretion flows

The numerical investigation of Bondi-Hoyle accretion onto a moving black hole has a long history, both in Newtonian and in general-relativistic physics. By performing new two-dimensional and general-relativistic simulations onto a rotating black hole, we point out a novel feature, namely, that quasi-periodic oscillations (QPOs) are naturally produced in the shock cone that develops in the downstream part of the flow. Because the shock cone in the downstream part of the flow acts as a cavity trapping pressure perturbations, modes with frequencies in the integer ratios 2:1 and 3:1 are easily produced. The frequencies of these modes depend on the black-hole spin and on the properties of the flow, and scale linearly with the inverse of the black-hole mass. Our results may be relevant for explaining the detection of QPOs in Sagittarius A*, once such detection is confirmed by further observations. Finally, we report on the development of the flip-flop instability, which can affect the shock cone under suitable conditions; such an instability has been discussed before in Newtonian simulations but was never found in a relativistic regime.Comment: 11 pages, 7 figure

Diffuse Gamma-ray Emission from the Galactic Center - A Multiple Energy Injection Model

We suggest that the energy source of the observed diffuse gamma-ray emission from the direction of the Galactic center is the Galactic black hole Sgr A*, which becomes active when a star is captured at a rate of $\sim 10^{-5}$ yr^{-1}. Subsequently the star is tidally disrupted and its matter is accreted into the black hole. During the active phase relativistic protons with a characteristic energy $\sim 6\times 10^{52}$ erg per capture are ejected. Over 90% of these relativistic protons disappear due to proton-proton collisions on a timescale $\tau_{pp} \sim 10^4$ years in the small central bulge region with radius $\sim 50$ pc within Sgr A*, where the density is $\ge 10^3$ cm^{-3}. The gamma-ray intensity, which results from the decay of neutral pions produced by proton-proton collisions, decreases according to $e^{-t/\tau_{pp}}$, where t is the time after last stellar capture. Less than 5% of relativistic protons escaped from the central bulge region can survive and maintain their energy for >10^7 years due to much lower gas density outside, where the gas density can drop to $\sim 1$ cm$^{-3}$. They can diffuse to a $\sim 500$ pc region before disappearing due to proton-proton collisions. The observed diffuse GeV gamma-rays resulting from the decay of neutral pions produced via collision between these escaped protons and the gas in this region is expected to be insensitive to time in the multi-injection model with the characteristic injection rate of 10^{-5} yr^{-1}. Our model calculated GeV and 511 keV gamma-ray intensities are consistent with the observed results of EGRET and INTEGRAL, however, our calculated inflight annihilation rate cannot produce sufficient intensity to explain the COMPTEL data.Comment: 8 pages, 3 figures, accepted by A&

X-ray and Radio Variability of M31*, The Andromeda Galaxy Nuclear Supermassive Black Hole

We confirm our earlier tentative detection of M31* in X-rays and measure its light-curve and spectrum. Observations in 2004-2005 find M31* rather quiescent in the X-ray and radio. However, X-ray observations in 2006-2007 and radio observations in 2002 show M31* to be highly variable at times. A separate variable X-ray source is found near P1, the brighter of the two optical nuclei. The apparent angular Bondi radius of M31* is the largest of any black hole, and large enough to be well resolved with Chandra. The diffuse emission within this Bondi radius is found to have an X-ray temperature ~0.3 keV and density 0.1 cm-3, indistinguishable from the hot gas in the surrounding regions of the bulge given the statistics allowed by the current observations. The X-ray source at the location of M31* is consistent with a point source and a power law spectrum with energy slope 0.9+/-0.2. Our identification of this X-ray source with M31* is based solely on positional coincidence.Comment: 25 pages, 8 figures, submitted to Ap

Efficiency of evolutionary algorithms in water network pipe sizing

The pipe sizing of water networks via evolutionary algorithms is of great interest because it allows the selection of alternative economical solutions that meet a set of design requirements. However, available evolutionary methods are numerous, and methodologies to compare the performance of these methods beyond obtaining a minimal solution for a given problem are currently lacking. A methodology to compare algorithms based on an efficiency rate (E) is presented here and applied to the pipe-sizing problem of four medium-sized benchmark networks (Hanoi, New York Tunnel, GoYang and R-9 Joao Pessoa). E numerically determines the performance of a given algorithm while also considering the quality of the obtained solution and the required computational effort. From the wide range of available evolutionary algorithms, four algorithms were selected to implement the methodology: a PseudoGenetic Algorithm (PGA), Particle Swarm Optimization (PSO), a Harmony Search and a modified Shuffled Frog Leaping Algorithm (SFLA). After more than 500,000 simulations, a statistical analysis was performed based on the specific parameters each algorithm requires to operate, and finally, E was analyzed for each network and algorithm. The efficiency measure indicated that PGA is the most efficient algorithm for problems of greater complexity and that HS is the most efficient algorithm for less complex problems. However, the main contribution of this work is that the proposed efficiency ratio provides a neutral strategy to compare optimization algorithms and may be useful in the future to select the most appropriate algorithm for different types of optimization problems

Standard Model Higgs boson production in association with a top anti-top pair at NLO with parton showering

We present predictions for the production cross section of a Standard Model Higgs boson in association with a top-antitop pair at next-to-leading order accuracy using matrix elements obtained from the HELAC-Oneloop package. The NLO prediction was interfaced to the PYTHIA and HERWIG shower Monte Carlo programs with the help of POWHEG-Box, allowing for decays of massive particles, showering and hadronization, thus leading to final results at the hadron level.Comment: 14 pages, 9 figure