560 research outputs found

    Self Calibration of Tomographic Weak Lensing for the Physics of Baryons to Constrain Dark Energy

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    Numerical studies indicate that uncertainties in the treatment of baryonic physics can affect predictions for shear power spectra at a level that is significant for forthcoming surveys such as DES, SNAP, and LSST. Correspondingly, we show that baryonic effects can significantly bias dark energy parameter measurements. Eliminating such biases by neglecting information in multipoles beyond several hundred leads to weaker parameter constraints by a factor of approximately 2 to 3 compared with using information out to multipoles of several thousand. Fortunately, the same numerical studies that explore the influence of baryons indicate that they primarily affect power spectra by altering halo structure through the relation between halo mass and mean effective halo concentration. We explore the ability of future weak lensing surveys to constrain both the internal structures of halos and the properties of the dark energy simultaneously as a first step toward self calibrating for the physics of baryons. This greatly reduces parameter biases and no parameter constraint is degraded by more than 40% in the case of LSST or 30% in the cases of SNAP or DES. Modest prior knowledge of the halo concentration relation greatly improves even these forecasts. Additionally, we find that these surveys can constrain effective halo concentrations near m~10^14 Msun/h and z~0.2 to better than 10% with shear power spectra alone. These results suggest that inferring dark energy parameters with measurements of shear power spectra can be made robust to baryonic effects and may simultaneously be competitive with other methods to inform models of galaxy formation. (Abridged)Comment: 18 pages, 11 figures. Minor changes reflecting referee's comments. Results and conclusions unchanged. Accepted for publication in Physical Review

    Dobutamine stress MRI in pulmonary hypertension: relationships between stress pulmonary artery relative area change, RV performance, and 10-year survival

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    In pulmonary hypertension (PH), right ventricular (RV) performance determines survival. Pulmonary artery (PA) stiffening is an important biomechanical event in PH and also predicts survival based on the PA relative area change (RAC) measured at rest using magnetic resonance imaging (MRI). In this exploratory study, we sought to generate novel hypotheses regarding the influence of stress RAC on PH prognosis and the interaction between PA stiffening, RV performance and survival. Fifteen PH patients underwent dobutamine stress-MRI (ds-MRI) and right heart catheterization. RACREST, RACSTRESS, and ΔRAC (RAC STRESS – RAC REST) were correlated against resting invasive hemodynamics and ds-MRI data regarding RV performance and RV-PA coupling efficiency (n’vv [RV stroke volume/RV end-systolic volume]). The impact of RAC, RV data, and n’vv on ten-year survival were determined using Kaplan–Meier analysis. PH patients with a low ΔRAC (<−2.6%) had a worse long-term survival (log-rank P = 0.045, HR for death = 4.46 [95% CI = 1.08–24.5]) than those with ΔRAC ≥ −2.6%. Given the small sample, these data should be interpreted with caution; however, low ΔRAC was associated with an increase in stress diastolic PA area indicating proximal PA stiffening. Associations of borderline significance were observed between low RACSTRESS and low n’vvSTRESS, Δη’VV, and ΔRVEF. Further studies are required to validate the potential prognostic impact of ΔRAC and the biomechanics potentially connecting low ΔRAC to shorter survival. Such studies may facilitate development of novel PH therapies targeted to the proximal PA

    Comparison of complication risk for open carpal tunnel release: In-office versus operating room settings

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    BACKGROUND: Performing open carpal tunnel release (oCTR) in an office-based procedure room setting (PR) decreases surgical costs when compared with the operating room (OR). However, it is unclear if the risk of major medical, wound, and iatrogenic complications differ between settings. Our purpose was to compare the risk of major medical complications associated with oCTR between PR and OR settings. METHODS: Utilizing the MarketScan Database, we identified adults undergoing isolated oCTR between 2006 and 2015 performed in PR and OR settings. ICD-9-CM and/or CPT codes were used to identify major medical complications, surgical site complications, and iatrogenic complications within 90 days of oCTR. Multivariable logistic regression was used to compare complication risk between groups. RESULTS: Of the 2134 PR and 76,216 OR cases, the risk of major medical complications was 0.89% (19/2134) and 1.20% (914/76,216), respectively, with no difference observed in the multivariable analysis (adjusted odds ratio [OR] 0.84; 95% CI 0.53–1.33; P=0.45). Risk of surgical site complications was 0.56% (12/2134) and 0.81% (616/76,216) for the PR and OR, respectively, with no difference in the multivariable analysis (OR 0.68; 95% C.I. 0.38–1.22; P=0.19). Iatrogenic complications were rarely observed (PR 1/2134 [0.05%], OR 71/76,216 [0.09%]), which precluded multivariable modeling. CONCLUSION: These results support a similar safety profile for both the PR and OR surgical settings following oCTR with similar pooled major medical complications, pooled wound/surgical site complications, and iatrogenic complications

    Brain abscess and stroke in children and adults with hereditary hemorrhagic telangiectasia: Analysis of a large national claims database

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    BACKGROUND AND OBJECTIVES: Hereditary hemorrhagic telangiectasia (HHT) is an inherited disease associated with pathogenic variants in transforming growth factor-β signaling pathway-related genes, resulting in abnormal vascular development in various organs. Brain arteriovenous malformations (AVMs) may lead to intracranial hemorrhage, and brain abscess or ischemic stroke may result from right to left shunting via pulmonary AVMs. We aimed to investigate the risk for these severe complications in both adults and children with HHT. METHODS: We conducted a case-control study among participants aged 1-64 years in the MarketScan Commercial (2006-2019) and Multistate Medicaid Databases (2011-2019). We identified cases with HHT using RESULTS: A total of 5,796 patients with HHT, of whom 588 were children (age younger than 16 years), were matched with 57,960 controls. There was an increased incidence of brain abscesses in HHT cases compared with controls, with an RR of 35.6 (95% CI 15.4-82.5). No brain abscesses were recorded in children aged 15 years or younger. Hemorrhagic strokes/subarachnoid hemorrhages were more common in HHT cases, with an RR of 4.01 (95% CI 2.8-5.7) in adults and 60.2 (95% CI 7.2-500.4) in children. Ischemic strokes were also more common in cases, with an RR of 3.7 (95% CI, 3.0-4.5) in adults and 70.4 (95% CI 8.7-572.3) in children. DISCUSSION: We observed a much higher incidence of severe CNS vascular complications in patients with HHT, particularly in children. Although a higher incidence of brain abscesses was noted in adult patients with HHT, no brain abscesses were recorded in children, a result that may be considered when surveillance recommendations for this population are revisited

    Modulation of anabolic and catabolic responses via a porous polymer scaffold manufactured using thermally induced phase separation

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    We describe two studies encompassing the iterative refinement of a polymer-based rhBMP-2 delivery system for bone tissue engineering. Firstly, we compared the boneforming capacity of porous poly(D,L-lactic-co-glycolic acid) (PLGA) scaffolds produced by thermally induced phase separation (TIPS) with non-porous solvent cast poly(D,L-lactic acid) (PDLLA) used previously. Secondly, we examined the potential synergy between rhBMP-2 and local bisphosphonate in the PLGA scaffold system. In vivo ectopic bone formation studies were performed in C57BL6/J mice. Polymer scaffolds containing 0, 5, 10 or 20 μg rhBMP-2 were inserted into the dorsal musculature. At all rhBMP-2 doses, porous PLGA produced significantly higher bone volume (BV, mm) than the solid PDLLA scaffolds. Next, porous PLGA scaffolds containing 10μg rhBMP-2 ±0.2, or 2μg zoledronic acid (ZA) were inserted into the hind-limb musculature. Co-delivery of local 10μg rhBMP-2/2μg ZA significantly augmented bone formation compared with rhBMP-2 alone (400 % BV increase, p < 0.01). Hydroxyapatite microparticle (HAp) addition (2% w/w) to the 10μg rhBMP-2/0.2μg ZA group increased BV (200 %, p < 0.01). We propose that this was due to controlled ZA release of HAp-bound ZA. Consistent with this, elution analyses showed that HAp addition did not alter the rhBMP-2 elution, but delayed ZA release. Moreover, 2 % w/w HAp addition reduced the scaffold's compressive properties, but did not alter ease of surgical handling. In summary, our data show that refinement of the polymer selection and scaffold fabrication can enhance rhBMP-2 induced bone formation in our bone tissue engineering implant, and this can be further optimised by the local co-delivery of ZA/HAp

    Measuring the three-dimensional shear from simulation data, with applications to weak gravitational lensing

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    We have developed a new three-dimensional algorithm, based on the standard P3^3M method, for computing deflections due to weak gravitational lensing. We compare the results of this method with those of the two-dimensional planar approach, and rigorously outline the conditions under which the two approaches are equivalent. Our new algorithm uses a Fast Fourier Transform convolution method for speed, and has a variable softening feature to provide a realistic interpretation of the large-scale structure in a simulation. The output values of the code are compared with those from the Ewald summation method, which we describe and develop in detail. With an optimal choice of the high frequency filtering in the Fourier convolution, the maximum errors, when using only a single particle, are about 7 per cent, with an rms error less than 2 per cent. For ensembles of particles, used in typical NN-body simulations, the rms errors are typically 0.3 per cent. We describe how the output from the algorithm can be used to generate distributions of magnification, source ellipticity, shear and convergence for large-scale structure.Comment: 22 pages, latex, 11 figure

    Massive Ellipticals at High Redshift: NICMOS Imaging of Z~1 Radio Galaxies

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    We present deep, continuum images of eleven high-redshift (0.811 < z < 1.875) 3CR radio galaxies observed with NICMOS. Our images probe the rest-frame optical light where stars are expected to dominate the galaxy luminosity. The rest-frame UV light of eight of these galaxies demonstrates the well-known ``alignment effect''. Most of the radio galaxies have rounder, more symmetric morphologies at rest-frame optical wavelengths. Here we show the most direct evidence that in most cases the stellar hosts are normal elliptical galaxies with de Vaucouleurs law light profiles. For a few galaxies very faint traces of the UV-bright aligned component are also visible in the infrared images. We derive both the effective radius and surface-brightness for nine of eleven sample galaxies by fitting surface-brightness models to them. We find their sizes are similar to those of local FRII radio source hosts and are in general larger than other local galaxies. The derived host galaxy luminosities are very high and lie at the bright end of luminosity functions constructed at similar redshifts. The galaxies in our sample are also brighter than the rest-frame size--surface-brightness locus defined by the low-redshift sources. Passive evolution roughly aligns the z ~ 1 galaxies with the low-redshift samples. The optical host is sometimes centered on a local minimum in the rest-frame UV emission, suggesting the presence of substantial dust obscuration. We also see good evidence of nuclear point sources in three galaxies. Overall, our results are consistent with the hypothesis that these galaxies have already formed the bulk of their stars at redshifts greater than z >~ 2, and that the AGN phenomenon takes place within otherwise normal, perhaps passively evolving, galaxies. (abridged)Comment: 28 pages, 14 figures, accepted to ApJ. Uses AASTEX and emulateapj

    A galaxy-halo model of large-scale structure

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    We present a new, galaxy-halo model of large-scale structure, in which the galaxies entering a given sample are the fundamental objects. Haloes attach to galaxies, in contrast to the standard halo model, in which galaxies attach to haloes. The galaxy-halo model pertains mainly to the relationships between the power spectra of galaxies and mass, and their cross-power spectrum. With surprisingly little input, an intuition-aiding approximation to the galaxy-matter cross-correlation coefficient R(k) emerges, in terms of the halo mass dispersion. This approximation seems valid to mildly non-linear scales (k < ~3 h/Mpc), allowing measurement of the bias and the matter power spectrum from measurements of the galaxy and galaxy-matter power spectra (or correlation functions). This is especially relevant given the recent advances in precision in measurements of the galaxy-matter correlation function from weak gravitational lensing. The galaxy-halo model also addresses the issue of interpreting the galaxy-matter correlation function as an average halo density profile, and provides a simple description of galaxy bias as a function of scale.Comment: 13 pages, 9 figures, submitted to MNRAS. Minor changes, suggested by refere

    Weak gravitational lensing in the standard Cold Dark Matter model, using an algorithm for three-dimensional shear

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    We investigate the effects of weak gravitational lensing in the standard Cold Dark Matter cosmology, using an algorithm which evaluates the shear in three dimensions. The algorithm has the advantage of variable softening for the particles, and our method allows the appropriate angular diameter distances to be applied to every evaluation location within each three-dimensional simulation box. We investigate the importance of shear in the distance-redshift relation, and find it to be very small. We also establish clearly defined values for the smoothness parameter in the relation, finding its value to be at least 0.88 at all redshifts in our simulations. From our results, obtained by linking the simulation boxes back to source redshifts of 4, we are able to observe the formation of structure in terms of the computed shear, and also note that the major contributions to the shear come from a very broad range of redshifts. We show the probability distributions for the magnification, source ellipticity and convergence, and also describe the relationships amongst these quantities for a range of source redshifts. We find a broad range of magnifications and ellipticities; for sources at a redshift of 4, 97{1/2}% of all lines of sight show magnifications up to 1.3 and ellipticities up to 0.195. There is clear evidence that the magnification is not linear in the convergence, as might be expected for weak lensing, but contains contributions from higher order terms in both the convergence and the shear.Comment: 14 pages, LaTeX, 15 figures include
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