157 research outputs found

    Cough induced rib fracture, rupture of the diaphragm and abdominal herniation

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    Cough can be associated with many complications. In this article, we present a 59 year old male patient with a very rare combination of a cough related stress fracture of the ninth rib, a traumatic rupture of the diaphragm, and an abdominal wall herniation. The hernia was repaired through surgical treatment without bowel resection, the diaphragm and the internal and oblique abdominal muscle were adapted, and the abdomen was reinforced with a prolene net. Although each individual injury is well documented in the literature, the combination of rib fracture, abdominal herniation and diaphragm rupture has not been reported

    Primary and secondary angiosarcomas: a comparative single-center analysis

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    Background: Angiosarcomas (AS) are rare vascular malignancies. They are subdivided into primary (PAS) and secondary angiosarcomas (SAS). The objective was to compare the characteristics of AS subtypes. Methods: Eighteen PAS and ten SAS patients treated at our institution between 2004 and 2012 were included in this study. Results: Median age of PAS and SAS patients was 52.9 and 64.2 years, respectively (p = 0.1448). The percentage of women was 27.8% for PAS, but 80.0% for SAS (p = 0.0163). While PAS occurred throughout the body, the majority of SAS arose from the breast (p = 0.0012). All SAS were radiation-induced with a median latency of 7.7 years. The majority of patients with PAS and SAS underwent surgery as primary or recurrence treatment (p > 0.95). Local recurrence was developed by 27.8% of PAS and 50.0% of SAS (p = 0.4119). 61.1% of PAS metastasized, but only 40.0% of SAS (p = 0.4328). Median overall survival for PAS and SAS was 19 and 57 months, respectively (p = 0.2306). Conclusion: Radical surgery remains the mainstay of both primary and recurrence treatment. SAS show a high local recurrence rate, while PAS tend towards developing early metastases. Overall, prognosis is poor for both groups

    CSI 2264: Characterizing Young Stars in NGC 2264 With Short-Duration Periodic Flux Dips in Their Light Curves

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    We identify nine young stellar objects (YSOs) in the NGC 2264 star-forming region with optical CoRoT light curves exhibiting short-duration, shallow periodic flux dips. All of these stars have infrared excesses that are consistent with their having inner disk walls near the Keplerian co-rotation radius. The repeating photometric dips have FWHMs generally less than 1 day, depths almost always less than 15%, and periods (3 < P < 11 days) consistent with dust near the Keplerian co-rotation period. The flux dips vary considerably in their depth from epoch to epoch, but usually persist for several weeks and, in two cases, were present in data collected in successive years. For several of these stars, we also measure the photospheric rotation period and find that the rotation and dip periods are the same, as predicted by standard "disk-locking" models. We attribute these flux dips to clumps of material in or near the inner disk wall, passing through our line of sight to the stellar photosphere. In some cases, these dips are also present in simultaneous Spitzer IRAC light curves at 3.6 and 4.5 microns. We characterize the properties of these dips, and compare the stars with light curves exhibiting this behavior to other classes of YSOs in NGC 2264. A number of physical mechanisms could locally increase the dust scale height near the inner disk wall, and we discuss several of those mechanisms; the most plausible mechanisms are either a disk warp due to interaction with the stellar magnetic field or dust entrained in funnel-flow accretion columns arising near the inner disk wall

    CSI 2264: Simultaneous Optical and Infrared Light Curves of Young Disk-bearing Stars in NGC 2264 with CoRoT and Spitzer—Evidence for Multiple Origins of Variability

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    We present the Coordinated Synoptic Investigation of NGC 2264, a continuous 30 day multi-wavelength photometric monitoring campaign on more than 1000 young cluster members using 16 telescopes. The unprecedented combination of multi-wavelength, high-precision, high-cadence, and long-duration data opens a new window into the time domain behavior of young stellar objects. Here we provide an overview of the observations, focusing on results from Spitzer and CoRoT. The highlight of this work is detailed analysis of 162 classical T Tauri stars for which we can probe optical and mid-infrared flux variations to 1% amplitudes and sub-hour timescales. We present a morphological variability census and then use metrics of periodicity, stochasticity, and symmetry to statistically separate the light curves into seven distinct classes, which we suggest represent different physical processes and geometric effects. We provide distributions of the characteristic timescales and amplitudes and assess the fractional representation within each class. The largest category (>20%) are optical "dippers" with discrete fading events lasting ~1-5 days. The degree of correlation between the optical and infrared light curves is positive but weak; notably, the independently assigned optical and infrared morphology classes tend to be different for the same object. Assessment of flux variation behavior with respect to (circum)stellar properties reveals correlations of variability parameters with Hα emission and with effective temperature. Overall, our results point to multiple origins of young star variability, including circumstellar obscuration events, hot spots on the star and/or disk, accretion bursts, and rapid structural changes in the inner disk

    CSI 2264: Characterizing Accretion-Burst Dominated Light Curves for Young Stars in NGC 2264

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    Based on more than four weeks of continuous high cadence photometric monitoring of several hundred members of the young cluster NGC 2264 with two space telescopes, NASA’s Spitzer and the CNES CoRoT (Convection, Rotation, and planetary Transits), we provide high quality, multi-wavelength light curves for young stellar objects (YSOs) whose optical variability is dominated by short duration flux bursts, which we infer are due to enhanced mass accretion rates. These light curves show many brief – several hour to one day – brightenings at optical and near-infrared (IR) wavelengths with amplitudes generally in the range 5-50% of the quiescent value. Typically, a dozen or more of these bursts occur in a thirty day period. We demonstrate that stars exhibiting this type of variability have large ultraviolet (UV) excesses and dominate the portion of the u − g vs. g − r color-color diagram with the largest UV excesses. These stars also have large Hɑ equivalent widths, and either centrally peaked, lumpy Hɑ emission profiles or profiles with blue-shifted absorption dips associated with disk or stellar winds. Light curves of this type have been predicted for stars whose accretion is dominated by Rayleigh-Taylor instabilities at the boundary between their magnetosphere and inner circumstellar disk, or where magneto-rotational instabilities modulate the accretion rate from the inner disk. Amongst the stars with the largest UV excesses or largest Hɑ equivalent widths, light curves with this type of variability greatly outnumber light curves with relatively smooth sinusoidal variations associated with long-lived hot spots. We provide quantitative statistics for the average duration and strength of the accretion bursts and for the fraction of the accretion luminosity associated with these bursts

    Bertelsmann Transformation Index 2009: Political Management in International Comparison

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    Gradual processes of democratic and economic change are just as important as momentous events in the history of states and their citizens. Few events in international politics evoke as much euphoria and hopes for the future as the fall of an authoritarian regime or the sudden move to reform

    Thin-sheet laser imaging microscopy

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    We present a general summary of light sheet based microscopy for non-destructive optical sectioning of organisms and thick tissues. Optical sections are recorded using a thin sheet of light to induce a plane of fluorescence in transparent or fixed and cleared tissues. We explain the basic building units and compare our thin sheet laser imaging microscope (TSLIM) to similar microscope systems. High resolution across the full width of a large specimen is achieved by moving the specimen through the thinnest region of the hyperbolically shaped light sheet, stitching together pixel columns with optimal resolution. We also show how to reduce absorption and scattering artefacts and explain optimizations to the optical system which help to produce thinner light sheets than achieved with cylindrical lenses alone

    Formation and Structure of Low Density Exo-Neptunes

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    Kepler has found hundreds of Neptune-size (2-6 R_Earth) planet candidates within 0.5 AU of their stars. The nature of the vast majority of these planets is not known because their masses have not been measured. Using theoretical models of planet formation, evolution and structure, we explore the range of minimum plausible masses for low-density exo-Neptunes. We focus on highly irradiated planets with T_eq>=500K. We consider two separate formation pathways for low-mass planets with voluminous atmospheres of light gases: core nucleated accretion and outgassing of hydrogen from dissociated ices. We show that Neptune-size planets at T_eq=500K with masses as small as a few times that of Earth can plausibly be formed core nucleated accretion coupled with subsequent inward migration. We also derive a limiting low-density mass-radius relation for rocky planets with outgassed hydrogen envelopes but no surface water. Rocky planets with outgassed hydrogen envelopes typically have computed radii well below 3 R_Earth. For both planets with H/He envelopes from core nucleated accretion and planets with outgassed hydrogen envelopes, we employ planet interior models to map the range of planet mass--envelope mass--equilibrium temperature parameter space that is consistent with Neptune-size planet radii. Atmospheric mass loss mediates which corners of this parameter space are populated by actual planets and ultimately governs the minimum plausible mass at a specified transit radius. We find that Kepler's 2-6 R_Earth planet candidates at T_eq=500--1000K could potentially have masses less than ~4 M_Earth. Although our quantitative results depend on several assumptions, our qualitative finding that warm Neptune-size planets can have masses substantially smaller than those given by interpolating the masses and radii of planets within our Solar System is robust.Comment: 17 pages, 9 figures, accepted for publication in Ap

    All-Sky Near Infrared Space Astrometry

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    Gaia is currently revolutionizing modern astronomy. However, much of the Galactic plane, center and the spiral arm regions are obscured by interstellar extinction, rendering them inaccessible because Gaia is an optical instrument. An all-sky near infrared (NIR) space observatory operating in the optical NIR, separated in time from the original Gaia would provide microarcsecond NIR astrometry and millimag photometry to penetrate obscured regions unraveling the internal dynamics of the Galaxy.Comment: 7 page

    CSI 2264: Characterizing Accretion-Burst Dominated Light Curves for Young Stars in NGC 2264

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    Based on more than four weeks of continuous high cadence photometric monitoring of several hundred members of the young cluster NGC 2264 with two space telescopes, NASA's Spitzer and the CNES CoRoT (Convection, Rotation, and planetary Transits), we provide high quality, multi-wavelength light curves for young stellar objects (YSOs) whose optical variability is dominated by short duration flux bursts, which we infer are due to enhanced mass accretion rates. These light curves show many brief -- several hour to one day -- brightenings at optical and near-infrared (IR) wavelengths with amplitudes generally in the range 5-50% of the quiescent value. Typically, a dozen or more of these bursts occur in a thirty day period. We demonstrate that stars exhibiting this type of variability have large ultraviolet (UV) excesses and dominate the portion of the u-g vs. g-r color-color diagram with the largest UV excesses. These stars also have large Halpha equivalent widths, and either centrally peaked, lumpy Halpha emission profiles or profiles with blue-shifted absorption dips associated with disk or stellar winds. Light curves of this type have been predicted for stars whose accretion is dominated by Rayleigh-Taylor instabilities at the boundary between their magnetosphere and inner circumstellar disk, or where magneto-rotational instabilities modulate the accretion rate from the inner disk. Amongst the stars with the largest UV excesses or largest Halpha equivalent widths, light curves with this type of variability greatly outnumber light curves with relatively smooth sinusoidal variations associated with long-lived hot spots. We provide quantitative statistics for the average duration and strength of the accretion bursts and for the fraction of the accretion luminosity associated with these bursts.Comment: Accepted for publication in AJ. 39 pages; 6 tables; 25 figures, many of which are highly degraded to meet size limits. Please download the regular resolution version at http://web.ipac.caltech.edu/staff/amc/staufferetal2014.pd
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