337 research outputs found
The Effect of Pravastatin on Intima Media Thickness of the Carotid Artery in Patients with Normal Cholesterol
AbstractObjectiveCarotid intima media thickness (IMT) is a good indicator of the severity of atherosclerotic disease. Statins have been found to reduce carotid IMT in patients with hypercholesterolaemia. The aim of this study was to investigate if pravastatin is effective in reducing IMT in normocholesterolaemic patients with carotid artery disease.MethodsPatients with carotid artery stenosis and normal cholesterol levels who were not on a statin, were recruited. Patients were randomised to receive pravastatin or placebo daily. Serum concentration of cholesterol and IMT of common carotid arteries were measured before randomisation and at 3 monthly intervals thereafter, for 9 months. IMT was analysed to give the mean of a standardised 2cm of the common carotid artery (CCA). Results are expressed as median (IQR) and comparison made using the Wilcoxon signed ranks test.ResultsFifty-four patients were examined. Twenty-eight patients were randomised to active treatment. There was no difference in demographic details and co-morbid states between the two groups. A significant reduction in cholesterol concentration was observed from 3 months in patients randomised to the pravastatin group [5.14(4.72–5.88) vs. 4.11(3.44–5.33), p<0.05], while there was also a significant decrease in combined IMT form 6 months [1.53(1.36–1.87) vs. 1.41 (1.33–1.78), p<0.05].ConclusionsThe results demonstrate that pravastatin reduces intima media thickness of the common carotid artery in normocholesterolaemic patients with moderate carotid stenosis
The Planetary Nebula Luminosity Function at the Dawn of Gaia
The [O III] 5007 Planetary Nebula Luminosity Function (PNLF) is an excellent
extragalactic standard candle. In theory, the PNLF method should not work at
all, since the luminosities of the brightest planetary nebulae (PNe) should be
highly sensitive to the age of their host stellar population. Yet the method
appears robust, as it consistently produces < 10% distances to galaxies of all
Hubble types, from the earliest ellipticals to the latest-type spirals and
irregulars. It is therefore uniquely suited for cross-checking the results of
other techniques and finding small offsets between the Population I and
Population II distance ladders. We review the calibration of the method and
show that the zero points provided by Cepheids and the Tip of the Red Giant
Branch are in excellent agreement. We then compare the results of the PNLF with
those from Surface Brightness Fluctuation measurements, and show that, although
both techniques agree in a relative sense, the latter method yields distances
that are ~15% larger than those from the PNLF. We trace this discrepancy back
to the calibration galaxies and argue that, due to a small systematic error
associated with internal reddening, the true distance scale likely falls
between the extremes of the two methods. We also demonstrate how PNLF
measurements in the early-type galaxies that have hosted Type Ia supernovae can
help calibrate the SN Ia maximum magnitude-rate of decline relation. Finally,
we discuss how the results from space missions such as Kepler and Gaia can help
our understanding of the PNLF phenomenon and improve our knowledge of the
physics of local planetary nebulae.Comment: 12 pages, invited review at the conference "The Fundamental Cosmic
Distance Scale: State of the Art and Gaia Perspective", to appear in
Astrophysics and Space Scienc
Real Roots of Random Polynomials and Zero Crossing Properties of Diffusion Equation
We study various statistical properties of real roots of three different
classes of random polynomials which recently attracted a vivid interest in the
context of probability theory and quantum chaos. We first focus on gap
probabilities on the real axis, i.e. the probability that these polynomials
have no real root in a given interval. For generalized Kac polynomials, indexed
by an integer d, of large degree n, one finds that the probability of no real
root in the interval [0,1] decays as a power law n^{-\theta(d)} where \theta(d)
> 0 is the persistence exponent of the diffusion equation with random initial
conditions in spatial dimension d. For n \gg 1 even, the probability that they
have no real root on the full real axis decays like
n^{-2(\theta(2)+\theta(d))}. For Weyl polynomials and Binomial polynomials,
this probability decays respectively like \exp{(-2\theta_{\infty}} \sqrt{n})
and \exp{(-\pi \theta_{\infty} \sqrt{n})} where \theta_{\infty} is such that
\theta(d) = 2^{-3/2} \theta_{\infty} \sqrt{d} in large dimension d. We also
show that the probability that such polynomials have exactly k roots on a given
interval [a,b] has a scaling form given by \exp{(-N_{ab} \tilde
\phi(k/N_{ab}))} where N_{ab} is the mean number of real roots in [a,b] and
\tilde \phi(x) a universal scaling function. We develop a simple Mean Field
(MF) theory reproducing qualitatively these scaling behaviors, and improve
systematically this MF approach using the method of persistence with partial
survival, which in some cases yields exact results. Finally, we show that the
probability density function of the largest absolute value of the real roots
has a universal algebraic tail with exponent {-2}. These analytical results are
confirmed by detailed numerical computations.Comment: 32 pages, 16 figure
America's Rural Hospitals: A Selective Review of 1980s Research
We review 1980s research on American rural hospitals within the context of a decade of increasing restrictiveness in the reimbursement and operating environments. Areas addressed include rural hospital definitions, organizational and financial performance, and strategic management activities. The latter category consists of hospital closure, diversification and vertical integration, swing-bed conversion, sole community provider designation, horizontal integration and multihospital system affiliation, marketing, and patient retention. The review suggests several research needs, including: developing more meaningful definitions of rural hospitals, engaging in methodologically sound work on the effects of innovative programs and strategic management activities—including conversion of the facility itself—on rural hospital performance, and completing studies of the effects of rural hospital closure or conversion on the health of the communities served.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/74857/1/j.1748-0361.1990.tb00682.x.pd
The Theory of Brown Dwarfs and Extrasolar Giant Planets
Straddling the traditional realms of the planets and the stars, objects below
the edge of the main sequence have such unique properties, and are being
discovered in such quantities, that one can rightly claim that a new field at
the interface of planetary science and and astronomy is being born. In this
review, we explore the essential elements of the theory of brown dwarfs and
giant planets, as well as of the new spectroscopic classes L and T. To this
end, we describe their evolution, spectra, atmospheric compositions, chemistry,
physics, and nuclear phases and explain the basic systematics of
substellar-mass objects across three orders of magnitude in both mass and age
and a factor of 30 in effective temperature. Moreover, we discuss the
distinctive features of those extrasolar giant planets that are irradiated by a
central primary, in particular their reflection spectra, albedos, and transits.
Aspects of the latest theory of Jupiter and Saturn are also presented.
Throughout, we highlight the effects of condensates, clouds, molecular
abundances, and molecular/atomic opacities in brown dwarf and giant planet
atmospheres and summarize the resulting spectral diagnostics. Where possible,
the theory is put in its current observational context.Comment: 67 pages (including 36 figures), RMP RevTeX LaTeX, accepted for
publication in the Reviews of Modern Physics. 30 figures are color. Most of
the figures are in GIF format to reduce the overall size. The full version
with figures can also be found at:
http://jupiter.as.arizona.edu/~burrows/papers/rm
Dense Stellar Populations: Initial Conditions
This chapter is based on four lectures given at the Cambridge N-body school
"Cambody". The material covered includes the IMF, the 6D structure of dense
clusters, residual gas expulsion and the initial binary population. It is aimed
at those needing to initialise stellar populations for a variety of purposes
(N-body experiments, stellar population synthesis).Comment: 85 pages. To appear in The Cambridge N-body Lectures, Sverre Aarseth,
Christopher Tout, Rosemary Mardling (eds), Lecture Notes in Physics Series,
Springer Verla
Transitions of cardio-metabolic risk factors in the Americas between 1980 and 2014
Describing the prevalence and trends of cardiometabolic risk factors that are associated with non-communicable diseases (NCDs) is crucial for monitoring progress, planning prevention, and providing evidence to support policy efforts. We aimed to analyse the transition in body-mass index (BMI), obesity, blood pressure, raised blood pressure, and diabetes in the Americas, between 1980 and 2014
All-sky search for long-duration gravitational wave transients with initial LIGO
We present the results of a search for long-duration gravitational wave transients in two sets of data collected by the LIGO Hanford and LIGO Livingston detectors between November 5, 2005 and September 30, 2007, and July 7, 2009 and October 20, 2010, with a total observational time of 283.0 days and 132.9 days, respectively. The search targets gravitational wave transients of duration 10-500 s in a frequency band of 40-1000 Hz, with minimal assumptions about the signal waveform, polarization, source direction, or time of occurrence. All candidate triggers were consistent with the expected background; as a result we set 90% confidence upper limits on the rate of long-duration gravitational wave transients for different types of gravitational wave signals. For signals from black hole accretion disk instabilities, we set upper limits on the source rate density between 3.4×10-5 and 9.4×10-4 Mpc-3 yr-1 at 90% confidence. These are the first results from an all-sky search for unmodeled long-duration transient gravitational waves. © 2016 American Physical Society
All-sky search for long-duration gravitational wave transients with initial LIGO
We present the results of a search for long-duration gravitational wave transients in two sets of data collected by the LIGO Hanford and LIGO Livingston detectors between November 5, 2005 and September 30, 2007, and July 7, 2009 and October 20, 2010, with a total observational time of 283.0 days and 132.9 days, respectively. The search targets gravitational wave transients of duration 10-500 s in a frequency band of 40-1000 Hz, with minimal assumptions about the signal waveform, polarization, source direction, or time of occurrence. All candidate triggers were consistent with the expected background; as a result we set 90% confidence upper limits on the rate of long-duration gravitational wave transients for different types of gravitational wave signals. For signals from black hole accretion disk instabilities, we set upper limits on the source rate density between 3.4×10-5 and 9.4×10-4 Mpc-3 yr-1 at 90% confidence. These are the first results from an all-sky search for unmodeled long-duration transient gravitational waves. © 2016 American Physical Society
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