Dual Supermassive Black Hole Candidates in the AGN and Galaxy Evolution Survey

Dual supermassive black holes (SMBHs) with kiloparsec scale separations in merger-remnant galaxies are informative tracers of galaxy evolution, but the avenue for identifying them in large numbers for such studies is not yet clear. One promising approach is to target spectroscopic signatures of systems where both SMBHs are fueled as dual active galactic nuclei (AGNs), or where one SMBH is fueled as an offset AGN. Dual AGNs may produce double-peaked narrow AGN emission lines, while offset AGNs may produce single-peaked narrow AGN emission lines with line-of-sight velocity offsets relative to the host galaxy. We search for such dual and offset systems among 173 Type 2 AGNs at z<0.37 in the AGN and Galaxy Evolution Survey (AGES), and we find two double-peaked AGNs and five offset AGN candidates. When we compare these results to a similar search of the DEEP2 Galaxy Redshift Survey and match the two samples in color, absolute magnitude, and minimum velocity offset, we find that the fraction of AGNs that are dual SMBH candidates increases from z=0.25 to z=0.7 by a factor of ~6 (from 2/70 to 16/91, or 2.9% to 18%). This may be associated with the rise in the galaxy merger fraction over the same cosmic time. As further evidence for a link with galaxy mergers, the AGES offset and dual AGN candidates are tentatively ~3 times more likely than the overall AGN population to reside in a host galaxy that has a companion galaxy (from 16/173 to 2/7, or 9% to 29%). Follow-up observations of the seven offset and dual AGN candidates in AGES will definitively distinguish velocity offsets produced by dual SMBHs from those produced by narrow-line region kinematics, and will help sharpen our observational approach to detecting dual SMBHs.Comment: 10 pages, 8 figures, accepted for publication in Ap

Peripartum hysterectomy incidence, risk factors and clinical characteristics in Ireland

Background: The incidence of peripartum hysterectomy (PH) shows fifty-fold variation worldwide (0.2–10.5/1000 deliveries) and risk factors include advancing maternal age and parity, previous caesarean section (CS) and abnormal placentation. Objectives: In this first national study of PH in Ireland, our objectives were threefold: to describe the national trend in PH incidence over 15 years since 1999; to assess risk of PH associated with morbidly adherent placenta (MAP), placenta praevia and postpartum haemorrhage (PPH) during 2005–2013; and to describe the causes, interventions and outcomes of PH cases during 2011–2013. Study design: For the 15-year time-trend analysis, PH cases and denominator data were extracted from Ireland’s Hospital In-Patient Enquiry database. Multivariate Poisson regression analysis assessed risk of PH associated with MAP, placenta praevia and PPH. In collaboration with the 20 Irish maternity units we carried out a three-year national clinical audit of severe maternity morbidity. PH was a notifiable morbidity and the audit included detailed review of MOH cases. Results: In 1999–2013 there were 298 PH cases, a rate of 0.32/1000 deliveries. During the period 2005–2013, the PH rate was 50 times higher in deliveries involving PPH, 100 times higher with placenta praevia and 1000 times higher with MAP. During the clinical audit (2011–2013) there were 65 PH cases, a rate of 0.33/1000 deliveries, increasing with advancing age and parity. The reporting of abnormal placentation, primarily the co-occurrence of placenta praevia and MAP, was linked with previous CS. Fifty-six of the 65 cases suffered MOH, most commonly associated with placenta praevia, MAP and uterine atony. Prophylactic and therapeutic uterotonic agents were appropriately used in the majority of cases. Conclusions: The incidence of PH in Ireland has been consistently low over 15 years, averaging one case every 3000 deliveries. The recognised risk factors of MAP, placenta praevia and PPH were independently associated with PH, with MAP being by far the strongest predictor. The vast majority of PH cases in our clinical audit were associated with MOH. Some deficiencies were noted in antenatal care, in certain elements of treatment and clinical governance protocols but adherence to guidelines was generally high

Incidence of surgical site infection following caesarean section: a systematic review and meta-analysis protocol

Introduction: Caesarean section (CS) rates have increased globally during the past three decades. Surgical site infection (SSI) following CS is a common cause of morbidity with reported rates of 3 -15%. SSI represents a substantial burden to the health system including increased length of hospitalisation and costs of postdischarge care. The definition of SSI varies with the postoperative follow-up period among different health systems, resulting in differences in the reporting of SSI incidence. We propose to conduct the first systematic review and meta-analysis to determine the pooled estimate for the overall incidence of SSI following CS. Methods and analysis: We will perform a comprehensive search to identify all potentially relevant published studies on the incidence of SSI following CS reported from 1992 in the English language. Electronic databases including PubMed, CINAHL, EMBASE and Scopus will be searched using a detailed search strategy. Following study selection, full-text paper retrieval, data extraction and synthesis, we will appraise study quality and risk of bias and assess heterogeneity. Incidence data will be combined where feasible in a meta-analysis using Stata software and fixed-effects or random-effects models as appropriate. This systematic review will be reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Ethics and dissemination: Ethical approval is not required as this review will use published data. The review will evaluate the overall incidence of SSI following CS and will provide the first quantitative estimate of the magnitude of SSI. It will serve as a benchmark for future studies, identify research gaps and remaining challenges, and emphasise the need for appropriate prevention and control measures for SSI post-CS. A manuscript reporting the results of the systematic review and meta-analysis will be submitted to a peer-reviewed journal and presented at scientific conferences. Trial registration number CRD42015024426

Sedimentary aggregates in the Peoria Loess of Nebraska, USA

Loess grain size data used to infer transport direction or wind strength are generally derived from vigorously disaggregated samples. However, these data may not adequately represent the effective particle size distribution during loess transport, if the transported dust contained aggregates of fine-grained material. Thin sections of minimally altered C and BC horizons in the late Pleistocene Peoria Loess of Nebraska, USA, indicate the presence of aggregates with diameters of 30–1000 Am. The larger aggregates (\u3e250 μm) are unlikely to have been transported, and are interpreted as the result of soil faunal activity and other pedogenic processes after deposition. Aggregates smaller than 250 Am could have a similar origin, but laser diffraction particle size analysis suggests that many are sedimentary particles. Comparison of minimally and fully dispersed particle size distributions from each sampling site was used to estimate the modal diameter of aggregates. The aggregate modal diameter becomes finer with decreasing loess thickness, representing increasing distance from the source. A similar trend was observed in the modal diameter of fully dispersed particle size distributions, which represents the mode of sand and silt transported as individual grains. We interpret both trends as the result of sorting during transport, supporting the interpretation that many of the aggregates were transported rather than formed in place. Aggregate content appears to increase with distance from the source, explaining a much more rapid downwind increase in clay content than would be expected if clay were transported as particles smaller than 2 Am diameter. Although the Peoria Loess of Nebraska contains sedimentary aggregates, many of the coarse silt and sand grains in this loess were transported as primary particles, were thoroughly exposed to sunlight and are potentially well suited for luminescence dating

An unusual case of small bowel obstruction post caesarean section

Small bowel obstruction (SBO) is a very rare complication post-caesarean section (CS). Herniation of small bowel through the rectus muscle with an intact sheath is extremely rare. We present a case of SBO after an uncomplicated c-section and an uneventful early postoperative cours

Climate Variability and Change in Western U.S. Rangelands

We examine variability and change components of precipitation and minimum and maximum daily temperatures, and the derived variables potential evapotranspiration (PET) and the Palmer Drought Severity Index (PDSI), over rangelands in the region 30-50N, 100- 125W. We focus on areas administered by the U.S. Bureau of Land Management (BLM) and Bureau of Indian Affairs (BIA), with a view toward understanding how future climate variations may affect ecosystems, and ultimately, grazing on these lands. Based on an analysis of the annual precipitation cycle we adopt a three-season partition for the year, classifying land areas by season of maximum precipitation; this yields a coherent subregional map. Masking with a combined BLM/BIA footprint, we find that in all subregions both tmin and tmax have increased in response to anthropogenic forcing, the rate being generally greater for tmax. Significant precipitation trends are not detected, whereas PET exhibits significant upward trends in all regions. While PET-normalized precipitation, as well as PDSI, do not exhibit significant trends individually (by variable and region), the fact that most trend downward nevertheless suggests a systematic drying. We conclude that temperature constitutes the principal detectable control on hydroclimatic changes in rangelands within the study area. Although ecosystem responses may be complex, future temperature increases are expected generally to reduce soil water availability. The unforced component of variability is investigated with respect to several key climate indices on both interannual and decadal time scales

Categorical representation of North American precipitation projections

We explore use of the familiar tercile framework of seasonal forecasting for the characterization of 21st-century precipitation projections over North America. Consistent with direct analyses of modeled precipitation change, in a superensemble of CMIP5 simulations an unambiguous pattern of shifted tercile population statistics develops as the globe warms. Expressed categorically, frequencies for the low (i.e., dry) tercile increase in the southwestern United States and southward into Mexico and decrease across the northern tier of North America, while counts for the high tercile shift in the opposite sense. We show that as the 21st-century proceeds, changes become statistically significant over wide regions in the pointwise sense and also when considered as projections on model-specific climate change “fingerprints”. Background noise in the superensemble, against which significance is established, comprises both structural model uncertainty and natural climate variability. The robustness of these findings makes a compelling case for long-range planning for a dryer future in the American Southwest and southward and wetter one to the north and especially northeast, while communication is facilitated by widespread user familiarity with the tercile format

Plasma LDL and HDL characteristics and carotenoid content are positively influenced by egg consumption in an elderly population(1)

BACKGROUND: Approximately 1/3 of individuals have a high plasma response to dietary cholesterol (hyper-responders). Although increases in both LDL and HDL cholesterol have been observed, limited data exist regarding effects of egg consumption on lipoprotein subclasses and circulating carotenoids. METHODS: 29 postmenopausal women (50–68 y) and 13 men (60–80 y) were assigned to either 3 eggs (EGG, 640 mg cholesterol/d) or an equal volume of cholesterol-free egg substitute (SUB, 0 mg cholesterol/d) for 30 d. Following a 3 wk wash out, subjects crossed over to the alternate diet. Individuals with a response to dietary cholesterol > 2.2 mg/dL for each additional 100 mg of dietary cholesterol were classified as hyper-responders while hypo-responders were those with a response ≤ to 2.2 mg/dL. Nuclear Magnetic Resonance (NMR) spectroscopy determined LDL and HDL size & particle concentrations. Dietary records were used to evaluate carotenoid consumption. RESULTS: Hyper-responders had higher concentrations of both LDL (LDL-C) and HDL (HDL-C) cholesterol after EGG. In contrast, the concentrations of plasma LDL-C and HDL-C did not differ between the EGG and SUB for the hypo-responders. After EGG, hyper-responders had larger (≥ 21.2 nm) less atherogenic LDL particle (P < 0.001) and larger HDL particle (> 8.8 nm) (P < 0.01), with no significant difference in the total number of LDL or HDL particles. Regardless of response classification, all individuals had an increase in plasma lutein (from 32.4 ± 15.2 to 46.4 ± 23.3 ng/L) and zeaxanthin (from 8.8 ± 4.8 to 10.7 ± 5.8 ng/L) during EGG, yet hyper-responders displayed higher concentrations of carotenoids when compared to hypo-responders CONCLUSION: These findings suggest that the increases in LDL-C and HDL-C due to increased egg consumption in hyper-responders are not related to an increased number of LDL or HDL particles but, to an increase in the less atherogenic lipoprotein subfractions. Also, increases in plasma carotenoids after EGG may provide a valuable dietary source for this population

Lipid Transfer Inhibitor Protein (Apolipoprotein F) Concentration in Normolipidemic and Hyperlipidemic Subjects

Lipid transfer inhibitor protein (LTIP) is an important regulator of cholesteryl ester transfer protein function. We report the development of an immunoassay for LTIP and its use to quantify LTIP in plasma of varying lipid contents. A rabbit antibody against bacterially produced recombinant LTIP detected two LTIP isoforms in plasma differing in carbohydrate content. This antibody was used in a competitive, enzyme-linked immunoassay that uses partially purified LTIP bound to microtiter plates. To optimize LTIP immunoreactivity, plasma samples required preincubation in 1% Tween-20 and 0.5% Nonidet P-40. In normolipidemic plasma, LTIP averaged 83.5 mg/ml. LTIP was 31% higher in males than in females. LTIP was positively associated with HDL cholesterol in normolipidemic males but not in females. In hypertriglyceridemic males, LTIP was only 56% of control values, whereas in hypertriglyceridemic females, LTIP tended to increase. Additionally, in males with normal cholesterol and triglyceride (TG) ≤ 200 mg/dl, LTIP varied inversely with plasma TG. Overall, we have confirmed the negative association between plasma TG levels and LTIP previously suggested by a small data set, but now we demonstrate that this effect is seen only in males. The mechanisms underlying this gender-specific response to TG, and why LTIP and HDL levels correlate in males but not in females, remain to be determined

Elliptical-core two mode fiber sensors and devices incorporating photoinduced refractive index gratings

Results of experiments performed using germanium-doped, elliptical core, two-mode optical fibers whose sensitivity to strain was spatially varied through the use of chirped, refractive-index gratings permanently induced into the core using Argon-ion laser light are presented. This type of distributed sensor falls into the class of eighted-fiber sensors which, through a variety of means, weight the strain sensitivity of a fiber according to a specified spatial profile. We describe results of a weighted-fiber vibration mode filter which successfully enhances the particular vibration mode whose spatial profile corresponds to the profile of the grating chirp. We report on the high temperature survivability of such grating-based sensors and discuss the possibility of multiplexing more than one sensor within a single fiber