Validez de la prueba de histerectomía vaginal en pacientes con indicación de vía abdominal mandatoria

Indexación: ScieloObjetivo: Evaluar la histerectomía vaginal en la resolución de patología uterina benigna, en casos que habitualmente se resuelven por histerectomía abdominal. Método: Estudio prospectivo en 68 pacientes sometidas a histerectomía vaginal en el Servicio de Ginecología del Hospital Claudio Vicuña, de San Antonio, entre junio de 2003 a junio de 2009. Son pacientes sin partos vaginales, algunas nuligestas, la mayoría con cicatrices de cesárea o historia de cirugía pélvica previa. Se separan en dos grupos, uno de dificultad moderada (DM) (útero móvil, vagina >2 dedos de diámetro, fondos de saco bien conformados) y otro de dificultad severa (DS) (útero fjo, vagina 2 fingers diameter, well conserved cul de sac, and severe difficulty (SD): composed by patients with none uterine motility, vagina <2 fingers diameter or fat cul de sac. Results: We did not observed statistically significant differences in age, number of prior cesarean sections or pelvic surgeries, estimated uterine size, bladder injury, nor abdominal conversion, but there was significant differences in operative time and need of morcelation, being greater in SD patients. It is important to notice the absent of major and minor complications in 93% of the patients. Conclusion: Our results are meant to demystify the objections for vaginal route, including the patients with extreme difficulty.http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-75262010000500008&nrm=is

A customisable pipeline for continuously harvesting socially-minded Twitter users

On social media platforms and Twitter in particular, specific classes of users such as influencers have been given satisfactory operational definitions in terms of network and content metrics. Others, for instance online activists, are not less important but their characterisation still requires experimenting. We make the hypothesis that such interesting users can be found within temporally and spatially localised contexts, i.e., small but topical fragments of the network containing interactions about social events or campaigns with a significant footprint on Twitter. To explore this hypothesis, we have designed a continuous user profile discovery pipeline that produces an ever-growing dataset of user profiles by harvesting and analysing contexts from the Twitter stream. The profiles dataset includes key network and content-based users metrics, enabling experimentation with user-defined score functions that characterise specific classes of online users. The paper describes the design and implementation of the pipeline and its empirical evaluation on a case study consisting of healthcare-related campaigns in the UK, showing how it supports the operational definitions of online activism, by comparing three experimental ranking functions. The code is publicly available.Comment: Procs. ICWE 2019, June 2019, Kore

On the phenomenological classification of continuum radio spectra variability patterns of Fermi blazars

The F-GAMMA program is a coordinated effort to investigate the physics of Active Galactic Nuclei (AGNs) via multi-frequency monitoring of {\em Fermi} blazars. The current study is concerned with the broad-band radio spectra composed of measurement at ten frequencies between 2.64 and 142 GHz. It is shown that any of the 78 sources studied can be classified in terms of their variability characteristics in merely 5 types of variability. The first four types are dominated by spectral evolution and can be reproduced by a simple two-component system made of the quiescent spectrum of a large scale jet populated with a flaring event evolving according to Marscher & Gear (1985). The last type is characterized by an achromatic change of the broad-band spectrum which must be attributed to a completely different mechanism. Here are presented, the classification, the assumed physical system and the results of simulations that have been conducted.Comment: 2011 Fermi Symposium proceedings - eConf C11050

Cosmic-ray acceleration in supernova remnants: non-linear theory revised

A rapidly growing amount of evidences, mostly coming from the recent gamma-ray observations of Galactic supernova remnants (SNRs), is seriously challenging our understanding of how particles are accelerated at fast shocks. The cosmic-ray (CR) spectra required to account for the observed phenomenology are in fact as steep as $E^{-2.2}--E^{-2.4}$, i.e., steeper than the test-particle prediction of first-order Fermi acceleration, and significantly steeper than what expected in a more refined non-linear theory of diffusive shock acceleration. By accounting for the dynamical back-reaction of the non-thermal particles, such a theory in fact predicts that the more efficient the particle acceleration, the flatter the CR spectrum. In this work we put forward a self-consistent scenario in which the account for the magnetic field amplification induced by CR streaming produces the conditions for reversing such a trend, allowing --- at the same time --- for rather steep spectra and CR acceleration efficiencies (about 20%) consistent with the hypothesis that SNRs are the sources of Galactic CRs. In particular, we quantitatively work out the details of instantaneous and cumulative CR spectra during the evolution of a typical SNR, also stressing the implications of the observed levels of magnetization on both the expected maximum energy and the predicted CR acceleration efficiency. The latter naturally turns out to saturate around 10-30%, almost independently of the fraction of particles injected into the acceleration process as long as this fraction is larger than about $10^{-4}$.Comment: 24 pages, 5 figures, accepted for publication in JCA

Radio and gamma-ray follow-up of the exceptionally high activity state of PKS 1510-089 in 2011

We investigate the radio and gamma-ray variability of the flat spectrum radio quasar PKS 1510-089 in the time range between 2010 November and 2012 January. In this period the source showed an intense activity, with two major gamma-ray flares detected in 2011 July and October. During the latter episode both the gamma-ray and the radio flux density reached their historical peak. Multiwavelength analysis shows a rotation of about 380 deg of the optical polarization angle close in time with the rapid and strong gamma-ray flare in 2011 July. An enhancement of the optical emission and an increase of the fractional polarization both in the optical and in radio bands is observed about three weeks later, close in time with another gamma-ray outburst. On the other hand, after 2011 September a huge radio outburst has been detected, first in the millimeter regime followed with some time delay at centimeter down to decimeter wavelengths. This radio flare is characterized by a rising and a decaying stage, in agreement with the formation of a shock and its evolution, as a consequence of expansion and radiative cooling. If the gamma-ray flare observed in 2011 October is related to this radio outburst, then this strongly indicates that the region responsible for the gamma-ray variability is not within the broad line, but a few parsecs downstream along the jet.Comment: 14 pages, 12 figures, accepted for publication in MNRA

F-GAMMA: On the phenomenological classification of continuum radio spectra variability patterns of Fermi blazars

The F-GAMMA program is a coordinated effort to investigate the physics of Active Galactic Nuclei (AGNs) via multi-frequency monitoring of Fermi blazars. In the current study we show and discuss the evolution of broad-band radio spectra, which are measured at ten frequencies between 2.64 and 142 GHz using the Effelsberg 100-m and the IRAM 30-m telescopes. It is shown that any of the 78 sources studied can be classified in terms of their variability characteristics in merely 5 types of variability. It is argued that these can be attributed to only two classes of variability mechanisms. The first four types are dominated by spectral evolution and can be described by a simple two-component system composed of: (a) a steep quiescent spectral component from a large scale jet and (b) a time evolving flare component following the "Shock-in-Jet" evolutionary path. The fifth type is characterised by an achromatic change of the broad band spectrum, which could be attributed to a different mechanism, likely involving differential Doppler boosting caused by geometrical effects. Here we present the classification, the assumed physical scenario and the results of calculations that have been performed for the spectral evolution of flares.Comment: Proceedings of the conference: "The Central Kiloparsec in Galactic Nucleic: Astronomy at High Angular Resolution 2011", August 29 - September 2, 2011, Bad Honnef, German

Extracting the late-time kinetic Sunyaev-Zel'dovich effect

We propose a novel technique to separate the late-time, post-reionization component of the kinetic Sunyaev Zeldovich (kSZ) effect from the contribution to it from a (poorly understood and probably patchy) reionization history. The kSZ effect is one of the most promising probe of the missing baryons in the Universe. We study the possibility of reconstructing it in three dimensions (3D), using future spectroscopic surveys such as the Euclid survey. By reconstructing a 3D template from galaxy density and peculiar velocity fields from spectroscopic surveys we cross-correlate the estimator against CMB maps. The resulting cross-correlation can help us to map out the kSZ contribution to CMB in 3D as a function of redshift thereby extending previous results which use tomographic reconstruction. This allows the separation of the late-time effect from the contribution owing to reionization. By construction, it avoids contamination from foregrounds, primary CMB, tSZ effect as well as from star-forming galaxies. Due to a high number density of galaxies the signal-to-noise ratio (S/N) for such cross-correlational studies is higher, compared to the studies involving CMB power-spectrum analysis. Using a spherical Bessel–Fourier (sFB) transform we introduce a pair of 3D power spectra: C⊥ℓ(k) and C⊥ℓ(k) that can be used for this purpose. We find that in a future spectroscopic survey with near all-sky coverage and a survey depth of z ≈ 1, reconstruction of C⊥ℓ(k) can be achieved in a few radial wave bands k ≈ (0.01–0.5 h−1 Mpc) with a S/N ratio of up to O(10) for angular harmonics in the range = (200–2000)

THE THREE-DIMENSIONAL EVOLUTION OF ION-SCALE CURRENT SHEETS: TEARING AND DRIFT-KINK INSTABILITIES IN THE PRESENCE OF PROTON TEMPERATURE ANISOTROPY

We present the first three-dimensional hybrid simulations of the evolution of ion-scale current sheets, with an investigation of the role of temperature anisotropy and associated kinetic instabilities on the growth of the tearing instability and particle heating. We confirm the ability of the ion cyclotron and firehose instabilities to enhance or suppress reconnection, respectively. The simulations demonstrate the emergence of persistent three-dimensional structures, including patchy reconnection sites and the fast growth of a narrow-band drift-kink instability, which suppresses reconnection for thin current sheets with weak guide fields. Potential observational signatures of the three-dimensional evolution of solar wind current sheets are also discussed. We conclude that kinetic instabilities, arising from non-Maxwellian ion populations, are significant to the evolution of three-dimensional current sheets, and two-dimensional studies of heating rates by reconnection may therefore over-estimate the ability of thin, ion-scale current sheets to heat the solar wind by reconnection