A disk census for the nearest group of young stars: Mid-infrared observations of the TW Hydrae Association

A group of young, active stars in the vicinity of TW Hydrae has recently been identified as a possible physical association with a common origin. Given its proximity ($\sim$50 pc), age ($\sim$10 Myr) and abundance of binary systems, the TW Hya Association is ideally suited to studies of diversity and evolution of circumstellar disks. Here we present mid-infrared observations of 15 candidate members of the group, 11 of which have no previous flux measurements at wavelengths longer than 2$\mu$m. We report the discovery of a possible 10$\mu$m excess in CD -33$^{\circ}$7795, which may be due to a circumstellar disk or a faint, as yet undetected binary companion. Of the other stars, only TW Hya, HD 98800, Hen 3-600A, and HR 4796A -- all of which were detected by IRAS -- show excess thermal emission. Our 10$\mu$m flux measurements for the remaining members of the Association are consistent with photospheric emission, allowing us to rule out dusty inner disks. In light of these findings, we discuss the origin and age of the TW Hya Association as well as implications for disk evolution timescales.Comment: 10 pages and 1 PostScript figure, accepted for publication in The Astrophysical Journal Letter

A dust disk surrounding the young A star HR4796A

We report the codiscovery of the spatially-resolved dust disk of the Vega-like star HR 4796A. Images of the thermal dust emission at $\lambda = 18 \mu$m show an elongated structure approximately 200 AU in diameter surrounding the central A0V star. The position angle of the disk, $30^{\circ} \pm 10^{\circ}$, is consistent to the position angle of the M companion star, $225^{\circ}$, suggesting that the disk-binary system is being seen nearly along its orbital plane. The surface brightness distribution of the disk is consistent with the presence of an inner disk hole of approximately 50 AU radius, as was originally suggested by Jura et al. on the basis of the infrared spectrum. HR 4796 is a unique system among the Vega-like or $\beta$ Pictoris stars in that the M star companion (a weak-emission T Tauri star) shows that the system is relatively young, $\sim 8 \pm 3$ Myr. The inner disk hole may provide evidence for coagulation of dust into larger bodies on a timescale similar to that suggested for planet formation in the solar system.Comment: 12 pages, 3 PostScript figures, accepted for publication in Astrophysical Journal Letter

Mid-infrared imaging of the young binary star Hen 3-600: Evidence for a dust disk around the primary

We present high-resolution mid-infrared observations of the nearby late-type young binary system Hen 3-600. The binary, at a distance of $\sim$ 50 pc, could be a member of the TW Hydrae Association, the nearest known group of young stars, with an age of a few million years. Our images make it possible for the first time to determine which star in the pair, separated by 1.4'', harbors the mid-infrared excess detected by IRAS. In the near-infrared, where the radiation is primarily photospheric, Hen 3-600A (M3) and Hen 3-600B (M3.5) have a flux ratio of 1.6. At 4.8$\mu$m, 10.8$\mu$m, and 18.2$\mu$m, the primary becomes increasingly dominant over the secondary, suggesting that most of the circumstellar dust in the system resides around Hen 3-600A. Comparison of the spectral energy distribution (SED) of Hen 3-600A to the median SED of classical T Tauri stars suggests that its disk may be truncated by the secondary and provides tentative evidence for a central disk hole. The distribution of dust in the Hen 3-600 system may provide important clues to the formation and evolution of protoplanetary disks in close binaries.Comment: 9 pages, 2 PostScript figures, accepted for publication in The Astrophysical Journal Letter

The Patricia Zn–Pb–Ag epithermal ore deposit: An uncommon type of mineralization in northeastern Chile

The Patricia ore deposit represents an unusual example of economic Zn–Pb–Ag mineralization at the northernmost end of the Late Eocene–Oligocene metallogenic belt in Chile. It is hosted by volcano-sedimentary units, which are typically tuffaceous and andesitic breccias. The ore body consists of a set of subvertical E-W vein systems developed under a sinistral strike-slip regime that included transtensive domains with generalized extensional structures where the ores were deposited. The deposit is divided into two blocks by a set of NNW-ESE-trending reverse faults, which uplifted the eastern block and exhumed thicker and deeper parts of the deposit. At least 200 m of volcano-sedimentary pile hosting the mineralization has been eroded in this block. By contrast, the western block exposes a shallower part of the system where cherts, amorphous silica and jasperoids occur. Three main stages of mineralization have been defined: (1) pre-ore stage is characterized by early quartz, pyrite and arsenopyrite, (2) base-metal and silver stage; characterized by sphalerite (6 to 15 mol% FeS), galena, chalcopyrite, pyrrhotite and Ag-bearing minerals (freibergite, polybasite, stephanite, pyrargyrite, freieslebenite and acanthite) and (3) post-ore stage; characterized by late quartz, kutnohorite and minor sulfides (arsenopyrite, sphalerite, pyrite, galena, Ag-bearing minerals and Pb-sulfosalts). Whole-ore geochemistry shows two groups of elements that are positively correlated; 1) Ag–Cd–Cu–Pb–Zn related to the base metal sulfides and 2) Au–As–Ge–Sb–W related to arsenopyrite and pyrite. Hydrothermal alteration is pervasive in the outcropping mineralized areas, including silicification and locally, vuggy silica textures. At depth, chloritic and sericitic alteration is developed along vein selvages and is superimposed to the regional propylitic alteration. Fluid inclusions indicate that the base-metal ores were deposited from 250 to 150 °C moderate salinity fluids (1–9 wt.% NaCl). The pre-ore stage is characterized by a saline fluid (6–22 wt.% NaCl) and between 210 and 250 °C whereas the post-ore stage has salinity of 4–8 wt.% and temperature from 175 to 215 °C. Cooling was the mechanism of ore mineral precipitation in the Patricia deposit, although mixing of fluids could have occurred in the pre-ore stage. Mineralogical, geochemical and fluid inclusion evidence is consistent with an intermediate sulfidation (IS) epithermal deposit type. This study highlights the high potential for hidden economic mineralization at depth in the western block and for extension of the ore body both to the south and to deeper levels in the eastern block of the Patricia ore deposit. To a larger extent, the implications of finding such polymetallic epithermal style of mineralization in the northern Chile Precordillera is relevant both to the regional metallogenic perspective and to the exploration potential of the region, where the late Eocene–early Oligocene metallogenic belt apparently disappears.This research was financially supported by the project CGL2010 – 17668 (Ministerio de Economía y Competitividad of Spain) and the company Herencia Resources Plc.Peer reviewe

A Mid-Infrared Study of the Young Stellar Population in the NGC 2024 Cluster

We present the results of the first broadband 10.8 um survey of the NGC 2024 cluster. The mid-infrared data were combined with our previously published JHKL photometry in order to construct spectral energy distributions for all detected sources. The main scientific goals were to investigate the nature of the young stellar objects (YSOs) in the cluster, and to examine the efficiency of detecting circumstellar disk sources from near-infrared JHKL color-color diagrams. Out of 59 sources surveyed having K-band magnitudes K < 10.5, we detected 35 (~59%) at 10 um. Combining these detections, and upper limits for the non-detections, with existing JHKL data, we identify 1 Class I, 6 flat spectrum, 28 Class II and 5 Class III sources. We find a circumstellar disk fraction for NGC 2024 of ~85% +/- 15%, which confirms earlier published suggestions that the majority, if not all, of the stars in NGC 2024 formed with disks, and these disks still exist at the present time. In addition, all but one of the disk sources identified in our survey lie in the infrared excess region of the JHKL color-color diagram for the cluster. This demonstrates that JHKL color-color diagrams are extremely efficient in identifying YSOs with disks. Of the 14 sources with K - L colors suggestive of protostellar objects, \~29% are protostellar in nature, while ~7% are true Class I YSOs. This may be due to extinction producing very red K - L colors in Class II YSOs, thus making them appear similar in color to protostars. This suggests caution must be applied when estimating the sizes and lifetimes of protostellar populations within star forming regions based on K - L colors alone. Finally, we calculate the luminosities of the Class II YSOs in NGC 2024, rho Oph and Taurus and discuss the results.Comment: 30 pages, 8 figures, paper to appear in March A

N-terminal pro–brain natriuretic peptide and exercise capacity in chronic heart failure: Data from the Heart Failure and a Controlled Trial Investigating Outcomes of Exercise Training (HF-ACTION) study

To examine the relationship between N-terminal pro-brain natriuretic peptide (NT-proBNP) and exercise capacity in a large contemporary cohort of patients with chronic heart failure

Association of Clonal Hematopoiesis of Indeterminate Potential with Inflammatory Gene Expression in Patients with COPD

Chronic obstructive pulmonary disease (COPD) is a disease with an inflammatory pheno type with increasing prevalence in the elderly. Expanded population of mutant blood cells carrying somatic mutations is termed clonal hematopoiesis of indeterminate potential (CHIP). The associ ation between CHIP and COPD and its relevant effects on DNA methylation in aging are mainly unknown. Analyzing the deep-targeted amplicon sequencing from 125 COPD patients, we found enhanced incidence of CHIP mutations (~20%) with a predominance of DNMT3A CHIP-mediated hypomethylation of Phospholipase D Family Member 5 (PLD5), which in turn is positively correlated with increased levels of glycerol phosphocholine, pro-inflammatory cytokines, and deteriorating lung function

Effect of a Hospital and Postdischarge Quality Improvement Intervention on Clinical Outcomes and Quality of Care for Patients With Heart Failure With Reduced Ejection Fraction: The CONNECT-HF Randomized Clinical Trial

Importance: Adoption of guideline-directed medical therapy for patients with heart failure is variable. Interventions to improve guideline-directed medical therapy have failed to consistently achieve target metrics, and limited data exist to inform efforts to improve heart failure quality of care. Objective: To evaluate the effect of a hospital and postdischarge quality improvement intervention compared with usual care on heart failure outcomes and care. Design, Setting, and Participants: This cluster randomized clinical trial was conducted at 161 US hospitals and included 5647 patients (2675 intervention vs 2972 usual care) followed up after a hospital discharge for acute heart failure with reduced ejection fraction (HFrEF). The trial was performed from 2017 to 2020, and the date of final follow-up was August 31, 2020. Interventions: Hospitals (n = 82) randomized to a hospital and postdischarge quality improvement intervention received regular education of clinicians by a trained group of heart failure and quality improvement experts and audit and feedback on heart failure process measures (eg, use of guideline-directed medical therapy for HFrEF) and outcomes. Hospitals (n = 79) randomized to usual care received access to a generalized heart failure education website. Main Outcomes and Measures: The coprimary outcomes were a composite of first heart failure rehospitalization or all-cause mortality and change in an opportunity-based composite score for heart failure quality (percentage of recommendations followed). Results: Among 5647 patients (mean age, 63 years; 33% women; 38% Black; 87% chronic heart failure; 49% recent heart failure hospitalization), vital status was known for 5636 (99.8%). Heart failure rehospitalization or all-cause mortality occurred in 38.6% in the intervention group vs 39.2% in usual care (adjusted hazard ratio, 0.92 [95% CI, 0.81 to 1.05). The baseline quality-of-care score was 42.1% vs 45.5%, respectively, and the change from baseline to follow-up was 2.3% vs -1.0% (difference, 3.3% [95% CI, -0.8% to 7.3%]), with no significant difference between the 2 groups in the odds of achieving a higher composite quality score at last follow-up (adjusted odds ratio, 1.06 [95% CI, 0.93 to 1.21]). Conclusions and Relevance: Among patients with HFrEF in hospitals randomized to a hospital and postdischarge quality improvement intervention vs usual care, there was no significant difference in time to first heart failure rehospitalization or death, or in change in a composite heart failure quality-of-care score. Trial Registration: ClinicalTrials.gov Identifier: NCT03035474

Mid-Infrared Imaging of Candidate Vega-Like Systems

We have conducted deep mid-infrared imaging of a relatively nearby sample of candidate Vega-like stars using the OSCIR instrument on the CTIO 4-meter and Keck II 10-meter telescopes. Our discovery of a spatially-resolved disk around HR 4796A has already been reported (Jayawardhana et al. 1998). Here we present imaging observations of the other members of the sample, including the discovery that only the primary in the HD 35187 binary system appears to harbor a substantial circumstellar disk and the possible detection of extended disk emission around 49 Ceti. We derive global properties of the dust disks, place constraints on their sizes, and discuss several interesting cases in detail. Although our targets are believed to be main sequence stars, we note that several have large infrared excesses compared to prototype Vega-like systems, and may therefore be somewhat younger. The disk size constraints we derive, in many cases, imply emission from relatively large ($\gtrsim$ 10$\mu$m) particles at mid-infrared wavelengths.Comment: 15 pages and 2 PostScript figures, accepted for publication in The Astronomical Journa

Patiromer Facilitates Angiotensin Inhibitor and Mineralocorticoid Antagonist Therapies in Patients With Heart Failure and Hyperkalemia

Background: Hyperkalemia (HK) is associated with suboptimal renin–angiotensin system (RAS) inhibitor and mineralocorticoid receptor antagonist (MRA) use in heart failure with reduced ejection fraction (HFrEF). Objectives: This study sought to assess characteristics and RAS inhibitor/MRA use in patients receiving patiromer during the DIAMOND (Patiromer for the Management of Hyperkalemia in Subjects Receiving RAASi Medications for the Treatment of Heart Failure) run-in phase. Methods: Patients with HFrEF and HK or past HK entered a run-in phase of ≤12 weeks with patiromer-facilitated RAS inhibitor/MRA optimization to achieve ≥50% recommended RAS inhibitor dose, 50 mg/d MRA, and normokalemia. Patients achieving these criteria (randomized group) were compared with the run-in failure group (patients not meeting the randomization criteria). Results: Of 1,038 patients completing the run-in, 878 (84.6%) were randomized and 160 (15.4%) were run-in failures. Overall, 422 (40.7%) had HK entering run-in with a similar frequency in the randomized and run-in failure groups (40.3% vs 42.5%; P = 0.605). From start to the end of run-in, in the randomized group, an increase was observed in target RAS inhibitor and MRA use in patients with HK (RAS inhibitor: 76.8% to 98.6%; MRA: 35.9% to 98.6%) and past HK (RAS inhibitor: 60.5% to 98.1%; MRA: 15.6% to 98.7%). Despite not meeting the randomization criteria, an increase after run-in was observed in the run-in failure group in target RAS inhibitor (52.5% to 70.6%) and MRA use (15.0% to 48.1%). This increase was observed in patients with HK (RAS inhibitor: 51.5% to 64.7%; MRA: 19.1% to 39.7%) and past HK (RAS inhibitor: 53.3% to 75.0%; MRA: 12.0% to 54.3%). Conclusions: In patients with HFrEF and HK or past HK receiving suboptimal RAS inhibitor/MRA therapy, RAS inhibitor/MRA optimization increased during patiromer-facilitated run-in.</p