2,204 research outputs found

    Maternal mortality due to cardiovascular disease in the Netherlands:a 21-year experience

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    Objective Cardiovascular disorders are the leading cause of indirect maternal mortality in Europe. The aim of this study is to present an extensive overview concerning the specific cardiovascular causes of maternal death and to identify avoidable contributing care factors related to these deaths. Methods We assessed all cases of maternal death due to cardiovascular disorders collected by a systematic national confidential enquiry of maternal deaths published by the Dutch Maternal Mortality and Morbidity Committee on behalf of the Netherlands Society of Obstetrics and Gynaecology over a 21-year period (1993-2013) in the Netherlands. Results There were 96 maternal cardiovascular deaths (maternal mortality rate due to cardiovascular diseases 2.4/100,000 liveborn children). Causes were aortic dissection (n & x202f;= 20, 21%), ischaemic heart disease (n & x202f;= 17, 18%), cardiomyopathies (including peripartum cardiomyopathy and myocarditis, n & x202f;= 20, 21%) and (unexplained) sudden death (n & x202f;= 27, 28%). Fifty-five percent of the deaths occurred postpartum (n & x202f;= 55, 55%). Care factors that may have contributed to the adverse outcome were identified in 27 cases (28%). These factors were patient-related in 40% (pregnancy against medical advice, underestimation of symptoms) and healthcare-provider-related in 60% (symptoms not recognised, delay in diagnosis, delay in referral). Conclusion The maternal cardiovascular mortality ratio is low in the Netherlands and the main causes of maternal cardiovascular mortality are in line with other European reports. In a minority of cases, care factors that were possibly preventable were identified. Women with cardiovascular disease should be properly counselled about the risks of pregnancy and the symptoms of complications. Education of care providers regarding the incidence, presentation and diagnosis of cardiovascular disease during pregnancy is recommended

    A New Galactic 6cm Formaldehyde Maser

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    We report the detection of a new H2CO maser in the massive star forming region G23.71-0.20 (IRAS 18324-0820), i.e., the fifth region in the Galaxy where H2CO maser emission has been found. The new H2CO maser is located toward a compact HII region, and is coincident in velocity and position with 6.7 GHz methanol masers and with an IR source as revealed by Spitzer/IRAC GLIMPSE data. The coincidence with an IR source and 6.7 GHz methanol masers suggests that the maser is in close proximity to an embedded massive protostar. Thus, the detection of H2CO maser emission toward G23.71-0.20 supports the trend that H2CO 6cm masers trace molecular material very near young massive stellar objects.Comment: Accepted for publication in The Astrophysical Journal Letter

    Blackbody-radiation-assisted molecular laser cooling

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    The translational motion of molecular ions can be effectively cooled sympathetically to temperatures below 100 mK in ion traps through Coulomb interactions with laser-cooled atomic ions. The distribution of internal rovibrational states, however, gets in thermal equilibrium with the typically much higher temperature of the environment within tens of seconds. We consider a concept for rotational cooling of such internally hot, but translationally cold heteronuclear diatomic molecular ions. The scheme relies on a combination of optical pumping from a few specific rotational levels into a ``dark state'' with redistribution of rotational populations mediated by blackbody radiation.Comment: 4 pages, 5 figure

    VLT-ISAAC 3-5 micron spectroscopy of embedded young low-mass stars. III. Intermediate-mass sources in Vela

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    We performed a spectroscopic survey toward five intermediate-mass class I YSOs located in the Southern Vela molecular cloud in the L and M bands at resolving powers 600-800 up to 10,000, using the Infrared Spectrometer and Array Camera mounted on the VLT-ANTU. Lower mass companion objects were observed simultaneously in both bands. Solid H2O at 3 micron is detected in all sources, including the companion objects. CO ice at 4.67 micron is detected in a few main targets and one companion object. One object (LLN 19) shows little CO ice but strong gas-phase CO ro-vibrational lines in absorption. The CO ice profiles are different from source to source. The amount of water ice and CO ice trapped in a water-rich mantle may correlate with the flux ratio at 12 and 25 micron. The abundance of H2O-rich CO likely correlates with that of water ice. A weak feature at 3.54 mu attributed to solid CH3OH and a broad feature near 4.62 mu are observed toward LLN17, but not toward the other sources. The derived abundances of solid CH3OH and OCN- are ~10% and ~1% of the H2O ice abundance respectively. The H2O optical depths do not show an increase with envelope mass, nor do they show lower values for the companion objects compared with the main protostar. The line-of-sight CO ice abundance does not correlate with the source bolometric luminosity. Comparison of the solid CO profile toward LLN17, which shows an extremely broad CO ice feature, and that of its lower mass companion at a few thousand AU, which exhibits a narrow profile, together with the detection of OCN- toward LLN17 provide direct evidences for local thermal processing of the ice.Comment: Replace wrong files. Accepted by A&A, 22 pages, 18 figure

    Methanol Masers as Tracers of Circumstellar Disks

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    We show that in many methanol maser sources the masers are located in lines, with a velocity gradient along them which suggests that the masers are situated in edge-on circumstellar, or protoplanetary, disks. We present VLBI observations of the methanol maser source G309.92+0.48, in the 12.2 GHz transition, which confirm previous observations that the masers in this source lie along a line. We show that such sources are not only linear in space but, in many cases, also have a linear velocity gradient. We then model these and other data in both the 6.7 GHz and the 12.2 GHz transition from a number of star formation regions, and show that the observed spatial and velocity distribution of methanol masers, and the derived Keplerian masses, are consistent with a circumstellar disk rotating around an OB star. We consider this and other hypotheses, and conclude that about half of these methanol masers are probably located in edge-on circumstellar disks around young stars. This is of particular significance for studies of circumstellar disks because of the detailed velocity information available from the masers.Comment: 38 pages, 13 figures accepted by Ap
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