3,844 research outputs found
Magnetic resonance imaging: the preferred imaging method for evaluation of the right ventricle
Standard and Null Weak Values
Weak value (WV) is a quantum mechanical measurement protocol, proposed by
Aharonov, Albert, and Vaidman. It consists of a weak measurement, which is
weighed in, conditional on the outcome of a later, strong measurement. Here we
define another two-step measurement protocol, null weak value (NVW), and point
out its advantages as compared to WV. We present two alternative derivations of
NWVs and compare them to the corresponding derivations of WVs.Comment: 11 pages, 2 figures. To appear in Quantum Theory: A Two-Time Success
Story: Yakir Aharonov Festschrif
Robust photometric redshift determinations of gamma-ray burst afterglows at z > 2
Theory suggests that about 10% of Swift-detected gamma-ray bursts (GRBs) will
originate at redshifts greater than 5 yet a number of high redshift candidates
may be left unconfirmed due to the lack of measured redshifts. Here we
introduce our code, GRBz, a method of simultaneous multi-parameter fitting of
GRB afterglow optical and near infrared, spectral energy distributions. It
allows for early determinations of the photometric redshift, spectral index and
host extinction to be made. We assume that GRB afterglow spectra are well
represented by a power-law decay and model the effects of absorption due to the
Lyman forest and host extinction. We use a genetic algorithm-based routine to
simultaneously fit the parameters of interest, and a Monte Carlo error
analysis. We use GRBs of previously determined spectroscopic redshifts to prove
our method, while also introducing new near infrared data of GRB 990510 which
further constrains the value of the host extinction. Our method is effective in
estimating the photometric redshift of GRBs, relatively unbiased by assumptions
of the afterglow spectral index or the host galaxy extinction. Monte Carlo
error analysis is required as the method of error estimate based on the optimum
population of the genetic algorithm underestimates errors significantly.Comment: Accepted to A&A: 8 pages, 5 figure
Gamma-Ray Burst afterglow scaling coefficients for general density profile
Gamma-ray burst (GRB) afterglows are well described by synchrotron emission
originating from the interaction between a relativistic blast wave and the
external medium surrounding the GRB progenitor. We introduce a code to
reconstruct spectra and light curves from arbitrary fluid configurations,
making it especially suited to study the effects of fluid flows beyond those
that can be described using analytical approximations. As a check and first
application of our code we use it to fit the scaling coefficients of
theoretical models of afterglow spectra. We extend earlier results of other
authors to general circumburst density profiles. We rederive the physical
parameters of GRB 970508 and compare with other authorsComment: 11 pages, 5 figures. Revised edition removes references to unphysical
chromatic break and adds appendix on hot region directly behind shoc
Clinical significance of inferolateral early repolarisation and late potentials in children with Brugada Syndrome.
INTRODUCTION: The clinical utility of inferolateral early repolarisation (ER) and late potentials (LP) in children with Brugada Syndrome (BrS) has not been previously evaluated. The aim of this study was to determine the prevalence of electrocardiographic (ECG) abnormalities in children with BrS, and to investigate their relationship with clinical outcomes. METHODS: 43 patients with BrS and 47 controls aged â€18 undergoing systematic clinical and ECG evaluation, including signal-averaged ECG (SAECG) and pharmacological provocation testing, between 2003 and 2019 were included. RESULTS: Four patients with BrS (9%) presented with a spontaneous type 1 Brugada pattern; the remaining 39 (91%) were diagnosed following ajmaline provocation testing. Twelve BrS patients (28%) had late potentials (LP) on SAECG compared to 1 (2%) in controls (p = 0.001). LP were more common in 5 patients with a high-risk phenotype (60% vs 24%) but this was not statistically significant. Twelve patients with BrS (28%) had inferolateral early repolarisation (ER) and 2 (5%) had fractionated QRS (f-QRS), but there were no statistically-significant differences with controls in these parameters. A significant arrhythmia (non-sustained ventricular tachycardia or atrial fibrillation) was seen in 4 patients (9%). CONCLUSIONS: This study shows a high prevalence of SAECG abnormalities in children with BrS compared with controls, but this was not significantly associated with a high-risk phenotype
Risk Assessment and Comparative Effectiveness of Left Ventricular Assist Device and Medical Management in Ambulatory Heart Failure Patients The ROADMAP Study 2-Year Results
OBJECTIVES The authors sought to provide the pre-specified primary endpoint of the ROADMAP (Risk Assessment and Comparative Effectiveness of Left Ventricular Assist Device and Medical Management in Ambulatory Heart Failure Patients) trial at 2 years. BACKGROUND The ROADMAP trial was a prospective nonrandomized observational study of 200 patients (97 with a left ventricular assist device [LVAD], 103 on optimal medical management [OMM]) that showed that survival with improved functional status at 1 year was better with LVADs compared with OMM in a patient population of ambulatory New York Heart Association functional class IIIb/IV patients. METHODS The primary composite endpoint was survival on original therapy with improvement in 6-min walk distance \u3e= 75 m. RESULTS Patients receiving LVAD versus OMM had lower baseline health-related quality of life, reduced Seattle Heart Failure Model 1-year survival (78% vs. 84%; p = 0.012), and were predominantly INTERMACS (Interagency Registry for Mechanically Assisted Circulatory Support) profile 4 (65% vs. 34%; p \u3c 0.001) versus profiles 5 to 7. More LVAD patients met the primary endpoint at 2 years: 30% LVAD versus 12% OMM (odds ratio: 3.2 [95% confidence interval: 1.3 to 7.7]; p = 0.012). Survival as treated on original therapy at 2 years was greater for LVAD versus OMM (70 +/- 5% vs. 41 +/- 5%; p \u3c 0.001), but there was no difference in intent-to-treat survival (70 +/- 5% vs. 63 +/- 5%; p = 0.307). In the OMM arm, 23 of 103 (22%) received delayed LVADs (18 within 12 months; 5 from 12 to 24 months). LVAD adverse events declined after year 1 for bleeding (primarily gastrointestinal) and arrhythmias. CONCLUSIONS Survival on original therapy with improvement in 6-min walk distance was superior with LVAD compared with OMM at 2 years. Reduction in key adverse events beyond 1 year was observed in the LVAD group. The ROADMAP trial provides risk-benefit information to guide patient- and physician-shared decision making for elective LVAD therapy as a treatment for heart failure. (Risk Assessment and Comparative Effectiveness of Left Ventricular Assist Device and Medical Management in Ambulatory Heart Failure Patients [ROADMAP]; NCT01452802
Chronic heart block in dogs; a method for producing experimental heart failure
A method is described for the production of chronic atrioventricular block in dogs, by incision of the region of the bundle of His through the open right atrium during temporary caval occlusion. Exercise tolerances, chest x-ray films, electrocardiograms, phonocardiograms, cardiac outputs, intracardiac pressures, femoral pressures, and left ventricular coronary flows were obtained preoperatively and from 1 to 10 months postoperatively. The majority of the animals developed clinical, laboratory, and pathological evidence of congestive heart failure. All animals had generalized myocardial hypertrophy
Gamma-Ray Burst Afterglows as Probes of Environment and Blastwave Physics
We use a new approach to obtain limits on the absorbing columns towards an initial sample of 10 long Gamma-Ray Bursts observed with BeppoSAX and selected on the basis of their good optical and nIR coverage, from simultaneous fits to nIR, optical and X-ray afterglow data, in count space and including the effects of metallicity. In no cases is a MIV-like ext,inction preferred, when testing MW, LMC and SMC extinction laws. The 2175A bump would in principle be detectable in all these afterglows, but is not present in the data. An SMC-like gas-to-dust ratio or lower value can be ruled out for 4 of the hosts analysed here (assuming Sh4C metallicity and extinction law) whilst the remainder of the sample have too large an error to discriminate. We provide a more accurate estimate of the line-of-sight extinction and improve upon the uncertainties for the majority of the extinction measurements made in previous studies of this sample. We discuss this method to determine extinction values in comparison with the most commonly employed existing methods
Subaru and Swift observations of V652 Herculis: resolving the photospheric pulsation
High-resolution spectroscopy with the Subaru High Dispersion Spectrograph, and Swift ultraviolet photometry are presented for the pulsating extreme helium star V652 Her. Swift provides the best relative ultraviolet photometry obtained to date, but shows no direct evidence for a shock at ultraviolet or X-ray wavelengths. Subaru has provided high spectral and high temporal resolution spectroscopy over six pulsation cycles (and eight radius minima).
These data have enabled a line-by-line analysis of the entire pulsation cycle and provided a description of the pulsating photosphere as a function of optical depth. They show that the photosphere is compressed radially by a factor of at least 2 at minimum radius, that the phase of radius minimum is a function of optical depth and the pulse speed through the photosphere is between 141 and 239 km sâ1 (depending how measured) and at least 10 times the local sound speed. The strong acceleration at minimum radius is demonstrated in individual line profiles; those formed deepest in the photosphere show a jump discontinuity of over 70 kmsâ1 on a time-scale of 150 s. The pulse speed and line profile jumps imply a shock is present at minimum radius. These empirical results provide input for hydrodynamical modelling of the pulsation and hydrodynamical plus radiative transfer modelling of the dynamical spectra
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