The Clusters AgeS Experiment (CASE). I. V209 omega Cen - An Eclipsing Post-Common Envelope Binary in the Globular Cluster omega Cen

We use photometric and spectroscopic observations of the detached eclipsing binary V209 omega Cen to derive the masses, radii, and luminosities of the component stars. The system exhibits total eclipses and, based on the measured systemic velocity and the derived distance, is a member of the globular cluster omega Cen. We obtain 0.945 +/- 0.043 Msun, 0.983 +/- 0.015 Rsun and 6.68 +/- 0.88 Lsun for the cooler, but larger and more luminous primary component. The secondary component has 0.144 +/- 0.008 Msun, 0.425 +/- 0.008 Rsun and 2.26 +/- 0.28 Lsun. The effective temperatures are estimated at 9370 K for the primary and at 10866 K for the secondary. On the color-magnitude diagram of the cluster, the primary component occupies a position between the tip of the blue straggler region and the extended horizontal branch while the secondary component is located close to the red border of the area occupied by hot subdwarfs. However, its radius is too large and its effective temperature is too low for it to be an sdB star. We propose a scenario leading to the formation of a system with such unusual properties with the primary component ``re-born'' from a former white dwarf which accreted a new envelope through mass transfer from its companion. The secondary star has lost most of its envelope while starting its ascent onto the sub-giant branch. It failed to ignite helium in its core and is currently powered by a hydrogen burning shell.Comment: 24 pages, 9 figures, AJ, in pres

Pion Form Factors in Holographic QCD

Using a holographic dual model of QCD, we compute the pion electromagnetic form factor F_pi(Q^2) in the spacelike momentum transfer region, as well as pion couplings to vector mesons g_rho^(n) pi pi. Spontaneous and explicit chiral symmetry breaking are intrinsic features of this particular holographic model. We consider variants with both ``hard-wall'' and ``soft-wall'' infrared cutoffs, and find that the F_pi(Q^2) data tend to lie closer to the hard-wall model predictions, although both are too shallow for large Q^2. By allowing the parameters of the soft-wall model (originally fixed by observables such as m_rho) to vary, one finds fits that tend to agree better with F_pi(Q^2). We also compute the pion charge radius for a variety of parameter choices, and use the values of f^(n)_rho, g_{rho^(n) pi pi} and m^(n)_rho to observe the saturation of F_pi(0) by rho poles.Comment: 17 pages, 2 figures, revised fits using consistent normalization of f_pi. References update

pi N --> Multi-pi N Scattering in the 1/N_c Expansion

We extend the 1/N_c expansion meson-baryon scattering formalism to cases in which the final state contains more than two particles. We first show that the leading-order large N_c processes proceed through resonant intermediate states (e.g., rho N or pi Delta). We then tabulate linear amplitude expressions for relevant processes and find that the pole structure of baryon resonances can be uniquely identified by their (non)appearance in eta N or mixed partial-wave pi Delta final states. We also show that quantitative predictions of pi N to pi Delta branching ratios predicted at leading order alone do not agree with measurements, but the inclusion of 1/N_c corrections is ample to explain the discrepancies.Comment: 23 pages, 3 eps figures, ReVTeX4, added reference and discussion, identical to PRD versio

FDG-PET/CT for diagnosis of cyst infection in autosomal dominant polycystic kidney disease

Purpose: Cyst infections are a common complication in autosomal dominant polycystic kidney disease (ADPKD). Diagnosing these infections often remains challenging. Conventional imaging techniques such as ultrasonography, computed tomography (CT), and standard magnetic resonance imaging have several drawbacks and disadvantages. The purpose of this pictorial essay was to illustrate and discuss the potential value of18F-fluoro-2-deoxy-d-glucose positron emission tomography (FDG-PET)/CT in diagnosing cyst infection in ADPKD. Methods: Exemplary (ADPKD) patients who underwent FDG-PET/CT as part of their routine clinical work-up in our institution are presented to show the potential value and drawbacks of this imaging technique in diagnosing cyst infection. In addition, the current literature and guidelines on this topic were reviewed. Results: FDG-PET/CT appears to be a sensitive method for the detection of cyst infection, but it is not infallible. Furthermore, FDG uptake in cysts and cyst-like lesions is not specific and clinical and radiological correlations are essential to improve specificity and minimize the risk of falsely discarding other diseases, in particular malignancy. Conclusion: FDG-PET/CT seems to be a useful imaging modality to diagnose cyst infections in ADPKD. However, its exact diagnostic value has not been established yet due to the lack of a reliable reference standard in previous studies on this topic

Multimodal therapy in an inpatient setting

Inpatient Multimodal Therapy (imt) is a residential treatment program, lasting a maximum of 36 weeks, for patients with severe neurotic symptoms. A group of 44 chronic obsessive-compulsive patients and a group of 40 chronic phobic patients were treated in order to assess the outcome and the process of treatment and to identify prognostic factors associated with the effect. At follow-up-on average, eight months after discharge-it was found that 60% had improved, 32% had remained the same, and 8% had deteriorated, indicating that, in general, the treatment was beneficial. That these effects were long-lasting is supported by the fact that, at follow-up, 78% of all patients were no longer receiving treatment, 18% were receiving outpatient or day treatment, and 4% were receiving inpatient treatment. Phobic patients appear to have gained more from the multimodal approach than did obsessive-compulsive patients, as indicated by the fact that the severity of symptoms decreased as they improved in rational thinking, assertiveness, and arousal. By contrast, obsessive-compulsive patients relapsed more than phobic patients did. This was attributed to the fact that the former gained less from the rational-emotive training, denied problems with assertiveness, and did not practice the acquired relaxation skills. It further appeared that a favorable outcome could be induced in patients who (1) expressed relatively mild symptoms in this otherwise severe group, (2) reported relatively few additional complaints, (3) could clearly indicate interpersonal problems, and (4) did not use psychotropic drugs. These prognostic factors are so widespread that not much weight can be ascribed to them. Yet they are useful for indication of imt until better predictors are found

Recommendations in Second Opinion Reports of Neurologic Head and Neck Imaging:Frequency, Referring Clinicians? Compliance, and Diagnostic Yield

BACKGROUND AND PURPOSE: Second opinion reports of neurologic head and neck imaging are requested with increased regularity, and they may contain a recommendation to the clinician. Our aim was to investigate the frequency and determinants of the presence of a recommendation and the adherence by the referring physician to the recommendation in a second opinion neurology head and neck imaging report and the diagnostic yield of these recommendations. MATERIALS AND METHODS: This retrospective study included 994 consecutive second opinion reports of neurology head and neck imaging examinations performed at a tertiary care center. RESULTS: Of the 994 second opinion reports, 12.2% (121/994) contained a recommendation. An oncologic imaging indication was significantly (P = .030) associated with a lower chance of a recommendation in the second opinion report (OR = .67; 95% CI, 0.46?0.96). Clinicians followed 65.7% (88/134) of the recommendations. None of the investigated variables (patient age, sex, hospitalization status, indication for the second opinion report, experience of the radiologist who signed the second opinion report, strength of the recommendation, and whether the recommendation was made due to apparent quality issues of the original examination) were significantly associated with the compliance of the referring physician to this recommendation. The 134 individual recommendations eventually led to the establishment of 52 (38.2%) benign diagnoses and 28 (20.6%) malignant diagnoses, while no definitive diagnosis could be established in 56 (41.2%) cases. CONCLUSIONS: Recommendations are relatively common in second opinion reports of neurology head and neck imaging examinations, though less for oncologic indications. They are mostly followed by requesting physicians, thus affecting patient management. In most cases, they also lead to the establishment of a diagnosis, hence adding value to patient care

Time to Reconsider Routine Percutaneous Biopsy in Spondylodiscitis?

Percutaneous image-guided biopsy currently has a central role in the diagnostic work-up of patients with suspected spondylodiscitis. However, on the basis of recent evidence, the value of routine image-guided biopsy in this disease can be challenged. In this article, we discuss this recent evidence and also share a new diagnostic algorithm for spondylodiscitis that was recently introduced at our institution. Thus, we may move from a rather dogmatic approach in which routine image-guided biopsy is performed in any case to a more individualized use of this procedure. Percutaneous image-guided biopsy, while valuable, is an invasive procedure, and evidence has shown rather disappointing positive microbiologic culture yields of around 33%. Recent evidence also has shown that percutaneous image-guided biopsy rarely adds any new information when blood cultures have positive findings and that an effective empiric treatment can be started in most of cases even when the microbiologic culprit remains unknown. Finally, there is currently no evidence that percutaneous image-guided biopsy improves patient outcome

HST Snaphot Study of Variable Stars in Globular Clusters: Inner Region of NGC 6441

[Abridged] We present the results of a Hubble Space Telescope snapshot program to survey the inner region of the globular cluster NGC 6441 for its variable stars. A total of 57 variable stars was found including 38 RR Lyrae stars, 6 Population II Cepheids, and 12 long period variables. Of the RR Lyrae stars observed in this survey, 26 are pulsating in the fundamental mode with a mean period of 0.753d and 12 are first-overtone mode pulsators with a mean period of 0.365d. These values match up very well with those found in ground-based surveys. Combining all the available data for NGC 6441, we find mean periods of 0.759d and 0.375d for the RRab and RRc stars, respectively. We also find that the RR Lyrae in this survey are located in the same regions of a period-amplitude diagram as those found in ground-based surveys. Although NGC 6441 is a metal-rich globular cluster, its RR Lyrae more closely resemble those in Oosterhoff type II globular clusters. However, even compared to typical Oosterhoff type II systems, the mean period of its RRab stars is unusually long. We also derived I-band period-luminosity relations for the RR Lyrae stars. Of the six Population II Cepheids, five are of W Virginis type and one is a BL Herculis variable stars. This makes NGC 6441, along with NGC 6388, the most metal-rich globular cluster known to contain these types of variable stars. Another variable, V118, may also be a Population II Cepheid given its long period and its separation in magnitude from the RR Lyrae stars. We argue that there does not appear to be a change in the period-luminosity relation slope between the BL Herculis and W Virginis stars, but that a change of slope does occur when the RV Tauri stars are added to the period-luminosity relation.Comment: 28 pages, including 9 figures and 8 tables, emulateapj5/apjfonts style. Accepted by the Astronomical Journal. Approximate publication date September 2003. We recommend the interested reader to download the preprint with full-resolution figures, which can be found at http://www.astro.puc.cl/~mcatelan/Pritzl.zi