151 research outputs found
VOLUME REDUCTION OF MITRAL REGURGITATION IS MAIN CONTRIBUTOR TO INCREASE OF CARDIAC FORWARD FLOW AFTER TRANSCATHETER AORTIC VALVE REPLACEMENT IN PATIENTS WITH PREPROCEDURAL FUNCTIONAL MITRAL REGURGITATION; HEMODYNAMIC ANALYSIS USING ECHOCARDIOGRAPHY
Outburst of LS V+44 17 Observed by MAXI and RXTE, and Discovery of a Dip Structure in the Pulse Profile
We report on the first observation of an X-ray outburst of a Be/X-ray binary
pulsar LS V +44 17/RX J0440.9+4431, and the discovery of an absorption dip
structure in the pulse profile. An outburst of this source was discovered by
MAXI GSC in 2010 April. It was the first detection of the transient activity of
LS V +44 17 since the source was identified as a Be/X-ray binary in 1997. From
the data of the follow-up RXTE observation near the peak of the outburst, we
found a narrow dip structure in its pulse profile which was clearer in the
lower energy bands. The pulse-phase-averaged energy spectra in the 3100 keV
band can be fitted with a continuum model containing a power-law function with
an exponential cutoff and a blackbody component, which are modified at low
energy by an absorption component. A weak iron K emission line is also
detected in the spectra. From the pulse-phase-resolved spectroscopy we found
that the absorption column density at the dip phase was much higher than those
in the other phases. The dip was not seen in the subsequent RXTE observations
at lower flux levels. These results suggest that the dip in the pulse profile
originates from the eclipse of the radiation from the neutron star by the
accretion column.Comment: 18 pages, 7 figures, accepted for publication in PAS
Long-term Monitoring of the Black Hole Binary GX 339-4 in the High/Soft State during the 2010 Outburst with MAXI/GSC
We present the results of monitoring the Galactic black hole candidate GX
339-4 with the Monitor of All-sky X-ray Image (MAXI) / Gas Slit Camera (GSC) in
the high/soft state during the outburst in 2010. All the spectra throughout the
8-month period are well reproduced with a model consisting of multi-color disk
(MCD) emission and its Comptonization component, whose fraction is <= 25% in
the total flux. In spite of the flux variability over a factor of 3, the
innermost disk radius is constant at R_in = 61 +/- 2 km for the inclination
angle of i = 46 deg and the distance of d=8 kpc. This R_in value is consistent
with those of the past measurements with Tenma in the high/soft state. Assuming
that the disk extends to the innermost stable circular orbit of a non-spinning
black hole, we estimate the black hole mass to be M = 6.8 +/- 0.2 M_sun for i =
46 deg and d = 8 kpc, which is consistent with that estimated from the Suzaku
observation of the previous low/hard state. Further combined with the mass
function, we obtain the mass constraint of 4.3 M_sun < M < 13.3 M_sun for the
allowed range of d = 6-15 kpc and i < 60 deg. We also discuss the spin
parameter of the black hole in GX 339-4 by applying relativistic accretion disk
models to the Swift/XRT data.Comment: 9 pages, 8 figures, accepted for publication in PASJ (Suzaku+MAXI
special issue
Add-on effects of oral tocopherol supplementation to surgical varicocelectomy on the outcome of assisted reproductive technology: a single-center pilot study report
IntroductionVaricocelectomy is well known to improve the pregnancy outcome of patients with clinical varicoceles in assisted reproductive technologies as well as spontaneous conception. Therefore, this study aimed to evaluate the additional effects of oral antioxidant therapy after varicocelectomy on the pregnancy outcome in the assisted reproductive technology setting.MethodsThis study was a retrospective cohort study. The subjects were couples among whom the male partner had undergone varicocelectomy and was scheduled for subsequent assisted reproductive technology. Pregnancy outcomes were followed retrospectively in 62 couples with male partners who received tocopherol (antioxidant group) and 37 couples who did not (control group). The tocopherol and control groups were assigned dependent on the decision of the physician in charge and the patient's request. The clinical pregnancy rates per couple and embryo transfer, time to pregnancy, and the number of cycles during transfer to pregnancy were evaluated.ResultsNo significant differences were observed in the pregnancy rate per couple (antioxidant group 70.9% vs. control group 64.9%, P = 0.55) and per embryo transfer (50.4% vs. 39.6%, P = 0.22). Regarding the time to event analyzed by adjusted restricted mean survival time, the mean time to pregnancy was significantly shorter in the antioxidant (tocopherol) group (14.2 vs. 17.4 months, P = 0.025). No significant difference was observed in the embryo transfer cycle to pregnancy (mean embryo transfer cycles: 2.6 vs. 3.0, P = 0.238).ConclusionsAdditional oral tocopherol nicotinate as antioxidant therapy after varicocelectomy was shown to shorten the time to pregnancy. It is recommended that add-on effects be tested in more well-designed randomized controlled trials to examine whether it improves assisted reproductive outcomes
Comparison of rapid immunochromatographic assays using sputum and urine for Streptococcus pneumoniae detection in adult patients with respiratory tract infection
Aim: Streptococcus pneumoniae is the most frequently detected bacterium in pneumonia. RAPIRUN Streptococcus pneumoniae (RAPIRUN) using sputum and BinaxNow Streptococcus pneumoniae (BinaxNow) using urine have been used as rapid diagnostic methods for S. pneumoniae detection in Japan; however, their correlation with quantitative culture tests has not been well evaluated.Methods: A prospective study was conducted on adult patients with respiratory tract infections whose sputum and urine samples were available in six hospitals. Sputum and urine samples were tested at each site, and quantitative sputum cultures were performed. The performance of RAPIRUN and BinaxNow was compared in cases in which quantitative culture showed S. pneumoniae.Results: A total of 192 patients were analyzed. Of these, 167 were diagnosed with pneumonia (87.0%) including 161 of community-acquired pneumonia. Of the 192 cases, 86 (44.8%) were culture-proven for S. pneumoniae. There were 83 and 57 RAPIRUN- and BinaxNow-positive cases, respectively. The sensitivity and specificity of RAPIRUN were 84.9% and 90.6%, respectively, and those of BinaxNOW were 55.8% and 91.5%, respectively, indicating that RAPIRUN was significantly superior in sensitivity (p < 0.0001) with almost equal specificity (p = 0.317). Positive and negative percent agreements of both tests were 59.3% (κ, 0.114 [95% CI, 0.053–0.281]) and 99.1% (κ, 0.942 [95% CI, 0.830–1]), respectively, indicating they were well matched in specificity but not in sensitivity. The positivity rate of RAPIRUN increased with an increase in the number of bacteria (p< 0.0001) but not BinaxNow (p = 0.275).Conclusion: In adult patients with respiratory tract infections in whom sputum collection is feasible, RAPIRUN will increase the diagnostic efficacy of S. pneumoniae infection
Peculiarly Narrow SED of GRB 090926B with MAXI and Fermi/GBM
The monitor of all-sky X-ray image (MAXI) Gas Slit Camera (GSC) on the
International Space Station (ISS) detected a gamma-ray burst (GRB) on 2009,
September 26, GRB\,090926B. This GRB had extremely hard spectra in the X-ray
energy range. Joint spectral fitting with the Gamma-ray Burst Monitor on the
Fermi Gamma-ray Space Telescope shows that this burst has peculiarly narrow
spectral energy distribution and is represented by Comptonized blackbody model.
This spectrum can be interpreted as photospheric emission from the low
baryon-load GRB fireball. Calculating the parameter of fireball, we found the
size of the base of the flow cm and Lorentz factor of the plasma , where is a ratio between the total fireball energy and
the energy in the blackbody component of the gamma-ray emission. This is
factor of a few larger, and the Lorentz factor of 110 is smaller by also factor
of a few than other bursts that have blackbody components in the spectra.Comment: 7 pages, 6 figure
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