544 research outputs found
The Inner Halo of M87: A First Direct View of the Red-Giant Population
An unusually deep (V,I) imaging dataset for the Virgo supergiant M87 with the
Hubble Space Telescope ACS successfully resolves its brightest red-giant stars,
reaching M_I(lim) = -2.5. After assessing the photometric completeness and
biasses, we use this material to estimate the metallicity distribution for the
inner halo of M87, finding that the distribution is very broad and likely to
peak near [m/H] ~ -0.4 and perhaps higher. The shape of the MDF strongly
resembles that of the inner halo for the nearby giant E galaxy NGC 5128. As a
byproduct of our study, we also obtain a preliminary measurement of the
distance to M87 with the TRGB (red-giant branch tip) method; the result is
(m-M)_0 = 31.12 +- 0.14 (d = 16.7 +- 0.9 Mpc). Averaging this result with three
other recent techniques give a weighted mean d(M87) = (16.4 +- 0.5) Mpc.Comment: In press for Astronomy and Astrophysic
A First Search for Prompt Radio Emission from a Gravitational-Wave Event
Multimessenger observations of the binary neutron star merger GW170817 have
enabled the discovery of a diverse array of electromagnetic counterparts to
compact binary mergers, including an unambiguous kilonova, a short gamma-ray
burst, and a late-time radio jet. Beyond these counterparts, compact binary
mergers are additionally predicted to be accompanied by prompt low-frequency
radio emission. The successful observation of a prompt radio counterpart would
be immensely valuable, but is made difficult by the short delay between the
gravitational-wave and prompt electromagnetic signals as well as the poor
localization of gravitational-wave sources. Here, we present the first search
for prompt radio emission accompanying a gravitational-wave event, targeting
the binary black hole merger GW170104 detected by the Advanced LIGO and Virgo
gravitational-wave observatories during their second (O2) observing run. Using
the Owens Valley Radio Observatory Long Wavelength Array (OVRO-LWA), we search
a region for transient radio emission within
approximately one hour of GW170104, obtaining an upper limit of
on its equivalent isotropic
luminosity between 27-84 MHz. We additionally discuss plans to target binary
neutron star mergers in Advanced LIGO and Virgo's upcoming O3 observing run.Comment: 13 pages + appendices, 7 figures, submitted to Ap
Cost-effectiveness analysis of sacubitril/valsartan vs enalapril in patients with heart failure and reduced ejection fraction
Importance The angiotensin receptor neprilysin inhibitor sacubitril/valsartan was associated with a reduction in cardiovascular mortality, all-cause mortality, and hospitalizations compared with enalapril. Sacubitril/valsartan has been approved for use in heart failure (HF) with reduced ejection fraction in the United States and cost has been suggested as 1 factor that will influence the use of this agent.
Objective To estimate the cost-effectiveness of sacubitril/valsartan vs enalapril in the United States.
Design, Setting, and Participants Data from US adults (mean [SD] age, 63.8 [11.5] years) with HF with reduced ejection fraction and characteristics similar to those in the PARADIGM-HF trial were used as inputs for a 2-state Markov model simulated HF. Risks of all-cause mortality and hospitalization from HF or other reasons were estimated with a 30-year time horizon. Quality of life was based on trial EQ-5D scores. Hospital costs combined Medicare and private insurance reimbursement rates; medication costs included the wholesale acquisition cost for sacubitril/valsartan and enalapril. A discount rate of 3% was used. Sensitivity analyses were performed on key inputs including: hospital costs, mortality benefit, hazard ratio for hospitalization reduction, drug costs, and quality-of-life estimates.
Main Outcomes and Measures Hospitalizations, quality-adjusted life-years (QALYs), costs, and incremental costs per QALY gained.
Results The 2-state Markov model of US adult patients (mean age, 63.8 years) calculated that there would be 220 fewer hospital admissions per 1000 patients with HF treated with sacubitril/valsartan vs enalapril over 30 years. The incremental costs and QALYs gained with sacubitril/valsartan treatment were estimated at 45 017 per QALY for the base-case. Sensitivity analyses demonstrated ICERs ranging from 75 301 per QALY.
Conclusions and Relevance For eligible patients with HF with reduced ejection fraction, the Markov model calculated that sacubitril/valsartan would increase life expectancy at an ICER consistent with other high-value accepted cardiovascular interventions. Sensitivity analyses demonstrated sacubitril/valsartan would remain cost-effective vs enalapril
Use and Outcomes Associated With Bridging During Anticoagulation Interruptions in Patients With Atrial Fibrillation: Findings From the Outcomes Registry for Better Informed Treatment of Atrial Fibrillation (ORBIT-AF)
BACKGROUND: Temporary interruption of oral anticoagulation for procedures is often required, and some propose using bridging anticoagulation. However, the use and outcomes of bridging during oral anticoagulation interruptions in clinical practice are unknown. METHODS AND RESULTS: The Outcomes Registry for Better Informed Treatment of Atrial Fibrillation (ORBIT-AF) registry is a prospective, observational registry study of US outpatients with atrial fibrillation. We recorded incident temporary interruptions of oral anticoagulation for a procedure, including the use and type of bridging therapy. Outcomes included multivariable-adjusted rates of myocardial infarction, stroke or systemic embolism, major bleeding, cause-specific hospitalization, and death within 30 days. Of 7372 patients treated with oral anticoagulation, 2803 overall interruption events occurred in 2200 patients (30%) at a median follow-up of 2 years. Bridging anticoagulants were used in 24% (n=665), predominantly low-molecular-weight heparin (73%, n=487) and unfractionated heparin (15%, n=97). Bridged patients were more likely to have had prior cerebrovascular events (22% versus 15%; P=0.0003) and mechanical valve replacements (9.6% versus 2.4%; P/=2 in 94% versus 95%; P=0.5). Bleeding events were more common in bridged than nonbridged patients (5.0% versus 1.3%; adjusted odds ratio, 3.84;
Key Science Goals for the Next Generation Very Large Array (ngVLA): Report from the ngVLA Science Advisory Council
This document describes some of the fundamental astrophysical problems that
require observing capabilities at millimeter- and centimeter wavelengths well
beyond those of existing, or already planned, telescopes. The results
summarized in this report follow a solicitation from the National Radio
Astronomy Observatory to develop key science cases for a future U. S.-led radio
telescope, the "next generation Very Large Array" (ngVLA). The ngVLA will have
roughly 10 times the collecting area of the Jansky VLA, operate at frequencies
from 1 GHz to 116 GHz with up to 20 GHz of bandwidth, possess a compact core
for high surface-brightness sensitivity, and extended baselines of at least
hundreds of kilometers and ultimately across the continent to provide
high-resolution imaging. The ngVLA builds on the scientific and technical
legacy of the Jansky VLA and ALMA, and will be designed to provide the next
leap forward in our understanding of planets, galaxies, and black holes.Comment: ngVLA memo 1
New Limits on the Low-frequency Radio Transient Sky Using 31 hr of All-sky Data with the OVRO-LWA
We present the results of the first transient survey from the Owens Valley Radio Observatory Long Wavelength Array (OVRO–LWA) using 31 hr of data, in which we place the most constraining limits on the instantaneous transient surface density at timescales of 13 s to a few minutes and at frequencies below 100 MHz. The OVRO–LWA is a dipole array that images the entire viewable hemisphere with 58 MHz of bandwidth from 27 to 84 MHz at 13 s cadence. No transients are detected above a 6.5σ flux density limit of 10.5 Jy, implying an upper limit to the transient surface density of 2.5 × 10⁻⁸ deg⁻² at the shortest timescales probed, which is orders of magnitude deeper than has been achieved at sub-100 MHz frequencies and comparable flux densities to date. The nondetection of transients in the OVRO–LWA survey, particularly at minutes-long timescales, allows us to place further constraints on the rate of the potential population of transients uncovered by Stewart et al. From their transient rate, we expect a detection of 8.4^(+31.8)_(-8.0) events, and the probability of our null detection is 1.9^(+644)_(-1.9) x 10⁻³, ruling out a transient rate >1.4 × 10⁻⁴ days⁻¹ deg⁻² with 95% confidence at a flux density limit of 18.1 Jy, under the assumption of a flat spectrum and wide bandwidth. We discuss the implications of our nondetection for this population and further constraints that can be made on the source spectral index, intrinsic emission bandwidth, and resulting luminosity distribution
Precarious, Always-On and Flexible: A Case Study of Academics as Information Workers
The higher education landscape has changed in the last decades. The neoliberal restructuring of universities has led to transformations such as reducing public expenditure, allocating resources based on competition and quasi-market disciplines. These structural transformations have also an effect on the working conditions, practices and relations of subjects within universities. Questions that need to be addressed: How do different working contexts and conditions in the academia shape feelings of autonomy, flexibility and reputation on the one hand and precariousness, overwork and dissatisfaction on the other? What are the broader political realities and potentials in terms of solidarity, participation and democracy at universities? I address these questions based on a theoretical analysis and qualitative interviews with precariously employed academics
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