Ontwikkelingsprincipes voor de Inrichting van de Informatievoorziening over de Curatieve zorg

Political Scienc

High Resolution Imaging and the Formation of Stars and Planets

Understanding the formation of stellar and planetary systems is one of the great challenges of contemporary astrophysics. This thesis describes progress towards understanding these processes, through advancement of techniques to enable high resolution imaging of faint companions and other structures in the immediate environs of young stars. To ensure optimal performance in an era of large segmented telescopes, techniques to precisely cophase the mirror segments are required. In this thesis we propose the Fizeau Interferometric Cophasing of Segmented Mirrors algorithm, and present the results of testing both numerically and through experiment. We help to rectify a lack of observational evidence with which to test brown dwarf evolutionary models, by laying the foundation for an orbital monitoring survey of 19 brown dwarf binary systems and reporting the discovery of an additional 7 low mass companions to intermediate mass stars. We perform a Non-Redundant Masking (NRM) survey targeting the 1\,Myr old Ophiuchus star forming region. Both binary statistics and the relationship between multiplicity and the presence of a circumstellar disk are explored, providing many results similar to those from older regions. This helps frame the time evolution of effects related to dynamical interactions in binary systems, and the timescale of disk dissipation, with profound implications for giant planet formation. In thesis we also present the results of commissioning for the Gemini Planet Imager Non-Redundant Masking mode. These results indicate that the addition of an Extreme Adaptive Optics systems has substantially improved the performance of NRM compared to previous instruments. Finally, the transition disk T Cha is studied with multi-epoch NRM data, showing that the signal previously interpreted as a planetary companion is more likely to be the result of forward scattering from the inclined outer disk

The effect of injectable biocompatible elastomer (PDMS) on the strength of the proximal fixation of endovascular aneurysm repair grafts: An in vitro study

PurposeOne of the major concerns in the long-term success of endovascular aneurysm repair (EVAR) is stent graft migration, which can cause type I endoleak and even aneurysm rupture. Fixation depends on the mechanical forces between the graft and both the aortic neck and the blood flow. Therefore, there are anatomical restrictions for EVAR, such as short and angulated necks. To improve the fixation of EVAR grafts, elastomer (PDMS) can be injected in the aneurysm sac. The support given by the elastomer might prevent dislocation and migration of the graft. The aim of this study was to measure the influence of an injectable biocompatible elastomer on the fixation strength of different EVAR grafts in an in vitro model.MethodsThe proximal part of three different stent grafts was inserted in a bovine artery with an attached latex aneurysm. The graft was connected to a tensile testing machine, applying force to the proximal fixation, while the artery with the aneurysm was fixated to the setup. The force to obtain graft dislodgement (DF) from the aorta was recorded in Newtons (N). Three different proximal seal lengths (5, 10, and 15 mm) were evaluated. The experiments were repeated after the space between the graft and the latex aneurysm was filled with the elastomer. Independent sample ttests were used for the comparison between the DF before and after elastomer treatment for each seal length.ResultsThe mean DF (mean ± SD) of all grafts without elastomer sac filling for a proximal seal length of 5, 10, and 15 mm were respectively, 4.4 ± 3.1 N, 12.2 ± 10.6 N, and 15.1 ± 6.9 N. After elastomer sac filling, the dislodgement forces increased significantly (P < .001) to 20.9 ± 3.8 N, 31.8 ± 9.8 N, and 36.0 ± 14.1 N, respectively.ConclusionsThe present study shows that aneurysm sac filling may have a role as an adjuvant procedure to the present EVAR technique. The strength of the proximal fixation of three different stent grafts increases significantly in this in vitro setting. Further in vivo research must be done to see if this could facilitate the treatment of aneurysms with short infrarenal necks.Clinical RelevanceStent graft migration and endoleak due to suboptimal fixation are major drawbacks of currently available stent grafts. Optimizing the proximal fixation by peri-graft elastomer aneurysm sac filling may lead to lower incidence of graft migration and endoleak. It might make endovascular aneurysm repair available to larger group of patients with an abdominal aortic aneurysm

Constraints on the Local Sources of Ultra High-Energy Cosmic Rays

Ultra high-energy cosmic rays (UHECRs) are believed to be protons accelerated in magnetized plasma outflows of extra-Galactic sources. The acceleration of protons to ~10^{20} eV requires a source power L>10^{47} erg/s. The absence of steady sources of sufficient power within the GZK horizon of 100 Mpc, implies that UHECR sources are transient. We show that UHECR "flares" should be accompanied by strong X-ray and gamma-ray emission, and that X-ray and gamma-ray surveys constrain flares which last less than a decade to satisfy at least one of the following conditions: (i) L>10^{50} erg/s; (ii) the power carried by accelerated electrons is lower by a factor >10^2 than the power carried by magnetic fields or by >10^3 than the power in accelerated protons; or (iii) the sources exist only at low redshifts, z<<1. The implausibility of requirements (ii) and (iii) argue in favor of transient sources with L>10^{50} erg/s.Comment: 7 pages, 1 figure, submitted to JCA

Energy and Flux Measurements of Ultra-High Energy Cosmic Rays Observed During the First ANITA Flight

The first flight of the Antarctic Impulsive Transient Antenna (ANITA) experiment recorded 16 radio signals that were emitted by cosmic-ray induced air showers. For 14 of these events, this radiation was reflected from the ice. The dominant contribution to the radiation from the deflection of positrons and electrons in the geomagnetic field, which is beamed in the direction of motion of the air shower. This radiation is reflected from the ice and subsequently detected by the ANITA experiment at a flight altitude of 36km. In this paper, we estimate the energy of the 14 individual events and find that the mean energy of the cosmic-ray sample is 2.9 EeV. By simulating the ANITA flight, we calculate its exposure for ultra-high energy cosmic rays. We estimate for the first time the cosmic-ray flux derived only from radio observations. In addition, we find that the Monte Carlo simulation of the ANITA data set is in agreement with the total number of observed events and with the properties of those events.Comment: Added more explanation of the experimental setup and textual improvement

Sunny holidays before and after melanoma diagnosis are respectively associated with lower breslow thickness and lower relapse rates in Italy

Background: Previous studies have reported an association between sun exposure and improved cutaneous melanoma (CM) survival. We analysed the association of UV exposure with prognostic factors and outcome in a large melanoma cohort. Methods: A questionnaire was given to 289 (42%) CM patients at diagnosis (Group 1) and to 402 CM patients (58%) during follow-up (Group 2). Analyses were carried out to investigate the associations between sun exposure and melanoma prognostic factors and survival. Results: Holidays in the sun two years before CM diagnosis were significantly associated with lower Breslow thickness (p=0.003), after multiple adjustment. Number of weeks of sunny holidays was also significantly and inversely associated with thickness in a dose-dependent manner (p=0.007). However when stratifying by gender this association was found only among women (p=0.0004) the risk of CM recurrence in both sexes was significantly lower in patients (n=271) who had holidays in the sun after diagnosis, after multiple adjustment including education: HR=0.30 (95%CI:0.10-0.87; p=0.03) conclusions: Holidays in the sun were associated with thinner melanomas in women and reduced rates of relapse in both sexes. However, these results do not prove a direct causal effect of sun exposure on survival since other confounding factors, such as vitamin D serum levels and socio-economic status, may play a role. Other factors in sun seeking individuals may also possibly affect these results