Exploring the impact of social network change:Experiences of older adults ageing in place

Social networks are sources of support and contribute to the well-being of older adults who are ageing in place. As social networks change, especially when accompanied by health decline, older adults' sources of support change and their well-being is challenged. Previous studies predominantly used quantitative measures to examine how older adults' social networks change. Alternatively, this study explores the impact of changing social networks on older adults' lives by examining their personal experiences. We held four focus groups, two with a total of 14 older adults who are ageing in place and receiving home care and two with a total of 20 home-care nurses from different regions and organisations in the Netherlands. Subsequently, an expert team of home-care professionals and managers discussed and verified the results. Procedures for grounded theory building were used for analysis. We revealed four themes of high-impact experiences: (a) struggling with illness/death of the spouse; (b) working out a changing relationship with (grand)children; (c) regretting the loss of people they have known for so long and (d) feeling dependent and stressed when helpers enter the network. Also, network dynamics were found to follow three consecutive stages: (a) awareness of social network change; (b) surprise when social network change actually occurs and (c) acceptance and adjusting to new circumstances. Together, the four themes of experiences and three stages of network change form an integrative model of the role of social network dynamics for older adults' lives when ageing in place

Resolving the compact dusty discs around binary post-AGB stars using N-band interferometry

We present the first mid-IR long baseline interferometric observations of the circumstellar matter around binary post-AGB stars. Two objects, SX Cen and HD 52961, were observed using the VLTI/MIDI instrument during Science Demonstration Time. Both objects are known binaries for which a stable circumbinary disc is proposed to explain the SED characteristics. This is corroborated by our N-band spectrum showing a crystallinity fraction of more than 50 % for both objects, pointing to a stable environment where dust processing can occur. Surprisingly, the dust surrounding SX Cen is not resolved in the interferometric observations providing an upper limit of 11 mas (or 18 AU at the distance of this object) on the diameter of the dust emission. This confirms the very compact nature of its circumstellar environment. The dust emission around HD 52961 originates from a very small but resolved region, estimated to be ~ 35 mas at 8 micron and ~ 55 mas at 13 micron. These results confirm the disc interpretation of the SED of both stars. In HD 52961, the dust is not homogeneous in its chemical composition: the crystallinity is clearly concentrated in the hotter inner region. Whether this is a result of the formation process of the disc, or due to annealing during the long storage time in the disc is not clear.Comment: 12 pages, 10 figures, accepted for publication in A &

Evolution of dust and ice features around FU Orionis objects

(abridged) We present spectroscopy data for a sample of 14 FUors and 2 TTauri stars observed with the Spitzer Space Telescope or with the Infrared Space Observatory (ISO). Based on the appearance of the 10 micron silicate feature we define 2 categories of FUors. Objects showing the silicate feature in absorption (Category 1) are still embedded in a dusty and icy envelope. The shape of the 10 micron silicate absorption bands is compared to typical dust compositions of the interstellar medium and found to be in general agreement. Only one object (RNO 1B) appears to be too rich in amorphous pyroxene dust, but a superposed emission feature can explain the observed shape. We derive optical depths and extinction values from the silicate band and additional ice bands at 6.0, 6.8 and 15.2 micron. In particular the analysis of the CO_2 ice band at 15.2 micron allows us to search for evidence for ice processing and constrains whether the absorbing material is physically linked to the central object or in the foreground. For objects showing the silicate feature in emission (Category 2), we argue that the emission comes from the surface layer of accretion disks. Analyzing the dust composition reveals that significant grain growth has already taken place within the accretion disks, but no clear indications for crystallization are present. We discuss how these observational results can be explained in the picture of a young, and highly active accretion disk. Finally, a framework is proposed as to how the two categories of FUors can be understood in a general paradigm of the evolution of young, low-mass stars. Only one object (Parsamian 21) shows PAH emission features. Their shapes, however, are often seen toward evolved stars and we question the object's status as a FUor and discuss other possible classifications.Comment: accepted for publication in ApJ; 63 pages preprint style including 8 tables and 24 figure

Mid-infrared interferometry of massive young stellar objects

The very inner structure of massive young stellar objects (YSOs) is difficult to trace. With conventional observational methods we identify structures still several hundreds of AU in size. However, the (proto-)stellar growth takes place at the innermost regions (<100 AU) where the actual mass transfer onto the forming high-mass star occurs. We present results from our programme toward massive YSOs at the VLTI, utilising the two-element interferometer MIDI. To date, we observed 10 well-known massive YSOs down to scales of 20 mas (typically corresponding to 20 - 40 AU for our targets) in the 8-13 micron region. We clearly resolve these objects which results in low visibilities and sizes in the order of 30-50 mas. For two objects, we show results of our modelling. We demonstrate that the MIDI data can reveal decisive structure information for massive YSOs. They are often pivotal in order to resolve ambiguities still immanent in model parameters derived from sole SED fitting.Comment: 6 pages, 5 figures, necessary style files iopams.sty, jpconf11.clo, and jpconf.cls included; contribution for the conference "The Universe under the Microscope" (AHAR 2008), held in Bad Honnef (Germany) in April 2008, to be published in Journal of Physics: Conference Series by Institute of Physics Publishing, R. Schoedel, A. Eckart, S. Pfalzner, and E. Ros (eds.

On the structure of the transition disk around TW Hya

For over a decade, the structure of the inner cavity in the transition disk of TW Hydrae has been a subject of debate. Modeling the disk with data obtained at different wavelengths has led to a variety of proposed disk structures. Rather than being inconsistent, the individual models might point to the different faces of physical processes going on in disks, such as dust growth and planet formation. Our aim is to investigate the structure of the transition disk again and to find to what extent we can reconcile apparent model differences. A large set of high-angular-resolution data was collected from near-infrared to centimeter wavelengths. We investigated the existing disk models and established a new self-consistent radiative-transfer model. A genetic fitting algorithm was used to automatize the parameter fitting. Simple disk models with a vertical inner rim and a radially homogeneous dust composition from small to large grains cannot reproduce the combined data set. Two modifications are applied to this simple disk model: (1) the inner rim is smoothed by exponentially decreasing the surface density in the inner ~3 AU, and (2) the largest grains (>100 um) are concentrated towards the inner disk region. Both properties can be linked to fundamental processes that determine the evolution of protoplanetary disks: the shaping by a possible companion and the different regimes of dust-grain growth, respectively. The full interferometric data set from near-infrared to centimeter wavelengths requires a revision of existing models for the TW Hya disk. We present a new model that incorporates the characteristic structures of previous models but deviates in two key aspects: it does not have a sharp edge at 4 AU, and the surface density of large grains differs from that of smaller grains. This is the first successful radiative-transfer-based model for a full set of interferometric data.Comment: 22 pages, 12 figures, accepted for publication in Astronomy & Astrophysic

Heart failure after treatment for breast cancer

Background: We aimed to develop dose–response relationships for heart failure (HF) following radiation and anthracyclines in breast cancer treatment, and to assess HF associations with trastuzumab and endocrine therapies. Methods and results: A case–control study was performed within a cohort of breast cancer survivors treated during 1980–2009. Cases (n = 102) had HF as first cardiovascular diagnosis and were matched 1:3 on age and date of diagnosis. Individual cardiac radiation doses were estimated, and anthracycline doses and use of trastuzumab and endocrine therapy were abstracted from oncology notes. For HF cases who received radiotherapy, the estimated median mean heart dose (MHD) was 6.8 Gy [interquartile range (IQR) 0.9–13.7]. MHD was not associated with HF risk overall [excess rate ratio (ERR) = 1%/Gy, 95% confidence interval (CI) −2 to 10]. In patients treated with anthracyclines, exposure of ≥20% of the heart to ≥20 Gy was associated with a rate ratio of 5.7 (95% CI 1.7–21.7) compared to <10% exposed to ≥20 Gy. For cases who received radiotherapy, median cumulative anthracycline dose was 247 mg/m2 (IQR 240–319). A dose-dependent increase was observed after anthracycline without trastuzumab (ERR = 1.5% per mg/m2, 95% CI 0.5–4.1). After anthracycline and trastuzumab, the rate ratio was 34.9 (95% CI 11.1–110.1) compared to no chemotherapy. Conclusions: In absence of anthracyclines, breast cancer radiotherapy was not associated with increased HF risk. Strongly elevated HF risks were observed after treatment with anthracyclines and also after treatment with trastuzumab. The benefits of these systemic treatments usually exceed the risks of HF, but our results emphasize the need to support ongoing efforts to evaluate preventative strategies

Formation of Super-Earths

Super-Earths are the most abundant planets known to date and are characterized by having sizes between that of Earth and Neptune, typical orbital periods of less than 100 days and gaseous envelopes that are often massive enough to significantly contribute to the planet's overall radius. Furthermore, super-Earths regularly appear in tightly-packed multiple-planet systems, but resonant configurations in such systems are rare. This chapters summarizes current super-Earth formation theories. It starts from the formation of rocky cores and subsequent accretion of gaseous envelopes. We follow the thermal evolution of newly formed super-Earths and discuss their atmospheric mass loss due to disk dispersal, photoevaporation, core-cooling and collisions. We conclude with a comparison of observations and theoretical predictions, highlighting that even super-Earths that appear as barren rocky cores today likely formed with primordial hydrogen and helium envelopes and discuss some paths forward for the future.Comment: Invited review accepted for publication in the 'Handbook of Exoplanets,' Planet Formation section, Springer Reference Works, Juan Antonio Belmonte and Hans Deeg, Ed

An overview of the mid-infrared spectro-interferometer MATISSE: science, concept, and current status

MATISSE is the second-generation mid-infrared spectrograph and imager for the Very Large Telescope Interferometer (VLTI) at Paranal. This new interferometric instrument will allow significant advances by opening new avenues in various fundamental research fields: studying the planet-forming region of disks around young stellar objects, understanding the surface structures and mass loss phenomena affecting evolved stars, and probing the environments of black holes in active galactic nuclei. As a first breakthrough, MATISSE will enlarge the spectral domain of current optical interferometers by offering the L and M bands in addition to the N band. This will open a wide wavelength domain, ranging from 2.8 to 13 um, exploring angular scales as small as 3 mas (L band) / 10 mas (N band). As a second breakthrough, MATISSE will allow mid-infrared imaging - closure-phase aperture-synthesis imaging - with up to four Unit Telescopes (UT) or Auxiliary Telescopes (AT) of the VLTI. Moreover, MATISSE will offer a spectral resolution range from R ~ 30 to R ~ 5000. Here, we present one of the main science objectives, the study of protoplanetary disks, that has driven the instrument design and motivated several VLTI upgrades (GRA4MAT and NAOMI). We introduce the physical concept of MATISSE including a description of the signal on the detectors and an evaluation of the expected performances. We also discuss the current status of the MATISSE instrument, which is entering its testing phase, and the foreseen schedule for the next two years that will lead to the first light at Paranal.Comment: SPIE Astronomical Telescopes and Instrumentation conference, June 2016, 11 pages, 6 Figure

Optical photometry of GM Cep: evidence for UXor type of variability

Results from optical photometric observations of the pre-main sequence star GM Cep are reported in the paper. The star is located in the field of the young open cluster Trumpler 37 - a region of active star formation. GM Cep shows a large amplitude rapid variability interpreted as a possible outburst from EXor type in previous studies. Our data from BVRI CCD photometric observations of the star are collected from June 2008 to February 2011 in Rozhen observatory (Bulgaria) and Skinakas observatory (Crete, Greece). A sequence of sixteen comparison stars in the field of GM Cep was calibrated in the BVRI bands. Our photometric data for a 2.5 years period show a high amplitude variations (Delta V ~ 2.3m) and two deep minimums in brightness are observed. The analysis of collected multicolor photometric data shows the typical of UX Ori variables a color reversal during the minimums in brightness. On the other hand, high amplitude rapid variations in brightness typical for the Classical T Tauri stars also present on the light curve of GM Cep. Comparing our results with results published in the literature, we conclude that changes in brightness are caused by superposition of both: (1) magnetically channeled accretion from the circumstellar disk, and (2) occultation from circumstellar clouds of dust or from features of a circumstellar disk.Comment: 7 pages, 3 figures, accepted for publication in Ap&S