Metal Absorption Systems in Spectra of Pairs of QSOs

We present the first large sample of absorption systems in paired QSOs consisting of 691 absorption systems in the spectra of 310 QSOs including 170 pairings. All these absorption systems have metal lines, usually C IV or Mg II. We see 17 cases of absorption in one line-of-sight within 200 km/s (1 Mpc) of absorption in the paired line-of-sight with the probability at least approx 50% at 100kpc, declining rapidly to 23% at 100 - 200 kpc. We detect clustering on 0.5Mpc scales and see a hint of the "fingers of God" redshift-space distortion. The distribution matches absorbers arising in galaxies at z=2 with a normal correlation function and systematic infall velocities but unusually low random pair-wise velocity differences. Absorption in gas flowing out from galaxies at a mean velocity of 250 km/s would produce vastly more elongation than we see. The UV absorption from fast winds that Adelberger et al. 2005 see in spectra of LBGs is not representative of the absorption that we see. Either the winds are confined to LBGs, or they can not extend to 40 kpc with large velocities, while continuing to make UV absorption we see, implying most metals were in place in the IGM long before z=2. Separately, when we examine the absorption seen when a sight line passes a second QSO, we see 19 absorbers within 400 km/s of the partner QSO. The probability of seeing absorption is approximately constant for impact parameters 0.1 - 1.5 Mpc. Perhaps we do not see a rapid rise in the probability at small impact parameters because the UV from QSOs destroys some absorbers near to the QSOs. The 3D distribution of 64 absorbers around 313 QSOs is to first order isotropic, with just a hint of the anisotropy expected if the QSO UV emission is beamed, or alternatively QSOs might emit UV isotropically but for a surprisingly short time of only 0.3Myr.Comment: 36 pages with 25 figures and 10 Tables Submited to MNRA

Algorithms to guide ambulance clinicians in the management of emergencies in patients with implanted rotary left ventricular assist devices

Advances in left ventricular assist device (LVAD) therapy have resulted in increasing numbers of adult LVAD recipients in the community. However, device failure, stroke, bleeding, LVAD thrombosis and systemic infection can be life-threatening emergencies. Currently, four LVAD systems are implanted in six UK transplant centres, each of which provides device-specific information to local emergency services. This has resulted in inconsistent availability and content of information with the risks of delayed or inappropriate decision-making. In order to improve patient safety, a consortium of UK healthcare professionals with expertise in LVADs developed universally applicable prehospital emergency algorithms. Guidance was framed as closely as possible on the standard ABCDE approach to the assessment of critically ill patients. https://emj.bmj.com/content/emermed/34/12/842.full.pdf This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ http://dx.doi.org/10.1136/emermed-2016-20617