Role of International Medical Graduates in Kentucky Medicine: Implications For Workforce Planning and Medical Education

An argument for International Medical Graduates (IMGs) as part of a state’s physician workforce is that they “fill the gap” created by the shortage of United States Medical Graduates (USMGs) required to meet the demand for physician services, especially primary care physicians in rural areas. The purpose of this study is to examine the overall impact of IMGs on Kentucky’s physician workforce and determine whether they overcome the shortage of USMGs. Information from the Kentucky Board of Medical Licensure (KBML) was used to examine the distribution and practice patterns of IMGs and USMGs. IMGs are similar to USMGs in terms of gender, age, and average hours worked. IMGs were not any more likely than USMGs to practice in a primary care specialty. They were more likely to practice in a rural county and a county with a critical access hospital. In conclusion, IMGs do not completely “fill the gap” in physician shortages in most Kentucky counties. More programs to attract and retain physicians should be developed, especially in rural areas. Additional residency programs at regional medical centers is one recommendation to accomplish this

The impact of scatter in the galaxy UV luminosity to halo mass relation on Ly α visibility during the epoch of reionization

The reionization of hydrogen is closely linked to the first structures in the Universe, so understanding the timeline of reionization promises to shed light on the nature of these early objects. In particular, transmission of Lyman alpha (Ly α) from galaxies through the intergalactic medium (IGM) is sensitive to neutral hydrogen in the IGM, so can be used to probe the reionization timeline. In this work, we implement an improved model of the galaxy UV luminosity to dark matter halo mass relation to infer the volume-averaged fraction of neutral hydrogen in the IGM from Ly α observations. Many models assume that UV-bright galaxies are hosted by massive dark matter haloes in overdense regions of the IGM, so reside in relatively large ionized regions. However, observations and N-body simulations indicate that scatter in the UV luminosity–halo mass relation is expected. Here, we model the scatter (though we assume the IGM topology is unaffected) and assess the impact on Ly α visibility during reionization. We show that UV luminosity–halo mass scatter reduces Ly α visibility compared to models without scatter, and that this is most significant for UV-bright galaxies. We then use our model with scatter to infer the neutral fraction, xH I, at z ∼ 7 using a sample of Lyman-break galaxies in legacy fields. We infer xH I = 0.55+−00.1113 with scatter, compared to xH I = 0.59+−00.1214 without scatter, a very slight decrease and consistent within the uncertainties. Finally, we place our results in the context of other constraints on the reionization timeline and discuss implications for future high-redshift galaxy studies.The reionization of hydrogen is closely linked to the first structures in the Universe, so understanding the timeline of reionization promises to shed light on the nature of these early objects. In particular, transmission of Lyman alpha (Ly α) from galaxies through the intergalactic medium (IGM) is sensitive to neutral hydrogen in the IGM, so can be used to probe the reionization timeline. In this work, we implement an improved model of the galaxy UV luminosity to dark matter halo mass relation to infer the volume-averaged fraction of neutral hydrogen in the IGM from Ly α observations. Many models assume that UV-bright galaxies are hosted by massive dark matter haloes in overdense regions of the IGM, so reside in relatively large ionized regions. However, observations and N-body simulations indicate that scatter in the UV luminosity–halo mass relation is expected. Here, we model the scatter (though we assume the IGM topology is unaffected) and assess the impact on Ly α visibility during reionization. We show that UV luminosity–halo mass scatter reduces Ly α visibility compared to models without scatter, and that this is most significant for UV-bright galaxies. We then use our model with scatter to infer the neutral fraction, xH I, at z ∼ 7 using a sample of Lyman-break galaxies in legacy fields. We infer xH I = 0.55+−00.1113 with scatter, compared to xH I = 0.59+−00.1214 without scatter, a very slight decrease and consistent within the uncertainties. Finally, we place our results in the context of other constraints on the reionization timeline and discuss implications for future high-redshift galaxy studies

Warped diffusive radio halo around the quiescent spiral edge-on galaxy NGC 4565

Context. Cosmic rays play a pivotal role in launching galactic winds, particularly in quiescently star-forming galaxies where the hot gas alone is not sufficient to drive a wind. Except for the Milky Way, not much is known about the transport of cosmic rays in galaxies. Aims. In this Letter, we present low-frequency observations of the nearby edge-on spiral galaxy NGC 4565 using the LOw-Frequency ARray (LOFAR). With our deep 144 MHz observations, we obtain a clean estimate of the emission originating from old cosmic-ray electrons (CRe), which is almost free from contamination by thermal emission. Methods. We measured vertical profiles of the non-thermal radio continuum emission that we fitted with Gaussian and exponential functions. The different profile shapes correspond to 1D cosmic-ray transport models of pure diffusion and advection, respectively. Results. We detect a warp in the radio continuum that is reminiscent of the previously known H 

The ALMA REBELS Survey: specific star formation rates in the reionization era

We present specific star formation rates (sSFRs) for 40 ultraviolet (UV)-bright galaxies at z ∼ 7–8 observed as part of the Reionization Era Bright Emission Line Survey (REBELS) Atacama Large Millimeter/submillimeter Array (ALMA) large programme. The sSFRs are derived using improved star formation rate (SFR) calibrations and spectral energy distribution (SED)based stellar masses, made possible by measurements of far-infrared (FIR) continuum emission and [C II]-based spectroscopic redshifts. The median sSFR of the sample is 18+−57 Gyr−1, significantly larger than literature measurements lacking constraints in the FIR, reflecting the larger obscured SFRs derived from the dust continuum relative to that implied by the UV+optical SED. We suggest that such differences may reflect spatial variations in dust across these luminous galaxies, with the component dominating the FIR distinct from that dominating the UV. We demonstrate that the inferred stellar masses (and hence sSFRs) are strongly dependent on the assumed star formation history in reionization-era galaxies. When large sSFR galaxies (a population that is common at z > 6) are modelled with non-parametric star formation histories, the derived stellar masses can increase by an order of magnitude relative to constant star formation models, owing to the presence of a significant old stellar population that is outshined by the recent burst. The [C II] line widths in the largest sSFR systems are often very broad, suggesting dynamical masses capable of accommodating an old stellar population suggested by non-parametric models. Regardless of these systematic uncertainties among derived parameters, we find that sSFRs increase rapidly toward higher redshifts for massive galaxies (9.6 < log (M∗/M☉) < 9.8), evolving as (1 + z)1.7±0.3, broadly consistent with expectations from the evolving baryon accretion rates

Discovery and properties of the earliest galaxies with confirmed distances

© 2023 Springer Nature Limited. This is the accepted manuscript version of an article which has been published in final form at 10.1038/s41550-023-01921-1Surveys with James Webb Space Telescope (JWST) have discovered candidate galaxies in the first 400 Myr of cosmic time. The properties of these distant galaxies provide initial conditions for understanding early galaxy formation and cosmic reionisation. Preliminary indications have suggested these candidate galaxies may be more massive and abundant than previously thought. However, without spectroscopic confirmation of their distances to constrain their intrinsic brightnesses, their inferred properties remain uncertain. Here we report on four galaxies located in the JWST Advanced Deep Extragalactic Survey (JADES) Near-Infrared Camera (NIRCam) imaging with photometric redshifts $z\sim10-13$ subsequently confirmed by JADES JWST Near- Infrared Spectrograph (NIRSpec) observations. These galaxies include the first redshift $z>12$ systems both discovered and spectroscopically confirmed by JWST. Using stellar population modelling, we find the galaxies typically contain a hundred million solar masses in stars, in stellar populations that are less than one hundred million years old. The moderate star formation rates and compact sizes suggest elevated star formation rate surface densities, a key indicator of their formation pathways. Taken together, these measurements show that the first galaxies contributing to cosmic reionisation formed rapidly and with intense internal radiation fields.Peer reviewe

JWST reveals a possible z∼11z \sim 11 galaxy merger in triply-lensed MACS0647−-JD

MACS0647$-$JD is a triply-lensed $z\sim11$ galaxy originally discovered with the Hubble Space Telescope. Here we report new JWST imaging, which clearly resolves MACS0647$-$JD as having two components that are either merging galaxies or stellar complexes within a single galaxy. Both are very small, with stellar masses $\sim10^8\,M_\odot$ and radii $r<100\,\rm pc$. The brighter larger component "A" is intrinsically very blue ($\beta\sim-2.6$), likely due to very recent star formation and no dust, and is spatially extended with an effective radius $\sim70\,\rm pc$. The smaller component "B" appears redder ($\beta\sim-2$), likely because it is older ($100-200\,\rm Myr$) with mild dust extinction ($A_V\sim0.1\,\rm mag$), and a smaller radius $\sim20\,\rm pc$. We identify galaxies with similar colors in a high-redshift simulation, finding their star formation histories to be out of phase. With an estimated stellar mass ratio of roughly 2:1 and physical projected separation $\sim400\,\rm pc$, we may be witnessing a galaxy merger 400 million years after the Big Bang. We also identify a candidate companion galaxy C $\sim3\,{\rm kpc}$ away, likely destined to merge with galaxies A and B. The combined light from galaxies A+B is magnified by factors of $\sim$8, 5, and 2 in three lensed images JD1, 2, and 3 with F356W fluxes $\sim322$, $203$, $86\,\rm nJy$ (AB mag 25.1, 25.6, 26.6). MACS0647$-$JD is significantly brighter than other galaxies recently discovered at similar redshifts with JWST. Without magnification, it would have AB mag 27.3 ($M_{UV}=-20.4$). With a high confidence level, we obtain a photometric redshift of $z=10.6\pm0.3$ based on photometry measured in 6 NIRCam filters spanning $1-5\rm\mu m$, out to $4300\,\r{A}$ rest-frame. JWST NIRSpec observations planned for January 2023 will deliver a spectroscopic redshift and a more detailed study of the physical properties of MACS0647$-$JD.Comment: 27 pages, 14 figures, submitted to Natur

Validation of the HERA Phase i Epoch of Reionization 21 cm Power Spectrum Software Pipeline

We describe the validation of the HERA Phase I software pipeline by a series of modular tests, building up to an end-to-end simulation. The philosophy of this approach is to validate the software and algorithms used in the Phase I upper-limit analysis on wholly synthetic data satisfying the assumptions of that analysis, not addressing whether the actual data meet these assumptions. We discuss the organization of this validation approach, the specific modular tests performed, and the construction of the end-to-end simulations. We explicitly discuss the limitations in scope of the current simulation effort. With mock visibility data generated from a known analytic power spectrum and a wide range of realistic instrumental effects and foregrounds, we demonstrate that the current pipeline produces power spectrum estimates that are consistent with known analytic inputs to within thermal noise levels (at the 2σ level) for k &gt; 0.2h Mpc-1 for both bands and fields considered. Our input spectrum is intentionally amplified to enable a strong "detection"at k ∼ 0.2 h Mpc-1 - at the level of ∼25σ - with foregrounds dominating on larger scales and thermal noise dominating at smaller scales. Our pipeline is able to detect this amplified input signal after suppressing foregrounds with a dynamic range (foreground to noise ratio) of ⪆107. Our validation test suite uncovered several sources of scale-independent signal loss throughout the pipeline, whose amplitude is well-characterized and accounted for in the final estimates. We conclude with a discussion of the steps required for the next round of data analysis

JADES Imaging of GN-z11: Revealing the Morphology and Environment of a Luminous Galaxy 430 Myr after the Big Bang

We present JWST NIRCam nine-band near-infrared imaging of the luminous z = 10.6 galaxy GN-z11 from the JWST Advanced Deep Extragalactic Survey of the GOODS-N field. We find a spectral energy distribution (SED) entirely consistent with the expected form of a high-redshift galaxy: a clear blue continuum from 1.5 to 4 μm with a complete dropout in F115W. The core of GN-z11 is extremely compact in JWST imaging. We analyze the image with a two-component model, using a point source and a Sérsic profile that fits to a half-light radius of 200 pc and an index n = 0.9. We find a low-surface-brightness haze about 0.″4 to the northeast of the galaxy, which is most likely a foreground object but might be a more extended component of GN-z11. At a spectroscopic redshift of 10.60 (Bunker et al. 2023), the comparison of the NIRCam F410M and F444W images spans the Balmer jump. From population-synthesis modeling, here assuming no light from an active galactic nucleus, we reproduce the SED of GN-z11, finding a stellar mass of ∼109 M ⊙, a star formation rate of ∼20 M ⊙ yr−1, and a young stellar age of ∼20 Myr. Since massive galaxies at high redshift are likely to be highly clustered, we search for faint neighbors of GN-z11, finding nine galaxies out to ∼5 comoving Mpc transverse with photometric redshifts consistent with z = 10.6, and a tenth more tentative dropout only 3″ away. This is consistent with GN-z11 being hosted by a massive dark-matter halo (≈8 × 1010 M ⊙), though lower halo masses cannot be ruled out

JADES Initial Data Release for the Hubble Ultra Deep Field: Revealing the Faint Infrared Sky with Deep JWST NIRCam Imaging

JWST has revolutionized the field of extragalactic astronomy with its sensitive and high-resolution infrared view of the distant Universe. Adding to the new legacy of JWST observations, we present the first NIRCam imaging data release from the JWST Advanced Deep Extragalactic Survey (JADES), providing nine filters of infrared imaging of ∼25 arcmin2 covering the Hubble Ultra Deep Field and portions of Great Observatories Origins Deep Survey South. Utilizing 87 on-sky dual-filter hours of exposure time, these images reveal the deepest ever near-infrared view of this iconic field. We supply carefully constructed nine-band mosaics of the JADES bands, as well as matching reductions of five additional bands from the JWST Extragalactic Medium-band Survey. Combining with existing Hubble Space Telescope imaging, we provide 23-band space-based photometric catalogs and photometric redshifts for ≈47,500 sources. To promote broad engagement with JADES, we have created an interactive FitsMap website to provide an interface for professional researchers and the public to experience these JWST data sets. Combined with the first JADES NIRSpec data release, these public JADES imaging and spectroscopic data sets provide a new foundation for discoveries of the infrared Universe by the worldwide scientific community

JADES NIRSpec Spectroscopy of GN-z11: Lyman- α emission and possible enhanced nitrogen abundance in a z = 10.60 luminous galaxy

We present JADES JWST/NIRSpec spectroscopy of GN-z11, the most luminous candidate z>10 Lyman break galaxy in the GOODS-North field with MUV =-21.5. We derive a redshift of z = 10.603 (lower than previous determinations) based on multiple emission lines in our low and medium resolution spectra over 0.7- 5.3 μm. We significantly detect the continuum and measure a blue rest-UV spectral slope of β =-2.4. Remarkably, we see spatially extended Lyman-α in emission (despite the highly neutral intergalactic medium expected at this early epoch), offset 555 km s-1 redwards of the systemic redshift. From our measurements of collisionally excited lines of both low and high ionisation (including [O II] λ3727, [Ne III] λ3869, and C III] λ1909), we infer a high ionisation parameter (log U ∼-2). We detect the rarely seen N IV] λ1486 and N III] λ1748 lines in both our low and medium resolution spectra, with other high ionisation lines seen in the low resolution spectrum, such as He II (blended with O III]) and C IV (with a possible P-Cygni profile). Based on the observed rest-UV line ratios, we cannot conclusively rule out photoionisation from an active galactic nucleus (AGN), although the high C III]/He II and N III]/He II ratios are compatible with a star formation explanation. If the observed emission lines are powered by star formation, then the strong N III] λ1748 observed may imply an unusually high N/O abundance. Balmer emission lines (Hγ, Hδ) are also detected, and if powered by star formation rather than an AGN, we infer a star formation rate of ∼20-30 M⊙ yr-1 (depending on the initial mass function) and low dust attenuation. Our NIRSpec spectroscopy confirms that GN-z11 is a remarkable galaxy with extreme properties seen 430 Myr after the Big Bang