What every professional working in palliative care should know about cancer pain management

El cuidado paliativo y el manejo del dolor están profundamente unidos en la práctica diaria. La actualización de los conocimientos fundamentales acerca del estado actual de los conceptos y técnicas para el manejo de los pacientes con Cáncer es de una enorme importancia para todos los profesionales que manejan este tipo de pacientes, tanto como fuente de información como de soluciones a sus problemas. El dolor agudo y crónico ocurre con gran frecuencia en los pacientes con cáncer, por lo cual la evaluación y el tratamiento inadecuados puede interferir con el tratamiento antitumoral y deteriorar su calidad de vida. Mientras que el control del dolor es importante independiente del estado de la enfermedad, se convierte en una prioridad en pacientes con estados avanzados de la enfermedad y que no son candidatos para terapias potencialmente curativas bajo el espectro de un cuidado paliativo integral

An ASCA Study of the W51 Complex

We present the analysis of ASCA archival data from the Galactic source W51. The ASCA spectra show that the soft (kT<= 2.5 keV) X-rays are of thermal origin and are compatible with W51C being a single, isothermal (kT~0.3 keV) supernova remnant at the far-side of the Sagittarius arm. The ASCA images reveal hard (kT>=2.5 keV) X-ray sources which were not seen in previous X-ray observations. Some of these sources are coincident with massive star-forming regions and the spectra are used to derive X-ray parameters. By comparing the X-ray absorbing column density with atomic hydrogen column density, we infer the location of star-forming regions relative to molecular clouds. There are unidentified hard X-ray sources superposed on the supernova remnant and we discuss the possibility of their association.Comment: 13 pages, 11 figures, to be published in Astronomical Journa

Infrared images of reflection nebulae and Orion's bar: Fluorescent molecular hydrogen and the 3.3 micron feature

Images were obtained of the (fluorescent) molecular hydrogen 1-0 S(1) line, and of the 3.3 micron emission feature, in Orion's Bar and three reflection nebulae. The emission from these species appears to come from the same spatial locations in all sources observed. This suggests that the 3.3 micron feature is excited by the same energetic UV-photons which cause the molecular hydrogen to fluoresce

Discovery of Bright Variable X-ray Sources in NGC 1569 with Chandra

From the analysis of a ~100 ks Chandra observation of the dwarf starburst galaxy NGC 1569, we have found that the X-ray point sources, CXOU 043048.1+645050 and CXOU 043048.6+645058, showed significant time variability. During this observation, the X-ray flux of CXOU 043048.1+645050 increased by 10 times in only 2 x 10^4 s. Since the spectrum in its bright phase was fitted with a disk blackbody model with kT_in ~0.43 keV and the bolometric luminosity is L_bol ~10^38 ergs s^-1, this source is an X-ray binary with a stellar mass black-hole. Since the spectrum in its faint phase was also fitted with a disk blackbody model, the time variability can be explained by a change of the accretion rate onto the black hole. The other variable source, CXOU 043048.6+645058, had a flat spectrum with a photon index of ~1.6. This source may be an X-ray binary with an X-ray luminosity of several x 10^37 ergs s^-1. In addition, three other weak sources showed possible time variability. Taking all of the variability into account may suggest an abundant population of compact X-ray sources in NGC 1569.Comment: 15 pages including 4 Postscript figures; accepted for publication in ApJ

Updated Information on the Local Group

The present note updates the information published in my recent monograph on \underline{The Galaxies of the Local Group}. Highlights include (1) the addition of the newly discovered Cetus dwarf spheroidal as a certain member of the Local Group, (2) an improved distance for SagDIG, which now places this object very close to the edge of the Local Group zero-velocity surface, (3) more information on the evolutionary histories of some individual Local Group members, and (4) improved distance determinations to, and luminosities for, a number of Local Group members. These data increase the number of certain (or probable) Local Group members to 36. The spatial distribution of these galaxies supports Hubble's claim that the Local Group ``is isolated in the general field.'' Presently available evidence suggests that star formation continued much longer in many dwarf spheroidals than it did in the main body of the Galactic halo. It is suggested that ``young'' globular clusters, such as Ruprecht 106, might have formed in now defunct dwarf spheroidals. Assuming SagDIG, which is the most remote Local Group galaxy, to lie on, or just inside, the zero-velocity surface of the Local Group yields a dynamical age \gtrsim 17.9 \pm 2.7 Gyr.Comment: 19 pages, 1 figure, to be published in the April 2000 issue of PAS

Using network-flow techniques to solve an optimization problem from surface-physics

The solid-on-solid model provides a commonly used framework for the description of surfaces. In the last years it has been extended in order to investigate the effect of defects in the bulk on the roughness of the surface. The determination of the ground state of this model leads to a combinatorial problem, which is reduced to an uncapacitated, convex minimum-circulation problem. We will show that the successive shortest path algorithm solves the problem in polynomial time.Comment: 8 Pages LaTeX, using Elsevier preprint style (macros included

Near-Infrared Spectroscopy of Molecular Hydrogen Emission in Four Reflection Nebulae: NGC 1333, NGC 2023, NGC 2068, and NGC 7023

We present near-infrared spectroscopy of fluorescent molecular hydrogen (H_2) emission from NGC 1333, NGC 2023, NGC 2068, and NGC 7023 and derive the physical properties of the molecular material in these reflection nebulae. Our observations of NGC 2023 and NGC 7023 and the physical parameters we derive for these nebulae are in good agreement with previous studies. Both NGC 1333 and NGC 2068 have no previously-published analysis of near-infrared spectra. Our study reveals that the rotational-vibrational states of molecular hydrogen in NGC 1333 are populated quite differently from NGC 2023 and NGC 7023. We determine that the relatively weak UV field illuminating NGC 1333 is the primary cause of the difference. Further, we find that the density of the emitting material in NGC 1333 is of much lower density, with n ~ 10^2 - 10^4 cm^-3. NGC 2068 has molecular hydrogen line ratios more similar to those of NGC 7023 and NGC 2023. Our model fits to this nebula show that the bright, H_2-emitting material may have a density as high as n ~ 10^5 cm^-3, similar to what we find for NGC 2023 and NGC 7023. Our spectra of NGC 2023 and NGC 7023 show significant changes in both the near-infrared continuum and H_2 intensity along the slit and offsets between the peaks of the H_2 and continuum emission. We find that these brightness changes may correspond to real changes in the density and temperatures of the emitting region, although uncertainties in the total column of emitting material along a given line of sight complicates the interpretation. The spatial difference in the peak of the H_2 and near-infrared continuum peaks in NGC 2023 and NGC 7023 shows that the near-infrared continuum is due to a material which can survive closer to the star than H_2 can.Comment: Submitted for publication in ApJ. 34 pages including 12 embedded postscript figures. Also available at http://www.astronomy.ohio-state.edu/~martini/pub

Lattice Effects in Crystal Evaporation

We study the dynamics of a stepped crystal surface during evaporation, using the classical model of Burton, Cabrera and Frank, in which the dynamics of the surface is represented as a motion of parallel, monoatomic steps. The validity of the continuum approximation treated by Frank is checked against numerical calculations and simple, qualitative arguments. The continuum approximation is found to suffer from limitations related, in particular, to the existence of angular points. These limitations are often related to an adatom detachment rate of adatoms which is higher on the lower side of each step than on the upper side ("Schwoebel effect").Comment: DRFMC/SPSMS/MDN, Centre d'Etudes Nucleaires de Grenoble, 25 pages, LaTex, revtex style. 8 Figures, available upon request, report# UBFF30119