Characterizing 51 Eri b from 1 to 5 μm: A Partly Cloudy Exoplanet

We present spectrophotometry spanning 1–5 μm of 51 Eridani b, a 2–10 M_(Jup) planet discovered by the Gemini Planet Imager Exoplanet Survey. In this study, we present new K1 (1.90–2.19 μm) and K2 (2.10–2.40 μm) spectra taken with the Gemini Planet Imager as well as an updated L_P (3.76 μm) and new M_S (4.67 μm) photometry from the NIRC2 Narrow camera. The new data were combined with J (1.13–1.35 μm) and H (1.50–1.80 μm) spectra from the discovery epoch with the goal of better characterizing the planet properties. The 51 Eri b photometry is redder than field brown dwarfs as well as known young T-dwarfs with similar spectral type (between T4 and T8), and we propose that 51 Eri b might be in the process of undergoing the transition from L-type to T-type. We used two complementary atmosphere model grids including either deep iron/silicate clouds or sulfide/salt clouds in the photosphere, spanning a range of cloud properties, including fully cloudy, cloud-free, and patchy/intermediate-opacity clouds. The model fits suggest that 51 Eri b has an effective temperature ranging between 605 and 737 K, a solar metallicity, and a surface gravity of log(g) = 3.5–4.0 dex, and the atmosphere requires a patchy cloud atmosphere to model the spectral energy distribution (SED). From the model atmospheres, we infer a luminosity for the planet of −5.83 to −5.93 (log L/L_⊙), leaving 51 Eri b in the unique position of being one of the only directly imaged planets consistent with having formed via a cold-start scenario. Comparisons of the planet SED against warm-start models indicate that the planet luminosity is best reproduced by a planet formed via core accretion with a core mass between 15 and 127 M_⊕

Clinical, biochemical and haematological changes in leptospirosis

Background: Leptospirosis is a globally important zoonotic disease caused by pathogenic leptospira. Leptospira species are spirochetes belonging to the order spirochetes and the family leptospiraceae. Present study is done to find out the incidence of thrombocytopenia in leptospirosis and to correlate it with other parameters like renal dysfunction, hepatic dysfunction and bleeding manifestation.Methods: Study includes 51 clinically suspected and diagnosed cases of leptospirosis, in Government hospital, South Gujarat, during a period from January 2017 to December 2017. Clinical signs and symptoms and complications, biochemical profile like bilirubin and creatinine, haematological profile like Hb, WBC count and platelet count were recorded. Thrombocytopenia was defined as a platelet count below 1,50,000/cmm.Results: The present study includes 51 cases of Leptospirosis. Age ranged from 16 years to 61 years (male-39 and Females-12) There were 38 (74.5%) cases with thrombocytopenia and 13 (25.4%) cases with normal platelet count. Out of 38 thrombocytopenic cases, 32 (84.2%) cases had renal dysfunction, 26 (68.4%) cases had hepatic dysfunction and 16 (42.1%) cases had pulmonary haemorrhage. Among 13 cases with normal platelet count, 8 (61.5%) cases had hepatic dysfunction and 7 (53.8%) cases had renal dysfunction and 3 (23%) cases had pulmonary haemorrhage.Conclusions: Thrombocytopenia is a frequent complication (present in more than half of the patient) in leptospirosis and associated with more frequent and more severe complications. Therefore, early recognition of thrombocytopenia is recommended to prevent complications and mortality in leptospirosis

The Faintest WISE Debris Disks: Enhanced Methods for Detection and Verification

In an earlier study, we reported nearly 100 previously unknown dusty debris disks around Hipparcos main-sequence stars within 75 pc by selecting stars with excesses in individual WISE colors. Here, we further scrutinize the Hipparcos 75 pc sample to (1) gain sensitivity to previously undetected, fainter mid-IR excesses and (2) remove spurious excesses contaminated by previously unidentified blended sources. We improve on our previous method by adopting a more accurate measure of the confidence threshold for excess detection and by adding an optimally weighted color average that incorporates all shorter-wavelength WISE photometry, rather than using only individual WISE colors. The latter is equivalent to spectral energy distribution fitting, but only over WISE bandpasses. In addition, we leverage the higher-resolution WISE images available through the unWISE.me image service to identify contaminated WISE excesses based on photocenter offsets among the W3- and W4-band images. Altogether, we identify 19 previously unreported candidate debris disks. Combined with the results from our earlier study, we have found a total of 107 new debris disks around 75 pc Hipparcos main-sequence stars using precisely calibrated WISE photometry. This expands the 75 pc debris disk sample by 22% around Hipparcos main-sequence stars and by 20% overall (including non-main-sequence and non-Hipparcos stars)

Autopsy findings in sudden death in adults: a study of 150 cases

Background: World Health Organization (WHO) defines sudden death as “deaths within 24 hours from the onset of the symptoms”. It is also defined as death, which is sudden, unexpected, clinically unexplained. Aims of the study was to classify underlying causes of sudden death, to find out risk factors, associated diseases and triggers of sudden deaths in the autopsy specimens received in the Department of Pathology, Government Medical College, South Gujarat.Methods: A review of autopsies of sudden deaths performed between January 2018 to August 2018 in age group 15-45 years at Department of Pathology, Government Medical College, South Gujarat were done.Results: A total of 150 cases were studied for sudden deaths during the study. The age ranged from 15 to 45 years. Maximum deaths occurred in the age group between 35-45 years. Males (n=120) were affected more than females (n=30). The cause of deaths in 84 cases (56%) were attributed to cardiac causes and the remaining cases (44%) were due to noncardiac causes like pulmonary diseases (17.3%) followed by hepatobiliary diseases (5.4%), cerebrovascular (2%) and others like suicide by ingestion of poisoning, hanging and asphyxia (9.3%). Major cardiac cause for sudden deaths was Coronary Artery Disease (CAD) (95.2%).Conclusions: Sudden deaths were common in young adults and most are attributed to a cardiac cause. This study highlights the serious health concern in our society and a necessity to create awareness among the population at risk so that sudden deaths can be averted and life expectancy can be improved

The Faintest WISE Debris Disks: Enhanced Methods for Detection and Verification

In an earlier study, we reported nearly 100 previously unknown dusty debris disks around Hipparcos main-sequence stars within 75 pc by selecting stars with excesses in individual WISE colors. Here, we further scrutinize the Hipparcos 75 pc sample to (1) gain sensitivity to previously undetected, fainter mid-IR excesses and (2) remove spurious excesses contaminated by previously unidentified blended sources. We improve on our previous method by adopting a more accurate measure of the confidence threshold for excess detection and by adding an optimally weighted color average that incorporates all shorter-wavelength WISE photometry, rather than using only individual WISE colors. The latter is equivalent to spectral energy distribution fitting, but only over WISE bandpasses. In addition, we leverage the higher-resolution WISE images available through the unWISE.me image service to identify contaminated WISE excesses based on photocenter offsets among the W3- and W4-band images. Altogether, we identify 19 previously unreported candidate debris disks. Combined with the results from our earlier study, we have found a total of 107 new debris disks around 75 pc Hipparcos main-sequence stars using precisely calibrated WISE photometry. This expands the 75 pc debris disk sample by 22% around Hipparcos main-sequence stars and by 20% overall (including non-main-sequence and non-Hipparcos stars)

Challenges and opportunities for implementing integrated mental health care: a district level situation analysis from five low- and middle-income countries.

BACKGROUND: Little is known about how to tailor implementation of mental health services in low- and middle-income countries (LMICs) to the diverse settings encountered within and between countries. In this paper we compare the baseline context, challenges and opportunities in districts in five LMICs (Ethiopia, India, Nepal, South Africa and Uganda) participating in the PRogramme for Improving Mental health carE (PRIME). The purpose was to inform development and implementation of a comprehensive district plan to integrate mental health into primary care. METHODS: A situation analysis tool was developed for the study, drawing on existing tools and expert consensus. Cross-sectional information obtained was largely in the public domain in all five districts. RESULTS: The PRIME study districts face substantial contextual and health system challenges many of which are common across sites. Reliable information on existing treatment coverage for mental disorders was unavailable. Particularly in the low-income countries, many health service organisational requirements for mental health care were absent, including specialist mental health professionals to support the service and reliable supplies of medication. Across all sites, community mental health literacy was low and there were no models of multi-sectoral working or collaborations with traditional or religious healers. Nonetheless health system opportunities were apparent. In each district there was potential to apply existing models of care for tuberculosis and HIV or non-communicable disorders, which have established mechanisms for detection of drop-out from care, outreach and adherence support. The extensive networks of community-based health workers and volunteers in most districts provide further opportunities to expand mental health care. CONCLUSIONS: The low level of baseline health system preparedness across sites underlines that interventions at the levels of health care organisation, health facility and community will all be essential for sustainable delivery of quality mental health care integrated into primary care

Australia and New Zealand renal gene panel testing in routine clinical practice of 542 families

Genetic testing in nephrology clinical practice has moved rapidly from a rare specialized test to routine practice both in pediatric and adult nephrology. However, clear information pertaining to the likely outcome of testing is still missing. Here we describe the experience of the accredited Australia and New Zealand Renal Gene Panels clinical service, reporting on sequencing for 552 individuals from 542 families with suspected kidney disease in Australia and New Zealand. An increasing number of referrals have been processed since service inception with an overall diagnostic rate of 35%. The likelihood of identifying a causative variant varies according to both age at referral and gene panel. Although results from high throughput genetic testing have been primarily for diagnostic purposes, they will increasingly play an important role in directing treatment, genetic counseling, and family planning

K2-136: A Binary System in the Hyades Cluster Hosting a Neptune-sized Planet

We report the discovery of a Neptune-size planet (R_p = 3.0 R⊕) in the Hyades Cluster. The host star is in a binary system, comprising a K5V star and M7/8V star with a projected separation of 40 au. The planet orbits the primary star with an orbital period of 17.3 days and a transit duration of 3 hrs. The host star is bright (V = 11.2, J = 9.1) and so may be a good target for precise radial velocity measurements. K2-136A c is the first Neptune-sized planet to be found orbiting in a binary system within an open cluster. The Hyades is the nearest star cluster to the Sun, has an age of 625–750 Myr, and forms one of the fundamental rungs in the distance ladder; understanding the planet population in such a well-studied cluster can help us understand and set constraints on the formation and evolution of planetary systems