Relativistic X-ray Lines from the Inner Accretion Disks Around Black Holes

Relativistic X-ray emission lines from the inner accretion disk around black holes are reviewed. Recent observations with the Chandra X-ray Observatory, X-ray Multi-Mirror Mission-Newton, and Suzaku are revealing these lines to be good probes of strong gravitational effects. A number of important observational and theoretical developments are highlighted, including evidence of black hole spin and effects such as gravitational light bending, the detection of relativistic lines in stellar-mass black holes, and evidence of orbital-timescale line flux variability. In addition, the robustness of the relativistic disk lines against absorption, scattering, and continuum effects is discussed. Finally, prospects for improved measures of black hole spin and understanding the spin history of supermassive black holes in the context of black hole-galaxy co-evolution are presented. The best data and most rigorous results strongly suggest that relativistic X-ray disk lines can drive future explorations of General Relativity and disk physics.Comment: 40 pages, includes color figures, to appear in ARAA, vol 45, in pres

The imprints of AGN feedback within a supermassive black hole's sphere of influence

We present a new 300 ks Chandra observation of M87 that limits pileup to only a few per cent of photon events and maps the hot gas properties closer to the nucleus than has previously been possible. Within the supermassive black hole's gravitational sphere of influence, the hot gas is multiphase and spans temperatures from 0.2 to 1 keV. The radiative cooling time of the lowest temperature gas drops to only 0.1-0.5 Myr, which is comparable to its free fall time. Whilst the temperature structure is remarkably symmetric about the nucleus, the density gradient is steep in sectors to the N and S, with $\rho{\propto}r^{-1.5\pm0.1}$, and significantly shallower along the jet axis to the E, where $\rho{\propto}r^{-0.93\pm0.07}$. The density structure within the Bondi radius is therefore consistent with steady inflows perpendicular to the jet axis and an outflow directed E along the jet axis. By putting limits on the radial flow speed, we rule out Bondi accretion on the scale resolved at the Bondi radius. We show that deprojected spectra extracted within the Bondi radius can be equivalently fit with only a single cooling flow model, where gas cools from 1.5 keV down below 0.1 keV at a rate of 0.03 M$_{\odot}$/yr. For the alternative multi-temperature spectral fits, the emission measures for each temperature component are also consistent with a cooling flow model. The lowest temperature and most rapidly cooling gas in M87 is therefore located at the smallest radii at ~100 pc and may form a mini cooling flow. If this cooling gas has some angular momentum, it will feed into the cold gas disk around the nucleus, which has a radius of ~80 pc and therefore lies just inside the observed transition in the hot gas structure

POWERFUL, ROTATING DISK WINDS from STELLAR-MASS BLACK HOLES

We present an analysis of ionized X-ray disk winds observed in the Fe K band of four stellar-mass black holes observed with Chandra, including 4U 1630-47, GRO J1655-40, H 1743-322, and GRS 1915+105. High-resolution photoionization grids were generated in order to model the data. Third-order gratings spectra were used to resolve complex absorption profiles into atomic effects and multiple velocity components. The Fe XXV line is found to be shaped by contributions from the intercombination line (in absorption), and the Fe XXVI line is detected as a spin-orbit doublet. The data require 2-3 absorption zones, depending on the source. The fastest components have velocities approaching or exceeding 0.01c, increasing mass outflow rates and wind kinetic power by orders of magnitude over prior single-zone models. The first-order spectra require re-emission from the wind, broadened by a degree that is loosely consistent with Keplerian orbital velocities at the photoionization radius. This suggests that disk winds are rotating with the orbital velocity of the underlying disk, and provides a new means of estimating launching radii -- crucial to understanding wind driving mechanisms. Some aspects of the wind velocities and radii correspond well to the broad-line region (BLR) in active galactic nuclei, suggesting a physical connection. We discuss these results in terms of prevalent models for disk wind production and disk accretion itself, and implications for massive black holes in active galactic nuclei

Feasibility of Photofrin II as a radiosensitizing agent in solid tumors - Preliminary results

Background: Photofrin II has been demonstrated to serve as a specific and selective radiosensitizing agent in in vitro and in vivo tumor models. We aimed to investigate the feasibility of a clinical application of Photofrin II. Material and Methods: 12 patients were included in the study (7 unresectable solid tumors of the pelvic region, 3 malignant gliomas, 1 recurrent oropharyngeal cancer, 1 recurrent adenocarcinoma of the sphenoid sinus). The dose of ionizing irradiation was 30-50.4 Gy; a boost irradiation of 14 Gy was added for the pelvic region. All patients were intravenously injected with 1 mg/kg Photofrin II 24 h prior to the commencement of radiotherapy. Magnetic resonance imaging (MRI) controls and in some cases positron emission tomography (PET) were performed in short intervals. The mean follow-up was 12.9 months. Results: No major adverse events were noted. Minor adverse events consisted of mild diarrhea, nausea and skin reactions. A complete remission was observed in 4/12 patients. A reduction in local tumor volume of > 45% was achieved in 4/12 patients. Stable disease was observed in 4/12 patients. 1 patient showed local disease progression after 5 months. Conclusion: The early follow-up results are encouraging regarding the feasibility of the application of Photofrin II as a radiosensitizing agent

THE ACCRETION DISK WIND IN THE BLACK HOLE GRS 1915+105

© 2016. The American Astronomical Society. All rights reserved. We report on a 120 ks Chandra/HETG spectrum of the black hole GRS 1915+105. The observation was made during an extended and bright soft state in 2015 June. An extremely rich disk wind absorption spectrum is detected, similar to that observed at lower sensitivity in 2007. The very high resolution of the third-order spectrum reveals four components to the disk wind in the Fe K band alone; the fastest has a blueshift of v = 0.03c. Broadened re-emission from the wind is also detected in the first-order spectrum, giving rise to clear accretion disk P Cygni profiles. Dynamical modeling of the re-emission spectrum gives wind launching radii of r ≃ 102-4 GM/c2. Wind density values of n ≃ 1013-16 cm-3 are then required by the ionization parameter formalism. The small launching radii, high density values, and inferred high mass outflow rates signal a role for magnetic driving. With simple, reasonable assumptions, the wind properties constrain the magnitude of the emergent magnetic field to be B ≃ 103-4 G if the wind is driven via magnetohydrodynamic (MHD) pressure from within the disk and B ≃ 104-5 G if the wind is driven by magnetocentrifugal acceleration. The MHD estimates are below upper limits predicted by the canonical α-disk model. We discuss these results in terms of fundamental disk physics and black hole accretion modes

Hard X-ray lags in active galactic nuclei: Testing the distant reverberation hypothesis with NGC 6814

We present an X-ray spectral and temporal analysis of the variable active galaxy NGC 6814, observed with Suzaku during November 2011. Remarkably, the X-ray spectrum shows no evidence for the soft excess commonly observed amongst other active galaxies, despite its relatively low level of obscuration, and is dominated across the whole Suzaku bandpass by the intrinsic powerlaw-like continuum. Despite this, we clearly detect the presence of a low frequency hard lag of ~1600s between the 0.5-2.0 and 2.0-5.0 keV energy bands at greater than 6-sigma significance, similar to those reported in the literature for a variety of other AGN. At these energies, any additional emission from e.g. a very weak, undetected soft excess, or from distant reflection must contribute less than 3% of the observed countrates (at 90% confidence). Given the lack of any significant continuum emission component other than the powerlaw, we can rule out models that invoke distant reprocessing for the observed lag behavior, which must instead be associated with this continuum emission. These results are fully consistent with a propagating fluctuation origin for the low frequency hard lags, and with the interpretation of the high frequency soft lags - a common feature seen in the highest quality AGN data with strong soft excesses - as reverberation from the inner accretion disk

Eosinophil and T Cell Markers Predict Functional Decline in COPD Patients

BACKGROUND. The major marker utilized to monitor COPD patients is forced expiratory volume in one second (FEV1). However, asingle measurement of FEV1 cannot reliably predict subsequent decline. Recent studies indicate that T lymphocytes and eosinophils are important determinants of disease stability in COPD. We therefore measured cytokine levels in the lung lavage fluid and plasma of COPD patients in order to determine if the levels of T cell or eosinophil related cytokines were predictive of the future course of the disease. METHODS. Baseline lung lavage and plasma samples were collected from COPD subjects with moderately severe airway obstruction and emphysematous changes on chest CT. The study participants were former smokers who had not had a disease exacerbation within the past six months or used steroids within the past two months. Those subjects who demonstrated stable disease over the following six months (ΔFEV1 % predicted = 4.7 ± 7.2; N = 34) were retrospectively compared with study participants who experienced a rapid decline in lung function (ΔFEV1 % predicted = -16.0 ± 6.0; N = 16) during the same time period and with normal controls (N = 11). Plasma and lung lavage cytokines were measured from clinical samples using the Luminex multiplex kit which enabled the simultaneous measurement of several T cell and eosinophil related cytokines. RESULTS AND DISCUSSION. Stable COPD participants had significantly higher plasma IL-2 levels compared to participants with rapidly progressive COPD (p = 0.04). In contrast, plasma eotaxin-1 levels were significantly lower in stable COPD subjects compared to normal controls (p < 0.03). In addition, lung lavage eotaxin-1 levels were significantly higher in rapidly progressive COPD participants compared to both normal controls (p < 0.02) and stable COPD participants (p < 0.05). CONCLUSION. These findings indicate that IL-2 and eotaxin-1 levels may be important markers of disease stability in advanced emphysema patients. Prospective studies will need to confirm whether measuring IL-2 or eotaxin-1 can identify patients at risk for rapid disease progression.National Heart, Lung, and Blood Institute (NO1-HR-96140, NO1-HR-96141-001, NO1-HR-96144, NO1-HR-96143; NO1-HR-96145; NO1-HR-96142, R01HL086936-03); The Flight Attendant Medical Research Institute; the Jo-Ann F. LeBuhn Center for Chest Diseas

DISK–WIND CONNECTION DURING THE HEARTBEATS OF GRS 1915+105

Disk and wind signatures are seen in the soft state of Galactic black holes, while the jet is seen in the hard state. Here we study the disk–wind connection in the ρ class of variability in GRS 1915+105 using a joint NuSTAR–Chandra observation. The source shows 50 s limit cycle oscillations. By including new information provided by the reflection spectrum and using phase-resolved spectroscopy, we find that the change in the inner disk inferred from the blackbody emission is not matched by reflection measurements. The latter is almost constant, independent of the continuum model. The two radii are comparable only if the disk temperature color correction factor changes, an effect that could be due to the changing opacity of the disk caused by changes in metal abundances. The disk inclination is similar to that inferred from the jet axis, and oscillates by ~10°. The simultaneous Chandra data show the presence of two wind components with velocities between 500 and 5000 km s⁻¹, and possibly two more with velocities reaching 20,000 km s⁻¹ (~0.06 c). The column densities are ~5 × 10²² cm⁻². An upper limit to the wind response time of 2 s is measured, implying a launch radius of <6 × 10¹° cm. The changes in wind velocity and absorbed flux require the geometry of the wind to change during the oscillations, constraining the wind to be launched from a distance of 290–1300 r _g from the black hole. Both data sets support fundamental model predictions in which a bulge originates in the inner disk and moves outward as the instability progresses.This work made use of data from the NuSTAR mission, a project led by the California Institute of Technology, managed by the Jet Propulsion Laboratory, and funded by the National Aeronautics and Space Administration. This work is also based on observations made by the Chandra X-ray Observatory

Expression of therapeutic misconception amongst Egyptians: a qualitative pilot study

<p>Abstract</p> <p>Background</p> <p>Studies have shown that research participants fail to appreciate the difference between research and medical care, labeling such phenomenon as a "therapeutic misconception" (TM). Since research activity involving human participants is increasing in the Middle East, qualitative research investigating aspects of TM is warranted. Our objective was to assess for the existence of therapeutic misconception amongst Egyptians.</p> <p>Methods</p> <p><it>Study Tool: </it>We developed a semi-structured interview guide to elicit the knowledge, attitudes, and perspectives of Egyptians regarding medical research.</p> <p><it>Setting: </it>We recruited individuals from the outpatient settings (public and private) at Ain Shams University in Cairo, Egypt.</p> <p><it>Analysis: </it>Interviews were taped, transcribed, and translated. We analyzed the content of the transcribed text to identify the presence of a TM, defined in one of two ways: TM₁= inaccurate beliefs about how individualized care can be compromised by the procedures in the research and TM₂= inaccurate appraisal of benefit obtained from the research study.</p> <p>Results</p> <p>Our findings showed that a majority of participants (11/15) expressed inaccurate beliefs regarding the degree with which individualized care will be maintained in the research setting (TM₁) and a smaller number of participants (5/15) manifested an unreasonable belief in the likelihood of benefits to be obtained from a research study (TM₂). A total of 12 of the 15 participants were judged to have expressed a TM on either one of these bases.</p> <p>Conclusion</p> <p>The presence of TM is not uncommon amongst Egyptian individuals. We recommend further qualitative studies investigating aspects of TM involving a larger sample size distinguished by different types of illnesses and socio-economic variables, as well as those who have and have not participated in clinical research.</p

Post-consent assessment of dental subjects' understanding of informed consent in oral health research in Nigeria

Abstract Background Research participants may not adequately understand the research in which they agree to enroll. This could be due to a myriad of factors. Such a missing link in the informed consent process contravenes the requirement for an "informed" consent prior to the commencement of research. This study assessed the post consent understanding of Nigerian study participants of the oral health research they were invited to join. Methods A descriptive cross sectional study with research participants who had just consented to one of three ongoing research studies on oral health. Study sites included two centers, one in the northern and one in the southern part of Nigeria. Data were collected using a combination of quantitative and qualitative methods. Results A total of 113 research participants were interviewed. The southern part of the country had 58 respondents with the north having 55. The age range was 21 – 80 years. Mean age was 46.1 (SD16.3). The sample was predominantly male (69.9%) and married (64.6%). There was poor understanding of some key elements of the informed consent process such as involvement in research, benefits, contacts, confidentiality and voluntariness. Some identified factors potentially compromising understanding were poverty, illiteracy, therapeutic misconception and confusion about the dual roles of the Dentist and the researcher. Conclusion The participants recruited into the oral health research in Nigeria did not adequately understand the studies they were invited to join nor do they understand their rights as research participants. Measures should be taken to include research bioethics into the curricula of Dental schools and to train oral health researchers in the country on research ethics.</p