On the robustness of acoustic black hole spectra

We study the robustness of the spectrum emitted by an acoustic black hole by considering series of stationary flows that become either subsonic or supersonic, i.e. when the horizon disappears. We work with the superluminal Bogoliubov dispersion of Bose--Einstein condensates. We find that the spectrum remains remarkably Planckian until the horizon disappears. When the flow is everywhere supersonic, new pair creation channels open. This will be the subject of a forthcoming work.Comment: 4 pages, 2 figure, jpconf.cls; to appear in the proceedings of the Spanish Relativity Meeting ERE201

Slow sound laser in lined flow ducts

We consider the propagation of sound in a waveguide with an impedance wall. In the low frequency regime, the first effect of the impedance is to decrease the propagation speed of acoustic waves. Therefore, a flow in the duct can exceed the wave propagation speed at low Mach numbers, making it effectively supersonic. We analyze a setup where the impedance along the wall varies such that the duct is supersonic then subsonic in a finite region and supersonic again. In this specific configuration, the subsonic region act as a resonant cavity, and triggers a laser-like instability. We show that the instability is highly subwavelength. Besides, if the subsonic region is small enough, the instability is static. We also analyze the effect of a shear flow layer near the impedance wall. Although its presence significantly alter the instability, its main properties are maintained.Comment: 20 pages, 13 figures. V2: several clarifications added and Fig. 4 adde

Hawking radiation of massive modes and undulations

We compute the analogue Hawking radiation for modes which posses a small wave vector perpendicular to the horizon. For low frequencies, the resulting mass term induces a total reflection. This generates an extra mode mixing that occurs in the supersonic region, which cancels out the infrared divergence of the near horizon spectrum. As a result, the amplitude of the undulation (0-frequency wave with macroscopic amplitude) emitted in white hole flows now saturates at the linear level, unlike what was recently found in the massless case. In addition, we point out that the mass introduces a new type of undulation which is produced in black hole flows, and which is well described in the hydrodynamical regime.Comment: 37 pages, 8 figures, published versio

Black hole lasers, a mode analysis

We show that the black hole laser effect discovered by Corley & Jacobson should be described in terms of frequency eigenmodes that are spatially bound. The spectrum contains a discrete and finite set of complex frequency modes which appear in pairs and which encode the laser effect. In addition, it contains real frequency modes that form a continuous set when space is infinite, and which are only elastically scattered, i.e., not subject to any Bogoliubov transformation. The quantization is straightforward, but the calculation of the asymptotic fluxes is rather involved. When the number of complex frequency modes is small, our expressions differ from those given earlier. In particular, when the region between the horizons shrinks, there is a minimal distance under which no complex frequency mode exists, and no radiation is emitted. Finally, we relate this effect to other dynamical instabilities found for rotating black holes and in electric fields, and we give the conditions to get this type of instability.Comment: 19 pages, 3 figures, main changes: new figure and new Sec.6 `conditions for having a laser effect', final version accepted in PR

Black hole lasers in Bose-Einstein condensates

We consider elongated condensates that cross twice the speed of sound. In the absence of periodic boundary conditions, the phonon spectrum possesses a discrete and finite set of complex frequency modes that induce a laser effect. This effect constitutes a dynamical instability and is due to the fact that the supersonic region acts as a resonant cavity. We numerically compute the complex frequencies and density-density correlation function. We obtain patterns with very specific signatures. In terms of the gravitational analogy, the flows we consider correspond to a pair of black hole and white hole horizons, and the laser effect can be conceived as a self-amplified Hawking radiation. This is verified by comparing the outgoing flux at early time with the standard black hole radiation.Comment: iopams, 37 pages, 14 figures, 1 table; for associated gif animations, see http://people.sissa.it/~finazzi/bec_bhlasers/movies/ or http://iopscience.iop.org/1367-2630/12/9/095015/media. Published on New. J. Phys. (http://iopscience.iop.org/1367-2630/12/9/095015/). V2: few new comments, modified figure

Impaired aerobic exercise adaptation in children and adolescents with craniopharyngioma is associated with hypothalamic involvement

OBJECTIVE: Many patients treated for craniopharyngioma (CP) complain of a relative incapacity for physical activity. Whether this is due to an objective decrease in adaptation to exercise is unclear. We assessed exercise tolerance in children with surgically treated CP and appropriate pituitary hormone replacement therapy compared with healthy controls and we examined the potential relationships with hypothalamic involvement, GH replacement, and the catecholamine deficiency frequently observed in these subjects. DESIGN AND METHODS: Seventeen subjects (12 males and five females) with CP and 22 healthy controls (14 males and eight females) aged 15.3+/-2.5 years (7.3-18 years) underwent a standardized cycle ergometer test. Maximum aerobic capacity was expressed as the ratio of VO(2max) to fat-free mass (VO(2max)/FFM), a measure independent of age and fat mass in children. RESULTS: VO(2max)/FFM was 20% lower in children with CP compared with controls (P<0.05), even after adjustment for gender. Children with hypothalamic involvement (n=10) had a higher percentage of fat mass (P<0.05) than those without hypothalamic involvement (n=7) and lower VO(2max)/FFM (P<0.05), whereas children without hypothalamic involvement had VO(2max)/FFM close to that of controls (P>0.05). GH treatment was associated with a significant positive effect on aerobic capacity (P<0.05) only in the absence of hypothalamic involvement. No relationship was found between exercise capacity parameters and daily urine epinephrine excretion or epinephrine peak response to insulin-induced hypoglycemia. CONCLUSIONS: Children with CP have a decrease in aerobic capacity mainly related to hypothalamic involvement. The hypothalamic factors altering aerobic capacity remain to be determined

Effectiveness and Overall Safety of NutropinAq (R) for Growth Hormone Deficiency and Other Paediatric Growth Hormone Disorders: Completion of the International Cooperative Growth Study, NutropinAq (R) European Registry (iNCGS)

Objective: The International Cooperative Growth Study, NutropinAq® European Registry (iNCGS) (NCT00455728) monitored long-term safety and effectiveness of recombinant human growth hormone (rhGH; NutropinAq® [somatropin]) in paediatric growth disorders. Methods: Open-label, non-interventional, post-marketing surveillance study recruiting children with growth disorders. Endpoints included gain in height standard deviation score (SDS), adult height, and occurrence of adverse events (AEs). Results: 2792 patients were enrolled. 2082 patients (74.6%) had growth hormone deficiency (GHD), which was isolated idiopathic in 1825 patients (87.7%). Non-GHD diagnoses included Turner syndrome (TS) (n=199), chronic renal insufficiency (CRI) (n=10), other non-GHD (n=498), and missing data for three participants. Improvements from baseline height SDS occurred at all time points to Month 132, and in all subgroups by disease aetiology. At Month 12, mean (95% CI) change in height SDS by aetiology was: idiopathic GHD 0.63 (0.61;0.66), organic GHD 0.71 (0.62;0.80), TS 0.59 (0.53; 0.65), CRI 0.54 (-0.49;1.56), and other non-GHD 0.64 (0.59;0.69). Mean height ( ± SD) at the last visit among the 235 patients with adult or near-adult height recorded was 154.0 cm ( ± 8.0) for girls and 166.7 cm ( ± 8.0) for boys. The most frequent biological and clinical non-serious drug-related AEs were increased insulin-like growth factor concentrations (314 events) and injection site haematoma (99 events). Serious AEs related to rhGH according to investigators were reported (n=30); the most frequent were scoliosis (4 events), epiphysiolysis (3 events), and strabismus (2 events). Conclusions: There was an improvement in mean height SDS in all aetiology subgroups after rhGH treatment. No new safety concerns were identified

Evolution of IGF-1 in children born small for gestational age and with growth retardation, treated by growth hormone adapted to IGF-1 levels after 1 year

AIM: This study was designed to estimate the percentage of growth hormone (GH)-treated children born small for gestational age (SGA), with serum IGF-1 >2 SDS before and after GH dose adaptation. METHODS: SGA boys aged 4-9 and girls aged 4-7 with a height <-2 SDS and an annual growth rate below the mean received a subcutaneous GH dose of 57 mug/kg/day for 2 years. The GH dose was to be decreased by 30% in children with serum IGF-1 >2 SDS at 12 months and on the previous sample. The GH dose could be reduced a second time to 35 mug/kg.day. IGF-1 and IGFBP-3 dosages were centralized. RESULTS: Among the 49 (21 boys) children included in the study, 8 (16.3%) had an IGF-1 >2 SDS consecutively at 9 and 12 months (95% CI 7.3, 29.7). The GH dose was decreased in 6/8 children. However, IGF-1 levels were elevated at several nonconsecutive determinations in 45% (95% CI 28.4, 56.6) of the patients. CONCLUSION: A high IGF-1 level is observed in 45% of the GH SGA-treated children with a relatively high dose of GH. A 30% reduction in the GH dose causes a decrease in IGF-1 below 2 SDS in most children

Diagnosis of endocrine disease: limitations of the IGF1 generation test in children with short stature

The IGF1 generation test (IGFGT) is often used during the assessment of suspected GH insensitivity (GHI). We report the results of a survey undertaken in 2010 to determine the use of IGFGT amongst members of the European Society for Paediatric Endocrinology to evaluate suspected GHI. The literature surrounding the usefulness and limitations of IGFGT are reviewed, and recommendations provided for its use. Of 112 paediatric endocrinologists from 30 countries who responded to the survey, 91 (81%) reported that they had used the IGFGT in the previous 2 years; >10 IGFGT protocols were used. The IGFGT impacted treatment decisions for 97% of the respondents and was a prerequisite for recombinant human IGF1 treatment for 45% of respondents. From a literature review, sensitivity of the IGFGT was evaluated as 77-91% in molecularly proven cases of GHI; specificity wa