72 research outputs found
Deep brain stimulation for obsessive-compulsive disorder: A systematic review of randomised controlled clinical trials.
38 p.Introducción: Existe un porcentaje de pacientes diagnosticados de trastorno obsesivo
compulsivo (TOC) refractarios al tratamiento psicofarmacológico. La estimulación
cerebral profunda (ECP) se presenta como una técnica neuroquirúrgica para este grupo
de pacientes como alternativa a la neurocirugía no reversible. El objetivo de este artículo
consiste en la revisión sistemática de la evidencia científica en la eficacia y aplicabilidad
de esta técnica en los pacientes con TOC resistente.
Métodos: Se ha realizado una búsqueda de bibliografía en las bases de datos
PubMed/MedLine, PsycInfo, Scielo y Scopus con los términos *Deep brain stimulation*
OR *DBS* AND *obsessive compulsive disorder * OR *OCD*, para identificar y, en su
caso, seleccionar el metanálisis más reciente que recoja la evidencia publicada hasta el
momento: Alonso et al. (PloS One. 2015, Jul 24; 10 (7))1
.Partiendo de él, se ha realizado
una revisión sistemática de la literatura en las bases de datos PubMed/MedLine, PsycInfo,
Scielo y Scopus con los términos utilizados en la búsqueda previa, pero esta vez de
ensayos clínicos aleatorizados publicados a partir del metanálisis seleccionado.
Resultados: El análisis señala la eficacia de la ECP para tratamiento del TOC refractario,
aunque con determinados efectos adversos. Sin embargo, aún no se ha establecido una
diana cerebral ideal para la ECP, abriendo las puertas al inicio de la individualización de
la diana en cada paciente.
Conclusiones: La mayoría de estudios publicados señalan una mejoría significativa de los
síntomas y la calidad de vida con la ECP. Es necesario realizar más estudios aleatorizados
y controlados para comprobar su efectividad a largo plazoIntroduction: There is a percentage of patients diagnosed with obsessive compulsive
disorder (OCD) refractory to psychopharmacological treatment. Deep brain stimulation
(DBS) is presented as a neurosurgical technique for this group of patients as an alternative
to non-reversible neurosurgery. The objective of this article is the systematic review of
the scientific evidence on the efficacy and applicability of this technique in patients with
resistant OCD.
Methods: A systematic and retrospective review of the literature has been performed in
the PubMed / MedLine databases with the terms * Deep brain stimulation * OR * DBS *
AND * obsessive compulsive disorder * OR * OCD *, selecting the most recent meta analysis that collect the summary of clinical trials and evidence published so far: Alonso
et al.
1 Based on this, another systematic review of the literature has been performed in
the PubMed / MedLine, PsycInfo, Scielo and Scopus databases with the terms used in the
previous search, but this time searching randomized clinical trials published sfter the
selected meta-analysis was published.
Results: The analysis indicates the efficacy of ECP for the treatment of refractory OCD,
although with certain adverse effects. However, an ideal brain target for ECP has not yet
been established, opening the doors to the start of target individualization in each patient.
Conclusions: Most published studies indicate a significant improvement in symptoms and
quality of life with DBS. Further randomized controlled trials are needed to verify its
long-term effectivenessGrado en Medicin
Fundamentos de Control Automático de Sistemas Continuos y Muestreados
La Ingeniería de Control versa sobre el diseño de leyes matemáticas que gobiernen sistemas físicos conforme a una serie de especificaciones. Esta disciplina es, por tanto, esencial para la automatización de sistemas o procesos industriales. Este manual presenta, en un primer gran bloque, los métodos tradicionales de análisis y diseño de controladores de sistemas continuos (o analógicos). La segunda parte describe las mismas herramientas para sistemas muestreados (o digitales)
A very massive spectroscopic binary in the LH 54 OB association in the LMC
We announce the discovery of a new early-type, double-lined spectroscopic
binary in the LH 54 OB association in the LMC. We present a V light curve and
radial velocities. We investigate the possible configurations of the system,
concluding that it probably contains the most massive star measured at the
present, with a mass (in solar units) of the order of 100, while its companion
has approximately 50.Comment: 7 pages, 5 figures. MNRAS, accepte
BD+36 3317: An algol type eclipsing binary in Delta Lyrae cluster
In this paper, we present standard Johnson UBV photometry of the eclipsing
binary BD+36 3317 which is known as a member of Delta Lyrae (Stephenson 1)
cluster. We determined colors and brightness of the system, calculated E(B - V)
color excess. We discovered that the system shows total eclipse in secondary
minimum. Using this advantage, we found that the primary component of the
system has B9 - A0 spectral type. Although there is no published orbital
solution, we tried to estimate the physical properties of the system from
simultaneous analysis of UBV light curves with 2003 version of Wilson-Devinney
code. Then we considered photometric solution results together with
evolutionary models and estimated the masses of the components as M1 = 2.5 Msun
and M2 = 1.6 Msun. Those estimations gave the distance of the system as 353 pc.
Considering the uncertainties in distance estimation, resulting distance is in
agreement with the distance of Delta Lyrae cluster.Comment: 18 pages, 4 figures, 5 table
On stellar limb darkening and exoplanetary transits
This paper examines how to compare stellar limb-darkening coefficients
evaluated from model atmospheres with those derived from photometry. Different
characterizations of a given model atmosphere can give quite different
numerical results (even for a given limb-darkening `law'), while light-curve
analyses yield limb-darkening coefficients that are dependent on system
geometry, and that are not directly comparable to any model-atmosphere
representation. These issues are examined in the context of exoplanetary
transits, which offer significant advantages over traditional binary-star
eclipsing systems in the study of stellar limb darkening. `Like for like'
comparisons between light-curve analyses and new model-atmosphere results,
mediated by synthetic photometry, are conducted for a small sample of stars.
Agreement between the resulting synthetic-photometry/atmosphere-model (SPAM)
limb-darkening coefficients and empirical values ranges from very good to quite
poor, even though the targets investigated show only a small dispersion in
fundamental stellar parameters.Comment: Accepted, MNRAS, 4/8/201
Mode identification for Balloon 090100001 using combined multicolour photometry and spectroscopy
In this paper, we show that method of mode identification using combined
multicolour photometry and spectroscopy can be successfully applied to the
pulsating subdwarf B star Balloon 090100001. The method constrains the
spherical degree, l.We confirm that the dominant mode is radial and we show
that for some other modes the method provides values of l consistent with the
observed rotationally split triplet. Moreover, we derive a radius variation of
1.7 per cent for the dominant mode. The identification opens the possibility
for constraining the internal structure of the star by means of seismic
methods.Comment: MNRAS, in press, already at the online-early stag
A photometric and spectroscopic study of NSVS 14256825: the second sdOB+dM eclipsing binary
We present an analysis of UBVRIJH photometry and
phase-resolved optical spectroscopy of NSVS 14256825, an HW Vir type binary.
The members of this class consist of a hot subdwarf and a main-sequence
low-mass star in a close orbit ( d). Using the
primary-eclipse timings, we refine the ephemeris for the system, which has an
orbital period of 0.11037 d. From the spectroscopic data analysis, we derive
the effective temperature, K, the surface gravity, , and the helium abundance, , for the hot component. Simultaneously modelling the
photometric and spectroscopic data using the Wilson-Devinney code, we obtain
the geometrical and physical parameters of NSVS 14256825. Using the fitted
orbital inclination and mass ratio (i = 82\fdg5\pm0\fdg3 and , respectively), the components of the system have , , , and . From its spectral
characteristics, the hot star is classified as an sdOB star.Comment: 8 pages, 7 figures, accepted for publication in MNRA
An Independent Analysis of Kepler-4b through Kepler-8b
We present two independent, homogeneous, global analyses of the transit light
curves, radial velocities and spectroscopy of Kepler-4b through Kepler-8b, with
numerous differences over the previous methods. These include: 1) improved
decorrelated parameter fitting set, 2) new limb darkening coefficients, 3)
time-stamps modified to BJD for consistency with RV, 4) two different methods
for compensating for the integration-time of Kepler LC-data, 5) best-fit
secondary-eclipse depths and excluded upper limits, 6) fitted mid-transit
times, durations, depths and baseline fluxes for individual transits. We make
several new determinations: 1) We detect a secondary eclipse for Kepler-7b of
depth (47+/-14)ppm and significance 3.5-sigma. We conclude reflected light is a
more plausible origin than thermal emission and determine a geometric albedo of
Ag=(0.38+/-0.12). 2) An eccentric-orbit model for the Neptune-mass planet
Kepler-4b is marginally detected to 2-sigma confidence with e=(0.25+/-0.12). If
confirmed, this would place Kepler-4b in a similar category as GJ436b and
HAT-P-11b as an eccentric, Neptune-mass planet. 3) We find marginal (2-sigma)
evidence for Kepler-5b's secondary eclipse of depth (26+/-17)ppm. The most
plausible explanation is reflected light caused by a planet with
Ag=(0.15+/-0.10). 4) A 2.6-sigma peak in Kepler-6b TTV periodogram is detected
and is not easily explained as an aliased frequency. We find that a
resonant/non-resonant perturber, Trojan or exomoon all provide inadequate
explanations and the most likely source is stellar rotation. 5) We find
different impact parameters relative to the discovery papers in most cases, but
generally self-consistent. 6) We constrain the presence of resonant planets,
exomoons and Trojans using transit timing.Comment: Revised version accepted for publication in ApJ. 34 pages, 26
figures, 12 table
Spectroscopic and Photometric Study of the Contact Binary BO CVn
We present the results of the study of the contact binary system BO CVn. We
have obtained physical parameters of the components based on combined analysis
of new, multi-color light curves and spectroscopic mass ratio. This is the
first time the latter has been determined for this object. We derived the
contact configuration for the system with a very high filling factor of about
88 percent. We were able to reproduce the observed light curve, namely the flat
bottom of the secondary minimum, only if a third light has been added into the
list of free parameters. The resulting third light contribution is significant,
about 20-24 percent, while the absolute parameters of components are: M1=1.16,
M2=0.39, R1=1.62 and R2=1.00 (in solar units). The O-C diagram shows an upward
parabola which, under the conservative mass transfer assumption, would
correspond to a mass transfer rate of dM/dt = 6.3 \times 10-8M\odot/yr, matter
being transferred from the less massive component to the more massive one. No
cyclic, short-period variations have been found in the O-C diagram (but
longer-term variations remain a possibility)Comment: 16 pages, 5 figures, 5 tables, accepted for publication by New
Astronom
Multiperiodicity in the newly discovered mid-late Be star V2104 Cygni
We obtained the first long, homogenous time-series of V2104Cyg, consisting of
679 datapoints, with the uvbybeta photometers of Sierra Nevada and San Pedro
Martir Observatories with the aim to detect and subsequently interpret the
intrinsic frequencies of this previously unstudied variable star, which turned
out to be a Be star. We try to figure out its place among the variable B stars
on the upper Main Sequence. In order to obtain additional information on
physical parameters we collected a few spectra with the ELODIE and FIES
instruments. We searched for frequencies in the uvby passbands using 2
different frequency analysis methods and used the S/N>4 criterion to select the
significant periodicities. We obtained an estimate of the physical parameters
of the underlying B star of spectral type between B5 and B7, by correcting for
the presence of a circumstellar disk, using a formalism based on the strenght
of the Halpha line emission. We detected 3 independent frequencies with
amplitudes below 0.01mag, f1 = 4.7126 c/d, f2 = 2.2342 c/d and f3 = 4.671 c/d,
and discovered that V2104Cyg is a Be star. The fast rotation (vsini=290+/-10
km/s, and 27<i<45) hampered the investigation of the associated pulsational
parameters l. Nevertheless, the most plausible explanation for the observed
variability of this mid-late type Be star is a non-radial pulsation model. This
paper is based on observations obtained at the Observatorio Astronomico
Nacional San Pedro Martir (Mexico), Observatorio de Sierra Nevada (Spain),
Observatoire de Haute Provence (France), and on observations made with the
Nordic Optical Telescope, Observatorio Roque de los Muchachos, La Palma, Spain.Comment: 7 pages, 4 figures, A&A accepte
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