228 research outputs found
Surreptitious Ingestion of Oral Anticoagulants
Hypoprothrombinemia secondary to surreptitious ingestion of coumarin or indanedione anticoagulants may be a difficult diagnosis for the unsuspecting physician. Four such case reports are presented. The disease should be suspected if the prothrombin time is markedly elevated and the individual is associated with the medical profession or has had previous treatment with oral anticoagulants. The diagnosis is confirmed by finding a deficiency in Factors II (prothrombin), VII, IX, and X and the presence of the coumarin or indanedione anticoagulant in the blood. The motive generally is that of gaining attention rather than committing suicide. Liver disease. Vitamin K deficiency states and accidental ingestion of oral anticoagulants are the chief disorders to be considered in the differential diagnosis. Specific assays for the oral anticoagulants are indicated before assuming a rarer etiology for the hemorrhagic syndrome
Chandra Detection of the Forward and Reverse Shocks in Cassiopeia-A
We report the localization of the forward and reversed shock fronts in the
young supernova remnant Cas-A using X-ray data obtained with the Chandra
Observatory. High resolution X-ray maps resolve a previously unseen X-ray
feature encompassing the extremity of the remnant. This feature consists of
thin, tangential wisps of emission bordering the outer edge of the thermal
X-ray and radio remnant, forming a circular rim, approx. 2.7 in radius. Radio
images show a sharp rise in brightness at this X-ray rim, along with a large
jump in the synchrotron polarization angle. These characteristics suggest that
these wisps are the previously unresolved signature of the forward, or outer,
shock. Similarly, we identify the sharp rise in emissivity of the bright shell
for both the radio and X-ray line emission associated with the reverse shock.
The derived ratio of the averaged forward and reverse shock radii of approx.
3:2 constrains the remnant to have swept up roughly the same amount of mass as
was ejected; this suggests that Cas-A is just entering the Sedov phase.
Comparison of the X-ray spectra from the two shock regions shows that the
equivalent widths of prominent emission lines are significantly lower exterior
to the bright shell, as expected if they are respectively identified with the
shocked circumstellar material and shocked ejecta. Furthermore, the spectrum of
the outer rim itself is dominated by power-law emission, likely the counterpart
of the non-thermal component previously seen at energies above 10 keV.Comment: 7 pages with 5 figures, LaTex, emulateapj.sty. To appear in the
Astrophysical Journal Letter
The Radiative Transport of Dust in Primordial Galaxies and Second-Generation Star Formation
We investigate the radiative transport of dust in primordial galaxies in the
presence of the UV radiation field from the first metal-free stars. We find
that dust created in the first supernova (SN) explosions can be driven through
the interior of the SN remnant to accumulate in the SN shells, where
second-generation stars may form from compressed cooling gas. This scenario
requires metal-free stars to form continuously over timescales of up to 10 Myr,
consistent with recent estimates. Silicate and graphite grains, as well as
iron-bearing magnetites, are transported to the shells for reasonable parameter
assumptions, but their relative yields from primordial SNe is an important
factor in the resulting abundance ratios. We compare the results of segregated
grain transport with the current nucleosynthetic data on extremely metal-poor
Galactic halo stars. Fossil signatures of this process may already have been
detected in those iron-poor stars with enhanced carbon and silicate elements
such as magnesium, silicon and oxygen. We discuss the implications of our
results for the transition from first- to second-generation star formation in
primordial galaxies, and the role played by the radiative transport of dust in
this process.Comment: Accepted by ApJ; 10 ApJ-style pages, 5 figures. Minor revisions with
added text, results and figures unchanged. Will appear in ApJ v. 640, 20
March 2006 issu
Panoramic Views of the Cygnus Loop
We present a complete atlas of the Cygnus Loop supernova remnant in the light
of [O III] (5007), H alpha, and [S II] (6717, 6731). Despite its shell-like
appearance, the Cygnus Loop is not a current example of a Sedov-Taylor blast
wave. Rather, the optical emission traces interactions of the supernova blast
wave with clumps of gas. The surrounding interstellar medium forms the walls of
a cavity through which the blast wave now propagates, including a nearly
complete shell in which non-radiative filaments are detected. The Cygnus Loop
blast wave is not breaking out of a dense cloud, but is instead running into
confining walls. The interstellar medium dominates not only the appearance of
the Cygnus Loop but also the continued evolution of the blast wave. If this is
a typical example of a supernova remnant, then global models of the
interstellar medium must account for such significant blast wave deceleration.Comment: 28 pages AAS Latex, 28 black+white figures, 6 color figures. To be
published in The Astrophysical Journal Supplement Serie
Thermal and Nonthermal X-Ray Emission in SNR RCW 86
Supernova remnants may exhibit both thermal and nonthermal X-ray emission.
Such remnants can be distinguished by the weakness of their X-ray lines,
because of the presence of a strong nonthermal X-ray continuum. RCW 86 is a
remnant with weak lines, resulting in low and peculiar abundances when thermal
models alone are used to interpret its X-ray spectrum. This indicates the
presence of a strong nonthermal synchrotron continuum. We analyze ASCA X-ray
spectra of RCW 86 with the help of both nonequilibrium ionization thermal
models and nonthermal synchrotron models. A two-temperature thermal model and a
simple nonthermal model with an exponential cutoff (plus interstellar
absorption) give reasonable results. We obtain blast wave velocity of 800 km/s,
the shock ionization age of 1-3x10^11 s/cm^3, and the break in nonthermal
spectra at 2-4x10^16 Hz. The strength of nonthermal continuum correlates well
with the radio brightness in the bright SW section of the remnant. This is
convincing evidence for X-ray synchrotron emission in RCW 86.Comment: 14 pages, 11 figures, submitted to Astrophysical Journa
Revision for adverse local tissue reaction following metal-on-polyethylene total hip arthroplasty is associated with a high risk of early major complications
AimsFretting and corrosion at the modular head/neck junction, known as trunnionosis, in total hip arthroplasty (THA) is a cause of adverse reaction to metal debris (ARMD). We describe the outcome of revision of metal-on-polyethylene (MoP) THA for ARMD due to trunnionosis with emphasis on the risk of major complications.Patients and MethodsA total of 36 patients with a MoP THA who underwent revision for ARMD due to trunnionosis were identified. Three were excluded as their revision had been to another metal head. The remaining 33 were revised to a ceramic head with a titanium sleeve. We describe the presentation, revision findings, and risk of complications in these patients.ResultsThe patients presented with pain, swelling, stiffness, or instability and an inflammatory mass was confirmed radiologically. Macroscopic material deposition on the trunnion was seen in all patients, associated with ARMD. Following revision, six (18.2%) dislocated, requiring further revision in four. Three (9.1%) developed a deep infection and six (18.2%) had significant persistent pain without an obvious cause. One developed a femoral artery thrombosis after excision of an iliofemoral pseudotumor, requiring a thrombectomy.ConclusionThe risk of serious complications following revision MoP THA for ARMD associated with trunnionosis is high. In the presence of extensive tissue damage, a constrained liner or dual mobility construct is recommended in these patients. Cite this article: Bone Joint J 2018;100-B:720–4.</jats:sec
Assessing L2 vocabulary depth with word associates format tests: issues, findings, and suggestions
Word Associates Format (WAF) tests are often used to measure second language learners’ vocabulary depth with a focus on their network knowledge. Yet, there were often many variations in the specific forms of the tests and the ways they were used, which tended to have an impact on learners’ response behaviors and, more importantly, the psychometric properties of the tests. This paper reviews the general practices, key issues, and research findings that pertain to WAF tests in four major areas, including the design features of WAF tests, conditions for test administration, scoring methods, and test-taker characteristics. In each area, a set of variables is identified and described with relevant research findings also presented and discussed. Around eight topics, the General Discussion section provides some suggestions and directions for the development of WAF tests and the use of them as research tools in the future. This paper is hoped to help researchers become better aware that the results generated by a WAF test may vary depending on what specific design the test has, how it is administered and scored, and who the learners are, and consequently, make better decisions in their research that involves a WAF test
Fermi Large Area Telescope Observations of Gamma-ray Pulsars PSR J1057-5226, J1709-4429, and J1952+3252
The Fermi Large Area Telescope (LAT) data have confirmed the pulsed emission
from all six high-confidence gamma-ray pulsars previously known from the EGRET
observations. We report results obtained from the analysis of 13 months of LAT
data for three of these pulsars (PSR J1057-5226, PSR J1709-4429, and PSR
J1952+3252) each of which had some unique feature among the EGRET pulsars. The
excellent sensitivity of LAT allows more detailed analysis of the evolution of
the pulse profile with energy and also of the variation of the spectral shape
with phase. We measure the cutoff energy of the pulsed emission from these
pulsars for the first time and provide a more complete picture of the emission
mechanism. The results confirm some, but not all, of the features seen in the
EGRET data.Comment: Accepted for publication in ApJ. 45 pages, 12 figures, 11 tables.
Corresponding authors: O. Celik, F. Gargano, T. Reposeur, D.J. Thompso
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