| 1. |
- Glasbey, JC, et al.
(författare)
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- 2021
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swepub:Mat__t
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| 2. |
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| 3. |
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| 4. |
- Algaba, Juan-Carlos, et al.
(författare)
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Broadband Multi-wavelength Properties of M87 during the 2017 Event Horizon Telescope Campaign
- 2021
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Ingår i: Astrophysical Journal Letters. - : American Astronomical Society. - 2041-8213 .- 2041-8205. ; 911:1
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Forskningsöversikt (refereegranskat)abstract
- In 2017, the Event Horizon Telescope (EHT) Collaboration succeeded in capturing the first direct image of the center of the M87 galaxy. The asymmetric ring morphology and size are consistent with theoretical expectations for a weakly accreting supermassive black hole of mass ∼6.5 × 109 M o˙. The EHTC also partnered with several international facilities in space and on the ground, to arrange an extensive, quasi-simultaneous multi-wavelength campaign. This Letter presents the results and analysis of this campaign, as well as the multi-wavelength data as a legacy data repository. We captured M87 in a historically low state, and the core flux dominates over HST-1 at high energies, making it possible to combine core flux constraints with the more spatially precise very long baseline interferometry data. We present the most complete simultaneous multi-wavelength spectrum of the active nucleus to date, and discuss the complexity and caveats of combining data from different spatial scales into one broadband spectrum. We apply two heuristic, isotropic leptonic single-zone models to provide insight into the basic source properties, but conclude that a structured jet is necessary to explain M87's spectrum. We can exclude that the simultaneous γ-ray emission is produced via inverse Compton emission in the same region producing the EHT mm-band emission, and further conclude that the γ-rays can only be produced in the inner jets (inward of HST-1) if there are strongly particle-dominated regions. Direct synchrotron emission from accelerated protons and secondaries cannot yet be excluded.
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| 5. |
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| 6. |
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| 7. |
- Russell, T. D., et al.
(författare)
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Rapid compact jet quenching in the Galactic black hole candidate X-ray binary MAXI J1535-571
- 2020
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Ingår i: Monthly Notices of the Royal Astronomical Society. - : Oxford University Press (OUP). - 0035-8711 .- 1365-2966. ; 498:4, s. 5772-5785
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Tidskriftsartikel (refereegranskat)abstract
- We present results from six epochs of quasi-simultaneous radio, (sub-)millimetre, infrared, optical, and X-ray observations of the black hole X-ray binary MAXI J1535-571. These observations show that as the source transitioned through the hard-intermediate X-ray state towards the soft-intermediate X-ray state, the jet underwent dramatic and rapid changes. We observed the frequency of the jet spectral break, which corresponds to the most compact region in the jet where particle acceleration begins (higher frequencies indicate closer to the black hole), evolves from the infrared band into the radio band (decreasing by approximate to 3 orders of magnitude) in less than a day. During one observational epoch, we found evidence of the jet spectral break evolving in frequency through the radio band. Estimating the magnetic field and size of the particle acceleration region shows that the rapid fading of the high-energy jet emission was not consistent with radiative cooling; instead, the particle acceleration region seems to be moving away from the black hole on approximately dynamical time-scales. This result suggests that the compact jet quenching is not caused by local changes to the particle acceleration, rather we are observing the acceleration region of the jet travelling away from the black hole with the jet flow. Spectral analysis of the X-ray emission shows a gradual softening in the few days before the dramatic jet changes, followed by a more rapid softening similar to 1-2 d after the onset of the jet quenching.
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| 8. |
- Vismarra, F., et al.
(författare)
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Isolated Attosecond Pulse Generation Driven by Spatio-Temporal Pulse Reshaping in a Semi-infinite Gas Cell
- 2023
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Ingår i: 2023 Conference on Lasers and Electro-Optics Europe and European Quantum Electronics Conference, CLEO/Europe-EQEC 2023. - 9798350345995
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Konferensbidrag (refereegranskat)abstract
- High-order harmonic generation (HHG) is an ubiquitous tool of great interest in many fields of research from imaging to ultrafast spectroscopy [1]. In its most common implementation, an intense (≈ 1014 W/cm2) infrared (IR) pulse is focused on a noble gas target yielding a train of attosecond pulses in the extreme ultraviolet (XUV) spectral region. By adopting proper strategies and target geometries, it is possible to isolate an attosecond pulse out of the train. In this work, we demonstrate the generation of isolated attosecond pulses by spatio-temporal reshaping of few-cycle IR driving pulses in a semi-infinite gas cell. We combine numerical simulations and experiments to investigate the interplay between the spatio-temporal reshaping of the driving field, the generation of harmonics and the isolation of an attosecond pulse.
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| 9. |
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| 10. |
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| 11. |
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| 12. |
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| 13. |
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| 14. |
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| 15. |
- Russell, T. D., et al.
(författare)
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Disk-Jet Coupling in the 2017/2018 Outburst of the Galactic Black Hole Candidate X-Ray Binary MAXI J1535-571
- 2019
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Ingår i: Astrophysical Journal. - : American Astronomical Society. - 1538-4357 .- 0004-637X. ; 883:2
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Tidskriftsartikel (refereegranskat)abstract
- MAXI J1535-571 is a Galactic black hole candidate X-ray binary that was discovered going into outburst in 2017 September. In this paper, we present comprehensive radio monitoring of this system using the Australia Telescope Compact Array, as well as the MeerKAT radio observatory, showing the evolution of the radio jet during its outburst. Our radio observations show the early rise and subsequent quenching of the compact jet as the outburst brightened and then evolved toward the soft state. We constrain the compact jet quenching factor to be more than 3.5 orders of magnitude. We also detected and tracked (for 303 days) a discrete, relativistically moving jet knot that was launched from the system. From the motion of the apparently superluminal knot, we constrain the jet inclination (at the time of ejection) and speed to = 0.69 c, respectively. Extrapolating its motion back in time, our results suggest that the jet knot was ejected close in time to the transition from the hard intermediate state to soft intermediate state. The launching event also occurred contemporaneously with a short increase in X-ray count rate, a rapid drop in the strength of the X-ray variability, and a change in the type-C quasi-periodic oscillation (QPO) frequency that occurs >2.5 days before the first appearance of a possible type-B QPO.
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| 16. |
- Connors, R. M. T., et al.
(författare)
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Combining timing characteristics with physical broad-band spectral modelling of black hole X-ray binary GX 339-4
- 2019
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Ingår i: Monthly Notices of the Royal Astronomical Society. - : Oxford University Press (OUP). - 0035-8711 .- 1365-2966. ; 485:3, s. 3696-3714
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Tidskriftsartikel (refereegranskat)abstract
- GX 339-4 is a black hole X-ray binary that is a key focus of accretion studies, since it goes into outburst roughly every 2-3 yr. Tracking of its radio, infrared (IR), and X-ray flux during multiple outbursts reveals tight broad-band correlations. The radio emission originates in a compact, self-absorbed jet; however, the origin of the X-ray emission is still debated: jet base or corona? We fit 20 quasi-simultaneous radio, IR, optical, and X-ray observations of GX 339-4 covering three separate outbursts in 2005, 2007, 2010-2011, with a composite corona+jet model, where inverse Compton emission from both regions contributes to the X-ray emission. Using a recently proposed identifier of the X-ray variability properties known as power-spectral hue, we attempt to explain both the spectral and evolving timing characteristics, with the model. We find the X-ray spectra are best fit by inverse Compton scattering in a dominant hot corona (kT(e) similar to hundreds of keV). However, radio and IR-optical constraints imply a non-negligible contribution from inverse Compton scattering off hotter electrons (kT(e) >= 511 keV) in the base of the jets, ranging from a few up to similar to 50 per cent of the integrated 3-100 keV flux. We also find that the physical properties of the jet show interesting correlations with the shape of the broad-band X-ray variability of the source, posing intriguing suggestions for the connection between the jet and corona.
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| 17. |
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| 18. |
- Kantzas, D., et al.
(författare)
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A new lepto-hadronic model applied to the first simultaneous multiwavelength data set for Cygnus X-1
- 2020
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Ingår i: Monthly Notices of the Royal Astronomical Society. - : Oxford University Press (OUP). - 0035-8711 .- 1365-2966. ; 500:2, s. 2112-2126
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Tidskriftsartikel (refereegranskat)abstract
- Cygnus X-1 is the first Galactic source confirmed to host an accreting black hole. It has been detected across the entire electromagnetic spectrum from radio to GeV gamma-rays. The source's radio through mid-infrared radiation is thought to originate from the relativistic jets. The observed high degree of linear polarization in the MeV X-rays suggests that the relativistic jets dominate in this regime as well, whereas a hot accretion flow dominates the soft X-ray band. The origin of the GeV non-thermal emission is still debated, with both leptonic and hadronic scenarios deemed to be viable. In this work, we present results from a new semi-analytical, multizone jet model applied to the broad-band spectral energy distribution of Cygnus X-1 for both leptonic and hadronic scenarios. We try to break this degeneracy by fitting the first-ever high-quality, simultaneous multiwavelength data set obtained from the CHOCBOX campaign (Cygnus X-1 Hard state Observations of a Complete Binary Orbit in X-rays). Our model parametrizes dynamical properties, such as the jet velocity profile, the magnetic field, and the energy density. Moreover, the model combines these dynamical properties with a self-consistent radiative transfer calculation including secondary cascades, both of leptonic and hadronic origin. We conclude that sensitive TeV gamma-ray telescopes like Cherenkov Telescope Array (CTA) will definitively answer the question of whether hadronic processes occur inside the relativistic jets of Cygnus X-1.
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| 19. |
- Kantzas, D., et al.
(författare)
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The prototype X-ray binary GX 339-4: Using TeV γ-rays to assess LMXBs as Galactic cosmic ray accelerators
- 2022
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Ingår i: Monthly Notices of the Royal Astronomical Society. - : Oxford University Press (OUP). - 0035-8711 .- 1365-2966. ; 510:4, s. 5187-5198
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Tidskriftsartikel (refereegranskat)abstract
- Since the discovery of cosmic rays (CRs) over a century ago, their origin remains an open question. Galactic CRs with energy up to the knee (1015 eV) are considered to originate from supernova remnants, but this scenario has recently been questioned due to lack of TeV γ-ray counterparts in many cases. Extragalactic CRs, on the other hand, are thought to be associated with accelerated particles in the relativistic jets launched by supermassive accreting black holes at the centre of galaxies. Scaled down versions of such jets have been detected in X-ray binaries hosting a stellar black hole (BHXBs). In this work, we investigate the possibility that the smaller scale jets in transient outbursts of low-mass BHXBs could be sources of Galactic CRs. To better test this scenario, we model the entire electromagnetic spectrum of such sources focusing on the potential TeV regime, using the 'canonical' low-mass BHXB GX 339-4 as a benchmark. Taking into account both the leptonic radiative processes and the γ-rays produced via neutral pion decay from inelastic hadronic interactions, we predict the GeV and TeV γ-ray spectrum of GX 339-4 using lower frequency emission as constraints. Based on this test-case of GX 339-4, we investigate whether other, nearby low-mass BHXBs could be detected by the next-generation very-high-energy γ-ray facility the Cherenkov Telescope Array, which would establish them as additional and numerous potential sources of CRs in the Galaxy.
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| 20. |
- Kelkensberg, F., et al.
(författare)
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Attosecond Control in Photoionization of Hydrogen Molecules
- 2011
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Ingår i: Physical Review Letters. - 1079-7114. ; 107:4
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Tidskriftsartikel (refereegranskat)abstract
- We report experiments where hydrogen molecules were dissociatively ionized by an attosecond pulse train in the presence of a near-infrared field. Fragment ion yields from distinguishable ionization channels oscillate with a period that is half the optical cycle of the IR field. For molecules aligned parallel to the laser polarization axis, the oscillations are reproduced in two-electron quantum simulations, and can be explained in terms of an interference between ionization pathways that involve different harmonic orders and a laser-induced coupling between the 1s sigma(g) and 2p sigma(u) states of the molecular ion. This leads to a situation where the ionization probability is sensitive to the instantaneous polarization of the molecule by the IR electric field and demonstrates that we have probed the IR-induced electron dynamics with attosecond pulses.
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| 21. |
- Kelkensberg, F., et al.
(författare)
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XUV ionization of aligned molecules
- 2011
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Ingår i: Physical Review A (Atomic, Molecular and Optical Physics). - 1050-2947. ; 84:5, s. 051404-051404
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Tidskriftsartikel (refereegranskat)abstract
- New extreme-ultraviolet (XUV) light sources such as high-order-harmonic generation (HHG) and free-electron lasers (FELs), combined with laser-induced alignment techniques, enable novel methods for making molecular movies based on measuring molecular frame photoelectron angular distributions. Experiments are presented where CO2 molecules were impulsively aligned using a near-infrared laser and ionized using femtosecond XUV pulses obtained by HHG. Measured electron angular distributions reveal contributions from four orbitals and the onset of the influence of the molecular structure.
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| 22. |
- Lucchini, M., et al.
(författare)
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Bhjet: a public multizone, steady state jet plus thermal corona spectral model
- 2022
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Ingår i: Monthly Notices of the Royal Astronomical Society. - : Oxford University Press (OUP). - 0035-8711 .- 1365-2966. ; 517:4, s. 5853-5881
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Tidskriftsartikel (refereegranskat)abstract
- Accreting black holes are sources of major interest in astronomy, particular those launching jets because of their ability to accelerate particles, and dramatically affect their surrounding environment up to very large distances. The spatial, energy, and time-scales at which a central active black hole radiates and impacts its environment depend on its mass. The implied scale-invariance of accretion/ejection physics between black hole systems of different central masses has been confirmed by several studies. Therefore, designing a self-consistent theoretical model that can describe such systems, regardless of their mass, is of crucial importance to tackle a variety of astrophysical sources. We present here a new and significantly improved version of a scale invariant, steady-state, multizone jet model, which we rename BHJet, resulting from the efforts of our group to advance the modelling of black hole systems. We summarize the model assumptions and basic equations, how they have evolved over time, and the additional features that we have recently introduced. These include additional input electron populations, the extension to cyclotron emission in near-relativistic regime, an improved multiple inverse-Compton scattering method, external photon seed fields typical of active galactic nucleus, and a magnetically dominated jet dynamical model as opposed to the pressure-driven jet configuration present in older versions. In this paper, we publicly release the code on GitHub and, in order to facilitate the user's approach to its many possibilities, showcase a few applications as a tutorial.
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| 23. |
- Lucchini, M., et al.
(författare)
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Correlating spectral and timing properties in the evolving jet of the microblazar MAXI J1836-194
- 2021
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Ingår i: Monthly Notices of the Royal Astronomical Society. - : Oxford University Press (OUP). - 0035-8711 .- 1365-2966. ; 501:4, s. 5910-5926
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Tidskriftsartikel (refereegranskat)abstract
- During outbursts, the observational properties of black hole X-ray binaries vary on time-scales of days to months. These relatively short time-scales make these systems ideal laboratories to probe the coupling between accreting material and outflowing jets as the accretion rate varies. In particular, the origin of the hard X-ray emission is poorly understood and highly debated. This spectral component, which has a power-law shape, is due to Comptonization of photons near the black hole, but it is unclear whether it originates in the accretion flow itself, or at the base of the jet, or possibly the interface region between them. In this paper, we explore the disc-jet connection by modelling the multiwavelength emission of MAXI J1836-194 during its 2011 outburst. We combine radio through X-ray spectra, X-ray timing information, and a robust joint-fitting method to better isolate the jet's physical properties. Our results demonstrate that the jet base can produce power-law hard X-ray emission in this system/outburst, provided that its base is fairly compact and that the temperatures of the emitting electrons are subrelativistic. Because of energetic considerations, our model favours mildly pair-loaded jets carrying at least 20 pairs per proton. Finally, we find that the properties of the X-ray power spectrum are correlated with the jet properties, suggesting that an underlying physical process regulates both.
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| 24. |
- Petersson, C. L.M., et al.
(författare)
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Anisotropic photoemission time delays close to a Fano resonance
- 2018
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Ingår i: Nature Communications. - : Springer Science and Business Media LLC. - 2041-1723. ; 9
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Tidskriftsartikel (refereegranskat)abstract
- Electron correlation and multielectron effects are fundamental interactions that govern many physical and chemical processes in atomic, molecular and solid state systems. The process of autoionization, induced by resonant excitation of electrons into discrete states present in the spectral continuum of atomic and molecular targets, is mediated by electron correlation. Here we investigate the attosecond photoemission dynamics in argon in the 20-40 eV spectral range, in the vicinity of the 3s(-1)np autoionizing resonances. We present measurements of the differential photoionization cross section and extract energy and angle-dependent atomic time delays with an attosecond interferometric method. With the support of a theoretical model, we are able to attribute a large part of the measured time delay anisotropy to the presence of autoionizing resonances, which not only distort the phase of the emitted photoelectron wave packet but also introduce an angular dependence.
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| 25. |
- Sabbar, M., et al.
(författare)
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Resonance Effects in Photoemission Time Delays
- 2015
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Ingår i: Physical Review Letters. - 0031-9007 .- 1079-7114. ; 115:13
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Tidskriftsartikel (refereegranskat)abstract
- We present measurements of single-photon ionization time delays between the outermost valence electrons of argon and neon using a coincidence detection technique that allows for the simultaneous measurement of both species under identical conditions. The analysis of the measured traces reveals energy-dependent time delays of a few tens of attoseconds with high energy resolution. In contrast to photoelectrons ejected through tunneling, single-photon ionization can be well described in the framework of Wigner time delays. Accordingly, the overall trend of our data is reproduced by recent Wigner time delay calculations. However, besides the general trend we observe resonance features occurring at specific photon energies. These features have been qualitatively reproduced and identified by a calculation using the multiconfigurational Hartree-Fock method, including the influence of doubly excited states and ionization thresholds.
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| 26. |
- Siu, W., et al.
(författare)
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Attosecond control of dissociative ionization of O(2) molecules
- 2011
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Ingår i: Physical Review A (Atomic, Molecular and Optical Physics). - 1050-2947. ; 84:6
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Tidskriftsartikel (refereegranskat)abstract
- We demonstrate that dissociative ionization of O(2) can be controlled by the relative delay between an attosecond pulse train (APT) and a copropagating infrared (IR) field. Our experiments reveal a dependence of both the branching ratios between a range of electronic states and the fragment angular distributions on the extreme ultraviolet (XUV) to IR time delay. The observations go beyond adiabatic propagation of dissociative wave packets on IR-induced quasistatic potential energy curves and are understood in terms of an IR-induced coupling between electronic states in the molecular ion.
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| 27. |
- Echiburu-Trujillo, Constanza, et al.
(författare)
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Chasing the Break: Tracing the Full Evolution of a Black Hole X-Ray Binary Jet with Multiwavelength Spectral Modeling
- 2024
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Ingår i: Astrophysical Journal. - 1538-4357 .- 0004-637X. ; 962:2
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Tidskriftsartikel (refereegranskat)abstract
- Black hole (BH) X-ray binaries (XRBs) are ideal targets to study the connection between accretion inflow and jet outflow. Here we present quasi-simultaneous, multiwavelength observations of the Galactic BH system MAXI J1820+070, throughout its 2018-2019 outburst. Our data set includes coverage from the radio through X-ray bands from 17 different instruments/telescopes, and encompasses 19 epochs over a 7 month period, resulting in one of the most well-sampled multiwavelength data sets of a BH XRB outburst to date. With our data, we compile and model the broadband spectra of this source using a phenomenological model that includes emission from the jet, a companion star, and an accretion flow. This modeling allows us to track the evolution of the spectral break in the jet spectrum, a key observable that samples the jet launching region. We find that the spectral break location changes over at least approximate to 3 orders of magnitude in electromagnetic frequency over this period. Using these spectral break measurements, we link the full cycle of jet behavior, including the rising, quenching, and reignition, to the changing accretion flow properties as the source evolves through its different accretion states. Our analysis shows consistent jet behavior with other sources in similar phases of their outbursts, reinforcing the idea that jet quenching and recovery may be a global feature of BH XRB systems in outburst. Our results also provide valuable evidence supporting a close connection between the geometry of the inner accretion flow and the base of the jet.
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| 28. |
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| 29. |
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| 30. |
- Kantzas, D., et al.
(författare)
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Black-hole X-ray binaries in the new era of multi-messenger Astronomy
- 2022
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Ingår i: Proceedings of Science. - 1824-8039. ; 395
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Konferensbidrag (refereegranskat)abstract
- Since their discovery, cosmic rays (CRs) remain among the most mysterious phenomena of modern physics. The dominant sources, as well as the exact acceleration mechanisms, remain unknown. The CRs up to the “knee”, are considered to originate in the shock waves of Galactic supernova remnants, however, due to the lack of a “smoking-gun” TeV counterpart in many cases, this scenario has been recently questioned. In this work, we motivate how the small-scale analogues of active galactic nuclei, namely black-hole X-ray binaries (BHXBs), can potentially contribute to the Galactic CR spectrum. To investigate this idea, we developed a new, multi-zone, lepto-hadronic jet model to take advantage of the entire broadband multiwavelength spectra observed by BHXBs. We statistically apply this model to the first-ever simultaneous radio-to-X-ray spectrum of Galactic BHXB Cygnus X–1 obtained in 2016 (via the CHOCBOX program), and to a quasi-simultaneous dataset of another Galactic BHXB, GX 339–4, during a bright outburst in 2010. In this work, we discuss how the different assumptions on proton acceleration affect both the jet properties and the observed spectrum. In particular, we focus on the GeV-to-TeV regime and discuss its strong dependence on the rest of the multiwavelength spectrum. Finally, we discuss the implication of the results for the next-generation gamma-ray facilities, such as the Cherenkov Telescope Array (CTA), as well as next-generation neutrino detectors, such as KM3NeT, concluding how they can help to constrain the potential BHXB contribution to the Galactic CR spectrum.
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| 31. |
- Kantzas, D., et al.
(författare)
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Exploring the role of composition and mass loading on the properties of hadronic jets
- 2023
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Ingår i: Monthly Notices of the Royal Astronomical Society. - : Oxford University Press (OUP). - 0035-8711 .- 1365-2966. ; 520:4, s. 6017-6039
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Tidskriftsartikel (refereegranskat)abstract
- Astrophysical jets are relativistic outflows that remain collimated for remarkably many orders of magnitude. Despite decades of research, the origin of cosmic rays (CRs) remains unclear, but jets launched by both supermassive black holes in the centre of galaxies and stellar-mass black holes harboured in X-ray binaries (BHXBs) are among the candidate sources for CR acceleration. When CRs accelerate in astrophysical jets, they initiate particle cascades that form gamma-rays and neutrinos. In the so-called hadronic scenario, the population of accelerated CRs requires a significant amount of energy to properly explain the spectral constraints, similarly to a purely leptonic scenario. The amount of energy required often exceeds the Eddington limit or even the total energy available within the jets. The exact energy source for the accelerated protons is unclear, but due to energy conservation along the jets, it is believed to come from the jet itself via transfer of energy from the magnetic fields or kinetic energy from the outflow. To address this hadronic energy issue and to self-consistently evolve the energy flux along the flows, we explore a novel treatment for including hadronic content, in which instabilities along the jet/wind border play a critical role. We discuss the impact of the different jet compositions on the jet dynamics for a pair dominated and an electron-proton jet and, consequently, the emitted spectrum, accounting for both leptonic and hadronic processes. Finally, we discuss the implications of this mass-loading scenario to address the proton energy issue.
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| 32. |
- Thornhill, John P, et al.
(författare)
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Human monkeypox virus infection in women and non-binary individuals during the 2022 outbreaks: a global case series.
- 2022
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Ingår i: Lancet (London, England). - 1474-547X. ; 400:10367, s. 1953-1965
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Tidskriftsartikel (refereegranskat)abstract
- Between May and November, 2022, global outbreaks of human monkeypox virus infection have been reported in more than 78000 people worldwide, predominantly in men who have sex with men. We describe the epidemiological and clinical characteristics of monkeypox virus infection in cisgender (cis) and transgender (trans) women and non-binary individuals assigned female sex at birth to improve identification and understanding of risk factors.International collaborators in geographical locations with high numbers of diagnoses of monkeypox virus infection were approached and invited to contribute data on women and non-binary individuals with confirmed monkeypox virus infection. Contributing centres completed deidentified structured case-report spreadsheets, adapted and developed by participating clinicians, to include variables of interest relevant to women and non-binary individuals assigned female at birth. We describe the epidemiology and clinical course observed in the reported infections.Collaborators reported data for a total of 136 individuals with monkeypox virus infection who presented between May 11 and Oct 4, 2022, across 15 countries. Overall median age was 34 years (IQR 28-40; range 19-84). The cohort comprised 62 trans women, 69 cis women, and five non-binary individuals (who were, because of small numbers, grouped with cis women to form a category of people assigned female at birth for the purpose of comparison). 121 (89%) of 136 individuals reported sex with men. 37 (27%) of all individuals were living with HIV, with a higher proportion among trans women (31 [50%] of 62) than among cis women and non-binary individuals (six [8%] of 74). Sexual transmission was suspected in 55 (89%) trans women (with the remainder having an unknown route of transmission) and 45 (61%) cis women and non-binary individuals; non-sexual routes of transmission (including household and occupational exposures) were reported only in cis women and non-binary individuals. 25 (34%) of 74 cis women and non-binary individuals submitted to the case series were initially misdiagnosed. Overall, among individuals with available data, rash was described in 124 (93%) of 134 individuals and described as anogenital in 95 (74%) of 129 and as vesiculopustular in 105 (87%) of 121. Median number of lesions was ten (IQR 5-24; range 1-200). Mucosal lesions involving the vagina, anus, or oropharynx or eye occurred in 65 (55%) of 119 individuals with available data. Vaginal and anal sex were associated with lesions at those sites. Monkeypox virus DNA was detected by PCR from vaginal swab samples in all 14 samples tested. 17 (13%) individuals were hospitalised, predominantly for bacterial superinfection of lesions and pain management. 33 (24%) individuals were treated with tecovirimat and six (4%) received post-exposure vaccinations. No deaths were reported.The clinical features of monkeypox in women and non-binary individuals were similar to those described in men, including the presence of anal and genital lesions with prominent mucosal involvement. Anatomically, anogenital lesions were reflective of sexual practices: vulvovaginal lesions predominated in cis women and non-binary individuals and anorectal features predominated in trans women. The prevalence of HIV co-infection in the cohort was high.None.
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| 33. |
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