| 1. |
- Fullman, N., et al.
(författare)
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Measuring performance on the Healthcare Access and Quality Index for 195 countries and territories and selected subnational locations: a systematic analysis from the Global Burden of Disease Study 2016
- 2018
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Ingår i: Lancet. - : Elsevier BV. - 0140-6736. ; 391:10136, s. 2236-2271
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Tidskriftsartikel (refereegranskat)abstract
- Background A key component of achieving universal health coverage is ensuring that all populations have access to quality health care. Examining where gains have occurred or progress has faltered across and within countries is crucial to guiding decisions and strategies for future improvement. We used the Global Burden of Diseases, Injuries, and Risk Factors Study 2016 (GBD 2016) to assess personal health-care access and quality with the Healthcare Access and Quality (HAQ) Index for 195 countries and territories, as well as subnational locations in seven countries, from 1990 to 2016. Methods Drawing from established methods and updated estimates from GBD 2016, we used 32 causes from which death should not occur in the presence of effective care to approximate personal health-care access and quality by location and over time. To better isolate potential effects of personal health-care access and quality from underlying risk factor patterns, we risk-standardised cause-specific deaths due to non-cancers by location-year, replacing the local joint exposure of environmental and behavioural risks with the global level of exposure. Supported by the expansion of cancer registry data in GBD 2016, we used mortality-to-incidence ratios for cancers instead of risk-standardised death rates to provide a stronger signal of the effects of personal health care and access on cancer survival. We transformed each cause to a scale of 0-100, with 0 as the first percentile (worst) observed between 1990 and 2016, and 100 as the 99th percentile (best); we set these thresholds at the country level, and then applied them to subnational locations. We applied a principal components analysis to construct the HAQ Index using all scaled cause values, providing an overall score of 0-100 of personal health-care access and quality by location over time. We then compared HAQ Index levels and trends by quintiles on the Socio-demographic Index (SDI), a summary measure of overall development. As derived from the broader GBD study and other data sources, we examined relationships between national HAQ Index scores and potential correlates of performance, such as total health spending per capita. Findings In 2016, HAQ Index performance spanned from a high of 97.1 (95% UI 95.8-98.1) in Iceland, followed by 96.6 (94.9-97.9) in Norway and 96.1 (94.5-97.3) in the Netherlands, to values as low as 18.6 (13.1-24.4) in the Central African Republic, 19.0 (14.3-23.7) in Somalia, and 23.4 (20.2-26.8) in Guinea-Bissau. The pace of progress achieved between 1990 and 2016 varied, with markedly faster improvements occurring between 2000 and 2016 for many countries in sub-Saharan Africa and southeast Asia, whereas several countries in Latin America and elsewhere saw progress stagnate after experiencing considerable advances in the HAQ Index between 1990 and 2000. Striking subnational disparities emerged in personal health-care access and quality, with China and India having particularly large gaps between locations with the highest and lowest scores in 2016. In China, performance ranged from 91.5 (89.1-936) in Beijing to 48.0 (43.4-53.2) in Tibet (a 43.5-point difference), while India saw a 30.8-point disparity, from 64.8 (59.6-68.8) in Goa to 34.0 (30.3-38.1) in Assam. Japan recorded the smallest range in subnational HAQ performance in 2016 (a 4.8-point difference), whereas differences between subnational locations with the highest and lowest HAQ Index values were more than two times as high for the USA and three times as high for England. State-level gaps in the HAQ Index in Mexico somewhat narrowed from 1990 to 2016 (from a 20.9-point to 17.0-point difference), whereas in Brazil, disparities slightly increased across states during this time (a 17.2-point to 20.4-point difference). Performance on the HAQ Index showed strong linkages to overall development, with high and high-middle SDI countries generally having higher scores and faster gains for non-communicable diseases. Nonetheless, countries across the development spectrum saw substantial gains in some key health service areas from 2000 to 2016, most notably vaccine-preventable diseases. Overall, national performance on the HAQ Index was positively associated with higher levels of total health spending per capita, as well as health systems inputs, but these relationships were quite heterogeneous, particularly among low-to-middle SDI countries. Interpretation GBD 2016 provides a more detailed understanding of past success and current challenges in improving personal health-care access and quality worldwide. Despite substantial gains since 2000, many low-SDI and middle-SDI countries face considerable challenges unless heightened policy action and investments focus on advancing access to and quality of health care across key health services, especially non-communicable diseases. Stagnating or minimal improvements experienced by several low-middle to high-middle SDI countries could reflect the complexities of re-orienting both primary and secondary health-care services beyond the more limited foci of the Millennium Development Goals. Alongside initiatives to strengthen public health programmes, the pursuit of universal health coverage upon improving both access and quality worldwide, and thus requires adopting a more comprehensive view and subsequent provision of quality health care for all populations. Copyright (C) 2018 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license.
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| 2. |
- Meech, K. J., et al.
(författare)
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EPOXI: Comet 103P/Hartley 2 Observations from a Worldwide Campaign
- 2011
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Ingår i: Astrophysical Journal Letters. - London : IOP. - 2041-8213 .- 2041-8205. ; 734:L1, s. 1-9
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Tidskriftsartikel (refereegranskat)abstract
- Earth- and space-based observations provide synergistic information for space mission encounters by providing data over longer timescales, at different wavelengths and using techniques that are impossible with an in situ flyby. We report here such observations in support of the EPOXI spacecraft flyby of comet 103P/Hartley 2. The nucleus is small and dark, and exhibited a very rapidly changing rotation period. Prior to the onset of activity, the period was ~16.4?hr. Starting in 2010 August the period changed from 16.6?hr to near 19?hr in December. With respect to dust composition, most volatiles and carbon and nitrogen isotope ratios, the comet is similar to other Jupiter-family comets. What is unusual is the dominance of CO 2 -driven activity near perihelion, which likely persists out to aphelion. Near perihelion the comet nucleus was surrounded by a large halo of water-ice grains that contributed significantly to the total water production.
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| 3. |
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| 4. |
- Villanueva, G. L., et al.
(författare)
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JWST molecular mapping and characterization of Enceladus’ water plume feeding its torus
- 2023
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Ingår i: Nature Astronomy. - : Springer Nature. - 2397-3366. ; 7:9, s. 1056-1062
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Tidskriftsartikel (refereegranskat)abstract
- Enceladus is a prime target in the search for life in our Solar System, having an active plume that is likely to be connected to a large liquid water sub-surface ocean. Using the sensitive near-infrared spectograph instrument on board the James Webb Space Telescope, we searched for organic compounds and characterized the plume’s composition and structure. The observations directly sample the fluorescence emissions of H2O and reveal an extraordinarily extensive plume (up to 10,000 km or 40 Enceladus radii) at cryogenic temperatures (25 K) embedded in a large bath of emission originating from Enceladus’ torus. Intriguingly, the observed outgassing rate (300 kg s−1) is similar to that derived from close-up observations with Cassini 15 years ago, and the torus density is consistent with previous spatially unresolved measurements with Herschel 13 years ago, which indicates that the vigour of gas eruption from Enceladus has been relatively stable over decadal timescales. This level of activity is sufficient to maintain a derived column density of 4.5 × 1017 m−2 for the embedding equatorial torus, and establishes Enceladus as the prime source of water across the Saturnian system. We performed searches for several non-water gases (CO2, CO, CH4, C2H6, CH3OH), but none were identified in the spectra. On the surface of the trailing hemisphere, we observe strong H2O ice features, including its crystalline form, yet we do not recover CO2, CO or NH3 ice signatures from these observations. As we prepare to send new spacecraft into the outer Solar System, these observations demonstrate the unique ability of the James Webb Space Telescope to provide critical support for the exploration of distant icy bodies and cryovolcanic plumes.
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| 5. |
- Windhorst, Rogier A., et al.
(författare)
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JWST PEARLS. Prime extragalactic areas for reionization and lensing science : project overview and first results
- 2023
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Ingår i: Astronomical Journal. - : Institute of Physics (IOP). - 0004-6256 .- 1538-3881. ; 165:1
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Tidskriftsartikel (refereegranskat)abstract
- We give an overview and describe the rationale, methods, and first results from NIRCam images of the JWST “Prime Extragalactic Areas for Reionization and Lensing Science” (PEARLS) project. PEARLS uses up to eight NIRCam filters to survey several prime extragalactic survey areas: two fields at the North Ecliptic Pole (NEP); seven gravitationally lensing clusters; two high redshift protoclusters; and the iconic backlit VV 191 galaxy system to map its dust attenuation. PEARLS also includes NIRISS spectra for one of the NEP fields and NIRSpec spectra of two high-redshift quasars. The main goal of PEARLS is to study the epoch of galaxy assembly, active galactic nucleus (AGN) growth, and First Light. Five fields—the JWST NEP Time-Domain Field (TDF), IRAC Dark Field, and three lensing clusters—will be observed in up to four epochs over a year. The cadence and sensitivity of the imaging data are ideally suited to find faint variable objects such as weak AGN, high-redshift supernovae, and cluster caustic transits. Both NEP fields have sightlines through our Galaxy, providing significant numbers of very faint brown dwarfs whose proper motions can be studied. Observations from the first spoke in the NEP TDF are public. This paper presents our first PEARLS observations, their NIRCam data reduction and analysis, our first object catalogs, the 0.9–4.5 μm galaxy counts and Integrated Galaxy Light. We assess the JWST sky brightness in 13 NIRCam filters, yielding our first constraints to diffuse light at 0.9–4.5 μm. PEARLS is designed to be of lasting benefit to the community.
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| 6. |
- Biver, N., et al.
(författare)
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Coma composition of comet 67P/Churyumov-Gerasimenko from radio-wave spectroscopy
- 2023
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Ingår i: Astronomy and Astrophysics. - : EDP Sciences. - 0004-6361 .- 1432-0746. ; 672
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Tidskriftsartikel (refereegranskat)abstract
- We present the results of a molecular survey of comet 67P/Churyumov-Gerasimenko undertaken with the Institut de RadioAstronomie Millimétrique (IRAM) 30-m radio telescope in November–December 2021, when it had its most favourable apparition in decades. Observations at IRAM 30-m during the 12–16 November period covered 8 GHz bandwidth at 3 mm, 16 GHz at 2 mm, and 60 GHz in the 1 mm window domain. These were completed by snapshots at 1 mm on 12–13 December and a short observation of the H2O line at 557 GHz with the Odin sub-millimetre observatory on 17.0 November 2021, and with 18-cm observations of OH with the Nançay radio telescope. Less sensitive observations obtained at a previous perihelion passage on 18–22 September 2015 with IRAM and 9–12 November 2015 with Odin are also presented. The gas outflow velocity, outgassing pattern, and temperature have been accurately constrained by the observations. They are perfectly consistent with those measured in situ with the Rosetta/MIRO sub-millimetre instrument in 2015. In particular, the asymmetry of the line is well represented by a jet concentrating three-quarters of the outgassing in about π steradians. We derived abundances relative to water for seven molecules and significant upper limits for approximately five others. The retrieved abundances were compared to those measured in situ at the previous perihelion with Rosetta. While those of HCN, CH3OH, and HNCO are comparable, 67P is found to be depleted in H2S and relatively normal in CS (H2S/CS ≈ 3) in strong contradiction with the Rosetta/ROSINA mass spectrometer measurement of the H2S/CS2 (≈100) abundance ratio. While the formaldehyde total abundance found with IRAM 30-m when assuming it to be mostly produced by a distributed source (Haser parent scale length ≈8000 km) is similar to the one derived by Rosetta/ROSINA, we find that the formaldehyde coming from the nucleus is one order of magnitude less abundant than measured in situ by Rosetta/ROSINA.
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| 7. |
- Cordiner, M. A., et al.
(författare)
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On the Nature of the Enigmatic Object IRAS 19312+1950: A Rare Phase of Massive Star Formation?
- 2016
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Ingår i: Astrophysical Journal. - 1538-4357 .- 0004-637X. ; 828:1
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Tidskriftsartikel (refereegranskat)abstract
- IRAS 19312+1950 is a peculiar object that has eluded firm characterization since its discovery, with combined maser properties similar to an evolved star and a young stellar object (YSO). To help determine its true nature, we obtained infrared spectra of IRAS 19312+1950 in the range 5–550 μm using the Herschel and Spitzer space observatories. The Herschel PACS maps exhibit a compact, slightly asymmetric continuum source at 170 μm, indicative of a large, dusty circumstellar envelope. The far-IR CO emission line spectrum reveals two gas temperature components: ≈0.22 solar masses of material at 280 ± 18 K, and ≈1.6 solar masses of material at 157 ± 3 K. The O i 63 μm line is detected on-source but no significant emission from atomic ions was found. The HIFI observations display shocked, high-velocity gas with outflow speeds up to 90 km/s along the line of sight. From Spitzer spectroscopy, we identify ice absorption bands due to H2O at 5.8 μm and CO2 at 15 μm. The spectral energy distribution is consistent with a massive, luminous (~2 × 10^4 solar luminosities) central source surrounded by a dense, warm circumstellar disk and envelope of total mass ~500–700 solar masses, with large bipolar outflow cavities. The combination of distinctive far-IR spectral features suggest that IRAS 19312+1950 should be classified as an accreting, high-mass YSO rather than an evolved star. In light of this reclassification, IRAS 19312+1950 becomes only the fifth high-mass protostar known to exhibit SiO maser activity, and demonstrates that 18 cm OH maser line ratios may not be reliable observational discriminators between evolved stars and YSOs.
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| 8. |
- Villanueva, G. L., et al.
(författare)
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Endogenous CO2 ice mixture on the surface of Europa and no detection of plume activity
- 2023
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Ingår i: Science. - : American Association for the Advancement of Science (AAAS). - 0036-8075 .- 1095-9203. ; 381:6664, s. 1305-1308
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Tidskriftsartikel (refereegranskat)abstract
- Jupiter's moon Europa has a subsurface ocean beneath an icy crust. Conditions within the ocean are unknown, and it is unclear whether it is connected to the surface. We observed Europa with the James Webb Space Telescope (JWST) to search for active release of material by probing its surface and atmosphere. A search for plumes yielded no detection of water, carbon monoxide, methanol, ethane, or methane fluorescence emissions. Four spectral features of carbon dioxide (CO2) ice were detected; their spectral shapes and distribution across Europa's surface indicate that the CO2 is mixed with other compounds and concentrated in Tara Regio. The 13CO2 absorption is consistent with an isotopic ratio of 12C/13C = 83 ± 19. We interpret these observations as indicating that carbon is sourced from within Europa.
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| 9. |
- Biver, N., et al.
(författare)
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Isotopic ratios of H, C, N, O, and S in comets C/2012 F6 (Lemmon) and C/2014 Q2 (Lovejoy)
- 2016
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Ingår i: Astronomy and Astrophysics. - : EDP Sciences. - 0004-6361 .- 1432-0746. ; 589, s. Art. no. A78-
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Tidskriftsartikel (refereegranskat)abstract
- The apparition of bright comets C/2012 F6 (Lemmon) and C/2014 Q2 (Lovejoy) in March-April 2013 and January 2015, combined with the improved observational capabilities of submillimeter facilities, offered an opportunity to carry out sensitive compositional and isotopic studies of the volatiles in their coma. We observed comet Lovejoy with the IRAM 30 m telescope between 13 and 26 January 2015, and with the Odin submillimeter space observatory on 29 January-3 February 2015. We detected 22 molecules and several isotopologues. The (H2O)-O-16 and (H2O)-O-18 production rates measured with Odin follow a periodic pattern with a period of 0.94 days and an amplitude of similar to 25%. The inferred isotope ratios in comet Lovejoy are O-16/O-18 = 499 +/- 24 and D/H = 1.4 +/- 0.4 x 10(-4) in water, S-32/S-34 = 24.7 +/- 3.5 in CS, all compatible with terrestrial values. The ratio C-12/C-13 = 109 +/- 14 in HCN is marginally higher than terrestrial and N-14/N-15 = 145 +/- 12 in HCN is half the Earth ratio. Several upper limits for D/H or C-12/C-13 in other molecules are reported. From our observation of HDO in comet C/2014 Q2 (Lovejoy), we report the first D/H ratio in an Oort Cloud comet that is not larger than the terrestrial value. On the other hand, the observation of the same HDO line in the other Oort-cloud comet, C/2012 F6 (Lemmon), suggests a D/H value four times higher. Given the previous measurements of D/H in cometary water, this illustrates that a diversity in the D/H ratio and in the chemical composition, is present even within the same dynamical group of comets, suggesting that current dynamical groups contain comets formed at very different places or times in the early solar system.
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| 10. |
- Roth, Nathan X., et al.
(författare)
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Molecular Outgassing in Centaur 29P/Schwassmann-Wachmann 1 during Its Exceptional 2021 Outburst: Coordinated Multiwavelength Observations Using nFLASH at APEX and iSHELL at the NASA-IRTF
- 2023
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Ingår i: Planetary Science Journal. - 2632-3338. ; 4:9
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Tidskriftsartikel (refereegranskat)abstract
- The extraordinary 2021 September-October outburst of Centaur 29P/Schwassmann-Wachmann 1 afforded an opportunity to test the composition of primitive Kuiper disk material at high sensitivity. We conducted nearly simultaneous multiwavelength spectroscopic observations of 29P/Schwassmann-Wachmann 1 using iSHELL at the NASA Infrared Telescope Facility (IRTF) and nFLASH at the Atacama Pathfinder EXperiment (APEX) on 2021 October 6, with follow-up APEX/nFLASH observations on 2021 October 7 and 2022 April 3. This coordinated campaign between near-infrared and radio wavelengths enabled us to sample molecular emission from a wealth of coma molecules and to perform measurements that cannot be accomplished at either wavelength alone. We securely detected CO emission on all dates with both facilities, including velocity-resolved spectra of the CO (J = 2-1) transition with APEX/nFLASH and multiple CO (v = 1-0) rovibrational transitions with IRTF/iSHELL. We report rotational temperatures, coma kinematics, and production rates for CO and stringent (3σ) upper limits on abundance ratios relative to CO for CH4, C2H6, CH3OH, H2CO, CS, and OCS. Our upper limits for CS/CO and OCS/CO represent their first values in the literature for this Centaur. Upper limits for CH4, C2H6, CH3OH, and H2CO are the most stringent reported to date, and are most similar to values found in ultra CO-rich Oort cloud comet C/2016 R2 (PanSTARRS), which may have implications for how ices are preserved in cometary nuclei. We demonstrate the superb synergy of coordinated radio and near-infrared measurements, and advocate for future small-body studies that jointly leverage the capabilities of each wavelength.
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| 11. |
- Tenenbaum, E.D., et al.
(författare)
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The 1 mm spectrum of VY Canis Majoris: Chemistry in an O-rich envelope
- 2008
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Ingår i: in Proceedings of "Organic Matter in Space", Hong Kong Feb. 18-22, 2008, IAU symposium 251, eds. S. Kwok, S. Sandfjord, Cambridge University Press. - 9780521889827 ; , s. 171-172
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- We present preliminary results of an unbiased spectral survey at 1 mm of the oxygen-rich supergiant, VY CMa. A number of exotic molecules have been detected, including NaC1 and PO, and a relatively rich organic chemistry is observed. Results of the survey will be compared with carbon-rich stars.
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| 12. |
- Willacy, K., et al.
(författare)
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The Composition of the Protosolar Disk and the Formation Conditions for Comets
- 2015
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Ingår i: Space Science Reviews. - : Springer Science and Business Media LLC. - 0038-6308 .- 1572-9672. ; 197:1-4, s. 151-190
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Forskningsöversikt (refereegranskat)abstract
- Conditions in the protosolar nebula have left their mark in the composition of cometary volatiles, thought to be some of the most pristine material in the solar system. Cometary compositions represent the end point of processing that began in the parent molecular cloud core and continued through the collapse of that core to form the protosun and the solar nebula, and finally during the evolution of the solar nebula itself as the cometary bodies were accreting. Disentangling the effects of the various epochs on the final composition of a comet is complicated. But comets are not the only source of information about the solar nebula. Protostellar disks around young stars similar to the protosun provide a way of investigating the evolution of disks similar to the solar nebula while they are in the process of evolving to form their own solar systems. In this way we can learn about the physical and chemical conditions under which comets formed, and about the types of dynamical processing that shaped the solar system we see today.This paper summarizes some recent contributions to our understanding of both cometary volatiles and the composition, structure and evolution of protostellar disks.
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| 13. |
- Wirström, Eva, 1977, et al.
(författare)
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15N fractionation in star-forming regions and Solar System objects
- 2015
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Ingår i: Proceedings of the International Astronomical Union. - 1743-9213 .- 1743-9221. ; 11:A29A, s. 271-274
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Konferensbidrag (refereegranskat)abstract
- We briefly review what is currently known of 14N/15N ratios in interstellar molecules. We summarize the fractionation ratios measured in HCN, HNC, CN, N2 and NH3, and compare these to theoretical predictions and to the isotopic inventory of cometary volatiles.
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| 14. |
- Wirström, Eva, 1977, et al.
(författare)
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ISOTOPIC ANOMALIES IN PRIMITIVE SOLAR SYSTEM MATTER: SPIN-STATE-DEPENDENT FRACTIONATION OF NITROGEN AND DEUTERIUM IN INTERSTELLAR CLOUDS
- 2012
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Ingår i: Astrophysical Journal. - 1538-4357 .- 0004-637X. ; 757:1, s. L11-
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Tidskriftsartikel (refereegranskat)abstract
- Organic material found in meteorites and interplanetary dust particles is enriched in D and 15N. This is consistentwith the idea that the functional groups carrying these isotopic anomalies, nitriles and amines, were formed byion–molecule chemistry in the protosolar nebula. Theoretical models of interstellar fractionation at lowtemperaturespredict large enrichments in both D and 15N and can account for the largest isotopic enrichments measured incarbonaceous meteorites. However, more recent measurements have shown that, in some primitive samples, a large15N enrichment does not correlate with one in D, and that some D-enriched primitive material displays little, ifany, 15N enrichment. By considering the spin-state dependence in ion–molecule reactions involving the ortho andpara forms of H2, we show that ammonia and related molecules can exhibit such a wide range of fractionation forboth 15N and D in dense cloud cores.We also show that while the nitriles, HCN and HNC, contain the greatest 15Nenrichment, this is not expected to correlate with extreme D enrichment. These calculations therefore support theview that solar system 15N and D isotopic anomalies have an interstellar heritage. We also compare our results toexisting astronomical observations and briefly discuss future tests of this model.
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