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| 2. |
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| 3. |
- Bravo, L, et al.
(author)
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- 2021
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swepub:Mat__t
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| 4. |
- Tabiri, S, et al.
(author)
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- 2021
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swepub:Mat__t
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| 5. |
- Glasbey, JC, et al.
(author)
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- 2021
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swepub:Mat__t
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| 6. |
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| 9. |
- Reimerdes, H., et al.
(author)
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Overview of the TCV tokamak experimental programme
- 2022
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In: Nuclear Fusion. - : IOP Publishing. - 1741-4326 .- 0029-5515. ; 62:4
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Journal article (peer-reviewed)abstract
- The tokamak a configuration variable (TCV) continues to leverage its unique shaping capabilities, flexible heating systems and modern control system to address critical issues in preparation for ITER and a fusion power plant. For the 2019-20 campaign its configurational flexibility has been enhanced with the installation of removable divertor gas baffles, its diagnostic capabilities with an extensive set of upgrades and its heating systems with new dual frequency gyrotrons. The gas baffles reduce coupling between the divertor and the main chamber and allow for detailed investigations on the role of fuelling in general and, together with upgraded boundary diagnostics, test divertor and edge models in particular. The increased heating capabilities broaden the operational regime to include T (e)/T (i) similar to 1 and have stimulated refocussing studies from L-mode to H-mode across a range of research topics. ITER baseline parameters were reached in type-I ELMy H-modes and alternative regimes with 'small' (or no) ELMs explored. Most prominently, negative triangularity was investigated in detail and confirmed as an attractive scenario with H-mode level core confinement but an L-mode edge. Emphasis was also placed on control, where an increased number of observers, actuators and control solutions became available and are now integrated into a generic control framework as will be needed in future devices. The quantity and quality of results of the 2019-20 TCV campaign are a testament to its successful integration within the European research effort alongside a vibrant domestic programme and international collaborations.
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| 10. |
- Mercuri, E., et al.
(author)
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Safety and effectiveness of ataluren: comparison of results from the STRIDE Registry and CINRG DMD Natural History Study
- 2020
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In: Journal of Comparative Effectiveness Research. - : Becaris Publishing Limited. - 2042-6305 .- 2042-6313. ; 9:5, s. 341-360
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Journal article (peer-reviewed)abstract
- Aim: Strategic Targeting of Registries and International Database of Excellence (STRIDE) is an ongoing, multicenter registry providing real-world evidence regarding ataluren use in patients with nonsense mutation Duchenne muscular dystrophy (nmDMD). We examined the effectiveness of ataluren + standard of care (SoC) in the registry versus SoC alone in the Cooperative International Neuromuscular Research Group (CINRG) Duchenne Natural History Study (DNHS), DMD genotype-phenotype/-ataluren benefit correlations and ataluren safety. Patients & methods: Propensity score matching was performed to identify STRIDE and CINRG DNHS patients who were comparable in established disease progression predictors (registry cut-off date, 9 July 2018). Results & conclusion: Kaplan-Meier analyses demonstrated that ataluren + SoC significantly delayed age at loss of ambulation and age at worsening performance in timed function tests versus SoC alone (p <= 0.05). There were no DMD genotype-phenotype/ataluren benefit correlations. Ataluren was well tolerated. These results indicate that ataluren + SoC delays functional milestones of DMD progression in patients with nmDMD in routine clinical practice. ClinicalTrials.gov identifier: NCT02369731. ClinicalTrials.gov identifier: NCT02369731.
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| 11. |
- Pucella, G., et al.
(author)
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Overview of the FTU results
- 2022
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In: Nuclear Fusion. - : IOP Publishing. - 1741-4326 .- 0029-5515. ; 62:4
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Research review (peer-reviewed)abstract
- Since the 2018 IAEA FEC Conference, FTU operations have been devoted to several experiments covering a large range of topics, from the investigation of the behaviour of a liquid tin limiter to the runaway electrons mitigation and control and to the stabilization of tearing modes by electron cyclotron heating and by pellet injection. Other experiments have involved the spectroscopy of heavy metal ions, the electron density peaking in helium doped plasmas, the electron cyclotron assisted start-up and the electron temperature measurements in high temperature plasmas. The effectiveness of the laser induced breakdown spectroscopy system has been demonstrated and the new capabilities of the runaway electron imaging spectrometry system for in-flight runaways studies have been explored. Finally, a high resolution saddle coil array for MHD analysis and UV and SXR diamond detectors have been successfully tested on different plasma scenarios.
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| 12. |
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| 13. |
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| 14. |
- Chellaï, O., et al.
(author)
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Millimeter-wave beam scattering and induced broadening by plasma turbulence in the TCV tokamak
- 2021
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In: Nuclear Fusion. - : IOP Publishing. - 1741-4326 .- 0029-5515. ; 61:6
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Journal article (peer-reviewed)abstract
- The scattering of millimeter-wave beams from electron density fluctuations and the associated beam broadening are experimentally demonstrated. Using a dedicated setup, instantaneous deflection and (de-)focusing of the beam due to density blobs on the beam path are shown to agree with full-wave simulations. The detected time-averaged wave power transmitted through the turbulent plasma is reproduced by the radiative-transfer model implemented in the WKBeam code, which predicts a ∼50% turbulence-induced broadening of the beam cross-section. The role of core turbulence for the considered geometry is highlighted.
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| 15. |
- Zuberbier, T., et al.
(author)
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Proposal of 0.5 mg of protein/100 g of processed food as threshold for voluntary declaration of food allergen traces in processed food-A first step in an initiative to better inform patients and avoid fatal allergic reactions: A GA(2)LEN position paper
- 2022
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In: Allergy. - : Wiley. - 0105-4538 .- 1398-9995. ; 77:6, s. 1736-1750
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Journal article (peer-reviewed)abstract
- Background Food anaphylaxis is commonly elicited by unintentional ingestion of foods containing the allergen above the tolerance threshold level of the individual. While labeling the 14 main allergens used as ingredients in food products is mandatory in the EU, there is no legal definition of declaring potential contaminants. Precautionary allergen labeling such as "may contain traces of" is often used. However, this is unsatisfactory for consumers as they get no information if the contamination is below their personal threshold. In discussions with the food industry and technologists, it was suggested to use a voluntary declaration indicating that all declared contaminants are below a threshold of 0.5 mg protein per 100 g of food. This concentration is known to be below the threshold of most patients, and it can be technically guaranteed in most food production. However, it was also important to assess that in case of accidental ingestion of contaminants below this threshold by highly allergic patients, no fatal anaphylactic reaction could occur. Therefore, we performed a systematic review to assess whether a fatal reaction to 5mg of protein or less has been reported, assuming that a maximum portion size of 1kg of a processed food exceeds any meal and thus gives a sufficient safety margin. Methods MEDLINE and EMBASE were searched until 24 January 2021 for provocation studies and case reports in which one of the 14 major food allergens was reported to elicit fatal or life-threatening anaphylactic reactions and assessed if these occurred below the ingestion of 5mg of protein. A Delphi process was performed to obtain an expert consensus on the results. Results In the 210 studies included, in our search, no reports of fatal anaphylactic reactions reported below 5 mg protein ingested were identified. However, in provocation studies and case reports, severe reactions below 5 mg were reported for the following allergens: eggs, fish, lupin, milk, nuts, peanuts, soy, and sesame seeds. Conclusion Based on the literature studied for this review, it can be stated that cross-contamination of the 14 major food allergens below 0.5 mg/100 g is likely not to endanger most food allergic patients when a standard portion of food is consumed. We propose to use the statement "this product contains the named allergens in the list of ingredients, it may contain traces of other contaminations (to be named, e.g. nut) at concentrations less than 0.5 mg per 100 g of this product" for a voluntary declaration on processed food packages. This level of avoidance of cross-contaminations can be achieved technically for most processed foods, and the statement would be a clear and helpful message to the consumers. However, it is clearly acknowledged that a voluntary declaration is only a first step to a legally binding solution. For this, further research on threshold levels is encouraged.
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| 16. |
- Falstad, Niklas, 1987, et al.
(author)
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CON-quest: Searching for the most obscured galaxy nuclei
- 2021
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In: Astronomy and Astrophysics. - : EDP Sciences. - 0004-6361 .- 1432-0746. ; 649
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Journal article (peer-reviewed)abstract
- Context. Some luminous and ultraluminous infrared galaxies (LIRGs and ULIRGs) host extremely compact (r < 100 pc) and dusty nuclei. The high extinction associated with large column densities of gas and dust toward these objects render them hard to detect at many wavelengths. The intense infrared radiation arising from warm dust in these sources can provide a significant fraction of the bolometric luminosity of the galaxy and is prone to excite vibrational levels of molecules such as HCN. This results in emission from the rotational transitions of vibrationally excited HCN (HCN-vib); the brightest emission is found in compact obscured nuclei (CONs; ςHCN-vib > 1 L⊙ pc-2 in the J = 3-2 transition). However, there have been no systematic searches for CONs, and it is unknown how common they are. Aims. We aim to establish how common CONs are in the local Universe (z < 0.08), and whether their prevalence depends on the luminosity or other properties of the host galaxy. Methods. We conducted an Atacama Large Millimeter/submillimeter Array survey of the rotational J = 3-2 transition of HCN-vib in a volume-limited sample of 46 far-infrared luminous galaxies. Results. Compact obscured nuclei are identified in 38-13+18% of the ULIRGs, 21-6+12% of the LIRGs, and 0-0+9% of the lower luminosity galaxies. We find no dependence on the inclination of the host galaxy, but strong evidence of lower IRAS 25 μm to 60 μm flux density ratios (f25/f60) in CONs (with the exception of one galaxy, NGC 4418) compared to the rest of the sample. Furthermore, we find that CONs have stronger silicate features (s9.7 μm), but similar polycyclic aromatic hydrocarbon equivalent widths (EQW6.2 μm) compared to other galaxies. Along with signatures of molecular inflows seen in the far-infrared in most CONs, submillimeter observations also reveal compact, often collimated, outflows. Conclusions. In the local Universe, CONs are primarily found in (U)LIRGs, in which they are remarkably common. As such systems are often highly disturbed, inclinations are difficult to estimate, and high-resolution continuum observations of the individual nuclei are required to determine if the CON phenomenon is related to the inclinations of the nuclear disks. Further studies of the in- A nd outflow properties of CONs should also be conducted to investigate how these are connected to each other and to the CON phenomenon. The lower f25/f60 ratios in CONs as well as the results for the mid-infrared diagnostics investigated (EQW6.2 μm and s9.7 μm) are consistent with the notion that large dust columns gradually shift the radiation from the hot nucleus to longer wavelengths, making the mid- A nd far-infrared "photospheres"significantly cooler than the interior regions. Finally, to assess the importance of CONs in the context of galaxy evolution, it is necessary to extend this study to higher redshifts where (U)LIRGs are more common.
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| 17. |
- Ricci, M., et al.
(author)
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The XXL Survey: XLIV. Sunyaev-Zel'dovich mapping of a low-mass cluster at z ∼1: A multi-wavelength approach
- 2020
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In: Astronomy and Astrophysics. - : EDP Sciences. - 0004-6361 .- 1432-0746. ; 642
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Journal article (peer-reviewed)abstract
- High-mass clusters at low redshifts have been intensively studied at various wavelengths. However, while more distant objects at lower masses constitute the bulk population of future surveys, their physical state remain poorly explored to date. In this paper, we present resolved observations of the Sunyaev-Zel'dovich (SZ) effect, obtained with the NIKA2 camera, towards the cluster of galaxies XLSSC 102, a relatively low-mass system (M500 ∼ 2 × 1014 M·) at z = 0.97 detected from the XXL survey. We combine NIKA2 SZ data, XMM-Newton X-ray data, and Megacam optical data to explore, respectively, the spatial distribution of the gas electron pressure, the gas density, and the galaxies themselves. We find significant offsets between the X-ray peak, the SZ peak, the brightest cluster galaxy, and the peak of galaxy density. Additionally, the galaxy distribution and the gas present elongated morphologies. This is interpreted as the sign of a recent major merging event, which induced a local boost of the gas pressure towards the north of XLSSC 102 and stripped the gas out of the galaxy group. The NIKA2 data are also combined with XXL data to construct the thermodynamic profiles of XLSSC 102, obtaining relatively tight constraints up to about ∼r500, and revealing properties that are typical of disturbed systems. We also explore the impact of the cluster centre definition and the implication of local pressure substructure on the recovered profiles. Finally, we derive the global properties of XLSSC 102 and compare them to those of high-mass-and-low-redshift systems, finding no strong evidence for non-standard evolution. We also use scaling relations to obtain alternative mass estimates from our profiles. The variation between these different mass estimates reflects the difficulty to accurately measure the mass of low-mass clusters at z ∼ 1, especially with low signal-to-noise ratio data and for a disturbed system. However, it also highlights the strength of resolved SZ observations alone and in combination with survey-like X-ray data. This is promising for the study of high redshift clusters from the combination of eROSITA and high resolution SZ instruments and will complement the new generation of optical surveys from facilities such as LSST and Euclid.
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| 18. |
- Adam, R. M., et al.
(author)
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The XXL Survey: LI. Pressure profile and Y SZ -M scaling relation in three low-mass galaxy clusters at z∼1 observed with NIKA2
- 2024
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In: Astronomy and Astrophysics. - 0004-6361 .- 1432-0746. ; 684
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Journal article (peer-reviewed)abstract
- Context. The thermodynamical properties of the intracluster medium (ICM) are driven by scale-free gravitational collapse, but they also reflect the rich astrophysical processes at play in galaxy clusters. At low masses (∼1014M) and high redshift (z≳1), these properties remain poorly constrained, observationally speaking, due to the difficulty in obtaining resolved and sensitive data. Aims. We aim to investigate the inner structure of the ICM as seen through the Sunyaev-Zel’dovich (SZ) effect in this regime of mass and redshift. We focused on the thermal pressure profile and the scaling relation between SZ flux and mass, namely the YSZ-M scaling relation. Methods. The three galaxy clusters XLSSC 072 (z=1.002), XLSSC 100 (z=0.915), and XLSSC 102 (z=0.969), with M500∼2×1014M, were selected from the XXL X-ray survey and observed with the NIKA2 millimeter camera to image their SZ signal. XMM-Newton X-ray data were used as a complement to the NIKA2 data to derive masses based on the YX-M relation and the hydrostatic equilibrium. Results. The SZ images of the three clusters, along with the X-ray and optical data, indicate dynamical activity related to merging events. The pressure profile is consistent with that expected for morphologically disturbed systems, with a relatively flat core and a shallow outer slope. Despite significant disturbances in the ICM, the three high-redshift low-mass clusters follow the YSZ-M relation expected from standard evolution remarkably well. Conclusions. These results indicate that the dominant physics that drives cluster evolution is already in place by z∼1, at least for systems with masses above M500∼1014M.
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| 19. |
- Panico, B., et al.
(author)
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Cosmic Rays Investigation by the PAMELA experiment
- 2020
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In: Journal of Physics. - : IOP Publishing.
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Conference paper (peer-reviewed)abstract
- PAMELA (Payload for Antimatter Matter Exploration and Light-nuclei Astrophysics) is a satellite-borne experiment. It was launched on June 15th 2006 from the Baikonur space centre on board the Russian Resurs-DK1 satellite. For about 10 years PAMELA took data, giving a fundamental contribution to the cosmic ray physics. It made high-precision measurements of the charged component of the cosmic radiation challenging the standard model of the mechanisms of production, acceleration and propagation of cosmic rays in the galaxy and in the heliosphere. PAMELA gave results on different topics on a very wide range of energy. Moreover, the long PAMELA life gives the possibility to study the variation of the proton, electron and positron spectra during the last solar minimum. The time dependence of the cosmic-ray proton and helium nuclei from the solar minimum through the following period of solar maximum activity is currently being studied. Low energy particle spectra were accurately measured also for various solar events that occurred during the PAMELA mission. In this paper a review of main PAMELA results will be reported.
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| 20. |
- Panico, B., et al.
(author)
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Time dependence of the proton and helium flux measured by PAMELA
- 2020
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In: Journal of Physics. - : IOP Publishing.
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Conference paper (peer-reviewed)abstract
- The energy spectra of galactic cosmic rays carry fundamental information regarding their origin and propagation, but, near Earth, cosmic rays are significantly affected by the solar magnetic field which changes over time. The time dependence of proton and electron spectra were measured from July 2006 to December 2009 by PAMELA experiment, that is a ballooon-borne experiment collecting data since 15 June 2006. These studies allowed to obtain a more complete description of the cosmic radiation, providing fundamental information about the transport and modulation of cosmic rays inside the heliosphere. The study of the time dependence of the cosmic-ray protons and helium nuclei from the unusual 23rd solar minimum through the following period of solar maximum activity is presented.
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| 21. |
- Damasso, M., et al.
(author)
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Photometric follow-up of the 20 Myr old multi-planet host star V1298 Tau with CHEOPS and ground-based telescopes
- 2023
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In: Astronomy and Astrophysics. - 0004-6361 .- 1432-0746. ; 680
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Journal article (peer-reviewed)abstract
- Context. The 20 Myr old star V1298 Tau hosts at least four planets. Since its discovery, this system has been a target of intensive photometric and spectroscopic monitoring. To date, the characterisation of its architecture and planets’ fundamental properties has been very challenging.Aims. The determination of the orbital ephemeris of the outermost planet V1298 Tau e remains an open question. Only two transits have been detected so far by Kepler/K2 and TESS, allowing for a grid of reference periods to be tested with new observations, without excluding the possibility of transit timing variations. Observing a third transit would allow for better constraints to be set on the orbital period and would also help in determining an accurate radius for V1298 Tau e because the previous transits showed different depths.Methods. We observed V1298 Tau with the CHaracterising ExOPlanet Satellite (CHEOPS) to search for a third transit of planet e within observing windows selected to test three of the shortest predicted orbital periods. We also collected ground-based observations to verify the result found with CHEOPS. We reanalysed Kepler/K2 and TESS light curves to test how the results derived from these data are affected by alternative photometric extraction and detrending methods.Results. We report the CHEOPS detection of a transit-like signal that could be attributed to V1298 Tau e. If so, that result would imply that the orbital period calculated from fitting a linear ephemeris to the three available transits is close to ~45 days. Results from the ground-based follow-up marginally support this possibility. We found that i) the transit observed by CHEOPS has a longer duration compared to that of the transits observed by Kepler/K2 and TESS; and ii) the transit observed by TESS is >30% deeper than that of Kepler/K2 and CHEOPS, and it is also deeper than the measurement previously reported in the literature, according to our reanalysis.Conclusions. If the new transit detected by CHEOPS is found to be due to V1298 Tau e, this would imply that the planet experiences TTVs of a few hours, as deduced from three transits, as well as orbital precession, which would explain the longer duration of the transit compared to the Kepler/K2 and TESS signals. Another and a priori less likely possibility is that the newly detected transit belongs to a fifth planet with a longer orbital period than that of V1298 Tau e. Planning further photometric follow-up to search for additional transits is indeed necessary to solve the conundrum, as well as to pin down the radius of V1298 Tau e.
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| 22. |
- Nishimura, Y., et al.
(author)
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CON-quest: II. Spatially and spectrally resolved HCN/HCO + line ratios in local luminous and ultraluminous infrared galaxies
- 2024
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In: Astronomy and Astrophysics. - 0004-6361 .- 1432-0746. ; 686
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Journal article (peer-reviewed)abstract
- Context. Nuclear regions of ultraluminous and luminous infrared galaxies (U/LIRGs) are powered by starbursts and/or active galactic nuclei (AGNs). These regions are often obscured by extremely high columns of gas and dust. Molecular lines in the submillimeter windows have the potential to determine the physical conditions of these compact obscured nuclei (CONs). Aims. We aim to reveal the distributions of HCN and HCO+ emission in local U/LIRGs and investigate whether and how they are related to galaxy properties. Methods. Using the Atacama Large Millimeter/submillimeter Array (ALMA), we have conducted sensitive observations of the HCN J = 3-2 and HCO+J = 3-2 lines toward 23 U/LIRGs in the local Universe (z < 0.07) with a spatial resolution of ~0.3″ ( ~50-400 pc). Results. We detected both HCN and HCO+ in 21 galaxies, only HCN in one galaxy, and neither in one galaxy. The global HCN/HCO+ line ratios, averaged over scales of ~0.5-4 kpc, range from 0.4 to 2.3, with an unweighted mean of 1.1. These line ratios appear to have no systematic trend with bolometric AGN luminosity or star formation rate. The line ratio varies with position and velocity within each galaxy, with an average interquartile range of 0.38 on a spaxel-by-spaxel basis. In eight out of ten galaxies known to have outflows and/or inflows, we found spatially and kinematically symmetric structures of high line ratios. These structures appear as a collimated bicone in two galaxies and as a thin spherical shell in six galaxies. Conclusions. Non-LTE analysis suggests that the high HCN/HCO+ line ratio in outflows is predominantly influenced by the abundance ratio. Chemical model calculations indicate that the enhancement of HCN abundance in outflows is likely due to high-temperature chemistry triggered by shock heating. These results imply that the HCN/HCO+ line ratio can aid in identifying the outflow geometry when the shock velocity of the outflows is sufficiently high to heat the gas.
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| 23. |
- Ricci, C., et al.
(author)
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A hard X-ray view of luminous and ultra-luminous infrared galaxies in GOALS - I. AGN obscuration along the merger sequence
- 2021
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In: Monthly Notices of the Royal Astronomical Society. - : Oxford University Press (OUP). - 0035-8711 .- 1365-2966. ; 506:4, s. 5935-5950
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Journal article (peer-reviewed)abstract
- The merger of two or more galaxies can enhance the inflow of material from galactic scales into the close environments of active galactic nuclei (AGNs), obscuring and feeding the supermassive black hole (SMBH). Both recent simulations and observations of AGN in mergers have confirmed that mergers are related to strong nuclear obscuration. However, it is still unclear how AGN obscuration evolves in the last phases of the merger process. We study a sample of 60 luminous and ultra-luminous IR galaxies (U/LIRGs) from the GOALS sample observed by NuSTAR. We find that the fraction of AGNs that are Compton thick (CT;N-H >= 10(24)cm(-2) ) peaks at at a late merger stage, prior to coalescence, when the nuclei have projected separations (d(sep)) of 0.4-6 kpc. A similar peak is also observed in the median N-H [[(1.6 +/- 0.5) x 10(24) cm(-2)].]. The vast majority (85(-9)(+7) per cent)) of the AGNs in the final merger stages (d(sep) less than or similar to 10 kpc) are heavily obscured (N-H = 10(23) cm(-2)), and the median N-H of the accreting SMBHs in our sample is systematically higher than that of local hard X-ray-selected AGN, regardless of the merger stage. This implies that these objects have very obscured nuclear environments, with the gas almost completely covering the AGN in late mergers. CT AGNs tend to have systematically higher absorption-corrected X-ray luminosities than less obscured sources. This could either be due to an evolutionary effect, with more obscured sources accreting more rapidly because they have more gas available in their surroundings, or to a selection bias. The latter scenario would imply that we are still missing a large fraction of heavily obscured, lower luminosity (L2-10 less than or similar to 10(43) erg s(-1)) AGNs in U/LIRGs.
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| 24. |
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| 25. |
- Wethers, Clare, 1991, et al.
(author)
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Double, double, toil, and trouble: The tails, bubbles, and knots of the local compact obscured nucleus galaxy NGC 4418
- 2024
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In: Astronomy and Astrophysics. - 0004-6361 .- 1432-0746. ; 683
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Journal article (peer-reviewed)abstract
- Context. Compact obscured nuclei (CONs) are an extremely obscured (NH2>1025 cm-2) class of galaxy nuclei thought to exist in 20-40 per cent of nearby (ultra-)luminous infrared galaxies While they have been proposed to represent a key phase of the active galactic nucleus (AGN) feedback cycle, the nature of these CONs -what powers them, their dynamics, and their impact on the host galaxy -remains unknown. Aims. This work analyses the galaxy-scale optical properties of the local CON NGC 4418 (z=0.00727). The key aims of the study are to understand the impact of nuclear outflows on the host galaxy and infer the power source of its CON. Through the mapping of the galaxy spectra and kinematics, we seek to identify new structures in NGC 4418 to ultimately reveal more about the CON's history, its impact on the host, and, more generally, the role CONs play in galaxy evolution. Methods. We present new, targeted integral field unit observations of the galaxy with the Multi-Unit Spectroscopic Explorer (MUSE). For the first time, we mapped the ionised and neutral gas components of the galaxy, along with their dynamical structure, to reveal several previously unknown features of the galaxy. Results. We confirm the presence of a previously postulated, blueshifted outflow along the minor axis of NGC 4418. We find this outflow to be decelerating and, for the first time, show it to extend in both directions from the nucleus. We report the discovery of two further outflow structures: a redshifted southern outflow connected to a tail of ionised gas surrounding the galaxy and a blueshifted bubble to the north. In addition to these features, we find the [OIII] emission reveals the presence of knots across the galaxy, which are consistent with regions of the galaxy that have been photoionised by an AGN. Conclusions. We identify several new features in NGC 4418, including a bubble structure, a reddened outflow, and [OIII] knot structures throughout the galaxy. We additionally confirm the presence of a bilateral blueshifted outflow along the minor axis. Based on the properties of these features, we conclude that the CON in NGC 4418 is most likely powered by AGN activity.
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| 26. |
- Adriani, O., et al.
(author)
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Design of an Antimatter Large Acceptance Detector In Orbit (ALADInO)
- 2022
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In: Instruments. - : MDPI AG. - 2410-390X. ; 6:2
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Journal article (peer-reviewed)abstract
- A new generation magnetic spectrometer in space will open the opportunity to inves-tigate the frontiers in direct high-energy cosmic ray measurements and to precisely measure the amount of the rare antimatter component in cosmic rays beyond the reach of current missions. We propose the concept for an Antimatter Large Acceptance Detector In Orbit (ALADInO), designed to take over the legacy of direct measurements of cosmic rays in space performed by PAMELA and AMS-02. ALADInO features technological solutions conceived to overcome the current limi-tations of magnetic spectrometers in space with a layout that provides an acceptance larger than 10 m2 sr. A superconducting magnet coupled to precision tracking and time-of-flight systems can provide the required matter–antimatter separation capabilities and rigidity measurement resolution with a Maximum Detectable Rigidity better than 20 TV. The inner 3D-imaging deep calorimeter, designed to maximize the isotropic acceptance of particles, allows for the measurement of cosmic rays up to PeV energies with accurate energy resolution to precisely measure features in the cosmic ray spectra. The operations of ALADInO in the Sun–Earth L2 Lagrangian point for at least 5 years would enable unique revolutionary observations with groundbreaking discovery poten-tials in the field of astroparticle physics by precision measurements of electrons, positrons, and antiprotons up to 10 TeV and of nuclear cosmic rays up to PeV energies, and by the possible unam-biguous detection and measurement of low-energy antideuteron and antihelium components in cosmic rays.
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| 27. |
- Malyali, A., et al.
(author)
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AT 2019avd : a novel addition to the diverse population of nuclear transients
- 2021
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In: Astronomy and Astrophysics. - : EDP Sciences. - 0004-6361 .- 1432-0746. ; 647
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Journal article (peer-reviewed)abstract
- We report on SRG/eROSITA, ZTF, ASAS-SN, Las Cumbres, NEOWISE-R, and Swift XRT/UVOT observations of the unique ongoing event AT 2019avd, located in the nucleus of a previously inactive galaxy at z = 0.029. eROSITA first observed AT 2019avd on 2020-04-28 during its first all sky survey, when it was detected as an ultra-soft X-ray source (kT ~ 85 eV) that was ≳90 times brighter in the 0.2−2 keV band than a previous 3σ upper flux detection limit (with no archival X-ray detection at this position). The ZTF optical light curve in the ~450 days preceding the eROSITA detection is double peaked, and the eROSITA detection coincides with the rise of the second peak. Follow-up optical spectroscopy shows the emergence of a Bowen fluorescence feature and high-ionisation coronal lines ([Fe X] 6375 Å, [Fe XIV] 5303 Å), along with persistent broad Balmer emission lines (FWHM ~ 1400 km s−1). Whilst the X-ray properties make AT 2019avd a promising tidal disruption event (TDE) candidate, the optical properties are atypical for optically selected TDEs. We discuss potential alternative origins that could explain the observed properties of AT 2019avd, such as a stellar binary TDE candidate, or a TDE involving a super massive black hole binary.
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| 28. |
- Bisconti, F., et al.
(author)
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Mini-EUSO engineering model : tests in open-sky condition
- 2021
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In: Proceedings of Science. - : Sissa Medialab Srl.
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Conference paper (peer-reviewed)abstract
- Mini-EUSO is a UV telescope that will look downwards to the Earth's atmosphere onboard the International Space Station. With the design of the ultra-high energy cosmic ray fluorescence detectors belonging to the JEM-EUSO program, it will make the first UV map of the Earth by observing atmospheric phenomena such as transient luminous events, sprites and lightning, as well as meteors and bioluminescence from earth. Diffused light from laser shots from the ground, which mimic the fluorescence light emitted by Nitrogen molecules when extensive air showers pass through the atmosphere, can be used to verify the capability of this kind of detector to observe ultra-high energy cosmic rays. To validate the electronics and the trigger algorithms developed for Mini-EUSO, a scaled down version of the telescope with 1:9 of the original focal surface and a lens of 2.5 cm diameter has been built. Tests of the Mini-EUSO engineering model have been made in laboratory and in open sky condition. In this paper, we report results of observations of the night sky, which include the detection of stars, meteors, a planet and a rocket body reflecting the sunlight. Interesting results of the observation of city lights are also reported.
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| 29. |
- Buiten, Victorine A., et al.
(author)
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GOALS-JWST: Mid-infrared Molecular Gas Excitation Probes the Local Conditions of Nuclear Star Clusters and the Active Galactic Nucleus in the LIRG VV 114
- 2024
-
In: Astrophysical Journal. - 1538-4357 .- 0004-637X. ; 966:2
-
Journal article (peer-reviewed)abstract
- The enormous increase in mid-IR sensitivity and spatial and spectral resolution provided by the JWST spectrographs enables, for the first time, detailed extragalactic studies of molecular vibrational bands. This opens an entirely new window for the study of the molecular interstellar medium in luminous infrared galaxies (LIRGs). We present a detailed analysis of rovibrational bands of gas-phase CO, H2O, C2H2, and HCN toward the heavily obscured eastern nucleus of the LIRG VV 114, as observed by NIRSpec and the medium resolution spectrograph on the Mid-InfraRed Instrument (MIRI MRS). Spectra extracted from apertures of 130 pc in radius show a clear dichotomy between the obscured active galactic nucleus (AGN) and two intense starburst regions. We detect the 2.3 μm CO bandheads, characteristic of cool stellar atmospheres, in the star-forming regions, but not toward the AGN. Surprisingly, at 4.7 μm, we find highly excited CO (T ex ≈ 700-800 K out to at least rotational level J = 27) toward the star-forming regions, but only cooler gas (T ex ≈ 200 K) toward the AGN. We conclude that only mid-infrared pumping through the rovibrational lines can account for the equilibrium conditions found for CO and H2O in the deeply embedded starbursts. Here, the CO bands probe regions with an intense local radiation field inside dusty young massive star clusters or near the most massive young stars. The lack of high-excitation molecular gas toward the AGN is attributed to geometric dilution of the intense radiation from the bright point source. An overview of the relevant excitation and radiative transfer physics is provided in an appendix.
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| 30. |
- Casolino, M., et al.
(author)
-
Mini-EUSO experiment to study UV emission of terrestrial and astrophysical origin onboard of the International Space Station
- 2021
-
In: Proceedings of Science. - : Sissa Medialab Srl.
-
Conference paper (peer-reviewed)abstract
- Mini-EUSO will observe the Earth in the UV range (300 - 400 nm) offering the opportunity to study a variety of atmospheric events such as Transient Luminous Events (TLEs), meteors and marine bioluminescence. Furthermore it aims to search for Ultra High Energy Cosmic Rays (UHECR) above 1021 eV and Strange Quark Matter (SQM). The detector is expected to be launched to the International Space Station in August 2019 and look at the Earth in nadir mode from the UV-transparent window of the Zvezda module of the International Space Station. The instrument comprises a compact telescope with a large field of view (44◦), based on an optical system employing two Fresnel lenses for light collection. The light is focused onto an array of 36 multi-anode photomultiplier tubes (MAPMT), for a total of 2304 pixels and the resulting signal is converted into digital, processed and stored via the electronics subsystems on-board. In addition to the main detector, Mini-EUSO contains two ancillary cameras[4] for complementary measurements in the near infrared (1500 - 1600 nm) and visible (400 - 780 nm) range and also a 8 × 8 SiPM imaging array.
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| 31. |
- Miyamoto, H., et al.
(author)
-
Space Debris detection and tracking with the techniques of cosmic ray physics
- 2021
-
In: Proceedings of Science. - : Sissa Medialab Srl.
-
Conference paper (peer-reviewed)abstract
- Space Debris (SD) consist of non-operational artificial objects orbiting around the Earth, which could possibly damage space vehicles, such as the International Space Station (ISS) or other manned spacecrafts. The vast majority of such objects are cm-sized, not catalogued and usually the tracking data are not precise enough. Here we present the feasibility study of SD detection and tracking with techniques usually employed in cosmic-ray physics. For this purpose, we have evaluated the possibility of using Mini-EUSO, a space-borne fluorescence telescope to be deployed on the ISS, to track SD illuminated by the Sun. By means of ESAF (EUSO Simulation and analysis Framework) simulation and by developing the trigger algorithms, we estimated the minimum size and maximum distances of detectable SD. We then studied the number of possible SD detections using an ESA software called MASTER (Meteoroid and SD Terrestrial Environment Reference). With the Mini-EUSO Engineering Model (Mini-EUSO EM), we performed some measurements to estimate the reflectance of the most common SD materials and to demonstrate the ability of Mini-EUSO to detect SD events. We also performed some tests in open-sky conditions, identifying and tracking fast-moving objects. In particular, the detection of a rocket body allowed us to confirm the simulation outcomes predictions and the expected performance of the detector.
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| 32. |
- Miyamoto, H., et al.
(author)
-
The EUSO@TurLab : Test of Mini-EUSO Engineering Model
- 2021
-
In: Proceedings of Science. - : Sissa Medialab Srl.
-
Conference paper (peer-reviewed)abstract
- The TurLab facility is a laboratory, equipped with a 5 m diameter and 1 m depth rotating tank, located in the Physics Department of the University of Turin. Originally, it was mainly built to study systems of different scales where rotation plays a key role in the fluid behavior such as in atmospheric and oceanic flows. In the past few years the TurLab facility has been used to perform experiments related to the observation of Extreme Energy Cosmic Rays (EECRs) from space using the fluorescence technique. For example, in the case of the JEM-EUSO mission, where the diffuse night brightness and artificial light sources can vary significantly in time and space inside the Field of View of the telescope. The Focal Surface of Mini-EUSO Engineering Model (Mini-EUSO EM) with the level 1 (L1) and 2 (L2) trigger logics implemented in the Photo-Detector Module (PDM) has been tested at TurLab. Tests related to the possibility of using an EUSO-like detector for other type of applications such as Space Debris (SD) monitoring and imaging detector have also been pursued. The tests and results obtained within the EUSO@TurLab Project on these different topics are presented.
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| 33. |
- Privon, G., et al.
(author)
-
A hard x-ray test of hcn enhancements as a tracer of embedded black hole growth
- 2020
-
In: Astrophysical Journal. - : American Astronomical Society. - 1538-4357 .- 0004-637X. ; 893:2
-
Journal article (peer-reviewed)abstract
- Enhanced emission from the dense gas tracer HCN (relative to HCO+) has been proposed as a signature of active galactic nuclei (AGN). In a previous single-dish millimeter line survey we identified galaxies with HCN/HCO+ (1-0) intensity ratios consistent with those of many AGN but whose mid-infrared spectral diagnostics are consistent with little to no (≲15%) contribution of an AGN to the bolometric luminosity. To search for putative heavily obscured AGN, we present and analyze NuSTAR hard X-ray (3-79 keV) observations of four such galaxies from the Great Observatories All-sky LIRG Survey. We find no X-ray evidence for AGN in three of the systems and place strong upper limits on the energetic contribution of any heavily obscured (NH > 1024 cm-2) AGN to their bolometric luminosity. The upper limits on the X-ray flux are presently an order of magnitude below what XDR-driven chemistry models predict are necessary to drive HCN enhancements. In a fourth system we find a hard X-ray excess consistent with the presence of an AGN, but contributing only ∼3% of the bolometric luminosity. It is also unclear if the AGN is spatially associated with the HCN enhancement. We further explore the relationship between HCN/HCO+ (for several J upper levels) and LAGN/LIR f for a larger sample of systems in the literature. We find no evidence for correlations between the line ratios and the AGN fraction derived from X-rays, indicating that HCN/HCO+ intensity ratios are not driven by the energetic dominance of AGN, nor are they reliable indicators of ongoing supermassive black hole accretion. © 2020. The American Astronomical Society. All rights reserved
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| 34. |
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| 35. |
- Bisconti, F., et al.
(author)
-
Pre-flight qualification tests of the Mini-EUSO telescope engineering model
- 2022
-
In: Experimental astronomy. - : Springer Nature. - 0922-6435 .- 1572-9508. ; 53:1, s. 133-158
-
Journal article (peer-reviewed)abstract
- Mini-EUSO is part of the JEM-EUSO program and operates on board the International Space Station (ISS). It is a UV-telescope with single-photon counting capability looking at nighttime downwards to the Earth through a nadir-facing UV-transparent window. As part of the pre-flight tests, the Mini-EUSO engineering model, a telescope with 1/9 of the original focal surface and a lens of 2.5 cm diameter, has been built and tested. Tests of the Mini-EUSO engineering model have been made in laboratory and in open-sky conditions. Laboratory tests have been performed at the TurLab facility, located at the Physics Department of the University of Turin, equipped with a rotating tank containing different types of materials and light sources. In this way, the configuration for the observation of the Earth from space was emulated, including the Mini-EUSO trigger schemes. In addition to the qualification and calibration tests, the Mini-EUSO engineering model has also been used to evaluate the possibility of using a JEM-EUSO-type detector for applications such as observation of space debris. Furthermore, observations in open-sky conditions allowed the studies of natural light sources such as stars, meteors, planets, and artificial light sources such as airplanes, satellites reflecting the sunlight, and city lights. Most of these targets could be detected also with Mini-EUSO. In this paper, the tests in laboratory and in open-sky conditions are reported, as well as the obtained results. In addition, the contribution that such tests provided to foresee and improve the performance of Mini-EUSO on board the ISS is discussed.
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| 36. |
- Brunello, G., et al.
(author)
-
Patients' perceptions of implant therapy and maintenance: A questionnaire-based survey
- 2020
-
In: Clinical Oral Implants Research. - : Wiley. - 0905-7161 .- 1600-0501. ; 31:10, s. 917-927
-
Journal article (peer-reviewed)abstract
- Objectives To evaluate patients' perceptions regarding implant treatment and maintenance. Material and methods A semi-structured questionnaire was developed focusing on 4 main domains: (a) information regarding possible complications received before implant therapy; (b) information received after treatment regarding maintenance; (c) self-performed daily home care; and (d) implant maintenance received at the dental office. Adult patients, restored with implant-supported prosthesis by at least 6 months, were recruited between June 2016 and December 2017. Results The study population consisted of 522 patients with a mean age of 61 years. The majority of the participants referred to have received information about the need of periodical check-ups (91.6%). However, only 58.9% declared to have been informed about complications and failures before treatment commencement. Even though 91.2% of the participants declared to have received instruction about cleaning measures around implants, less than half of the sample reported to have been asked to try the cleaning tools at the office (40.4%). Even though patients' awareness about implant treatment and maintenance resulted to be low in a consistent part of the sample, patients' satisfaction level about information received regarding implant care was high (Visual Analogue Scale 8.18). Conclusions Most patients appeared to be informed about the importance of specific oral hygiene measurements and recall programs. However, an unsatisfactory level of knowledge about implant-related complications was evidenced. Improvements in time and energy employed by dentists and hygienist in communication with patients are needed, in order to enhance health outcomes and compliance both to the treatment and to the maintenance.
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| 37. |
- Fedorowski, Artur, et al.
(author)
-
Orthostatic Hypotension : Management of a Complex, But Common, Medical Problem
- 2022
-
In: Circulation: Arrhythmia and Electrophysiology. - 1941-3084. ; 15:3
-
Journal article (peer-reviewed)abstract
- Orthostatic hypotension (OH), a common, often overlooked, disorder with many causes, is associated with debilitating symptoms, falls, syncope, cognitive impairment, and risk of death. Chronic OH, a cardinal sign of autonomic dysfunction, increases with advancing age and is commonly associated with neurodegenerative and autoimmune diseases, diabetes, hypertension, heart failure, and kidney failure. Management typically involves a multidisciplinary, patient-centered, approach to arrive at an appropriate underlying diagnosis that is causing OH, treating accompanying conditions, and providing individually tailored pharmacological and nonpharmacological treatment. We (1) propose a novel streamlined pathophysiological classification of OH; (2) review the relationship between the cardiovascular disease continuum and OH; (3) discuss OH-mediated end-organ damage; (4) provide diagnostic and therapeutic algorithms to guide clinical decision making and patient care; (5) identify current gaps in knowledge and try to define future research directions. Using a case-based learning approach, specific clinical scenarios are presented highlighting various presentations of OH to provide a practical guide to evaluate and manage patients who have OH.
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| 38. |
- Freisling, Heinz, et al.
(author)
-
Lifestyle factors and risk of multimorbidity of cancer and cardiometabolic diseases : a multinational cohort study
- 2020
-
In: BMC Medicine. - : Springer Science and Business Media LLC. - 1741-7015. ; 18:1
-
Journal article (peer-reviewed)abstract
- BACKGROUND: Although lifestyle factors have been studied in relation to individual non-communicable diseases (NCDs), their association with development of a subsequent NCD, defined as multimorbidity, has been scarcely investigated. The aim of this study was to investigate associations between five lifestyle factors and incident multimorbidity of cancer and cardiometabolic diseases. METHODS: In this prospective cohort study, 291,778 participants (64% women) from seven European countries, mostly aged 43 to 58 years and free of cancer, cardiovascular disease (CVD), and type 2 diabetes (T2D) at recruitment, were included. Incident multimorbidity of cancer and cardiometabolic diseases was defined as developing subsequently two diseases including first cancer at any site, CVD, and T2D in an individual. Multi-state modelling based on Cox regression was used to compute hazard ratios (HR) and 95% confidence intervals (95% CI) of developing cancer, CVD, or T2D, and subsequent transitions to multimorbidity, in relation to body mass index (BMI), smoking status, alcohol intake, physical activity, adherence to the Mediterranean diet, and their combination as a healthy lifestyle index (HLI) score. Cumulative incidence functions (CIFs) were estimated to compute 10-year absolute risks for transitions from healthy to cancer at any site, CVD (both fatal and non-fatal), or T2D, and to subsequent multimorbidity after each of the three NCDs. RESULTS: During a median follow-up of 11 years, 1910 men and 1334 women developed multimorbidity of cancer and cardiometabolic diseases. A higher HLI, reflecting healthy lifestyles, was strongly inversely associated with multimorbidity, with hazard ratios per 3-unit increment of 0.75 (95% CI, 0.71 to 0.81), 0.84 (0.79 to 0.90), and 0.82 (0.77 to 0.88) after cancer, CVD, and T2D, respectively. After T2D, the 10-year absolute risks of multimorbidity were 40% and 25% for men and women, respectively, with unhealthy lifestyle, and 30% and 18% for men and women with healthy lifestyles. CONCLUSION: Pre-diagnostic healthy lifestyle behaviours were strongly inversely associated with the risk of cancer and cardiometabolic diseases, and with the prognosis of these diseases by reducing risk of multimorbidity.
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| 39. |
- Jo, W., et al.
(author)
-
Nanosecond X-ray photon correlation spectroscopy using pulse time structure of a storage-ring source
- 2021
-
In: IUCrJ. - : International Union of Crystallography. - 2052-2525. ; 8, s. 124-130
-
Journal article (peer-reviewed)abstract
- X-ray photon correlation spectroscopy (XPCS) is a routine technique to study slow dynamics in complex systems at storage-ring sources. Achieving nanosecond time resolution with the conventional XPCS technique is, however, still an experimentally challenging task requiring fast detectors and sufficient photon flux. Here, the result of a nanosecond XPCS study of fast colloidal dynamics is shown by employing an adaptive gain integrating pixel detector (AGIPD) operated at frame rates of the intrinsic pulse structure of the storage ring. Correlation functions from single-pulse speckle patterns with the shortest correlation time of 192 ns have been calculated. These studies provide an important step towards routine fast XPCS studies at storage rings. © 2021.
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| 40. |
- Khanji, Mohammed Y., et al.
(author)
-
The role of hand-held ultrasound for cardiopulmonary assessment during a pandemic
- 2020
-
In: Progress in cardiovascular diseases. - : Elsevier BV. - 0033-0620. ; 63:5, s. 690-695
-
Research review (peer-reviewed)abstract
- During the COVID-19 pandemic, we are likely to see a significant increase in the requests for rapid assessment of cardiac function, due to the frequent pre-existence of cardiac pathologies in patients admitted to hospital, and to the emergence of specific cardiac manifestations of this infection, such as myocarditis, sepsis related cardiomyopathy, stress induced cardiomyopathy and acute coronary syndromes. Hand-held, point-of-care ultrasound (HH-POCUS) is particularly suited for the provision of rapid, focused, integrated assessments of the heart and lungs. We present a review of the indications and protocols for focused HH-POCUS use in an acute setting and formulate proposals for streamlining their application in the COVID-19 context towards guiding optimum management of these patients while at the same time allowing adherence to robust infection control measures to provide safety to both the patient and our clinical staff.
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| 41. |
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| 42. |
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| 43. |
- Pengel, L. H.M., et al.
(author)
-
Equity, Diversity and Inclusion (EDI) in Organ Transplantation : An ESOT Survey About EDI Within ESOT as an Organization and its Educational Activities, and Transplantation Research and Science
- 2023
-
In: Transplant International. - 0934-0874. ; 36
-
Journal article (peer-reviewed)abstract
- The European Society of Organ Transplantation (ESOT) strives to promote equity, diversity, and inclusion (EDI) across all its activities. We surveyed the transplant community’s experiences and perspectives regarding EDI within ESOT as an organization and its educational activities, and research in general. A total of 299 respondents completed the questionnaire. About half agreed that ESOT’s Executive Committee, Council, and Sections/Committees are diverse and inclusive (51%) and that ESOT promotes EDI in its live and digital educational activities (54%). Forty percent of respondents agreed that scientific and clinical trials in the field of transplantation are diverse and inclusive. Despite the wide distribution of the survey, most of the respondents self-identified as White and were either physician or surgeon. However, the results contribute a unique insight into the experiences and perspectives of the transplantation community regarding EDI. Whilst ESOT is committed to the principles of EDI, perceptions and the high number of proposals show the apparent need to prioritize efforts to embed EDI across ESOT and transplantation science. These data should constitute a starting point for change and provide guidance for future efforts to promote EDI within the transplantation community.
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| 44. |
- Ray-Coquard, I., et al.
(author)
-
Final results from GCIG/ENGOT/AGO-OVAR 12, a randomised placebo-controlled phase III trial of nintedanib combined with chemotherapy for newly diagnosed advanced ovarian cancer
- 2020
-
In: International Journal of Cancer. - : John Wiley & Sons. - 0020-7136 .- 1097-0215. ; 146:2, s. 439-448
-
Journal article (peer-reviewed)abstract
- AGO-OVAR 12 investigated the effect of adding the oral triple angiokinase inhibitor nintedanib to standard front-line chemotherapy for advanced ovarian cancer. At the primary analysis, nintedanib demonstrated significantly improved progression-free survival (PFS; primary endpoint) compared with placebo. We report final results, including overall survival (OS). Patients with primary debulked International Federation of Gynaecology and Obstetrics (FIGO) stage IIB–IV newly diagnosed ovarian cancer were randomised 2:1 to receive carboplatin (area under the curve 5 or 6) plus paclitaxel (175 mg/m2) on day 1 every 3 weeks for six cycles combined with either nintedanib 200 mg or placebo twice daily on days 2–21 every 3 weeks for up to 120 weeks. Between December 2009 and July 2011, 1,366 patients were randomised (911 to nintedanib, 455 to placebo). Disease was considered as high risk (FIGO stage III with amp;gt;1 cm residuum, or any stage IV) in 39%. At the final analysis, 605 patients (44%) had died. There was no difference in OS (hazard ratio 0.99, 95% confidence interval [CI] 0.83–1.17, p = 0.86; median 62.0 months with nintedanib vs. 62.8 months with placebo). Subgroup analyses according to stratification factors, clinical characteristics and risk status showed no OS difference between treatments. The previously reported PFS improvement seen with nintedanib did not translate into an OS benefit in the nonhigh-risk subgroup. Updated PFS results were consistent with the primary analysis (hazard ratio 0.86, 95% CI 0.75–0.98; p = 0.029) favouring nintedanib. The safety profile was consistent with previous reports. © 2019 UICC
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| 45. |
- Ricci, Fabrizio, et al.
(author)
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High-sensitivity troponin I with or without ultra-sensitive copeptin for the instant rule-out of acute myocardial infarction
- 2022
-
In: Frontiers in Cardiovascular Medicine. - : Frontiers Media SA. - 2297-055X. ; 9
-
Journal article (peer-reviewed)abstract
- Background: The instant, single-sampling rule-out of acute myocardial infarction (AMI) is still an unmet clinical need. We aimed at testing and comparing diagnostic performance and prognostic value of two different single-sampling biomarker strategies for the instant rule-out of AMI. Methods: From the Biomarkers in Acute Cardiac Care (BACC) cohort, we recruited consecutive patients with acute chest pain and suspected AMI presenting to the Emergency Department of the University Medical Center Hamburg-Eppendorf, Hamburg, Germany. We compared safety, effectiveness and 12-month incidence of the composite endpoint of all-cause death and myocardial infarction between (i) a single-sampling, dual-marker pathway combining high-sensitivity cardiac troponin I (hs-cTnI) and ultra-sensitive copeptin (us-Cop) at presentation (hs-cTnI ≤ 27 ng/L, us-Cop < 10 pmol/L and low-risk ECG) and (ii) a single-sampling pathway based on one-off hs-cTnI determination at presentation (hs-cTnI < 5 ng/L and low-risk ECG). As a comparator, we used the European Society of Cardiology (ESC) 0/1-h dual-sampling algorithm. Results: We enrolled 1,136 patients (male gender 65%) with median age of 64 years (interquartile range, 51–75). Overall, 228 (20%) patients received a final diagnosis of AMI. The two single-sampling instant rule-out pathways yielded similar negative predictive value (NPV): 97.4% (95%CI: 95.4–98.7) and 98.7% (95%CI: 96.9–99.6) for dual-marker and single hs-cTnI algorithms, respectively (P = 0.11). Both strategies were comparably safe as the ESC 0/1-h dual-sampling algorithm and this was consistent across subgroups of early-comers, low-intermediate risk (GRACE-score < 140) and renal dysfunction. Despite a numerically higher rate of false-negative results, the dual-marker strategy ruled-out a slightly but significantly higher percentage of patients compared with single hs-cTnI determination (37.4% versus 32.9%; P < 0.001). There were no significant between-group differences in 12-month composite outcome. Conclusions: Instant rule-out pathways based on one-off determination of hs-cTnI alone or in combination with us-Cop are comparably safe as the ESC 0/1 h algorithm for the instant rule-out of AMI, yielding similar prognostic information. Instant rule-out strategies are safe alternatives to the ESC 0/1 h algorithm and allow the rapid and effective triage of suspected AMI in patients with low-risk ECG. However, adding copeptin to hs-cTn does not improve the safety of instant rule-out compared with the single rule-out hs-cTn at very low cut-off concentrations.
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| 46. |
- Salvatore, Tanya, et al.
(author)
-
Selection of the optimal candidate to mitraclip for secondary mitral regurgitation : Beyond mitral valve morphology
- 2021
-
In: Frontiers in Cardiovascular Medicine. - : Frontiers Media SA. - 2297-055X. ; 8
-
Research review (peer-reviewed)abstract
- Secondary mitral regurgitation (MR) occurs despite structurally normal valve apparatus due to an underlying disease of the myocardium leading to disruption of the balance between tethering and closing forces with ensuing failure of leaflet coaptation. In patients with heart failure (HF) and left ventricular dysfunction, secondary MR is independently associated with poor outcome, yet prognostic benefits related to the correction of MR have remained elusive. Surgery is not recommended for the correction of secondary MR outside coronary artery bypass grafting. Percutaneous mitral valve repair (PMVR) with MitraClip implantation has recently evolved as a new transcatheter treatment option of inoperable or high-risk patients with severe MR, with promising results supporting the extension of guideline recommendations. MitraClip is highly effective in reducing secondary MR in HF patients. However, the derived clinical benefit is still controversial as two randomized trials directly comparing PMVR vs. optimal medical therapy in severe secondary MR yielded virtually opposite conclusions. We reviewed current evidence to identify predictors of PMVR-related outcomes in secondary MR useful to improve the timing and the selection of patients who would derive maximal benefit from MitraClip intervention. Beyond mitral valve anatomy, optimal candidate selection should rely on a comprehensive diagnostic workup and a fine-tuned risk stratification process aimed at (i) recognizing the substantial heterogeneity of secondary MR and its complex interaction with the myocardium, (ii) foreseeing hemodynamic consequences of PMVR, (iii) anticipating futility and (iv) improving symptoms, quality of life and overall survival.
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| 47. |
- Sanchez, Elena H., et al.
(author)
-
Simultaneous Individual and Dipolar Collective Properties in Binary Assemblies of Magnetic Nanoparticles
- 2020
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In: Chemistry of Materials. - : American Chemical Society (ACS). - 1520-5002 .- 0897-4756. ; 32:3, s. 969-981
-
Journal article (peer-reviewed)abstract
- Applications based on aggregates of magnetic nanoparticles are becoming increasingly widespread, ranging from hyperthermia to magnetic recording. However, although some uses require collective behavior, others need a more individual-like response, the conditions leading to either of these behaviors are still poorly understood. Here, we use nanoscale-uniform binary random dense mixtures with different proportions of oxide magnetic nanoparticles with low/high anisotropy as a valuable tool to explore the crossover from individual to collective behavior. Two different anisotropy scenarios have been studied in two series of binary compacts: M1, comprising maghemite (gamma-Fe2O3) nanoparticles of different sizes (9.0 nm/11.5 nm) with barely a factor of 2 between their anisotropy energies, and M2, mixing equally sized pure maghemite (low-anisotropy) and Co-doped maghemite (high-anisotropy) nanoparticles with a large difference in anisotropy energy (ratio > 8). Interestingly, while the M1 series exhibits collective behavior typical of strongly coupled dipolar systems, the M2 series presents a more complex scenario where different magnetic properties resemble either "individual-like" or "collective", crucially emphasizing that the collective character must be ascribed to specific properties and not to the system as a whole. The strong differences between the two series offer new insight (systematically ratified by simulations) into the subtle interplay between dipolar interactions, local anisotropy and sample heterogeneity to determine the behavior of dense assemblies of magnetic nanoparticles.
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| 48. |
- Statz, Giselle M., et al.
(author)
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Can Artificial Intelligence Enhance Syncope Management?: A JACC: Advances Multidisciplinary Collaborative Statement : State-of-the-Art Review
- 2023
-
In: JACC: Advances. - 2772-963X. ; 2:3
-
Research review (peer-reviewed)abstract
- Syncope, a form of transient loss of consciousness, remains a complex medical condition for which adverse cardiovascular outcomes, including death, are of major concern but rarely occur. Current risk stratification algorithms have not completely delineated which patients benefit from hospitalization and specific interventions. Patients are often admitted unnecessarily and at high cost. Artificial intelligence (AI) and machine learning may help define the transient loss of consciousness event, diagnose the cause, assess short- and long-term risks, predict recurrence, and determine need for hospitalization and therapeutic intervention; however, several challenges remain, including medicolegal and ethical concerns. This collaborative statement, from a multidisciplinary group of clinicians, investigators, and scientists, focuses on the potential role of AI in syncope management with a goal to inspire creation of AI-derived clinical decision support tools that may improve patient outcomes, streamline diagnostics, and reduce health-care costs.
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| 49. |
- Vandermolen, Sebastian, et al.
(author)
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'The digital cardiologist' : How technology is changing the paradigm of cardiology training
- 2022
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In: Current Problems in Cardiology. - : Elsevier BV. - 0146-2806 .- 1535-6280. ; 47:12
-
Research review (peer-reviewed)abstract
- In the same way that the practice of cardiology has evolved over the years, so too has the way cardiology fellows in training (FITs) are trained. Propelled by recent advances in technology-catalysed by COVID-19-and the requirement to adapt age-old methods of both teaching and healthcare delivery, many aspects, or 'domains', of learning have changed. These include the environments in which FITs work (outpatient clinics, 'on-call' inpatient service) and procedures in which they need clinical competency. Further advances in virtual reality are also changing the way FITs learn and interact. The proliferation of technology into the cardiology curriculum has led to some describing the need for FITs to develop into 'digital cardiologists', namely those who comfortably use digital tools to aid clinical practice, teaching, and training whilst, at the same time, retain the ability for human analysis and nuanced assessment so important to patient-centred training and clinical care.
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| 50. |
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