Hydrodynamical Simulations to Determine the Feeding Rate of Black Holes by the Tidal Disruption of Stars: The Importance of the Impact Parameter and Stellar Structure

The disruption of stars by supermassive black holes has been linked to more than a dozen flares in the cores of galaxies out to redshift $z \sim 0.4$. Modeling these flares properly requires a prediction of the rate of mass return to the black hole after a disruption. Through hydrodynamical simulation, we show that aside from the full disruption of a solar mass star at the exact limit where the star is destroyed, the common assumptions used to estimate $\dot{M}(t)$, the rate of mass return to the black hole, are largely invalid. While the analytical approximation to tidal disruption predicts that the least-centrally concentrated stars and the deepest encounters should have more quickly-peaked flares, we find that the most-centrally concentrated stars have the quickest-peaking flares, and the trend between the time of peak and the impact parameter for deeply-penetrating encounters reverses beyond the critical distance at which the star is completely destroyed. We also show that the most-centrally concentrated stars produced a characteristic drop in $\dot{M}(t)$ shortly after peak when a star is only partially disrupted, with the power law index $n$ being as extreme as -4 in the months immediately following the peak of a flare. Additionally, we find that $n$ asymptotes to $\simeq -2.2$ for both low- and high-mass stars for approximately half of all stellar disruptions. Both of these results are significantly steeper than the typically assumed $n = -5/3$. As these precipitous decay rates are only seen for events in which a stellar core survives the disruption, they can be used to determine if an observed tidal disruption flare produced a surviving remnant. These results should be taken into consideration when flares arising from tidal disruptions are modeled. [abridged]Comment: 16 pages, 13 figures (2 new figures in revised version). Published in ApJ. Latest version incorporates erratum that fixes issue with fitting formulae not including enough significant digit

Cost-effectiveness analysis of non-invasive vagus nerve stimulation for the treatment of chronic cluster headache

Background: Cluster headache (CH) is a debilitating condition that is generally associated with substantial health care costs. Few therapies are approved for abortive or prophylactic treatment. Results from the prospective, randomised, open-label PREVA study suggested that adjunctive treatment with a novel non-invasive vagus nerve stimulation (nVNS) device led to decreased attack frequency and abortive medication use in patients with chronic CH (cCH). Herein, we evaluate whether nVNS is cost-effective compared with the current standard of care (SoC) for cCH. Methods: A pharmacoeconomic model from the German statutory health insurance perspective was developed to estimate the 1-year cost-effectiveness of nVNS + SoC (versus SoC alone) using data from PREVA. Short-term treatment response data were taken from the clinical trial;longer-term response was modelled under scenarios of response maintenance, constant rate of response loss, and diminishing rate of response loss. Health-related quality of life was estimated by modelling EQ-5D T data from PREVA;benefits were defined as quality-adjusted life-years (QALY). Abortive medication use data from PREVA, along with costs for the nVNS device and abortive therapies (i.e. intranasal zolmitriptan, subcutaneous sumatriptan, and inhaled oxygen), were used to assess health care costs in the German setting. Results: The analysis resulted in mean expected yearly costs of (sic)7096.69 for nVNS + SoC and (sic)7511.35 for SoC alone and mean QALY of 0.607 for nVNS + SoC and 0.522 for SoC alone, suggesting that nVNS generates greater health benefits for lower overall cost. Abortive medication costs were 23 % lower with nVNS + SoC than with SoC alone. In the alternative scenarios (i.e. constant rate of response loss and diminishing rate of response loss), nVNS + SoC was more effective and cost saving than SoC alone. Conclusions: In all scenarios modelled from a German perspective, nVNS was cost-effective compared with current SoC, which suggests that adjunctive nVNS therapy provides economic benefits in the treatment of cCH. Notably, the current analysis included only costs associated with abortive treatments. Treatment with nVNS will likely promote further economic benefit when other potential sources of cost savings (e.g. reduced frequency of clinic visits) are considered

The Tidal Disruption of Giant Stars and Their Contribution to the Flaring Supermassive Black Hole Population

Sun-like stars are thought to be regularly disrupted by supermassive black holes (SMBHs) within galactic nuclei. Yet, as stars evolve off the main sequence their vulnerability to tidal disruption increases drastically as they develop a bifurcated structure consisting of a dense core and a tenuous envelope. Here we present the first hydrodynamic simulations of the tidal disruption of giant stars and show that the core has a substantial influence on the star's ability to survive the encounter. Stars with more massive cores retain large fractions of their envelope mass, even in deep encounters. Accretion flares resulting from the disruption of giant stars should last for tens to hundreds of years. Their characteristic signature in transient searches would not be the $t^{-5/3}$ decay typically associated with tidal disruption events, but a correlated rise over many orders of magnitude in brightness on months to years timescales. We calculate the relative disruption rates of stars of varying evolutionary stages in typical galactic centers, then use our results to produce Monte Carlo realizations of the expected flaring event populations. We find that the demographics of tidal disruption flares are strongly dependent on both stellar and black hole mass, especially near the limiting SMBH mass scale of $\sim 10^8 M_\odot$. At this black hole mass, we predict a sharp transition in the SMBH flaring diet beyond which all observable disruptions arise from evolved stars, accompanied by a dramatic cutoff in the overall tidal disruption flaring rate. Black holes less massive than this limiting mass scale will show observable flares from both main sequence and evolved stars, with giants contributing up to 10% of the event rate. The relative fractions of stars disrupted at different evolutionary states can constrain the properties and distributions of stars in galactic nuclei other than our own.Comment: 18 pages, 18 figures, submitted to Ap

Outcomes and risk score for distal pancreatectomy with celiac axis resection (DP-CAR) : an international multicenter analysis

Background: Distal pancreatectomy with celiac axis resection (DP-CAR) is a treatment option for selected patients with pancreatic cancer involving the celiac axis. A recent multicenter European study reported a 90-day mortality rate of 16%, highlighting the importance of patient selection. The authors constructed a risk score to predict 90-day mortality and assessed oncologic outcomes. Methods: This multicenter retrospective cohort study investigated patients undergoing DP-CAR at 20 European centers from 12 countries (model design 2000-2016) and three very-high-volume international centers in the United States and Japan (model validation 2004-2017). The area under receiver operator curve (AUC) and calibration plots were used for validation of the 90-day mortality risk model. Secondary outcomes included resection margin status, adjuvant therapy, and survival. Results: For 191 DP-CAR patients, the 90-day mortality rate was 5.5% (95 confidence interval [CI], 2.2-11%) at 5 high-volume (1 DP-CAR/year) and 18% (95 CI, 9-30%) at 18 low-volume DP-CAR centers (P=0.015). A risk score with age, sex, body mass index (BMI), American Society of Anesthesiologists (ASA) score, multivisceral resection, open versus minimally invasive surgery, and low- versus high-volume center performed well in both the design and validation cohorts (AUC, 0.79 vs 0.74; P=0.642). For 174 patients with pancreatic ductal adenocarcinoma, the R0 resection rate was 60%, neoadjuvant and adjuvant therapies were applied for respectively 69% and 67% of the patients, and the median overall survival period was 19months (95 CI, 15-25months). Conclusions: When performed for selected patients at high-volume centers, DP-CAR is associated with acceptable 90-day mortality and overall survival. The authors propose a 90-day mortality risk score to improve patient selection and outcomes, with DP-CAR volume as the dominant predictor

Spinor Bose-Einstein condensates

An overview on the physics of spinor and dipolar Bose-Einstein condensates (BECs) is given. Mean-field ground states, Bogoliubov spectra, and many-body ground and excited states of spinor BECs are discussed. Properties of spin-polarized dipolar BECs and those of spinor-dipolar BECs are reviewed. Some of the unique features of the vortices in spinor BECs such as fractional vortices and non-Abelian vortices are delineated. The symmetry of the order parameter is classified using group theory, and various topological excitations are investigated based on homotopy theory. Some of the more recent developments in a spinor BEC are discussed.Comment: To appear in Physics Reports. The PDF file with high resolution figures is available from the following website: http://cat.phys.s.u-tokyo.ac.jp/publication/review_of_spinorBEC.pd

A longitudinal investigation of repressive coping and ageing

This is an Accepted Manuscript of an article published by Taylor & Francis in Aging & Mental Health on October 2016, available online: http://www.tandfonline.com/doi/full/10.1080/13607863.2015.1060941.Two studies investigated the possibility that repressive coping is more prevalent in older adults and that this represents a developmental progression rather than a cohort effect. Study 1 examined repressive coping and mental health cross-sectionally in young and old adults. Study 2 examined whether there was a developmental progression of repressive coping prevalence rates in a longitudinal sample of older adults.Peer reviewedFinal Accepted Versio

Sargent's Wharf condominiums : a design exploration examining the interrelationship between the arts of development and design

Thesis (M.Arch.)--Massachusetts Institute of Technology, Dept. of Architecture, 1984.MICROFICHE COPY AVAILABLE IN ARCHIVES AND ROTCH.Bibliography: p. 264-266.The thesis premise states: If architects hope to creatively build in todays society, they must be able to communicate in the construction and development industry's language. This means the designer must perceive, practice and present an integration of complex issues into a form that benefits the users, as an integral aspect of the development process, and not, as a mutually exclusive act in the creation of an inhabitable art form. The first meeting with Michael Giuliano was over lunch at Casa Blanca in Harvard Square. We established the thesis' structure as a sequence of design stages between working sessions with the development team. The team consisted of Barry Preston and Michael Giuliano, close friends and fellow New England developers who selected the Sargents' Wharf site, and Jack Myer, the team's local urban planning expert, architectural principal and thesis advisor. What follows is a three month documentation of the team's concerns and working methods for the planning of Sargents Wharf Condominiums.by Kenneth James Diener.M.Arc

Linking the Five-Factors of personality to charismatic and transactional leadership; Perceived dynamic work environment as a moderator

In this multi-source study we investigated the relationships between the Big Five personality traits and both charismatic and transactional leadership behavior, and whether dynamism (the degree that the work environment is deemed dynamic) moderates these relationships. We also tested whether dynamism moderates the relationship between leadership behavior and effectiveness. Personality was measured through self ratings using the NEO-PI-R. Subordinates rated their leaders' behavior, and peers and superiors provided ratings of effectiveness. Consistent with trait activation theory, results showed that perceived dynamic work environment moderated the relationships of four of the Big Five-Factors with both charismatic and transactional leadership. Also, charismatic leadership was positively related to perceived effectiveness, but only in dynamic contexts. Copyright © 2005 John Wiley & Sons, Ltd

Resounding meaning: a PERMA wellbeing profile of classical musicians

While music has been linked with enhanced wellbeing across a wide variety of contexts, the professional pursuit of a music career is frequently associated with poor psychological health. Most research has focused on assessing negative functioning, and to date, few studies have attempted to profile musicians’ wellbeing using a positive framework. This study aimed to generate a profile that represents indicators of optimal functioning among classical musicians. The PERMA model, which reconciles hedonic and eudaimonic wellbeing, was adopted and its five elements assessed with a sample of professional classical musicians: Positive Emotion, Engagement, Relationships, Meaning and Accomplishment. 601 participants (298 women, 303 men) engaged in careers as orchestral (n = 236), solo (n = 158), chamber (n = 112), and choral musicians (n = 36), as well as composers (n = 30) and conductors (n = 29), answered the PERMA-Profiler, a self-report questionnaire built to assess the five components of PERMA. Results point to high scores across all dimensions, with Meaning emerging as the highest rated dimension. Musicians scored significantly higher than general population indicators on Positive Emotion, Relationships and Meaning. When wellbeing is assessed as positive functioning and not the absence of illbeing, musicians show promising profiles. The reconciliation between these findings and the previous body of research pointing to the music profession as highly challenging for healthy psychological functioning is discussed. *** For a video summary of this article please see http://researchonline.rcm.ac.uk/id/eprint/1804/ **

Testing gravitational-wave searches with numerical relativity waveforms: Results from the first Numerical INJection Analysis (NINJA) project

The Numerical INJection Analysis (NINJA) project is a collaborative effort between members of the numerical relativity and gravitational-wave data analysis communities. The purpose of NINJA is to study the sensitivity of existing gravitational-wave search algorithms using numerically generated waveforms and to foster closer collaboration between the numerical relativity and data analysis communities. We describe the results of the first NINJA analysis which focused on gravitational waveforms from binary black hole coalescence. Ten numerical relativity groups contributed numerical data which were used to generate a set of gravitational-wave signals. These signals were injected into a simulated data set, designed to mimic the response of the Initial LIGO and Virgo gravitational-wave detectors. Nine groups analysed this data using search and parameter-estimation pipelines. Matched filter algorithms, un-modelled-burst searches and Bayesian parameter-estimation and model-selection algorithms were applied to the data. We report the efficiency of these search methods in detecting the numerical waveforms and measuring their parameters. We describe preliminary comparisons between the different search methods and suggest improvements for future NINJA analyses.Comment: 56 pages, 25 figures; various clarifications; accepted to CQ