Thursday, October 31, 2013

Suzaku study points to early cosmic 'seeding'

Suzaku study points to early cosmic 'seeding'


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31-Oct-2013



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Contact: Francis Reddy
francis.j.reddy@nasa.gov
301-286-4453
NASA/Goddard Space Flight Center






Most of the universe's heavy elements, including the iron central to life itself, formed early in cosmic history and spread throughout the universe, according to a new study of the Perseus Galaxy Cluster using Japan's Suzaku satellite.


Between 2009 and 2011, researchers from the Kavli Institute for Particle Astrophysics and Cosmology (KIPAC), jointly run by Stanford University and the Department of Energy's SLAC National Accelerator Laboratory in California, used Suzaku's unique capabilities to map the distribution of iron throughout the Perseus Galaxy Cluster.


What they found is remarkable: Across the cluster, which spans more than 11 million light-years of space, the concentration of X-ray-emitting iron is essentially uniform in all directions.


"This tells us that the iron -- and by extension other heavy elements -- already was widely dispersed throughout the universe when the cluster began to form," said KIPAC astrophysicist Norbert Werner, the study's lead researcher. "We conclude that any explanation of how this happened demands lead roles for supernova explosions and active black holes."


The most profligate iron producers are type Ia supernovae, which occur either when white dwarf stars merge or otherwise acquire so much mass that they become unstable and explode. According to the Suzaku observations, the total amount of iron contained in the gas filling the cluster amounts to 50 billion times the mass of our sun, with about 60 percent of that found in the cluster's outer half.


The team estimates that at least 40 billion type Ia supernovae contributed to the chemical "seeding" of the space that later became the Perseus Galaxy Cluster.


Making the iron is one thing, while distributing it evenly throughout the region where the cluster formed is quite another. The researchers suggest that everything came together during one specific period of cosmic history.


Between about 10 and 12 billion years ago, the universe was forming stars as fast as it ever has. Abundant supernovae accompany periods of intense star formation, and the rapid-fire explosions drove galaxy-scale outflows. At the same time, supermassive black holes at the centers of galaxies were at their most active, rapidly accreting gas and releasing large amounts of energy, some of which drove powerful jets. Together, these galactic "winds" blew the chemical products of supernovae out of their host galaxies and into the wider cosmos.


Sometime later, in the regions of space with the largest matter densities, galaxy clusters formed, scooping up and mixing together the cosmic debris from regions millions of light-years across.


"If our scenario is correct, then essentially all galaxy clusters with masses similar to the Perseus Cluster should show similar iron concentrations and smooth distributions far from the center," said co-author Ondrej Urban, also at KIPAC.


Galaxy clusters contain hundreds to thousands of galaxies, as well as enormous quantities of diffuse gas and dark matter, bound together by their collective gravitational pull.


New gas entering the cluster falls toward its center, eventually moving fast enough to generate shock waves that heat the infalling gas. In the Perseus Cluster, gas temperatures reach as high as 180 million degrees Fahrenheit (100 million C), so hot that the atoms are almost completely stripped of their electrons and emit X-rays.


The Perseus Galaxy Cluster, which is located about 250 million light-years away and named for its host constellation, is the brightest extended X-ray source beyond our own galaxy, and the brightest and closest cluster for which Suzaku has attempted to map outlying gas.


The team used Suzaku's X-ray telescopes to make 84 observations of the Perseus Cluster, resulting in radial maps along eight different directions. Thanks to the sensitivity of the spacecraft's instruments, the researchers could measure the iron distribution of faint gas in the cluster's outermost reaches, where new gas continues to fall into it.


The findings will be published in the Oct. 31 issue of the journal Nature.


Suzaku (Japanese for "red bird of the south") was launched as Astro-E2 on July 10, 2005, and renamed in orbit. The observatory was developed by the Japan Aerospace Exploration Agency's Institute of Space and Astronautical Science in collaboration with NASA and other Japanese and U.S. institutions. NASA Goddard supplied Suzaku's X-ray telescopes and data-processing software and continues to operate a facility that supports U.S. astronomers who use the spacecraft.


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Suzaku study points to early cosmic 'seeding'


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PUBLIC RELEASE DATE:

31-Oct-2013



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Contact: Francis Reddy
francis.j.reddy@nasa.gov
301-286-4453
NASA/Goddard Space Flight Center






Most of the universe's heavy elements, including the iron central to life itself, formed early in cosmic history and spread throughout the universe, according to a new study of the Perseus Galaxy Cluster using Japan's Suzaku satellite.


Between 2009 and 2011, researchers from the Kavli Institute for Particle Astrophysics and Cosmology (KIPAC), jointly run by Stanford University and the Department of Energy's SLAC National Accelerator Laboratory in California, used Suzaku's unique capabilities to map the distribution of iron throughout the Perseus Galaxy Cluster.


What they found is remarkable: Across the cluster, which spans more than 11 million light-years of space, the concentration of X-ray-emitting iron is essentially uniform in all directions.


"This tells us that the iron -- and by extension other heavy elements -- already was widely dispersed throughout the universe when the cluster began to form," said KIPAC astrophysicist Norbert Werner, the study's lead researcher. "We conclude that any explanation of how this happened demands lead roles for supernova explosions and active black holes."


The most profligate iron producers are type Ia supernovae, which occur either when white dwarf stars merge or otherwise acquire so much mass that they become unstable and explode. According to the Suzaku observations, the total amount of iron contained in the gas filling the cluster amounts to 50 billion times the mass of our sun, with about 60 percent of that found in the cluster's outer half.


The team estimates that at least 40 billion type Ia supernovae contributed to the chemical "seeding" of the space that later became the Perseus Galaxy Cluster.


Making the iron is one thing, while distributing it evenly throughout the region where the cluster formed is quite another. The researchers suggest that everything came together during one specific period of cosmic history.


Between about 10 and 12 billion years ago, the universe was forming stars as fast as it ever has. Abundant supernovae accompany periods of intense star formation, and the rapid-fire explosions drove galaxy-scale outflows. At the same time, supermassive black holes at the centers of galaxies were at their most active, rapidly accreting gas and releasing large amounts of energy, some of which drove powerful jets. Together, these galactic "winds" blew the chemical products of supernovae out of their host galaxies and into the wider cosmos.


Sometime later, in the regions of space with the largest matter densities, galaxy clusters formed, scooping up and mixing together the cosmic debris from regions millions of light-years across.


"If our scenario is correct, then essentially all galaxy clusters with masses similar to the Perseus Cluster should show similar iron concentrations and smooth distributions far from the center," said co-author Ondrej Urban, also at KIPAC.


Galaxy clusters contain hundreds to thousands of galaxies, as well as enormous quantities of diffuse gas and dark matter, bound together by their collective gravitational pull.


New gas entering the cluster falls toward its center, eventually moving fast enough to generate shock waves that heat the infalling gas. In the Perseus Cluster, gas temperatures reach as high as 180 million degrees Fahrenheit (100 million C), so hot that the atoms are almost completely stripped of their electrons and emit X-rays.


The Perseus Galaxy Cluster, which is located about 250 million light-years away and named for its host constellation, is the brightest extended X-ray source beyond our own galaxy, and the brightest and closest cluster for which Suzaku has attempted to map outlying gas.


The team used Suzaku's X-ray telescopes to make 84 observations of the Perseus Cluster, resulting in radial maps along eight different directions. Thanks to the sensitivity of the spacecraft's instruments, the researchers could measure the iron distribution of faint gas in the cluster's outermost reaches, where new gas continues to fall into it.


The findings will be published in the Oct. 31 issue of the journal Nature.


Suzaku (Japanese for "red bird of the south") was launched as Astro-E2 on July 10, 2005, and renamed in orbit. The observatory was developed by the Japan Aerospace Exploration Agency's Institute of Space and Astronautical Science in collaboration with NASA and other Japanese and U.S. institutions. NASA Goddard supplied Suzaku's X-ray telescopes and data-processing software and continues to operate a facility that supports U.S. astronomers who use the spacecraft.


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Source: http://www.eurekalert.org/pub_releases/2013-10/nsfc-ssp103113.php
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Knowing who their physician is boosts patient satisfaction

Knowing who their physician is boosts patient satisfaction


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31-Oct-2013



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Contact: Craig Boerner
craig.boerner@vanderbilt.edu
615-322-4747
Vanderbilt University Medical Center






Knowing who your doctor is and a couple of facts about that person may go a long way toward improving patient satisfaction, according to a Vanderbilt study in the Journal of Orthopaedic Trauma.


Faced with the knowledge that between 82 percent and 90 percent of medical patients are unable to correctly name their treating physician following inpatient admission, orthopaedic trauma surgeon Alex Jahangir, M.D., and his Vanderbilt colleagues studied the effects of giving a randomized group of patients a simple biosketch card about their doctor.


What they learned is that patient satisfaction scores for the group receiving the card were 22 percent higher than those who did not receive the card.


"I think, in general, people recover better when they are more comfortable with the care they are receiving," said Jahangir, associate professor of Orthopaedic Surgery and Rehabilitation. "So it matters to patients and physicians who want a quick recovery, and now because of provisions in the Affordable Care Act, it matters to the institution because there are millions of dollars that can be at risk if patient satisfaction is low."


A percentage of Medicare reimbursement dollars beginning with 1 percent in FY 2013 and growing to 2 percent by 2017 is linked to patient satisfaction scores from the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) questions answered by patients, Jahangir said. Patient satisfaction determines 30 percent of performance scores for incentive payments, while clinical measures make up the other 70 percent.


"Whether we like it or not the reality of the world is that we are seeing more of an emphasis on not just outcomes, but the satisfaction of the care we deliver," Jahangir said. "So, while we should always strive for excellent outcomes and excellent care, we also can't forget that there is a human side of medicine and we need to do what we can to make sure that our patients are comfortable with the care that we are giving them. I believe it is important for us as physicians to really lead this charge of improving our patient's experience."


The Vanderbilt pilot study enrolled 212 randomized patients. One hundred received biosketch cards discreetly placed by a third party; 112 did not get cards. The patients were essentially the same in all variables, including injury type, insurance status and education.


To accurately gauge patient satisfaction, patients in the Vanderbilt study were contacted within two weeks of discharge to answer those same HCAHPS questions relating to their care.


In the end, the group who received a biosketch card had patient satisfaction scores 22 percent higher than the group who did not receive a biosketch card.


Each of the six physicians in Vanderbilt's Division of Orthopaedic Trauma participated in the study and, since that time, the nurse practitioners are now giving out cards to all patients.


"This is an easy, cheap intervention," Jahangir said. "As health care reimbursement shifts to reward quality rather than quantity, it is important to identify ways to improve the patient experience. This intervention is literally something that doesn't even cost a nickel but improves a patient's experience, and hopefully their recovery metrics that matter not only to the institution, but to patients and their physicians."



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AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert! system.




Knowing who their physician is boosts patient satisfaction


[ Back to EurekAlert! ]

PUBLIC RELEASE DATE:

31-Oct-2013



[


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]


Share Share

Contact: Craig Boerner
craig.boerner@vanderbilt.edu
615-322-4747
Vanderbilt University Medical Center






Knowing who your doctor is and a couple of facts about that person may go a long way toward improving patient satisfaction, according to a Vanderbilt study in the Journal of Orthopaedic Trauma.


Faced with the knowledge that between 82 percent and 90 percent of medical patients are unable to correctly name their treating physician following inpatient admission, orthopaedic trauma surgeon Alex Jahangir, M.D., and his Vanderbilt colleagues studied the effects of giving a randomized group of patients a simple biosketch card about their doctor.


What they learned is that patient satisfaction scores for the group receiving the card were 22 percent higher than those who did not receive the card.


"I think, in general, people recover better when they are more comfortable with the care they are receiving," said Jahangir, associate professor of Orthopaedic Surgery and Rehabilitation. "So it matters to patients and physicians who want a quick recovery, and now because of provisions in the Affordable Care Act, it matters to the institution because there are millions of dollars that can be at risk if patient satisfaction is low."


A percentage of Medicare reimbursement dollars beginning with 1 percent in FY 2013 and growing to 2 percent by 2017 is linked to patient satisfaction scores from the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) questions answered by patients, Jahangir said. Patient satisfaction determines 30 percent of performance scores for incentive payments, while clinical measures make up the other 70 percent.


"Whether we like it or not the reality of the world is that we are seeing more of an emphasis on not just outcomes, but the satisfaction of the care we deliver," Jahangir said. "So, while we should always strive for excellent outcomes and excellent care, we also can't forget that there is a human side of medicine and we need to do what we can to make sure that our patients are comfortable with the care that we are giving them. I believe it is important for us as physicians to really lead this charge of improving our patient's experience."


The Vanderbilt pilot study enrolled 212 randomized patients. One hundred received biosketch cards discreetly placed by a third party; 112 did not get cards. The patients were essentially the same in all variables, including injury type, insurance status and education.


To accurately gauge patient satisfaction, patients in the Vanderbilt study were contacted within two weeks of discharge to answer those same HCAHPS questions relating to their care.


In the end, the group who received a biosketch card had patient satisfaction scores 22 percent higher than the group who did not receive a biosketch card.


Each of the six physicians in Vanderbilt's Division of Orthopaedic Trauma participated in the study and, since that time, the nurse practitioners are now giving out cards to all patients.


"This is an easy, cheap intervention," Jahangir said. "As health care reimbursement shifts to reward quality rather than quantity, it is important to identify ways to improve the patient experience. This intervention is literally something that doesn't even cost a nickel but improves a patient's experience, and hopefully their recovery metrics that matter not only to the institution, but to patients and their physicians."



###


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AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert! system.




Source: http://www.eurekalert.org/pub_releases/2013-10/vumc-kwt103113.php
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iPad Air goes on sale in Australia, Hong Kong and China via online stores

Right on cue, the iPad Air has gone on sale in Australia, China and Hong Kong via each nations respective Apple stores. So far shipping is looking good for Australia and China, with shipping within 24 hours currently available across all models. In Hong Kong, shipping is 1-2 weeks at the moment.

So, iPad day has begun for some of us, so if you're somewhere where the iPad Air has now gone on sale and you bought one, drop us a line in the comments and tell us what you got, or jump into the iMore Forums and carry on the discussion! Better still, if you're about to head out somewhere to get in line, then do it with iMore!

iPad Air

iPad Air
Apple's full-sized iPad gets slimmed down. Features include:

Complete preview >

Released
November, 2013

Alternatives
Retina iPad mini, iPad 2

Replacements
iPad Air 2 (iPad 6)
Fall, 2014

Resources
Buyers guide
Help forum


    






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Republicans' Plan: Repeal and Cackle


It is a season of hubris for Obamacare’s critics. The website is behind schedule, the administration turns out to have misled the public when it insisted nobody would have to change plans, and the roughly 5 percent of Americans with plans on the individual-health-insurance market have been thrown into a panic amid a storm of cancellation notices. This is certainly a political victory for the Republican Party, which has turned the page from its shutdown debacle and found a batch of investigative strings to pull on, administration officials to torment, and new ways to throw red-state Democrats on the defensive. Weeks like this one will continue through this year, and at least for a while into the next one.






Source: http://www.realclearpolitics.com/2013/10/31/republicans039_plan_repeal_and_cackle_318993.html
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10 tech terrors that will haunt your dreams


  • Feature

Choose the Cloud Platform that Beats the Competition


Successful enterprise cloud deployments demand compatibility, scalability and flexibility-elements that cannot simply be added as an afterthought. CloudPlatform incorporates all these architectural features and more. more


Source: http://www.infoworld.com/slideshow/126048/10-tech-terrors-will-haunt-your-dreams-229805?source=rss_infoworld_top_stories_
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International Contest: Win one of two Nexus 5 phones!

We’re giving away two new Nexus 5 devices, here’s how you can win one

Want to win a new Nexus 5? Here's how!

The Nexus 5 is top-of-mind today, and for good reason. It couples top-level hardware with stock Android 4.4 KitKat at a very reasonable price. And now that it’s official and ready for orders, we know you want one. NOW.

Android Central is here to help you out. We’re giving away TWO Nexus 5 devices. For the details, just click this link.

For those that want to stay and read the rules, there are a few:

  • You need to have a legit email address registered at Android Central. If you don't, we can't contact you should you win.
  • Enter ONCE. It's easy for us to tell if you're posting more than once in the contest.
  • If you've won a device from us in the past 12 months, you can't win. We want to share the love a little bit. 
  • The contest will stay open until 11:59PM EST on Tuesday, November 5th. At that point we'll shut it down and randomly pick two winners.

Enter to win one of two Nexus 5 devices

GOOD LUCK!


    






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iMore show LIVE! 8am PT, 11am ET - Join us!

Join Peter, Richard, and me for the live version of our iPad Air and iPad mini buyers guide! We'll be talking through upgrading, which models to get, how they compare, choosing the right capacity, color, and carrier, and more!

  • 8am PT, 11am ET - be here!

    






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