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At least 37 records · Page 2

T wave alternans as a predictor of recurrent ventricular tachyarrhythmias in ICD recipients: prospective comparison with conventional risk markers

INTRODUCTION: The current standard for arrhythmic risk stratification is electrophysiologic (EP) testing, which, due to its invasive nature, is limited to patients already known to be at high risk. A number of noninvasive tests, such as determination of left ventricular ejection fraction (LVEF) or heart rate variability, have been evaluated as additional risk stratifiers. Microvolt T wave alternans (TWA) is a promising new risk marker. Prospective evaluation of noninvasive risk markers in low- or moderate-risk populations requires studies involving very large numbers of patients, and in such studies, documentation of the occurrence of ventricular tachyarrhythmias is difficult. In the present study, we identified a high-risk population, recipients of an implantable cardioverter defibrillator (ICD), and prospectively compared microvolt TWA with invasive EP testing and other risk markers with respect to their ability to predict recurrence of ventricular tachyarrhythmias as documented by ICD electrograms. METHODS AND RESULTS: Ninety-five patients with a history of ventricular tachyarrhythmias undergoing implantation of an ICD underwent EP testing, assessment of TWA, as well as determination of LVEF, baroreflex sensitivity, signal-averaged ECG, analysis of 24-hour Holter monitoring, and QT dispersion from the 12-lead surface ECG. The endpoint of the study was first appropriate ICD therapy for electrogram-documented ventricular fibrillation or tachycardia during follow-up. Kaplan-Meier survival analysis revealed that TWA (P < 0.006) and LVEF (P < 0.04) were the only significant univariate risk stratifiers. EP testing was not statistically significant (P < 0.2). Multivariate Cox regression analysis revealed that TWA was the only statistically significant independent risk factor. CONCLUSIONS: Measurement of microvolt TWA compared favorably with both invasive EP testing and other currently used noninvasive risk assessment methods in predicting recurrence of ventricular tachyarrhythmias in ICD recipients. This study suggests that TWA might also be a powerful tool for risk stratification in low- or moderate-risk patients, and needs to be prospectively evaluated in such populations.

Non-NASA Center↗

The causes of recurrent geomagnetic storms

The causes of recurrent geomagnetic activity were studied by analyzing interplanetary magnetic field and plasma data from earth-orbiting spacecraft in the interval from November 1973 to February 1974. This interval included the start of two long sequences of geomagnetic activity and two corresponding corotating interplanetary streams. In general, the geomagnetic activity was related to an electric field which was due to two factors: (1) the ordered, mesoscale pattern of the stream itself, and (2) random, smaller-scale fluctuations in the southward component of the interplanetary magnetic field Bz. The geomagnetic activity in each recurrent sequence consisted of two successive stages. The first stage was usually the most intense, and it occurred during the passage of the interaction region at the front of a stream. These large amplitudes of Bz were primarily produced in the interplanetary medium by compression of ambient fluctuations as the stream steepened in transit to 1 A.U. The second stage of geomagnetic activity immediately following the first was associated with the highest speeds in the stream.

Burlaga, L. F.↗

Ultraviolet spectroscopy of the recurrent nova U Scorpii during outburst

Observations of the recurrent nova U Sco during the 1979 outburst are presented, and the spectral evolution is found to differ from that of other recurrent novas. Spectra are dominated by emission lines, and the strong forbidden-line emission characteristic is conspicuously absent. A method to determine masses of nova shells is outlined, and an analysis of the emission lines shows an enrichment in N relative to C and O, and that the nova ejecta are rich in He relative to H. Optical spectra of U Sco obtained following its return to quiescence show predominantly He II emission lines, which suggests an enrichment of the preoutburst gas in He, and thus the presence of a highly evolved companion.

Williams, R. E.↗

Innovative approaches to recurrent training

Innovative approaches to recurrent training for regional airline aircrews are explored. Guidelines for recurrent training programs which include in corporation of cockpit resource management are discussed. B.W.

Noon, H.↗

Gamma-ray burster recurrence timescales

Three optical transients have been found which are associated with gamma-ray bursters (GRBs). The deduced recurrence timescale for these optical transients (tau sub opt) will depend on the minimum brightness for which a flash would be detected. A detailed analysis using all available data of tau sub opt as a function of E(gamma)/E(opt) is given. For flashes similar to those found in the Harvard archives, the best estimate of tau sub opt is 0.74 years, with a 99% confidence interval from 0.23 years to 4.7 years. It is currently unclear whether the optical transients from GRBs also give rise to gamma-ray events. One way to test this association is to measure the recurrence timescale of gamma-ray events tau sub gamma. A total of 210 gamma-ray error boxes were examined and it was found that the number of observed overlaps is not significantly different from the number expected from chance coincidence. This observation can be used to place limits on tau sub gamma for an assumed luminosity function. It was found that tau sub gamma is approx. 10 yr if bursts are monoenergetic. However, if GRBs have a power law luminosity function with a wide dynamic range, then the limit is tau sub gamma 0.5 yr. Hence, the gamma-ray data do not require tau sub gamma and tau sub opt to be different.

Schaefer, B. E.↗

Latitude variation of recurrent fluxes in the outer solar system

Recurrent low energy (greater than or = to 0.5 MeV) proton flux enhancements, reliable indicators of corotating plasma interaction regions, were observed on the Voyager 1 and 2 and Pioneer 11 spacecraft in the heliographic latitude range 2 deg S to 23 N and the heliocentric radial range 11 to 20 AU. After a period of rather high correlation between fluxes at different latitudes in early 1983, distinct differences developed in the fluxes during an overall flux decrease. The flux intensities returned to higher levels in early 1984 and differences in both the recurrence frequency and flux intensity persisted into 1985, as Voyager 1 traveled to 23 AU and 25 N latitude. Intercomparison of data from the three spacecraft indicates that the flux differences are most likely due to latitudinal rather than radial or temporal variations.

Christon, S. P.↗

Recurrent mass ejections observed in H-alpha and CIV

Time sequences of recurrent mass ejections have been observed during a coordinated SMY program (Sept. 1, 1980 - Sept. 23, 1980 - Oct. 2, 1980). Comparison of the temporal evolution of H-alpha and CIV brightnesses shows a weak phase lag between H-alpha and CIV maxima, in the case of homologous flares, with CIV brightness maxima preceding H-alpha maxima. The analysis of the variation of the ejection velocities is expected to lead to the determination of an energy balance. Such recurrent ejections could be due to periodic energy storage and periodic reorganization of magnetic field as envisaged to occur for flares, but at lower energy levels.

Schmieder, B.↗

Localization, time histories, and energy spectra of a new type of recurrent high-energy transient source

The detection of a recurrent high-energy transient source which is neither a classical X-ray nor a gamma-ray burster, but whose properties are intermediate between the two, is reported. The energy spectra of 12 recurrent events are found to be soft, characterized by kT's of 34-56 keV. The time histories are short with rise and fall times as fast as about 10 ms. The source location is a 0.12 sq deg region about 10 deg from the Galactic center.

Atteia, J.-L.↗

Evolution of recurrent solar wind structures between 14 AU and the termination shock

The solar wind conditions observed from Voyager 2 at approximately 14 AU are extrapolated to the region of the outer heliosphere bounded by the termination shock, using an MHD simulation model. Results from two simulation studies are presented for two sets of nearly recurrent solar wind interaction regions, with initial conditions generated from plasma and magnetic field data observed on March 1984 at 13.8 AU, and on November 1984 at 15.4, respectively. Each simulation describes an idealized recurrent solar wind structure in the supersonic region of the outer heliosphere out to the termination shock far beyond the present reaches of the Pioneer and Voyager spacecraft. It is shown that a collision between the forward shock and the reverse shock occurs approximately every 40 AU. When a forward shock interacts with the termination shock, the latter is weakened and moves outward; the termination shock is strengthened and moves inward when a reverse shock interacts with it.

Whang, Y. C.↗

On the outburst recurrence time for the accretion disk limit cycle mechanism in dwarf novae

An attempt is made here to elucidate the dwarf nova outburst time scale in terms of basic physics, and to place limits on the model by using the observed recurrence times. A simple analytical model is developed to describe the limit cycle process, and an expression is obtained for the interval between eruptions. It is shown that the smallness of the amount of mass accreted onto the central white dwarf during eruption can be explained in terms of the propagation of heating and cooling fronts. The dependency of the fraction of the disk mass accreted on the model parameters is derived, and the result is used to construct a semianalytic expression for the recurrence time.

Cannizzo, John K.↗

Recurrent solar wind structures in the outer heliosphere

The paper presents recent work on evolution of recurrent solar wind structures in the outer heliosphere. Corotating shocks, corotating interaction regions, and merged interaction regions are studied, and an MHD simulation model in which the jump conditions at all shock crossings satisfy the Rankine-Hugoniot solution is examined. Simulation results which describe the evolution of idealized recurrent solar wind structures between 14 AU and the termination shock are reported which show that merged interaction regions belonging to two to four consecutive solar rotations coalesce with each other between 30 AU and the termination shock to reshape the heliospheric structures. In the outer heliosphere, forward and reverse interplanetary shocks which continuously heat the solar wind plasma are investigated.

Whang, Y. C.↗

Nova LMC 1990 no. 2: The first extragalactic recurrent nova

International Ultraviolet Explorer (IUE) observations of Nova LMC (Large Magellanic Cloud) 1990 number 2 are presented. It is the first recurrent nova to be observed outside the Galaxy. Earlier optical outburst of the nova was observed in 1968, when it reached a maximum of about V = 10.2. The first observations caught the nova at UV maximum, and IUE spectra were obtained between 16 Feb. and 26 Mar. 1990, with 8 hour resolution during the first day of observations. No P Cyg profiles developed on the resonance lines, suggesting that very little mass was ejected and that the outburst was not spherical. The integrated UV luminosity was then 3.4 x 10(exp 38) erg/s which is above the Eddington limit for a one solar mass white dwarf (assuming E (B - V) = 0.15 and a distance of 55 kpc to the LMC). This is the first time that the luminosity of a recurrent nova has been directly obtained.

Shore, Steven N.↗

Simulation of period doubling of recurrent solar wind structures

Based on satellite observations of a recurrent solar wind structure conducted in 1974, an MHD simulation model, and input functions generated from plasma and magnetic field data, the continuing evolution of the solar wind structure outside 5 AU is studied. The model uses the Rankine-Hugoniot relations to describe the jumps in flow properties across the shocks, and it treats shocks as surfaces of discontinuity with zero thickness. Two interaction processes (the collision and the merging of shocks) play important roles in restructuring the solar wind in the outer heliosphere. The simulation result shows that period doubling occurs between 5 and 10 AU. The recurrent solar wind appears to be a persistent new structure between 10 and 20 AU, and it consists of one merged interaction region per solar rotation.

Whang, Y. C.↗

An implementation of the QMR method based on coupled two-term recurrences

The authors have proposed a new Krylov subspace iteration, the quasi-minimal residual algorithm (QMR), for solving non-Hermitian linear systems. In the original implementation of the QMR method, the Lanczos process with look-ahead is used to generate basis vectors for the underlying Krylov subspaces. In the Lanczos algorithm, these basis vectors are computed by means of three-term recurrences. It has been observed that, in finite precision arithmetic, vector iterations based on three-term recursions are usually less robust than mathematically equivalent coupled two-term vector recurrences. This paper presents a look-ahead algorithm that constructs the Lanczos basis vectors by means of coupled two-term recursions. Implementation details are given, and the look-ahead strategy is described. A new implementation of the QMR method, based on this coupled two-term algorithm, is described. A simplified version of the QMR algorithm without look-ahead is also presented, and the special case of QMR for complex symmetric linear systems is considered. Results of numerical experiments comparing the original and the new implementations of the QMR method are reported.

Freund, Roland W.↗

Substorm recurrence during steady and variable solar wind driving: Evidence for a normal mode in the unloading dynamics of the magnetosphere

Farrugia et al (1993) have recently studied substorm activity driven by the passage of an interplanetary magnetic cloud during which the interplanetary magnetic field turned southward for approximately 18 hours. It was shown that both the epsilon and the VB(sub s) parameters varied slowly on the timescale of a substorm but changed considerably over the interval as a whole. The substorm occurrence rate did not reflect the variation in magnetospheric energy loading rate as measured by these parameters but, rather, remained roughly constant with a 50-min average period. Klimas et al. (1992) showed that the Faraday loop analog model of geomagnetic activity predicts this single unloading rate under various constant loading rates. However, various model parameters were adjusted to yield a 1-hour unloading period in agreement with the Bargatze et al. (1985) linear prediction filters and in approximate agreement with the Farrugia et al. (1993) results. It has since been found necessary to add a slow relaxation mechanism to the Faraday loop model to allow for its approach to a ground state during long periods of inactivity. It is proposed that the relaxation mechanism is provided by slow convection of magnetic flux out of the magnetotail to the dayside magnetosphere. In addition, a rudimentary representation of magnetotail-ionosphere coupling has been added to enable comparison of model output to measured AL. The present study is of the modified Faraday loop model response to solar wind input from the Bargatze et al. data set with comparison of its output to concurrent AL. This study has removed the degree of freedom in parameter choice that had earlier allowed adjustments toward the 1-hour unloading period and has, instead, yielded the 1-hour unloading period under various constant loading rates. It is demonstrated that the second peak of the bimodal Bargatze et al. linear prediction filters at approximately equal 1-hour lag and the approximately constant substorm recurrence rate observed by Farrugia et al. can be interpreted as both being due to the existence of a normal unloading recurrence period in the dynamics of the magnetosphere.

Klimas, A. J.↗

RX J0045.4+4154: A recurrent supersoft x-ray transient in M31

Using data extracted from the ROSAT archive we have discovered a recurrent supersoft X-ray transient RX J0045.4+4154 in M31. The first outburst began on 1992 February 2 and continued for at least 4 days, until the end of the observation sequence. A second outburst that lasted more than 6 days was seen to begin on 1993 January 7. The X-ray spectrum on both occasions yields a characteristic blackbody temperature of approximately 90 eV. For a range of plausible continuum models, the hydrogen column density is (0.8-1.5) x 10(exp 21)/sq cm and is consistent with the source being located in M31. This implies an unabsorbed 0.1-2.0 keV peak luminosity of approximately 10(exp 38) ergs/sec. This is the first recurrent X-ray transient to be found in M31 and is particularly notable because it is much softer than the bright X-ray transients seen in our Galaxy. The spectrum is characteristic of the supersoft class of X-ray sources, which are thought to be accreting white dwarfs that have a hydrogen-burning surface layer. A fit to a white dwarf model atmosphere gives a temperature of 10(exp 6)K, the hottest found so far. This high temperature is consistent with a white dwarf mass of 1.3-1.4 solar mass, approaching the Chandrasekhar limit, and burning close to the nuclear stability limit.

White, N. E.↗

African Equatorial and Subtropical Ozone Plumes: Recurrences Timescales of the Brown Cloud Trans-African Plumes and Other Plumes

We have found repeated illustrations in the maps of Total Tropospheric Ozone (TTO) of apparent transport of ozone from the Indian Ocean to the Equatorial Atlantic Ocean. Most interesting are examples that coincide with the INDOEX observations of late northern winter, 1999. Three soundings associated with the SHADOZ (Southern Hemisphere Additional Ozonesondes) network help confirm and quantify degree of influence of pollution, lightning, and stratospheric sources, suggesting that perhaps 40% of increased Atlantic ozone could be Asian pollution during periods of maximum identified in the TTO maps. We outline recurrent periods of apparent ozone transport from Indian to Atlantic Ocean regions both during and outside the late-winter period. These are placed in the context of some general observations about factors controlling recurrence timescales for the expression of both equatorial and subtropical plumes. Low-level subtropical plumes are often controlled by frontal systems approaching the Namib coast; these direct mid-level air into either easterly equatorial plumes or westerly mid- troposphere plumes. Equatorial plumes of ozone cross Africa on an easterly path due to the occasional coincidence of two phenomena: (1) lofting of ozone to mid and upper levels, often in the Western Indian Ocean, and (2) the eastward extension of an Equatorial African easterly jet.

Chatfield, Robert B.↗

Thermonuclear Bursts with Short Recurrence Times from Neutron Stars Explained by Opacity-Driven Convection

Thermonuclear flashes of hydrogen and helium accreted onto neutron stars produce the frequently observed Type I X-ray bursts. It is the current paradigm that almost all material burns in a burst, after which it takes hours to accumulate fresh fuel for the next burst. In rare cases, however, bursts are observed with recurrence times as short as minutes. We present the first one-dimensional multi-zone simulations that reproduce this phenomenon. Bursts that ignite in a relatively hot neutron star envelope leave a substantial fraction of the fuel unburned at shallow depths. In the wake of the burst, convective mixing events driven by opacity bring this fuel down to the ignition depth on the observed timescale of minutes. There, unburned hydrogen mixes with the metal-rich ashes, igniting to produce a subsequent burst. We find burst pairs and triplets, similar to the observed instances. Our simulations reproduce the observed fraction of bursts with short waiting times of approximately 30%, and demonstrate that short recurrence time bursts are typically less bright and of shorter duration.

nucleosynthesis↗