A new 5-stage cardiogenic shock (CS) classification scheme was recently proposed by the Society for Cardiovascular Angiography and Intervention (SCAI) for the purpose of risk stratification.
This ...study sought to apply the SCAI shock classification in a cardiac intensive care unit (CICU) population.
The study retrospectively analyzed Mayo Clinic CICU patients admitted between 2007 and 2015. SCAI CS stages A through E were classified retrospectively using CICU admission data based on the presence of hypotension or tachycardia, hypoperfusion, deterioration, and refractory shock. Hospital mortality in each SCAI shock stage was stratified by cardiac arrest (CA).
Among the 10,004 unique patients, 43.1% had acute coronary syndrome, 46.1% had heart failure, and 12.1% had CA. The proportion of patients in SCAI CS stages A through E was 46.0%, 30.0%, 15.7%, 7.3%, and 1.0% and unadjusted hospital mortality in these stages was 3.0%, 7.1%, 12.4%, 40.4%, and 67.0% (p < 0.001), respectively. After multivariable adjustment, each higher SCAI shock stage was associated with increased hospital mortality (adjusted odds ratio: 1.53 to 6.80; all p < 0.001) compared with SCAI shock stage A, as was CA (adjusted odds ratio: 3.99; 95% confidence interval: 3.27 to 4.86; p < 0.001). Results were consistent in the subset of patients with acute coronary syndrome or heart failure.
When assessed at the time of CICU admission, the SCAI CS classification, including presence or absence of CA, provided robust hospital mortality risk stratification. This classification system could be implemented as a clinical and research tool to identify, communicate, and predict the risk of death in patients with, and at risk for, CS.
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We present precise Doppler measurements of four stars obtained during the past decade at Keck Observatory by the California Planet Survey (CPS). These stars, namely, HD 34445, HD 126614, HD 13931, ...and Gl 179, all show evidence for a single planet in Keplerian motion. We also present Doppler measurements from the Hobby-Eberly Telescope (HET) for two of the stars, HD 34445 and Gl 179, that confirm the Keck detections and significantly refine the orbital parameters. These planets add to the statistical properties of giant planets orbiting near or beyond the ice line, and merit follow-up by astrometry, imaging, and space-borne spectroscopy. Their orbital parameters span wide ranges of planetary minimum mass (M sin i = 0.38-1.9 M{sub Jup}), orbital period (P = 2.87-11.5 yr), semimajor axis (a = 2.1-5.2 AU), and eccentricity (e = 0.02-0.41). HD 34445 b (P = 2.87 yr, M sin i = 0.79 M{sub Jup}, e = 0.27) is a massive planet orbiting an old, G-type star. We announce a planet, HD 126614 Ab, and an M dwarf, HD 126614 B, orbiting the metal-rich star HD 126614 (which we now refer to as HD 126614 A). The planet, HD 126614 Ab, has minimum mass M sin i = 0.38 M{sub Jup} and orbits the stellar primary with period P = 3.41 yr and orbital separation a = 2.3 AU. The faint M dwarf companion, HD 126614 B, is separated from the stellar primary by 489 mas (33 AU) and was discovered with direct observations using adaptive optics and the PHARO camera at Palomar Observatory. The stellar primary in this new system, HD 126614 A, has the highest measured metallicity (Fe/H = +0.56) of any known planet-bearing star. HD 13931 b (P = 11.5 yr, M sin i = 1.88 M{sub Jup}, e = 0.02) is a Jupiter analog orbiting a near solar twin. Gl 179 b (P = 6.3 yr, M sin i = 0.82 M{sub Jup}, e = 0.21) is a massive planet orbiting a faint M dwarf. The high metallicity of Gl 179 is consistent with the planet-metallicity correlation among M dwarfs, as documented recently by Johnson and Apps.
Abstract
We used high-precision radial velocity measurements of FGKM stars to determine the occurrence of giant planets as a function of orbital separation spanning 0.03–30 au. Giant planets are more ...prevalent at orbital distances of 1–10 au compared to orbits interior or exterior of this range. The increase in planet occurrence at ∼1 au by a factor of ∼4 is highly statistically significant. A fall-off in giant planet occurrence at larger orbital distances is favored over models with flat or increasing occurrence. We measure
14.1
−
1.8
+
2.0
giant planets per 100 stars with semimajor axes of 2–8 au and
8.9
−
2.4
+
3.0
giant planets per 100 stars in the range 8–32 au, a decrease in occurrence with increasing orbital separation that is significant at the ∼2
σ
level. We find that the occurrence rate of sub-Jovian planets (0.1–1 Jupiter masses) is also enhanced for 1–10 au orbits. This suggests that lower-mass planets may share the formation or migration mechanisms that drive the increased prevalence near the water–ice line for their Jovian counterparts. Our measurements of cold gas giant occurrence are consistent with the latest results from direct imaging surveys and gravitational lensing surveys despite different stellar samples. We corroborate previous findings that giant planet occurrence increases with stellar mass and metallicity.
We present thermal phase curve measurements for the hot Jupiter WASP-103b observed with Hubble/WFC3 and Spitzer/IRAC. The phase curves have large amplitudes and negligible hotspot offsets, indicative ...of poor heat redistribution to the nightside. We fit the phase variation with a range of climate maps and find that a spherical harmonics model generally provides the best fit. The phase-resolved spectra are consistent with blackbodies in the WFC3 bandpass, with brightness temperatures ranging from 1880 40 K on the nightside to 2930 40 K on the dayside. The dayside spectrum has a significantly higher brightness temperature in the Spitzer bands, likely due to CO emission and a thermal inversion. The inversion is not present on the nightside. We retrieved the atmospheric composition and found that it is moderately metal-enriched ( ) and the carbon-to-oxygen ratio is below 0.9 at 3 confidence. In contrast to cooler hot Jupiters, we do not detect spectral features from water, which we attribute to partial H2O dissociation. We compare the phase curves to 3D general circulation models and find that magnetic drag effects are needed to match the data. We also compare the WASP-103b spectra to brown dwarfs and young, directly imaged companions. We find that these objects have significantly larger water features, indicating that surface gravity and irradiation environment play an important role in shaping the spectra of hot Jupiters. These results highlight the 3D structure of exoplanet atmospheres and illustrate the importance of phase curve observations for understanding their complex chemistry and physics.
Abstract
We present a high-precision radial velocity (RV) survey of 719 FGKM stars, which host 164 known exoplanets and 14 newly discovered or revised exoplanets and substellar companions. This ...catalog updated the orbital parameters of known exoplanets and long-period candidates, some of which have decades-longer observational baselines than they did upon initial detection. The newly discovered exoplanets range from warm sub-Neptunes and super-Earths to cold gas giants. We present the catalog sample selection criteria, as well as over 100,000 RV measurements, which come from the Keck-HIRES, APF-Levy, and Lick-Hamilton spectrographs. We introduce the new RV search pipeline
RVSearch
(
https://california-planet-search.github.io/rvsearch/
) that we used to generate our planet catalog, and we make it available to the public as an open-source Python package. This paper is the first study in a planned series that will measure exoplanet occurrence rates and compare exoplanet populations, including studies of giant planet occurrence beyond the water ice line, and eccentricity distributions to explore giant planet formation pathways. We have made public all radial velocities and associated data that we use in this catalog.
We compare patterns of variation for the Sun and 72 Sun-like stars by combining total and spectral solar irradiance measurements between 2003 and 2017 from the SORCE satellite, Strömgren b, y stellar ...photometry between 1993 and 2017 from Fairborn Observatory, and solar and stellar chromospheric Ca ii H+K emission observations between 1992 and 2016 from Lowell Observatory. The new data and their analysis strengthen the relationships found previously between chromospheric and brightness variability on the decadal timescale of the solar activity cycle. Both chromospheric H+K and photometric b, y variability among Sun-like stars are related to average chromospheric activity by power laws on this timescale. Young active stars become fainter as their H+K emission increases, and older, less active, more Sun-age stars tend to show a pattern of direct correlation between photometric and chromospheric emission variations. The directly correlated pattern between total solar irradiance and chromospheric Ca ii emission variations shown by the Sun appears to extend also to variations in the Strömgren b, y portion of the solar spectrum. Although the Sun does not differ strongly from its stellar age and spectral class mates in the activity and variability characteristics that we have now studied for over three decades, it may be somewhat unusual in two respects: (1) its comparatively smooth, regular activity cycle, and (2) its rather low photometric brightness variation relative to its chromospheric activity level and variation, perhaps indicating that facular emission and sunspot darkening are especially well-balanced on the Sun.
Thousands of transiting exoplanets have been discovered, but spectral analysis of their atmospheres has so far been dominated by a small number of exoplanets and data spanning relatively narrow ...wavelength ranges (such as 1.1-1.7 micrometres). Recent studies show that some hot-Jupiter exoplanets have much weaker water absorption features in their near-infrared spectra than predicted. The low amplitude of water signatures could be explained by very low water abundances, which may be a sign that water was depleted in the protoplanetary disk at the planet's formation location, but it is unclear whether this level of depletion can actually occur. Alternatively, these weak signals could be the result of obscuration by clouds or hazes, as found in some optical spectra. Here we report results from a comparative study of ten hot Jupiters covering the wavelength range 0.3-5 micrometres, which allows us to resolve both the optical scattering and infrared molecular absorption spectroscopically. Our results reveal a diverse group of hot Jupiters that exhibit a continuum from clear to cloudy atmospheres. We find that the difference between the planetary radius measured at optical and infrared wavelengths is an effective metric for distinguishing different atmosphere types. The difference correlates with the spectral strength of water, so that strong water absorption lines are seen in clear-atmosphere planets and the weakest features are associated with clouds and hazes. This result strongly suggests that primordial water depletion during formation is unlikely and that clouds and hazes are the cause of weaker spectral signatures.
We present Hubble Space Telescope (HST) near-ultraviolet (NUV) transits of the hot Jupiter WASP-121b, acquired as part of the PanCET program. Time-series spectra during two transit events were used ...to measure the transmission spectra between 2280 and 3070 at a resolution of 30,000. Using HST data from 61 Space Telescope Imaging Spectrograph visits, we show that data from HST's Pointing Control System can be used to decorrelate the instrument systematic errors (jitter decorrelation), which we used to fit the WASP-121b light curves. The NUV spectra show very strong absorption features, with the NUV white light curve found to be larger than the average optical and near-infrared value at 6 confidence. We identify and spectrally resolve absorption from the Mg ii doublet in the planetary exosphere at a 5.9 confidence level. The Mg ii doublet is observed to reach altitudes of Rpl/Rstar = 0.284 0.037 for the 2796 line and 0.242 0.0431 for the 2804 line, which exceeds the Roche lobe size as viewed in transit geometry (ReqRL/Rstar = 0.158). We also detect and resolve strong features of the Fe ii UV1 and UV2 multiplets, and observe the lines reaching altitudes of Rpl/Rstar 0.3. At these high altitudes, the atmospheric Mg ii and Fe ii gas is not gravitationally bound to the planet, and these ionized species may be hydrodynamically escaping or could be magnetically confined. Refractory Mg and Fe atoms at high altitudes also indicate that these species are not trapped into condensate clouds at depth, which places constraints on the deep interior temperature.
ABSTRACT Detailed characterization of exoplanets has begun to yield measurements of their atmospheric properties that constrain the planets' origins and evolution. For example, past observations of ...the dayside emission spectrum of the hot Jupiter WASP-12b indicated that its atmosphere has a high carbon-to-oxygen ratio (C/O > 1), suggesting it had a different formation pathway than is commonly assumed for giant planets. Here we report a precise near-infrared transmission spectrum for WASP-12b based on six transit observations with the Hubble Space Telescope/Wide Field Camera 3. We bin the data in 13 spectrophotometric light curves from 0.84 to 1.67 m and measure the transit depths to a median precision of 51 ppm. We retrieve the atmospheric properties using the transmission spectrum and find strong evidence for water absorption (7 confidence). This detection marks the first high-confidence, spectroscopic identification of a molecule in the atmosphere of WASP-12b. The retrieved 1 water volume mixing ratio is between 10−5 and 10−2, which is consistent with C/O > 1 to within 2 . However, we also introduce a new retrieval parameterization that fits for C/O and metallicity under the assumption of chemical equilibrium. With this approach, we constrain C/O to at 1 and rule out a carbon-rich atmosphere composition (C/O > 1) at >3 confidence. Further observations and modeling of the planet's global thermal structure and dynamics would aid in resolving the tension between our inferred C/O and previous constraints. Our findings highlight the importance of obtaining high-precision data with multiple observing techniques in order to obtain robust constraints on the chemistry and physics of exoplanet atmospheres.
We present a sample of 824 solar and late-type stars with X-ray luminosities and rotation periods. This is used to study the relationship between rotation and stellar activity and derive a new ...estimate of the convective turnover time. From an unbiased subset of this sample the power-law slope of the unsaturated regime, LX /L bolRo Delta *b, is fit as Delta *b = --2.70 ? 0.13. This is inconsistent with the canonical Delta *b = --2 slope to a confidence of 5 Delta *s, and argues for an additional term in the dynamo number equation. From a simple scaling analysis this implies Delta *D Delta *W/ Delta *W Delta *W0.7, i.e., the differential rotation of solar-type stars gradually declines as they spin down. Supersaturation is observed for the fastest rotators in our sample and its parametric dependencies are explored. Significant correlations are found with both the corotation radius and the excess polar updraft, the latter theory providing a stronger dependence and being supported by other observations. We estimate mass-dependent empirical thresholds for saturation and supersaturation and map out three regimes of coronal emission. Late F-type stars are shown never to pass through the saturated regime, passing straight from supersaturated to unsaturated X-ray emission. The theoretical threshold for coronal stripping is shown to be significantly different from the empirical saturation threshold (Ro < 0.13), suggesting it is not responsible. Instead we suggest that a different dynamo configuration is at work in stars with saturated coronal emission. This is supported by a correlation between the empirical saturation threshold and the time when stars transition between convective and interface sequences in rotational spin-down models.
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