Search results for "LSA"
showing 10 items of 832 documents
NuSTAR and NICER reveal IGR J17591-2342 as a new accreting millisecond X-ray pulsar
2018
We report the discovery by the Nuclear Spectroscopic Telescope Array (NuSTAR) and the Neutron Star Interior Composition Explorer (NICER) of the accreting millisecond X-ray pulsar IGR J17591-2342. Coherent X-ray pulsations around 527.4 Hz (1.9 ms) with a clear Doppler modulation were detected. This implies an orbital period of ∼8.8 h and a projected semi-major axis of ∼1.23 lt-s. With the binary mass function, we estimate a minimum companion mass of 0.42 M, obtained assuming a neutron star mass of 1.4[subscript ⊙] and an inclination angle lower than 60°, as suggested by the absence of eclipses or dips in the light curve of the source. The broad-band energy spectrum, obtained by combining NuS…
Broad-band spectral analysis of the accreting millisecond X-ray pulsar SAX J1748.9-2021
2016
We analyzed a 115 ks XMM-Newton observation and the stacking of 8 days of INTEGRAL observations, taken during the raise of the 2015 outburst of the accreting millisecond X-ray pulsar SAX J1748.9-2021. The source showed numerous type-I burst episodes during the XMM-Newton observation, and for this reason we studied separately the persistent and burst epochs. We described the persistent emission with a combination of two soft thermal components, a cold thermal Comptonization component (~2 keV) and an additional hard X-ray emission described by a power-law (photon index ~2.3). The continuum components can be associated with an accretion disc, the neutron star (NS) surface and a thermal Compton…
Timing of the accreting millisecond pulsar IGR J17591-2342: evidence of spin-down during accretion
2020
We report on the phase-coherent timing analysis of the accreting millisecond X-ray pulsar IGR J17591-2342, using Neutron Star Interior Composition Explorer (NICER) data taken during the outburst of the source between 2018 August 15 and 2018 October 17. We obtain an updated orbital solution of the binary system. We investigate the evolution of the neutron star spin frequency during the outburst, reporting a refined estimate of the spin frequency and the first estimate of the spin frequency derivative ($\dot{\nu} \sim -7\times 10^{-14}$ Hz s$^{-1}$), confirmed independently from the modelling of the fundamental frequency and its first harmonic. We further investigate the evolution of the X-ra…
INTEGRAL observations of the peculiar BeX System SAX J2103.5+4545
2004
We present an INTEGRAL data analysis of the X-ray transient \object{SAX J2103.5+4545} during two outbursts detected in December 2002. The INTEGRAL coordinates and error circle agree with the position of the recently proposed optical counterpart. A power-law plus cut-off model provided a good fit to the 4-150 keV spectrum yielding a photon index of 1.0+-0.1, a cut-off energy E_cut=7.6+-2.0 keV and a folding energy E_fold=30.9+-2.5 keV. The X-ray luminosity in the 4-150 keV energy range was found to be 6.0x10^36 erg/s, assuming a distance of 6.5 kpc. This luminosity, together with the derived photon index, indicate that the source is in a bright state. A 354.9$+-0.5 second pulse period is mea…
Brivaracetam as add-on treatment in patients with post-stroke epilepsy: real-world data from the BRIVAracetam add-on First Italian netwoRk Study (BRI…
2022
Objective: Post-stroke epilepsy (PSE) is one of the most common causes of acquired epilepsy and accounts for about 10-15% of all newly diagnosed epilepsy cases. However, evidence about the clinical profile of antiseizure medications in the PSE setting is currently limited. Brivaracetam (BRV) is a rationally developed compound characterized by high-affinity binding to synaptic vesicle protein 2A. The aim of this study was to assess the 12-month effectiveness and tolerability of adjunctive BRV in patients with PSE treated in a real-world setting. Methods: This was a subgroup analysis of patients with PSE included in the BRIVAracetam add-on First Italian netwoRk Study (BRIVAFIRST). The BRIVAFI…
Sustained seizure freedom with adjunctive brivaracetam in patients with focal onset seizures
2022
The maintenance of seizure control over time is a clinical priority in patients with epilepsy. The aim of this study was to assess the sustained seizure frequency reduction with adjunctive brivaracetam (BRV) in real-world practice. Patients with focal epilepsy prescribed add-on BRV were identified. Study outcomes included sustained seizure freedom and sustained seizure response, defined as a 100% and a ≥50% reduction in baseline seizure frequency that continued without interruption and without BRV withdrawal through the 12-month follow-up. Nine hundred ninety-four patients with a median age of 45 (interquartile range = 32-56) years were included. During the 1-year study period, sustained se…
Cortisol levels and seizures in adults with epilepsy: A systematic review
2018
Stress has been suggested as a trigger factor for seizures in epilepsy patients, but little is known about cortisol levels, as indicators of stress, in adults with epilepsy. This systematic review summarizes the evidence on this topic. Following PRISMA guidelines, 38 articles were selected: 14 analyzing basal cortisol levels, eight examining antiepileptic drugs (AEDs) effects, 13 focused on seizure effects, and three examining stress. Higher basal cortisol levels were found in patients than in healthy people in studies with the most homogeneous samples (45% of 38 total studies). Despite heterogeneous results associated with AEDs, seizures were related to increases in cortisol levels in 77% …
Deficient pulsatile thyrotropin secretion in the low-thyroid-hormone state of severe non-thyroidal illness
1994
Custro N, Scafidi V, Gallo S, Notarbartolo A. Deficient pulsatile thyrotropin secretion in the low-thyroid-hormone state of severe non-thyroidal illness. Eur J Endocrinol 1994;130:132–6. ISSN 0804–4643. Twenty-four-hour thyrotropin (TSH) profiles in eight severely ill patients were compared with those of six healthy subjects. The profiles were assessed using the cosinor method to evaluate circadian variations and using the Pulsar algorithm to analyze episodic secretion. In the normal subjects, the typical periodicity of TSH secretion showed a mean level in the rhythm (mesor) of 2.03 mU/l, The amplitude (half the extent of rhythmic change in the cycle) was 0.58 mU/l; the acrophase (the delay…
Do neurologists agree in diagnosing drug resistance in adults with focal epilepsy?
2019
Objective: To evaluate interrater agreement in categorizing treatment outcomes and drug responsiveness status according to the International League Against Epilepsy (ILAE) definition of drug-resistant epilepsy. Methods: A total of 1053 adults with focal epilepsy considered by the investigators to meet ILAE criteria for drug resistance were enrolled consecutively at 43 centers and followed up prospectively for 18-34 months. Treatment outcomes for all antiepileptic drugs (AEDs) used up to enrollment (retrospective assessment), and on an AED newly introduced at enrollment, were categorized by individual investigators and by 2 rotating members of a 16-member expert panel (EP) that reviewed the …
Optical noninvasive monitoring of skin blood pulsations
2005
Time-resolved detection and analysis of skin backscattered optical signals (remission photoplethysmography or PPG) provide rich information on skin blood volume pulsations and can serve for reliable cardiovascular assessment. Single- and multiple-channel PPG concepts are discussed. Simultaneous data flow from several locations on the human body allows us to study heartbeat pulse-wave propagation in real time and to evaluate vascular resistance. Portable single-, dual-, and four-channel PPG monitoring devices with special software have been designed for real-time data acquisition and processing. The prototype devices have been clinically studied, and their potential for monitoring heart arrh…