1
|
O'Brien M, Whyte S, Doyle S, McAuliffe FM. Genetic disorders in maternal medicine. Best Pract Res Clin Obstet Gynaecol 2024; 97:102546. [PMID: 39265229 DOI: 10.1016/j.bpobgyn.2024.102546] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2024] [Revised: 07/22/2024] [Accepted: 09/02/2024] [Indexed: 09/14/2024]
Abstract
The role of genetic testing within maternal medicine is expanding. Advancing technology and the increasing availability of genetic testing have seen more patients receiving a genetic diagnosis than ever before. Improved healthcare and understanding of these rare diseases means that many patients are living well into their reproductive years and starting families. Individual diseases are considered by their patterns of inheritance i.e. autosomal recessive, autosomal dominant and chromosomal diseases. This chapter specifically addresses the following examples and outlines an approach to pre-conceptual and pregnancy management; autosomal recessive (cystic fibrosis, phenylketonuria), autosomal dominant (osteogenesis imperfecta, vascular Ehlers-Danlos syndrome) and chromosomal (Turner syndrome). For many rare and ultrarare genetic diseases, there may be no clear guidelines or consensus on the correct management in pregnancy. This chapter seeks to provide a framework for the clinician to use to address the unique needs and risk profile of these patients in pregnancy and pre-conceptually and plan accordingly. The role of pharmacogenetics in maternal medicine, the future of education in genetics for patients and clinicians and the important role of genetic counselling are all considered in this chapter. This overview highlights the important role of genetics in maternal medicine and how this can inform management and planning for the safe care of mother and baby.
Collapse
|
2
|
Wall E, Petley E, Mone F, Doyle S, Hartles-Spencer L, Allen SK, Castleman J, Marton T, Williams D. Molecular autopsy for fetal structural anomaly: diagnostic and clinical utility of multidisciplinary team approach. ULTRASOUND IN OBSTETRICS & GYNECOLOGY : THE OFFICIAL JOURNAL OF THE INTERNATIONAL SOCIETY OF ULTRASOUND IN OBSTETRICS AND GYNECOLOGY 2024; 64:381-387. [PMID: 38517166 DOI: 10.1002/uog.27647] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/22/2023] [Revised: 03/01/2024] [Accepted: 03/04/2024] [Indexed: 03/23/2024]
Abstract
OBJECTIVE In the West Midlands regional genetics service, cases of perinatal death with a possible genetic diagnosis are evaluated by the perinatal pathology genetic multidisciplinary team (MDT). The MDT assesses autopsy findings and suggests appropriate genomic assessment. The objective of this retrospective service evaluation was to determine the clinical utility of the MDT in assessing perinatal deaths associated with structural anomaly. This is the first evaluation since the introduction of whole-genome and whole-exome sequencing in routine clinical care. METHODS This was a retrospective service evaluation including all cases of perinatal death with an associated structural anomaly and suspected genetic etiology that underwent perinatal MDT assessment between January and December 2021. All cases received a full or partial postmortem examination and at least a chromosomal microarray analysis. Demographic characteristics, phenotype, genotype, MDT recommendations, diagnoses, outcomes and impact of postmortem analysis and genetic testing data were collected from patient case notes. RESULTS Overall, 123 cases were discussed at the MDT meetings in 2021. Genetic evaluation was recommended in 84 cases and accepted in 64 cases. A range of genetic tests were requested according to indication and availability. Thirty diagnoses were made in 29 cases from 26 unrelated families. The diagnostic yield was 24% (29/123) in all cases or 45% (29/64) in cases with a suspected genetic diagnosis who underwent genetic testing. Postmortem examination provided clinically actionable phenotypic data in 79% of cases. A genetic diagnosis enabled accurate recurrence risk counseling and provision of appropriate follow-up, including prenatal testing and preimplantation diagnosis for patients with inherited conditions. CONCLUSIONS Genomic testing was a clinically useful addition to (but not a substitute for) postmortem examination in cases of perinatal death associated with structural anomaly. The MDT approach helped assess cases and plan appropriate follow-up. Expedited whole-genome sequencing or panel-agnostic analysis were most appropriate for heterogeneous presentations. This broad approach can also expand knowledge of prenatal phenotypes and detect novel disease genes, and should be a priority in future research. © 2024 International Society of Ultrasound in Obstetrics and Gynecology.
Collapse
|
3
|
O'Brien M, Doyle S, McAuliffe FM, Leuven F, Mahmood T. Current status and future of genomics in fetal and maternal medicine: A scientific review commissioned by European Board and College of Obstetrics and Gynaecology (EBCOG). Eur J Obstet Gynecol Reprod Biol 2024; 299:336-341. [PMID: 38960859 DOI: 10.1016/j.ejogrb.2024.05.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/05/2024]
Abstract
This EBCOG guidance reviews the current and future status of genomics within fetal and maternal medicine. This document addresses the clinical uses of genetic testing in both screening and diagnostic testing prenatally. The role of genomics within fetal and maternal medicine is described. The research and future implications of genetic testing as well as the educational, ethical and economic implications of genomics are discussed.
Collapse
|
4
|
Dillon C, O'Donnell K, McKeown P, Lyons F, Browne C, Fallon U, Keegan A, Timoney K, Bruton O, Downes P, Mullane P, Carroll C, Doyle S, Barrett P, Cosgrave B, Kieran R, Shanley A, Parlour R, Igoe D, Robinson E. Mpox outbreak - Response and epidemiology of confirmed cases in Ireland from May 2022 to May 2023. IRISH MEDICAL JOURNAL 2024; 117:975. [PMID: 39041467] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 07/24/2024]
|
5
|
Fee N, McEvoy A, Cullen S, Doyle S, Crosby D, Allen C. Pregnancy outcomes following recurrent miscarriage. Ir J Med Sci 2023; 192:2255-2258. [PMID: 36757518 DOI: 10.1007/s11845-023-03305-w] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2022] [Accepted: 01/31/2023] [Indexed: 02/10/2023]
Abstract
BACKGROUND Recurrent miscarriage affects 1-2% of the population, and the literature has focussed on causes, treatment, and live birth rate. AIM This study aimed to assess the reproductive outcomes for patients who attended a specialist recurrent miscarriage clinic for investigation and treatment. METHODS Prospective analysis of all patients who attended a recurrent miscarriage clinic from January 2014 to January 2021. RESULTS Of the 488 patients who attended a specialist clinic, 318 had a further pregnancy with 299 included in this study. The median age was 37 years, with 55.6% having a previous live birth. The subsequent live birth rate was 75.3%, 22.0% had a further pregnancy loss, 1.7% had an ongoing pregnancy, and 1% attended another institution after the second trimester. The rate of preeclampsia was 2.2%, pregnancy-induced hypertension was 2.2%, fetal growth restriction was 5.3%, preterm birth ≤ 34 weeks was 1.8%, and preterm birth > 34 weeks < 37 weeks was 6.6%. CONCLUSION Patients who attend a dedicated recurrent miscarriage clinic for investigation and treatment have a high live birth rate in a subsequent pregnancy. A subsequent pregnancy following recurrent pregnancy loss does not appear to be associated with an increased risk of adverse pregnancy outcomes.
Collapse
|
6
|
Cullen S, Sobczyk K, Elebert R, Tarleton D, Casey B, Doyle S, Crosby D, Allen C. Second-trimester miscarriage: a review of postnatal investigations and subsequent pregnancy outcomes. Ir J Med Sci 2023; 192:1757-1760. [PMID: 36396810 DOI: 10.1007/s11845-022-03227-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2022] [Accepted: 11/10/2022] [Indexed: 11/18/2022]
Abstract
BACKGROUND Second-trimester loss is pregnancy loss after the 12th and before the 24th completed weeks of pregnancy. This study aims to review cases of second-trimester miscarriage who attended a large maternity hospital and to examine pregnancy outcomes in this group of women. METHODS This study is a review of cases of second-trimester miscarriage using descriptive, exploratory design, involving a retrospective chart review. RESULTS In this study, 106 cases of second-trimester miscarriage were reviewed. The cause of the miscarriage was found in 42.5% (n = 45) of cases. The majority of women, 84.5% (n = 82) had a normal pelvic ultrasound scan and 18.3% (n = 17) of cases were diagnosed with antiphospholipid syndrome. In women who became pregnant again, 60.9% (n = 39) had a live birth. CONCLUSIONS Establishing the cause of second-trimester miscarriage can be challenging, despite completing all recommended investigations. Outcomes in subsequent pregnancies are reassuring. This review highlights the need to undertake all recommended investigations to elicit the cause of second-trimester miscarriage and underpins the need for further research in this area.
Collapse
|
7
|
Elder G, Santhi N, Olsen K, Polasek D, Doyle S, Taylor JP. Non-parametric actigraphy-derived measures differ in dementia with Lewy bodies compared to Alzheimer’s dementia: a feasibility study. Sleep Med 2022. [DOI: 10.1016/j.sleep.2022.05.410] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|
8
|
Kennedy F, Romero-Ortuno R, Cheallaigh CN, Doyle S, Broderick J. 135 A FEASIBILITY STUDY TO EXPLORE THE ROLE OF EXERCISE AND PROTEIN SUPPLEMENTATION TO TARGET FRAILTY IN PEOPLE EXPERIENCING HOMELESSNESS. Age Ageing 2022. [DOI: 10.1093/ageing/afac218.114] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
People who are homeless are more likely to experience poor health with acceleration of ageing commonly reported. The concept of frailty is related to age acceleration and research has shown that appropriate exercise and nutritional supplementation strategies can delay or even reverse frailty. This has not been tested in the homeless population. The aim of this study was to explore the feasibility and preliminary efficacy of an exercise intervention with protein supplementation to target physical functioning deficits and frailty in people experiencing homelessness.
Methods
A low-threshold, 'drop-in' exercise programme with protein supplementation was delivered once weekly for 16 weeks. The main recruitment site was a day-service centre for people who are homeless and have addiction issues. A one-day programme was also delivered to a connected female-only centre to offer a more inclusive service. Primary outcome was feasibility, which included recruitment and retention of participants. Secondary outcomes included frailty and nutritional status, physical function and self-reported pain.
Results
Thirty-one participants were recruited, 13 of whom were aged over 50 years. Of these older participants, there was a 100% retention rate to the main recruitment centre, with at least one repeat visit to the exercise intervention. The majority of the older participants presented as frail (6/13) or pre-frail (3/13), with 4/13 non-frail. One of these participants was malnourished, six were at risk of malnourishment and six had normal nutritional status. The possible presence of sarcopenia (eight or less on the Short Physical Performance Battery) was noted in 3/13 of participants. The majority of participants (10/13) reported chronic pain.
Conclusion
This study highlights a high level of frailty and poor physical and nutritional health in older people experiencing homelessness. High retention indicates interest in this intervention. There is a need to establish and roll out targeted interventions to optimise outcomes for this socially excluded group.
Collapse
|
9
|
Mone F, Abu Subieh H, Doyle S, Hamilton S, Mcmullan DJ, Allen S, Marton T, Williams D, Kilby MD. Evolving fetal phenotypes and clinical impact of progressive prenatal exome sequencing pathways: cohort study. ULTRASOUND IN OBSTETRICS & GYNECOLOGY : THE OFFICIAL JOURNAL OF THE INTERNATIONAL SOCIETY OF ULTRASOUND IN OBSTETRICS AND GYNECOLOGY 2022; 59:723-730. [PMID: 34940998 DOI: 10.1002/uog.24842] [Citation(s) in RCA: 21] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/20/2021] [Revised: 12/02/2021] [Accepted: 12/14/2021] [Indexed: 06/14/2023]
Abstract
OBJECTIVES To determine (1) the diagnostic yield and turnaround time (TAT) of two consecutive prenatal exome sequencing (ES) pathways, (2) the evolution of the fetal phenotype and (3) the clinical impact of detecting causative pathogenic variants and incidental findings. METHODS This was a retrospective cohort analysis of prospectively collected fetal cases that underwent trio ES in the presence of a structural anomaly and normal chromosomal microarray testing in the West Midlands Regional Genetics Laboratory, Birmingham, UK. The study included two phases: (1) between July 2018 and October 2020, the clinical pathway from the Prenatal Assessment of Genomes and Exomes (PAGE) study was adopted and involved prenatal trio ES based on a panel of 1542 development disorder genes and case selection by a multidisciplinary team; (2) between October 2020 and July 2021, prenatal trio ES investigation was based on the National Health Service (NHS) England R21 pathway, with definitive inclusion criteria and a panel of 1205 prenatally relevant genes. Deep phenotyping was performed throughout pregnancy and postnatally. RESULTS A total of 54 cases were included. The diagnostic yield before vs after R21 pathway implementation was 28.0% (7/25) and 55.2% (16/29), respectively (P = 0.04). The respective values for mean TAT were 54.0 days (range, 14-213 days) and 14.2 days (range, 3-29 days). In cases in which a causative pathogenic variant was identified and in which the pregnancy reached the third trimester, additional anomalies were detected between the second and third trimesters in 73.3% (11/15) of cases, predominantly secondary to progressive hydropic features (3/11 (27.3%)), arthrogryposis (3/11 (27.3%)) or brain anomaly (2/11 (18.2%)). In three cases, a variant of uncertain significance was reclassified to likely pathogenic based on postnatal information. Detection of a causative pathogenic variant had a significant clinical impact in 78.3% (18/23) of cases, most frequently affecting decision-making regarding the course of the pregnancy and neonatal management (7/18 (38.9%)). CONCLUSIONS Prenatal ES using the NHS England R21 pathway showed great promise when applied to this cohort, allowing a genetic diagnosis to be made in over half of preselected cases with a fetal structural anomaly on ultrasound. Monitoring and real-time updating of fetal phenotype and reclassification of variants based on postnatal findings is vital to increase the clinical impact that is already evident from this emerging genomic technology. © 2021 International Society of Ultrasound in Obstetrics and Gynecology.
Collapse
|
10
|
Ajeddig H, Adam R, Ade P, André P, Artis E, Aussel H, Beelen A, Benoît A, Berta S, Bing L, Bourrion O, Calvo M, Catalano A, De Petris M, Désert FX, Doyle S, Driessen EFC, Gomez A, Goupy J, Kéruzoré F, Kramer C, Ladjelate B, Lagache G, Leclercq S, Lestrade JF, Macías-Pérez JF, Maury A, Mauskopf P, Mayet F, Monfardini A, Muñoz-Echeverría M, Perotto L, Pisano G, Ponthieu N, Revéret V, Rigby A, Ritacco A, Romero C, Roussel H, Ruppin F, Schuster K, Shu S, Sievers A, Tucker C, Zylka R, Shimajiri Y. Probing the role of magnetic fields in star-forming filaments: NIKA2-Pol commissioning results toward OMC-1. EPJ WEB OF CONFERENCES 2022. [DOI: 10.1051/epjconf/202225700002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Dust polarization observations are a powerful, practical tool to probe the geometry (and to some extent, the strength) of magnetic fields in starforming regions. In particular, Planck polarization data have revealed the importance of magnetic fields on large scales in molecular clouds. However, due to insufficient resolution, Planck observations are unable to constrain the B-field geometry on prestellar and protostellar scales. The high angular resolution of 11.7 arcsec provided by NIKA2-Pol 1.15 mm polarimetric imaging, corresponding to 0.02 pc at the distance of the Orion molecular cloud (OMC), makes it possible to advance our understanding of the B-field morphology in star-forming filaments and dense cores (IRAM 30m large program B-FUN). The commissioning of the NIKA2-Pol instrument has led to several challenging issues, in particular, the instrumental polarization or intensity-to-polarization “leakage” effect. In the present paper, we illustrate how this effect can be corrected for, leading to reliable exploitable data in a structured, extended source such as OMC-1. We present a statistical comparison between NIKA2-Pol and SCUBA2-Pol2 results in the OMC-1 region. We also present tentative evidence of local pinching of the B-field lines near Orion-KL, in the form of a new small-scale hourglass pattern, in addition to the larger-scale hourglass already seen by other instruments such as Pol2.
Collapse
|
11
|
Muñoz-Echeverría M, Adam R, Ade P, Ajeddig H, André P, Arnaud M, Artis E, Aussel H, Bartalucci I, Beelen A, Benoît A, Berta S, Bing L, Bourrion O, Calvo M, Catalano A, De Petris M, Désert FX, Doyle S, Driessen EFC, Ferragamo A, Gomez A, Goupy J, Kéruzoré F, Kramer C, Ladjelate B, Lagache G, Leclercq S, Lestrade JF, Macías-Pérez JF, Maury A, Mauskopf P, Mayet F, Monfardini A, Paliwal A, Perotto L, Pisano G, Pointecouteau E, Ponthieu N, Pratt GW, Revéret V, Rigby AJ, Ritacco A, Romero C, Roussel H, Ruppin F, Schuster K, Shu S, Sievers A, Tucker C, Yepes G. Multi-probe analysis of the galaxy cluster CL J1226.9+3332: Hydrostatic mass and hydrostatic-to-lensing bias. EPJ WEB OF CONFERENCES 2022. [DOI: 10.1051/epjconf/202225700032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
We present a multi-probe analysis of the well-known galaxy cluster CL J1226.9+3332 as a proof of concept for multi-wavelength studies within the framework of the NIKA2 Sunyaev-Zel’dovich Large Program (LPSZ). CL J1226.9+3332 is a massive and high redshift (z = 0.888) cluster that has already been observed at several wavelengths. A joint analysis of the thermal SZ (tSZ) effect at millimeter wavelength with the NIKA2 camera and in X-ray with the XMM-Newton satellite permits the reconstruction of the cluster’s thermodynamical properties and mass assuming hydrostatic equilibrium. We test the robustness of our mass estimates against different definitions of the data analysis transfer function. Using convergence maps reconstructed from the data of the CLASH program we obtain estimates of the lensing mass, which we compare to the estimated hydrostatic mass. This allows us to measure the hydrostatic-to-lensing mass bias and the associated systematic effects related to the NIKA2 measurement. We obtain M500HSE = (7:65 ± 1:03) × 1014M⊙ and M500lens = (7:35 ± 0:65) × 1014M⊙, which implies a HSE-to-lensing bias consistent with 0 within 20%.
Collapse
|
12
|
Katsioli S, Adam R, Ade P, Ajeddig H, André P, Artis E, Aussel H, Beelen A, Benoît A, Berta S, Bing L, Bourrion O, Calvo M, Catalano A, De Looze I, De Petris M, Désert FX, Doyle S, Driessen EC, Ejlali G, Galametz M, Galliano F, Gomez A, Goupy J, Jones A, Hughes A, Kéruzoré F, Kramer C, Ladjelate B, Lagache G, Leclercq S, Lestrade JF, Macías-Pérez JF, Madden S, Maury A, Mauskopf P, Mayet F, Monfardini A, Muñoz-Echeverría M, Nersesian A, Perotto L, Pisano G, Ponthieu N, Revéret V, Rigby A, Ritacco A, Romero C, Roussel H, Ruppin F, Schuster K, Shu S, Sievers A, Smith MWL, Tabatabaei F, Tucker C, Xilouris EM, Zylka R. Exploring the millimetre emission in nearby galaxies: Analysis of the edge-on galaxy NGC 891. EPJ WEB OF CONFERENCES 2022. [DOI: 10.1051/epjconf/202225700023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
New observations of the edge-on galaxy NGC 891, at 1.15 and 2mm obtained with the IRAM 30-m telescope and the NIKA2 camera, within the framework of the IMEGIN (Interpreting the Millimetre Emission of Galaxies with IRAM and NIKA2) Large Program, are presented in this work. By using multiwavelength maps (from the mid-IR to the cm wavelengths) we perform SED fitting in order to extract the physical properties of the galaxy on both global and local (~kpc) scales. For the interpretation of the observations we make use of a state-of-the-art SED fitting code, HerBIE (HiERarchical Bayesian Inference for dust Emission). The observations indicate a galaxy morphology, at mm wavelengths, similar to that of the cold dust emission traced by submm observations and to that of the molecular gas. The contribution of the radio emission at the NIKA2 bands is very small (negligible at 1.15 mm and ~ 10% at 2 mm) while it dominates the total energy budget at longer wavelengths (beyond 5 mm). On local scales, the distribution of the free-free emission resembles that of the dust thermal emission while the distribution of the synchrotron emission shows a deficiency along the major axis of the disc of the galaxy.
Collapse
|
13
|
Perotto L, Adam R, Ade P, Ajeddig H, André P, Arnaud M, Artis E, Aussel H, Bartalucci I, Beelen A, Benoît A, Berta S, Bing L, Bourrion O, Calvo M, Catalano A, De Petris M, Désert FX, Doyle S, Driessen EFC, Ferragamo A, Gomez A, Goupy J, Kéruzoré F, Kramer C, Ladjelate B, Lagache G, Leclercq S, Lestrade JF, Macías-Pérez JF, Maury A, Mauskopf P, Mayet F, Monfardini A, Muñoz-Echeverría M, Paliwal A, Pisano G, Pointecouteau E, Ponthieu N, Pratt G, Revéret V, Rigby AJ, Ritacco A, Romero C, Roussel H, Ruppin F, Schuster K, Shu S, Sievers A, Tucker C, Yepes G. The NIKA2 Sunyaev-Zeldovich Large Program: Precise galaxy cluster physics for an accurate cluster-based cosmology. EPJ WEB OF CONFERENCES 2022. [DOI: 10.1051/epjconf/202225700038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
The NIKA2 Guaranteed-Time SZ Large Program (LPSZ) is dedicated to the high-angular resolution SZ mapping of a representative sample of 45 SZ-selected galaxy clusters drawn from the catalogues of the Planck satellite, or of the Atacama Cosmology Telescope. The LPSZ sample spans a mass range from 3 to 11 × 1014M⊙ and a redshift range from 0:5 to 0:9, extending to higher redshift and lower mass the previous samples dedicated to the cluster mass calibration and universal properties estimation. The main goals of the LPSZ are the measurement of the average radial profile of the ICM pressure up to R500 by combining NIKA2 with Planck or ACT data, and the estimation of the scaling law between the SZ observable and the mass using NIKA2, XMM-Newton and Planck/ACT data. Furthermore, combining LPSZ data with existing or forthcoming public data in lensing, optical/NIR or radio domains, we will build a consistent picture of the cluster physics and further gain knowledge on the mass estimate as a function of the cluster morphology and dynamical state.
We give an overview of the LPSZ, present recent results and discuss the future implication for cosmology with galaxy clusters.
Collapse
|
14
|
Bing L, Adam R, Ade P, Ajeddig H, André P, Artis E, Aussel H, Beelen A, Benoît A, Berta S, Béthermin M, Bourrion O, Calvo M, Catalano A, De Petris M, Désert FX, Doyle S, Driessen EFC, Gomez A, Goupy J, Kéruzoré F, Kramer C, Ladjelate B, Lagache G, Leclercq S, Lestrade JF, Macías-Pérez JF, Maury A, Mauskopf P, Mayet F, Monfardini A, Muñoz-Echeverría M, Neri R, Omont A, Perotto L, Pisano G, Ponthieu N, Revéret V, Rigby A, Ritacco A, Romero C, Roussel H, Ruppin F, Schuster K, Shu S, Sievers A, Tucker C, Zylka R. Searching for high-z DSFGs with NIKA2 and NOEMA. EPJ WEB OF CONFERENCES 2022. [DOI: 10.1051/epjconf/202225700006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
As the possible progenitors of passive galaxies at z=2-3, dusty starforming galaxies (DSFGs) at z>4 provide a unique perspective to study the formation, assembly, and early quenching of massive galaxies in the early Universe. The extreme obscuration in optical-IR makes (sub)mm spectral scans the most universal and unbiased way to confirm/exclude the high-z nature of candidate dusty star-forming galaxies. We present here the status of the NIKA2 Cosmological Legacy Survey (N2CLS), which is the deepest wide-area singledish survey in the millimeter searching for high-z DSFGs. We also introduce a joint-analysis method to effciently search for the spectroscopic redshift of high-z DSFGs with noisy spectra and photometric data and present its success in identifying the redshift of DSFGs found in NIKA2 science verification data.
Collapse
|
15
|
Peretto N, Adam R, Ade P, Ajeddig H, André P, Artis E, Aussel H, Bacmann A, Beelen A, Benoît A, Berta S, Bing L, Bourrion O, Calvo M, Catalano A, De Petris M, Désert FX, Doyle S, Driessen EFC, Gomez A, Goupy J, Kéruzoré F, Kramer C, Ladjelate B, Lagache G, Leclercq S, Lestrade JF, Macías-Pérez JF, Maury A, Mauskopf P, Mayet F, Monfardini A, Muñoz-Echeverría M, Perotto L, Pisano G, Ponthieu N, Revéret V, Rigby A, Ristorcelli I, Ritacco A, Romero C, Roussel H, Ruppin F, Schuster K, Shu S, Sievers A, Tucker C, Zylka R. Galactic star formation with NIKA2 (GASTON): Filament convergence and its link to star formation. EPJ WEB OF CONFERENCES 2022. [DOI: 10.1051/epjconf/202225700037] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
In the past decade filaments have been recognised as a major structural element of the interstellar medium, the densest of these filaments hosting the formation of most stars. In some star-forming molecular clouds converging networks of filaments, also known as hub filament systems, can be found. These hubs are believed to be preferentially associated to massive star formation. As of today, there are no metrics that allow the systematic quantification of a filament network convergence. Here, we used the IRAM 30m NIKA2 observations of the Galactic plane from the GASTON large programme to systematically identify filaments and produce a filament convergence parameter map. We use such a map to show that: i. hub filaments represent a small fraction of the global filament population; ii. hubs host, in proportion, more massive and more luminous compact sources that non-hubs; iii. hub-hosting clumps are more evolved that non-hubs; iv. no discontinuities are observed in the properties of compact sources as a function of convergence parameter. We propose that the rapid global collapse of clumps is responsible for (re)organising filament networks into hubs and, in parallel, enhancing the mass growth of compact sources.
Collapse
|
16
|
Artis E, Adam R, Ade P, Ajeddig H, André P, Arnaud M, Aussel H, Bartalucci I, Beelen A, Benoît A, Berta S, Bing L, Bourrion O, Calvo M, Catalano A, De Petris M, Désert FX, Doyle S, Driessen EFC, Ferragamo A, Gomez A, Goupy J, Kéruzoré F, Kramer C, Ladjelate B, Lagache G, Leclercq S, Lestrade JF, Macías-Pérez JF, Maury A, Mauskopf P, Mayet F, Monfardini A, Muñoz-Echeverría M, Paliwal A, Perotto L, Pisano G, Pointecouteau E, Ponthieu N, Pratt GW, Revéret V, Rigby AJ, Ritacco A, Romero C, Roussel H, Ruppin F, Schuster K, Shu S, Sievers A, Tucker C, Yepes G. PSZ2 G091: A massive double cluster at z ~ 0.822 observed by the NIKA2 camera. EPJ WEB OF CONFERENCES 2022. [DOI: 10.1051/epjconf/202225700003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
PSZ2 G091.83+26.11 is a massive galaxy cluster with M500 = 7:43 × 1014M⊙ at z = 0:822. This object exhibits a complex morphology with a clear bimodality observed in X-rays. However, it was detected and analysed in the Planck sample as a single, spherical cluster following a universal profile [1]. This model can lead to miscalculations of thermodynamical quantities, like the pressure profile. As future multiwavelength cluster experiments will detect more and more objects at higher redshifts (where we expect the fraction of merging objects to be higher), it is crucial to quantify this systematic effect. In this work, we use high-resolution observations of PSZ2 G091.83+26.11 by the NIKA2 camera to integrate the morphological characteristics of the cluster in our modelling. This is achieved by fitting a two-halo model to the SZ image and then by reconstruction of the resulting projected pressure profile. We then compare these results with the spherical assumption.
Collapse
|
17
|
Rigby A, Adam R, Ade P, Ajeddig H, Anderson M, André P, Artis E, Aussel H, Bacmann A, Beelen A, Benoît A, Berta S, Bing L, Bourrion O, Bracco A, Calvo M, Catalano A, De Petris M, Désert FX, Doyle S, Driessen EFC, García P, Gomez A, Goupy J, Kéruzoré F, Kramer C, Ladjelate B, Lagache G, Leclercq S, Lestrade JF, Macías-Pérez JF, Maury A, Mauskopf P, Mayet F, Monfardini A, Muñoz-Echeverría M, Peretto N, Perotto L, Pisano G, Ponthieu N, Revéret V, Ristorcelli I, Ritacco A, Romero C, Roussel H, Ruppin F, Schuster K, Shu S, Sievers A, Tucker C, Watkins E, Zylka R. Galactic Star Formation with NIKA2 (GASTON): Evidence of mass accretion onto dense clumps. EPJ WEB OF CONFERENCES 2022. [DOI: 10.1051/epjconf/202225700041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
High-mass stars (m* ≳ 8 M⊙) play a crucial role in the evolution of galaxies, and so it is imperative that we understand how they are formed. We have used the New IRAM KIDs Array 2 (NIKA2) camera on the Institut de Radio Astronomie Millimétrique (IRAM) 30-m telescope to conduct high-sensitivity continuum mapping of ~ 2 deg2 of the Galactic plane (GP) as part of the Galactic Star Formation with NIKA2 (GASTON) large program. We have identified a total of 1467 clumps within our deep 1.15 mm continuum maps and, by using overlapping continuum, molecular line, and maser parallax data, we have determined their distances and physical properties. By placing them upon an approximate evolutionary sequence based upon 8 μm Spitzer imaging, we find evidence that the most massive dense clumps accrete material from their surrounding environment during their early evolution, before dispersing as star formation advances, supporting clump-fed models of high-mass star formation.
Collapse
|
18
|
Lestrade JF, Adam R, Ade P, Ajeddig H, André P, Artis E, Aussel H, Beelen A, Benoît A, Berta S, Bing L, Bourrion O, Calvo M, Catalano A, Coulais A, De Petris M, Désert FX, Doyle S, Driessen EFC, Gomez A, Goupy J, Kéruzoré F, Kramer C, Ladjelate B, Lagache G, Leclercq S, Macías-Pérez JF, Maury A, Mauskopf P, Mayet F, Monfardini A, Muñoz-Echeverría M, Perotto L, Pisano G, Ponthieu N, Revéret V, Rigby AJ, Ritacco A, Romero C, Roussel H, Ruppin F, Schuster K, Shu S, Sievers A, Tucker C, Zylka R. Overdensity of SubMillimiter Galaxies in the GJ526 Field mapped with the NIKA2 Camera. EPJ WEB OF CONFERENCES 2022. [DOI: 10.1051/epjconf/202225700027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Using the NIKA2 dual band millimeter camera installed on the IRAM30m telescope, we have mapped a relatively large field (~ 70 arcmin2) in the direction of the star GJ526 to investigate the nature of the sources found with the MAMBO camera at 1.2 mm ten years earlier. We have found that they must be dust-obscured galaxies (SMGs) in the background beyond the star. The new NIKA2 map at 1.15 mm reveals additional sources and, in fact, an overdensity of SMGs predominantly distributed along a filament-like structure in projection on the sky across the whole observed field. We speculate this might be a cosmic filament at high redshift as revealed in cosmological hydrodynamical simulations. Measurement of spectroscopic redshifts of the SMGs in the candidate filament is required now for a definitive confirmation of the nature of the structure.
Collapse
|
19
|
Ritacco A, Adam R, Ade P, Ajeddig H, André P, Artis E, Aumont J, Aussel H, Beelen A, Benoît A, Berta S, Bing L, Bourrion O, Calvo M, Catalano A, De Petris M, Désert FX, Doyle S, Driessen EFC, Gomez A, Goupy J, Kéruzoré F, Kramer C, Ladjelate B, Lagache G, Leclercq S, Lestrade JF, Macías-Pérez JF, Maury A, Mauskopf P, Mayet F, Monfardini A, Muñoz-Echeverría M, Perotto L, Pisano G, Ponthieu N, Revéret V, Rigby AJ, Romero C, Roussel H, Ruppin F, Schuster K, Shu S, Sievers A, Tucker C, Zylka R. Crab nebula at 260 GHz with the NIKA2 polarimeter: Implications for the polarization angle calibration of future CMB experiments. EPJ WEB OF CONFERENCES 2022. [DOI: 10.1051/epjconf/202225700042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
The quest for primordial gravitational waves enclosed in the Cosmic Microwave Background (CMB) polarization B-modes signal motivates the development of a new generation of high sensitive experiments (e.g. CMBS4, LiteBIRD), thus allowing to probe the inflationary epoch in the early Universe. However, this will be only possible by ensuring a high control of the instrumental systematic effects and an accurate absolute calibration of the polarization angle.
The Crab nebula is known to be a polarization calibrator on the sky for CMB experiments. Already used for the Planck satellite it exhibits a high polarized signal at microwave wavelengths. In this work we present Crab polarization observations obtained, in the 260 GHz frequency band, with the NIKA2 instrument. Furthermore, we discuss the accuracy needed on such a measurement to improve the constraints on the absolute angle calibration for CMB experiments.
Collapse
|
20
|
Muñoz-Echeverría M, Adam R, Ade P, Ajeddig H, André P, Arnaud M, Artis E, Aussel H, Bartalucci I, Beelen A, Benoît A, Berta S, Bing L, Bourrion O, Calvo M, Catalano A, De Petris M, Désert FX, Doyle S, Driessen EFC, Ferragamo A, Gomez A, Goupy J, Kéruzoré F, Kramer C, Ladjelate B, Lagache G, Leclercq S, Lestrade JF, Macías-Pérez JF, Maury A, Mauskopf P, Mayet F, Monfardini A, Paliwal A, Perotto L, Pisano G, Pointecouteau E, Ponthieu N, Pratt GW, Revéret V, Rigby AJ, Ritacco A, Romero C, Roussel H, Ruppin F, Schuster K, Shu S, Sievers A, Tucker C, Yepes G. The LPSZ-CLASH galaxy cluster sample: Combining lensing and hydrostatic mass estimates. EPJ WEB OF CONFERENCES 2022. [DOI: 10.1051/epjconf/202225700033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Starting from the clusters included in the NIKA sample and in the NIKA2 Sunyaev-Zel’dovich Large Program (LPSZ) we have selected a sample of six common objects with the Cluster Lensing And Supernova survey with Hubble (CLASH) lensing data. For the LPSZ clusters we have at our disposal both high-angular resolution observations of the thermal SZ with NIKA and NIKA2 and X-ray observations with XMM-Newton from which hydrostatic mass estimates can be derived. In addition, the CLASH dataset includes lensing convergence maps that can be converted into lensing estimates of the total mass of the cluster. One-dimensional mass profiles are used to derive integrated mass estimates accounting for systematic effects (data processing, modeling, etc.). Two-dimensional analysis of the maps can reveal substructures in the cluster and, therefore, inform us about the dynamical state of each system. Moreover, we are able to study the hydrostatic mass to lensing mass bias, across different morphology and a range of redshift clusters to give more insight on the hydrostatic mass bias. The analysis presented in this proceeding follows the study discussed in [20].
Collapse
|
21
|
Ruppin F, Adam R, Ade P, Ajeddig H, André P, Artis E, Aussel H, Beelen A, Benoît A, Berta S, Bing L, Bourrion O, Brodwin M, Calvo M, Catalano A, Decker B, De Petris M, Désert FX, Doyle S, Driessen EFC, Eisenhardt PRM, Gomez A, Gonzalez AH, Goupy J, Kéruzoré F, Kramer C, Ladjelate B, Lagache G, Leclercq S, Lestrade JF, Macías-Pérez JF, Maury A, Mauskopf P, Mayet F, McDonald M, Monfardini A, Moravec E, Muñoz-Echeverría M, Perotto L, Pisano G, Ponthieu N, Revéret V, Rigby AJ, Ritacco A, Romero C, Roussel H, Schuster K, Shu S, Sievers A, Stanford S, Stern D, Tucker C, Zylka R. Mapping the intracluster medium temperature in the era of NIKA2 and MUSTANG-2. EPJ WEB OF CONFERENCES 2022. [DOI: 10.1051/epjconf/202225700043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
We present preliminary results from an on-going program that aims at mapping the intracluster medium (ICM) temperature of high redshift galaxy clusters from the MaDCoWS sample using a joint analysis of shallow X-ray data obtained by Chandra and high angular resolution Sunyaev-Zel’dovich (SZ) observations realized with the NIKA2 and MUSTANG-2 cameras. We also present preliminary results from an on-going Open Time program within the NIKA2 collaboration that aims at mapping the ICM temperature of a galaxy cluster at z = 0.45 from the resolved detection of the relativistic corrections to the SZ spectrum. These studies demonstrate how high angular resolution SZ observations will play a major role in the coming decade to push the investigation of ICM dynamics and non-gravitational processes to high redshift before the next generation X-ray observatories come into play.
Collapse
|
22
|
Ejlali G, Adam R, Ade P, Ajeddig H, André P, Artis E, Aussel H, Beelen A, Benoît A, Berta S, Bing L, Bourrion O, Calvo M, Catalano A, de Looze I, De Petris M, Désert FX, Doyle S, Driessen EC, Galametz M, Galliano F, Gomez A, Goupy J, Jones A, Hughes A, Katsioli S, Kéruzoré F, Kramer C, Ladjelate B, Lagache G, Leclercq S, Lestrade JF, Macías-Pérez JF, Madden S, Maury A, Mauskopf P, Mayet F, Monfardini A, Muñoz-Echeverría M, Nersesian A, Perotto L, Pisano G, Ponthieu N, Revéret V, Rigby A, Ritacco A, Romero C, Roussel H, Ruppin F, Schuster K, Shu S, Sievers A, Smith MWSL, Tabatabaei FS, Tucker C, Xilouris E, Zylka R. Dust Emission in Galaxies at Millimeter Wavelengths: Cooling of star forming regions in NGC6946. EPJ WEB OF CONFERENCES 2022. [DOI: 10.1051/epjconf/202225700016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Interstellar dust plays an important role in the formation of molecular gas and the heating and cooling of the interstellar medium. The spatial distribution of the mm-wavelength dust emission from galaxies is largely unexplored. The NIKA2 Guaranteed Time Project IMEGIN (Interpreting the Millimeter Emission of Galaxies with IRAM and NIKA2) has recently mapped the mm emission in the grand design spiral galaxy NGC6946. By subtracting the contributions from the free-free, synchrotron, and CO line emission, we map the distribution of the pure dust emission at 1:15mm and 2mm. Separating the arm/interarm regions, we find a dominant 2mm emission from interarms indicating the significant role of the general interstellar radiation field in heating the cold dust. Finally, we present maps of the dust mass, temperature, and emissivity index using the Bayesian MCMC modeling of the spectral energy distribution in NGC6946.
Collapse
|
23
|
White P, Boland M, O’Sullivan M, Bambury N, Deignan P, Dean J, Carroll C, Doyle S, Barrett P. Transmission of SARS-CoV-2 arising from international flights arriving in Ireland in December 2020: a descriptive analysis using national surveillance data. Public Health 2022; 204:49-53. [PMID: 35172222 PMCID: PMC8747967 DOI: 10.1016/j.puhe.2022.01.004] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2021] [Accepted: 01/05/2022] [Indexed: 10/25/2022]
|
24
|
Burns A, Leffler M, Sapp A, Allred A, Kelly E, Doyle S, Uz T, Karaa A. MITOCHONDRIAL DISEASES. Neuromuscul Disord 2021. [DOI: 10.1016/j.nmd.2021.07.240] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
|
25
|
Doyle S, Hanley G, Boland MR, Balasubramanian I, McCartan D, Geraghty J, Evoy D, Prichard RS, McDermott EW. O79: THE ROLE OF SENTINEL LYMPH NODE BIOPSY IN BREAST CANCER PATIENTS OVER THE AGE OF 80 – HOW MUCH IS ENOUGH? Br J Surg 2021. [DOI: 10.1093/bjs/znab117.079] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
Abstract
Introduction
Recent studies have suggested that sentinel lymph node biopsy (SLNB) can be omitted in newly diagnosed elderly breast cancer (BC) patients as it may not influence decisions regarding further therapeutic intervention. The aim of this study was to assess the impact of SLNB on further surgical intervention as well as adjuvant treatments in patients over the age of 80.
Method
A retrospective study was performed involving all BC patients over the age of 80 diagnosed between 2008 and 2017 who underwent SLNB as part of their initial surgery. Patient/tumour characteristics and adjuvant treatments were recorded.
Result
127 patients underwent SLNB in the study period. The median age was 82 (Range: 80-95). 91/127 (71.6%) had ductal pathology, median tumour grade was 2, and oestrogen receptor positivity was seen in 89% of patients. The median number of sentinel nodes removed was 2 (Range: 1-6). 45 patients (35.4%) had a positive sentinel node (median positive nodes = 1). Of the 45 patients, 11 proceeded to axillary lymph node dissection (ALND) (11/127; 8.6%). The median number of nodes excised during ALND was 14 (Range:7-25) and 6 patients (6/11) had further positive nodes. 9% of patients with a positive node received adjuvant chemotherapy, 87% received adjuvant radiotherapy and 79% received hormonal therapy.
Conclusion
Although SLNB positivity is still used in the elderly patients, only a few patients (<10%) proceed to ALND or receive adjuvant chemotherapy. Hence performing a SLNB should be carefully considered when treating patients over the age of 80
Take-home message
The use of SLNB in elderly patients needs to be considered in node negative patients
Collapse
|