OH 12.8-0.9: A New Water-Fountain Source

We present observational evidence that the OH/IR star OH 12.8-0.9 is the fourth in a class of objects previously dubbed "water-fountain" sources. Using the Very Long Baseline Array, we produced the first images of the water maser emission associated with OH 12.8-0.9. We find that the masers are located in two compact regions with an angular separation of ~109 mas on the sky. The axis of separation between the two maser regions is at a position angle of 1.5 deg. East of North with the blue-shifted (-80.5 to -85.5 km/s) masers located to the North and the red-shifted (-32.0 to -35.5 km/s) masers to the South. In addition, we find that the blue- and red-shifted masers are distributed along arc-like structures ~10-12 mas across oriented roughly perpendicular to the separation axis. The morphology exhibited by the water masers is suggestive of an axisymmetric wind with the masers tracing bow shocks formed as the wind impacts the ambient medium. This bipolar jet-like structure is typical of the three other confirmed water-fountain sources. When combined with the previously observed spectral characteristics of OH 12.8-0.9, the observed spatio-kinematic structure of the water masers provides strong evidence that OH 12.8-0.9 is indeed a member of the water-fountain class.Comment: 12 pages, 2 figures (1 color), accepted for publication in the Ap J Letter

Pelvic floor dysfunction 6 years post-anal sphincter tear at the time of vaginal delivery

Introduction and hypothesis: This study aims to estimate fecal, urinary incontinence, and sexual function 6 years after an obstetrical anal sphincter tear. Methods: Among 13,213 women who had a vaginal delivery of a cephalic singleton at term, 196 women sustained an anal sphincter tear. They were matched to 588 controls. Validated questionnaires grading fecal and urinary incontinence, and sexual dysfunction were completed by the participants. Results: Severe fecal incontinence was more frequently reported by women who had sustained an anal sphincter tear compared to the controls. Women with an anal sphincter tear had no increased risk of urinary incontinence, but reported significantly more pain, difficulty with vaginal lubrication, and difficulty achieving orgasm compared to the controls. A fetal occiput posterior position during childbirth was an independent risk factor for both severe urinary incontinence and severe sexual dysfunction. Conclusions: Fecal incontinence is strongly associated with an anal sphincter tear. A fetal occiput posterior position represents a risk factor for urinary incontinence and sexual dysfunctio

Childbirth experience, risk of PTSD and obstetric and neonatal outcomes according to antenatal classes attendance.

Antenatal classes have evolved considerably and include now a discussion of the parents' birth plan. Respecting this plan normally results in a better childbirth experience, an important protective factor of post-traumatic stress disorder following childbirth (PTSD-FC). Antenatal class attendance may thus be associated with lower PTSD-FC rates. This cross-sectional study took place at a Swiss university hospital. All primiparous women who gave birth to singletons from 2018 to 2020 were invited to answer self-reported questionnaires. Data for childbirth experience, symptoms of PTSD-FC, neonatal, and obstetrical outcomes were compared between women who attended (AC) or not (NAC) antenatal classes. A total of 794/2876 (27.6%) women completed the online questionnaire. Antenatal class attendance was associated with a poorer childbirth experience (p = 0.03). When taking into account other significant predictors of childbirth experience, only induction of labor, use of forceps, emergency caesarean, and civil status remained in the final model of regression. Intrusion symptoms were more frequent in NAC group (M = 1.63 versus M = 1.11, p = 0.02). Antenatal class attendance, forceps, emergency caesarean, and hospitalisation in NICU remained significant predictors of intrusions for PTSD-FC. Use of epidural, obstetrical, and neonatal outcomes were similar for AC and NAC

Low prevalence of Chlamydia trachomatis infection in asymptomatic young Swiss men

BACKGROUND: Prevalence and risk factors for Chlamydia trachomatis infection among young men in Switzerland is still unknown. The objective of the present study was to assess prevalence and risk factors for C. trachomatis infection in young Swiss men. METHODS: 517 young Swiss men were enrolled in this cross-sectional study during their compulsory military recruitment. Participants completed a questionnaire and gave urine samples which were screened for C. trachomatis DNA by PCR. Genotyping of positive samples was done by amplification and sequencing the ompA gene. RESULTS: The prevalence of chlamydial infection among young Swiss male was 1.2% (95% confidence interval [95%CI], 0.4-2.5%). C. trachomatis infection was only identified among the 306 men having multiple sexual partner. Although frequent, neither unprotected sex (absence of condom use), nor alcohol and drug abuse were associated with chlamydial infection. Men living in cities were more frequently infected (2.9%, 95%CI 0.8-7.4%) than men living in rural areas (0.5%, 95%CI 0.1-1.9%, p = 0.046). Moreover, naturalised Swiss citizens were more often positive (4.9%, 95%CI 1.3-12.5%) than native-born Swiss men (0.5%, 95%CI 0.1-1.7%, p = 0.003). CONCLUSION: In comparison with other countries, the prevalence of chlamydial infection in men is extremely low in Switzerland, despite a significant prevalence of risky sexual behaviour. C. trachomatis infection was especially prevalent in men with multiple sexual partners. Further research is required (i) to define which subgroup of the general population should be routinely screened, and (ii) to test whether such a targeted screening strategy will be effective to reduce the prevalence of chlamydial infection among this population

Identification of Immunogenic Proteins of Waddlia chondrophila

Evidence is growing for a role of Waddlia chondrophila as an agent of adverse pregnancy outcomes in both humans and ruminants. This emerging pathogen, member of the order Chlamydiales, is also implicated in bronchiolitis and lower respiratory tract infections. Until now, the serological diagnosis of W. chondrophila infection has mainly relied on manually intensive tests including micro-immunofluorescence and Western blotting. Thus, there is an urgent need to establish reliable high throughput serological assays. Using a combined genomic and proteomic approach, we detected 57 immunogenic proteins of W. chondrophila, of which 17 were analysed by mass spectrometry. Two novel hypothetical proteins, Wim3 and Wim4, were expressed as recombinant proteins in Escherichia coli, purified and used as antigens in an ELISA test. Both proteins were recognized by sera of rabbits immunized with W. chondrophila as well as by human W. chondrophila positive sera but not by rabbit pre-immune sera nor human W. chondrophila negative sera. These results demonstrated that the approach chosen is suitable to identify immunogenic proteins that can be used to develop a serological test. This latter will be a valuable tool to further clarify the pathogenic potential of W. chondrophila

OH spectral evolution of oxygen-rich late-type stars

We investigated the main-line spectral evolution with shell thickness of oxygen rich AGB stars. The study is based on a sample of 30 sources distributed along the IRAS colour-colour diagram. The sources were chosen to trace the Miras with thick shells and the whole range of OH/IR stars. The Miras exhibit a 1665 MHz emission strength comparable to that at 1667 MHz. Even though the Miras of the study have quite thick shells, their spectral characteristics in both main lines attest to a strong heterogeneity in their OH shell with, in particular, the presence of significant turbulence and acceleration. The expansion velocity has been found to be about the same at 1665 and 1667 MHz, taking into account a possible velocity turbulence of 1-2km/s at the location of the main-line maser emission. An increase in the intensity ratio 1667/1665 with shell thickness has been found. A plausible explanation for such a phenomenon is that competitive gain in favour of the 1667 MHz line increases when the shell is getting thicker. There is an evolution in the spectral profile shape with the appearance of a substantial inter-peak signal when the shell is getting thicker. Also, inter-peak components are found and can be as strong as the external standard peaks when the shell is very thick. This trend for an increase of the signal in between the two main peaks is thought to be the result of an increase of the saturation with shell thickness. All sources but two - a Mira and an OH/IR star from the lower part of the colour-colour diagram - are weakly polarized. The strong polarization observed for those two particular objects is thought to be the result of perturbations in their shells.Comment: 19 pages, 12 figures, accepted for publication in A&