New Periodic 6.7 GHz Class II Methanol Maser Associated with G358.460-0.391

Eight new class II methanol masers selected from the 6.7 GHz Methanol Multibeam survey catalogues I and II were monitored at 6.7 GHz with the 26m Hartebeesthoek Radio Astronomy Observatory (HartRAO) radio telescope for three years and seven months, from February 2011 to September 2014. The sources were also observed at 12.2 GHz and two were sufficiently bright to permit monitoring. One of the eight sources, namely G358.460-0.391, was found to show periodic variations at 6.7 GHz. The period was determined and tested for significance using the Lomb-Scargle, epoch-folding and Jurkevich methods, and by fitting a simple analytic function. The best estimate for the period of the 6.7 GHz class II methanol maser line associated with G358.460-0.391 is 220.0 $\pm$ 0.2 day.Comment: 8 pages, 11 figures, accepted for publication in MNRAS. The appendix of 4 pages (with 16 figures) will be published as online versio

How do methanol masers manage to appear in the youngest star vicinities and isolated molecular clumps?

General characteristics of methanol (CH3OH) maser emission are summarized. It is shown that methanol maser sources are concentrated in the spiral arms. Most of the methanol maser sources from the Perseus arm are associated with embedded stellar clusters and a considerable portion is situated close to compact HII regions. Almost 1/3 of the Perseus Arm sources lie at the edges of optically identified HII regions which means that massive star formation in the Perseus Arm is to a great extent triggered by local phenomena. A multiline analysis of the methanol masers allows us to determine the physical parameters in the regions of maser formation. Maser modelling shows that class II methanol masers can be pumped by the radiation of the warm dust as well as by free-free emission of a hypercompact region hcHII with a turnover frequency exceeding 100 GHz. Methanol masers of both classes can reside in the vicinity of hcHIIs. Modelling shows that periodic changes of maser fluxes can be reproduced by variations of the dust temperature by a few percent which may be caused by variations in the brightness of the central young stellar object reflecting the character of the accretion process. Sensitive observations have shown that the masers with low flux densities can still have considerable amplification factors. The analysis of class I maser surveys allows us to identify four distinct regimes that differ by the series of their brightest lines.Comment: 8 pages, 4 figures, invited presentation at IAU242 "Astrophysical Masers and their environments

VLBA imaging of a periodic 12.2 GHz methanol maser flare in G9.62+0.20E

The class II methanol maser source G9.62+0.20E undergoes periodic flares at both 6.7 and 12.2 GHz. The flare starting in 2001 October was observed at seven epochs over three months using the VLBA at 12.2 GHz. High angular resolution images (beam size $\sim$ 1.7 x 0.6 mas) were obtained, enabling us to observe changes in 16 individual maser components. It was found that while existing maser spots increased in flux density, no new spots developed and no changes in morphology were observed. This rules out any mechanism which disturbs the masing region itself, implying that the flares are caused by a change in either the seed or pump photon levels. A time delay of 1--2 weeks was observed between groups of maser features. These delays can be explained by light travel time between maser groups. The regularity of the flares can possibly be explained by a binary system.Comment: 11 pages, accepted for publication in MNRA

Periodic class II methanol masers in G9.62+0.20E

We present the light curves of the 6.7 and 12.2 GHz methanol masers in the star forming region G9.62+0.20E for a time span of more than 2600 days. The earlier reported period of 244 days is confirmed. The results of monitoring the 107 GHz methanol maser for two flares are also presented. The results show that flaring occurs in all three masing transitions. It is shown that the average flare profiles of the three masing transitions are similar. The 12.2 GHz masers are the most variable of the three masers with the largest relative amplitude having a value of 2.4. The flux densities for the different masing transitions are found to return to the same level during the low phase of the masers, suggesting that the source of the periodic flaring is situated outside the masing region, and that the physical conditions in the masing region are relatively stable. On the basis of the shape of the light curve we excluded stellar pulsations as the underlying mechanism for the periodicity. It is argued that a colliding wind binary can account for the observed periodicity and provide a mechanism to qualitatively explain periodicity in the seed photon flux and/or the pumping radiation field. It is also argued that the dust cooling time is too short to explain the decay time of about 100 days of the maser flare. A further analysis has shown that for the intervals from days 48 to 66 and from days 67 to 135 the decay of the maser light curve can be interpreted as due to the recombination of a thermal hydrogen plasma with densities of approximately $1.6 \times 10^6 \mathrm{cm^{-3}}$ and $6.0 \times 10^5 \mathrm{cm^{-3}}$ respectively.Comment: 11 pages, 9 figuer

The ‘ins and outs’ of colonoscopy at Wits Donald Gordon Medical Centre, South Africa: A practice audit of the outpatient endoscopy unit

Background. In South Africa, there are no national guidelines for the conduct or quality assessment of colonoscopy, the gold standard for investigation and diagnosis of bowel pathology.Objectives. To describe the clinical profile of patients and evaluate the practice of colonoscopy using procedural quality indicators at the Wits Donald Gordon Medical Centre (WDGMC) outpatient endoscopy unit (OEU).Methods. We conducted a prospective, clinical practice audit of colonoscopies performed on adults (≥18 years of age). A total of 1 643 patients were included in the study and variables that were collected enabled the assessment of adequacy of bowel preparation, length of withdrawal time and calculation of caecal intubation rate (CIR), polyp detection rate (PDR) and adenoma detection rate (ADR). We stratified PDR and ADR by sex, age, population group, withdrawal time and bowel preparation. CIR, PDR and ADR estimates were compared between patient groups by the χ2 test; Fisher’s exact test was used for 2 × 2 tables. A p-value <0.05 was used. Benchmark recommendations by the American Society for Gastrointestinal Endoscopy (ASGE)/American College of Gastroenterology (ACG) Task Force on Colorectal Cancer (CRC) were used in this audit to assess individual endoscopist performance and that of the endoscopy unit as a whole.Results. The mean age of patients was 55.7 (standard deviation (SD) 14.4; range 18 - 91) years, ~60% were female, and the majority (75.5%) were white. Of the outpatients, 77.6% had adequate bowel preparation (ASGE/ACG benchmark ≥85%). The CIR was 97.0% overall, and screening colonoscopy was 96.3% (ASGE/ACG benchmark ≥90% overall and ≥95% for screening colonoscopies). The median withdrawal time for negative-result screening colonoscopies was 5.7 minutes (interquartile range (IQR) 4.2 - 9.3; range 1.1 - 20.6) (ASGE/ACG benchmark ≥ 6minutes), and PDR and ADR were 27.6% and 15.6%, respectively (ASGE/ACG benchmark ADR ≥25%). We demonstrated a 23.7% increase in PDR and 14.1% increase in ADR between scopes that had mean withdrawal times of ≥6 minutes and <6 minutes, respectively. Although the number of black Africans in the study was relatively small, our results showed that they have similar ADRs and PDRs to the white population group, contradicting popular belief.Conclusions. The WDGMC OEU performed reasonably well against the international guidelines, despite some inadequacy in bowel preparation and lower than recommended median withdrawal times on negative-result colonoscopy. Annual auditing of clinical practice and availability of these data in the public domain will become standard of care, making this audit a baseline for longitudinal observation, assessing the impact of interventions, and contributing to the development of local guidelines

Quantifying water requirements of African ungulates through a combination of functional traits

Climate and land use change modify surface water availability in African savannas. Surface water is a key resource for both wildlife and livestock and its spatial and temporal distribution is important for understanding the composition of large herbivore assemblages in savannas. Yet, the extent to which ungulate species differ in their water requirements remains poorly quantified. Here, we infer the water requirements of 48 African ungulates by combining six different functional traits related to physiological adaptations to reduce water loss, namely minimum dung moisture, relative dung pellet size, relative surface area of the distal colon, urine osmolality, relative medullary thickness, and evaporation rate. In addition, we investigated how these differences in water requirements relate to differences in dietary water intake. We observed strong correlations between traits related to water loss through dung, urine and evaporation, suggesting that ungulates minimize water loss through multiple pathways simultaneously, which suggests that each trait can thus be used independently to predict water requirements. Furthermore, we found that browsers and grazers had similar water requirements, but browsers are expected to be less dependent on surface water because they acquire more water through their diet. We conclude that these key functional traits are a useful way to determine differences in water requirements and an important tool for predicting changes in herbivore community assembly resulting from changes in surface water availability

Inferior alveolar nerve injury with laryngeal mask airway: a case report

<p>Abstract</p> <p>Introduction</p> <p>The incidence of damage to the individual cranial nerves and their branches associated with laryngeal mask airway use is low; there have been case reports of damage to the lingual nerve, hypoglossal nerve and recurrent laryngeal nerve. To the best of our knowledge we present the first reported case of inferior alveolar nerve injury associated with laryngeal mask airway use.</p> <p>Case presentation</p> <p>A 35-year-old Caucasian man presented to our facility for elective anterior cruciate ligament repair. He had no background history of any significant medical problems. He opted for general anesthesia over a regional technique. He was induced with fentanyl and propofol and a size 4 laryngeal mask airway was inserted without any problems. His head was in a neutral position during the surgery. After surgery in the recovery room, he complained of numbness in his lower lip. He also developed extensive scabbing of the lower lip on the second day after surgery. The numbness and scabbing started improving after a week, with complete recovery after two weeks.</p> <p>Conclusion</p> <p>We report the first case of vascular occlusion and injury to the inferior alveolar nerve, causing scabbing and numbness of the lower lip, resulting from laryngeal mask airway use. This is an original case report mostly of interest for anesthetists who use the laryngeal mask airway in day-to-day practice. Excessive inflation of the laryngeal mask airway cuff could have led to this complication. Despite the low incidence of cranial nerve injury associated with the use of the laryngeal mask airway, vigilant adherence to evidence-based medicine techniques and recommendations from the manufacturer's instructions can prevent such complications.</p