Case Study: An unusual case of Wernicke’s encephalopathy - Thiamin deficiency in advanced gastric adenocarcinoma

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Rapunzel syndrome: A South African variety

Trichobezoars are intraluminal accretions of ingested hair. Rapunzel syndrome is a rare and extreme presentation, with the trichobezoar extending into the small intestine. It is most frequently reported in children and psychiatric patients. We report a South African series of 5 patients who presented with trichobezoars. Each patient was retrospectively reviewed and analysed with regard to background, demographics, clinical presentation, diagnosis, surgical management and complications. Five female patients with a median age of 19 (range 12 - 27) years presented with clinical symptoms, including early satiety, intermittent vomiting with gastric outlet obstruction, abdominal pain and weight loss. The diagnosis was made by endoscopy, abdominal computed tomography (CT) imaging, barium meal examination or plain abdominal radiography. Two patients presented with sealed/contained gastric perforations, and 1 patient with a smallbowel perforation. All 5 bezoars, 2 of which consisted entirely of artificial hair extensions, extended into the jejunum, the longest measuring 1.4 m. All were removed by laparotomy. While trichobezoars are a rare entity, they may present with significant complications, such as obstructions and perforations. In view of the infection risk and considerable size of many of these bezoars, an open removal is probably safer than any minimally invasive attempt.S Afr Med J 2018;108(7):559-562

Radial Velocities of Six OB Stars

We present new results from a radial velocity study of six bright OB stars with little or no prior measurements. One of these, HD 45314, may be a long-period binary, but the velocity variations of this Be star may be related to changes in its circumstellar disk. Significant velocity variations were also found for HD 60848 (possibly related to nonradial pulsations) and HD 61827 (related to wind variations). The other three targets, HD 46150, HD 54879, and HD 206183, are constant velocity objects, but we note that HD 54879 has H$\alpha$ emission that may originate from a binary companion. We illustrate the average red spectrum of each target.Comment: Accepted for publication in PASP July 2007 issu

Spectroscopic analysis of the B/Be visual binary HR 1847

We studied both components of a slightly overlooked visual binary HR 1847 spectroscopically to determine its basic physical and orbital parameters. Basic stellar parameters were determined by comparing synthetic spectra to the observed echelle spectra, which cover both the optical and near-IR regions. New observations of this system used the Ond\v{r}ejov and Rozhen 2-m telescopes and their coud\'e spectrographs. Radial velocities from individual spectra were measured and then analysed with the code {\FOTEL} to determine orbital parameters. The spectroscopic orbit of HR 1847A is presented for the first time. It is a single-lined spectroscopic binary with a B-type primary, a period of 719.79 days, and a highly eccentric orbit with e=0.7. We confirmed that HR 1847B is a Be star. Its H\alpha emission significantly decreased from 2003 to 2008. Both components have a spectral type B7-8 and luminosity class IV-V.Comment: Astronomy and Astrophysics, accepte

Optically Thick Radio Cores of Narrow-Waist Bipolar Nebulae

We report our search for optically thick radio cores in sixteen narrow-waist bipolar nebulae. Optically thick cores are a characteristic signature of collimated ionized winds. Eleven northern nebulae were observed with the Very Large Array (VLA) at 1.3 cm and 0.7 cm, and five southern nebulae were observed with the Australia Telescope Compact Array (ATCA) at 6 cm and 3.6 cm. Two northern objects, 19W32 and M 1-91, and three southern objects, He 2-25, He 2-84 and Mz 3, were found to exhibit a compact radio core with a rising spectrum consistent with an ionized jet. Such jets have been seen in M 2-9 and may be responsible for shaping bipolar structure in planetary nebulae.Comment: 29 pages, accepted for publication in Ap

The Long Period, Massive Binaries HD 37366 and HD 54662: Potential Targets for Long Baseline Optical Interferometry

We present the results from an optical spectroscopic analysis of the massive stars HD 37366 and HD 54662. We find that HD 37366 is a double-lined spectroscopic binary with a period of 31.8187 +/- 0.0004 days, and HD 54662 is also a double lined binary with a much longer period of 557.8 +/- 0.3 days. The primary of HD 37366 is classified as O9.5 V, and it contributes approximately two-thirds of the optical flux. The less luminous secondary is a broad-lined, early B-type main-sequence star. Tomographic reconstruction of the individual spectra of HD 37366 reveals absorption lines present in each component, enabling us to constrain the nature of the secondary and physical characteristics of both stars. Tomographic reconstruction was not possible for HD 54662; however, we do present mean spectra from our observations that show that the secondary component is approximately half as bright as the primary. The observed spectral energy distributions (SEDs) were fit with model SEDs and galactic reddening curves to determine the angular sizes of the stars. By assuming radii appropriate for their classifications, we determine distance ranges of 1.4 - 1.9 and 1.2 - 1.5 kpc for HD 37366 and HD 54662, respectively.Comment: 27 pages, 8 figures, Accepted for publication in Ap

A Spectroscopic Study of Field and Runaway OB Stars

Identifying binaries among runaway O- and B-type stars offers valuable insight into the evolution of open clusters and close binary stars. Here we present a spectroscopic investigation of 12 known or suspected binaries among field and runaway OB stars. We find new orbital solutions for five single-lined spectroscopic binaries (HD 1976, HD 14633, HD 15137, HD 37737, and HD 52533), and we classify two stars thought to be binaries (HD 30614 and HD 188001) as single stars. In addition, we reinvestigate their runaway status using our new radial velocity data with the UCAC2 proper motion catalogs. Seven stars in our study appear to have been ejected from their birthplaces, and at least three of these runaways are spectroscopic binaries and are of great interest for future study.Comment: 21 pages, 1 figure, 7 tables; Accepted to Ap

On the nature of the Be star HR 7409 (7 Vul)

HR 7409 (7 Vul) is a newly identified Be star possibly part of the Gould Belt and is the massive component of a 69-day spectroscopic binary. The binary parameters and properties of the Be star measured using high-dispersion spectra obtained at Ondrejov Observatory and at Rozhen Observatory imply the presence of a low mass companion (~ 0.5-0.8 M_sun). If the pair is relatively young (<50-80 Myr), then the companion is a K V star, but, following another, older evolutionary scenario, the companion is a horizontal-branch star or possibly a white dwarf star. In the latter scenario, a past episode of mass transfer from an evolved star onto a less massive dwarf star would be responsible for the peculiar nature of the present-day, fast-rotating Be star.Comment: Accepted for publication in MNRA

Rapunzel syndrome: A South African variety

Trichobezoars are intraluminal accretions of ingested hair. Rapunzel syndrome is a rare and extreme presentation, with the trichobezoar extending into the small intestine. It is most frequently reported in children and psychiatric patients. We report a South African series of 5 patients who presented with trichobezoars. Each patient was retrospectively reviewed and analysed with regard to background, demographics, clinical presentation, diagnosis, surgical management and complications. Five female patients with a median age of 19 (range 12 - 27) years presented with clinical symptoms, including early satiety, intermittent vomiting with gastric outlet obstruction, abdominal pain and weight loss. The diagnosis was made by endoscopy, abdominal computed tomography (CT) imaging, barium meal examination or plain abdominal radiography. Two patients presented with sealed/contained gastric perforations, and 1 patient with a small-bowel perforation. All 5 bezoars, 2 of which consisted entirely of artificial hair extensions, extended into the jejunum, the longest measuring 1.4 m. All were removed by laparotomy. While trichobezoars are a rare entity, they may present with significant complications, such as obstructions and perforations. In view of the infection risk and considerable size of many of these bezoars, an open removal is probably safer than any minimally invasive attempt

Rapunzel syndrome: A South African variety

Trichobezoars are intraluminal accretions of ingested hair. Rapunzel syndrome is a rare and extreme presentation, with the trichobezoar extending into the small intestine. It is most frequently reported in children and psychiatric patients. We report a South African series of 5 patients who presented with trichobezoars. Each patient was retrospectively reviewed and analysed with regard to background, demographics, clinical presentation, diagnosis, surgical management and complications. Five female patients with a median age of 19 (range 12 - 27) years presented with clinical symptoms, including early satiety, intermittent vomiting with gastric outlet obstruction, abdominal pain and weight loss. The diagnosis was made by endoscopy, abdominal computed tomography (CT) imaging, barium meal examination or plain abdominal radiography. Two patients presented with sealed/contained gastric perforations, and 1 patient with a small-bowel perforation. All 5 bezoars, 2 of which consisted entirely of artificial hair extensions, extended into the jejunum, the longest measuring 1.4 m. All were removed by laparotomy. While trichobezoars are a rare entity, they may present with significant complications, such as obstructions and perforations. In view of the infection risk and considerable size of many of these bezoars, an open removal is probably safer than any minimally invasive attempt