The Role of Binary Pulsars in Testing Gravity Theories

Radio pulsars are neutron stars (NSs) which emit collimated beams of radio waves, observed as pulses, once per rotation of the NS. A subgroup of the radio pulsars behave as highly stable clocks and monitoring the times of arrival of their radio pulses can provide an accurate determination of their positional, rotational, and orbital parameters, as well as indications on the properties of their space-time environment. In this chapter, we focus on the so-called relativistic binary pulsars, recycled NSs orbiting around a compact companion star. Some of them can be used as unique tools to test general relativity and other gravitational theories. The methodology for exploiting these sources as laboratories for gravity theories is first explained and then some of the most relevant recent results are reviewed. <P /

Depression is associated with poorer outcome of lumbar spinal stenosis surgery

The objective of this observational prospective study was to investigate the effect of depression on short-term outcome after lumbar spinal stenosis (LSS) surgery. Surgery was performed on 99 patients with clinically and radiologically defined LSS, representing ordinary LSS patients treated at the secondary care level. They completed questionnaires before surgery and 3 months postoperatively. Depression was assessed with the 21-item Beck Depression Inventory (BDI). Physical functioning and pain were assessed with Oswestry disability index, Stucki Questionnaire, self-reported walking ability, visual analogue scale (VAS) and pain drawing. Preoperatively, 20% of the patients had depression. In logistic regression analyses, significant associations were seen between preoperative depression and postoperative high Oswestry disability and Stucki severity scores and high intensity of pain (VAS score). In subsequent analyses, the patients with continuous depression, measured with BDI (60% of the patients who had preoperative depression), showed fewer improvements in symptom severity, disability score, pain intensity and walking capacity than the patients who did not experience depression at any phase. In those patients who recovered from depression, according to BDI-scores (35% of the patients with preoperative depression), the postoperative improvement was rather similar to the improvement seen in the normal mood group. In the surgical treatment of LSS, we recommend that the clinical practice should include an assessment of depression