An unexpected diagnosis of methicillin-resistant Staphylococcus aureus septic arthritis

Hand infections can result in serious tissue damage and gross functional impairment. This is particularly true in the case of septic arthritis, the most destructive of all joint disease. We report the first case of methicillin-resistant Staphylococcus aureus septic arthritis of the distal interphalangeal joint to have occurred in a patient devoid of all risk factors traditionally associated with a hospital-associated infection (HA-MRSA). The afflicted patient's only exposure to the pathogen was during her role as a community carer for an asymptomatic carrier. Delayed treatment allowed the infection to rapidly destroy surrounding soft tissue and necessitate in the need for arthrodesis. It is, therefore imperative that clinicians maintain a low index of suspicion for methicillin-resistant Staphylococcus aureus as the causative pathogen in similar cases. Consequently, consideration of empirical antibiotic therapy for this patient subgroup is discussed

The Bolocam Galactic Plane Survey. XII. Distance Catalog Expansion Using Kinematic Isolation of Dense Molecular Cloud Structures With 13CO(1-0)

We present an expanded distance catalog for 1,710 molecular cloud structures identified in the Bolocam Galactic Plane Survey (BGPS) version 2, representing a nearly threefold increase over the previous BGPS distance catalog. We additionally present a new method for incorporating extant data sets into our Bayesian distance probability density function (DPDF) methodology. To augment the dense-gas tracers (e.g., HCO+(3-2), NH3(1,1)) used to derive line-of-sight velocities for kinematic distances, we utilize the Galactic Ring Survey 13CO(1-0) data to morphologically extract velocities for BGPS sources. The outline of a BGPS source is used to select a region of the GRS 13CO data, along with a reference region to subtract enveloping diffuse emission, to produce a line profile of 13CO matched to the BGPS source. For objects with a HCO+(3-2) velocity, \approx 95% of the new 13CO(1-0) velocities agree with that of the dense gas. A new prior DPDF for kinematic distance ambiguity (KDA) resolution, based on a validated formalism for associating molecular cloud structures with known objects from the literature, is presented. We demonstrate this prior using catalogs of masers with trigonometric parallaxes and HII regions with robust KDA resolutions. The distance catalog presented here contains well-constrained distance estimates for 20% of BGPS V2 sources, with typical distance uncertainties \lesssim 0.5 kpc. Approximately 75% of the well-constrained sources lie within 6 kpc of the Sun, concentrated in the Scutum-Centarus arm. Galactocentric positions of objects additionally trace out portions of the Sagittarius, Perseus, and Outer arms in the first and second Galactic quadrants, and we also find evidence for significant regions of interarm dense gas.Comment: 28 pages, 19 figures. Accepted for publication in ApJ. Distance-Omnibus code available at https://github.com/BGPS/distance-omnibu

The Bolocam Galactic Plane Survey. XIII. Physical Properties and Mass Functions of Dense Molecular Cloud Structures

We use the distance probability density function (DPDF) formalism of Ellsworth-Bowers et al. (2013, 2015) to derive physical properties for the collection of 1,710 Bolocam Galactic Plane Survey (BGPS) version 2 sources with well-constrained distance estimates. To account for Malmquist bias, we estimate that the present sample of BGPS sources is 90% complete above 400 $M_\odot$ and 50% complete above 70 $M_\odot$. The mass distributions for the entire sample and astrophysically motivated subsets are generally fitted well by a lognormal function, with approximately power-law distributions at high mass. Power-law behavior emerges more clearly when the sample population is narrowed in heliocentric distance (power-law index $\alpha = 2.0\pm0.1$ for sources nearer than 6.5 kpc and $\alpha = 1.9\pm0.1$ for objects between 2 kpc and 10 kpc). The high-mass power-law indices are generally $1.85 \leq \alpha \leq 2.05$ for various subsamples of sources, intermediate between that of giant molecular clouds and the stellar initial mass function. The fit to the entire sample yields a high-mass power-law $\hat{\alpha} = 1.94_{-0.10}^{+0.34}$. Physical properties of BGPS sources are consistent with large molecular cloud clumps or small molecular clouds, but the fractal nature of the dense interstellar medium makes difficult the mapping of observational categories to the dominant physical processes driving the observed structure. The face-on map of the Galactic disk's mass surface density based on BGPS dense molecular cloud structures reveals the high-mass star-forming regions W43, W49, and W51 as prominent mass concentrations in the first quadrant. Furthermore, we present a 0.25-kpc resolution map of the dense gas mass fraction across the Galactic disk that peaks around 5%.Comment: Accepted for publication in ApJ; 32 pages, 21 figure

The Bolocam Galactic Plane Survey IX: Data Release 2 and Outer Galaxy Extension

We present a re-reduction and expansion of the Bolocam Galactic Plane Survey, first presented by Aguirre et al. (2011) and Rosolowsky et al. (2010). The BGPS is a 1.1 mm survey of dust emission in the Northern galactic plane, covering longitudes -10 < \ell < 90 and latitudes |b| < 0.5 with a typical 1-\sigma RMS sensitivity of 30-100 mJy in a 33" beam. Version 2 of the survey includes an additional 20 square degrees of coverage in the 3rd and 4th quadrants and 2 square degrees in the 1st quadrant. The new data release has improved angular recovery, with complete recovery out to 80" and partial recovery to 300", and reduced negative bowls around bright sources resulting from the atmospheric subtraction process. We resolve the factor of 1.5 flux calibration offset between the v1.0 data release and other data sets and determine that there is no offset between v2.0 and other data sets. The v2.0 pointing accuracy is tested against other surveys and demonstrated to be accurate and an improvement over v1.0. We present simulations and tests of the pipeline and its properties, including measurements of the pipeline's angular transfer function. The Bolocat cataloging tool was used to extract a new catalog, which includes 8594 sources, with 591 in the expanded regions. We have demonstrated that the Bolocat 40" and 80" apertures are accurate even in the presence of strong extended background emission. The number of sources is lower than in v1.0, but the amount of flux and area included in identified sources is larger.Comment: 36 pages, 16 figures, accepted to ApJS. Data available from http://irsa.ipac.caltech.edu/data/BOLOCAM_GPS

The Bolocam Galactic Plane Survey. XIV. Physical Properties of Massive Starless and Star Forming Clumps

We sort $4683$ molecular clouds between $10^\circ< \ell <65^\circ$ from the Bolocam Galactic Plane Survey based on observational diagnostics of star formation activity: compact $70$ $\mu{\rm m}$ sources, mid-IR color-selected YSOs, ${\rm H_2O}$ and ${\rm CH_3OH}$ masers, and UCHII regions. We also present a combined ${\rm NH_3}$-derived gas kinetic temperature and ${\rm H_2O}$ maser catalog for $1788$ clumps from our own GBT 100m observations and from the literature. We identify a subsample of $2223$ ($47.5\%$) starless clump candidates, the largest and most robust sample identified from a blind survey to date. Distributions of flux density, flux concentration, solid angle, kinetic temperature, column density, radius, and mass show strong ($>1$ dex) progressions when sorted by star formation indicator. The median starless clump candidate is marginally sub-virial ($\alpha \sim 0.7$) with $>75\%$ of clumps with known distance being gravitationally bound ($\alpha < 2$). These samples show a statistically significant increase in the median clump mass of $\Delta M \sim 170-370$ M$_\odot$ from the starless candidates to clumps associated with protostars. This trend could be due to (i) mass growth of the clumps at $\dot{M}\sim200-440$ Msun Myr$^{-1}$ for an average free-fall $0.8$ Myr time-scale, (ii) a systematic factor of two increase in dust opacity from starless to protostellar phases, (iii) and/or a variation in the ratio of starless to protostellar clump lifetime that scales as $\sim M^{-0.4}$. By comparing to the observed number of ${\rm CH_3OH}$ maser containing clumps we estimate the phase-lifetime of massive ($M>10^3$ M$_\odot$) starless clumps to be $0.37 \pm 0.08 \ {\rm Myr} \ (M/10^3 \ {\rm M}_\odot)^{-1}$; the majority ($M<450$ M$_\odot$) have phase-lifetimes longer than their average free-fall time.Comment: Accepted for publication in ApJ; 33 pages; 22 figures; 7 table

The Spitzer c2d Survey of Nearby Dense Cores: III: Low Mass Star Formation in a Small Group, L1251B

We present a comprehensive study of a low-mass star-forming region,L1251B, at wavelengths from the near-infrared to the millimeter. L1251B, where only one protostar, IRAS 22376+7455, was known previously, is confirmed to be a small group of protostars based on observations with the Spitzer Space Telescope. The most luminous source of L1251B is located 5" north of the IRAS position. A near-infrared bipolar nebula, which is not associated with the brightest object and is located at the southeast corner of L1251B, has been detected in the IRAC bands. OVRO and SMA interferometric observations indicate that the brightest source and the bipolar nebula source in the IRAC bands are deeply embedded disk sources.Submillimeter continuum observations with single-dish telescopes and the SMA interferometric observations suggest two possible prestellar objects with very high column densities. Outside of the small group, many young stellar object candidates have been detected over a larger region of 12' x 12'. Extended emission to the east of L1251B has been detected at 850 micron; this "east core" may be a site for future star formation since no point source has been detected with IRAC or MIPS. This region is therefore a possible example of low-mass cluster formation, where a small group of pre- and protostellar objects (L1251B) is currently forming, alongside a large starless core (the east core).Comment: 35 pages, 15 figures, accepted for publication in ApJ, for the full resolution paper, visit "http://peggysue.as.utexas.edu/SIRTF/PAPERS/pap27.pub.pdf

Computational Ranking of Yerba Mate Small Molecules Based on Their Predicted Contribution to Antibacterial Activity against Methicillin-Resistant Staphylococcus aureus

The aqueous extract of yerba mate, a South American tea beverage made from Ilex paraguariensis leaves, has demonstrated bactericidal and inhibitory activity against bacterial pathogens, including methicillin-resistant Staphylococcus aureus (MRSA). The gas chromatography-mass spectrometry (GC-MS) analysis of two unique fractions of yerba mate aqueous extract revealed 8 identifiable small molecules in those fractions with antimicrobial activity. For a more comprehensive analysis, a data analysis pipeline was assembled to prioritize compounds for antimicrobial testing against both MRSA and methicillin-sensitive S.aureus using forty-two unique fractions of the tea extract that were generated in duplicate, assayed for activity, and analyzed with GC-MS. As validation of our automated analysis, we checked our predicted active compounds for activity in literature references and used authentic standards to test for antimicrobial activity. 3,4-dihydroxybenzaldehyde showed the most antibacterial activity against MRSA at low concentrations in our bioassays. In addition, quinic acid and quercetin were identified using random forests analysis and 5-hydroxy pipecolic acid was identified using linear discriminant analysis. We also generated a ranked list of unidentified compounds that may contribute to the antimicrobial activity of yerba mate against MRSA. Here we utilized GC-MS data to implement an automated analysis that resulted in a ranked list of compounds that likely contribute to the antimicrobial activity of aqueous yerba mate extract against MRSA