Propionibacterium acnes infections in patients with idiopathic scoliosis: a case-control study and review of the literature.

Purpose:Surgical site infection (SSI) caused by Propionibacterium acnes is an infrequent but devastating complication after spinal fusion. The purpose of this study was to identify risk factors for SSI with Propionibacterium acnes after spinal fusion for juvenile and adolescent idiopathic scoliosis (JIS and AIS). Methods:A case-control study was performed. Each case was matched 2:1 for age, gender and diagnosis. Retrospective chart review was performed to obtain relevant demographic, surgical and clinical data for all cases and controls. Statistical analysis included paired t-test and McNemar test, as well as exact logistic regression and robust regression models. Results:This study included ten infection cases (eight AIS, two JIS) and 20 controls (16 AIS, four JIS). In total, six infected cases presented within two weeks of the index procedure (acute infection) and four infected cases presented more than one year from the index procedure (delayed infection). The most common presentation for acute infections was wound drainage, while back pain was more common in delayed infections. All infections were successfully treated with surgical irrigation and debridement and postoperative antibiotics. Hardware was removed for patients with delayed infections. The strongest risk factor for infection was increased requirement for blood transfusion, but it did not reach statistical significance. Conclusion:SSI with Propionibacterium acnes is an important complication after spinal fusion for idiopathic scoliosis. These infections can be successfully treated, but larger studies are needed to further identify risk factors and establish standardized guidelines for the treatment and prevention of this complication. Level of Evidence Level III

Previous reproductive history and post-natal family planning among HIV-infected women in Ukraine

BACKGROUND: Ukraine has the highest antenatal HIV prevalence in Europe. The national prevention of mother-to-child transmission (MTCT) programme has reduced the MTCT rate, but less attention has been given to the prevention of unintended pregnancy among HIV-positive women. Our objectives were to describe the reproductive health, condom use and family planning (FP) practices of HIV-positive childbearing Ukrainian women and to identify factors associated with different methods of post-natal contraception. METHODS: HIV-infected childbearing women, diagnosed before or during pregnancy, were enrolled prospectively in a post-natal cohort study in four regional HIV/AIDS centres in Ukraine from December 2007. Logistic regression models were used to identify factors associated with post-natal FP practices. RESULTS: Data were available for 371 women enrolled by March 2009; 82% (n = 303) were married or cohabiting, 27% (97 of 363) reported a current HIV-negative sexual partner and 69% were diagnosed with HIV during their most recent pregnancy. Overall, 21% (75 of 349) of women were not using contraception post-natally (of whom 80% reported no current sexual activity), 50% (174 of 349) used condoms, 20% (74 of 349) relied solely/partially on coitus interruptus and 4% used hormonal methods or intrauterine device. Among married/cohabiting women, consistent use of condoms in the previous pregnancy [AOR 1.96 (95%CI 1.06–3.62)], having an HIV-positive partner [AOR 0.42 (0.20–0.87)], current sexual activity [AOR 4.53 (1.19–17.3)] and study site were significantly associated with post-natal condom use; 16% of those with HIV-negative partners did not use condoms. Risk factors for non-use of FP were lack of affordability [AOR 6.34 (1.73–23.2)] and inconsistent use of condoms in the previous pregnancy [AOR 7.25 (1.41–37.2)]. CONCLUSIONS: More than 40% of HIV-positive women in this population are at risk of unintended pregnancy and the one in six women in HIV-discordant couples not using barrier methods risk transmitting HIV to their partners. Our study results are limited by the observational nature of the data and the potential for both measured and unmeasured confounding

Stochastic Flux-Freezing and Magnetic Dynamo

We argue that magnetic flux-conservation in turbulent plasmas at high magnetic Reynolds numbers neither holds in the conventional sense nor is entirely broken, but instead is valid in a novel statistical sense associated to the "spontaneous stochasticity" of Lagrangian particle tra jectories. The latter phenomenon is due to the explosive separation of particles undergoing turbulent Richardson diffusion, which leads to a breakdown of Laplacian determinism for classical dynamics. We discuss empirical evidence for spontaneous stochasticity, including our own new numerical results. We then use a Lagrangian path-integral approach to establish stochastic flux-freezing for resistive hydromagnetic equations and to argue, based on the properties of Richardson diffusion, that flux-conservation must remain stochastic at infinite magnetic Reynolds number. As an important application of these results we consider the kinematic, fluctuation dynamo in non-helical, incompressible turbulence at unit magnetic Prandtl number. We present results on the Lagrangian dynamo mechanisms by a stochastic particle method which demonstrate a strong similarity between the Pr = 1 and Pr = 0 dynamos. Stochasticity of field-line motion is an essential ingredient of both. We finally consider briefly some consequences for nonlinear MHD turbulence, dynamo and reconnectionComment: 29 pages, 10 figure

High Energy gamma-rays From FR I Jets

Thanks to Hubble and Chandra telescopes, some of the large scale jets in extragalactic radio sources are now being observed at optical and X-ray frequencies. For the FR I objects the synchrotron nature of this emission is surely established, although a lot of uncertainties - connected for example with the particle acceleration processes involved - remain. In this paper we study production of high energy gamma-rays in FR I kiloparsec-scale jets by inverse-Compton emission of the synchrotron-emitting electrons. We consider different origin of seed photons contributing to the inverse-Compton scattering, including nuclear jet radiation as well as ambient, stellar and circumstellar emission of the host galaxies. We discuss how future detections or non-detections of the evaluated gamma-ray fluxes can provide constraints on the unknown large scale jet parameters, i.e. the magnetic field intensity and the jet Doppler factor. For the nearby sources Centaurus A and M 87, we find measurable fluxes of TeV photons resulting from synchrotron self-Compton process and from comptonisation of the galactic photon fields, respectively. In the case of Centaurus A, we also find a relatively strong emission component due to comptonisation of the nuclear blazar photons, which could be easily observed by GLAST at energy ~10 GeV, providing important test for the unification of FR I sources with BL Lac objects.Comment: 39 pages, 6 figures included. Modified version, accepted for publication in Astrophysical Journa

Polarization and photometric observations of the gamma-ray blazar PG 1553+113

We present the results of an observational photo-polarimetry campaign of the blazar PG 1553+113 at optical wavelengths. The blazar was recently detected at very high energies (> 100 GeV) by the H.E.S.S and MAGIC gamma-ray Cherenkov telescopes. Our high-temporal resolution data show significant variations in the linear polarization percentage and position angle at inter-night time-scales, while at shorter (intra-night) time-scales both parameters varied less significantly, if at all. Changes in the polarization angle seem to be common in gamma-ray emitting blazars. Simultaneous differential photometry (through the B and R bands) shows no significant variability in the total optical flux. We provide B and R magnitudes, along with a finding chart, for a set of field stars suitable for differential photometry.Comment: 4 pages, 3 figures. To be published by Astronomy and Astrophysic

A Sample of Low Redshift BL Lacs. I. The Radio Data

We present a new sample of 30 nearby (z<0.2) BL Lacs, selected to study the nuclear as well as the large scale properties of low power radio sources. In this first paper, we show and discuss new radio data taken with the VLA (19 objects at 1.4 GHz, either in A or C configuration, or both) as well as with the VLBA (15 sources at 5 GHz). On the kiloparsec scale, all objects exhibit a compact core and a variety of radio morphologies (jets, halos, secondary compact components). On the parsec scale, we find weak cores and a few short, one-sided, jets. From the jet/counter-jet ratio, core dominance, and synchrotron self Compton model we estimate the intrinsic orientation and velocity of the jets. The resulting properties of BL Lacs are similar to those of a parent population composed of FR I radio galaxies.Comment: 46 pages, 12 figures, accepted for publication in Ap

The Sedentary Multi-Frequency Survey. I. Statistical Identification and Cosmological Properties of HBL BL Lacs

We have assembled a multi-frequency database by cross-correlating the NVSS catalog of radio sources with the RASSBSC list of soft X-ray sources, obtaining optical magnitude estimates from the Palomar and UK Schmidt surveys as provided by the APM and COSMOS on-line services. By exploiting the nearly unique broad-band properties of High-Energy Peaked (HBL) BL Lacs we have statistically identified a sample of 218 objects that is expected to include about 85% of BL Lacs and that is therefore several times larger than all other published samples of HBLs. Using a subset (155 objects) that is radio flux limited and statistically well-defined we have derived the \vovm distribution and the LogN-LogS of extreme HBLs (fx/fr >= 3E-10 erg/cm2/s/Jansky) down to 3.5 mJy. We find that the LogN-LogS flattens around 20 mJy and that = 0.42 +/- 0.02. This extends to the radio band earlier results, based on much smaller X-ray selected samples, about the anomalous cosmological observational properties of HBL BL Lacs. A comparison with the expected radio LogN-LogS of all BL Lacs (based on a beaming model) shows that extreme HBLs make up roughly 2% of the BL Lac population, independently of radio flux. This result, together with the flatness of the radio logN-logS at low fluxes, is in contrast with the predictions of a recent model which assumes an anti-correlation between peak frequency and bolometric luminosity. The extreme fx/fr flux ratios and high X-ray fluxes of these BL Lacs makes them good candidate TeV sources, some of the brighter (and closer) ones possibly detectable with the current generation of Cerenkov telescopes.Comment: 11 pages, LaTeX, 6 ps figures. Accepted for publication in MNRA

Canonical Particle Acceleration in FRI Radio Galaxies

Matched resolution multi-frequency VLA observations of four radio galaxies are used to derive the asymptotic low energy slope of the relativistic electron distribution. Where available, low energy slopes are also determined for other sources in the literature. They provide information on the acceleration physics independent of radiative and other losses, which confuse measurements of the synchrotron spectra in most radio, optical and X-ray studies. We find a narrow range of inferred low energy electron energy slopes, n(E)=const*E^-2.1 for the currently small sample of lower luminosity sources classified as FRI (not classical doubles). This distribution is close to, but apparently inconsistent with, the test particle limit of n(E)=const*E^-2.0 expected from strong diffusive shock acceleration in the non-relativistic limit. Relativistic shocks or those modified by the back-pressure of efficiently accelerated cosmic rays are two alternatives to produce somewhat steeper spectra. We note for further study the possiblity of acceleration through shocks, turbulence or shear in the flaring/brightening regions in FRI jets as they move away from the nucleus. Jets on pc scales and the collimated jets and hot spots of FRII (classical double) sources would be governed by different acceleration sites and mechanisms; they appear to show a much wider range of spectra than for FRI sources.Comment: 16 figures, including 5 color. Accepted to Astrophysical Journa

The Herschel Virgo Cluster Survey: VI. The far-infrared view of M87

The origin of the far-infrared emission from the nearby radio galaxy M87 remains a matter of debate. Some studies find evidence of a far-infrared excess due to thermal dust emission, whereas others propose that the far-infrared emission can be explained by synchrotron emission without the need for an additional dust emission component. We present Herschel PACS and SPIRE observations of M87, taken as part of the science demonstration phase observations of the Herschel Virgo Cluster Survey. We compare these data with a synchrotron model based on mid-infrared, far-infrared, submm and radio data from the literature to investigate the origin of the far-infrared emission. Both the integrated SED and the Herschel surface brightness maps are adequately explained by synchrotron emission. At odds with previous claims, we find no evidence of a diffuse dust component in M87, which is not unexpected in the harsh X-ray environment of this radio galaxy sitting at the core of the Virgo Cluster.Comment: Letter accepted for publication in A&A (Herschel special issue