HESS J1507-622: an unique unidentified source off the Galactic Plane

Galactic very high energy (VHE, > 100 GeV) gamma ray sources in the inner Galaxy H.E.S.S. survey tend to cluster within 1 degree in latitude around the Galactic plane. HESS J1507-622 instead is unique, since it is located at latitude of ~3.5 degrees. HESS J1507-622 is slightly extended over the PSF of the instrument and hence its Galactic origin is clear. The search for counterparts in other wavelength regimes (radio, infrared and X-rays) failed to show any plausible counterparts; and given its position off the Galactic plane and hence the absorption almost one order of magnitude lower, it is very surprising to not see any counterparts especially at X-rays wavelengths (by ROSAT, XMM Newton and Chandra). Its latitude implies that it is either rather close, within about 1 kpc, or is located well off the Galactic plane. And also the models reflect the uniqueness of this object: a leptonic PWN scenario would place this source due to its quite small extension to multi-kpc distance whereas a hadronic scenario would preferentially locate this object at distances of < 1 kpc where the density of target material is higher

Feasibility of using teleradiology to improve tuberculosis screening and case management in a district hospital in Malawi.

Malawi has one of the world's highest rates of human immunodeficiency virus (HIV) infection (10.6%), and southern Malawi, where Thyolo district is located, bears the highest burden in the country (14.5%). Tuberculosis, common among HIV-infected people, requires radiologic diagnosis, yet Malawi has no radiologists in public service. This hinders rapid and accurate diagnosis and increases morbidity and mortality

Analysis of hip joint loading during walking with different shoe types using instrumented total hip prostheses

Hip joint loads need careful consideration during postoperative physiotherapy after joint replacement. One factor influencing joint loads is the choice of footwear, but it remains unclear which footwear is favorable. The objective of the present study was to investigate the influence of footwear on hip joint loads in vivo. Instrumented hip endoprostheses were used for in vivo load measurements. The parameters resultant contact force (F-res), bending moment (M-bend) and torsional moment (M-tors) were evaluated during treadmill walking at 4 km/h with different shoe types. In general, footwear tended to increase hip joint loading, with the barefoot shoe having the least influence. F-res and M-bend were significantly increased during heel strike for all shoe types in comparison to barefoot walking, with everyday shoe (34.6%; p=0.028 and 47%; p=0.028, respectively) and men's shoe (33.2%; p=0.043 and 41.1%; p=0.043, respectively) resulting in the highest changes. M-tors at AbsMax was increased by all shoes except for the barefoot shoe, with the highest changes for men's shoe (+17.6%, p=0.043) and the shoe with stiffened sole (+17.5%, p=0.08). Shoes, especially those with stiff soles or elaborate cuishing and guiding elements, increase hip joint loads during walking. The influence on peak loads is higher for M-tors than for F-res and M-bend. For patients in which a reduction of hip joints loads is desired, e.g. during physiotherapy after recent surgery or to alleviate symptoms of osteoarthritis, low profile shoes with a flexible sole may be preferred over shoes with a stiff sole or elaborate cushioning elements

Broadband multi-wavelength campaign on PKS 2005-489

The spectral energy distribution (SED) of high-frequency peaked BL Lac objects (HBL) is characterized by two peaks: one in the UV-X-ray and one in the GeV-TeV regime. An interesting object for analyzing these broadband characteristics is PKS 2005-489, which in 2004 showed the softest TeV spectrum ever measured. In 2009, a multi-wavelength campaign has been conducted with, for the first time, simultaneous observations by H.E.S.S. (TeV), Fermi/LAT (GeV), RXTE (keV), Swift (keV, UV, optical) and ATOM (optical) to cover the two peaks of the SED. During this campaign PKS 2005-489 underwent a high state in all wavebands which gives the opportunity to study in detail the emission processes of a high state of this interesting HBL.Comment: 2009 Fermi Symposium; eConf Proceedings C09112

Evaluation of a chest radiograph reading and recording system for tuberculosis in a HIV-positive cohort.

Aim To assess the impact of introducing a chest radiograph reading and recording system (CRRS) with a short training session, on the accuracy and inter-reader variability of tuberculosis (TB) interpretation of chest radiographs (CXRs) by a group of non-expert readers in a human immunodeficiency virus (HIV)-positive cohort. Materials and methods A set of 139 CXRs was reviewed by a group of eight physicians pre- and post-intervention at two clinics in Shan State, Myanmar, providing HIV/TB diagnosis and treatment services. The results were compared against the consensus of expert radiologists for accuracy. Results Overall accuracy was similar pre- and post-intervention for most physicians with an average area under the receiver operating characteristic curve difference of 0.02 (95% confidence interval: –0.03, 0.07). The overall agreement among physicians was poor pre- and post-intervention (Fleiss κ=0.35 and κ=0.29 respectively). The assessment of agreement for specific disease patterns associated with active TB in HIV-infected patients showed that for intrinsically subtle findings, the agreement was generally poor but better for the more intrinsically obvious disease patterns: pleural effusion (Cohen’s kappa range = 0.37–0.67) and milliary nodular pattern (Cohen’s kappa range = 0.25–0.52). Conclusion This study demonstrated limited impact of the introduction of a CRRS on CXR accuracy and agreement amongst non-expert readers. The role in which CXRs are used for TB diagnosis in a HIV-positive cohort in similar clinical contexts should be reviewed

Locating the VHE source in the Galactic Centre with milli-arcsecond accuracy

Very high-energy gamma-rays (VHE; E>100 GeV) have been detected from the direction of the Galactic Centre up to energies E>10 TeV. Up to now, the origin of this emission is unknown due to the limited positional accuracy of the observing instruments. One of the counterpart candidates is the super-massive black hole (SMBH) Sgr A*. If the VHE emission is produced within ~10^{15} cm ~1000 r_G (r_G=G M/c^2 is the Schwarzschild radius) of the SMBH, a decrease of the VHE photon flux in the energy range 100--300 GeV is expected whenever an early type or giant star approaches the line of sight within ~ milli-arcseconds (mas). The dimming of the flux is due to absorption by pair-production of the VHE photons in the soft photon field of the star, an effect we refer to as pair-production eclipse (PPE). Based upon the currently known orbits of stars in the inner arcsecond of the Galaxy we find that PPEs lead to a systematic dimming in the 100--300 GeV band at the level of a few per cent and lasts for several weeks. Since the PPE affects only a narrow energy band and is well correlated with the passage of the star, it can be clearly discriminated against other systematic or even source-intrinsic effects. While the effect is too small to be observable with the current generation of VHE detectors, upcoming high count-rate experiments like the Cherenkov telescope array (CTA) will be sufficiently sensitive. Measuring the temporal signature of the PPE bears the potential to locate the position and size of the VHE emitting region within the inner 1000 r_G or in the case of a non-detection exclude the immediate environment of the SMBH as the site of gamma-ray production altogether.Comment: 7 pages, published in MNRAS 402, pg. 1342-134

TSH-CHECK-1 test: diagnostic accuracy and potential application to initiating treatment for hypothyroidism in patients on anti-tuberculosis drugs.

Thyroid-stimulating hormone (TSH) promotes expression of thyroid hormones which are essential for metabolism, growth, and development. Second-line drugs to treat tuberculosis (TB) can cause hypothyroidism by suppressing thyroid hormone synthesis. Therefore, TSH levels are routinely measured in TB patients receiving second-line drugs, and thyroxin treatment is initiated where indicated. However, standard TSH tests are technically demanding for many low-resource settings where TB is prevalent; a simple and inexpensive test is urgently needed