Gonococcal osteomyelitis in a pediatric patient with disseminated gonococcal infection: Implications for antimicrobial management

© 2020 The Authors We report a case of a female teenager with gonococcal septic arthritis of the right shoulder that also caused osteomyelitis of the humeral head. Infection with Neisseria gonorrhoeae is a frequently diagnosed sexually transmitted infection in the sexually active teenage population and disseminated gonococcal infection (DGI) is the most common systemic manifestation of acute gonorrhea. DGI commonly involves acute arthritis, tenosynovitis and dermatitis with less common complications of endocarditis, hepatitis and meningitis. In contrast, osteomyelitis has only rarely been reported as a result of gonococcal infection. Clinicians need to be aware of this unusual manifestation of DGI as a prolonged duration of antimicrobial treatment may be needed to assure complete resolution of this infection

Photometric, Spectroscopic and Orbital Period Study of Three Early Type Semi-detached Systems: XZ Aql, UX Her and AT Peg

In this paper we present a combined photometric, spectroscopic and orbital period study of three early-type eclipsing binary systems: XZ Aql, UX Her, and AT Peg. As a result, we have derived the absolute parameters of their components and, on that basis, we discuss their evolutionary states. Furthermore, we compare their parameters with those of other binary systems and with the theoretical models. An analysis of all available up-to-date times of minima indicated that all three systems studied here show cyclic orbital changes, their origin is discussed in detail. Finally, we performed a frequency analysis for possible pulsational behavior and as a result we suggest that XZ Aql hosts a {\delta} Scuti component.Comment: 40 pages, 16 figure

Mechanical reinforcement and water repellency induced to cellulose sheets by a polymer treatment

The present study reports a simple method to control the mechanical and surface properties of cellulose fiber networks and to protect them from humidity, without altering their initial morphology. This is achieved by dip coating the fiber networks in solutions containing different amounts of ethyl cyanoacrylate monomer (ECA). Under ambient humidity and due to the presence of the -OH groups of the cellulose, the ECA polymerizes around each individual cellulosic fiber forming a thin poly(ethyl cyanoacrylate) (PECA) shell. PECA was found to interact with the cellulose surface via hydrogen bonding as evidenced by Fourier transform infrared spectroscopy and thermogravimetric analysis measurements. The detailed surface characterization reveals that only 3.5 wt% of ECA in solution is sufficient to form compact PECA cladding around every cellulose fiber. After the proposed treatment the cellulose sheets become hydrophobic, well protected from the environmental humidity and with increased Young's modulus

Precursor flares in OJ 287

We have studied three most recent precursor flares in the light curve of the blazar OJ 287 while invoking the presence of a precessing binary black hole in the system to explain the nature of these flares. Precursor flare timings from the historical light curves are compared with theoretical predictions from our model that incorporate effects of an accretion disk and post-Newtonian description for the binary black hole orbit. We find that the precursor flares coincide with the secondary black hole descending towards the accretion disk of the primary black hole from the observed side, with a mean z-component of approximately z_c = 4000 AU. We use this model of precursor flares to predict that precursor flare of similar nature should happen around 2020.96 before the next major outburst in 2022.Comment: to appear in the Astrophysical Journa

CoBiToM Project -- II: Evolution of contact binary systems close to the orbital period cut-off

Ultra-short orbital period contact binaries (Porb < 0.26 d) host some of the smallest and least massive stars. These systems are faint and rare, and it is believed that they have reached a contact configuration after several Gyrs of evolution via angular momentum loss, mass transfer and mass loss through stellar wind processes. This study is conducted in the frame of Contact Binaries Towards Merging (CoBiToM) Project and presents the results from light curve and orbital analysis of 30 ultra-short orbital period contact binaries, with the aim to investigate the possibility of them being red nova progenitors, eventually producing merger events. Approximately half of the systems exhibit orbital period modulations, as a result of mass transfer or mass loss processes. Although they are in contact, their fill-out factor is low (less than 30 per cent), while their mass ratio is larger than the one in longer period contact binaries. The present study investigates the orbital stability of these systems and examines their physical and orbital parameters in comparison to those of the entire sample of known and well-studied contact binaries, based on combined spectroscopic and photometric analysis. It is found that ultra-short orbital period contact binaries have very stable orbits, while very often additional components are gravitationally bound in wide orbits around the central binary system. We confirmed that the evolution of such systems is very slow, which explains why the components of ultra-short orbital period systems are still Main Sequence stars after several Gyrs of evolution

Understanding circular economy awareness and practices in manufacturing firms

Circular Economy (CE) has evolved as a result of the growing environmental awareness, environmental legislation and the need for social responsibility. However, awareness levels of CE are not as high as expected and practices are further behind than they should be, with a significant lack of research around the subject in the literature. This study therefore attempts to examine the current state of awareness levels and the practices around CE in manufacturing firms. Moreover, the study aims to empirically validate one of the earlier proposed CE models. The study adopts a quantitative survey questionnaire based approach. More than 500 people from various manufacturing organisations were contacted directly over a 40-day long sampling process through the FAME database, personal contacts and LinkedIn. The survey resulted in 103 completed responses. Given the exploratory nature of the study, the data was mainly analysed using descriptive statistics. To validate the CE model, a correlation analysis was also conducted. The research findings show that with the growing emphasis on CE across the globe by governing bodies, firms are becoming more aware of CE practices. The analysis also shows some useful insights on the state of each of the pillars (economic benefits, environmental impact and resource scarcity) of CE. Our findings also indicate that the environmental impact pillar of CE is at a more developed state than the other two pillars which are –mostly- in a research state. Research Implications and Limitations: The study provides manufacturing firms with a thorough understanding of the state of CE practices and importance of its successful implementation. The findings of the study advocates consideration of all three pillars of CE by managers as a guide to plan for an efficient strategy around CE implementation. Moreover, our study adds to existing efforts by the academic community to raise the awareness towards CE practice among all relevant stakeholders. The findings of this study are based on the responses from a limited 103 survey responses from manufacturing firms. Originality/value: This study adds to the very limited empirical literature on CE awareness and practices in manufacturing firms. This is also one of the first studies attempting to empirically validate an existing CE model.N/

CoBiToM project - I. Contact binaries towards merging

Binary and multiple stellar systems are numerous in our solar neighbourhood with 80per cent of the solar-type stars being members of systems with high order multiplicity. The Contact Binaries Towards Merging (CoBiToM) Project is a programme that focuses on contact binaries and multiple stellar systems, as a key for understanding stellar nature. The goal is to investigate stellar coalescence and merging processes, as the final state of stellar evolution of low-mass contact binary systems. Obtaining observational data of approximately 100 eclipsing binaries and multiple systems and more than 400 archival systems, the programme aspires to give insights for their physical and orbital parameters and their temporal variations, e.g. the orbital period modulation, spot activity etc. Gravitational phenomena in multiple-star environments will be linked with stellar evolution. A comprehensive analysis will be conducted, in order to investigate the possibility of contact binaries to host planets, as well as the link between inflated hot Jupiters and stellar mergers. The innovation of CoBiToM Project is based on a multimethod approach and a detailed investigation, that will shed light for the first time on the origin of stellar mergers and rapidly rotating stars. In this work, we describe the scientific rationale, the observing facilities to be used and the methods that will be followed to achieve the goals of CoBiToM Project and we present the first results as an example of the current research on evolution of contact binary systems

Constipation-Predominant Irritable Bowel Syndrome Associated to Hyperprolactinemia

Abstract Irritable bowel syndrome (IBS) is considered to be a physical disorder that mainly affects the bowel and is clinically characterized by lower abdominal pain or discomfort, diarrhea, constipation (or alternating diarrhea/constipation), gas, bloating, and nausea. According to recent studies, it appears that there is an association with increased prolactin levels in patients suffering from IBS. We report a rare case of regression of IBS symptoms (constipation type) in a 16-year-old female adolescent after receiving cabergoline for treating hyperprolactinemia due to pituitary macroadenoma. Our hypothesis is that increased prolactin levels, for instance due to a pituitary adenoma, may suppress prolactin-releasing peptide release and lead to a reverse feedback interaction, consequently resulting in oversecretion of cholecystokinin, inducing the development of IBS