Infective arthritis is an orthopaedic surgical emergency. Staphylococcus aureus remains the commonest causative bacteria across all age groups. Prevotella spp. as a cause of infective arthritis is ...extremely rare.
We present our case of a 30-year-old African male patient who presented with mild signs of infective arthritis of the left hip. His risk factors were his background retroviral disease, intravenous drug abuse, and a previous episode of left hip arthrotomy which healed expectantly with intervention. The current presentation was treated with arthrotomy of the hip, fluid lavage, and skeletal traction based on our clinical findings and the rarity of the presentation was seen to be mobilising non-weight bearing with crutches, and pain-free on the left hip.
A high index of suspicion for Prevotella Septic Arthritis (PSA) should be exercised when treating infective arthritis patients with background joint arthropathies, and intravenous drug abuse, especially in individuals with significant immunosuppression and/or recent tooth extraction. Fortunately, although rare an entity, good outcomes can be expected with early diagnosis and classic treatment principles of joint decompression and lavage as well as guided antibiotic therapy.
A tragedy of albinism Aboo, F.B; Kgagudi, M.P; Jingo, M
South African journal of surgery,
09/2023, Letnik:
61, Številka:
3
Journal Article
Recenzirano
Odprti dostop
We would like to bring to your attention the plight of a 45-year-old epileptic, HIV-positive African male with oculo-cutaneous albinism (OCA). He presented to the dermatology department of a tertiary ...hospital in Gauteng in 2019 with a fungating mass on his left hand that had been progressively enlarging for a year. Surprisingly, a diagnosis of hyperkeratotic actinic keratosis with mild dysplasia was found on biopsy and he was treated conservatively.
The fine structure of the IsoVector Giant Dipole Resonance (IVGDR) in the doubly-magic nuclei 40,48Ca observed in inelastic proton scattering experiments under 0∘ is used to investigate the role of ...different mechanisms contributing to the IVGDR decay width. Characteristic energy scales are extracted from the fine structure by means of wavelet analysis. The experimental scales are compared to different theoretical approaches allowing for the inclusion of complex configurations beyond the mean-field level. Calculations are performed in the framework of RPA and beyond-RPA in a relativistic approach based on an effective meson-exchange interaction, with the UCOM effective interaction and, for the first time, with realistic two- plus three-nucleon interactions from chiral effective field theory employing the in-medium similarity renormalization group. All models highlight the role of Landau fragmentation for the damping of the IVGDR, while the differences in the coupling strength between one particle-one hole (1p-1h) and two particle-two hole (2p-2h) correlated (relativistic) and non-correlated (non-relativistic) configurations lead to very different pictures of the importance of the spreading width resulting in wavelet scales being a sensitive measure of their interplay. The relativistic approach with particle-vibration coupling, in particular, shows impressive agreement with the number and absolute values of the scales extracted from the experimental data.
Proton inelastic scattering experiments at energy Ep=200 MeV and a spectrometer scattering angle of 0° were performed on 144,146,148,150Nd and 152Sm exciting the IsoVector Giant Dipole Resonance ...(IVGDR). Comparison with results from photo-absorption experiments reveals a shift of resonance maxima towards higher energies for vibrational and transitional nuclei. The extracted photo-absorption cross sections in the most deformed nuclei, 150Nd and 152Sm, exhibit a pronounced asymmetry rather than a distinct double-hump structure expected as a signature of K-splitting. This behaviour may be related to the proximity of these nuclei to the critical point of the phase shape transition from vibrators to rotors with a soft quadrupole deformation potential. Self-consistent random-phase approximation (RPA) calculations using the SLy6 Skyrme force provide a relevant description of the IVGDR shapes deduced from the present data.
Abstract
Extensive experimental investigations into understanding the fine structure of giant resonances in nuclei across the periodic table have been carried out in recent years using the ...state-of-the-art K600 magnetic spectrometer of iThemba LABS, Cape Town, South Africa. Based on the established results in comparison to various theoretical calculations, it has been found that the fine structure observed in different giant resonances, namely Isoscalar Giant Quadrupole Resonance (ISGQR), Isovector Giant Dipole Resonance (IVGDR) and Isoscalar Giant Monopole Resonance (ISGMR), in light nuclei such as
40
Ca,
28
Si and
27
Al is dominated by Landau damping although signatures for the role of the spreading width are also found. In this report, characteristic energy scales extracted in light nuclei are compared with the state-of-the-art theoretical calculations, while the fine structures results obtained are compared using semblance analysis to search for possible signatures of common fragmentation patterns induced by Landau damping and coupling to 2p-2h states obtained from different giant resonances.
The phenomenon of fine structure of the Isoscalar Giant Quadrupole Resonance (ISGQR) has been studied with high energy-resolution proton inelastic scattering at iThemba LABS in the chain of stable ...even-mass Nd isotopes covering the transition from spherical to deformed ground states. A wavelet analysis of the background-subtracted spectra in the deformed 146, 148, 150Nd isotopes reveals characteristic scales in correspondence with scales obtained from a Skyrme RPA calculation using the SVmas10 parameterization. A semblance analysis shows that these scales arise from the energy shift between the main fragments of the K=0,1 and K=2 components.
The setup and experimental techniques for measurements of zero-degree inelastic scattering and reactions involving light ions with the K=600 magnetic spectrometer at iThemba LABS are described. ...Measurements were performed for inelastic proton scattering at an incident energy of 200
MeV for targets ranging from
27Al to
208Pb. An energy-resolution of 45
keV (FWHM) was achieved by utilizing the faint-beam dispersion-matching technique. A background subtraction procedure was applied and allowed for the extraction of excitation energy spectra with low background. Measurements of the (p,t) reaction at zero degrees for
E
p
=100 and 200
MeV benefited from the difference in magnetic rigidity between the reaction products and the beam particles, resulting in background-free spectra with an excitation energy-resolution of 32 and 48
keV (FWHM), respectively, and a scattering angle resolution of 0.55° (FWHM). The addition of Double Sided Silicon Strip Detectors (DSSSD) at backward scattering angles allowed for coincident measurements of particle-decay of states excited in the (p,t) reaction at
E
p
=
200
MeV
.
.
A survey of the fine structure of the Isovector Giant Dipole Resonance (IVGDR) was performed, using the recently commissioned Zero-degree Facility of the K600 magnetic spectrometer at iThemba LABS. ...Inelastic proton scattering at an incident energy of 200MeV was measured on
27
Al ,
40
Ca ,
56
Fe ,
58
Ni and
208
Pb . A high energy-resolution (
Δ
E
≃
40
keV FWHM) could be achieved after utilising faint-beam and dispersion-matching techniques. A considerable fine structure is observed in the energy region of the IVGDR and characteristic energy scales are extracted from the experimental data by means of a wavelet analysis. The comparison with Quasiparticle-Phonon Model (QPM) calculations provides insight into the relevance of different giant resonance decay mechanisms. Photoabsorption cross sections derived from the data assuming a dominance of relativistic Coulomb excitation are in fair agreement with previous work using real photons.
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