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This study evaluated the impact of the Salisbury Protocol for Assessment of Cauda Equina Syndrome (SPACES) on the waiting time for MRI in patients presenting with suspected Cauda Equina Syndrome (sCES) within a UK district general hospital.All consecutive patients undergoing an MRI scan in our hospital, for sCES, over a 12 month period, prior to and following the introduction of SPACES, were identified. Patient's gender, age, MRI diagnosis, time from MRI request to imaging and outcome were recorded.In the year prior to the introduction of SPACES, 66 patients underwent MRI for sCES, out of which 10.6% had cauda equina compression (CEC), 63.5% had other spinal pathology and 25% had a normal scan. In the year after introduction of SPACES, 160 patients underwent MRI for sCES out of which 6.2% had CEC, 70.7% had other spinal pathology and 23% had a normal scan. Despite the referrals for sCES increasing by more than 2-fold following the introduction of SPACES, the median time from MRI request to scan decreased from 9.1 to 4.2 hours (Implementation of SPACES for patients with sCES resulted in a substantial reduction in waiting time for MRI and decreased the number of transfers to the regional hub hospital. Based on our early experience, we encourage other centres within the UK to introduce such a pathway locally, to improve the management of patients with sCES.

Classical Cepheids are essential objects in the study of stellar evolution and cosmology; however, we know little about their magnetic properties. We report the detection of Stokes $V$ features interpreted as Zeeman signatures in four classical Cepheids using high-resolution spectropolarimetric observations obtained with ESPaDOnS at CFHT. Eight observations of $\eta$ Aql were acquired in 2017 covering its 7.2 d pulsation period, and single observations of Polaris, $\zeta$ Gem, $\delta$ Cep and RT Aur were obtained in 2020 as part of our ongoing systematic survey. We use mean circular polarization Stokes $V$ profiles generated using the Least-Squares Deconvolution procedure to diagnose Zeeman signatures and measure mean longitudinal field strengths $\langle B_{z}\rangle$. We detect magnetic signatures across all pulsation phases of $\eta$ Aql ($-0.89\pm0.47$ G$\, Comment: 11 pages, 6 figures, accepted for publication in MNRAS

gamma Cas has long been famous for its unique hard X-ray characteristics. We report herein on a 53 ks Chandra HETGS observation of this target. An inspection of our spectrum shows that it is quite atypical for a massive star, with abnormally weak Fe XXV, XXVI lines, Ly-alpha lines of H-like species from Fe XVII, XXIII, XXIV, S XVI, Si XIV, Mg XII, Ne X, O VII, VIII, and N VII. Also, line ratios of the rif-triplet of for a few He-like ions XVII are consistent with the dominance of collisional atomic processes. Yet, the presence of Fe and Si fluorescence K features indicates that photoionization also occurs in nearby cold gas. The line profiles indicate a mean velocity at rest and a broadening of 500 km/s. A global fitting analysis of the line and continuum spectrum finds that there are 3-4 plasma emission components. The dominant hot (12 keV) component and has a Fe abundance of 0.22 solar. Some fraction of this component (10-30%) is heavily absorbed. The other 2-3 components, with temperatures 0.1, 0.4, 3 keV, are "warm," have a nearly solar composition, a lower column absorption, and are responsible for most other emission lines. The strength of the fluorescence features and the dual-column absorption model for the hot plasma component suggest the presence near the hot sites of a cold gas structure with a column density of 10^23 cm^-2. Since this value is consistent with theoretical estimates of the vertical disk column of this star, these attributes suggest that the X-rays originate near the star or disk. It is possible that the Fe anomaly in the hot component is related to the First Ionization Potential effect found in coronal structures around active cool stars. This would be yet another indication that the X-rays -rays are produced in the immediate vicinity of the Be star.

For about 100 years the amplitude of the 4-day pulsation in Polaris has decreased. We present new results showing a significant increase in the amplitude based on 4.5 years of continuous monitoring from the ground and with two satellite missions., Comment: 5 pages; to appear in the proceedings of the "Cool Stars 15" workshop held at St Andrews, UK

The 6.4 day classical Cepheid AW Per is a spectroscopic binary with a period of 40 years. Analyzing the centroids of HST/STIS spectra obtained in November 2001, we have determined the angular separation of the binary system. Although we currently have spatially resolved data for a single epoch in the orbit, the success of our approach opens the possibility of determining the inclination, sini, for the system if the measurements are repeated at additional epochs. Since the system is potentially a double lined spectroscopic binary, the combination of spectroscopic orbits for both components and the visual orbit would give the distance to the system and the masses of its components, thereby providing a direct measurement of a Cepheid mass., 12 pages, accepted version -- minor changes

We present followup optical g', r', and i', imaging and spectroscopy of serendipitous X-ray sources detected in 6 archival Chandra, images included in the Chandra, Multiwavelength Project (ChaMP). Of the 486 X-ray sources detected between 3e-16 and 2e-13 (with a median flux of 3e-15 erg cm-2 s-1, we find optical counterparts for 377 (78%), or 335 (68%) counting only unique counterparts. We present spectroscopic classifications for 125 objects, representing 75% of sources with r3.5. We identify 28 sources (22%) as galaxies that show narrow emission lines, while 22 (18%) are absorption line galaxies. Eight galaxies lacking broad line emission have X-ray luminosities that require they host an AGN (logL_X>43). Half of these have hard X-ray emission suggesting that high gas columns obscure both the X-ray continuum and the broad emission line regions. We find objects in our sample that show signs of X-ray or optical absorption, or both, but with no strong evidence that these properties are coupled. ChaMP's deep X-ray and optical imaging enable multiband selection of small and/or high-redshift groups and clusters. In these 6 fields we have discovered 3 new clusters of galaxies, two with z>0.4, and one with photometric evidence that it is at a similar redshift., 38 pages, Latex, emulateapj style, including 6 tables and 22 figures. Accepted Aug 24, 2003 for publication in ApJ Supplement. See accompanying X-ray papers by Kim et al. 2003 and the ChaMP web site at http://hea-www.harvard.edu/CHAMP/

To study gender issues among South African anaesthetists.A postal survey of all registered anaesthetists in South Africa in December 1999.There were 385 respondents out of a potential 960, giving a response rate of 40%; 77 respondents (20%) were female and 308 (80%) were male. The largest group of males was over 50 years old whereas most females were under 50 years. Most respondents chose anaesthesia because of academic appeal or career opportunities. More females reported experiencing sexual harassment and felt discriminated against in terms of job selection during the training period and with regard to referral practices. Most respondents felt that their colleagues did not treat them differently on account of gender but more females felt that both patients and female nurses treated them less favourably than their male colleagues. More males felt supported in their career by their life partners. More females felt that having children adversely affected academic and promotional aspects of their careers. Despite this, females were more likely to have experienced positive benefits from combining parenting with a career and were also more likely to have worked part time, mainly because of domestic commitments. Most respondents were satisfied with their careers, and would choose both medicine and anaesthesia again.Our study suggests that female anaesthetists are generally satisfied with their career choice. However, they are exposed to significant gender-related stresses in the workplace, which are exacerbated by time conflicts for those with children. Allowing part-time employment options and creating a less discriminating environment would enable female doctors to achieve their potential.