Trichobezoar in a 13 year old Male: a case report and review of literature

Case report of a trichobezoar occuring in the stomach of a 13 year old boy known to suffer from trichotillomania. 90% of trichobezoars occur in adolescent females and the occurrence in males is rarely documented. The clinical presentation and complications of trichobezoars are discussed. Differential diagnosis of epigastric masses in children and the investigations utilised to diagnose these intragastric hairballs together with possible hypothses on their pathogenesis are discussed.peer-reviewe

Carpometacarpal osteoarthritis of the thumb

Osteoarthritis of the trapeziometacarpal joint is the second most common site of degenerative joint disease in the hand and mostly affects postmenopausal women and manual workers. The reported radiographic prevalence of the condition is 7% in males and 15% in females. Studies reveal that 33% of women over 40 years of age will have some Xray changes. To achieve a high degree of prehensile and manipulative function this highly mobile joint is constrained by both the biconcave saddle morphology of the trapezium and the ligamentous constraints. It is theorized that attenuation of the anterior oblique ligament or beak ligament leads to instability, subluxation and eventually arthritis of the CMC (carpometacarpal) joint. The condition can cause pain, weakness, deformity and loss of function of the thumb and can be very debilitating.peer-reviewe

Detailed Abundances in the Ultra-faint Magellanic Satellites Carina II and III

We present the first detailed elemental abundances in the ultra-faint Magellanic satellite galaxies Carina II (Car II) and Carina III (Car III). With high-resolution Magellan/MIKE spectroscopy, we determined abundances of nine stars in Car II including the first abundances of an RR Lyrae star in an ultra-faint dwarf galaxy; and two stars in Car III. The chemical abundances demonstrate that both systems are clearly galaxies and not globular clusters. The stars in these galaxies mostly display abundance trends matching those of other similarly faint dwarf galaxies: enhanced but declining [alpha/Fe] ratios, iron-peak elements matching the stellar halo, and unusually low neutron-capture element abundances. One star displays a low outlying [Sc/Fe] = -1.0. We detect a large Ba scatter in Car II, likely due to inhomogeneous enrichment by low-mass AGB star winds. The most striking abundance trend is for [Mg/Ca] in Car II, which decreases from +0.4 to -0.4 and indicates clear variation in the initial progenitor masses of enriching core-collapse supernovae. So far, the only ultra-faint dwarf galaxies displaying a similar [Mg/Ca] trend are likely satellites of the Large Magellanic Cloud. We find two stars with [Fe/H] < -3.5, whose abundances likely trace the first generation of metal-free Population III stars and are well-fit by Population III core-collapse supernova yields. An appendix describes our new abundance uncertainty analysis that propagates line-by-line stellar parameter uncertainties.Comment: 21 pages + appendix, 9 figures, 6 tables, accepted to Ap

Search for gravitational-lensing signatures in the full third observing run of the LIGO-Virgo network

Gravitational lensing by massive objects along the line of sight to the source causes distortions of gravitational wave-signals; such distortions may reveal information about fundamental physics, cosmology and astrophysics. In this work, we have extended the search for lensing signatures to all binary black hole events from the third observing run of the LIGO--Virgo network. We search for repeated signals from strong lensing by 1) performing targeted searches for subthreshold signals, 2) calculating the degree of overlap amongst the intrinsic parameters and sky location of pairs of signals, 3) comparing the similarities of the spectrograms amongst pairs of signals, and 4) performing dual-signal Bayesian analysis that takes into account selection effects and astrophysical knowledge. We also search for distortions to the gravitational waveform caused by 1) frequency-independent phase shifts in strongly lensed images, and 2) frequency-dependent modulation of the amplitude and phase due to point masses. None of these searches yields significant evidence for lensing. Finally, we use the non-detection of gravitational-wave lensing to constrain the lensing rate based on the latest merger-rate estimates and the fraction of dark matter composed of compact objects

Search for eccentric black hole coalescences during the third observing run of LIGO and Virgo

Despite the growing number of confident binary black hole coalescences observed through gravitational waves so far, the astrophysical origin of these binaries remains uncertain. Orbital eccentricity is one of the clearest tracers of binary formation channels. Identifying binary eccentricity, however, remains challenging due to the limited availability of gravitational waveforms that include effects of eccentricity. Here, we present observational results for a waveform-independent search sensitive to eccentric black hole coalescences, covering the third observing run (O3) of the LIGO and Virgo detectors. We identified no new high-significance candidates beyond those that were already identified with searches focusing on quasi-circular binaries. We determine the sensitivity of our search to high-mass (total mass M&gt;70 M⊙) binaries covering eccentricities up to 0.3 at 15 Hz orbital frequency, and use this to compare model predictions to search results. Assuming all detections are indeed quasi-circular, for our fiducial population model, we place an upper limit for the merger rate density of high-mass binaries with eccentricities 0&lt;e≤0.3 at 0.33 Gpc−3 yr−1 at 90\% confidence level

Ultralight vector dark matter search using data from the KAGRA O3GK run

Among the various candidates for dark matter (DM), ultralight vector DM can be probed by laser interferometric gravitational wave detectors through the measurement of oscillating length changes in the arm cavities. In this context, KAGRA has a unique feature due to differing compositions of its mirrors, enhancing the signal of vector DM in the length change in the auxiliary channels. Here we present the result of a search for U(1)B−L gauge boson DM using the KAGRA data from auxiliary length channels during the first joint observation run together with GEO600. By applying our search pipeline, which takes into account the stochastic nature of ultralight DM, upper bounds on the coupling strength between the U(1)B−L gauge boson and ordinary matter are obtained for a range of DM masses. While our constraints are less stringent than those derived from previous experiments, this study demonstrates the applicability of our method to the lower-mass vector DM search, which is made difficult in this measurement by the short observation time compared to the auto-correlation time scale of DM

Testicular Infarction and Rupture After Blunt Trauma — Use of Diagnostic Ultrasound

We report the case of a 23-year-old male who suffered localised testicular infarction and rupture following blunt trauma. This pathology is rare after blunt trauma and has not been previously described in literature. The appearance on ultrasound resembled malignancy, necessitating orchidectomy. An overview of the pathology of testicular trauma as well as its management is given with particular emphasis on the use diagnostic ultrasound in testicular trauma