Black esophagus

Black esophagus is an uncommon clinical entity and its pathogenesis remains unknown. Clinical presentation is usually characterized by the combination of hematemesis and circumferential darkness of the mucosa in the distal esophagus. This case illustrates an atypical presentation of the disease. Despite its rarity, black esophagus should be considered in the differential diagnosis of acute upper gastrointestinal bleeding, especially in patients with predisposing factors. \ua9 2015 Taiwan Society of Emergency Medicine

Out of Place: Gallstone Ileus

PRESENTATION Infrequently, a gallstone can travel into the small intestine and lodge there, causing bowel blockage. This was the case for a 70-year-old man who was referred to us with abdominal pain, persistent nausea, and vomiting. He also reported dyspepsia of 3 months\u2019 duration. His medical history included hypertension, chronic ischemic heart disease, and type 2 diabetes mellitu

Invasive filamentous fungus infection with secondary cerebral vasculitis in a patient with no obvious immune suppression.

Summary Invasive mold infections represent an emerging and important diagnostic challenge, especially in immunocompetent patients when microscopy and cultures of the biological fluids remain negative. A central nervous system localization is not common and the clinical presentation is aspecific

Search for supersymmetry in electroweak production with photons and large missing transverse energy in pp collisions at sqrt(s) = 8 TeV

Results are reported from a search for supersymmetry with gauge-mediated supersymmetry breaking in electroweak production. Final states with photons and large missing transverse energy ( View the MathML sourceETmiss) were examined. The data sample was collected in pp collisions at View the MathML sources=8TeV with the CMS detector at the LHC and corresponds to 7.4View the MathML sourcefb−1. The analysis focuses on scenarios in which the lightest neutralino has bino- or wino-like components, resulting in decays to photons and gravitinos, where the gravitinos escape undetected. The data were obtained using a specially designed trigger with dedicated low thresholds, providing good sensitivity to signatures with photons, View the MathML sourceETmiss, and low hadronic energy. No excess of events over the standard model expectation is observed. The results are interpreted using the model of general gauge mediation. With the wino mass fixed at 10View the MathML sourceGeV above that of the bino, wino masses below 710View the MathML sourceGeV are excluded at 95% confidence level. Constraints are also set in the context of two simplified models, for which the analysis sets the lowest cross section limits on the electroweak production of supersymmetric particles

Measurements of t t-bar spin correlations and top quark polarization using dilepton final states in pp collisions at sqrt(s) = 8 TeV

Measurements of the top quark-antiquark (tt¯) spin correlations and the top quark polarization are presented for tt¯ pairs produced in pp collisions at s√=8  TeV. The data correspond to an integrated luminosity of 19.5  fb−1 collected with the CMS detector at the LHC. The measurements are performed using events with two oppositely charged leptons (electrons or muons) and two or more jets, where at least one of the jets is identified as originating from a bottom quark. The spin correlations and polarization are measured from the angular distributions of the two selected leptons, both inclusively and differentially, with respect to the invariant mass, rapidity, and transverse momentum of the tt¯ system. The measurements are unfolded to the parton level and found to be in agreement with predictions of the standard model. A search for new physics in the form of anomalous top quark chromo moments is performed. No evidence of new physics is observed, and exclusion limits on the real part of the chromo-magnetic dipole moment and the imaginary part of the chromo-electric dipole moment are evaluated

Lung ultrasound may support internal medicine physicians in predicting the diagnosis, bacterial etiology and favorable outcome of community-acquired pneumonia

To assess the usefulness of lung ultrasound (LUS) for identifying community-acquired pneumonia (CAP) among adult patients with suspected lower respiratory tract infection (LRTI) and for discriminating between CAP with different cultural statuses, etiologies, and outcomes. LUS was performed at internal medicine ward admission. The performance of chest X-ray (CXR) and LUS in diagnosing CAP in 410 patients with suspected LRTI was determined. All possible positive results for pneumonia on LUS were condensed into pattern 1 (consolidation + / - alveolar-interstitial syndrome) and pattern 2 (alveolar-interstitial syndrome). The performance of LUS in predicting culture-positive status, bacterial etiology, and adverse outcomes of CAP was assessed in 315 patients. The area under the receiver operating characteristic curve for diagnosing CAP by LUS was significantly higher than for diagnosis CAP by CXR (0.93 and 0.71, respectively; p < 0.001). Pattern 1 predicted CAP with bacterial and mixed bacterial and viral etiologies with positive predictive values of 99% (95% CI, 94-100%) and 97% (95% CI, 81-99%), respectively. Pattern 2 ruled out mortality with a negative predictive value of 95% (95% CI, 86-98%), respectively. In this study, LUS was useful in predicting a diagnosis of CAP, the bacterial etiology of CAP, and favorable outcome in patients with CAP

Differential cross section measurements for the production of a W boson in association with jets in proton-proton collisions at sqrt(s) = 7 TeV

Measurements are reported of differential cross sections for the production of a W boson, which decays into a muon and a neutrino, in association with jets, as a function of several variables, including the transverse momenta (pTpT) and pseudorapidities of the four leading jets, the scalar sum of jet transverse momenta (HTHT), and the difference in azimuthal angle between the directions of each jet and the muon. The data sample of pp collisions at a centre-of-mass energy of 7 TeV was collected with the CMS detector at the LHC and corresponds to an integrated luminosity of 5.0 fb−1. The measured cross sections are compared to predictions from Monte Carlo generators, MadGraph + pythia and sherpa, and to next-to-leading-order calculations from BlackHat + sherpa. The differential cross sections are found to be in agreement with the predictions, apart from the pTpT distributions of the leading jets at high pTpT values, the distributions of the HTHT at high-HTHT and low jet multiplicity, and the distribution of the difference in azimuthal angle between the leading jet and the muon at low values

Towards a muon collider

A muon collider would enable the big jump ahead in energy reach that is needed for a fruitful exploration of fundamental interactions. The challenges of producing muon collisions at high luminosity and 10 TeV centre of mass energy are being investigated by the recently-formed International Muon Collider Collaboration. This Review summarises the status and the recent advances on muon colliders design, physics and detector studies. The aim is to provide a global perspective of the field and to outline directions for future work

Towards a Muon Collider

A muon collider would enable the big jump ahead in energy reach that is needed for a fruitful exploration of fundamental interactions. The challenges of producing muon collisions at high luminosity and 10 TeV centre of mass energy are being investigated by the recently-formed International Muon Collider Collaboration. This Review summarises the status and the recent advances on muon colliders design, physics and detector studies. The aim is to provide a global perspective of the field and to outline directions for future work.Comment: 118 pages, 103 figure