Cholesterol Granuloma of Maxillary Sinus – An Unusual Case

Introduction Cholesterol granuloma is a type of foreign body granuloma found in tissues wherein the cholesterol crystals get accumulated. Quite unusual to be present in maxillary sinus owing to its pathogenesis. Case Report A 12 year old male child diagnosed with antrochoanal polyp, underwent endoscopic sinus surgery and the microscopic analyses revealed maxillary sinus cholesterol granuloma. Discussion Cholesterol granuloma is an uncommon tissue reaction to cholesterol crystals in the maxillary sinus owing to its well-ventilated state and is frequently associated with chronic sinuses disease or trauma. Since its signs and symptoms are non–specific, histopathological analysis is essential for correct diagnosis

Constraints on the χ_(c1) versus χ_(c2) polarizations in proton-proton collisions at √s = 8 TeV

The polarizations of promptly produced χ_(c1) and χ_(c2) mesons are studied using data collected by the CMS experiment at the LHC, in proton-proton collisions at √s=8  TeV. The χ_c states are reconstructed via their radiative decays χ_c → J/ψγ, with the photons being measured through conversions to e⁺e⁻, which allows the two states to be well resolved. The polarizations are measured in the helicity frame, through the analysis of the χ_(c2) to χ_(c1) yield ratio as a function of the polar or azimuthal angle of the positive muon emitted in the J/ψ → μ⁺μ⁻ decay, in three bins of J/ψ transverse momentum. While no differences are seen between the two states in terms of azimuthal decay angle distributions, they are observed to have significantly different polar anisotropies. The measurement favors a scenario where at least one of the two states is strongly polarized along the helicity quantization axis, in agreement with nonrelativistic quantum chromodynamics predictions. This is the first measurement of significantly polarized quarkonia produced at high transverse momentum

The CoDiNOS trial protocol: an international randomised controlled trial of intravenous sildenafil versus inhaled nitric oxide for the treatment of pulmonary hypertension in neonates with congenital diaphragmatic hernia

INTRODUCTION: Congenital diaphragmatic hernia (CDH) is a developmental defect of the diaphragm that impairs normal lung development, causing pulmonary hypertension (PH). PH in CDH newborns is the main determinant for morbidity and mortality. Different therapies are still mainly based on 'trial and error'. Inhaled nitric oxide (iNO) is often the drug of first choice. However, iNO does not seem to improve mortality. Intravenous sildenafil has reduced mortality in newborns with PH without CDH, but prospective data in CDH patients are lacking. METHODS AND ANALYSIS: In an open label, multicentre, international randomised controlled trial in Europe, Canada and Australia, 330 newborns with CDH and PH are recruited over a 4-year period (2018-2022). Patients are randomised for intravenous sildenafil or iNO. Sildenafil is given in a loading dose of 0.4 mg/kg in 3 hours; followed by continuous infusion of 1.6 mg/kg/day, iNO is dosed at 20 ppm. Primary outcome is absence of PH on day 14 without pulmonary vasodilator therapy and/or absence of death within the first 28 days of life. Secondary outcome measures include clinical and echocardiographic markers of PH in the first year of life. We hypothesise that sildenafil gives a 25% reduction in the primary outcome from 68% to 48% on day 14, for which a sample size of 330 patients is needed. An intention-to-treat analysis will be performed. A p-value (two-sided) <0.05 is considered significant in all analyses. ETHICS AND DISSEMINATION: Ethics approval has been granted by the ethics committee in Rotterdam (MEC-2017-324) and the central Committee on Research Involving Human Subjects (NL60229.078.17) in the Netherlands. The principles of the Declaration of Helsinki, the Medical Research Involving Human Subjects Act and the national rules and regulations on personal data protection will be used. Parental informed consent will be obtained. TRIAL REGISTRATION NUMBER: NTR6982; Pre-results

Fragmentation of J/psi in jets in pp collisions at root s=5.02 TeV Batoul Diab for the CMS collaboration

The fragmentation of jets containing a J/ψ meson is studied in √s = 5.02 TeV pp data using an integrated luminosity of L = 27.39 pb−1. The fraction of the jet transverse momentum pT,jet carried by the J/ψ is measured for prompt J/ψ and J/ψ coming from b hadron decays, named nonprompt. Whereas the fragmentation function of nonprompt J/ψ is well-modeled by simulations using a Monte Carlo generator, the prompt J/ψ are found to be accompanied by a larger level of jet activity. The fraction of J/ψ mesons that are produced inside a jet is also reported, and found to be larger in data than in simulation, for both prompt and nonprompt J/ψ

Measurement of prompt psi(2S) production cross sections in proton-lead and proton-proton collisions at root s(NN)=5.02 TeV

Measurements of prompt ψ(2S) meson production cross sections in proton-lead (pPb) and proton-proton (pp) collisions at a nucleon-nucleon center-of-mass energy of √sNN = 5.02 TeV are reported. The results are based on pPb and pp data collected by the CMS experiment at the LHC, corresponding to integrated luminosities of 34.6 nb−1 and 28.0 pb−1, respectively. The nuclear modification factor RpPb is measured for prompt ψ(2S) in the transverse momentum range 4 < pT < 30 GeV/c and the center-of-mass rapidity range −2.4 < yCM < 1.93. The results on ψ(2S) RpPb are compared to the corresponding modification factor for prompt J/ψ mesons. The results point to different nuclear effects at play in the production of the excited charmonium state compared to the ground state, in the region of backward rapidity and for pT < 10 GeV/c. © 2019 The Author. Published by Elsevier B.V. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). Funded by SCOAP3.Peer reviewe

Observation of ttˉ\bar{t}H Production

The observation of Higgs boson production in association with a top quark-antiquark pair is reported, based on a combined analysis of proton-proton collision data at center-of-mass energies of s√=7, 8, and 13 TeV, corresponding to integrated luminosities of up to 5.1, 19.7, and 35.9fb−1, respectively. The data were collected with the CMS detector at the CERN LHC. The results of statistically independent searches for Higgs bosons produced in conjunction with a top quark-antiquark pair and decaying to pairs of W bosons, Z bosons, photons, τ leptons, or bottom quark jets are combined to maximize sensitivity. An excess of events is observed, with a significance of 5.2 standard deviations, over the expectation from the background-only hypothesis. The corresponding expected significance from the standard model for a Higgs boson mass of 125.09 GeV is 4.2 standard deviations. The combined best fit signal strength normalized to the standard model prediction is 1.26+0.31−0.26