Acute Chloroform Ingestion Successfully Treated with Intravenously Administered N-acetylcysteine

Chloroform, a halogenated hydrocarbon, causes central nervous system depression, cardiac arrhythmias, and hepatotoxicity. We describe a case of chloroform ingestion with a confirmatory serum level and resultant hepatotoxicity successfully treated with intravenously administered N-acetylcysteine (NAC). A 19-year-old man attempting suicide ingested approximately 75 mL of chloroform. He was unresponsive and intubated upon arrival. Intravenously administered NAC was started after initial stabilization was complete. His vital signs were normal. Admission laboratory values revealed normal serum electrolytes, AST, ALT, PT, BUN, creatinine, and bilirubin. Serum ethanol level was 15 mg/dL, and aspirin and acetaminophen were undetectable. The patient was extubated but developed liver function abnormalities with a peak AST of 224 IU/L, ALT of 583 IU/L, and bilirubin level reaching 16.3 mg/dL. NAC was continued through hospital day 6. Serum chloroform level obtained on admission was 91 μg/mL. The patient was discharged to psychiatry without known sequelae and normal liver function tests. The average serum chloroform level in fatal cases of inhalational chloroform poisoning was 64 μg/mL, significantly lower than our patient. The toxicity is believed to be similar in both inhalation and ingestion routes of exposure, with mortality predominantly resulting from anoxia secondary to central nervous system depression. Hepatocellular toxicity is thought to result from free radical-induced oxidative damage. Previous reports describe survival after treatment with orally administered NAC, we report the first use of intravenously administered NAC for chloroform ingestion. Acute oral ingestion of chloroform is extremely rare. Our case illustrates that with appropriate supportive care, patients can recover from chloroform ingestion, and intravenously administered NAC may be of benefit in such cases

Shared Antigen-specific CD8⁺ T cell Responses Against the SARS-COV-2 Spike Protein in HLA A*02:01 COVID-19 Participants

We report here on antigens from the SARS-CoV-2 virus spike protein, that when presented by Class I MHC, can lead to cytotoxic CD8⁺ T cell anti-viral responses in COVID-19 patients. We present a method in which the SARS-CoV-2 spike protein is converted into a library of peptide antigen-Major Histocompatibility Complexes (pMHCs) as single chain trimers that contain the peptide antigen, the MHC HLA allele, and the β-2 microglobulin sub-unit. That library is used to detect the evolution of virus-specific T cell populations from two COVID-19 patients, at two time points over the course of infection. Both patients exhibit similar virus-specific T cell populations, but very different time-trajectories of those populations. These results can be used to track those virus-specific T cell populations over the course of an infection, thus providing deep insight into the variations in immune system trajectories observed in different COVID-19 patients

Growing up with cancer: Accommodating the effects of cancer into young people’s social lives.

Adolescence and young adulthood are transitional periods of rapid and dramatic personal change. Few events can cause as unpredictable and challenging alterations to this process as the onset of a serious illness, such as cancer. Although we know much about the physical and psychological consequences of having cancer at this time, we know little about the effect of cancer on young people’s relationships. We conducted interviews with 15 women and 12 men aged between 16 and 29 years, who had survived cancer. Our findings demonstrate that the experience of cancer and how it affects relationships is complex. It arrests young people’s development by increasing their dependence on parents, giving them life experiences unavailable to peers, and complicating the process of establishing new relationships. However, it also accelerates development by facilitating closer and more mature relationships with parents and giving young people wisdom and insight not shared by peers. Cancer profoundly shapes how young people conduct their relationships. These changes require ongoing accommodation by young people with cancer, their parents, peers, and new acquaintances

Search for a new pseudoscalar decaying into a pair of bottom and antibottom quarks in top-associated production in s=13\sqrt{s}=13 TeV proton–proton collisions with the ATLAS detector

Abstract A search for a pseudoscalar a produced in association with a top-quark pair, or in association with a single top quark plus a W boson, with the pseudoscalar decaying into b -quarks ( $$a\rightarrow b\bar{b}$$ a → b b ¯ ), is performed using the full Run 2 data sample using a dileptonic decay mode signature. The search covers pseudoscalar boson masses between 12 and 100 GeV and involves both the kinematic regime where the decay products of the pseudoscalar are reconstructed as two standard b -tagged small-radius jets, or merged into a large-radius jet due to its Lorentz boost. No significant excess relative to expectations is observed. Assuming a branching ratio $$\text {BR}(a\rightarrow b\bar{b})=100\%$$ BR ( a → b b ¯ ) = 100 % , the range of pseudoscalar masses between 50 and 80 GeV is excluded at 95% confidence level for a coupling of the pseudoscalar to the top quark of 0.5, while a coupling of 1.0 is excluded at 95% confidence level for the masses considered, with the coupling defined as the strength modifier of the Standard Model Yukawa coupling

A precise measurement of the jet energy scale derived from single-particle measurements and in situ techniques in proton–proton collisions at s=\sqrt{s}= 13 TeV with the ATLAS detector

Abstract The jet energy calibration and its uncertainties are derived from measurements of the calorimeter response to single particles in both data and Monte Carlo simulation using proton–proton collisions at $$\sqrt{s} = 13$$ s = 13 TeV collected with the ATLAS detector during Run 2 at the Large Hadron Collider. The jet calibration uncertainty for anti- $$k_T$$ k T jets with a jet radius parameter of R $$_\textrm{jet} = 0.4$$ jet = 0.4 and in the central jet rapidity region is about 2.5% for transverse momenta ( $$p_{\text {T}}$$ p T ) of 20 $$\text {GeV}$$ GeV , about $$0.5\%$$ 0.5 % for $$p_{\text {T}} =300$$ p T = 300 $$\text {GeV}$$ GeV and $$0.7\%$$ 0.7 % for $$p_{\text {T}} =4$$ p T = 4 $$\text {TeV}$$ TeV . Excellent agreement is found with earlier determinations obtained from $$p_\textrm{T}$$ p T -balance based in situ methods ( $$Z/\gamma$$ Z / γ +jets). The combination of these two independent methods results in the most precise jet energy measurement achieved so far with the ATLAS detector with a relative uncertainty of $$0.3\%$$ 0.3 % at $$p_\textrm{T}=300$$ p T = 300 GeV and $$0.6\%$$ 0.6 % at 4 TeV. The jet energy calibration is also derived with the single-particle calorimeter response measurements separately for quark- and gluon-induced jets and furthermore for jets with R $$_\textrm{jet}$$ jet varying from 0.2 to 1.0 retaining the correlations between these measurements. Differences between inclusive jets and jets from boosted top-quark decays, with and without grooming the soft jet constituents, are also studied

Search for a resonance decaying into a scalar particle and a Higgs boson in the final state with two bottom quarks and two photons in proton–proton collisions at s = 13 TeV with the ATLAS detector

A search for the resonant production of a heavy scalar X decaying into a Higgs boson and a new lighter scalar S, through the process X → S(→bb¯)H(→γγ), where the two photons are consistent with the Higgs boson decay, is performed. The search is conducted using an integrated luminosity of 140 fb−1 of proton-proton collision data at a centre-of-mass energy of 13 TeV recorded with the ATLAS detector at the Large Hadron Collider. The search is performed over the mass range 170 ≤ mX ≤ 1000 GeV and 15 ≤ mS ≤ 500 GeV. Parameterised neural networks are used to enhance the signal purity and to achieve continuous sensitivity in a domain of the (mX, mS) plane. No significant excess above the expected background is found and 95% CL upper limits are set on the cross section times branching ratio, ranging from 39 fb to 0.09 fb. The largest deviation from the background-only expectation occurs for (mX, mS) = (575, 200) GeV with a local (global) significance of 3.5 (2.0) standard deviations

A search for R-parity-violating supersymmetry in final states containing many jets in pp collisions at s = 13 TeV with the ATLAS detector

Abstract : A search for R-parity-violating supersymmetry in final states with high jet multiplicity is presented. The search uses 140 fb−1 of proton-proton collision data at $$\sqrt{s}$$ s = 13 TeV collected by the ATLAS experiment during Run 2 of the Large Hadron Collider. The results are interpreted in the context of R-parity-violating supersymmetry models that feature prompt gluino-pair production decaying directly to three jets each or decaying to two jets and a neutralino which subsequently decays promptly to three jets. No significant excess over the Standard Model expectation is observed and exclusion limits at the 95% confidence level are extracted. Gluinos with masses up to 1800 GeV are excluded when decaying directly to three jets. In the cascade scenario, gluinos with masses up to 2340 GeV are excluded for a neutralino with mass up to 1250 GeV

Search for non-resonant Higgs boson pair production in the 2b+2ℓ+ETmiss final state in pp collisions at s = 13 TeV with the ATLAS detector

A search for non-resonant Higgs boson pair (HH) production is presented, in which one of the Higgs bosons decays to a b-quark pair (bb¯) and the other decays to WW*, ZZ*, or τ+τ−, with in each case a final state with ℓ+ℓ−+ neutrinos (ℓ = e, μ). The analysis targets separately the gluon-gluon fusion and vector boson fusion production modes. Data recorded by the ATLAS detector in proton-proton collisions at a centre-of-mass energy of 13 TeV at the Large Hadron Collider, corresponding to an integrated luminosity of 140 fb−1, are used in this analysis. Events are selected to have exactly two b-tagged jets and two leptons with opposite electric charge and missing transverse momentum in the final state. These events are classified using multivariate analysis algorithms to separate the HH events from other Standard Model processes. No evidence of the signal is found. The observed (expected) upper limit on the cross-section for non-resonant Higgs boson pair production is determined to be 9.7 (16.2) times the Standard Model prediction at 95% confidence level. The Higgs boson self-interaction coupling parameter κλ and the quadrilinear coupling parameter κ2V are each separately constrained by this analysis to be within the ranges [−6.2, 13.3] and [−0.17, 2.4], respectively, at 95% confidence level, when all other parameters are fixed

Measurements of inclusive and differential cross-sections of tt¯γ production in pp collisions at s = 13 TeV with the ATLAS detector

Inclusive and differential cross-sections are measured at particle level for the associated production of a top quark pair and a photon (tt¯γ). The analysis is performed using an integrated luminosity of 140 fb−1 of proton-proton collisions at a centre-of-mass energy of 13 TeV collected by the ATLAS detector. The measurements are performed in the single-lepton and dilepton top quark pair decay channels focusing on tt¯γ topologies where the photon is radiated from an initial-state parton or one of the top quarks. The absolute and normalised differential cross-sections are measured for several variables characterising the photon, lepton and jet kinematics as well as the angular separation between those objects. The observables are found to be in good agreement with the Monte Carlo predictions. The photon transverse momentum differential distribution is used to set limits on effective field theory parameters related to the electroweak dipole moments of the top quark. The combined limits using the photon and the Z boson transverse momentum measured in tt¯ production in associations with a Z boson are also set