Explicit construction of Penrose diagrams for black hole to white hole transition with spacelike thin shells.

In this article, we explicitly construct the coordinates associated with the Penrose diagram in spacetimes connected via a spacelike thin shell in the following two examples: the generalized black-to-white hole bounce with mass difference and the Schwarzschild-to-de Sitter transition. We point out the issue of the first junction condition in the Penrose diagram constructed by cutting and pasting analytically known metrics with spherical symmetry by a static spacelike thin shell. With the goal of a global conformal coordinate chart associated with the corresponding Penrose diagram without discontinuity at the thin shell, we give a procedure consisting of three conformal transformations that serve different purposes.

Alteration in gut microbiota after colonoscopy: proposed mechanisms and the role of probiotic interventions.

Colonoscopy, a widely used procedure for diagnosing and treating colonic diseases, induces transient gastrointestinal symptoms and alterations in the gut microbiota. This review comprehensively examines the evidence on alterations in the gut microbiota following colonoscopy and their possible mechanisms. Factors such as rapid colonic evacuation, increased osmolality, and mucus thinning caused by bowel preparation and exposure to oxygen during the procedure contribute to these alterations.

Tunneling between Multiple Histories as a Solution to the Information Loss Paradox.

The information loss paradox associated with black hole Hawking evaporation is an unresolved problem in modern theoretical physics. In a recent brief essay, we revisited the evolution of the black hole entanglement entropy via the Euclidean path integral (EPI) of the quantum state and allow for the branching of semi-classical histories along the Lorentzian evolution. We posited that there exist at least two histories that contribute to EPI, where one is an information-losing history, while the other is an information-preserving one.

Clinical outcomes of palliative self-expandable metal stent placement in right- and left-sided malignant colon obstruction: A Honam Association for the Study of Intestinal Disease (HASID) multicenter study.

Self-expandable metal stent (SEMS) placement is commonly used for palliation of left-sided malignant colorectal obstruction (MCO). However, right-sided MCO is usually treated surgically. Recent studies that compared palliative SEMS insertion and emergency surgery in right-sided MCOs have reported conflicting results.

Predictors of clinical outcomes of self-expandable metal stent treatment for malignant colorectal obstruction: A Honam Association for the Study of Intestinal Disease (HASID) multicenter study.

There has been increased use of self-expandable metal stents (SEMS) in treating malignant colorectal obstruction (MCO). The aim of this study was to investigate factors that are associated with the outcomes of SEMS placement for MCO.Clinical data from patients who underwent SEMS placement for MCO at 6 hospitals in Honam province of South Korea between 2009 and 2018 were reviewed retrospectively.

Testing Loop Quantum Gravity from Observational Consequences of Nonsingular Rotating Black Holes.

The lack of rotating black hole models, which are typically found in nature, in loop quantum gravity (LQG) substantially hinders the progress of testing LQG from observations. Starting with a nonrotating LQG black hole as a seed metric, we construct a rotating spacetime using the revised Newman-Janis algorithm. The rotating solution is nonsingular everywhere and it reduces to the Kerr black hole asymptotically.

Randomized trial comparing oral sulfate solution with 4-L polyethylene glycol administered in a split dose as preparation for colonoscopy.

Background And Aim: The present study aimed to evaluate the non-inferiority of low-volume oral sulfate solution (OSS) to 4-L polyethylene glycol (PEG) solutions administered in a split-dose regimen as bowel preparation for colonoscopy. The safety and tolerability were also compared between the two regimens.

Methods: In this prospective, randomized, single-blind, active-control, parallel group, and non-inferiority trial, consecutive outpatients and health checkup recipients aged 19-65 years undergoing elective colonoscopy were enrolled to receive OSS or 4-L PEG in a split-dose regimen.

Naked Black Hole Firewalls.

In the firewall proposal, it is assumed that the firewall lies near the event horizon and should not be observable except by infalling observers, who are presumably terminated at the firewall. However, if the firewall is located near where the horizon would have been, based on the spacetime evolution up to that time, later quantum fluctuations of the Hawking emission rate can cause the "teleological" event horizon to have migrated to the inside of the firewall location, rendering the firewall naked. In principle, the firewall can be arbitrarily far outside the horizon.

Multiple Pyogenic Liver Abscesses Caused by Microperforation of an Idiopathic Cecal Ulcer.

Idiopathic cecal ulcer is a rare disease entity of unknown cause diagnosed by ruling out other known causes of cecal ulceration. The most common complication of an idiopathic cecal ulcer is bleeding; perforation, peritonitis, abscess, and stricture formation have been noted. The authors treated a 53-year-old woman who presented with fever and intermittent right upper quadrant abdominal pain.

A Case of Aerophagia Diagnosed by Multichannel Intraluminal Impedance Monitoring.

Aerophagia is a disorder caused by abnormal accumulation of air in the gastrointestinal tract as a result of repetitive and frequent inflow of air through the mouth. For the diagnosis of this condition, it is difficult to objectively measure the air swallowing. However, multichannel intraluminal impedance monitoring facilitates the differential diagnosis between normal air swallowing and pathologic aerophagia, and can aid in the determination of the frequency and amount of air swallowed.

What are the risk factors for acute suppurative cholangitis caused by common bile duct stones?

Background/aims: Acute suppurative cholangitis (ASC), a severe form of acute cholangitis, is a life-threatening condition that must be treated with appropriate and timely management. The purpose of this study was to identify the factors that predispose patients to ASC.

Methods: We retrospectively investigated 181 patients (100 men, 81 women; age, 70.

Clinical usefulness of transpapillary removal of common bile duct stones by frequency doubled double pulse Nd:YAG laser.

Aim: To study the efficacy and the safety of laser lithotripsy without direct visual control by using a balloon catheter in patients with bile duct stones that could not be extracted by standard technique.

Methods: The seventeen patients (7 male and 10 female; mean age 67.8 years) with difficult common bile duct (CBD) stones were not amenable for conventional endoscopic maneuvers such as sphincterotomy and mechanical lithotripsy were included in this study.