68 research outputs found
Measurement of the branching fraction and angular amplitudes
A search for the decay with is performed with 0.37 fb of collisions at
= 7 TeV collected by the LHCb experiment, finding a \Bs \to J\psi
K^-\pi^+ peak of signal events. The mass spectrum of
the candidates in the peak is dominated by the contribution.
Subtracting the non-resonant component, the branching fraction of
\BsJpsiKst is , where the first
uncertainty is statistical and the second systematic. A fit to the angular
distribution of the decay products yields the \Kst polarization fractions and
Measurement of Upsilon production in pp collisions at \sqrt{s} = 7 TeV
The production of Upsilon(1S), Upsilon(2S) and Upsilon(3S) mesons in
proton-proton collisions at the centre-of-mass energy of sqrt(s)=7 TeV is
studied with the LHCb detector. The analysis is based on a data sample of 25
pb-1 collected at the Large Hadron Collider. The Upsilon mesons are
reconstructed in the decay mode Upsilon -> mu+ mu- and the signal yields are
extracted from a fit to the mu+ mu- invariant mass distributions. The
differential production cross-sections times dimuon branching fractions are
measured as a function of the Upsilon transverse momentum pT and rapidity y,
over the range pT < 15 GeV/c and 2.0 < y < 4.5. The cross-sections times
branching fractions, integrated over these kinematic ranges, are measured to be
sigma(pp -> Upsilon(1S) X) x B(Upsilon(1S)->mu+ mu-) = 2.29 {\pm} 0.01 {\pm}
0.10 -0.37 +0.19 nb, sigma(pp -> Upsilon(2S) X) x B(Upsilon(2S)->mu+ mu-) =
0.562 {\pm} 0.007 {\pm} 0.023 -0.092 +0.048 nb, sigma(pp -> Upsilon(3S) X) x
B(Upsilon(3S)->mu+ mu-) = 0.283 {\pm} 0.005 {\pm} 0.012 -0.048 +0.025 nb, where
the first uncertainty is statistical, the second systematic and the third is
due to the unknown polarisation of the three Upsilon states.Comment: 22 pages, 7 figure
Evidence for CP violation in time-integrated D0 -> h-h+ decay rates
A search for time-integrated CP violation in D0 -> h-h+ (h=K, pi) decays is
presented using 0.62 fb^-1 of data collected by LHCb in 2011. The flavor of the
charm meson is determined by the charge of the slow pion in the D*+ -> D0 pi+
and D*- -> D0bar pi- decay chains. The difference in CP asymmetry between D0 ->
K-K+ and D0 -> pi-pi+, Delta ACP = ACP(K-K+) - ACP(pi-pi+), is measured to be
[-0.82 \pm 0.21(stat.) \pm 0.11(syst.)]%. This differs from the hypothesis of
CP conservation by 3.5 standard deviations.Comment: 8 pages, 3 figures, 2 tables; v2 minor updates after journal revie
Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study
Background: The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on postoperative recovery needs to be understood to inform clinical decision making during and after the COVID-19 pandemic. This study reports 30-day mortality and pulmonary complication rates in patients with perioperative SARS-CoV-2 infection. Methods: This international, multicentre, cohort study at 235 hospitals in 24 countries included all patients undergoing surgery who had SARS-CoV-2 infection confirmed within 7 days before or 30 days after surgery. The primary outcome measure was 30-day postoperative mortality and was assessed in all enrolled patients. The main secondary outcome measure was pulmonary complications, defined as pneumonia, acute respiratory distress syndrome, or unexpected postoperative ventilation. Findings: This analysis includes 1128 patients who had surgery between Jan 1 and March 31, 2020, of whom 835 (74·0%) had emergency surgery and 280 (24·8%) had elective surgery. SARS-CoV-2 infection was confirmed preoperatively in 294 (26·1%) patients. 30-day mortality was 23·8% (268 of 1128). Pulmonary complications occurred in 577 (51·2%) of 1128 patients; 30-day mortality in these patients was 38·0% (219 of 577), accounting for 81·7% (219 of 268) of all deaths. In adjusted analyses, 30-day mortality was associated with male sex (odds ratio 1·75 [95% CI 1·28–2·40], p\textless0·0001), age 70 years or older versus younger than 70 years (2·30 [1·65–3·22], p\textless0·0001), American Society of Anesthesiologists grades 3–5 versus grades 1–2 (2·35 [1·57–3·53], p\textless0·0001), malignant versus benign or obstetric diagnosis (1·55 [1·01–2·39], p=0·046), emergency versus elective surgery (1·67 [1·06–2·63], p=0·026), and major versus minor surgery (1·52 [1·01–2·31], p=0·047). Interpretation: Postoperative pulmonary complications occur in half of patients with perioperative SARS-CoV-2 infection and are associated with high mortality. Thresholds for surgery during the COVID-19 pandemic should be higher than during normal practice, particularly in men aged 70 years and older. Consideration should be given for postponing non-urgent procedures and promoting non-operative treatment to delay or avoid the need for surgery. Funding: National Institute for Health Research (NIHR), Association of Coloproctology of Great Britain and Ireland, Bowel and Cancer Research, Bowel Disease Research Foundation, Association of Upper Gastrointestinal Surgeons, British Association of Surgical Oncology, British Gynaecological Cancer Society, European Society of Coloproctology, NIHR Academy, Sarcoma UK, Vascular Society for Great Britain and Ireland, and Yorkshire Cancer Research
Design and baseline characteristics of the finerenone in reducing cardiovascular mortality and morbidity in diabetic kidney disease trial
Background: Among people with diabetes, those with kidney disease have exceptionally high rates of cardiovascular (CV) morbidity and mortality and progression of their underlying kidney disease. Finerenone is a novel, nonsteroidal, selective mineralocorticoid receptor antagonist that has shown to reduce albuminuria in type 2 diabetes (T2D) patients with chronic kidney disease (CKD) while revealing only a low risk of hyperkalemia. However, the effect of finerenone on CV and renal outcomes has not yet been investigated in long-term trials.
Patients and Methods: The Finerenone in Reducing CV Mortality and Morbidity in Diabetic Kidney Disease (FIGARO-DKD) trial aims to assess the efficacy and safety of finerenone compared to placebo at reducing clinically important CV and renal outcomes in T2D patients with CKD. FIGARO-DKD is a randomized, double-blind, placebo-controlled, parallel-group, event-driven trial running in 47 countries with an expected duration of approximately 6 years. FIGARO-DKD randomized 7,437 patients with an estimated glomerular filtration rate >= 25 mL/min/1.73 m(2) and albuminuria (urinary albumin-to-creatinine ratio >= 30 to <= 5,000 mg/g). The study has at least 90% power to detect a 20% reduction in the risk of the primary outcome (overall two-sided significance level alpha = 0.05), the composite of time to first occurrence of CV death, nonfatal myocardial infarction, nonfatal stroke, or hospitalization for heart failure.
Conclusions: FIGARO-DKD will determine whether an optimally treated cohort of T2D patients with CKD at high risk of CV and renal events will experience cardiorenal benefits with the addition of finerenone to their treatment regimen.
Trial Registration: EudraCT number: 2015-000950-39; ClinicalTrials.gov identifier: NCT02545049
Elliptic flow of identified hadrons in Pb-Pb collisions at 1asNN = 2.76 TeV
The elliptic flow coefficient (v2) of identified particles in Pb-Pb collisions at 1asNN = 2.76 TeV was measured with the ALICE detector at the Large Hadron Collider (LHC). The results were obtained with the Scalar Product method, a two-particle corre- lation technique, using a pseudo-rapidity gap of | 06\u3b7| > 0.9 between the identified hadron under study and the reference particles. The v2 is reported for \u3c0\ub1, K\ub1, K0S, p+p, \u3c6, \u39b+\u39b, \u39e 12+\u39e+ and \u3a9 12+\u3a9+ in several collision centralities. In the low transverse momentum (pT) region, pT 3 GeV/c
Patterns of distribution, temporal fluctuations and some population parameters of four species of flatfish (Pleuronectidae) off the western coast of Baja California
We examined the spatial and temporal abundance as well as some biological features of the four Pleuronectidae species living in the shallow and deep marine waters off the western coast of Baja California: spotted turbot Pleuronichthys ritteri (Starks & Morris, 1907); hornyhead turbot Pleuronichthys verticalis (Jordan & Gilbert, 1880); slender sole Lyopsetta exilis (Jordan & Gilbert, 1880), and Dover sole Microstomus pacificus (Lockington, 1879). Flatfishes were sampled by otter trawls during six cruises, between October 1988 and September 1990. The area sampled covers three geographic regions (Southern, Central and Northern) and three depths (inner, middle and outer shelf). The data were analyzed to quantify the ecological variation in environmental factors and spatial assemblages. Spatial patterns of the Pleuronectidae assemblages were determined by depth, sediment type and geographical region. The distribution of Pleuronectidae species across the shelf also varies in time depending on the oceanic regimes. The sex ratio was approximately 1:1 for all four species. Standard length ranged from 45 to 261 mm, with the most frequent sizes ranging from 90 to 130 mm. For turbots, the length-weight relationships varied between sexes, geographical regions and seasons of the year
The Dose Response Multicentre Investigation on Fluid Assessment (DoReMIFA) in critically ill patients.
JOURNAL ARTICLE;BACKGROUND
The previously published "Dose Response Multicentre International Collaborative Initiative (DoReMi)" study concluded that the high mortality of critically ill patients with acute kidney injury (AKI) was unlikely to be related to an inadequate dose of renal replacement therapy (RRT) and other factors were contributing. This follow-up study aimed to investigate the impact of daily fluid balance and fluid accumulation on mortality of critically ill patients without AKI (N-AKI), with AKI (AKI) and with AKI on RRT (AKI-RRT) receiving an adequate dose of RRT.
METHODS
We prospectively enrolled all consecutive patients admitted to 21 intensive care units (ICUs) from nine countries and collected baseline characteristics, comorbidities, severity of illness, presence of sepsis, daily physiologic parameters and fluid intake-output, AKI stage, need for RRT and survival status. Daily fluid balance was computed and fluid overload (FO) was defined as percentage of admission body weight (BW). Maximum fluid overload (MFO) was the peak value of FO.
RESULTS
We analysed 1734 patients. A total of 991 (57 %) had N-AKI, 560 (32 %) had AKI but did not have RRT and 183 (11 %) had AKI-RRT. ICU mortality was 22.3 % in AKI patients and 5.6 % in those without AKI (p < 0.0001). Progressive fluid accumulation was seen in all three groups. Maximum fluid accumulation occurred on day 2 in N-AKI patients (2.8 % of BW), on day 3 in AKI patients not receiving RRT (4.3 % of BW) and on day 5 in AKI-RRT patients (7.9 % of BW). The main findings were: (1) the odds ratio (OR) for hospital mortality increased by 1.075 (95 % confidence interval 1.055-1.095) with every 1 % increase of MFO. When adjusting for severity of illness and AKI status, the OR changed to 1.044. This phenomenon was a continuum and independent of thresholds as previously reported. (2) Multivariate analysis confirmed that the speed of fluid accumulation was independently associated with ICU mortality. (3) Fluid accumulation increased significantly in the 3-day period prior to the diagnosis of AKI and peaked 3 days later.
CONCLUSIONS
In critically ill patients, the severity and speed of fluid accumulation are independent risk factors for ICU mortality. Fluid balance abnormality precedes and follows the diagnosis of AKI.Ye
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