4 research outputs found

    Higgs boson self-coupling constraints from single Higgs, double Higgs and Electroweak measurements

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    International audienceWe set constraints on the trilinear Higgs boson self-coupling, λ3 , by combining the information coming from the W mass and leptonic effective Weinberg angle, electroweak precision observables, with the single Higgs boson analyses targeting the γγ,ZZ⁎,WW⁎,τ+τ− and b¯b decay channels and the double Higgs boson analyses in the bb¯bb¯,bb¯τ+τ− and bb¯γγ decay channels, performed by the ATLAS collaboration. With the assumption that the new physics affects only the Higgs potential, values outside the interval −1.8λ3SM<λ3<9.2λ3SM are excluded at 95% confidence level. With respect to similar analyses that do not include the information coming from the electroweak precision observables our analysis shows a stronger constraint on both positive and negative values of λ3

    Laparoscopic Cholecystectomy in Children: The Experience of Two Centers Focusing on Indications and Timing in the Era of “New Technologies”

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    Background: In children, laparoscopic cholecystectomy (LC) is now considered the gold standard for gallbladder (GB) removal. In the past, hemolytic disorders associated with cholelithiasis represented the most frequent conditions requiring LC; this is being overtaken by cholelithiasis and biliary conditions in overweight or ex-premature children. Aims: This study aims to describe current indications and timing for LC in pediatric patients. Methods: Retrospective study. Data on previous medical therapy, ultrasound, pre- and intraoperative aspects, and histology were collected for patients treated in 2020–2023. Results: In total, 45 patients were enrolled: 15 who underwent urgent surgery and 30 electives. Groups differed in terms of obesity rate, symptoms, ultrasound features, and intraoperative status. The most relevant risk factors for surgical complexity were age and pubertal stage, elevated cholestasis indexes, and gallbladder wall thickness > 3 mm at ultrasound. GB wall thickening ≥3 mm, US Murphy sign, fluid collections, and gallbladder distention on ultrasound correlated with high surgical scores. Conclusions: Indications for laparoscopic cholecystectomy in children seem to evolve caused by changing characteristics of the pediatric population. Patients with overweight/obesity may develop more complex GB diseases. Asymptomatic patients should be considered for surgery after observation, considering age and/or pubertal maturation when other risk factors are absent
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