222 research outputs found

    Efficacy and safety of preoperative preparation with Lugol''s iodine solution in euthyroid patients with Graves’ disease (LIGRADIS Trial): Study protocol for a multicenter randomized trial

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    Background: Currently, both the American Thyroid Association and the European Thyroid Association recommend preoperative preparation with Lugol''s Solution (LS) for patients undergoing thyroidectomy for Graves’ Disease (GD), but their recommendations are based on low-quality evidence. The LIGRADIS trial aims to provide evidence either to support or refute the systematic use of LS in euthyroid patients undergoing thyroidectomy for GD. Methods: A multicenter randomized controlled trial will be performed. Patients =18 years of age, diagnosed with GD, treated with antithyroid drugs, euthyroid and proposed for total thyroidectomy will be eligible for inclusion. Exclusion criteria will be prior thyroid or parathyroid surgery, hyperparathyroidism that requires associated parathyroidectomy, thyroid cancer that requires adding a lymph node dissection, iodine allergy, consumption of lithium or amiodarone, medically unfit patients (ASA-IV), breastfeeding women, preoperative vocal cord palsy and planned endoscopic, video-assisted or remote access surgery. Between January 2020 and January 2022, 270 patients will be randomized for either receiving or not preoperative preparation with LS. Researchers will be blinded to treatment assignment. The primary outcome will be the rate of postoperative complications: hypoparathyroidism, recurrent laryngeal nerve injury, hematoma, surgical site infection or death. Secondary outcomes will be intraoperative events (Thyroidectomy Difficulty Scale score, blood loss, recurrent laryngeal nerve neuromonitoring signal loss), operative time, postoperative length of stay, hospital readmissions, permanent complications and adverse events associated to LS. Conclusions: There is no conclusive evidence supporting the benefits of preoperative treatment with LS in this setting. This trial aims to provide new insights into future Clinical Practice Guidelines recommendations. Trial registration: ClinicalTrials.gov identifier: NCT03980132. © 202

    <i>Gaia</i> Data Release 1. Summary of the astrometric, photometric, and survey properties

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    Context. At about 1000 days after the launch of Gaia we present the first Gaia data release, Gaia DR1, consisting of astrometry and photometry for over 1 billion sources brighter than magnitude 20.7. Aims. A summary of Gaia DR1 is presented along with illustrations of the scientific quality of the data, followed by a discussion of the limitations due to the preliminary nature of this release. Methods. The raw data collected by Gaia during the first 14 months of the mission have been processed by the Gaia Data Processing and Analysis Consortium (DPAC) and turned into an astrometric and photometric catalogue. Results. Gaia DR1 consists of three components: a primary astrometric data set which contains the positions, parallaxes, and mean proper motions for about 2 million of the brightest stars in common with the HIPPARCOS and Tycho-2 catalogues – a realisation of the Tycho-Gaia Astrometric Solution (TGAS) – and a secondary astrometric data set containing the positions for an additional 1.1 billion sources. The second component is the photometric data set, consisting of mean G-band magnitudes for all sources. The G-band light curves and the characteristics of ∌3000 Cepheid and RR-Lyrae stars, observed at high cadence around the south ecliptic pole, form the third component. For the primary astrometric data set the typical uncertainty is about 0.3 mas for the positions and parallaxes, and about 1 mas yr−1 for the proper motions. A systematic component of ∌0.3 mas should be added to the parallax uncertainties. For the subset of ∌94 000 HIPPARCOS stars in the primary data set, the proper motions are much more precise at about 0.06 mas yr−1. For the secondary astrometric data set, the typical uncertainty of the positions is ∌10 mas. The median uncertainties on the mean G-band magnitudes range from the mmag level to ∌0.03 mag over the magnitude range 5 to 20.7. Conclusions. Gaia DR1 is an important milestone ahead of the next Gaia data release, which will feature five-parameter astrometry for all sources. Extensive validation shows that Gaia DR1 represents a major advance in the mapping of the heavens and the availability of basic stellar data that underpin observational astrophysics. Nevertheless, the very preliminary nature of this first Gaia data release does lead to a number of important limitations to the data quality which should be carefully considered before drawing conclusions from the data

    Measurement of the mass and lifetime of the Ωb−\Omega_b^- baryon

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    A proton-proton collision data sample, corresponding to an integrated luminosity of 3 fb−1^{-1} collected by LHCb at s=7\sqrt{s}=7 and 8 TeV, is used to reconstruct 63±963\pm9 Ωb−→Ωc0π−\Omega_b^-\to\Omega_c^0\pi^-, Ωc0→pK−K−π+\Omega_c^0\to pK^-K^-\pi^+ decays. Using the Ξb−→Ξc0π−\Xi_b^-\to\Xi_c^0\pi^-, Ξc0→pK−K−π+\Xi_c^0\to pK^-K^-\pi^+ decay mode for calibration, the lifetime ratio and absolute lifetime of the Ωb−\Omega_b^- baryon are measured to be \begin{align*} \frac{\tau_{\Omega_b^-}}{\tau_{\Xi_b^-}} &= 1.11\pm0.16\pm0.03, \\ \tau_{\Omega_b^-} &= 1.78\pm0.26\pm0.05\pm0.06~{\rm ps}, \end{align*} where the uncertainties are statistical, systematic and from the calibration mode (for τΩb−\tau_{\Omega_b^-} only). A measurement is also made of the mass difference, mΩb−−mΞb−m_{\Omega_b^-}-m_{\Xi_b^-}, and the corresponding Ωb−\Omega_b^- mass, which yields \begin{align*} m_{\Omega_b^-}-m_{\Xi_b^-} &= 247.4\pm3.2\pm0.5~{\rm MeV}/c^2, \\ m_{\Omega_b^-} &= 6045.1\pm3.2\pm 0.5\pm0.6~{\rm MeV}/c^2. \end{align*} These results are consistent with previous measurements.Comment: 11 pages, 5 figures, All figures and tables, along with any supplementary material and additional information, are available at https://lhcbproject.web.cern.ch/lhcbproject/Publications/LHCbProjectPublic/LHCb-PAPER-2016-008.htm

    Observation of the Bs0→ηâ€Čηâ€ČB^0_s\to\eta'\eta' decay

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    The first observation of the Bs0→ηâ€Čηâ€ČB^0_s\to\eta'\eta' decay is reported. The study is based on a sample of proton-proton collisions corresponding to 3.03.0 fb−1{\rm fb^{-1}} of integrated luminosity collected with the LHCb detector. The significance of the signal is 6.46.4 standard deviations. The branching fraction is measured to be [3.31±0.64 (stat)±0.28 (syst)±0.12 (norm)]×10−5[3.31 \pm 0.64\,{\rm (stat)} \pm 0.28\,{\rm (syst)} \pm 0.12\,{\rm (norm)}]\times10^{-5}, where the third uncertainty comes from the B±→ηâ€ČK±B^{\pm}\to\eta' K^{\pm} branching fraction that is used as a normalisation. In addition, the charge asymmetries of B±→ηâ€ČK±B^{\pm}\to\eta' K^{\pm} and B±→ϕK±B^{\pm}\to\phi K^{\pm}, which are control channels, are measured to be (−0.2±1.3)%(-0.2 \pm1.3)\% and (+1.7±1.3)%(+1.7\pm1.3)\%, respectively. All results are consistent with theoretical expectations

    Differential branching fraction and angular analysis of Λb0→ΛΌ+Ό−\Lambda^{0}_{b} \rightarrow \Lambda \mu^+\mu^- decays

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    The differential branching fraction of the rare decay Λb0→ΛΌ+Ό−\Lambda^{0}_{b} \rightarrow \Lambda \mu^+\mu^- is measured as a function of q2q^{2}, the square of the dimuon invariant mass. The analysis is performed using proton-proton collision data, corresponding to an integrated luminosity of 3.0 \mbox{ fb}^{-1}, collected by the LHCb experiment. Evidence of signal is observed in the q2q^2 region below the square of the J/ψJ/\psi mass. Integrating over 15 < q^{2} < 20 \mbox{ GeV}^2/c^4 the branching fraction is measured as d\mathcal{B}(\Lambda^{0}_{b} \rightarrow \Lambda \mu^+\mu^-)/dq^2 = (1.18 ^{+ 0.09} _{-0.08} \pm 0.03 \pm 0.27) \times 10^{-7} ( \mbox{GeV}^{2}/c^{4})^{-1}, where the uncertainties are statistical, systematic and due to the normalisation mode, Λb0→J/ψΛ\Lambda^{0}_{b} \rightarrow J/\psi \Lambda, respectively. In the q2q^2 intervals where the signal is observed, angular distributions are studied and the forward-backward asymmetries in the dimuon (AFBlA^{l}_{\rm FB}) and hadron (AFBhA^{h}_{\rm FB}) systems are measured for the first time. In the range 15 < q^2 < 20 \mbox{ GeV}^2/c^4 they are found to be A^{l}_{\rm FB} = -0.05 \pm 0.09 \mbox{ (stat)} \pm 0.03 \mbox{ (syst)} and A^{h}_{\rm FB} = -0.29 \pm 0.07 \mbox{ (stat)} \pm 0.03 \mbox{ (syst)}.Comment: 27 pages, 10 figures, Erratum adde

    First observation and amplitude analysis of the B−→D+K−π−B^{-}\to D^{+}K^{-}\pi^{-} decay

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    The B−→D+K−π−B^{-}\to D^{+}K^{-}\pi^{-} decay is observed in a data sample corresponding to 3.0 fb−13.0~\rm{fb}^{-1} of pppp collision data recorded by the LHCb experiment during 2011 and 2012. Its branching fraction is measured to be B(B−→D+K−π−)=(7.31±0.19±0.22±0.39)×10−5{\cal B}(B^{-}\to D^{+}K^{-}\pi^{-}) = (7.31 \pm 0.19 \pm 0.22 \pm 0.39) \times 10^{-5} where the uncertainties are statistical, systematic and from the branching fraction of the normalisation channel B−→D+π−π−B^{-}\to D^{+}\pi^{-}\pi^{-}, respectively. An amplitude analysis of the resonant structure of the B−→D+K−π−B^{-}\to D^{+}K^{-}\pi^{-} decay is used to measure the contributions from quasi-two-body B−→D0∗(2400)0K−B^{-}\to D_{0}^{*}(2400)^{0}K^{-}, B−→D2∗(2460)0K−B^{-}\to D_{2}^{*}(2460)^{0}K^{-}, and B−→DJ∗(2760)0K−B^{-}\to D_{J}^{*}(2760)^{0}K^{-} decays, as well as from nonresonant sources. The DJ∗(2760)0D_{J}^{*}(2760)^{0} resonance is determined to have spin~1.Comment: 39 pages, 10 figures, submitted to Phys. Rev. D. Updated following erratum 10.1103/PhysRevD.93.11990

    Search for the rare decays B0→J/ÏˆÎłB^{0}\to J/\psi \gamma and Bs0→J/ÏˆÎłB^{0}_{s} \to J/\psi \gamma

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    A search for the rare decay of a B0B^{0} or Bs0B^{0}_{s} meson into the final state J/ÏˆÎłJ/\psi\gamma is performed, using data collected by the LHCb experiment in pppp collisions at s=7\sqrt{s}=7 and 88 TeV, corresponding to an integrated luminosity of 3 fb−1^{-1}. The observed number of signal candidates is consistent with a background-only hypothesis. Branching fraction values larger than 1.7×10−61.7\times 10^{-6} for the B0→J/ÏˆÎłB^{0}\to J/\psi\gamma decay mode are excluded at 90% confidence level. For the Bs0→J/ÏˆÎłB^{0}_{s}\to J/\psi\gamma decay mode, branching fraction values larger than 7.4×10−67.4\times 10^{-6} are excluded at 90% confidence level, this is the first branching fraction limit for this decay.Comment: All figures and tables, along with any supplementary material and additional information, are available at https://lhcbproject.web.cern.ch/lhcbproject/Publications/LHCbProjectPublic/LHCb-PAPER-2015-044.htm

    Study of B−→DK−π+π−B^{-}\to DK^-\pi^+\pi^- and B−→Dπ−π+π−B^-\to D\pi^-\pi^+\pi^- decays and determination of the CKM angle Îł\gamma

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    We report a study of the suppressed B−→DK−π+π−B^-\to DK^-\pi^+\pi^- and favored B−→Dπ−π+π−B^-\to D\pi^-\pi^+\pi^- decays, where the neutral DD meson is detected through its decays to the K∓π±K^{\mp}\pi^{\pm} and CP-even K+K−K^+K^- and π+π−\pi^+\pi^- final states. The measurement is carried out using a proton-proton collision data sample collected by the LHCb experiment, corresponding to an integrated luminosity of 3.0~fb−1^{-1}. We observe the first significant signals in the CP-even final states of the DD meson for both the suppressed B−→DK−π+π−B^-\to DK^-\pi^+\pi^- and favored B−→Dπ−π+π−B^-\to D\pi^-\pi^+\pi^- modes, as well as in the doubly Cabibbo-suppressed D→K+π−D\to K^+\pi^- final state of the B−→Dπ−π+π−B^-\to D\pi^-\pi^+\pi^- decay. Evidence for the ADS suppressed decay B−→DK−π+π−B^{-}\to DK^-\pi^+\pi^-, with D→K+π−D\to K^+\pi^-, is also presented. From the observed yields in the B−→DK−π+π−B^-\to DK^-\pi^+\pi^-, B−→Dπ−π+π−B^-\to D\pi^-\pi^+\pi^- and their charge conjugate decay modes, we measure the value of the weak phase to be Îł=(74−19+20)o\gamma=(74^{+20}_{-19})^{\rm o}. This is one of the most precise single-measurement determinations of Îł\gamma to date.Comment: 22 pages, 9 figures; All figures and tables, along with any supplementary material and additional information, are available at https://lhcbproject.web.cern.ch/lhcbproject/Publications/LHCbProjectPublic/LHCb-PAPER-2015-020.htm
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