119 research outputs found

    Resultados a largo plazo de la valvuloplastía mitral percutánea con técnica de Inoue: Experiencia de 7 años del Hospital de Cardiología del CMN Siglo XXI. IMSS

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    En la última década, la valvuloplastía mitral por vía percutánea, (VMP) utilizando el balón de Inoue ha sido el procedimiento de elección para el manejo de la estenosis mitral de origen reumático con valvas flexibles, no calcificadas y con buen aparato subvalvular. Objetivo: Presentar la experiencia de 7 años, con el seguimiento de 456 pacientes a quienes se les realizó VMP con técnica de Inoue en el Hospital de Cardiología del Centro Médico Nacional SXXI. Material y métodos: Es un estudio de cohorte retrospectiva y observacional de enero de 1994 a diciembre de 2000, con seguimiento de 58.5 ± 26.6 meses (rango 12 a 96 meses con una mediana de 22). Resultados: El éxito inicial fue del 82.8%, se obtuvo un incremento del área valvular mitral de 0.9 ± 0.1 a 1.8 ± 0.3 cm², con ganancia que va del 88 al 106% del área valvular inicial (p < 0.001). Al final del seguimiento, el AVM se mantuvo en 1.7 ± 0.3 cm² en el 69.8% de los casos. Hubo caída significativa del gradiente de presión transmitral y de la presión sistólica de la arteria pulmonar inmediatamente después del procedimiento. El 93.1% de los pacientes se encontraron en CF I-II de la NYHA al final del seguimiento. Complicaciones: 11.6% siendo la más importante la insuficiencia mitral posterior al procedimiento en el 15.9% a causa de ruptura de las valvas, pero sólo el 9.1% fue severa (3 a 4+). Sólo se presentó una muerte y fue a causa de perforación durante la punción transeptal. Al final del seguimiento, el 93.8% libre de eventos cardiovasculares; requirieron cirugía mitral el 6.1%, el 5.5% en CF III-IV y se detectó una incidencia de reestenosis en el 14.6%. Conclusión: La VMP usando el balón de Inoue, es una técnica segura y efectiva para tratar la enfermedad valvular mitral de origen reumático en pacientes con score de Wilkins &lt; 10 puntos, con mínimo riesgo de plicaciones y una sobre vida libre de eventos mayores superior al 90%. El 93.1% de nuestro grupo se mantiene en CF I-II a largo plazo y con una baja incidencia de reestenosis

    Elliptic anisotropy measurement of the f0_0(980) hadron in proton-lead collisions and evidence for its quark-antiquark composition

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    International audienceDespite the f0_0(980) hadron having been discovered half a century ago, the question about its quark content has not been settled: it might be an ordinary quark-antiquark (qqˉ\mathrm{q\bar{q}}) meson, a tetraquark (qqˉqqˉ\mathrm{q\bar{q}q\bar{q}}) exotic state, a kaon-antikaon (KKˉ\mathrm{K\bar{K}}) molecule, or a quark-antiquark-gluon (qqˉg\mathrm{q\bar{q}g}) hybrid. This paper reports strong evidence that the f0_0(980) state is an ordinary qqˉ\mathrm{q\bar{q}} meson, inferred from the scaling of elliptic anisotropies (v2v_2) with the number of constituent quarks (nqn_\mathrm{q}), as empirically established using conventional hadrons in relativistic heavy ion collisions. The f0_0(980) state is reconstructed via its dominant decay channel f0_0(980) \toπ+π\pi^+\pi^-, in proton-lead collisions recorded by the CMS experiment at the LHC, and its v2v_2 is measured as a function of transverse momentum (pTp_\mathrm{T}). It is found that the nqn_q = 2 (qqˉ\mathrm{q\bar{q}} state) hypothesis is favored over nqn_q = 4 (qqˉqqˉ\mathrm{q\bar{q}q\bar{q}} or KKˉ\mathrm{K\bar{K}} states) by 7.7, 6.3, or 3.1 standard deviations in the pTp_\mathrm{T}<\lt 10, 8, or 6 GeV/cc ranges, respectively, and over nqn_\mathrm{q} = 3 (qqˉg\mathrm{q\bar{q}g} hybrid state) by 3.5 standard deviations in the pTp_\mathrm{T}<\lt 8 GeV/cc range. This result represents the first determination of the quark content of the f0_0(980) state, made possible by using a novel approach, and paves the way for similar studies of other exotic hadron candidates

    Extracting the speed of sound in the strongly interacting matter created in ultrarelativistic lead-lead collisions at the LHC

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    International audienceUltrarelativistic nuclear collisions create a strongly interacting state of hot and dense quark-gluon matter that exhibits a remarkable collective flow behavior with minimal viscous dissipation. To gain deeper insights into its intrinsic nature and fundamental degrees of freedom, we extracted the speed of sound in this medium created using lead-lead (PbPb) collisions at a center-of-mass energy per nucleon pair of 5.02 TeV. The data were recorded by the CMS experiment at the CERN LHC and correspond to an integrated luminosity of 0.607 nb1^{-1}. The measurement is performed by studying the multiplicity dependence of the average transverse momentum of charged particles emitted in head-on PbPb collisions. Our findings reveal that the speed of sound in this matter is nearly half the speed of light, with a squared value of 0.241 ±\pm 0.002 (stat) ±\pm 0.016 (syst) in natural units. The effective medium temperature, estimated using the mean transverse momentum, is 219 ±\pm 8 (syst) MeV. The measured squared speed of sound at this temperature aligns precisely with predictions from lattice quantum chromodynamic (QCD) calculations. This result provides a stringent constraint on the equation of state of the created medium and direct evidence for a deconfined QCD phase being attained in relativistic nuclear collisions

    Search for CPCP violation in D0^0\to KS0^0_\mathrm{S}KS0^0_\mathrm{S} decays in proton-proton collisions at s\sqrt{s} = 13 TeV

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    International audienceA search is reported for charge-parity D0^0\to KS0^0_\mathrm{S}KS0^0_\mathrm{S}CPCP violation in D0^0\to KS0^0_\mathrm{S}KS0^0_\mathrm{S} decays, using data collected in proton-proton collisions at s\sqrt{s} = 13 TeV recorded by the CMS experiment in 2018. The analysis uses a dedicated data set that corresponds to an integrated luminosity of 41.6 fb1^{-1}, which consists of about 10 billion events containing a pair of ẖadrons, nearly all of which decay to charm hadrons. The flavor of the neutral D meson is determined by the pion charge in the reconstructed decays D+^{*+}\to D0π+^0\pi^+ and D^{*-}\to D0π^0\pi^-. The D0^0\to KS0^0_\mathrm{S}KS0^0_\mathrm{S}CPCP asymmetry in D0^0\to KS0^0_\mathrm{S}KS0^0_\mathrm{S} is measured to be ACPA_{CP}( KS0^0_\mathrm{S}KS0^0_\mathrm{S}) = (6.2 ±\pm 3.0 ±\pm 0.2 ±\pm 0.8)%, where the three uncertainties represent the statistical uncertainty, the systematic uncertainty, and the uncertainty in the measurement of the D0^0 \to KS0^0_\mathrm{S}KS0^0_\mathrm{S} CPCP asymmetry in the D0^0 \to KS0π+π^0_\mathrm{S}\pi^+\pi^- decay. This is the first D0^0 \to KS0^0_\mathrm{S}KS0^0_\mathrm{S} CPCP asymmetry measurement by CMS in the charm sector as well as the first to utilize a fully hadronic final state

    Test of lepton flavor universality in B± ⁣ ⁣K±μ+μ {\mathrm{B}^{\pm}} \!\to\! \mathrm{K^{\pm}}\mu^{+}\mu^{-} and B± ⁣ ⁣K±e+e {\mathrm{B}^{\pm}} \!\to\! \mathrm{K^{\pm}}\mathrm{e}^+\mathrm{e}^- decays in proton-proton collisions at s= \sqrt{s} = 13 TeV

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    A test of lepton flavor universality in B± ⁣ ⁣K±μ+μ {\mathrm{B}^{\pm}} \!\to\! \mathrm{K^{\pm}}\mu^{+}\mu^{-} and B± ⁣ ⁣K±e+e {\mathrm{B}^{\pm}} \!\to\! \mathrm{K^{\pm}}\mathrm{e}^+\mathrm{e}^- decays, as well as a measurement of differential and integrated branching fractions of a nonresonant B± ⁣ ⁣K±μ+μ {\mathrm{B}^{\pm}} \!\to\! \mathrm{K^{\pm}}\mu^{+}\mu^{-} decay are presented. The analysis is made possible by a dedicated data set of proton-proton collisions at s= \sqrt{s} = 13 TeV recorded in 2018, by the CMS experiment at the LHC, using a special high-rate data stream designed for collecting about 10 billion unbiased b hadron decays. The ratio of the branching fractions B(B± ⁣ ⁣K±μ+μ) \mathcal{B}({\mathrm{B}^{\pm}} \!\to\! \mathrm{K^{\pm}}\mu^{+}\mu^{-}) to B(B± ⁣ ⁣K±e+e) \mathcal{B}({\mathrm{B}^{\pm}} \!\to\! \mathrm{K^{\pm}}\mathrm{e}^+\mathrm{e}^-) is determined from the measured double ratio R(K) R(\mathrm{K}) of these decays to the respective branching fractions of the B± ⁣ ⁣J/ψK± {\mathrm{B}^{\pm}} \!\to\! {\mathrm{J}/\psi} \mathrm{K^{\pm}} with J/ψ ⁣ ⁣μ+μ {\mathrm{J}/\psi} \!\to\!\mu^{+}\mu^{-} and e+e \mathrm{e}^+\mathrm{e}^- decays, which allow for significant cancellation of systematic uncertainties. The ratio R(K) R(\mathrm{K}) is measured in the range 1.1 <q2< < q^2 < 6.0 GeV2^2 , where q q is the invariant mass of the lepton pair, and is found to be R(K)= R(\mathrm{K})= 0.78 0.23+0.47 ^{+0.47}_{-0.23} , in agreement with the standard model expectation R(K) R(\mathrm{K}) \approx 1. This measurement is limited by the statistical precision of the electron channel. The integrated branching fraction in the same q2 q^2 range, B(B± ⁣ ⁣K±μ+μ)= \mathcal{B}({\mathrm{B}^{\pm}} \!\to\! \mathrm{K^{\pm}}\mu^{+}\mu^{-}) = (12.42 ± \pm 0.68) ×\times 108^{-8} , is consistent with the present world-average value and has a comparable precision.A test of lepton flavor universality in B±^{\pm}\to K±μ+μ^{\pm}\mu^+\mu^- and B±^{\pm}\to K±^{\pm}e+^+e^- decays, as well as a measurement of differential and integrated branching fractions of a nonresonant B±^{\pm}\to K±μ+μ^{\pm}\mu^+\mu^- decay are presented. The analysis is made possible by a dedicated data set of proton-proton collisions at s\sqrt{s} = 13 TeV recorded in 2018, by the CMS experiment at the LHC, using a special high-rate data stream designed for collecting about 10 billion unbiased b hadron decays. The ratio of the branching fractions B\mathcal{B}(B±^{\pm}\to K±μ+μ^{\pm}\mu^+\mu^-) to B\mathcal{B}(B±^{\pm}\to K±^{\pm}e+^+e^-) is determined from the measured double ratio RR(K) of these decays to the respective branching fractions of the B±^\pm\to J/ψ\psiK±^\pm with J/ψ\psi\toμ+μ\mu^+\mu^- and e+^+e^- decays, which allow for significant cancellation of systematic uncertainties. The ratio RR(K) is measured in the range 1.1 <q2<\lt q^2 \lt 6.0 GeV2^2, where qq is the invariant mass of the lepton pair, and is found to be RR(K) = 0.780.23+0.47^{+0.47}_{-0.23}, in agreement with the standard model expectation RR(K) \approx 1. This measurement is limited by the statistical precision of the electron channel. The integrated branching fraction in the same q2q^2 range, B\mathcal{B}(B±^{\pm}\to K±μ+μ^{\pm}\mu^+\mu^-) = (12.42 ±\pm 0.68) ×\times 108^{-8}, is consistent with the present world-average value and has a comparable precision

    Observation of the Ξb\Xi^-_\mathrm{b}\toψ\psi(2S)Ξ\Xi^- decay and studies of the Ξb0\Xi_\mathrm{b}^{\ast{}0} baryon in proton-proton collisions at s\sqrt{s} = 13 TeV

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    International audienceThe first observation of the decay Ξb\Xi^-_\mathrm{b}\toψ\psi(2S)Ξ\Xi^- and measurement of the branching ratio of Ξb\Xi^-_\mathrm{b}\toψ\psi(2S)Ξ\Xi^- to Ξb\Xi^-_\mathrm{b}\to J/ψ\psiΞ\Xi^- are presented. The J/ψ\psi and ψ\psi(2S) mesons are reconstructed using their dimuon decay modes. The results are based on proton-proton colliding beam data from the LHC collected by the CMS experiment at s\sqrt{s} = 13 TeV in 2016-2018, corresponding to an integrated luminosity of 140 fb1^{-1}. The branching fraction ratio is measured to be B\mathcal{B}(Ξb\Xi^-_\mathrm{b}\toψ\psi(2S)Ξ\Xi^-)/B\mathcal{B}(Ξb\Xi^-_\mathrm{b}\to J/ψ\psiΞ\Xi^-) = 0.840.19+0.21^{+0.21}_{-0.19} (stat) ±\pm 0.10 (syst) ±\pm 0.02 (B\mathcal{B}), where the last uncertainty comes from the uncertainties in the branching fractions of the charmonium states. New measurements of the Ξb0\Xi_\mathrm{b}^{\ast{}0} baryon mass and natural width are also presented, using the Ξbπ+\Xi_\mathrm{b}^-\pi^+ final state, where the Ξb\Xi^-_\mathrm{b} baryon is reconstructed through the decays J/ψΞ\psi \Xi^-, ψ\psi(2S)Ξ\Xi^-, J/ψΛ\psi \LambdaK^-, and J/ψΣ0\psi \Sigma^0K^-. Finally, the fraction of the Ξb\Xi^-_\mathrm{b} baryons produced from Ξb0\Xi_\mathrm{b}^{\ast{}0} decays is determined

    Search for the decay of the Higgs boson to a pair of light pseudoscalar bosons in the final state with four bottom quarks in proton-proton collisions at s\sqrt{s} = 13 TeV

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    International audienceA search is presented for the decay of the 125 GeV Higgs boson (H) to a pair of new light pseudoscalar bosons (a), followed by the prompt decay of each a boson to a bottom quark-antiquark pair, H \to aa \tobbˉbbˉ\mathrm{b\bar{b}b\bar{b}}. The analysis is performed using a data sample of proton-proton collisions collected with the CMS detector at a center-of-mass energy of 13 TeV, corresponding to an integrated luminosity of 138 fb1^{-1}. To reduce the background from standard model processes, the search requires the Higgs boson to be produced in association with a leptonically decaying W or Z boson. The analysis probes the production of new light bosons in a 15 <\ltmam_\mathrm{a}<\lt 60 GeV mass range. Assuming the standard model predictions for the Higgs boson production cross sections for pp \to WH and ZH, model independent upper limits at 95% confidence level are derived for the branching fraction B\mathcal{B}(H \to aa \to bbˉbbˉ\mathrm{b\bar{b}b\bar{b}}). The combined WH and ZH observed upper limit on the branching fraction ranges from 1.10 for ma=m_\mathrm{a} = 20 GeV to 0.36 for ma=m_\mathrm{a} = 60 GeV, complementing other measurements in the μμττ\mu\mu\tau\tau, ττττ\tau\tau\tau\tau and bb\ell\ell (=\ell= μ\mu,τ\tau) channels

    Observation of the J/ψ\psi \to μ+μμ+μ\mu^+\mu^-\mu^+\mu^- decay in proton-proton collisions at s\sqrt{s} = 13 TeV

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    International audienceThe J/ψ\psi\toμ+μμ+μ\mu^+\mu^-\mu^+\mu^- decay has been observed with a statistical significance in excess of five standard deviations. The analysis is based on an event sample of proton-proton collisions at a center-of-mass energy of 13 TeV, collected by the CMS experiment in 2018 and corresponding to an integrated luminosity of 33.6 fb1{-1}. Normalizing to the J/ψ\psi\toμ+μ\mu^+\mu^- decay mode leads to a branching fraction [10.12.7+3.3^{+3.3}_{-2.7} (stat) ±\pm 0.4 (syst) ]×\times 107^{-7}, a value that is consistent with the standard model prediction
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