344 research outputs found

    A randomised controlled trial of probiotics for the prevention of spontaneous preterm delivery associated with bacterial vaginosis: preliminary results

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    BACKGROUND: Bacterial vaginosis increases the risk of spontaneous preterm delivery at less than 34 weeks of gestation. OBJECTIVE: The purpose of this study was to evaluate the efficacy of the early administration of selected lactobacilli strains (probiotics) to pregnant women with asymptomatic bacterial vaginosis/intermediate-degree infections to prevent spontaneous premature delivery and associated neonatal morbidity. METHODS/DESIGN: Asymptomatic pregnant women at less than 20 weeks of gestation, with no indication of elective preterm delivery, with a vaginal pH ??? 4.5 and Nugent score > 3 were randomly assigned to the placebo or intervention group (oral administration of selected lactobacilli up to the 24th to 26th week of gestation). The randomisation was stratified for the history of premature delivery (HPD) and blocked. The allocation was concealed, and the participating health professionals and patients were blinded. The primary outcome was preterm delivery (<34 to <32 weeks), and the secondary outcomes were associated neonatal complications. RESULTS: In total, 4,204 pregnant women were screened; 320 and 324 individuals were respectively randomly assigned to the placebo and intervention groups, and 62% finished the trial. None of the randomised patients were lost to follow-up. For the non-HPD stratum, the intent-to-treat relative risks of spontaneous premature birth at < 34 and < 37 weeks' gestation were 0.33 (0.03, 3.16) and 0.49 (0.17, 1.44), respectively, and they were non-significant (ns) with p = 0.31 and 0.14. The corresponding actual treatment figures were zero and 0.32 (0.09, 1.19), which were ns with p = 0.12 and 0.06. The intent-to-treat relative risk of spontaneous premature birth at < 37 weeks of gestation for the trial as a whole, including HPD and non-HPD participants, was 0.69 (0.26, 1.78), p = 0.30 (ns). The neonatal complications under evaluation occurred in only one infant (< 34 weeks; placebo group) who presented with respiratory distress syndrome and suspected early neonatal sepsis. The recorded adverse events were minor and relatively non-specific. CONCLUSIONS: The efficacy of the tested probiotics to prevent preterm delivery among women without a history of preterm delivery was not determined because the study sample was insufficient to estimate statistically significant intent-to-treat effects; additional studies are needed to evaluate this intervention among these women

    Endothelin-1 as a neuropeptide: neurotransmitter or neurovascular effects?

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    Endothelin-1 (ET-1) is an endothelium-derived peptide that also possesses potent mitogenic activity. There is also a suggestion the ET-1 is a neuropeptide, based mainly on its histological identification in both the central and peripheral nervous system in a number of species, including man. A neuropeptide role for ET-1 is supported by studies showing a variety of effects caused following its administration into different regions of the brain and by application to peripheral nerves. In addition there are studies proposing that ET-1 is implicated in a number of neural circuits where its transmitter affects range from a role in pain and temperature control to its action on the hypothalamo-neurosecretory system. While the effect of ET-1 on nerve tissue is beyond doubt, its action on nerve blood flow is often ignored. Here, we review data generated in a number of species and using a variety of experimental models. Studies range from those showing the distribution of ET-1 and its receptors in nerve tissue to those describing numerous neurally-mediated effects of ET-1

    Running of the top quark mass from proton-proton collisions at \sqrt{s} = 13 TeV

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    The running of the top quark mass is experimentally investigated for the first time. The mass of the top quark in the modified minimal subtraction \bar{MS} renormalization scheme is extracted from a comparison of the differential top quark-antiquark (t\bar{t}) cross section as a function of the invariant mass of the (t\bar{t}) system to next-to-leading-order theoretical predictions. The differential cross section is determined at the parton level by means of a maximum-likelihood fit to distributions of final-state observables. The analysis is performed using (t\bar{t}) candidate events in the e^{±} μ^{∓} channel in proton-proton collision data at a centre-of-mass energy of 13 TeV recorded by the CMS detector at the CERN LHC in 2016, corresponding to an integrated luminosity of 35.9 fb^{-1}. The extracted running is found to be compatible with the scale dependence predicted by the corresponding renormalization group equation. In this analysis, the running is probed up to a scale of the order of 1 TeV

    Search for dijet resonances using events with three jets in proton-proton collisions at \sqrt{s} = 13 TeV

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    A search for a narrow resonance with a mass between 350 and 700 GeV, and decaying into a pair of jets, is performed using proton-proton collision events containing at least three jets. The data sample corresponds to an integrated luminosity of 18.3 fb^{−1} recorded at \sqrt{s} = 13 TeV with the CMS detector. Data are collected with a technique known as “data scouting”, in which the events are reconstructed, selected, and recorded at a high rate in a compact form by the high-level trigger. The three-jet final state provides sensitivity to lower resonance masses than in previous searches using the data scouting technique. The spectrum of the dijet invariant mass, calculated from the two jets with the largest transverse momenta in the event, is used to search for a resonance. No significant excess over a smoothly falling background is found. Limits at 95% confidence level are set on the production cross section of a narrow dijet resonance and compared with the cross section of a vector dark matter mediator coupling to dark matter particles and quarks. Translating to a model where the narrow resonance interacts only with quarks, upper limits on this coupling range between 0.10 and 0.15, depending on the resonance mass. These results represent the most stringent upper limits in the mass range between 350 and 450 GeV obtained with a flavor-inclusive dijet resonance search

    Observation of the Λ_{b}^{0} → J/ψΛφ decay in proton-proton collisions at \sqrt{s} = 13 TeV

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    The observation of the Λ_{b}^{0} → J/ψΛφ decay is reported using proton-proton collision data collected at \sqrt{s} = 13 TeV by the CMS experiment at the LHC in 2018, corresponding to an integrated luminosity of 60 fb^{-1}. The ratio of the branching fractions B(Λ_{b}^{0} → J/ψΛφ)/B(Λ_{b}^{0} → J/ψ(2s)Λ) is measured to be 8.26 ± 0.90(stat) ± 0.68 (syst) ± 0.11(B)) x 10^{-2}, where the first uncertainty is statistical, the second is systematic, and the last uncertainty reflects the uncertainties in the world-average branching fractions of φ and ψ(2s) decays to the reconstructed final states

    Measurements of differential Z boson production cross sections in proton-proton collisions at \sqrt{s} = 13 TeV

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    Measurements are presented of the differential cross sections for Z bosons produced in proton-proton collisions at \sqrt{s} = 13 TeV and decaying to muons and electrons. The data analyzed were collected in 2016 with the CMS detector at the LHC and correspond to an integrated luminosity of 35.9 fb^{-1}. The measured fiducial inclusive product of cross section and branching fraction agrees with next-to-next-to-leading order quantum chromodynamics calculations. Differential cross sections of the transverse momentum p_{T}, the optimized angular variable ϕ^{*}_{η}, and the rapidity of lepton pairs are measured. The data are corrected for detector effects and compared to theoretical predictions using fixed order, resummed, and parton shower calculations. The uncertainties of the measured normalized cross sections are smaller than 0.5% for ϕ^{*}_{η} < 0.5 and for p^{Z}_{T} < 50 GeV
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