164 research outputs found

    Application of non-HDL cholesterol for population-based cardiovascular risk stratification: results from the Multinational Cardiovascular Risk Consortium.

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    BACKGROUND: The relevance of blood lipid concentrations to long-term incidence of cardiovascular disease and the relevance of lipid-lowering therapy for cardiovascular disease outcomes is unclear. We investigated the cardiovascular disease risk associated with the full spectrum of bloodstream non-HDL cholesterol concentrations. We also created an easy-to-use tool to estimate the long-term probabilities for a cardiovascular disease event associated with non-HDL cholesterol and modelled its risk reduction by lipid-lowering treatment. METHODS: In this risk-evaluation and risk-modelling study, we used Multinational Cardiovascular Risk Consortium data from 19 countries across Europe, Australia, and North America. Individuals without prevalent cardiovascular disease at baseline and with robust available data on cardiovascular disease outcomes were included. The primary composite endpoint of atherosclerotic cardiovascular disease was defined as the occurrence of the coronary heart disease event or ischaemic stroke. Sex-specific multivariable analyses were computed using non-HDL cholesterol categories according to the European guideline thresholds, adjusted for age, sex, cohort, and classical modifiable cardiovascular risk factors. In a derivation and validation design, we created a tool to estimate the probabilities of a cardiovascular disease event by the age of 75 years, dependent on age, sex, and risk factors, and the associated modelled risk reduction, assuming a 50% reduction of non-HDL cholesterol. FINDINGS: Of the 524 444 individuals in the 44 cohorts in the Consortium database, we identified 398 846 individuals belonging to 38 cohorts (184 055 [48·7%] women; median age 51·0 years [IQR 40·7-59·7]). 199 415 individuals were included in the derivation cohort (91 786 [48·4%] women) and 199 431 (92 269 [49·1%] women) in the validation cohort. During a maximum follow-up of 43·6 years (median 13·5 years, IQR 7·0-20·1), 54 542 cardiovascular endpoints occurred. Incidence curve analyses showed progressively higher 30-year cardiovascular disease event-rates for increasing non-HDL cholesterol categories (from 7·7% for non-HDL cholesterol <2·6 mmol/L to 33·7% for ≥5·7 mmol/L in women and from 12·8% to 43·6% in men; p<0·0001). Multivariable adjusted Cox models with non-HDL cholesterol lower than 2·6 mmol/L as reference showed an increase in the association between non-HDL cholesterol concentration and cardiovascular disease for both sexes (from hazard ratio 1·1, 95% CI 1·0-1·3 for non-HDL cholesterol 2·6 to <3·7 mmol/L to 1·9, 1·6-2·2 for ≥5·7 mmol/L in women and from 1·1, 1·0-1·3 to 2·3, 2·0-2·5 in men). The derived tool allowed the estimation of cardiovascular disease event probabilities specific for non-HDL cholesterol with high comparability between the derivation and validation cohorts as reflected by smooth calibration curves analyses and a root mean square error lower than 1% for the estimated probabilities of cardiovascular disease. A 50% reduction of non-HDL cholesterol concentrations was associated with reduced risk of a cardiovascular disease event by the age of 75 years, and this risk reduction was greater the earlier cholesterol concentrations were reduced. INTERPRETATION: Non-HDL cholesterol concentrations in blood are strongly associated with long-term risk of atherosclerotic cardiovascular disease. We provide a simple tool for individual long-term risk assessment and the potential benefit of early lipid-lowering intervention. These data could be useful for physician-patient communication about primary prevention strategies. FUNDING: EU Framework Programme, UK Medical Research Council, and German Centre for Cardiovascular Research

    Meta-analysis of genome-wide association studies from the CHARGE consortium identifies common variants associated with carotid intima media thickness and plaque

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    Carotid intima media thickness (cIMT) and plaque determined by ultrasonography are established measures of subclinical atherosclerosis that each predicts future cardiovascular disease events. We conducted a meta-analysis of genome-wide association data in 31,211 participants of European ancestry from nine large studies in the setting of the Cohorts for Heart and Aging Research in Genomic Epidemiology (CHARGE) Consortium. We then sought additional evidence to support our findings among 11,273 individuals using data from seven additional studies. In the combined meta-analysis, we identified three genomic regions associated with common carotid intima media thickness and two different regions associated with the presence of carotid plaque (P < 5 × 10 -8). The associated SNPs mapped in or near genes related to cellular signaling, lipid metabolism and blood pressure homeostasis, and two of the regions were associated with coronary artery disease (P < 0.006) in the Coronary Artery Disease Genome-Wide Replication and Meta-Analysis (CARDIoGRAM) consortium. Our findings may provide new insight into pathways leading to subclinical atherosclerosis and subsequent cardiovascular events

    Measurement of the Helicity Fractions of W Bosons from Top Quark Decays Using Fully Reconstructed top-antitop Events with CDF II

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    We present a measurement of the fractions F_0 and F_+ of longitudinally polarized and right-handed W bosons in top quark decays using data collected with the CDF II detector. The data set used in the analysis corresponds to an integrated luminosity of approximately 318 pb -1. We select ttbar candidate events with one lepton, at least four jets, and missing transverse energy. Our helicity measurement uses the decay angle theta*, which is defined as the angle between the momentum of the charged lepton in the W boson rest frame and the W momentum in the top quark rest frame. The cos(theta*) distribution in the data is determined by full kinematic reconstruction of the ttbar candidates. We find F_0 = 0.85 +0.15 -0.22 (stat) +- 0.06 (syst) and F_+ = 0.05 +0.11 -0.05 (stat) +- 0.03 (syst), which is consistent with the standard model prediction. We set an upper limit on the fraction of right-handed W bosons of F_+ < 0.26 at the 95% confidence level.Comment: 11 pages, 2 figures, submitted to Phys. Rev.

    Measurement of the ttbar Production Cross Section in ppbar Collisions at sqrt(s) = 1.96 TeV

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    We present a measurement of the top quark pair production cross section in ppbar collisions at sqrt(s)=1.96 TeV using 318 pb^{-1} of data collected with the Collider Detector at Fermilab. We select ttbar decays into the final states e nu + jets and mu nu + jets, in which at least one b quark from the t-quark decays is identified using a secondary vertex-finding algorithm. Assuming a top quark mass of 178 GeV/c^2, we measure a cross section of 8.7 +-0.9 (stat) +1.1-0.9 (syst) pb. We also report the first observation of ttbar with significance greater than 5 sigma in the subsample in which both b quarks are identified, corresponding to a cross section of 10.1 +1.6-1.4(stat)+2.0-1.3 (syst) pb.Comment: Accepted for publication in Physics Review Letters, 7 page

    Searches for Direct Pair Production of Supersymmetric Top and Supersymmetric Bottom Quarks in p-pbar Collisions at sqrt(s)=1.96 TeV

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    We search for direct pair production of supersymmetric top quarks and supersymmetric bottom quarks in proton-antiproton collisions at sqrt(s)=1.96 TeV, using 295 pb^-1 of data recorded by the Collider Detector at Fermilab (CDF II) experiment. The supersymmetric top (supersymmetric bottom) quarks are selected by reconstructing their decay into a charm (bottom) quark and a neutralino, which is assumed to be the lightest supersymmetric particle. The signature of such processes is two energetic heavy-flavor jets and missing transverse energy. The number of events that pass our selection for each search process is consistent with the expected standard model background. By comparing our results to the theoretical production cross sections of the supersymmetric top and supersymmetric bottom quarks in the minimal supersymmetric standard model, we exclude, at a 95% confidence level in the frame of that model, a supersymmetric top quark mass up to 132 GeV/c^2 for a neutralino mass of 48 GeV/c^2, and a supersymmetric bottom quark mass up to 193 GeV/c^2 for a neutralino mass of 40 GeV/c^2.Comment: 12 pages, 5 figures, submitted to Phys. Rev.

    Search for Third Generation Vector Leptoquarks in p anti-p Collisions at sqrt(s) = 1.96 TeV

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    We describe a search for a third generation vector leptoquark (VLQ3) that decays to a b quark and tau lepton using the CDF II detector and 322 pb^(-1) of integrated luminosity from the Fermilab Tevatron. Vector leptoquarks have been proposed in many extensions of the standard model (SM). Observing a number of events in agreement with SM expectations, assuming Yang-Mills (minimal) couplings, we obtain the most stringent upper limit on the VLQ3 pair production cross section of 344 fb (493 fb) and lower limit on the VLQ3 mass of 317 GeV/c^2 (251 GeV/c^2) at 95% C.L.Comment: 7 pages, 2 figures, submitted to PR

    Evidence for the exclusive decay Bc+- to J/psi pi+- and measurement of the mass of the Bc meson

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    We report first evidence for a fully reconstructed decay mode of the B_c^{\pm} meson in the channel B_c^{\pm} \to J/psi \pi^{\pm}, with J/psi \to mu^+mu^-. The analysis is based on an integrated luminosity of 360 pb$^{-1} in p\bar{p} collisions at 1.96 TeV center of mass energy collected by the Collider Detector at Fermilab. We observe 14.6 \pm 4.6 signal events with a background of 7.1 \pm 0.9 events, and a fit to the J/psi pi^{\pm} mass spectrum yields a B_c^{\pm} mass of 6285.7 \pm 5.3(stat) \pm 1.2(syst) MeV/c^2. The probability of a peak of this magnitude occurring by random fluctuation in the search region is estimated as 0.012%.Comment: 7 pages, 3 figures. Version 3, accepted by PR

    Top quark mass measurement using the template method at CDF

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    We present a measurement of the top quark mass in the lepton+jets and dilepton channels of ttˉt\bar{t} decays using the template method. The data sample corresponds to an integrated luminosity of 5.6 fb1^{-1} of ppˉp\bar{p} collisions at Tevatron with s=1.96\sqrt{s}=1.96 TeV, collected with the CDF II detector. The measurement is performed by constructing templates of three kinematic variables in the lepton+jets and two kinematic variables in the dilepton channel. The variables are two reconstructed top quark masses from different jets-to-quarks combinations and the invariant mass of two jets from the WW decay in the lepton+jets channel, and a reconstructed top quark mass and mT2m_{T2}, a variable related to the transverse mass in events with two missing particles, in the dilepton channel. The simultaneous fit of the templates from signal and background events in the lepton+jets and dilepton channels to the data yields a measured top quark mass of Mtop=172.1±1.1(stat)±0.9(syst).M_{top} = 172.1 \pm 1.1(stat) \pm 0.9(syst).Comment: submitted to Phys. Rev.

    Measurement of σ(Λb)/σ(B0)×BR(ΛbΛcπ)/BR(B0D+π)\sigma(\Lambda_b)/\sigma(B^0) \times BR(\Lambda_b\to\Lambda_c\pi^-) / BR(B^0\to D^+\pi^-) in ppˉp\bar{p} Collisions at s=1.96\sqrt{s}=1.96 TeV

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    We present the first observation of the baryon decay ΛbΛcπ\Lambda_b\to\Lambda_c\pi^- followed by ΛcpKπ+\Lambda_c\to p K^-\pi^+ in 106 pb-1 of ppˉp\bar{p} collisions at s=1.96\sqrt{s} = 1.96 TeV in the CDF experiment. In order to reduce systematic error, the measured rate for Λb\Lambda_b decay is normalized to the kinematically similar meson decay B0D+πB^0\to D^+\pi^- followed by D+π+Kπ+D^+\to\pi^+K^-\pi^+. We report the ratio of production cross sections (σ\sigma) times the ratio of branching fractions (BR) for the momentum region integrated above pT>6p_T > 6 GeV/c and pseudorapidity range η<1.3|\eta| < 1.3: σ(ppˉΛbX)/σ(ppˉB0X)×BR(ΛbΛcπ)/BR(B0D+π)=0.82±0.08(stat)±0.11(syst)±0.22(BR(ΛcpKπ+))\sigma(p\bar{p}\to \Lambda_b X) / \sigma (p\bar{p}\to B^0 X) \times BR(\Lambda_b\to\Lambda_c\pi^-) / BR(B^0\to D^+\pi^-) = 0.82 \pm 0.08(stat) \pm 0.11(syst) \pm 0.22 (BR(\Lambda_c\to p K^-\pi^+)).Comment: Submitted to Phys.Rev.Let

    Measurement of the top-quark mass using missing ETE_T+jets events with secondary vertex bb-tagging at CDF II

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    We present a measurement of the top-quark mass in ppˉp\bar p collisions at \hbox{s=1.96\sqrt{s}=1.96} TeV which uses events with an inclusive signature of missing transverse energy and jets. % The event selection is sensitive to ttˉW+bWbˉlνbqqbˉt\bar t\to W^+bW^-\bar b\to l\nu b q q^\prime \bar b independent of the lepton flavor, and results in a large acceptance for WτνW\to\tau\nu decays. % All-hadronic ttˉt\bar t decays and events with identified electrons or muons are vetoed to provide a statistically independent sample with respect to all previous measurements. % The top-quark mass is inferred from the distribution of the scalar sum of all jet transverse energies and the missing transverse energy. Using 311 pb1^{-1} of integrated luminosity recorded by the Collider Detector at Fermilab, we measure a top-quark mass mt=172.39.6+10.8m_t = 172.3 ^{+10.8}_{-9.6}(stat.)±10.8\pm 10.8(syst.) GeV/c2c^2. While the uncertainty on mtm_t is larger than that of other measurements, the result is statistically uncorrelated with those of other methods, and thus can help to reduce the overall mtm_t uncertainty when combined with other existing measurements.Comment: 8 pages, 4 figure
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