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We present the results of a search for the bâdâ^{+}â^{-} flavor-changing neutral-current rare decays B^{+,0}â(η,ω,π^{+,0},ρ^{+,0})e^{+}e^{-} and B^{+,0}â(η,ω,π^{0},ρ^{+})µ^{+}µ^{-} using a 711 fb^{-1} data sample that contains 772×10^{6} BB[over ¯] events. The data were collected at the Ï(4S) resonance with the Belle detector at the KEKB asymmetric-energy e^{+}e^{-} collider. We find no evidence for signal and set upper limits on branching fractions at the 90% confidence level in the range (3.8-47)×10^{-8} depending on the decay channel. The obtained limits are the world's best results. This is the first search for the channels B^{+,0}â(ω,ρ^{+,0})e^{+}e^{-} and B^{+,0}â(ω,ρ^{+})µ^{+}µ^{-}.
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We measure the tau-to-light-lepton ratio of inclusive B-meson branching fractions R(X_{τ/â})≡B(BâXτν)/B(BâXâν), where â indicates an electron or muon, and thereby test the universality of charged-current weak interactions. We select events that have one fully reconstructed B meson and a charged lepton candidate from 189 fb^{-1} of electron-positron collision data collected with the Belle II detector. We find R(X_{τ/â})=0.228±0.016(stat)±0.036(syst), in agreement with standard-model expectations. This is the first direct measurement of R(X_{τ/â}).
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We report the first search for a nonstandard-model resonance decaying into τ pairs in e^{+}e^{-}âµ^{+}µ^{-}τ^{+}τ^{-} events in the 3.6-10 GeV/c^{2} mass range. We use a 62.8 fb^{-1} sample of e^{+}e^{-} collisions collected at a center-of-mass energy of 10.58 GeV by the Belle II experiment at the SuperKEKB collider. The analysis probes three different models predicting a spin-1 particle coupling only to the heavier lepton families, a Higgs-like spin-0 particle that couples preferentially to charged leptons (leptophilic scalar), and an axionlike particle, respectively. We observe no evidence for a signal and set exclusion limits at 90% confidence level on the product of cross section and branching fraction into τ pairs, ranging from 0.7 to 24 fb, and on the couplings of these processes. We obtain world-leading constraints on the couplings for the leptophilic scalar model for masses above 6.5 GeV/c^{2} and for the axionlike particle model over the entire mass range.
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An absolute measurement of the Λ_{c}^{+} lifetime is reported using Λ_{c}^{+}âpK^{-}π^{+} decays in events reconstructed from data collected by the Belle II experiment at the SuperKEKB asymmetric-energy electron-positron collider. The total integrated luminosity of the data sample, which was collected at center-of-mass energies at or near the Ï(4S) resonance, is 207.2 fb^{-1}. The result, τ(Λ_{c}^{+})=203.20±0.89±0.77 fs, where the first uncertainty is statistical and the second systematic, is the most precise measurement to date and is consistent with previous determinations.
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The dark photon A^{'} and the dark Higgs boson h^{'} are hypothetical particles predicted in many dark sector models. We search for the simultaneous production of A^{'} and h^{'} in the dark Higgsstrahlung process e^{+}e^{-}âA^{'}h^{'} with A^{'}âµ^{+}µ^{-} and h^{'} invisible in electron-positron collisions at a center-of-mass energy of 10.58 GeV in data collected by the Belle II experiment in 2019. With an integrated luminosity of 8.34 fb^{-1}, we observe no evidence for signal. We obtain exclusion limits at 90% Bayesian credibility in the range of 1.7-5.0 fb on the cross section and in the range of 1.7×10^{-8}-200×10^{-8} on the effective coupling ϵ^{2}×α_{D} for the A^{'} mass in the range of 4.0 GeV/c^{2}
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We study the processes e^{+}e^{-}âωχ_{bJ}(1P) (J=0, 1, or 2) using samples at center-of-mass energies sqrt[s]=10.701, 10.745, and 10.805 GeV, corresponding to 1.6, 9.8, and 4.7 fb^{-1} of integrated luminosity, respectively. These data were collected with the Belle II detector during special operations of the SuperKEKB collider above the Ï(4S) resonance. We report the first observation of ωχ_{bJ}(1P) signals at sqrt[s]=10.745 GeV. By combining Belle II data with Belle results at sqrt[s]=10.867 GeV, we find energy dependencies of the Born cross sections for e^{+}e^{-}âωχ_{b1,b2}(1P) to be consistent with the shape of the Ï(10753) state. These data indicate that the internal structures of the Ï(10753) and Ï(10860) states may differ. Including data at sqrt[s]=10.653 GeV, we also search for the bottomonium equivalent of the X(3872) state decaying into ωÏ(1S). No significant signal is observed for masses between 10.45 and 10.65 GeV/c^{2}.
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We present the first comprehensive tests of the universality of the light leptons in the angular distributions of semileptonic B^{0}-meson decays to charged spin-1 charmed mesons. We measure five angular-asymmetry observables as functions of the decay recoil that are sensitive to lepton-universality-violating contributions. We use events where one neutral B is fully reconstructed in Ï(4S)âBB[over ¯] decays in data corresponding to 189 fb^{-1} integrated luminosity from electron-positron collisions collected with the Belle II detector. We find no significant deviation from the standard model expectations.
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We search for lepton-flavor-violating τ^{-}âe^{-}α and τ^{-}âµ^{-}α decays, where α is an invisible spin-0 boson. The search uses electron-positron collisions at 10.58 GeV center-of-mass energy with an integrated luminosity of 62.8 fb^{-1}, produced by the SuperKEKB collider and collected with the Belle II detector. We search for an excess in the lepton-energy spectrum of the known τ^{-}âe^{-}ν[over ¯]_{e}ν_{τ} and τ^{-}âµ^{-}ν[over ¯]_{µ}ν_{τ} decays. We report 95% confidence-level upper limits on the branching-fraction ratio B(τ^{-}âe^{-}α)/B(τ^{-}âe^{-}ν[over ¯]_{e}ν_{τ}) in the range (1.1-9.7)×10^{-3} and on B(τ^{-}âµ^{-}α)/B(τ^{-}âµ^{-}ν[over ¯]_{µ}ν_{τ}) in the range (0.7-12.2)×10^{-3} for α masses between 0 and 1.6 GeV/c^{2}. These results provide the most stringent bounds on invisible boson production from τ decays.
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The L_{µ}-L_{τ} extension of the standard model predicts the existence of a lepton-flavor-universality-violating Z^{'} boson that couples only to the heavier lepton families. We search for such a Z^{'} through its invisible decay in the process e^{+}e^{-}âµ^{+}µ^{-}Z^{'}. We use a sample of electron-positron collisions at a center-of-mass energy of 10.58 GeV collected by the Belle II experiment in 2019-2020, corresponding to an integrated luminosity of 79.7 fb^{-1}. We find no excess over the expected standard-model background. We set 90%-confidence-level upper limits on the cross section for this process as well as on the coupling of the model, which ranges from 3×10^{-3} at low Z^{'} masses to 1 at Z^{'} masses of 8 GeV/c^{2}.
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Mésons , Humanos , ElétronsRESUMO
The first measurement of lepton-jet momentum imbalance and azimuthal correlation in lepton-proton scattering at high momentum transfer is presented. These data, taken with the H1 detector at HERA, are corrected for detector effects using an unbinned machine learning algorithm (multifold), which considers eight observables simultaneously in this first application. The unfolded cross sections are compared with calculations performed within the context of collinear or transverse-momentum-dependent factorization in quantum chromodynamics as well as Monte Carlo event generators.
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We report a measurement of the D^{0} and D^{+} lifetimes using D^{0}âK^{-}π^{+} and D^{+}âK^{-}π^{+}π^{+} decays reconstructed in e^{+}e^{-}âcc[over ¯] data recorded by the Belle II experiment at the SuperKEKB asymmetric-energy e^{+}e^{-} collider. The data, collected at center-of-mass energies at or near the Ï(4S) resonance, correspond to an integrated luminosity of 72 fb^{-1}. The results, τ(D^{0})=410.5±1.1(stat)±0.8(syst) fs and τ(D^{+})=1030.4±4.7(stat)±3.1(syst) fs, are the most precise to date and are consistent with previous determinations.
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BACKGROUND: The identification of obstructive and central hypopneas is considered challenging in clinical practice. Presently, obstructive and central hypopneas are usually not differentiated or scores lack reliability due to the technical limitations of standard polysomnography. Esophageal pressure measurement is the gold-standard for identifying these events but its invasiveness deters its usage in daily practice. OBJECTIVES: To determine the feasibility and efficacy of an automatic noninvasive analysis method for the differentiation of obstructive and central hypopneas based solely on a single-channel nasal airflow signal. The obtained results are compared with gold-standard esophageal pressure scores. METHODS: A total of 41 patients underwent full night polysomnography with systematic esophageal pressure recording. Two experts in sleep medicine independently differentiated hypopneas with the gold-standard esophageal pressure signal. Features were automatically extracted from the nasal airflow signal of each annotated hypopnea to train and test the automatic analysis method. Interscorer agreement between automatic and visual scorers was measured with Cohen's kappa statistic (ĸ). RESULTS: A total of 1,237 hypopneas were visually differentiated. The automatic analysis achieved an interscorer agreement of ĸ = 0.37 and an accuracy of 69% for scorer A, ĸ = 0.40 and 70% for scorer B and ĸ = 0.41 and 71% for the agreed scores of scorers A and B. CONCLUSIONS: The promising results obtained in this pilot study demonstrate the feasibility of noninvasive single-channel hypopnea differentiation. Further development of this method may help improving initial diagnosis with home screening devices and offering a means of therapy selection and/or control.
Assuntos
Ventilação Pulmonar/fisiologia , Apneia do Sono Tipo Central/diagnóstico , Apneia do Sono Tipo Central/fisiopatologia , Apneia Obstrutiva do Sono/diagnóstico , Apneia Obstrutiva do Sono/fisiopatologia , Adulto , Idoso , Algoritmos , Diagnóstico por Computador , Diagnóstico Diferencial , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Cavidade Nasal , Projetos Piloto , Polissonografia , Reprodutibilidade dos TestesRESUMO
Despite basic physiologic principles being well known for more than 300 years, the diagnosis and therapy of cardiovascular diseases are still in their early beginnings. For example, 100 years ago sudden cardiac arrest was regarded as the result of toxic gases. The diagnosis of ventricular fibrillation or treatment with a defibrillator are very recent developments. We are currently experiencing a technological revolution, which is rapidly changing cardiovascular medicine. This publication is focused on electrical devices and tries to identify some of the innovation mainstreams using a few examples to demonstrate these. Four megatrends are explained in more detail: the influence of wireless technology, information technology, micro systems technology, and thinking in systems. This paper is aimed at stimulating active researchers and engineers to detect the rapid changes that we often do not observe in our daily work. The author hopes that this stimulation will lead to new ideas and combinations.
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Tecnologia Biomédica/instrumentação , Doenças Cardiovasculares/diagnóstico , Doenças Cardiovasculares/terapia , Diagnóstico por Computador/instrumentação , Terapia Assistida por Computador/instrumentação , Redes de Comunicação de Computadores , Eletrocardiografia/instrumentação , Desenho de Equipamento , Sistemas de Informação Hospitalar , Humanos , Miniaturização/instrumentação , Telemetria/instrumentação , Tecnologia sem Fio/instrumentaçãoRESUMO
The strong coupling constant α s is determined from inclusive jet and dijet cross sections in neutral-current deep-inelastic ep scattering (DIS) measured at HERA by the H1 collaboration using next-to-next-to-leading order (NNLO) QCD predictions. The dependence of the NNLO predictions and of the resulting value of α s ( m Z ) at the Z-boson mass m Z are studied as a function of the choice of the renormalisation and factorisation scales. Using inclusive jet and dijet data together, the strong coupling constant is determined to be α s ( m Z ) = 0.1157 ( 20 ) exp ( 29 ) th . Complementary, α s ( m Z ) is determined together with parton distribution functions of the proton (PDFs) from jet and inclusive DIS data measured by the H1 experiment. The value α s ( m Z ) = 0.1142 ( 28 ) tot obtained is consistent with the determination from jet data alone. The impact of the jet data on the PDFs is studied. The running of the strong coupling is tested at different values of the renormalisation scale and the results are found to be in agreement with expectations.
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Prevention medicine should not be limited to regular preventive diagnosis in a prevention center. Expecially for patients with a known increased risk a mobile telemonitoring would be benefitial. This telemonitoring continuously measures certain vital parameters, detects negative changes or even acute risks with an inbuilt intelligence (smart sensor) and sends alarm messages to the prevention center. This paper presents firsts products already available on the market, analyses weaknesses and draws a scenario of a future telemedical system for preventive purposes. One focus is the development of mobile hubs, that provide the communication with the mobile sensors and that at the same time allow a tracking or positioning of the patient.
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Redes de Comunicação de Computadores , Sistemas Computadorizados de Registros Médicos , Monitorização Ambulatorial/instrumentação , Medicina Preventiva/instrumentação , Processamento de Sinais Assistido por Computador/instrumentação , Telecomunicações/instrumentação , Telemedicina/instrumentação , Telemetria/instrumentação , Desenho de Equipamento , Análise de Falha de Equipamento , Monitorização Ambulatorial/métodos , Monitorização Ambulatorial/tendências , Medicina Preventiva/métodos , Telecomunicações/tendências , Telemedicina/métodos , Telemedicina/tendências , Telemetria/métodos , Telemetria/tendências , Interface Usuário-ComputadorRESUMO
For decades, telemonitoring of vital parameters has been a recurring topic among experts. Because of its lack of economical advantages it has not established itself as a standard up to now. Thanks to novel wireless communication technologies such as Bluetooth or Zigbee, the enormous technological progress in mobile communication via GSM, GPRS, as well as UMTS and various radical medical changes within disease management programs, currently very promising new potentials for telemonitoring are appearing. This article summarizes the current technological developments, discusses their advantages and drawbacks, and deduces scenarios and technical requirements for future system architectures.
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Determinação da Pressão Arterial/instrumentação , Diagnóstico por Computador/instrumentação , Monitorização Ambulatorial/instrumentação , Oximetria/instrumentação , Avaliação da Tecnologia Biomédica , Telemedicina/instrumentação , Telemetria/instrumentação , Determinação da Pressão Arterial/métodos , Determinação da Pressão Arterial/tendências , Peso Corporal , Diagnóstico por Computador/métodos , Diagnóstico por Computador/tendências , Eletrocardiografia Ambulatorial/instrumentação , Eletrocardiografia Ambulatorial/métodos , Eletrocardiografia Ambulatorial/tendências , Humanos , Internet , Monitorização Ambulatorial/métodos , Monitorização Ambulatorial/tendências , Oximetria/métodos , Oximetria/tendências , Telecomunicações/instrumentação , Telemedicina/métodos , Telemedicina/tendências , Telemetria/métodos , Telemetria/tendênciasRESUMO
State of the art in biomaterial research and implant design is a compromise between functionality and biocompatibility. Consequently, results often have disadvantages with respect to both aspects. With regard to biocompatibility, the activation of the clotting system by alloplastic materials is of great significance, because it necessitates anticoagulant therapy. Further improvements in implant technology require an understanding of the interactions between blood and implants. Therefore a microscopic model of thrombogenesis at alloplastic surfaces is briefly presented, relating thrombogenicity of a material to the electronic structure of its surface. The electronic requirements for high haemocompatibility, which result from this model (especially a low band-gap density of states and a high surface conductivity) are fulfilled by an amorphous alloy of silicon and carbon (a-SiC:H). The advantage of amorphous materials is that they do not obey stoichiometric rules. Thus they allow a continuous adjustment of the electronic parameters without fundamental changes in their mechanical and chemical properties. The theoretical results were checked in vitro by total internal reflection intrinsic fluorescence (TIRIF) spectroscopy as well as thrombelastography experiments (TEG). In comparison with conventional materials such as titanium or LTI carbon, the TEG-clotting time of a-SiC:H-coatings was prolonged by in excess of 200 per cent. As a consequence, a-SiC:H is well suited as a haemocompatible coating material for hybrid structuring of cardiovascular implants.
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Materiais Biocompatíveis/química , Compostos Inorgânicos de Carbono , Próteses Valvulares Cardíacas , Trombose/prevenção & controle , Carbono , Humanos , Modelos Biológicos , Desenho de Prótese , Compostos de SilícioRESUMO
Thrombogenesis on artificial surfaces can be described as an electron transfer reaction. To inhibit this oxidation process and thereby achieve high hemocompatibility, a surface requires semiconducting properties. However, because all known solid semiconductors are extremely brittle, the requirements for high hemocompatibility and mechanical stability cannot be met by any single material. Therefore, a hybrid design is introduced as a new approach to improve the hemocompatibility of cardiovascular stents.
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Semicondutores , Stents/efeitos adversos , Trombose/prevenção & controle , Angiografia , Animais , Hemólise/fisiologia , Humanos , Camundongos , Microscopia Eletrônica de Varredura , Testes de Mutagenicidade , Semicondutores/tendências , SuínosRESUMO
Sudden cardiac arrest is a major problem of our society. Ventricular fibrillation strikes without any warning. It leads to unconsciousness and death occurs within minutes. Every year at least 100,000 people die from sudden cardiac arrest in Germany alone. The following article is concerned with how todays rescue system can be improved in order to increase survival rates. The time which passes between occurrence of the ventricular fibrillation and the therapeutic defibrillation plays a major role. It is being observed that decentralizing the rescue system is of great advantage. The idea of the "first responder", involving laymen, family members, and company paramedics, reduces the rescue time extraordinarily. The introduction of a digital emergency health record which provides the doctor with all the important data on the patient briefly seems to be of equal importance. Hereby, delays based on false information can be reduced to a minimum. Optimizing the equipment by means of implementing automatic procedures which enable the application by laymen is just as important. But the key to medical success appears to be educating and repeatedly training as many people as possible.
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Morte Súbita Cardíaca/prevenção & controle , Cardioversão Elétrica/instrumentação , Primeiros Socorros/instrumentação , Terapia Assistida por Computador/instrumentação , Fibrilação Ventricular/terapia , Sistemas Computacionais , Morte Súbita Cardíaca/etiologia , Serviços Médicos de Emergência , Desenho de Equipamento , Alemanha , Humanos , Sistemas Computadorizados de Registros Médicos/instrumentação , Prognóstico , Taxa de Sobrevida , Telemetria/instrumentação , Fibrilação Ventricular/mortalidadeRESUMO
State of the art in biomaterial research and implant design is a compromise between functionality and biocompatibility. Consequently the results often have disadvantages with respect to both aspects. In regard to biocompatibility the activation of the clotting system by alloplastic materials is of great significance, because it necessitates anticoagulant therapy. Further improvements of implant technology require an understanding of the interactions between blood and implants. Therefore a microscopic model of thrombogenesis at alloplastic surfaces will shortly be presented, which relates thrombogenicity of a material to the electronic structure of its surface. The requirements for high hemocompatibility, which result from this model--especially in regard to the density of states and the conductivity at the surface--are fulfilled by an amorphous alloy of silicon and carbon (a-SiC:H). The advantage of amorphous materials is that they do not obey stoichiometric rules. Thus they allow a continuous adjustment of the electronic parameters without fundamental changes of their mechanical and chemical properties. The theoretical results where checked by total internal reflection intrinsic fluorescence spectroscopy (TIRIF) as well as thrombelastography experiments (TEG). In comparison to conventional materials like titanium or LTI carbon the TEG-clotting time of a-SiC:H-coatings is prolonged in excess of 200%. As a consequence a-SiC:H is well suited as a hemocompatible coating material for hybrid structuring of cardiovascular implants.