A detailed analysis is presented of the diffractive deep-inelastic scattering process ep → eXY , where Y is a proton or a low mass proton excitation carrying a fraction 1−x I P > 0.95 of the incident proton longitudinal momentum and the squared four-momentum transfer at the proton vertex satisfies |t| < 1 GeV 2 . Using data taken by the H1 experiment, the cross section is measured for photon virtualities in the range 3.5 ≤ Q 2 ≤ 1600 GeV 2 , triple differentially in x I P , Q 2 and β = x/x I P , where x is the Bjorken scaling variable. At low x I P , the data are consistent with a factorisable x I P dependence, which can be described by the exchange of an effective pomeron trajectory with intercept α IP (0) = 1.118 ± 0.008 (exp.) +0.029 −0.010 (model). Diffractive parton distribution functions and their uncertainties are determined from a next-to-leading order DGLAP QCD analysis of the Q 2 and β dependences of the cross section. The resulting gluon distribution carries an integrated fraction of around 70% of the exchanged momentum in the Q 2 range studied. Total and differential cross sections are also measured for the diffractive charged current process e + p →ν e XY and are found to be well described by predictions based on the diffractive parton distributions. The ratio of the diffractive to the inclusive neutral current ep cross sections is studied. Over most of the kinematic range, this ratio shows no significant dependence on Q 2 at fixed x I P and x or on x at fixed Q 2 and β.
A measurement of charm and beauty dijet photoproduction cross sections at the ep collider HERA is presented. Events are selected with two or more jets of transverse momentum p jet 1(2) t > 11(8) GeV in the central range of pseudo-rapidity −0.9 < η jet 1(2) < 1.3. The fractions of events containing charm and beauty quarks are determined using a method based on the impact parameter, in the transverse plane, of tracks to the primary vertex, as measured by the H1 central vertex detector. Differential dijet cross sections for charm and beauty, and their relative contributions to the flavour inclusive dijet photoproduction cross section, are measured as a function of the transverse momentum of the leading jet, the average pseudo-rapidity of the two jets and the observable x obs γ . Taking into account the theoretical uncertainties, the charm cross sections are consistent with a QCD calculation in next-to-leading order, while the predicted cross sections for beauty production are somewhat lower than the measurement.
SummaryBackgroundSurgical site infection (SSI) is one of the most common infections associated with health care, but its importance as a global health priority is not fully understood. We quantified the burden of SSI after gastrointestinal surgery in countries in all parts of the world.MethodsThis international, prospective, multicentre cohort study included consecutive patients undergoing elective or emergency gastrointestinal resection within 2-week time periods at any health-care facility in any country. Countries with participating centres were stratified into high-income, middle-income, and low-income groups according to the UN's Human Development Index (HDI). Data variables from the GlobalSurg 1 study and other studies that have been found to affect the likelihood of SSI were entered into risk adjustment models. The primary outcome measure was the 30-day SSI incidence (defined by US Centers for Disease Control and Prevention criteria for superficial and deep incisional SSI). Relationships with explanatory variables were examined using Bayesian multilevel logistic regression models. This trial is registered with ClinicalTrials.gov, number NCT02662231.FindingsBetween Jan 4, 2016, and July 31, 2016, 13 265 records were submitted for analysis. 12 539 patients from 343 hospitals in 66 countries were included. 7339 (58·5%) patient were from high-HDI countries (193 hospitals in 30 countries), 3918 (31·2%) patients were from middle-HDI countries (82 hospitals in 18 countries), and 1282 (10·2%) patients were from low-HDI countries (68 hospitals in 18 countries). In total, 1538 (12·3%) patients had SSI within 30 days of surgery. The incidence of SSI varied between countries with high (691 [9·4%] of 7339 patients), middle (549 [14·0%] of 3918 patients), and low (298 [23·2%] of 1282) HDI (p<0·001). The highest SSI incidence in each HDI group was after dirty surgery (102 [17·8%] of 574 patients in high-HDI countries; 74 [31·4%] of 236 patients in middle-HDI countries; 72 [39·8%] of 181 patients in low-HDI countries). Following risk factor adjustment, patients in low-HDI countries were at greatest risk of SSI (adjusted odds ratio 1·60, 95% credible interval 1·05–2·37; p=0·030). 132 (21·6%) of 610 patients with an SSI and a microbiology culture result had an infection that was resistant to the prophylactic antibiotic used. Resistant infections were detected in 49 (16·6%) of 295 patients in high-HDI countries, in 37 (19·8%) of 187 patients in middle-HDI countries, and in 46 (35·9%) of 128 patients in low-HDI countries (p<0·001).InterpretationCountries with a low HDI carry a disproportionately greater burden of SSI than countries with a middle or high HDI and might have higher rates of antibiotic resistance. In view of WHO recommendations on SSI prevention that highlight the absence of high-quality interventional research, urgent, pragmatic, randomised trials based in LMICs are needed to assess measures aiming to reduce this preventable complication.FundingDFID-MRC-Wellcome Trust Joint Global Health Trial Development Grant,...
The cross section for the diffractive deep-inelastic scattering process ep → eXp is measured, with the leading final state proton detected in the H1 Forward Proton Spectrometer. The data analysed cover the range x IP < 0.1 in fractional proton longitudinal momentum loss, 0.08 < |t| < 0.5 GeV −2 in squared four-momentum transfer at the proton vertex, 2 < Q 2 < 50 GeV 2 in photon virtuality and 0.004 < β = x/x IP < 1, where x is the Bjorken scaling variable. For x IP < ∼ 10 −2 , the differential cross section has a dependence of approximately dσ/dt ∝ e 6t , independently of x IP , β and Q 2 within uncertainties. The cross section is also measured triple differentially in x IP , β and Q 2 . The x IP dependence is interpreted in terms of an effective pomeron trajectory with intercept α IP (0) = 1.114±0.018 (stat.)±0.012 (syst.) +0.040 −0.020 (model) and a sub-leading exchange. The data are in good agreement with an H1 measurement for which the event selection is based on a large gap in the rapidity distribution of the final state hadrons, after accounting for proton dissociation contributions in the latter. Within uncertainties, the dependence of the cross section on x and Q 2 can thus be factorised from the dependences on all studied variables which characterise the proton vertex, for both the pomeron and the sub-leading exchange.
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