Branching fractions and CP asymmetries in B0-->pi0pi0, B+-->pi+pi0, and B+-->K+pi0 decays and isospin analysis of the B-->pipi system

Based on a sample of 227 x 10(6) BB pairs collected by the BABAR detector at the PEP-II asymmetric-energy B Factory at SLAC, we measure the branching fraction B(B0-->pi(0)pi(0))=(1.17+/-0.32+/-0.10)x10(-6), and the asymmetry Cpi(0)(pi(0))=-0.12+/-0.56+/-0.06. The B0-->pi(0)pi(0) signal has a significance of 5.0 sigma. We also measure B(B+-->pi(+)pi(0))=(5.8+/-0.6+/-0.4)x10(-6), B(B+-->K+pi(0))=(12.0+/-0.7+/-0.6)x10(-6), and the charge asymmetries Api(+)(pi(0))=-0.01+/-0.10+/-0.02 and AK+(pi(0))=0.06+/-0.06+/-0.01. Using isospin relations, we find an upper bound on the angle difference |alpha-alpha(eff)| of 35 degrees at the 90% C.L.

Search for factorization-suppressed B-->chi(c)K(*) decays

We search for the factorization-suppressed decays B-->chi(c0)K(*) and B-->chi(c2)K(*), with chi(c0) and chi(c2) decaying into J/psi gamma, using a sample of 124 x 10(6) BB events collected with the BABAR detector at the PEP-II storage ring of the Stanford Linear Accelerator Center. We find no significant signal and set upper bounds for the branching fractions.

Preoperative skin preparation of the foot and ankle: bristles and alcohol are better

BACKGROUND

The most efficient way to prepare the skin for foot and ankle surgery is unknown. In recent studies, >70% of aerobic bacterial cultures of specimens taken from the nail folds following skin preparation with povidone-iodine were positive. The goal of the current study was to determine the effect of isopropyl alcohol on the eradication of bacteria from the nails and skin of the normal foot and ankle. In addition, the effect of using a bristled brush rather than sponges to scrub the foot was investigated.

METHODS

Four skin-preparation techniques were studied in two sets of twenty-five volunteers. In phase I of the study, the right foot and ankle of each member of the first set of volunteers was prepared with method 1, which consisted of a two-stage povidone-iodine scrub and paint with use of soft sponges. The left foot and ankle was prepared with method 2, which consisted of method 1 as well as an additional pre-wash with 70% isopropyl alcohol. In phase II, the right foot and ankle of each member of the second set of volunteers was prepared with method 3, which consisted of a povidone-iodine scrub and paint with use of a bristled brush to scrub the foot. The left side was prepared with method 4, which consisted of an alcohol scrub and paint with use of a bristled brush to scrub the foot. At the end of the preparation process, specimens for aerobic bacterial cultures were obtained from the hallucal nail fold, interdigital web spaces, and anterior aspect of the ankle. Cultures were interpreted as positive or negative, and the results were also assessed quantitatively.

RESULTS

The rates of positive cultures of the nail-fold specimens were 76% and 80% after methods 1 and 2 (soft sponges) and 76% and 12% after methods 3 and 4 (bristled brush). The reduction in the percentage of positive cultures with method 4 was highly significant (p < 0.001). Cultures of the specimens from the web spaces showed a significant difference in the rates of positive results between methods 1 and 2 (36% and 8%, p < 0.05) but no significant difference between methods 3 and 4 (12% and 0%, p = 0.25). The rates of positive cultures of specimens from the anterior aspect of the ankle were consistently low (< or = 4% for all methods). Quantitative analysis of positive cultures demonstrated significant reductions (p < 0.01) in heavy growth when bristled brushes had been used, both with povidone-iodine and isopropyl alcohol.

CONCLUSIONS

The use of isopropyl alcohol and the use of a bristled brush both have beneficial effects on the skin-preparation process before foot and ankle surgery. In the current investigation, the most effective technique was the use of isopropyl alcohol in conjunction with scrubbing with a bristled brush. Merely washing the foot with alcohol-soaked sponges provided limited benefit to the web spaces only.

Improved measurement of CP asymmetries in B0 --> (cc)K(0(*)) decays

We present results on time-dependent CP asymmetries in neutral B decays to several CP eigenstates. The measurements use a data sample of about 227 x 10(6) upsilon(4S) --> BB decays collected by the BABAR detector at the PEP-II asymmetric-energy B Factory at SLAC. The amplitude of the CPasymmetry, sin2beta in the standard model, is derived from decay-time distributions from events in which one neutral B meson is fully reconstructed in a final state containing a charmonium meson and the other B meson is determined to be either a B0 or B0 from its decay products. We measure sin2beta = 0.722 +/- 0.040(stat) +/- 0.023(syst) in agreement with the standard model expectation.

Measurement of branching fractions and charge asymmetries for exclusive B decays to charmonium

We report measurements of branching fractions and charge asymmetries of exclusive decays of neutral and charged B mesons into two-body final states containing a charmonium state and a light strange meson. The charmonium mesons considered are J/psi, psi(2S) and chi(c1), and the light meson is either K or K(*). We use a sample of about 124x10(6) BB pairs collected with the BABAR detector at the PEP-II storage ring at the Stanford Linear Accelerator Center.

Limit on the B0-->rho0rho0 branching fraction and implications for the Cabibbo-Kobayashi-Maskawa angle alpha

We search for the decay B0-->rho(0)rho(0) in a data sample of about 227x10(6) Upsilon(4S)-->BB decays collected with the BABAR detector at the PEP-II asymmetric-energy e(+)e(-) collider at SLAC. We find no significant signal and set an upper limit of 1.1x10(-6) at 90% C.L. on the branching fraction. As a result, the uncertainty due to penguin contributions on the Cabibbo-Kobayashi-Maskawa unitarity angle alpha measured in B-->rhorho decays is decreased to 11 degrees at 68% C.L.

Search for the decay B+ --> K+nunu

We search for the rare flavor-changing neutral-current decay B(+)--> K(+)nunu in a data sample of 82 fb(-1) collected with the BABAR detector at the PEP-II B-factory. Signal events are selected by examining the properties of the system recoiling against either a reconstructed hadronic or semileptonic charged-B decay. Using these two independent samples we obtain a combined limit of B(B(+)-->K(+)nunu ) < 5.2 x 10(-5) at the 90% confidence level. In addition, by selecting for pions rather than kaons, we obtain a limit of B(B+-->pi(+)nunu) < 1.0 x 10(-4) using only the hadronic B reconstruction method.

A retrospective chart review of the clinical effects of atypical antipsychotic drugs on glycemic control in institutionalized patients with schizophrenia and comorbid diabetes mellitus

BACKGROUND

The association between schizophrenia and onset of type 2 diabetes mellitus (DM) is well documented. It is unclear whether this association is due to inherent risk factors in individuals with schizophrenia or to treatment with antipsychotic drugs, particularly atypical antipsychotic agents.

OBJECTIVES

The goals of this retrospective, observational study were the following: (1) to determine whether adequate glycemic control could be achieved in patients with schizophrenia and comorbid DM who were undergoing treatment with atypical antipsychotic drugs, (2) to identify inherent risk factors that may affect glycemic control in this patient population, and (3) to consider the possibility that combined medication and inherent risk factors may affect glycemic control.

METHODS

This was a retrospective, observational chart review that evaluated institutionalized patients in a New Jersey mental institution with concurrent diagnoses of schizophrenia and type 1 or 2 DM who were being treated with atypical antipsychotic agents (ie, olanzapine, risperidone, clozapine, or quetiapine) and were referred by their hospital internists to a weekly, half-day, in-hospital DM clinic. All patients with initial and end-point data for the efficacy measure (ie, change in glycosylated hemoglobin [HbA(1c)]) were included in the analysis. Mixed-effects linear and least-squares models were used to test whether a specific comorbidity had an effect on the change in HbA(1c) adjusted for the duration of the observation.

RESULTS

A total of 72 patients met entry criteria. Among the 38 patients with baseline and end-point data (20 treated with olanzapine and 18 treated with risperidone), mean (SD) HbA(1c) decreased from 8.21% (2.4%) to 7.62% (1.7%). The only baseline demographic characteristic or comorbidity that predicted significant worsening in the adjusted HbA(1c) change was hepatitis (P = 0.003).

CONCLUSIONS

Using appropriate, aggressive antidiabetic therapy, glycemic control was achieved in this group of patients with schizophrenia and comorbid DM who were treated with atypical antipsychotic agents.

Measurements of the branching fraction and CP-violation asymmetries in B0-->f0(980)K0S

We present measurements of the branching fraction and CP-violating asymmetries in the decay B0-->f0(980)K0S. The results are obtained from a data sample of 123 x 10(6) Upsilon(4S)-->BB decays. From a time-dependent maximum likelihood fit, we measure the branching fraction B(B0-->f0(980)(-->pi+pi-)K0)=(6.0+/-0.9+/-0.6+/-1.2)x10(-6), the mixing-induced CP violation parameter S=-1.62(+0.56)(-0.51)+/-0.09+/-0.04, and the direct CP violation parameter C=0.27+/-0.36+/-0.10+/-0.07, where the first errors are statistical, the second systematic, and the third due to model uncertainties. We measure the f0(980) mass and width to be mf0(980)=(980.6+/-4.1+/-0.5+/-4.0) MeV/c2 and Gammaf0(980)=(43(+12)(-9)+/-3+/-9) MeV/c2, respectively.

Search for radiative penguin decays B(+)-->rho(+)gamma, B(0)-->rho(0)gamma, and B(0)-->omegagamma

A search for the decays B-->rho(770)gamma and B0-->omega(782)gamma is performed on a sample of 211 x 10(6) Upsilon(4S)-->BB events collected by the BABAR detector at the SLAC PEP-II asymmetric-energy e(+)e(-) storage ring. No evidence for the decays is seen. We set the following limits on the individual branching fractions: B(B+-->rho(+)gamma)<1.8 x 10(-6), B(B0-->rho(0)gamma)<0.4 x 10(-6), and B(B0-->omegagamma)<1.0 x 10(-6) at the 90% confidence level. We use the quark model to limit the combined branching fraction B [B-->(rho/omega)gamma]<1.2 x 10(-6), from which we determine a constraint on the ratio of Cabibbo-Kobayashi-Maskawa matrix elements |V(td)|/|V(ts)|.

Measurement of the B0-->phiK*0 decay amplitudes

With a sample of about 227x10(6) BB pairs recorded with the BABAR detector we perform a full angular analysis of the decay B0-->phiK(*0)(892). We make novel measurements of five parameters sensitive to CP violation. We also measure the branching fraction to be (9.2+/-0.9+/-0.5)x10(-6) and determine the fractions of longitudinal and parity-odd transverse contributions as f(L)=0.52+/-0.05+/-0.02 and f( perpendicular)=0.22+/-0.05+/-0.02. The phases of the parity-even and parity-odd transverse amplitudes relative to the longitudinal amplitude are found to be phi( parallel)=2.34(+0.23)(-0.20)+/-0.05 rad and phi( perpendicular)=2.47+/-0.25+/-0.05 rad. We also observe the decay B0-->phiK(*0)(1430).

Study of the decay B0(B- 0)-->rho+rho-, and constraints on the Cabibbo-Kobayashi-Maskawa angle alpha

Using a data sample of 89 x 10(6) Upsilon(4S)-->BB decays collected with the BABAR detector at the PEP-II asymmetric B Factory at SLAC, we measure the B0(B (0))-->rho(+)rho(-) branching fraction as [30+/-4(stat)+/-5(syst)]x10(-6) and a longitudinal polarization fraction of f(L)=0.99+/-0.03(stat)+0.04-0.03(syst). We measure the time-dependent-asymmetry parameters of the longitudinally polarized component of this decay as C(L)=-0.17+/-0.27(stat)+/-0.14(syst) and S(L)=-0.42+/-0.42(stat)+/-0.14(syst). We exclude values of alpha between 19 degrees and 71 degrees (90% C.L.).

Tibiocalcaneal arthrodesis after total talectomy for treatment of osteomyelits of the talus

BACKGROUND

Outcomes after talectomy combined with tibiocalcaneal arthrodesis are variable, and there have been few reports of results for tibiocalcaneal arthrodesis after total talectomy using an external fixator as the sole stabilizing modality.

METHODS

Three adult patients with chronic talar infections secondary to complex fracture-dislocations of the talus are reported. Each patient was treated with staged radical debridement and total talectomy followed by tibiocalcaneal arthrodesis using interpositional autologous cancellous bone graft and multiplanar external fixation.

RESULTS

Solid union was achieved for all patients at an average of 14 weeks (range 10 to 16 weeks). Outcome results, standardized according to the AOFAS Ankle-Hindfoot Scale and the Modified Mazur Ankle Arthrodesis questionnaire, were good for all patients at a mean followup of 31 months (range 20 to 48 months). One patient had a leg-length discrepancy of 1.5 cm.

CONCLUSION

The presented technique for tibiocalcaneal arthrodesis is an option for salvage of infection or complex injuries of the talus.

Measurement of time-dependent CP-violating asymmetries in B0-->K*0gamma(K*0-->K(0)Spi0) decays

We present a measurement of the time-dependent CP-violating asymmetries in B0-->K(*0)gamma(K(*0)-->K(0)(S)pi(0)) decays based on 124 x 10(6) Upsilon(4S)-->BB decays collected with the BABAR detector at the PEP-II asymmetric-energy B Factory at the Stanford Linear Accelerator Center. In a sample containing 105+/-14 signal decays, we measure S(K(*)gamma)=0.25+/-0.63+/-0.14 and C(K(*)gamma)=-0.57+/-0.32+/-0.09, where the first error is statistical and the second, systematic.

Search for flavor-changing neutral current and Lepton-flavor violating decays of D0-->l+l-

We report on a search for the flavor-changing neutral current decays D0-->e(+)e(-) and D0-->mu(+)mu(-), and the lepton-flavor violating decay D0-->e(+/-)mu(-/+). The measurement is based on 122 fb(-1) of data collected by the BABAR detector at the SLAC PEP-II asymmetric e(+)e(-) collider. No evidence is found for any of the decays. The upper limits on the branching fractions, at the 90% confidence level, are 1.2x10(-6) for D0-->e(+)e(-), 1.3x10(-6) for D0-->mu(+)mu(-), and 8.1x10(-7) for D0-->e(+/-)mu(-/+).

Searches for B0 decays to combinations of two charmless isoscalar mesons

We search for B meson decays into two-body combinations of eta, eta', omega, and phi mesons from 89 x 10(6) BB pairs collected with the BABAR detector at the PEP-II asymmetric-energy e+e- collider at SLAC. We find the branching fraction B(B0-->etaomega)=(4.0(+1.3)(-1.2)+/-0.4)x10(-6) with a significance of 4.3 sigma. For the other decay modes we set the following 90% confidence level upper limits on the branching fractions, in units of 10(-6): B(B0-->etaeta)<2.8, B(B0-->etaeta')<4.6, B(B0-->eta'eta')<10, B(B0-->eta'omega)<2.8, B(B0-->etaphi)<1.0, B(B0-->eta'phi)<4.5, and B(B0-->phiphi)<1.5.

Branching fractions and CP asymmetries in B0-->K+ K- K0 S and B+-->K+ K0 S K0 S

We measure the branching fractions and CP asymmetries in the decays B0-->K(+)K(-)K(0)(S) and B+-->K(+)K(0)(S)K(0)(S) using a sample of approximately 122x10(6) BB pairs collected by the BABAR detector. From a time-dependent analysis of the K(+)K(-)K(0)(S) sample that excludes phiK(0)(S), the values of the CP-violation parameters are S=-0.56+/-0.25+/-0.04 and C=-0.10+/-0.19+/-0.10, where the first uncertainty is statistical and the second is systematic. We confirm that the final state is nearly purely CP even and extract the standard model parameter sin(2beta=0.57+/-0.26+/-0.04(+0.17)(-0) where the last error is due to uncertainty on the CP content. We present the first measurement of the CP-violating charge asymmetry A(CP)(B+-->K(+)K(0)(S)K(0)(S))=-0.04+/-0.11+/-0.02. The branching fractions are B(B0-->K+K-K0)=(23.8+/-2.0+/-1.6)x10(-6) and B(B+-->K(+)K(0)(S)K(0)(S))=(10.7+/-1.2+/-1.0)x10(-6).

Study of B-->D(*)sJ +-D(*) decays

We report a study of D(*)(sJ)(2317)(+) and D(sJ)(2460)(+) meson production in B decays. We observe the decays B+-->D((*)+)(sJ)D ((*)0) and B0-->D((*)+)(sJ)D((*)-) with the subsequent decays D(*)(sJ)(2317)(+)-->D(+)(s)pi(0), D(sJ)(2460)(+)-->D(+)(s)gamma, and D(sJ)(2460)(+)-->D(*+)(s)pi(0). Based on a data sample of 122.1 x 10(6) BB pairs collected with the BABAR detector at the PEP-II B factory, we obtain branching fractions for these modes, including the previously unseen decays B-->D((*)+)(sJ)D(*). In addition, we perform an angular analysis of D(sJ)(2460)(+)-->D(+)(s)gamma decays to test the different D(sJ)(2460)(+) spin hypotheses.

Search for B+/--->[K(-/+)pi(+/-)](D)K+/- and upper limit on the b-->u amplitude in B+/--->DK+/-

We search for B+/--->[K(-/+)pi(+/-)](D)K+/- decays, where [K(-/+)pi(+/-)](D) indicates that the K-/+pi(+/-) pair originates from the decay of a D0 or D (0). Results are based on 120x10(6) Upsilon(4S)-->BB decays collected with the BABAR detector at SLAC. We set an upper limit on the ratio R(Kpi) identical with[Gamma(B+-->[K(-)pi(+)](D)K+)+Gamma(B--->[K(+)pi(-)](D)K-)][Gamma(B+-->[K(+)pi(-)](D) / K+)+Gamma(B--->[K(-)pi(+)](D)K-)]<0.026 (90% C.L.). This constrains the amplitude ratio r(B) identical with|A(B--->D 0K-)/A(B--->D0K-)|<0.22 (90% C.L.), consistent with expectations. The small value of r(B) favored by our analysis suggests that the determination of the Cabibbo-Kobayashi-Maskawa phase gamma from B-->DK will be difficult.

Direct CP violating asymmetry in B0-->K+pi- decays

We present a measurement of the direct CP violating asymmetry in the decay B0-->K+pi(-) using a data sample of 227x10(6) Upsilon(4S)-->BB decays collected with the BABAR detector at the PEP-II asymmetric-energy e(+)e(-) collider at SLAC. We observe a total signal yield of nK-(pi(+))+nK+(pi(-))=1606+/-51 decays and measure the asymmetry (nK-(pi(+))-nK+(pi(-)))/(nK-(pi(+))+nK+(pi(-)))=-0.133+/-0.030(stat)+/-0.009(syst). The probability of observing such an asymmetry in the absence of direct CP violation is 1.3x10(-5), corresponding to 4.2 standard deviations.

Measurements of CP-violating asymmetries in B0-->K(0)(s)pi(0) decays

We present a measurement of the time-dependent CP-violating (CPV) asymmetries in B0-->K(0)(S)pi(0) decays based on 124x10(6) Upsilon(4S)-->BB decays collected with the BABAR detector at the PEP-II asymmetric-energy B factory at SLAC. In a sample containing 122+/-16 signal decays, we obtain the magnitudes of the direct CPV asymmetry CK(0)(S)(pi(0))=0.40(+0.27)(-0.28)+/-0.09 and of the CPV asymmetry in the interference between mixing and decay SK(0)(S)(pi(0))=0.48(+0.38)(-0.47)+/-0.06 where the first error is statistical and the second systematic.

Search for B0 decays to invisible final states and to nunugamma

We establish upper limits on branching fractions for B0 decays to final states where the decay products are purely invisible (i.e., no observable final state particles) and for B0 decays to nunugamma. Within the standard model, these decays have branching fractions that are below current experimental sensitivity, but various models of physics beyond the standard model predict significant contributions from these channels. Using 88.5 x 10(6) BB pairs collected at the Upsilon(4S) resonance by the BABAR experiment at the PEP-II e(+)e- storage ring at the Stanford Linear Accelerator Center, we establish upper limits at the 90% confidence level of 22 x 10(-5) for the branching fraction of B0-->invisible and 4.7 x 10(-5) for the branching fraction of B0-->nunugamma.

Measurement of the B-->Xsl+l- branching fraction with a sum over exclusive modes

We measure the branching fraction for the flavor-changing neutral-current process B-->X(s)l(+)l(-) with a sample of 89x10(6) Upsilon(4S)-->BBmacr; events recorded with the BABAR detector at the PEP-II e(+)e(-) storage ring. The final state is reconstructed from e(+)e(-) or micro(+)micro(-) pairs and a hadronic system X(s) consisting of one K+/- or K(0)(S) and up to two pions, with at most one pi(0). We observe a signal of 40+/-10(stat)+/-2(syst) events and extract the inclusive branching fraction B(B-->X(s)l(+)l(-))=(5.6+/-1.5(stat)+/-0.6(exp syst)+/-1.1(model syst))x10(-6) for ml(+)(l(-))>0.2 GeV/c(2).