114 research outputs found
Statin use decreases coagulation in users of vitamin K antagonists
Purpose: The purpose of the study is to determine the immediate and long-term effect of statins on coagulation in patients treated with vitamin K antagonists (VKAs). Methods: We selected patients on VKAs of two Dutch anticoagulation clinics who initiated treatment with a statin between 2009 and 2013. Patients who initiated or stopped concomitant drugs that interact with VKAs or were hospitalised during follow-up were excluded. The VKA dosage (mg/day) after statin initiation was compared with the last VKA dosage before the statin was started. Immediate and long-term differences in VKA dosage (at 6 and 12Â weeks) were calculated with a paired student t test. Results: Four hund
Development of a clinical prediction model for an international normalised ratio ℠4·5 in hospitalised patients using vitamin K antagonists
Vitamin K antagonists (VKAs) used for the prevention and treatment of thromboembolic disease, increase the risk of bleeding complications. We developed and validated a model to predict the risk of an international normalised ratio (INR) â„ 4·5 during a hospital stay. Adult patients admitted to a tertiary hospital and treated with VKAs between 2006 and 2010 were analysed. Bleeding risk was operationalised as an INR value â„4·5. Multivariable logistic regression analysis was used to assess the association between potential predictors and an INR â„ 4·5 and validated in an independent cohort of patients from the same hospital between 2011 and 2014. We identified 8996 admissions of patients treated with VKAs, of which 1507 (17%) involved an INR â„ 4·5. The final model included the following predictors: gender, age, concomitant medication and several biochemical parameters. Temporal validation showed a c statistic of 0·71. We developed and validated a clinical prediction model for an INR â„ 4·5 in VKA-treated patients admitted to our hospital. The model includes factors that are collected during routine care and are extractable from electronic patient records, enabling easy use of this model to predict an increased bleeding risk in clinical practice
Morphologies of SolâGel Derived Thin Films of ZnO Using Different Precursor Materials and their Nanostructures
We have shown that the morphological features of the solâgel derived thin films of ZnO depend strongly on the choice of the precursor materials. In particular, we have used zinc nitrate and zinc acetate as the precursor materials. While the films using zinc acetate showed a smoother topography, those prepared by using zinc nitrate exhibited dendritic character. Both types of films were found to be crystalline in nature. The crystallite dimensions were confined to the nanoscale. The crystallite size of the nanograins in the zinc nitrate derived films has been found to be smaller than the films grown by using zinc acetate as the precursor material. Selected area electron diffraction patterns in the case of both the precursor material has shown the presence of different rings corresponding to different planes of hexagonal ZnO crystal structure. The results have been discussed in terms of the fundamental considerations and basic chemistry governing the growth kinetics of these solâgel derived ZnO films with both the precursor materials
Rosuvastatin use increases plasma fibrinolytic potential: a randomised clinical trial
We conducted a study to assess the effect of rosuvastatin use on fibrinolysis in patients with previous venous thromboembolism (VTE). This was a post hoc analysis within the STAtins Reduce Thrombophilia (START) study (NCT01613794). Plasma fibrinolytic potential, fibrinogen, plasmin inhibitor, plasminogen activator inhibitor-1 (PAI-1) and thrombin-activatable fibrinolysis inhibitor (
Clinical effects of antiplatelet drugs and statins on D-dimer levels
Thrombosis and Hemostasi
Rosuvastatin use reduces thrombin generation potential in patients with venous thromboembolism: a randomized controlled trial
Background
Statin therapy could form an alternative prophylactic treatment for venous thromboembolism (VTE) if statins are proven to downregulate hemostasis and prevent recurrent VTE, without increasing bleeding risk.
Objectives
The STAtins Reduce Thrombophilia (START) trial investigated whether statin affects coagulation in patients with prior VTE.
Patients/methods
After anticoagulation withdrawal, patients were randomized to rosuvastatin 20 mg dayâ1 for 4 weeks or no intervention. Plasma samples taken at baseline and at the end of the study were analyzed employing thrombin generation assay.
Results and conclusions
The study comprised 126 rosuvastatin users and 119 nonâusers. Mean age was 58 years, 61% were men, 49% had unprovoked VTE and 75% had cardiovascular (CV) risk factors. Endogenous thrombin potential (ETP) increased from baseline to end of study in nonâstatin users (mean 97.22 nm*min; 95% CI, 40.92â153.53) and decreased in rosuvastatin users (mean â24.94 nm*min; 95% CI, â71.81 to 21.93). The mean difference in ETP change between treatments was â120.24 nm*min (95% CI, â192.97 to â47.51), yielding a 10.4% ETP reduction by rosuvastatin. The thrombin peak increased in both nonâstatin (mean 20.69 nm; 95% CI, 9.80â31.58) and rosuvastatin users (mean 8.41 nm; 95% CI â0.86 to 17.69). The mean difference in peak change between treatments was â11.88 nm (95% CI, â26.11 to 2.35), yielding a 5% peak reduction by rosuvastatin. Other thrombin generation parameters did not change substantially. The reduction in ETP and peak by rosuvastatin was more pronounced in the subgroups of participants with CV risk factors and with unprovoked VTE. We conclude that rosuvastatin reduces thrombin generation potential in patients who had VTE
Josephson Coupling and Fiske Dynamics in Ferromagnetic Tunnel Junctions
We report on the fabrication of Nb/AlO_x/Pd_{0.82}Ni_{0.18}/Nb
superconductor/insulator/ferromagnetic metal/superconductor (SIFS) Josephson
junctions with high critical current densities, large normal resistance times
area products, high quality factors, and very good spatial uniformity. For
these junctions a transition from 0- to \pi-coupling is observed for a
thickness d_F ~ 6 nm of the ferromagnetic Pd_{0.82}Ni_{0.18} interlayer. The
magnetic field dependence of the \pi-coupled junctions demonstrates good
spatial homogeneity of the tunneling barrier and ferromagnetic interlayer.
Magnetic characterization shows that the Pd_{0.82}Ni_{0.18} has an out-of-plane
anisotropy and large saturation magnetization, indicating negligible dead
layers at the interfaces. A careful analysis of Fiske modes provides
information on the junction quality factor and the relevant damping mechanisms
up to about 400 GHz. Whereas losses due to quasiparticle tunneling dominate at
low frequencies, the damping is dominated by the finite surface resistance of
the junction electrodes at high frequencies. High quality factors of up to 30
around 200 GHz have been achieved. Our analysis shows that the fabricated
junctions are promising for applications in superconducting quantum circuits or
quantum tunneling experiments.Comment: 15 pages, 9 figure
Measurement of the View the tt production cross-section using eÎŒ events with b-tagged jets in pp collisions at âs = 13 TeV with the ATLAS detector
This paper describes a measurement of the inclusive top quark pair production cross-section (ÏttÂŻ) with a data sample of 3.2 fbâ1 of protonâproton collisions at a centre-of-mass energy of âs = 13 TeV, collected in 2015 by the ATLAS detector at the LHC. This measurement uses events with an opposite-charge electronâmuon pair in the final state. Jets containing b-quarks are tagged using an algorithm based on track impact parameters and reconstructed secondary vertices. The numbers of events with exactly one and exactly two b-tagged jets are counted and used to determine simultaneously ÏttÂŻ and the efficiency to reconstruct and b-tag a jet from a top quark decay, thereby minimising the associated systematic uncertainties. The cross-section is measured to be:
ÏttÂŻ = 818 ± 8 (stat) ± 27 (syst) ± 19 (lumi) ± 12 (beam) pb,
where the four uncertainties arise from data statistics, experimental and theoretical systematic effects, the integrated luminosity and the LHC beam energy, giving a total relative uncertainty of 4.4%. The result is consistent with theoretical QCD calculations at next-to-next-to-leading order. A fiducial measurement corresponding to the experimental acceptance of the leptons is also presented
The performance of the jet trigger for the ATLAS detector during 2011 data taking
The performance of the jet trigger for the ATLAS detector at the LHC during the 2011 data taking period is described. During 2011 the LHC provided protonâproton collisions with a centre-of-mass energy of 7 TeV and heavy ion collisions with a 2.76 TeV per nucleonânucleon collision energy. The ATLAS trigger is a three level system designed to reduce the rate of events from the 40 MHz nominal maximum bunch crossing rate to the approximate 400 Hz which can be written to offline storage. The ATLAS jet trigger is the primary means for the online selection of events containing jets. Events are accepted by the trigger if they contain one or more jets above some transverse energy threshold. During 2011 data taking the jet trigger was fully efficient for jets with transverse energy above 25 GeV for triggers seeded randomly at Level 1. For triggers which require a jet to be identified at each of the three trigger levels, full efficiency is reached for offline jets with transverse energy above 60 GeV. Jets reconstructed in the final trigger level and corresponding to offline jets with transverse energy greater than 60 GeV, are reconstructed with a resolution in transverse energy with respect to offline jets, of better than 4 % in the central region and better than 2.5 % in the forward direction
Search for dark matter produced in association with a hadronically decaying vector boson in pp collisions at sqrt (s) = 13 TeV with the ATLAS detector
A search is presented for dark matter produced in association with a hadronically decaying W or Z boson using 3.2 fbâ1 of pp collisions at View the MathML sources=13 TeV recorded by the ATLAS detector at the Large Hadron Collider. Events with a hadronic jet compatible with a W or Z boson and with large missing transverse momentum are analysed. The data are consistent with the Standard Model predictions and are interpreted in terms of both an effective field theory and a simplified model containing dark matter
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