10 research outputs found

    CMS physics technical design report : Addendum on high density QCD with heavy ions

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    The management of acute venous thromboembolism in clinical practice. Results from the European PREFER in VTE Registry

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    Venous thromboembolism (VTE) is a significant cause of morbidity and mortality in Europe. Data from real-world registries are necessary, as clinical trials do not represent the full spectrum of VTE patients seen in clinical practice. We aimed to document the epidemiology, management and outcomes of VTE using data from a large, observational database. PREFER in VTE was an international, non-interventional disease registry conducted between January 2013 and July 2015 in primary and secondary care across seven European countries. Consecutive patients with acute VTE were documented and followed up over 12 months. PREFER in VTE included 3,455 patients with a mean age of 60.8 ± 17.0 years. Overall, 53.0 % were male. The majority of patients were assessed in the hospital setting as inpatients or outpatients (78.5 %). The diagnosis was deep-vein thrombosis (DVT) in 59.5 % and pulmonary embolism (PE) in 40.5 %. The most common comorbidities were the various types of cardiovascular disease (excluding hypertension; 45.5 %), hypertension (42.3 %) and dyslipidaemia (21.1 %). Following the index VTE, a large proportion of patients received initial therapy with heparin (73.2 %), almost half received a vitamin K antagonist (48.7 %) and nearly a quarter received a DOAC (24.5 %). Almost a quarter of all presentations were for recurrent VTE, with >80 % of previous episodes having occurred more than 12 months prior to baseline. In conclusion, PREFER in VTE has provided contemporary insights into VTE patients and their real-world management, including their baseline characteristics, risk factors, disease history, symptoms and signs, initial therapy and outcomes

    Unraveling COVID-19: a large-scale characterization of 4.5 million COVID-19 cases using CHARYBDIS

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    Purpose: Routinely collected real world data (RWD) have great utility in aiding the novel coronavirus disease (COVID-19) pandemic response. Here we present the international Observational Health Data Sciences and Informatics (OHDSI) Characterizing Health Associated Risks and Your Baseline Disease In SARS-COV-2 (CHARYBDIS) framework for standardisation and analysis of COVID-19 RWD. Patients and Methods: We conducted a descriptive retrospective database study using a federated network of data partners in the United States, Europe (the Netherlands, Spain, the UK, Germany, France and Italy) and Asia (South Korea and China). The study protocol and analytical package were released on 11th June 2020 and are iteratively updated via GitHub. We identified three non-mutually exclusive cohorts of 4,537,153 individuals with a clinical COVID-19 diagnosis or positive test, 886,193 hospitalized with COVID-19, and 113,627 hospitalized with COVID-19 requiring intensive services. Results: We aggregated over 22,000 unique characteristics describing patients with COVID-19. All comorbidities, symptoms, medications, and outcomes are described by cohort in aggregate counts and are readily available online. Globally, we observed similarities in the USA and Europe: more women diagnosed than men but more men hospitalized than women, most diagnosed cases between 25 and 60 years of age versus most hospitalized cases between 60 and 80 years of age. South Korea differed with more women than men hospitalized. Common comorbidities included type 2 diabetes, hypertension, chronic kidney disease and heart disease. Common presenting symptoms were dyspnea, cough and fever. Symptom data availability was more common in hospitalized cohorts than diagnosed. Conclusion: We constructed a global, multi-centre view to describe trends in COVID-19 progression, management and evolution over time. By characterising baseline variability in patients and geography, our work provides critical context that may otherwise be misconstrued as data quality issues. This is important as we perform studies on adverse events of special interest in COVID-19 vaccine surveillance.</p

    The management of patients with venous thromboembolism in Italy: insights from the PREFER in VTE registry

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    Venous thromboembolism (VTE) is the third most common cardiovascular disease. Real-life data on the clinical presentation, risk factors, diagnosis, and treatment of VTE in Italy and Europe are required to optimize the management of this disease. The PREFER in VTE registry, a prospective non-interventional real-life study, was designed to assess clinical characteristics and management of patients with VTE, use of health care resources, and on-treatment patient quality of life. Eligible consecutive patients with objectively diagnosed VTE were enrolled in the registry and followed up for 12 months. Between January and December 2013, 816 Italian and 1027 patients from 6 European countries other than Italy (European patients) were enrolled in the registry, and followed up until December 2014. Italian patients were the oldest (mean age 65.7 years) among the European patients. The Italian patients with a history of cancer were 24.6 % of whom 63.2 % had an active cancer (18.2 and 57.0 %, respectively, in Europe). Parenteral heparin was given, as initial treatment, in 73.8 % of Italian patients (66.4 % in Europe); VKA in combination with other treatments in 45.8 % (34.7 % in Europe); and VKA as the only anticoagulant treatment in 24.4 % (17.2 % in Europe). Of the Italian patients, 43.2 and 90.6 % of patients were hospitalized for deep vein thrombosis and pulmonary embolism, respectively; 65.4 % were admitted to the hospital through the emergency department. Following a real world approach, PREFER in VTE shows that the Italian patients, among and compared to the European patients, are the oldest, have a history of cancer more commonly, receive an initial treatment with heparin more commonly, and are more commonly hospitalized, particularly if affected by PE

    Management of Fusarium Diseases

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    Measurement of the reaction gamma* p --> phi p in deep inelastic e+ p scattering at HERA

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    The production of ϕ\phi mesons in the reaction e+pe+ϕpe^{+}p \rightarrow e^{+} \phi p (ϕK+K\phi \rightarrow K^{+}K^{-}), for 7<Q2<257 < Q^2 < 25 GeV2^2 and for virtual photon-proton centre of mass energies (WW) in the range 42-134 GeV, has been studied with the ZEUS detector at HERA. When compared to lower energy data at similar Q2Q^2, the results show that the \gamma^*p \rightarrow \phid p cross section rises strongly with WW. This behaviour is similar to that previously found for the γpρ0p\gamma^*p \rightarrow \rho^0 p cross section. This strong dependence cannot be explained by production through soft pomeron exchange. It is, however, consistent with perturbative QCD expectations, where it reflects the rise of the gluon momentum density in the proton at small xx. The ratio of σ(ϕ)/σ(ρ0)\sigma (\phi) / \sigma (\rho^0), which has previously been determined by ZEUS to be 0.065 ±\pm 0.013 (stat.) in photoproduction at a mean WW of 70 GeV, is measured to be 0.18 ±\pm 0.05 (stat.) ±\pm 0.03 (syst.) at a mean Q2Q^2 of 12.3 GeV2^2 and mean WW of \approx 100 GeV and is thus approaching at large Q2Q^2 the value of 2/9 predicted from the quark charges of the vector mesons and a flavour independent production mechanism.Comment: 22 pages, including 4 figures. Includes some minor editorial change

    Exclusive rho0 production in deep inelastic electron - proton scattering at HERA

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    The exclusive production of ρ0\rho^0 mesons in deep inelastic electron-proton scattering has been studied using the ZEUS detector. Cross sections have been measured in the range 7<Q2<257 < Q^2 < 25 GeV2^2 for γp\gamma^*p centre of mass (c.m.) energies from 40 to 130 GeV. The γpρ0p\gamma^*p \to \rho^0 p cross section exhibits a Q(4.2±0.80.5+1.4)Q^{-(4.2 \pm 0.8 ^{+1.4}_{-0.5})} dependence and both longitudinally and transversely polarised ρ0\rho^0's are observed. The γpρ0p\gamma^*p \to \rho^0 p cross section rises strongly with increasing c.m. energy, when compared with NMC data at lower energy, which cannot be explained by production through soft pomeron exchange. The data are compared with perturbative QCD calculations where the rise in the cross section reflects the increase in the gluon density at low xx. the gluon density at low xx.Comment: 22 pages, latex, 4 figures appende
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