140 research outputs found

    Trends in direct oral anticoagulant (DOAC) use:Health benefits and patient preference

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    In 2012, the Dutch Health Council published a report addressing barriers for an early and broad introduction of direct oral anticoagulants (DOACs). The report raised concerns about the lack of an antidote, adherence, lack of monitoring in the case of overdose and the increased budget impact at DOAC introduction. In the past decade, international studies have shown that DOACs can provide healthcare benefits for a large number of patients. This has led to an increase in the prescription of DOACs, as they are an effective and user-friendly alternative to vitamin K antagonists (VKAs). Unlike VKAs, DOACs do not need monitoring of the international normalized ratio due to more predictable pharmacokinetics. However, the number of prescriptions of DOACs in the Netherlands is still lagging, compared to other European countries. This article highlights the potential health gains in the Netherlands if the use of DOACs were to increase, based on current international experience

    The Strange Quark Contribution to the Proton's Magnetic Moment

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    We report a new determination of the strange quark contribution to the proton's magnetic form factor at a four-momentum transfer Q2 = 0.1 (GeV/c)^2 from parity-violating e-p elastic scattering. The result uses a revised analysis of data from the SAMPLE experiment which was carried out at the MIT-Bates Laboratory. The data are combined with a calculation of the proton's axial form factor GAe to determine the strange form factor GMs(Q2=0.1)=0.37 +- 0.20 +- 0.26 +- 0.07. The extrapolation of GMs to its Q2=0 limit and comparison with calculations is also discussed.Comment: 6 pages, 1 figure, submitted to Phys. Lett.

    Menus for Feeding Black Holes

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    Black holes are the ultimate prisons of the Universe, regions of spacetime where the enormous gravity prohibits matter or even light to escape to infinity. Yet, matter falling toward the black holes may shine spectacularly, generating the strongest source of radiation. These sources provide us with astrophysical laboratories of extreme physical conditions that cannot be realized on Earth. This chapter offers a review of the basic menus for feeding matter onto black holes and discusses their observational implications.Comment: 27 pages. Accepted for publication in Space Science Reviews. Also to appear in hard cover in the Space Sciences Series of ISSI "The Physics of Accretion onto Black Holes" (Springer Publisher

    Gene co-expression analysis identifies brain regions and cell types involved in migraine pathophysiology

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    Migraine is a common disabling neurovascular brain disorder typically characterised by attacks of severe headache and associated with autonomic and neurological symptoms. Migraine is caused by an interplay of genetic and environmental factors. Genome-wide association studies (GWAS) have identified over a dozen genetic loci associated with migraine. Here, we integrated migraine GWAS data with high-resolution spatial gene expression data of normal adult brains from the Allen Human Brain Atlas to identify specific brain regions and molecular pathways that are possibly involved in migraine pathophysiology. To this end, we used two complementary methods. In GWAS data from 23,285 migraine cases and 95,425 controls, we first studied modules of co-expressed genes that were calculated based on human brain expression data for enrichment of genes that showed association with migraine. Enrichment of a migraine GWAS signal was found for five modules that suggest involvement in migraine pathophysiology of: (i) neurotransmission, protein catabolism and mitochondria in the cortex; (ii) transcription regulation in the cortex and cerebellum; and (iii) oligodendrocytes and mitochondria in subcortical areas. Second, we used the high-confidence genes from the migraine GWAS as a basis to construct local migraine-related co-expression gene networks. Signatures of all brain regions and pathways that were prominent in the first method also surfaced in the second method, thus providing support that these brain regions and pathways are indeed involved in migraine pathophysiology

    Uitbreiding en herstel van Zuid-Limburgse hellingschraallanden. Eindrapportage 2e fase O + BN onderzoek

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    In het kader van Natura 2000 worden in Europees perspectief zeldzame soorten en zeldzame vegetatietypen in Nederland beschermd. In dit rapport staan de Zuid-Limburgse kalkgraslanden (H6210) en heischrale graslanden (H6230) centraal. Bijna alle nog bestaande hellingschraallanden in Nederland liggen binnen de als Natura2000 aangewezen gebieden. Beide habitattypen zijn prioritair en de opgave in deze gebieden bestaat uit uitbreiding van het oppervlak en verbetering van de kwaliteit. Uit de 1e fase van het O+BN onderzoek aan de Zuid-Limburgse hellingschraallanden is gebleken dat veel karakteristieke planten- en diersoorten binnen de huidige natuurreservaten nog steeds achteruitgaan. Een belangrijke oorzaak hiervoor is de verhoogde beschikbaarheid van stikstof
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