7,919 research outputs found
Strain-induced tuning of the electronic Coulomb interaction in 3d transition metal oxide perovskites
Epitaxial strain offers an effective route to tune the physical parameters in
transition metal oxides. So far, most studies have focused on the effects of
strain on the bandwidths and crystal field splitting, but recent experimental
and theoretical works have shown that also the effective Coulomb interaction
changes upon structural modifications. This effect is expected to be of
paramount importance in current material engineering studies based on
epitaxy-based material synthesization. Here, we perform constrained random
phase approximation calculations for prototypical oxides with a different
occupation of the d shell, LaTiO3 (d1), LaVO3 (d2), and LaCrO3 (d3), and
systematically study the evolution of the effective Coulomb interactions
(Hubbard U and Hund's J) when applying epitaxial strain. Surprisingly, we find
that the response upon strain is strongly dependent on the material. For
LaTiO3, the interaction parameters are determined by the degree of localization
of the orbitals, and grow with increasing tensile strain. In contrast, LaCrO3
shows the opposite trends: the interactions parameters shrink upon tensile
strain. This is caused by the enhanced screening due to the larger electron
filling. LaVO3 shows an intermediate behavior
How we treat bleeding associated with direct oral anticoagulants
Direct oral anticoagulants are at least as effective as vitamin K antagonists for the prevention and treatment of thromboembolism. Unfortunately, differently from vitamin K antagonists, they have the great drawback of lacking specific antidotes in the case of bleeding or emergency situations such as trauma, stroke requiring thrombolysis, and urgent surgery. The progressive development of antidotes for these new drugs, which, it is hoped, will become available in the near future, will allow better and safer management of the rapid reversal of their anticoagulant effect
Transfusion thresholds and beyond
Comment on
Liberal transfusion strategy improves survival in perioperative but not in critically ill patients. A meta-analysis of randomised trials. [Br J Anaesth. 2015
The management of a blood donor bitten by a snake
The worldwide burden of snakebite is high and venomous snakes are found in many regions of the world and are a threat to public health. In Italy, for instance, viper bites are an infrequent but not negligible event. Although people who have been bitten by a snake rarely wish to donate blood within a "short" time, it is however important to evaluate their eligibility to donate blood or blood components as their donation could be a problem for donor management, especially if a specific policy is not in place. The aim of this manuscript is to summarise the worldwide existing donor deferral policy for snakebites and to provide some indications in order to facilitate decision-making and to guarantee maximum safety for the donors as well as for the recipients
The random phase approximation applied to ice
Standard density functionals without van der Waals interactions yield an
unsatisfactory description of ice phases, specifically, high density phases
occurring under pressure are too unstable compared to the common low density
phase I observed at ambient conditions. Although the description is
improved by using functionals that include van der Waals interactions, the
errors in relative volumes remain sizable. Here we assess the random phase
approximation (RPA) for the correlation energy and compare our results to
experimental data as well as diffusion Monte Carlo data for ice. The RPA yields
a very balanced description for all considered phases, approaching the accuracy
of diffusion Monte Carlo in relative energies and volumes. This opens a route
towards a concise description of molecular water phases on surfaces and in
cavities
Fibrinogen concentrate in surgery
Fibrinogen is a plasma glycoprotein synthesised by the liver which plays a critical role in haemostasis by acting as an endogenous substrate for fibrin formation and by inducing clot formation and platelet aggregation
The use of fibrinogen concentrate for the management of trauma-related bleeding. A systematic review and meta-analysis
Haemorrhage following injury is associated with significant morbidity and mortality. The role of fibrinogen concentrate in trauma-induced coagulopathy has been the object of intense research in the last 10 years and has been systematically analysed in this review. A systematic search of the literature identified six retrospective studies and one prospective one, involving 1,650 trauma patients. There were no randomised trials. Meta-analysis showed that fibrinogen concentrate has no effect on overall mortality (risk ratio: 1.07, 95% confidence interval: 0.83-1.38). Although the metaanalytic pooling of the current literature evidence suggests no beneficial effect of fibrinogen concentrate in the setting of severe trauma, the quality of data retrieved was poor and the final results of ongoing randomised trials will help to further elucidate the role of fibrinogen concentrate in traumatic bleeding
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