7,919 research outputs found

    Strain-induced tuning of the electronic Coulomb interaction in 3d transition metal oxide perovskites

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    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

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    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

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    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

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    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

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    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 Ih_h 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

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    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

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    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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