1,720,963 research outputs found
Thyroid, hemostasis and thrombosis
No full textThe aim of this paper is to briefly review
some practical aspects of the relationship
between thyroid function and several disorders
of the hemostatic system in terms of bleeding
and thrombosis. Thrombocytopenia, acquired
hemophilia, hypercoagulability, cardioembolism
and other biochemical coagulative and fibrinolytic
abnormalities have been described in the
past years both in hyper- and hypothyroidism.
Since most of hyper- and hypothyroid conditions
are the consequence of autoimmune thyroid
disease (1), either deranged immune function,
altered circulating thyroid hormone concentration,
or both may concur in the pathogenesis of
hemostatic disorders of potential crucial clinical
impact. These aspects will be outlined and discussed
in an attempt to give answers to some
questions, often arising in the clinical approach
Oral anticoagulant therapy in the primary and secondary prophylaxis of stroke
No full textAbstract
Stroke is the first cause of disability and the second cause of mortality in the world. Oral anticoagulants have been proved to be effective in the primary and secondary prophylaxis of stroke not only in cardiac conditions but also in other pathologies such as the antiphospholipid syndrome. Though the efficacy of oral anticoagulants in the prevention of stroke has been consolidated in several conditions such as mechanical prosthesis, atrial fibrillation, and the antiphospholipid syndrome, their role is less clear in patent foramen ovale, interatrial septal aneurysm, dilated cardiomyopathy, and aortic plaques. Nevertheless, oral anticoagulants have recently been re-evaluated in large clinical trials and have been shown to be effective in the secondary prevention of myocardial infarction and stroke. This review considers both the established and controversial aspects and the role of anticoagulation clinics in the practical approach to these patients, as well as their education and quality of life
Lower-thermosphere response to solar activity: an empirical-mode-decomposition analysis of GOCE 2009–2012 data
Full text linkForecasting the thermosphere (the atmosphere's uppermost layer, from about 90 to 800 km altitude) is crucial to space-related applications, from space mission design to re-entry operations, space surveillance and more. Thermospheric dynamics is directly linked to the solar dynamics through the solar UV (ultraviolet) input, which is highly variable, and through the solar wind and plasma fluxes impacting Earth's magnetosphere. The solar input is non-periodic and non-stationary, with long-term modulations from the solar rotation and the solar cycle and impulsive components, due to magnetic storms. Proxies of the solar input exist and may be used to forecast the thermosphere, such as the F10.7 radio flux and the Mg II EUV (extreme-ultraviolet) flux. They relate to physical processes of the solar atmosphere. Other indices, such as the Ap geomagnetic index, connect with Earth's geomagnetic environment.
We analyse the proxies' time series comparing them with in situ density data from the ESA (European Space Agency) GOCE (Gravity Field and Steady-State Ocean Circulation Explorer) gravity mission, operational from March 2009 to November 2013, therefore covering the full rising phase of solar cycle 24, exposing the entire dynamic range of the solar input. We use empirical mode decomposition (EMD), an analysis technique appropriate to non-periodic, multi-scale signals. Data are taken at an altitude of 260 km, exceptionally low for a low-Earth-orbit (LEO) satellite, where density variations are the single most important perturbation to satellite dynamics.
We show that the synthesized signal from optimally selected combinations of proxy basis functions, notably Mg II for the solar flux and Ap for the plasma component, shows a very good agreement with thermospheric data obtained by GOCE, during periods of low and medium solar activity. In periods of maximum solar activity, density enhancements are also well represented. The Mg II index proves to be, in general, a better proxy than the F10.7 index for modelling the solar flux because of its specific response to the UV spectrum, whose variations have the largest impact over thermospheric density
Amoxicillina-acido clavulanico ed anticoagulanti orali:un’associazione potenzialmente pericolosa
No full textAllele 4G of gene PAI-I associated with prothrombin mutation G20210A increases the risk for venous thrombosis
No full textSeveral studies have tried to clarify the role of polymorphism 4G/5G of the PAI-1 gene in venous thromboembolism without reaching any final conclusion. It has been demonstrated that this polymorphism may induce an increased risk for venous thromboembolism (VTE) in patients with thrombophilic defects. We studied the association of prothrombin mutation G20210A with 4G/5G polymorphism in 402 VTE patients and 466 healthy controls. Patients affected by prothrombin mutation G20210A, with or without the concomitant presence of allele 4G, had a 3.7 thrombotic risk (C.I. 95% 2.3-6.0; p<0.0001). Moreover, genotype 4G/4G is a mild risk factor for VTE, irrespectively of whether the prothrombin mutation was present. Logistic regression analysis showed that patients carrying the G20210A prothrombin mutation with allele 4G gave an odds ratio for VTE of 6.1 (C.I. 95% 3.2-11.4; p<0.001). The risk increased up to 13.0 (C.I. 95% 3.0-60.4; p<0.001) when we considered the association of the prothrombin mutation with genotype 4G/4G. The G20210A mutation without allele 4G (5G/5G) was not a risk factor for VTE. In conclusion, we believe that patients affected by VTE with concomitant presence of the G20210A prothrombin mutation could be tested for genotype 4G/4G to better define their thrombotic risk
Apathetic Graves' disease and acquired hemophilia due to factor VIIIc antibody
No full textAcquired hemophilia due to autoantibody to Factor VIII coagulant (Factor VIIIc) is a rare event which may be observed in patients with different autoimmune diseases. To our knowledge, this association has been reported only once in patients with autoimmune thyroid disease. Here we describe a patient presenting with a severe hemorrhagic disorder due to Factor VIIIc antibody in whom biochemical screening for thyroid diseases led to a diagnosis of hyperthyroid Graves' disease not associated to overt clinical features. This case underlines the importance of carrying out a complete screening for autoimmunity, including thyroid autoimmune disease, in all patients with apparently isolated serum Factor VIIIc inhibitors
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
Full text link“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Appropriate Similarity Measures for Author Cocitation Analysis
Full text linkWe provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
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