455 research outputs found

    Does morphine attenuate the Inhibition of Platelet Aggregation for both oral and parenteral P2Y12 inhibitors?

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    This is a post-hoc analysis from the FABOLUS FASTER trial (NCT 02978040) which randomized 122 P2Y12-inhibitor naïve STEMI patients undergoing primary PCI to cangrelor (n = 40), tirofiban (n = 40), or 60-mg loading dose of prasugrel either chewed or integral (n = 42) [2]. All patients received aspirin before PCI

    Safety and efficacy of resolute zotarolimus-eluting stents compared with everolimus-eluting stents: a meta-analysis.

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    BACKGROUND Although new-generation drug-eluting stents represent the standard of care among patients undergoing percutaneous coronary intervention, there remains debate about differences in efficacy and the risk of stent thrombosis between the Resolute zotarolimus-eluting stent (R-ZES) and the everolimus-eluting stent (EES). The aim of this study was to evaluate the safety and efficacy of the R-ZES compared with EES in patients undergoing percutaneous coronary intervention. METHODS AND RESULTS A systematic literature search of electronic resources was performed using specific search terms until September 2014. Random-effects meta-analysis was performed comparing clinical outcomes between patients treated with R-ZES and EES up to maximum available follow-up. The primary efficacy end point was target-vessel revascularization. The primary safety end point was definite or probable stent thrombosis. Secondary safety end points were cardiac death and target-vessel myocardial infarction. Five trials were identified, including a total of 9899 patients. Compared with EES, R-ZES had similar risks of target-vessel revascularization (risk ratio [RR], 1.06; 95% confidence interval [CI], 0.90-1.24; P=0.50), definite or probable stent thrombosis (RR, 1.26; 95% CI, 0.86-1.85; P=0.24), cardiac death (RR, 1.01; 95% CI, 0.79-1.30; P=0.91), and target-vessel myocardial infarction (RR, 1.10; 95% CI, 0.89-1.36; P=0.39). Moreover, R-ZES and EES had similar risks of late definite or probable very late stent thrombosis (RR, 1.06; 95% CI, 0.53-2.11; P=0.87). No evidence of significant heterogeneity was observed across trials. CONCLUSIONS R-ZES and EES provide similar safety and efficacy among patients undergoing percutaneous coronary intervention

    Clutch-size adjustments and skew models: effects on reproductive partitioning and group stability

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    Reproductive skew theory seeks to integrate social and ecological factors thought to influence the division of reproduction among group-living animals. However, most reproductive skew models only examine interactions between individuals of the same sex. Here, we suggest that females can influence group stability and conflict among males by modifying their clutch size and may do so if they benefit from the presence of subordinate male helpers or from reduced conflict. We develop 3 models, based on concessions-based, restraint, and tug-of-war models, in which female clutch size is variable and ask when females will increase their clutch size above that which would be optimal in the absence of male--male conflict. In concessions-based and restraint models, females should increase clutch size above their optima if the benefits of staying for subordinate males are relatively low. Relatedness between males has no effect on clutch size. When females do increase clutch size, the division of reproduction between males is not influenced by relatedness and does not differ between restraint and concessions-based models. Both of these predictions are in sharp contrast to previous models. In tug-of-war models, clutch size is strongly influenced by relatedness between males, with the largest clutches, but the fewest surviving offspring, produced when males are unrelated. These 3 models demonstrate the importance of considering third-party interests in the decisions of group-living organisms. Copyright 2007, Oxford University Press.

    A Maximum-Likelihood relatedness estimator allowing for negative relatedness values

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    Previously reported maximum-likelihood pairwise relatedness (r) estimator of Thompson and Milligan (M) was extended to allow for negative r estimates under the regression interpretation of r. This was achieved by establishing the equivalency of the likelihoods used in the kinship program and the likelihoods of Thompson. The new maximum-likelihood (ML) estimator was evaluated by Monte Carlo simulations. It was found that the new ML estimator became unbiased significantly faster compared to the original M estimator when the amount of genotype information was increased. The effects of allele frequency estimation errors on the new and existing relatedness estimators were also considered

    Life history and behavioral type in the highly social cichlid Neolamprologus pulcher

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    Many studies have found that seemingly unconnected behaviors are correlated into behavioral syndromes. These behavioral syndromes may be the consequence of interindividual variation in life-history strategies. Only few studies have investigated the role of behavioral syndromes in cooperatively breeding species, despite the fact that one would expect particular large variation in behavior due to the wealth of life-history decisions a cooperative breeder faces. In a longitudinal study, we repeatedly tested individuals of the cooperatively breeding cichlid Neolamprologus pulcher for exploration, boldness, and aggression and tested whether these behaviors were sex specific; whether they were interrelated; and whether they were connected to growth and to 2 major life-history decisions, helping, and dispersal. In both sexes, explorative behavior was correlated over time, even though after sexual maturity males increased their exploration rate. In both sexes, exploration, boldness, and aggression correlated when mature, and in females, helping behavior was part of the syndrome. No relationships with growth were detected. Helping and dispersal were related to each other in males, whereas females hardly dispersed. We suggest that the differences in the life histories between males and females (male dispersal vs. female philopatry) lead to the differences in behavioral types observed and also to the differences in the stability of the behavioral syndromes between the sexes. The links between dispersal and helping in males and the behavioral types and helping in females highlight the necessity to study multiple traits to understand the evolution and maintenance of variation in cooperative behavior
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