75 research outputs found

    Anticoagulation in the cirrhotic patient

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    In the past, patients with liver cirrhosis were thought to be prone to increased bleeding risk. However, those with compensated liver cirrhosis actually have normal coagulative balance, which can become altered when liver function worsens, or infection, bleeding, or acute kidney insufficiency occur. When this happens, it is now recognized that patients with liver cirrhosis are at higher risk of thrombotic rather than haemorrhagic complications. Anticoagulation plays a favourable role both when used therapeutically or prophylactically. Successful anticoagulation is associated with a lower rate of decompensation and with improved survival. To date, treatment has involved the use of low molecular weight heparins and vitamin K antagonists. Preliminary data suggest that novel non-vitamin K antagonist oral anticoagulants can be used safely in patients with liver cirrhosis

    Ryhiner-Kartensammlung / 43 La sovveraineté de Sedan et de Ravcovrt, et la prevosté de Doncheri

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    "Avec privilege du roy pour vingt ans"Titelkartusche unten links, Massstabskartusche unten rechts, Wappenkartusche oben rechtsFranzösischer Text auf der Kartenrückseite ("Description des principautés de Sedan, et de Raucourt, [et] de la prevostè de Doncheri.")Seitennumerierung (Rückseite): "281", "284" (oben), "Bbbb 5" (unten)Ursprungswerk: "Atlas ou representation du monde universel, et des parties d'icelui" von G. Mercator und J. Hondius (Amsterdam : H. Hondius, 1633

    Acoel flatworms are not Platyhelminthes: evidence from phylogenomics

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    Acoel flatworms are small marine worms traditionally considered to belong to the phylum Platyhelminthes. However, molecular phylogenetic analyses suggest that acoels are not members of Platyhelminthes, but are rather extant members of the earliest diverging Bilateria. This result has been called into question, under suspicions of a long branch attraction (LBA) artefact. Here we re-examine this problem through a phylogenomic approach using 68 different protein-coding genes from the acoel Convoluta pulchra and 51 metazoan species belonging to 15 different phyla. We employ a mixture model, named CAT, previously found to overcome LBA artefacts where classical models fail. Our results unequivocally show that acoels are not part of the classically defined Platyhelminthes, making the latter polyphyletic. Moreover, they indicate a deuterostome affinity for acoels, potentially as a sister group to all deuterostomes, to Xenoturbellida, to Ambulacraria, or even to chordates. However, the weak support found for most deuterostome nodes, together with the very fast evolutionary rate of the acoel Convoluta pulchra, call for more data from slowly evolving acoels (or from its sister-group, the Nemertodermatida) to solve this challenging phylogenetic problem

    Lunar Gravitational-Wave Detection

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    A new era of lunar exploration has begun bringing immense opportunities for science as well. It has been proposed to deploy a new generation of observatories on the lunar surface for deep studies of our Universe. This includes radio antennas, which would be protected on the far side of the Moon from terrestrial radio interference, and gravitational-wave (GW) detectors, which would profit from the extremely low level of seismic disturbances on the Moon. In recent years, novel concepts have been proposed for lunar GW detectors based on long-baseline laser interferometry or on compact sensors measuring the lunar surface vibrations caused by GWs. In this article, we review the concepts and science opportunities for such instruments on the Moon. In addition to promising breakthrough discoveries in astrophysics and cosmology, lunar GW detectors would also be formidable probes of the lunar internal structure and improve our understanding of the lunar geophysical environment
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