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Life Sciences

Comprehensive exploration of living organisms, biological systems, and life processes across all scales from molecules to ecosystems. Encompasses cutting-edge research in biology, genetics, molecular biology, ecology, biochemistry, microbiology, botany, zoology, evolutionary biology, genomics, and biotechnology. Investigates cellular mechanisms, organism development, genetic inheritance, biodiversity conservation, metabolic processes, protein synthesis, DNA sequencing, CRISPR gene editing, stem cell research, and the fundamental principles governing all forms of life on Earth.

447,757 articles | 2542 topics

Health and Medicine

Comprehensive medical research, clinical studies, and healthcare sciences focused on disease prevention, diagnosis, and treatment. Encompasses clinical medicine, public health, pharmacology, epidemiology, medical specialties, disease mechanisms, therapeutic interventions, healthcare innovation, precision medicine, telemedicine, medical devices, drug development, clinical trials, patient care, mental health, nutrition science, health policy, and the application of medical science to improve human health, wellbeing, and quality of life across diverse populations.

431,843 articles | 751 topics

Social Sciences

Comprehensive investigation of human society, behavior, relationships, and social structures through systematic research and analysis. Encompasses psychology, sociology, anthropology, economics, political science, linguistics, education, demography, communications, and social research methodologies. Examines human cognition, social interactions, cultural phenomena, economic systems, political institutions, language and communication, educational processes, population dynamics, and the complex social, cultural, economic, and political forces shaping human societies, communities, and civilizations throughout history and across the contemporary world.

260,756 articles | 745 topics

Physical Sciences

Fundamental study of the non-living natural world, matter, energy, and physical phenomena governing the universe. Encompasses physics, chemistry, earth sciences, atmospheric sciences, oceanography, materials science, and the investigation of physical laws, chemical reactions, geological processes, climate systems, and planetary dynamics. Explores everything from subatomic particles and quantum mechanics to planetary systems and cosmic phenomena, including energy transformations, molecular interactions, elemental properties, weather patterns, tectonic activity, and the fundamental forces and principles underlying the physical nature of reality.

257,913 articles | 1552 topics

Applied Sciences and Engineering

Practical application of scientific knowledge and engineering principles to solve real-world problems and develop innovative technologies. Encompasses all engineering disciplines, technology development, computer science, artificial intelligence, environmental sciences, agriculture, materials applications, energy systems, and industrial innovation. Bridges theoretical research with tangible solutions for infrastructure, manufacturing, computing, communications, transportation, construction, sustainable development, and emerging technologies that advance human capabilities, improve quality of life, and address societal challenges through scientific innovation and technological progress.

225,386 articles | 998 topics

Scientific Community

Study of the practice, culture, infrastructure, and social dimensions of science itself. Addresses how science is conducted, organized, communicated, and integrated into society. Encompasses research funding mechanisms, scientific publishing systems, peer review processes, academic ethics, science policy, research institutions, scientific collaboration networks, science education, career development, research programs, scientific methods, science communication, and the sociology of scientific discovery. Examines the human, institutional, and cultural aspects of scientific enterprise, knowledge production, and the translation of research into societal benefit.

193,043 articles | 157 topics

Space Sciences

Comprehensive study of the universe beyond Earth, encompassing celestial objects, cosmic phenomena, and space exploration. Includes astronomy, astrophysics, planetary science, cosmology, space physics, astrobiology, and space technology. Investigates stars, galaxies, planets, moons, asteroids, comets, black holes, nebulae, exoplanets, dark matter, dark energy, cosmic microwave background, stellar evolution, planetary formation, space weather, solar system dynamics, the search for extraterrestrial life, and humanity's efforts to explore, understand, and unlock the mysteries of the cosmos through observation, theory, and space missions.

29,662 articles | 175 topics

Research Methods

Comprehensive examination of tools, techniques, methodologies, and approaches used across scientific disciplines to conduct research, collect data, and analyze results. Encompasses experimental procedures, analytical methods, measurement techniques, instrumentation, imaging technologies, spectroscopic methods, laboratory protocols, observational studies, statistical analysis, computational methods, data visualization, quality control, and methodological innovations. Addresses the practical techniques and theoretical frameworks enabling scientists to investigate phenomena, test hypotheses, gather evidence, ensure reproducibility, and generate reliable knowledge through systematic, rigorous investigation across all areas of scientific inquiry.

21,889 articles | 139 topics

Mathematics

Study of abstract structures, patterns, quantities, relationships, and logical reasoning through pure and applied mathematical disciplines. Encompasses algebra, calculus, geometry, topology, number theory, analysis, discrete mathematics, mathematical logic, set theory, probability, statistics, and computational mathematics. Investigates mathematical structures, theorems, proofs, algorithms, functions, equations, and the rigorous logical frameworks underlying quantitative reasoning. Provides the foundational language and tools for all scientific fields, enabling precise description of natural phenomena, modeling of complex systems, and the development of technologies across physics, engineering, computer science, economics, and all quantitative sciences.

3,023 articles | 113 topics

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Blood transfusion study: Less is more

A new study analyzing nearly 25,000 Medicare patients found that blood transfusions for hospitalized cardiac patients can be associated with increased risks of infection and death. The analysis also revealed substantial variation in transfusion practices among hospitals, highlighting the need for evidence-based guidelines.

Blood transfusions associated with infection

A study of nearly 25,000 coronary artery bypass graft patients found that receiving blood from another person increased post-operative infection rates by two-fold. Hospital variation in transfusion practices was also significant, accounting for 30% of the variation.

Blood transfusions and outcomes

A comprehensive review of medical literature by experts found no evidence supporting beneficial effects from blood transfusions. Studies show associations with higher rates of complications like heart attack, stroke, and kidney failure, highlighting the need for restricted practice and safer storage methods.

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Safety of antithrombotic treatment in acute coronary syndromes

The use of anticoagulants, antiplatelet agents, and thrombolytics in acute coronary syndromes (ACS) increases the risk of bleeding, which has emerged as a major contributor to poor outcomes. Careful selection of drugs and measures to prevent gastrointestinal bleeding can help mitigate this risk.

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The UK's third case of vCJD associated with blood transfusion

A new case of variant Creutzfeldt-Jakob disease (vCJD) linked to a blood transfusion has been confirmed in the UK. The patient developed symptoms six years after receiving a contaminated blood sample from a donor who later died from vCJD. Early diagnosis and monitoring are crucial for affected individuals.

US heart patients receive more transfusions than international patients

Research at Duke University Medical Center found that US heart patients receive blood transfusions 84% more often than Europeans and 38% more often than Asians. The study revealed wide differences in bleeding and transfusion rates among heart patients globally, with the US having significantly higher rates.

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Substituting blood transfusions

Scientists are using genomics to create a new type of hemoglobin that can be used in blood transfusions. This innovation has the potential to reduce contamination risks and make blood transfusions safer for people in emerging countries.

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NHLBI stops sickle cell anemia transfusion study

The NHLBI halted a clinical trial on periodic blood transfusions for patients with sickle cell anemia due to the treatment's proven effectiveness in preventing strokes. However, the trial also highlighted potential long-term side effects such as iron overload and the need for ongoing monitoring.

Heart attack patients who receive blood transfusions have higher death rate

A study published in JAMA Network found that heart attack patients who received blood transfusions had a significantly higher death rate compared to those who did not. The study included 24,111 participants and showed that blood transfusion was associated with nearly four times increased risk for 30-day death.

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Second probable case of CJD infection from blood transfusion

The study identifies a heterozygous genotype for the prion protein, suggesting that individuals with this genetic subgroup may be at higher risk of vCJD transmission. The findings highlight the need for continued surveillance and leucoreduction policies to reduce the risk of blood-borne transmission.

Blood transfusion poses CJD risk

A UK-based study found that individuals who received blood components from donors later diagnosed with vCJD were at increased risk. Researchers also discovered that the BSE agent can be transmitted through intravenous routes, highlighting concerns for possible transfusion cases.

New approach for reducing bleeding after surgery

Researchers found that recombinant activated factor VIIA significantly reduced blood loss during abdominal prostate removal surgery. Patients given the drug required no blood transfusions, whereas those receiving placebo did.

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Physicians offer new solution for blood transfusions

A team of physicians at the University of Toronto successfully treated a pediatric patient with an autoimmune disease using a cell-free hemoglobin solution. This alternative provides oxygen-carrying capacity similar to blood cells, making it a viable option for children and Jehovah's Witnesses.

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Substantial increase in death rate after bypass surgery for people with anaemia

Research suggests that individuals with coronary artery disease are less tolerant to anaemia during non-cardiac surgery. A study of 2059 patients found those with anaemia had a five-fold higher in-hospital mortality rate after bypass surgery despite blood transfusions, indicating the need for further investigation before surgery.

Eliminating battlefield transfusions

Researchers found that a unique blood plasma volume expander can resuscitate rats after severe hemorrhage and apnea, with some surviving up to 7 days without blood transfusions. Hyperbaric oxygen appears to confer advantages in resuscitation and maintenance of circulation.