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Record W2896361229 · doi:10.1002/9781119028994.ch68

Fibrinolysis and Antifibrinolytics

2018· other· en· W2896361229 on OpenAlexaff
Jo‐Annie Letendre, Robert Goggs

Bibliographic record

Venuenot available
Typeother
Languageen
FieldMedicine
TopicTrauma, Hemostasis, Coagulopathy, Resuscitation
Canadian institutionsCanadian Veterinary Medical Association
Fundersnot available
KeywordsHyperfibrinolysisFibrinolysisAntifibrinolyticTranexamic acidMedicinePlasminAminocaproic acidHemostasisIntensive care medicineCoagulationThrombolysisAprotininAnesthesiaSurgeryInternal medicineBiologyBiochemistryMyocardial infarction

Abstract

fetched live from OpenAlex

The balance between hemostasis and fibrinolysis can be lost in various situations, due to ineffective fibrinolysis in the setting of thrombosis or excessive fibrinolytic activity contributing to hemorrhage. Key players in the fibrinolytic system include plasminogen activators and inhibitors, plasmin and its precursor plasminogen. Disorders of fibrinolysis are challenging to diagnose due to limited availability of appropriate tests. D-dimer measurement is widely available, but does not allow evaluation of the balance between pro- and antifibrinolytic factors and hence cannot identify hypo- or hyperfibrinolysis. Individual assays of fibrinolytic proteins may be available at reference laboratories but currently, viscoelastic coagulation tests offer the best way to identify hypo- or hyperfibrinolysis at the point of care. When hyperfibrinolysis is identified or highly suspected, antifibrinolytic agents such as epsilon-aminocaproic acid and tranexamic acid can be used therapeutically. Although experience with these agents in veterinary medicine is limited, recent studies suggest they may be safe and effective in specific veterinary patient populations. Therapeutic thrombolysis is uncommonly performed in veterinary medicine, but involves administration of supraphysiological doses of tissue plasminogen activator to initiate fibrinolysis. This procedure carries significant risks of hemorrhage and reperfusion injury, but may be life-saving in selected cases.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.002
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Other · Consensus signal: none
Teacher disagreement score0.011
Threshold uncertainty score0.037

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0010.002
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0020.001
Science and technology studies0.0000.001
Scholarly communication0.0020.001
Open science0.0000.001
Research integrity0.0010.001
Insufficient payload (model declined to judge)0.0110.005

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.016
GPT teacher head0.278
Teacher spread0.262 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designNot applicable
Domainnot available
GenreOther

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations4
Published2018
Admission routes1
Has abstractyes

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Same topicTrauma, Hemostasis, Coagulopathy, ResuscitationFrench-language works237,207