TASK DEFINITION: Given a context passage, generate a question from the passage such that its answer is shortest continous span from the passage.
PROBLEM: Urgent surgery or life-threatening bleeding requires prompt reversal of the anticoagulant effects of dabigatran. This study assessed the ability of three- and four-factor prothrombin complex concentrate (PCC) and idarucizumab (specific antidote for dabigatran) to reverse the anticoagulant effects of dabigatran in a porcine model of trauma. Twelve animals were given dabigatran etexilate (DE) orally and dabigatran intravenously, before infliction of trauma. Six animals received tranexamic acid plus fibrinogen concentrate 12 minutes post-injury. Six PCCs (each 30 and 60 U/kg) and idarucizumab (30 and 60 mg/kg) were added to blood samples ex vivo. Coagulation was assessed by several coagulation assays. All coagulation parameters were altered after dabigatran infusion (plasma level: 442 138 ng/ml). Both three- and four-factor PCCs mostly or completely reversed the effects of dabigatran on thromboelastometry variables and PT but not on aPTT. Idarucizumab neutralised plasma concentrations of dabigatran, and reversed the effects of the drug on coagulation variables. Thrombin generation showed dose-dependent over-correction following the addition of PCC, implying that elevated levels of thrombin are required to overcome dabigatran-induced coagulopathy. In contrast, treatment with idarucizumab returned thrombin generation to baseline levels. Following trauma, therapy with tranexamic acid plus fibrinogen improved correction of coagulation parameters by PCC, and thromboelastometry parameters by idarucizumab. All investigated PCCs improved dabigatran- and trauma-induced coagulopathy to a similar degree. In conclusion, this study shows that three- and four-factor PCCs are similarly effective for dabigatran reversal. Idarucizumab also reversed the effects of dabigatran and, unlike PCCs, was not associated with over-correction of thrombin generation.

SOLUTION: Which drug can be reversed with idarucizumab?

PROBLEM: A cardiovascular disease (CVD) is any disease that affects the cardiovascular system. But the term is usually used to describe diseases that are linked to atherosclerosis. Atherosclerosis ( Figure 1.1) is an inflammation of the walls of arteries that causes swelling and a buildup of material called plaque. Plaque is made of cell pieces, fatty substances, calcium, and connective tissue that builds up around the area of inflammation. As a plaque grows, it stiffens and narrows the artery, which decreases the flow of blood through the artery. Atherosclerosis normally begins in late childhood and is typically found in most major arteries. It does not usually have any early symptoms. Causes of atherosclerosis include a high-fat diet, high cholesterol, smoking, obesity, and diabetes. Atherosclerosis becomes a threat to health when the plaque buildup prevents blood circulation in the heart or the brain. A blocked blood vessel in the heart can cause a heart attack. Blockage of the circulation in the brain can cause a stroke. Ways to prevent atherosclerosis include eating healthy foods, getting plenty of exercise and not smoking. These three factors are not as hard to control as you may think. If you smoke, STOP. Start a regular exercise program and watch what you eat. A diet high in saturated fat and cholesterol can raise your cholesterol levels, which makes more plaque available to line artery walls and narrow your arteries. Cholesterol and saturated fats are found mostly in animal products such Atherosclerosis is sometimes referred to as hardening of the arteries; plaque build- up decreases the blood flow through the artery. as meat, eggs, milk, and other dairy products. Check food labels to find the amount of saturated fat in a product. Also, avoid large amounts of salt and sugar. Be careful with processed foods, such as frozen dinners, as they can be high in fat, sugar, salt and cholesterol. Eat lots of fresh or frozen fruits and vegetables, smaller portions of lean meats and fish, and whole grains such as oats and whole wheat. Limit saturated fats like butter, instead choose unsaturated vegetable oils such as canola oil. Like any other muscle, your heart needs oxygen. Hearts have arteries that provide oxygen through the blood. They are known as coronary arteries. Coronary heart disease is the end result of the buildup of plaque within the walls of the coronary arteries. Coronary heart disease often does not have any symptoms. A symptom of coronary heart disease is chest pain. Occasional chest pain can happen during times of stress or physical activity. The pain of angina means the heart muscle fibers need more oxygen than they are getting. Most people with coronary heart disease often have no symptoms for many years until they have a heart attack. A heart attack happens when the blood cannot reach the heart because a blood vessel is blocked. If cardiac muscle is starved of oxygen for more than roughly five minutes, it will die. Cardiac muscle cells cannot be replaced, so once they die, they are dead forever. Coronary heart disease is the leading cause of death of adults in the United States. The image below shows the way in which a blocked coronary artery can cause a heart attack and cause part of the heart muscle to die ( Figure 1.2). Maybe one day stem cells will be used to replace dead cardiac muscle cells. Atherosclerosis in the arteries of the brain can also lead to a stroke. A stroke is a loss of brain function due to a blockage of the blood supply to the brain. Risk factors for stroke include old age, high blood pressure, having a previous stroke, diabetes, high cholesterol, and smoking. The best way to reduce the risk of stroke is to have low blood pressure.

SOLUTION: what is atherosclerosis?

PROBLEM: The Yankee Doodle Mouse won the 1943 Academy Award for Best Animated Short Film, making it the first of seven Tom and Jerry cartoons to receive this distinction.

SOLUTION:
What award was The Yankee Doodle Mouse nominated for?