Effect of Some Risk Factors on Over-Anticoagulation Disorders and Bleeding in Patients Receiving Anticoagulant Therapy with Overdosage of Vitamin K Antagonist.

Objective: Study on effect of risk factors on over-anticoagulation in patients taking anticoagulant drugs with VKAs (vitamin K antagonists). Methods: Cross-sectional descriptive, prospective research. Study on 79 patients taking anticoagulant drugs with VKAs who had an INR (International Normalized Ratio) index of more than indicated anticoagulation dose with VKAs therapy. Results: A total of 79 patients, mean age 65.65 ± 12.17 years [33:85], the elderly group is common (73.4%). Patients had hemorrhage disorders account for 22.8%. The INR index had an average value was 5.88 ± 3.0 [3.02-23.95]; The INR> 5 level group is a higher risk of bleeding than the INR ≤5 level group, it's the statistical significance (p < 0.001). The risk factors such as drugs to treat dyslipidemia, hyperthyroid, amiodarone, beta blocker, prednisone, NSAIDs (Non-steroidal anti-inflammatory), BMI (Body Mass Index), smoke and alcohol that the risk factors of increasing of bleeding when receiving anticoagulants but it's not statistically significant yet (OR >1, p > 0.05); These patients using coenzyme Q10 and green vegetable nutrition such as cruciferous vegetables (Brassicaceae, Asteraceae) are quite common (31.6% and 35.4%), its effect on coagulation with vitamin K and cause of the increased in risk of bleeding was statistical significantly with OR = 5.28 (CI: 1.72-16.17, p < 0.01), and OR = 2.99 (CI: 1.01-8.80, p < 0.05) respectively. Conclusion: Most patients in over-anticoagulation were the elderly group. Patients had hemorrhage disorders account for 22.8%. The INR> 5 level group was a higher risk of bleeding than the INR ≤5 level group with statistical significance. Patients using Coenzyme Q10 and green vegetable nutrition such as cruciferous vegetables (Brassicaceae, Asteraceae) are quite common, its effect on coagulation and cause of the increased risk of bleeding complication with statistical significance.

Polypyrrole-based nanocomposites doped with both salicylate/molybdate and graphene oxide for enhanced corrosion resistance on low-carbon steel.

In this work, polypyrrole-based nanocomposites doped with graphene oxide, molybdate, and salicylate (PPy/GO/Mo/Sal) were synthesized via in situ electrochemical polymerization to enhance the anti-corrosion protection performance of polymer coatings. The morphology and structures of the coatings were characterized by SEM, EDX, FTIR, Raman spectroscopy, and XRD. The protection abilities of coatings against corrosion were investigated in 0.1 M NaCl solution with EIS potentiodynamic polarization, salt spray test, and open-circuit potential (OCP) measurements. The results showed that with the presence of both molybdate/salicylate and GO in the PPy matrix, the nanocomposite coating exhibited an excellent protection ability against corrosion for low-carbon steel, better than that with only GO as filler. Compared to the nanocomposites doped with only salicylate or salicylate/GO, the one doped with both molybdate/salicylate and GO exhibited the longest protection plateau (ca. 100 h) on the OCP-time curves with some fluctuation points known as the self-healing action of molybdate dopant. It also resulted in a decrease in the corrosion current (Tafel plots), a higher impedance (Bode plot), and a better protection performance in salt spray tests. In this case, the anti-corrosion ability of the coatings was provided through a barrier and self-healing mechanism.