Impact of COVID-19 on cardiovascular testing in the United States versus the rest of the world

Objectives: This study sought to quantify and compare the decline in volumes of cardiovascular procedures between the United States and non-US institutions during the early phase of the coronavirus disease-2019 (COVID-19) pandemic. Background: The COVID-19 pandemic has disrupted the care of many non-COVID-19 illnesses. Reductions in diagnostic cardiovascular testing around the world have led to concerns over the implications of reduced testing for cardiovascular disease (CVD) morbidity and mortality. Methods: Data were submitted to the INCAPS-COVID (International Atomic Energy Agency Non-Invasive Cardiology Protocols Study of COVID-19), a multinational registry comprising 909 institutions in 108 countries (including 155 facilities in 40 U.S. states), assessing the impact of the COVID-19 pandemic on volumes of diagnostic cardiovascular procedures. Data were obtained for April 2020 and compared with volumes of baseline procedures from March 2019. We compared laboratory characteristics, practices, and procedure volumes between U.S. and non-U.S. facilities and between U.S. geographic regions and identified factors associated with volume reduction in the United States. Results: Reductions in the volumes of procedures in the United States were similar to those in non-U.S. facilities (68% vs. 63%, respectively; p = 0.237), although U.S. facilities reported greater reductions in invasive coronary angiography (69% vs. 53%, respectively; p < 0.001). Significantly more U.S. facilities reported increased use of telehealth and patient screening measures than non-U.S. facilities, such as temperature checks, symptom screenings, and COVID-19 testing. Reductions in volumes of procedures differed between U.S. regions, with larger declines observed in the Northeast (76%) and Midwest (74%) than in the South (62%) and West (44%). Prevalence of COVID-19, staff redeployments, outpatient centers, and urban centers were associated with greater reductions in volume in U.S. facilities in a multivariable analysis. Conclusions: We observed marked reductions in U.S. cardiovascular testing in the early phase of the pandemic and significant variability between U.S. regions. The association between reductions of volumes and COVID-19 prevalence in the United States highlighted the need for proactive efforts to maintain access to cardiovascular testing in areas most affected by outbreaks of COVID-19 infection

Diet of margay, Leopardus wiedii, and jaguarundi, Puma yagouaroundi, (Carnivora: Felidae) in Atlantic Rainforest, Brazil

This study identifies the food habits of the margay, Leopardus wiedii (Schinz, 1821), and the jaguarundi, Puma yagouaroundi (É. Geoffroy Saint-Hilare, 1803), in the Vale do Rio Doce Natural Reserve and in the Sooretama Biological Reserve, Espírito Santo, Brazil. We determined the diet of both species by the analysis of scats. Fecal samples were collected from April 1995 to September 2000 and identified based on the presence of hairs that were ingested during self-grooming. Scats were oven-dried and washed on a sieve, and the screened material was identified using a reference collection. Of the 59 fecal samples examined, 30 were confirmed to be from the margay and nine of them from the jaguarundi. Mammals were the most consumed items in the diet of the margay, occurring in 77% of the fecal samples, followed by birds (53%) and reptiles (20%). Among the mammals consumed, marsupials (Didelphimorphia) were the most common item (66%). In the diet of the jaguarundi, birds were the most consumed items and occurred in 55% of the fecal samples; mammals and reptiles occurred in 41% and in 17% of the fecal samples, respectively. From this work we conclude that the margay and jaguarundi fed mainly upon small vertebrates in the Vale do Rio Doce Natural Reserve and in the Sooretama Biological Reserve. Although sample sizes are therefore insufficient for quantitative comparisons, margays prey more frequently upon arboricolous mammals than jaguarundis, which in turn prey more frequently upon birds and reptiles than margays. This seems to reflect a larger pattern throughout their geographic rang

Determining the numbers of a landscape architect species (Tapirus terrestris), using footprints

Background As a landscape architect and a major seed disperser, the lowland tapir (Tapirus terrestris) is an important indicator of the ecological health of certain habitats. Therefore, reliable data regarding tapir populations are fundamental in understanding ecosystem dynamics, including those associated with the Atlantic Forest in Brazil. Currently, many population monitoring studies use invasive tagging with radio or satellite/Global Positioning System (GPS) collars. These techniques can be costly and unreliable, and the immobilization required carries physiological risks that are undesirable particularly for threatened and elusive species such as the lowland tapir. Methods We collected data from one of the last regions with a viable population of lowland tapir in the south-eastern Atlantic Forest, Brazil, using a new non-invasive method for identifying species, the footprint identification technique (FIT). Results We identified the minimum number of tapirs in the study area and, in addition, we observed that they have overlapping ranges. Four hundred and forty footprints from 46 trails collected from six locations in the study area in a landscape known to contain tapir were analyzed, and 29 individuals were identified from these footprints. Discussion We demonstrate a practical application of FIT for lowland tapir censusing. Our study shows that FIT is an effective method for the identification of individuals of a threatened species, even when they lack visible natural markings on their bodies. FIT offers several benefits over other methods, especially for tapir management. As a non-invasive method, it can be used to census or monitor species, giving rapid feedback to managers of protected areas