The Changing Landscape for Stroke\ua0Prevention in AF: Findings From the GLORIA-AF Registry Phase 2

Background GLORIA-AF (Global Registry on Long-Term Oral Antithrombotic Treatment in Patients with Atrial Fibrillation) is a prospective, global registry program describing antithrombotic treatment patterns in patients with newly diagnosed nonvalvular atrial fibrillation at risk of stroke. Phase 2 began when dabigatran, the first non\u2013vitamin K antagonist oral anticoagulant (NOAC), became available. Objectives This study sought to describe phase 2 baseline data and compare these with the pre-NOAC era collected during phase 1. Methods During phase 2, 15,641 consenting patients were enrolled (November 2011 to December 2014); 15,092 were eligible. This pre-specified cross-sectional analysis describes eligible patients\u2019 baseline characteristics. Atrial fibrillation disease characteristics, medical outcomes, and concomitant diseases and medications were collected. Data were analyzed using descriptive statistics. Results Of the total patients, 45.5% were female; median age was 71 (interquartile range: 64, 78) years. Patients were from Europe (47.1%), North America (22.5%), Asia (20.3%), Latin America (6.0%), and the Middle East/Africa (4.0%). Most had high stroke risk (CHA2DS2-VASc [Congestive heart failure, Hypertension, Age  6575 years, Diabetes mellitus, previous Stroke, Vascular disease, Age 65 to 74 years, Sex category] score  652; 86.1%); 13.9% had moderate risk (CHA2DS2-VASc = 1). Overall, 79.9% received oral anticoagulants, of whom 47.6% received NOAC and 32.3% vitamin K antagonists (VKA); 12.1% received antiplatelet agents; 7.8% received no antithrombotic treatment. For comparison, the proportion of phase 1 patients (of N = 1,063 all eligible) prescribed VKA was 32.8%, acetylsalicylic acid 41.7%, and no therapy 20.2%. In Europe in phase 2, treatment with NOAC was more common than VKA (52.3% and 37.8%, respectively); 6.0% of patients received antiplatelet treatment; and 3.8% received no antithrombotic treatment. In North America, 52.1%, 26.2%, and 14.0% of patients received NOAC, VKA, and antiplatelet drugs, respectively; 7.5% received no antithrombotic treatment. NOAC use was less common in Asia (27.7%), where 27.5% of patients received VKA, 25.0% antiplatelet drugs, and 19.8% no antithrombotic treatment. Conclusions The baseline data from GLORIA-AF phase 2 demonstrate that in newly diagnosed nonvalvular atrial fibrillation patients, NOAC have been highly adopted into practice, becoming more frequently prescribed than VKA in Europe and North America. Worldwide, however, a large proportion of patients remain undertreated, particularly in Asia and North America. (Global Registry on Long-Term Oral Antithrombotic Treatment in Patients With Atrial Fibrillation [GLORIA-AF]; NCT01468701

Ethnobotanical survey of plants with toxic active constituents, grown in the municipality of Cuité, Paraíba, Brazil

Incidents involving plants have been a major problem for public health over the years and represent the fourth leading cause of poisoning in Brazil, leading to death many people, especially children. This study aimed to carry out an ethnobotanical survey of plants with toxic active constituents, grown in the municipality of Cuité, Paraíba, correlating the popular and scientific knowledge. This study conducted an exploratory and descriptive field research by applying semi-structured questionnaires to city dwellers who maintained frequent contact with plants. The identification of 19 toxic species and 18 potentially poisonous species was possible. Prevalent plants in homes were ornamental. Most respondents were senior women who carried out this practice over ten years, and this interest in cultivation had come through relatives. The survey showed that most interviewees unaware the toxic potential of cited plants, which indicates the need to carry out educational and preventive work among the population

Mycological Diversity Description I

Here, Quambalaria fabacearum and Neopestalotiopsis brasiliensis are introduced as new species from Brazil, isolated as endophyte from Mimosa tenuiflora and causing post-harvest rot disease on fruits of Psidium guajava, respectively. Diaporthe inconspicua is emended to include a more detailed morphological description. Neopestalotiopsis egyptiaca is reported as new to the Americas and as causing post-harvest rot disease on fruits of Psidium guajava, while Umbelopsis isabellina is reported as endophyte

Soil fertility impact on recruitment and diversity of the soil microbiome in sub-humid tropical pastures in Northeastern Brazil

Abstract Soil fertility is key point to pastures systems and drives the microbial communities and their functionality. Therefore, an understanding of the interaction between soil fertility and microbial communities can increase our ability to manage pasturelands and maintain their soil functioning and productivity. This study probed the influence of soil fertility on microbial communities in tropical pastures in Brazil. Soil samples, gathered from the top 20 cm of twelve distinct areas with diverse fertility levels, were analyzed via 16S rRNA sequencing. The soils were subsequently classified into two categories, namely high fertility (HF) and low fertility (LF), using the K-Means clustering. The random forest analysis revealed that high fertility (HF) soils had more bacterial diversity, predominantly Proteobacteria, Nitrospira, Chloroflexi, and Bacteroidetes, while Acidobacteria increased in low fertility (LF) soils. High fertility (HF) soils exhibited more complex network interactions and an enrichment of nitrogen-cycling bacterial groups. Additionally, functional annotation based on 16S rRNA varied between clusters. Microbial groups in HF soil demonstrated enhanced functions such as nitrate reduction, aerobic ammonia oxidation, and aromatic compound degradation. In contrast, in the LF soil, the predominant processes were ureolysis, cellulolysis, methanol oxidation, and methanotrophy. Our findings expand our knowledge about how soil fertility drives bacterial communities in pastures

Irmandades, oficiais mecânicos e cidadania no Rio de Janeiro do século XVIII Brotherhood, artisans and citizenship in Eighteenth century Rio de Janeiro

O artigo propõe uma reflexão sobre os meios de inserção dos ofícios na comunidade política do Rio de Janeiro no século XVIII. Para tanto, focaliza as irmandades de ofícios, consideradas como formas de socialização que tem como referência a igreja católica e a monarquia. Nelas, o domínio de um ofício constituía um critério de ingresso, fossem os irmãos livres, libertos ou escravos. Analisam-se particularmente os casos da irmandade de São Jorge - que reunia basicamente os ofícios do ferro e do fogo - e da irmandade de São José - que congregava carpinteiros, pedreiros e marceneiros. Em termos gerais, objetiva-se investigar a natureza e as condições da cidadania dos ofícios em uma sociedade do Antigo Regime português, a partir das relações entre as irmandades, os oficiais mecânicos e o Senado da câmara.<br>The article suggests a reflection on the insertion means of the artisans in the Rio de Janeiro political community, during the 18th century. For this purpose it focus the artisan’s brotherhoods, considered as a socialization forms, that has as reference the catholic church and the monarchy. The expertise in the trade was a criterion for the admission, be the brothers free, freed men or slaves. In particular, are analyzed the cases of Saint George’s brotherhood - that joined together basically the iron and fire trades - and Saint Joseph’s brotherhood - that brought together carpenters, masons and joiners. In general terms, the objective is to investigate the nature and the conditions of citizenship of the trades in a society of the old Portuguese regime, from the relations between the brotherhoods, the craftsmen and the municipal council