Fractal Dimension Analysis of Transient Visual Evoked Potentials: Optimisation and Applications

Purpose The visual evoked potential (VEP) provides a time series signal response to an external visual stimulus at the location of the visual cortex. The major VEP signal components, peak latency and amplitude, may be affected by disease processes. Additionally, the VEP contains fine detailed and non-periodic structure, of presently unclear relevance to normal function, which may be quantified using the fractal dimension. The purpose of this study is to provide a systematic investigation of the key parameters in the measurement of the fractal dimension of VEPs, to develop an optimal analysis protocol for application. Methods VEP time series were mathematically transformed using delay time, τ, and embedding dimension, m, parameters. The fractal dimension of the transformed data was obtained from a scaling analysis based on straight line fits to the numbers of pairs of points with separation less than r versus log(r) in the transformed space. Optimal τ, m, and scaling analysis were obtained by comparing the consistency of results using different sampling frequencies. The optimised method was then piloted on samples of normal and abnormal VEPs. Results Consistent fractal dimension estimates were obtained using τ = 4 ms, designating the fractal dimension = D2 of the time series based on embedding dimension m = 7 (for 3606 Hz and 5000 Hz), m = 6 (for 1803 Hz) and m = 5 (for 1000Hz), and estimating D2 for each embedding dimension as the steepest slope of the linear scaling region in the plot of log(C(r)) vs log(r) provided the scaling region occurred within the middle third of the plot. Piloting revealed that fractal dimensions were higher from the sampled abnormal than normal achromatic VEPs in adults (p = 0.02). Variances of fractal dimension were higher from the abnormal than normal chromatic VEPs in children (p = 0.01). Conclusions A useful analysis protocol to assess the fractal dimension of transformed VEPs has been developed

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

The James Webb Space Telescope Mission

Twenty-six years ago a small committee report, building on earlier studies, expounded a compelling and poetic vision for the future of astronomy, calling for an infrared-optimized space telescope with an aperture of at least $4m$. With the support of their governments in the US, Europe, and Canada, 20,000 people realized that vision as the $6.5m$ James Webb Space Telescope. A generation of astronomers will celebrate their accomplishments for the life of the mission, potentially as long as 20 years, and beyond. This report and the scientific discoveries that follow are extended thank-you notes to the 20,000 team members. The telescope is working perfectly, with much better image quality than expected. In this and accompanying papers, we give a brief history, describe the observatory, outline its objectives and current observing program, and discuss the inventions and people who made it possible. We cite detailed reports on the design and the measured performance on orbit.Comment: Accepted by PASP for the special issue on The James Webb Space Telescope Overview, 29 pages, 4 figure

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

It takes two to tango: self incompatibility in the bromeliad Tillandsia streptophylla (Bromeliaceae) in Mexico

Floral phenology and breeding system of Tillandsia streptophylla (Bromeliaceae) were studied in a low inundated forest in Yucatan, Mexico. During the flowering season, from March to August, terminal scapose 1-branched, paniculate inflorescences are produced with one flower per branch opening per day, over a period of 11-29 days. Flowers are tubular, light violet, with the stigma placed below the anthers, both protruding above the corolla. Flowers are protandrous, with anthers releasing pollen from 0500 hours and stigma becoming receptive around 0900 hours. Controlled experimental crosses suggest that Tillandsia streptophylla is self incompatible and therefore, pollinator-dependent. Rev. Biol. Trop. 57 (3): 761-770. Epub 2009 September 30.Estudiamos la fenología floral y el sistema de cruzamiento de la bromelia Tillandsia streptophylla (Bromeliaceae) en una selva baja inundable en Yucatán, México. Durante la estación de floración (marzo a agosto), las plantas producen una inflorescencia terminal, escaposa, paniculada, 1-dividida, con una flor abriendo por rama por día para un período de floración de 11-29 días por inflorescencia. Las flores son tubulares, de corola violeta claro, con el estigma y anteras exertos, pero las anteras más largas que el estigma en antesis. Las flores son protandras, con las anteras liberando el polen desde las 0500 horas y la receptividad del estigma comenzando a las 0900 horas. Los cruces experimentales controlados sugieren que Tillansdia streptophylla es auto incompatible y por ende, dependiente de los polinizadores

Reproductive biology of Hechtia schottii, a dioecious Bromeliaceae, in Mexico

Hechtia schottii is a terrestrial, rosetofilous, dioecious, polycarpic succulent herb, that grows mainly in shrubby associations, and less frequently, in secondary low caducifolious forests, both on calcareous soils or limestone outcrops in Yucatan and Campeche States, Mexico. We studied phenology, floral and pollination biology, and breeding system at Calcehtok, Yucatan, during two flowering seasons. Plants bloom mainly during the dry season (November-April) and disperse seeds during the rainy season (May-October). Both floral morphs have diurnal anthesis; pollen is removed ca. 1 h after anthesis starts and both floral morphs are visited by several insect species, especially bees, but results suggest that the introduced honey bee, Apis mellifera, is the pollinator. Controlled crossings show that the species is functionally dioecious and requires to be serviced by pollinators based on fruit setting only in unassisted cross pollination crosses

It takes two to tango: self incompatibility in the bromeliad Tillandsia streptophylla (Bromeliaceae) in Mexico

Floral phenology and breeding system of Tillandsia streptophylla (Bromeliaceae) were studied in a low inundated forest in Yucatan, Mexico. During the flowering season, from March to August, terminal scapose 1-branched, paniculate inflorescences are produced with one flower per branch opening per day, over a period of 11-29 days. Flowers are tubular, light violet, with the stigma placed below the anthers, both protruding above the corolla. Flowers are protandrous, with anthers releasing pollen from 0500 hours and stigma becoming receptive around 0900 hours. Controlled experimental crosses suggest that Tillandsia streptophylla is self incompatible and therefore, pollinator-dependent

Reproductive biology of Hechtia schottii, a dioecious Bromeliaceae, in Mexico

Hechtia schottii is a terrestrial, rosetofilous, dioecious, polycarpic succulent herb, that grows mainly in shrubby associations, and less frequently, in secondary low caducifolious forests, both on calcareous soils or limestone outcrops in Yucatan and Campeche States, Mexico. We studied phenology, floral and pollination biology, and breeding system at Calcehtok, Yucatan, during two flowering seasons. Plants bloom mainly during the dry season (November-April) and disperse seeds during the rainy season (May-October). Both floral morphs have diurnal anthesis; pollen is removed ca. 1 h after anthesis starts and both floral morphs are visited by several insect species, especially bees, but results suggest that the introduced honey bee, Apis mellifera, is the pollinator. Controlled crossings show that the species is functionally dioecious and requires to be serviced by pollinators based on fruit setting only in unassisted cross pollination crosses. Rev. Biol. Trop. 56 (1): 279-289. Epub 2008 March 31.Hechtia schottii es una hierba terrestre, suculenta, rosetófila, dioica y policárpica, que crece en asociaciones arbustivas y selva baja caducifolia secundaria, ambos en suelos calcáreos o limosos. Estudiamos la fenología, la biología floral, reproductiva y de la polinización en una población en Calcehtok, Yucatán, México, durante dos estaciones de floración. Las plantas florecen principalmente en la época de secas (noviembre-abril) y la dispersión de semillas es durante la estación de lluvias (mayo-octubre). Ambas formas (morphs) florales tienen antesis diurna; el polen es removido ca. 1 h después del comienzo de la antesis y ambas formas florales son visitadas por varias especies de insectos, especialmente abejas, pero los resultados sugieren que la abeja introducida, Apis mellifera, es el polinizador. Cruces controlados muestran que la especie es funcionalmente dioica y que requiere de un polinizador, ya que solo produce frutos por polinización no asistida entre formas

Multiple Factors Influence Seasonal and Interannual Litterfall Production in a Tropical Dry Forest in Mexico

Litterfall production plays a fundamental role in the dynamics and function of tropical forest ecosystems, as it supplies 70–80% of nutrients entering the soil. This process varies annually and seasonally, depending on multiple environmental factors. However, few studies spanning several years have addressed the combined effect of climate variables, successional age, topography, and vegetation structure in tropical dry forests. In this study, we evaluated monthly, seasonal, and annual litterfall production over a five-year period in semideciduous dry forests of different successional ages growing on contrasting topographic conditions (sloping or flat terrain) in Yucatan, Mexico. Its relationship with climate and vegetation structural variables were also analyzed using multiple linear regression and generalized linear models. Litterfall was measured monthly in 12 litterfall traps of 0.5 m2 in three sampling clusters (sets of four 400 m2 sampling plots) established in forests of five successional age classes, 3–5, 10–17, 18–25, 60–79, and >80 years (in the latter two classes either on slopping or on flat terrain), for a total of 15 sampling clusters and 180 litterfall traps. Litterfall production varied between years (negatively correlated with precipitation), seasons (positively correlated with wind speed and maximum temperature), and months (negatively correlated with relative humidity) and was higher in flat than in sloping sites. Litterfall production also increased with successional age until 18–25 years after abandonment, when it attained values similar to those of mature forests. It was positively correlated with the aboveground biomass of deciduous species but negatively correlated with the basal area of evergreen species. Our results show a rapid recovery of litterfall production with successional age of these forests, which may increase with climate changes such as less precipitation, higher temperatures, and higher incidence of hurricanes