Risk profiles and one-year outcomes of patients with newly diagnosed atrial fibrillation in India: Insights from the GARFIELD-AF Registry.

BACKGROUND: The Global Anticoagulant Registry in the FIELD-Atrial Fibrillation (GARFIELD-AF) is an ongoing prospective noninterventional registry, which is providing important information on the baseline characteristics, treatment patterns, and 1-year outcomes in patients with newly diagnosed non-valvular atrial fibrillation (NVAF). This report describes data from Indian patients recruited in this registry. METHODS AND RESULTS: A total of 52,014 patients with newly diagnosed AF were enrolled globally; of these, 1388 patients were recruited from 26 sites within India (2012-2016). In India, the mean age was 65.8 years at diagnosis of NVAF. Hypertension was the most prevalent risk factor for AF, present in 68.5% of patients from India and in 76.3% of patients globally (P < 0.001). Diabetes and coronary artery disease (CAD) were prevalent in 36.2% and 28.1% of patients as compared with global prevalence of 22.2% and 21.6%, respectively (P < 0.001 for both). Antiplatelet therapy was the most common antithrombotic treatment in India. With increasing stroke risk, however, patients were more likely to receive oral anticoagulant therapy [mainly vitamin K antagonist (VKA)], but average international normalized ratio (INR) was lower among Indian patients [median INR value 1.6 (interquartile range {IQR}: 1.3-2.3) versus 2.3 (IQR 1.8-2.8) (P < 0.001)]. Compared with other countries, patients from India had markedly higher rates of all-cause mortality [7.68 per 100 person-years (95% confidence interval 6.32-9.35) vs 4.34 (4.16-4.53), P < 0.0001], while rates of stroke/systemic embolism and major bleeding were lower after 1 year of follow-up. CONCLUSION: Compared to previously published registries from India, the GARFIELD-AF registry describes clinical profiles and outcomes in Indian patients with AF of a different etiology. The registry data show that compared to the rest of the world, Indian AF patients are younger in age and have more diabetes and CAD. Patients with a higher stroke risk are more likely to receive anticoagulation therapy with VKA but are underdosed compared with the global average in the GARFIELD-AF. CLINICAL TRIAL REGISTRATION-URL: http://www.clinicaltrials.gov. Unique identifier: NCT01090362

First Sagittarius A* Event Horizon Telescope results. I. The shadow of the supermassive black hole in the center of the Milky Way

Galaxie

First Sagittarius A* event horizon telescope results. II. EHT and multiwavelength observations, data processing, and calibration

Instrumentatio

Correlative Changes in Life-History Variables in Response to Environmental Change in a Model Organism

Global change alters the environment, including increases in the frequency of (un)favorable events and shifts in environmental noise color. However, how these changes impact the dynamics of populations, and whether these can be predicted accurately has been largely unexamined. Here we combine recently developed population modeling approaches and theory in stochastic demography to explore how life history, morphology, and average fitness respond to changes in the frequency of favorable environmental conditions and in the color of environmental noise in a model organism (an acarid mite). We predict that different life-history variables respond correlatively to changes in the environment, and we identify different life-history variables, including lifetime reproductive success, as indicators of average fitness and life-history speed across stochastic environments. Depending on the shape of adult survival rate, generation time can be used as an indicator of the response of populations to stochastic change, as in the deterministic case. This work is a useful step toward understanding population dynamics in stochastic environments, including how stochastic change may shape the evolution of life histories

Life history consequences of the facultative expression of a dispersal life stage in the phoretic bulb mite (Rhizoglyphus robini)

Life history traits play an important role in population dynamics and correlate, both positively and negatively, with dispersal in a wide range of taxa. Most invertebrate studies on trade-offs between life history traits and dispersal have focused on dispersal via flight, yet much less is known about how life history trade-offs influence species that disperse by other means. In this study, we identify effects of investing in dispersal morphology (dispersal expression) on life history traits in the male dimorphic bulb mite (Rhizoglyphus robini). This species has a facultative juvenile life stage (deutonymph) during which individuals can disperse by phoresy. Further, adult males are either fighters (which kill other mites) or benign scramblers. Here, in an experiment, we investigate the effects of investing in dispersal on size at maturity, sex and male morph ratio, and female lifetime reproductive success. We show that life history traits correlate negatively with the expression of the dispersal stage. Remarkably, all males that expressed the dispersal life stage developed into competitive fighters and none into scramblers. This suggests that alternative, male reproductive strategies and dispersal should not be viewed in isolation but considered concurrently

Assessing the link between mantle source and sub-volcanic plumbing in the petrology of basalts from the 2001 and 2002/2003 eruptions of Mount Etna, Sicily: evidence from geochemical and helium isotope data

The 2001 and 2002–2003 flank eruptions of Mt. Etna consisted of near continuous explosive activity and sporadic lava flows. Previous studies have suggested that distinct magmas were simultaneously tapped by fissures in different parts of the volcano, indicating a complex plumbing system. From textural and chemical data it has been suggested that “eccentric” eruptions on the south flank were fed by a deep-seated reservoir that is not related to the central conduit. In contrast, materials erupted above 2600 m and from the northeast flank represent partially degassed, more fractionated magma, typical of that residing within the central vents. A concern is that Etna has entered a new phase of activity, with magma supply from a deep reservoir that is capable of generating recurrent flank eruptions posing significant hazard to populated areas and air travel. We have investigated materials that erupted from different vents during both the 2001 and 2002/3 eruptive episodes by means of petrology, whole-rock chemistry and helium isotopic methods. Here we show from trace element chemistry and the 3He/4He isotope record of melt inclusions in olivine that the mantle source for both magma batches is identical. Furthermore, this magmatic source has not changed over the past 0.5 Ma. As such, our data support the premise that the petrological variability exhibited by products that erupted from different parts of the volcano reflects storage, fractionation and degassing at different levels within the crust

A Jetdriven, Extreme High-Velocity Outflow Powered by a Cold, Low-Luminosity Protostar near NGC 2023

Original article can be found at: http://www.journals.uchicago.edu/ApJ/--Copyright American Astronomical SocietyPeer reviewe

The effect of temperature on the properties of permanent magnet alloys of the NdFeBCo system

SIGLEAvailable from British Library Document Supply Centre- DSC:D82127 / BLDSC - British Library Document Supply CentreGBUnited Kingdo

Integumentary structure and composition in an exceptionally well-preserved hadrosaur (Dinosauria: Ornithischia)

Preserved labile tissues (e.g., skin, muscle) in the fossil record of terrestrial vertebrates are increasingly becoming recognized as an important source of biological and taphonomic information. Here, we combine a variety of synchrotron radiation techniques with scanning electron and optical microscopy to elucidate the structure of 72 millionyear- old squamous (scaly) skin from a hadrosaurid dinosaur from the Late Cretaceous of Alberta, Canada. Scanning electron and optical microscopy independently reveal that the three-dimensionally preserved scales are associated with a band of carbon-rich layers up to a total thickness of 3c75 microns, which is topographically and morphologically congruent with the stratum corneum in modern reptiles. Compositionally, this band deviates from that of the surrounding sedimentary matrix; Fourier-transform infrared spectroscopy and soft X-ray spectromicroscopy analyses indicate that carbon appears predominantly as carbonyl in the skin. The regions corresponding to the integumentary layers are distinctively enriched in iron compared to the sedimentary matrix and appear with kaolinite-rich laminae. These hosting carbonyl-rich layers are apparently composed of subcircular bodies resembling preserved cell structures. Each of these structures is encapsulated by calcite/vaterite, with iron predominantly concentrated at its center. The presence of iron, calcite/vaterite and kaolinite may, independently or collectively, have played important roles in the preservation of the layered structures