The impact of COVID-19 on myocardial infarctions, strokes and out-of-hospital cardiopulmonary arrests: an observational retrospective study on time-sensitive disorders in the Friuli Venezia Giulia region (Italy)

The COVID-19 global pandemic has changed considerably the way time-sensitive disorders are treated. Home isolation, people's fear of contracting the virus and hospital reorganisation have led to a significant decrease in contacts between citizens and the healthcare system, with an expected decrease in calls to the Emergency Medical Services (EMS) of the Friuli-Venezia Giulia (FVG) region. However, mortality in clinical emergencies like acute ST-elevation myocardial infarction (STEMI), stroke and out-of-hospital cardiopulmonary arrest (OHCA) remained high. An observational retrospective cross-sectional study was carried out in FVG, taking into account the period between March 1, 2020, and May 31, 2020, the first wave of the COVID-19 pandemic, and comparing it with the same period in 2019. The flow of calls to the EMS was analysed and COVID-19 impact on time-sensitive disorders (STEMIs, ischemic strokes and OHCPAs) was measured in terms of hospitalisation, treatment and mortality. Despite a -8.01% decrease (p value ˂0.001) in emergency response, a 10.89% increase in calls to the EMS was observed. A lower number of advanced cardiopulmonary resuscitations (CPR) (75.8 vs 45.2%, p=0.000021 in April) and ROSC (39.1 vs 11.6%, p=0.0001 in April) was remarked, and survival rate dropped from 8.5 to 5%. There were less strokes (-27.5%, p value=0.002) despite a more severe onset of symptoms at hospitalisation with NHISS˃10 in 38.47% of cases. Acute myocardial infarctions decreased as well (-20%, p value=0.05), but statistical significances were not determined in the variables considered and in mortality. Despite a lower number of emergency responses, the number of calls to the EMS was considerably higher. The number of cardiac arrests treated with advanced CPR (ALS) was lower, but mortality was higher. The number of strokes decreased as well, but at the time of hospitalisation the clinical picture of the patient was more severe, thus affecting the outcome when the patient was discharged. Finally, STEMI patients decreased; however, no critical issues were observed in the variables taken into account, neither in terms of response times nor in terms of treatment times

Clinical and laboratory features associated with macrophage activation syndrome in Still's disease: data from the international AIDA Network Still's Disease Registry

: To characterize clinical and laboratory signs of patients with still's disease experiencing macrophage activation syndrome (MAS) and identify factors associated with MAS development. patients with still's disease classified according to internationally accepted criteria were enrolled in the autoInflammatory disease alliance (AIDA) still's disease registry. clinical and laboratory features observed during the inflammatory attack complicated by MAS were included in univariate and multivariate logistic regression analysis to identify factors associated to MAS development. A total of 414 patients with Still's disease were included; 39 (9.4%) of them developed MAS during clinical history. At univariate analyses, the following variables were significantly associated with MAS: classification of arthritis based on the number of joints involved (p = 0.003), liver involvement (p = 0.04), hepatomegaly (p = 0.02), hepatic failure (p = 0.01), axillary lymphadenopathy (p = 0.04), pneumonia (p = 0.03), acute respiratory distress syndrome (p < 0.001), platelet abnormalities (p < 0.001), high serum ferritin levels (p = 0.009), abnormal liver function tests (p = 0.009), hypoalbuminemia (p = 0.002), increased LDH (p = 0.001), and LDH serum levels (p < 0.001). at multivariate analysis, hepatomegaly (OR 8.7, 95% CI 1.9-52.6, p = 0.007) and monoarthritis (OR 15.8, 95% CI 2.9-97.1, p = 0.001), were directly associated with MAS, while the decade of life at Still's disease onset (OR 0.6, 95% CI 0.4-0.9, p = 0.045), a normal platelet count (OR 0.1, 95% CI 0.01-0.8, p = 0.034) or thrombocytosis (OR 0.01, 95% CI 0.0-0.2, p = 0.008) resulted to be protective. clinical and laboratory factors associated with MAS development have been identified in a large cohort of patients based on real-life data

Nematode diversity patterns in mangroves: a review of environmental drivers at different spatial scales

International audienceMangroves are among the most productive ecosystems on Earth, yet they are disappearing at a dramatic rate. Mangrove sediments harbor microscopic nematodes, which show specific responses to variations of sediment physicochemical conditions, thus being potential bioindicators for conservation purposes. Nematode communities are subject to the strong heterogeneity of mangroves and predicting their distribution remains laborious at global and regional scale, thus hampering final statements about bioindication. In this review, we analyze relevant research on mangrove nematode diversity in order to identify the ecological mechanisms shaping the nematode community at the global, local and micro scales, and to hierarchize the environmental drivers responsible for nematode genera sorting. At the global scale, nematode genera richness is positively influenced by latitude and community composition changes according to geographical regions. At the local scale, nematode richness, density and community composition follow opposite patterns along a land-sea continuum and mangrove trees may be responsible for the variations of sediment chemistry leading to such community patterns. At the microhabitat scale, the community shows unexpected similarities between a priori different habitats. Epistrate and detritus feeders dominate mangroves, but except for trophic groups, the use of functional traits is inconsistent among studies, thus impeding conclusions. Further understanding of the role of environmental filters in shaping nematode diversity at different spatial scales cannot overlook data gaps in unexplored mangrove areas and the heterogeneity of microhabitats. Future studies should investigate nematode diversity with cutting-edge approaches, such as β-diversity partitioning, functional traits and metacommunity analysis, and eventually integrate nematodes, microbes and macrofauna in a comprehensive framework

Meiofauna Community in Soft Sediments at TAG and Snake Pit Hydrothermal Vent Fields

The risk assessment of seafloor massive sulfide (SMS) mining on meiobenthic organisms, specifically on soft-sediment meiofauna, is impeded by a lack of knowledge on the biology and ecology of these communities. In this study, we investigated sediment samples taken in proximity of active vents at Trans-Atlantic Geotraverse (TAG) and Snake Pit, two hydrothermal vent fields of the Mid-Atlantic Ridge, in order to explore metazoan meiofauna, particularly nematode community, and its relation to organic carbon, total nitrogen, total sulfur, and dissolved oxygen. Organic carbon and nitrogen contents were low at both sites. High concentrations of total sulfur and low oxygen penetration were found at Snake Pit compared to TAG. Snake Pit showed approximately four times higher meiofauna and nematode density compared to TAG, as well as a dissimilar nematode community composition. We hypothesize that high sulfur concentrations at Snake Pit may support high microbial growth, which represents one of the main food source for nematodes. Moreover, TAG nematode community mostly consisted of persisters (K-strategists), whereas Snake Pit one was composed by both persisters (Desmoscolecidae family) and colonizers (r-strategists Metalinhomoeus and Halomonhystera), whose presence can be facilitated by the bioturbation effect of polychaetes observed on the sediment surface. Therefore, food availability, geochemical settings, and biotic interactions seem to drive the local meiofauna and nematode community. Our study also draws attention to the opportunity of including meiofauna and specifically nematodes in impact studies conducted in this area in order to assess and monitor the impact of SMS mining

Environmental drivers modelling the mangrove Kinorhyncha community along an urban-to-natural gradient in French Guiana (western Atlantic Ocean)

International audienceMeiofaunal communities are dominated by free-living nematodes and harpacticoid copepods. Most of the studies defining the environmental drivers that influence meiofauna focus on these profuse groups. The ‘rare’ meiofaunal organisms (densities <5%) are frequently overlooked, making it difficult to know which abiotic variables influence their populations, or their ecological role in the benthic ecosystems. In this study, we explore the ecological factors that characterize a low human-polluted mangrove in French Guiana (western Atlantic Ocean) along an urban-to-natural gradient, focusing on the ‘rare’ phylum Kinorhyncha. This taxon seems to be mainly influenced by sediment size, being more abundant in silty sediments. The presence of microorganisms also enhances the community, likely due to a higher food availability. Oppositely, some trace metals of both lithogenic and anthropogenic origin, as well as predominance of coarser sediment particles, seem to negatively affect their populations. The importance of including the lesser abundant groups of meiofauna in ecological studies is evident, since it allows to have a better idea of the ecological state of marine benthic environments

Two new species of the Echinoderes coulli-group (Kinorhyncha: Cyclorhagida: Echinoderidae) from a low human-impacted mangrove swamp in French Guiana (western Atlantic Ocean)

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Environmental drivers modelling the mangrove Kinorhyncha community along an urban-to-natural gradient in French Guiana (western Atlantic Ocean)

Meiofaunal communities are dominated by free-living nematodes and harpacticoid copepods. Most of the studies defining the environmental drivers that influence meiofauna focus on these profuse groups. The ‘rare’ meiofaunal organisms (densities <5%) are frequently overlooked, making it difficult to know which abiotic variables influence their populations, or their ecological role in the benthic ecosystems. In this study, we explore the ecological factors that characterize a low human-polluted mangrove in French Guiana (western Atlantic Ocean) along an urban-to-natural gradient, focusing on the ‘rare’ phylum Kinorhyncha. This taxon seems to be mainly influenced by sediment size, being more abundant in silty sediments. The presence of microorganisms also enhances the community, likely due to a higher food availability. Oppositely, some trace metals of both lithogenic and anthropogenic origin, as well as predominance of coarser sediment particles, seem to negatively affect their populations. The importance of including the lesser abundant groups of meiofauna in ecological studies is evident, since it allows to have a better idea of the ecological state of marine benthic environments

Environmental drivers modelling the mangrove Kinorhyncha community along an urban-to-natural gradient in French Guiana (western Atlantic Ocean)

Meiofaunal communities are dominated by free-living nematodes and harpacticoid copepods. Most of the studies defining the environmental drivers that influence meiofauna focus on these profuse groups. The ‘rare’ meiofaunal organisms (densities &lt;5%) are frequently overlooked, making it difficult to know which abiotic variables influence their populations, or their ecological role in the benthic ecosystems. In this study, we explore the ecological factors that characterize a low human-polluted mangrove in French Guiana (western Atlantic Ocean) along an urban-to-natural gradient, focusing on the ‘rare’ phylum Kinorhyncha. This taxon seems to be mainly influenced by sediment size, being more abundant in silty sediments. The presence of microorganisms also enhances the community, likely due to a higher food availability. Oppositely, some trace metals of both lithogenic and anthropogenic origin, as well as predominance of coarser sediment particles, seem to negatively affect their populations. The importance of including the lesser abundant groups of meiofauna in ecological studies is evident, since it allows to have a better idea of the ecological state of marine benthic environments

Geographical distribution, abundance and some population characteristics of the species of the genus Pagellus (Osteichthyes: Percirformes) in different areas of the Mediterranean

The objective of this paper was to investigate the local distribution, abundance and population structure of Pagellus erythrinus, Pagellus bogaraveo and Pagellus acarne on the continental shelf and slope over a wide geographic area from Gibraltar to the Aegean Sea. The analysis was based on the data collected during six trawl surveys, from 1994 to 1999, carried out yearly in spring within the MEDITS EU project. P. acarne was mainly distributed on the continental shelf, with a relatively higher abundance in the western part of the Mediterranean basin, where the biomass indices of P. bogaraveo were also important on the continental slope. Throughout the studied area, P. erythrinus was mainly distributed on the continental shelf, with remarkable abundance indices in the eastern part of the Mediterranean and in Corsica´s waters. Mean total lengths showed a highly significant decreasing trend from the western to the eastern geographical sectors.No disponibl

Two new species of mud dragons (Scalidophora: Kinorhyncha) inhabiting a human-impacted mangrove from Mayotte (Southwestern Indian Ocean)

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