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

Responsabilidad social y ciudadanía desde la universidad: teoría y práctica

El texto que se presenta al lector, tiene como objetivo central detonar un proceso de aprendizaje y de reflexión en relación con el sentido de responsabilidad desde el ámbito personal, profesional y social. Propone una estrategia de aplicación práctica basada en el análisis del ejercicio de sus experiencias de consumo individual, en el examen de la responsabilidad social desde el ejercicio de su profesión y en el estudio de su papel como ciudadano de una sociedad delimitada local y globalmente

Comportamiento productivo y calidad de la carne de conejos que consumieron desperdicio de galleta

Fattening commercial feed cost for rabbits in Mexico is high, the reduction of its cost without affecting the production parameters, the quality of the carcass and meat is of great interest for the agricultural industry. It has been proposed the use of supplements that provide the necessary energy requirements in the fattening of rabbits, among which we can mention the cookie waste, which can be a source of energy to replace conventional food and thus reduce costs. In this work, we intended to evaluate the effect of the inclusion of cookie waste over the productive parameters, the quality of the carcass and rabbit meat. 8 Nueva Zelanda rabbits were used distributed completely randomly in two treatments, the control and the experimental one (cookie waste). The results obtained showed that the use of biscuit waste on fattening feeding for rabbits did not affect the productive parameters, quality of the carcass and meat (p> 0.05), which suggests that it is a viable option for rabbit production, as well as a cheaper optionEl costo de los alimentos comerciales para la engorda de conejos en México es alto, y disminuirlos sin afectar los parámetros productivos, la calidad de la canal y de la carne es de gran interés para la industria agropecuaria. Se ha propuesto el uso de suplementos que provean los requerimientos energéticos necesarios en la engorda de conejos, entre los que podemos mencionar el desperdicio de galleta, la cual puede ser una fuente de energía que sustituya a los alimentos convencionales y de esta manera aminorar los costos. En este trabajo, se pretende evaluar el efecto de la inclusión de desperdicio de galleta sobre los parámetros productivos, la calidad de la canal y de la carne de conejos. Se usaron 8 conejos de la raza Nueva Zelanda distribuidos completamente al azar en dos tratamientos, el control y el experimental (con desperdicio de galleta). Los resultados obtenidos demostraron que el uso del desperdicio de galleta en la alimentación de conejos en engorda, no afectó los parámetros productivos, calidad de la canal y de la carne (p>0.05), lo que sugiere que es una opción viable para la producción en conejos, debido a que no altera los parámetros productivos y la calidad de carne y la canal, además de ser una opción más económic

Phylogeography of California and Galápagos sea lions and population structure within the California sea lion

We investigate the phylogeography of California (Zalophus californianus) and Galápagos (Z. wollebaeki) sea lions and describe within-population structure for the California sea lion based on mitochondrial DNA. Fifty control-region haplotypes were found, 41 from Z. californianus and 9 from Z. wollebaeki, with three fixed differences between the two species. Ranked population boundaries along the range of Z. californianus were defined based on the Monmonier Maximum Difference Algorithm, resulting in five genetically distinct populations, two in the Pacific Ocean and three inside the Gulf of California. A Minimum Spanning Network showed a strong phylogeographic signal with two well-defined clusters, Z. californianus and Z. wollebaeki, separated by six base-pair differences, supporting the existence of two genetically distinct species with an estimated divergence time of ~0.8 Ma. Results are discussed in the context of the historical geologic and paleoceanographic events of the last 1 Ma in the eastern Pacific

Phylogeography of California and Galápagos sea lions and population structure within the California sea lion

We investigate the phylogeography of California (Zalophus californianus) and Galápagos (Z. wollebaeki) sea lions and describe within-population structure for the California sea lion based on mitochondrial DNA. Fifty control-region haplotypes were found, 41 from Z. californianus and 9 from Z. wollebaeki, with three fixed differences between the two species. Ranked population boundaries along the range of Z. californianus were defined based on the Monmonier Maximum Difference Algorithm, resulting in five genetically distinct populations, two in the Pacific Ocean and three inside the Gulf of California. A Minimum Spanning Network showed a strong phylogeographic signal with two well-defined clusters, Z. californianus and Z. wollebaeki, separated by six base-pair differences, supporting the existence of two genetically distinct species with an estimated divergence time of ~0.8 Ma. Results are discussed in the context of the historical geologic and paleoceanographic events of the last 1 Ma in the eastern Pacific

Genetic association study of systemic lupus erythematosus and disease subphenotypes in European populations

Epidemiological studies suggest a strong contribution of genetic factors in the pathogenesis of systemic lupus erythematosus (SLE). In the last decades, many risk loci have been identified in several genetic association studies following both candidate gene and genome-wide approaches. The present work was conducted by GAPAID (Genes And Proteins for AutoImmunity Diagnostics) consortium with a dual aim: to replicate the association of several previously reported SLE susceptibility loci in an independent European sample and to explore their relation with some disease subphenotypes. A total of 48 single nucleotide polymorphisms (SNP) from 40 associated loci were typed in a cohort of 208 SLE patients and 152 controls from Rheumatology Units of the University Hospital of Pisa (Italy) and University of Pécs Medical Center (Hungary). Regression analyses were performed to detect disease susceptibility loci and to identify genes affecting specific disease manifestations (renal, neurological, or skin involvement; arthritis; secondary Sjögren syndrome; and secondary antiphospholipid syndrome). Association of previously described risk alleles from HLA locus has been replicated, while IRF5, BLK, ITGAM, and IRF8 loci have been found to be consistent with previous published results. In addition, two new subphenotype-specific associations have been detected: SNP rs5754217 (UBE2L3) with skin involvement and rs3093030 (ICAM1-ICAM4-ICAM5) with hematological disorders. Overall, results from GAPAID project are consistent with previously established associations for HLA, IRF5, BLK, ITGAM, and IRF8 SLE susceptibility loci and report for the first time two subphenotype-specific associations

Genetic variants associated with rheumatoid arthritis patients and serotypes in European populations

OBJECTIVES: To replicate the association of rheumatoid arthritis (RA) susceptibility loci in an independent European sample and to assess their specificity with anti-citrullinated protein antibodies (ACPA) status. METHODS: A selection of 64 SNP previously associated with RA have been typed in a cohort of 267 RA patients (169 ACPA-positive and 98 ACPA-negative) and 152 controls from the Rheumatology Units of the University Hospital of Pisa (Italy) and the University of Pécs Medical Center (Hungary). Regression analyses were performed first considering overall RA patients and secondly, taking both serotype subgroups as different disease entities. The results have been adjusted for age, gender and origin of individuals. RESULTS: The well-known CD2, REL, TNFAIP3, IRF5, PTPRC, and CCR6 have been confirmed as RA disease associated loci together with recently discovered BACH2, RASGRP1, and IKZF3 loci, taking all RA patients as a unique phenotype. Results from both serological subgroups separately reflect the specificity of these susceptibility loci and show additional ACPA-positive specific associations for variants at IL6R, IL2RA, BLK, DDX6, IL6, and TLE3 genes. CONCLUSIONS: The results from GAPAID project are consistent with previously established RA disease associations for CD2, PTPRC, REL, CCR6, TNFAIP3, IRF5, BLK, IL2RA, and DDX6 loci. In addition, IL6R, BACH2, RASGRP1, TLE3, and IKZF3 are replicated for the first time in an independent European population and IL6 appears to be a suggestive new RA associated locus. The stratified analysis based on ACPA status provides further support for distinct genetic aetiologies of RA subsets, which might have therapeutic implications

Cannibals in the thick disk: the young α-rich stars as evolved blue stragglers

Spectro-seismic measurements of red giants enabled the recent discovery of stars in the thick disk that are more massive than 1.4 M. While it has been claimed that most of these stars are younger than the rest of the typical thick disk stars, we show evidence that they might be products of mass transfer in binary evolution, notably evolved blue stragglers. We took new measurements of the radial velocities in a sample of 26 stars from APOKASC, including 13 “young” stars and 13 “old” stars with similar stellar parameters but with masses below 1.2 M and found that more of the young stars appear to be in binary systems with respect to the old stars. Furthermore, we show that the young stars do not follow the expected trend of [C/H] ratios versus mass for individual stars. However, with a population synthesis of low-mass stars including binary evolution and mass transfer, we can reproduce the observed [C/N] ratios versus mass. Our study shows how asteroseismology of solar-type red giants provides us with a unique opportunity to study the evolution of field blue stragglers after they have left the main-sequence.to be published in A&A after new RV measurements during 2016status: publishe