AGRONOMIC EVALUATION AND CHEMICAL COMPOSITION OF AFRICAN STAR GRASS (Cynodon plectostachyus) IN THE SOUTHERN REGION OF THE STATE OF MEXICO

African Star Grass is one of the forage resources most commonly used by farmers in regions with warm-humid climates. This study was carried out to determine the nutritional and agronomic characteristics of African Star Grass (Cynodon plectostachyus) through the following variables: crude protein (CP), neutral detergent fiber (NDF), acid detergent fiber (ADF), organic matter digestibility (OMD), net forage accumulation (NFA), stem:leaf ratio, and live:dead matter ratio in the three pastures evaluated. The work took place from April 2007 to March 2008, with evaluations carried out on a monthly basis. The data were analyzed in a randomized block design in which the blocks were the pastures, and the treatments were the months of evaluation. There were no differences between the pastures evaluated for the NDF, ADF or OMD (P>0.05). Differences were found, however, in CP, while in the monthly evaluation, differences were found between the periods evaluated (P<0.05) for these variables. Differences were also found in the agronomic evaluation of pastures (P<0.05) among height of pasture, net forage accumulation (NFA), live matter, dead matter, leaf and stem, both among pastures and in the monthly evaluations. African Star Grass can therefore be considered a good choice for milk production systems in the southern region of the state of Mexico, due to its nutritional and agronomic characteristics

Global impacts of Covid-19 on lifestyles and health and preparation preferences: an international survey of 30 countries

Background: The health area being greatest impacted by coronavirus disease 2019 (COVID-19) and residents' perspective to better prepare for future pandemic remain unknown. We aimed to assess and make cross-country and cross-region comparisons of the global impacts of COVID-19 and preparation preferences of pandemic. Methods: We recruited adults in 30 countries covering all World Health Organization (WHO) regions from July 2020 to August 2021. 5 Likert-point scales were used to measure their perceived change in 32 aspects due to COVID-19 (-2 = substantially reduced to 2 = substantially increased) and perceived importance of 13 preparations (1 = not important to 5 = extremely important). Samples were stratified by age and gender in the corresponding countries. Multidimensional preference analysis displays disparities between 30 countries, WHO regions, economic development levels, and COVID-19 severity levels. Results: 16 512 adults participated, with 10 351 females. Among 32 aspects of impact, the most affected were having a meal at home (mean (m) = 0.84, standard error (SE) = 0.01), cooking at home (m = 0.78, SE = 0.01), social activities (m = -0.68, SE = 0.01), duration of screen time (m = 0.67, SE = 0.01), and duration of sitting (m = 0.59, SE = 0.01). Alcohol (m = -0.36, SE = 0.01) and tobacco (m = -0.38, SE = 0.01) consumption declined moderately. Among 13 preparations, respondents rated medicine delivery (m = 3.50, SE = 0.01), getting prescribed medicine in a hospital visit / follow-up in a community pharmacy (m = 3.37, SE = 0.01), and online shopping (m = 3.33, SE = 0.02) as the most important. The multidimensional preference analysis showed the European Region, Region of the Americas, Western Pacific Region and countries with a high-income level or medium to high COVID-19 severity were more adversely impacted on sitting and screen time duration and social activities, whereas other regions and countries experienced more cooking and eating at home. Countries with a high-income level or medium to high COVID-19 severity reported higher perceived mental burden and emotional distress. Except for low- and lower-middle-income countries, medicine delivery was always prioritised. Conclusions: Global increasing sitting and screen time and limiting social activities deserve as much attention as mental health. Besides, the pandemic has ushered in a notable enhancement in lifestyle of home cooking and eating, while simultaneously reducing the consumption of tobacco and alcohol. A health care system and technological infrastructure that facilitate medicine delivery, medicine prescription, and online shopping are priorities for coping with future pandemics

Highly permeable mixed matrix membranes of thermally rearranged polymers and porous polymer networks for gas separations

Producción CientíficaMixed matrix membranes (MMMs) have been obtained by blending an aromatic ortho-hydroxypolyimide (PIOH) or an ortho-acetylpolyimide (PIOAc) with different loading amounts (15 and 30 wt %) of a microporous polymer network (PPN), which was obtained from the reaction of triptycene and isatin. The excellent thermal resistance of the PPN (above 500 °C) allowed it to be used as a filler to successfully prepare thermally rearranged polybenzoxazole (TR-PBO)-MMMs obtained from the thermal treatment of the above MMMs. Moreover, PPN showed relatively good compatibility with the polyimide matrix, which improved the TR-PBO formation. The gas separation performances of these MMMs before and after the thermal process were studied for five representative gases (He, O2, N2, CO2, and CH4). For the MMMs derived from ortho-functional polyimides, the gas permeability considerably increased for all of the gases, whereas the selectivity for gas pairs, such as CO2/N2 and CO2/CH4, remained similar. Thus, the selectivity-permeability performance of PIOH- and PIOAc-MMMs containing 30 wt % of PPN (PIOH30 and PIOAc30) surpassed the 1991 Robeson limit for the CO2/CH4 gas pair. In the case of TR-PBO-MMMs (TROH and TROAc-MMMs), the thermal rearrangement process led to an increase in the gas permeability, showing values much better than those observed for the TR-PBO material employed as a MMM matrix. The selectivity values were a little bit lower than the pristine TR-PBO membranes. The CO2 permeability of TROAc30 was 1036 barrer with a CO2/CH4 selectivity of 28, surpassing the 2008 Robeson limit.Agencia Estatal de Investigación - Fondo Europeo de Desarrollo Regional - Unión Europea (projects PID2019-109403RB-C22, CTQ2017-89217-P and PID2019-109403RB-C21)Junta de Castilla y León (project VA224P20)Ministerio de Ciencia, Innovación y Universidades - ICT (project RTI2018-096652-B-I00)Ministry of Trade, Industry & Energy of South Korea.(project 20202020800330

AGRONOMIC EVALUATION AND CHEMICAL COMPOSITION OF AFRICAN STAR GRASS (Cynodon plectostachyus) IN THE SOUTHERN REGION OF THE STATE OF MEXICO

African Star Grass is one of the forage resources most commonly used by farmers in regions with warm-humid climates. This study was carried out to determine the nutritional and agronomic characteristics of African Star Grass (Cynodon plectostachyus) through the following variables: crude protein (CP), neutral detergent fiber (NDF), acid detergent fiber (ADF), organic matter digestibility (OMD), net forage accumulation (NFA), stem:leaf ratio, and live:dead matter ratio in the three pastures evaluated. The work took place from April 2007 to March 2008, with evaluations carried out on a monthly basis. The data were analyzed in a randomized block design in which the blocks were the pastures, and the treatments were the months of evaluation. There were no differences between the pastures evaluated for the NDF, ADF or OMD (P>0.05). Differences were found, however, in CP, while in the monthly evaluation, differences were found between the periods evaluated (P<0.05) for these variables. Differences were also found in the agronomic evaluation of pastures (P<0.05) among height of pasture, net forage accumulation (NFA), live matter, dead matter, leaf and stem, both among pastures and in the monthly evaluations. African Star Grass can therefore be considered a good choice for milk production systems in the southern region of the state of Mexico, due to its nutritional and agronomic characteristics

International survey for assessing COVID-19’s impact on fear and health: study protocol

Introduction COVID-19, caused by the SARS-CoV-2, has been one of the most highly contagious and rapidly spreading virus outbreak. The pandemic not only has catastrophic impacts on physical health and economy around the world, but also the psychological well-being of individuals, communities and society. The psychological and social impacts of the COVID-19 pandemic internationally have not been well described. There is a lack of international study assessing health-related impacts of the COVID-19 pandemic, especially on the degree to which individuals are fearful of the pandemic. Therefore, this study aims to (1) assess the health-related impact of the COVID-19 pandemic in community-dwelling individuals around the world; (2) determine the extent various communities are fearful of COVID-19 and (3) identify perceived needs of the population to prepare for potential future pandemics.Methods and analysis This global study involves 30 countries. For each country, we target at least 500 subjects aged 18 years or above. The questionnaires will be available online and in local languages. The questionnaires include assessment of the health impacts of COVID-19, perceived importance of future preparation for the pandemic, fear, lifestyles, sociodemographics, COVID-19-related knowledge, e-health literacy, out-of-control scale and the Patient Health Questionnaire-4. Descriptive statistics will be used to describe participants’ characteristics, perceptions on the health-related impacts of COVID-19, fear, anxiety and depression, lifestyles, COVID-19 knowledge, e-health literacy and other measures. Univariable and multivariable regression models will be used to assess the associations of covariates on the outcomes.Ethics and dissemination The study has been reviewed and approved by the local ethics committees in participating countries, where local ethics approval is needed. The results will be actively disseminated. This study aims to map an international perspective and comparison for future preparation in a pandemic

Key lifestyles and interim health outcomes for effective interventions in general populations: A network analysis of a large international observational study

Background The interconnected nature of lifestyles and interim health outcomes implies the presence of the central lifestyle, central interim health outcome and bridge lifestyle, which are yet to be determined. Modifying these factors holds immense potential for substantial positive changes across all aspects of health and lifestyles. We aimed to identify these factors from a pool of 18 lifestyle factors and 13 interim health outcomes while investigating potential gender and occupation differences. Methods An international cross-sectional study was conducted in 30 countries across six World Health Organization regions from July 2020 to August 2021, with 16 512 adults self-reporting changes in 18 lifestyle factors and 13 interim health outcomes since the pandemic. Results Three networks were computed and tested. The central variables decided by the expected influence centrality were consumption of fruits and vegetables (centrality = 0.98) jointly with less sugary drinks (centrality = 0.93) in the lifestyles network; and quality of life (centrality = 1.00) co-dominant (centrality = 1.00) with less emotional distress in the interim health outcomes network. The overall amount of exercise had the highest bridge expected influence centrality in the bridge network (centrality = 0.51). No significant differences were found in the network global strength or the centrality of the aforementioned key variables within each network between males and females or health workers and non-health workers (all P-values >0.05 after Holm-Bonferroni correction). Conclusions Consumption of fruits and vegetables, sugary drinks, quality of life, emotional distress, and the overall amount of exercise are key intervention components for improving overall lifestyle, overall health and overall health via lifestyle in the general population, respectively. Although modifications are needed for all aspects of lifestyle and interim health outcomes, a larger allocation of resources and more intensive interventions were recommended for these key variables to produce the most cost-effective improvements in lifestyles and health, regardless of gender or occupation

BJS commission on surgery and perioperative care post-COVID-19

Background: Coronavirus disease 2019 (COVID-19) was declared a pandemic by the WHO on 11 March 2020 and global surgical practice was compromised. This Commission aimed to document and reflect on the changes seen in the surgical environment during the pandemic, by reviewing colleagues experiences and published evidence. Methods: In late 2020, BJS contacted colleagues across the global surgical community and asked them to describe how severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) had affected their practice. In addition to this, the Commission undertook a literature review on the impact of COVID-19 on surgery and perioperative care. A thematic analysis was performed to identify the issues most frequently encountered by the correspondents, as well as the solutions and ideas suggested to address them. Results: BJS received communications for this Commission from leading clinicians and academics across a variety of surgical specialties in every inhabited continent. The responses from all over the world provided insights into multiple facets of surgical practice from a governmental level to individual clinical practice and training. Conclusion: The COVID-19 pandemic has uncovered a variety of problems in healthcare systems, including negative impacts on surgical practice. Global surgical multidisciplinary teams are working collaboratively to address research questions about the future of surgery in the post-COVID-19 era. The COVID-19 pandemic is severely damaging surgical training. The establishment of a multidisciplinary ethics committee should be encouraged at all surgical oncology centres. Innovative leadership and collaboration is vital in the post-COVID-19 era

Global impact of the COVID-19 pandemic on subarachnoid haemorrhage hospitalisations, aneurysm treatment and in-hospital mortality: 1-year follow-up

Background: Prior studies indicated a decrease in the incidences of aneurysmal subarachnoid haemorrhage (aSAH) during the early stages of the COVID-19 pandemic. We evaluated differences in the incidence, severity of aSAH presentation, and ruptured aneurysm treatment modality during the first year of the COVID-19 pandemic compared with the preceding year. Methods: We conducted a cross-sectional study including 49 countries and 187 centres. We recorded volumes for COVID-19 hospitalisations, aSAH hospitalisations, Hunt-Hess grade, coiling, clipping and aSAH in-hospital mortality. Diagnoses were identified by International Classification of Diseases, 10th Revision, codes or stroke databases from January 2019 to May 2021. Results: Over the study period, there were 16 247 aSAH admissions, 344 491 COVID-19 admissions, 8300 ruptured aneurysm coiling and 4240 ruptured aneurysm clipping procedures. Declines were observed in aSAH admissions (-6.4% (95% CI -7.0% to -5.8%), p=0.0001) during the first year of the pandemic compared with the prior year, most pronounced in high-volume SAH and high-volume COVID-19 hospitals. There was a trend towards a decline in mild and moderate presentations of subarachnoid haemorrhage (SAH) (mild: -5% (95% CI -5.9% to -4.3%), p=0.06; moderate: -8.3% (95% CI -10.2% to -6.7%), p=0.06) but no difference in higher SAH severity. The ruptured aneurysm clipping rate remained unchanged (30.7% vs 31.2%, p=0.58), whereas ruptured aneurysm coiling increased (53.97% vs 56.5%, p=0.009). There was no difference in aSAH in-hospital mortality rate (19.1% vs 20.1%, p=0.12). Conclusion: During the first year of the pandemic, there was a decrease in aSAH admissions volume, driven by a decrease in mild to moderate presentation of aSAH. There was an increase in the ruptured aneurysm coiling rate but neither change in the ruptured aneurysm clipping rate nor change in aSAH in-hospital mortality