114 research outputs found

    Fatty acids composition of Bacillus subtilis ONU551 lipids

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    The aim of the study was to determine the cellular lipids fatty acid composition for identification of the Bacillus subtilis ONU551 strain bacteria, which is a phenol destructor. Fatty acids analysis of B. subtilis ONU551 strain was performed using an automatic system for microorganisms’ identification MIDI Sherlock (MIDI, USA) based on gas chromatograph Agilent 7890. Chromatograms analysis showed that the fatty acid spectrum of the strain B. subtilis ONU551 consisted predominately of branched structural isomers of saturated acids: 13-methyltetradecanoic (15:0 iso; 34.72%) and 12-methyltetradecanoic (15:0 anteiso; 33.72%) acids. The total content of the branched saturated fatty acids was 88.16% – 14:0 iso (0.52%), 15:0 iso (34.72%), 15:0 anteiso (33.72%), 16:0 iso (1.85%), 17:0 iso (7.11%), 17:0 anteiso (10.24%). The saturated fatty acids of the normal structure were also detected – 12:0 (0.36%), 14:0 (0.28%), 16:0 (1.30%). No 2- and 3-hydroxy acids and no cyclic fatty acids were detected in the fatty acid profile of B. subtilis ONU551 strain. Unsaturated fatty acid isomers – 15:1 w5c (1.85%), 16:1 w11c (1.21%), 16:1 w7c alcohol (1.08%), 17:1 iso w10c (3.18%), ∑17:1 iso I/anteiso B (2.57%) were shown to be the distinctive biomarkers of the B. subtilis ONU551 strain. According to the fatty acid profile analysis with MIDI Sherlock system, the studied strain was identified as Bacillus subtilis with high level of similarity index (0.563)

    Cellular fatty acid composition of Aeromonas genus – destructor of aromatic xenobiotics

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    The aim of this study was a determination of the fatty acid composition of cellular lipids and identification of the strains, isolated from the wastewater of pharmaceutical production, – the destructor of aromatic xenobiotics. The phenotypic characteristics and cellular fatty acid (FA) composition confirmed the strain belonging to the Aeromonas ichthiosmia with the similarity index of library data MIDI Sherlock – 0.564. Analysis of the cellular FA composition of the strain Aeromonas ichthiosmia ONU552 was carried out using the MIDI Sherlock microorganism identification system based on the gas chromatograph Agilent 7890. Chromatographic analysis showed that the fatty acid profile of the strain Aeromonas ichthiosmia ONU552 contains 26 fatty acids with the total number of carbon atoms from 10 to 18. 85.27% of saturated and unsaturated fatty acids had unbranched structure. The total content of unsaturated fatty acids – 16:1 w7c/16:1 w6c, 18:1 w7c, 16:1 w7c alcohol, 17:1 w8c, 17:1 w6c, 16:1 w5c, was 50% of the total fatty acid pool. Less than 1.5% branched fatty acids were predominantly in the iso form: 13:0 iso (0.20%); 15:0 iso (0.97%); 17:1 iso w9c (1.35%), 17:0 iso (1.49%); in the anteiso form, only one acid 17:0 (0.27%) was identified. It was shown that the characteris­tic of the fatty acid composition of the strain Aeromonas ichthiosmia ONU552 – the destructor of aromatic xenobio­tics, was the presence of hydroxyacids 12:0 3OH, 15:0 3OH, 15:0 iso 3OH and dominance of hexadecanoic (16:0) and hexadecenoic (16:1 w7c/16:1 w6c) of fatty acids

    Characteristics of marine strain Streptomyces sp. with antimicrobial and cytotoxic activity

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    The Black Sea is a unique water basin consisting of a thin superficial oxygenic layer with moderate salinity, and a deep anoxic water mass. The microbiota of the Black Sea remains relatively understudied, which makes it interesting first of all from the most practical point of view of the search for producers of new biologically active compounds. A strain of actinobacteria Streptomyces sp. ONU 561 was isolated from the surface of mussel shells collected in the coastal zone of Odesa. It demonstrated a wide range of antagonistic activity, inhibiting the growth of a set of opportunistic pathogens, including representatives of Staphylococcus aureus, Escherichia coli, Proteus vulgaris, and Klebsiella pneumoniae. In addition, bacteria of this strain were able to inhibit the growth of all tested strains of mycelial fungi, including representatives of Aspergillus niger, A. flavus and Fusarium oxysporum species, and Candida albicans yeast. A significant cytotoxic effect was revealed in the cell cultures of human malignant cells – human rhabdomyosarcoma (RD) and human laryngeal adenocarcinoma (Hep-2). Analysis of the exometabolome of the strain did not explain these effects.The strain was comprehensively characterized, including physiological, biochemical, and morphological traits. The complete genome of the strain was sequenced using Illumina HiSeq 4000 (2x150) and ONT and annotated using NCBI PGAP. Its genome has a size of 8 359 197 bp. GC content – 71.59%. Using antiSMASH 7.0, 35 biosynthetic clusters were revealed. The indices of digital DNA-DNA hybridization and orthoANI for all of the type strains with Streptomyces sp. ONU 561 are much lower than threshold values for the species separation. The obtained results, including a comparative analysis of the genome, indicate the possible affiliation of the strain Streptomyces sp. ONU 561 to a new species and the potential ability of these actinobacteria to synthesize previously unknown antibiotic compounds

    ДИНАМИКА ПОКАЗАбЕЛЕЙ БЕЛКОВОГО ОБМЕНА ĐŁ КОРОВ ПРИ ПРИМЕНЕНИИ ПРОБИОбИЧЕСКОГО ПРЕПРАбА ВЕбОМ 1 НА ОСНОВЕ ĐĐŸĐĐąĐžĐ“Đ•ĐĐ«Đ„ БАЩИЛЛ

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    The researchers investigated the effect of new probiotic Vetom 1 based on apathogenic bacilli on the biochemical parameters of blood serum, exactly protein, albumins and urea in lactating cows. The experiment was carried out at OOO “Uchkhoz Tulinskoe”. According to the principle of pair-analogues, the researchers arranged a control group and two experimental groups of cows; each group contained 7 cows. The cows of the 1st experimental group were fed with probiotic Vetom 1 dosed 50 mg/kg once a day in the morning before milking; They received Vetom 1 every day during 5 days, then in a day during a month. The cows from the 2nd experimental group received probiotic Vetom 1 dosed 50 mg/kg once a day in the morning before milking, every day during 30 days. The application of the specimen contributed to a decrease in the concentration of total protein in the blood serum within the physiological norm. The aftereffect caused by Vetom 1 when the specimen was applied 5 days every day, then in a day during a month, the authors observed an increase in the concentration of total protein in the blood serum above the physiological standard on the 180 day of application. The similar effect was not observed when Vetom 1 was applied daily. When using Vetom 1, the authors observed a slight increase in the concentration of albumins in the blood serum, both during the period of application and up to 180 days. The specimen contributes to less prominent increase in the concentration of urea in the blood serum in comparison with the control group. Changes in concentrations of albumins and urea occurred within the physiological norm.Đ˜Đ·ŃƒŃ‡Đ°Đ»ĐŸŃŃŒ ĐŽĐ”ĐčстĐČОД ĐœĐŸĐČĐŸĐłĐŸ ĐżŃ€ĐŸĐ±ĐžĐŸŃ‚ĐžŃ‡Đ”ŃĐșĐŸĐłĐŸ прДпарата Đ’Đ”Ń‚ĐŸĐŒ 1 ĐœĐ° ĐŸŃĐœĐŸĐČĐ” Đ°ĐżĐ°Ń‚ĐŸĐłĐ”ĐœĐœŃ‹Ń… бацОлл ĐœĐ° Đ±ĐžĐŸŃ…ĐžĐŒĐžŃ‡Đ”ŃĐșОД ĐżĐŸĐșазатДлО сыĐČĐŸŃ€ĐŸŃ‚ĐșĐž ĐșŃ€ĐŸĐČĐž, Đ° ĐžĐŒĐ”ĐœĐœĐŸ бДлĐșĐ°, Đ°Đ»ŃŒĐ±ŃƒĐŒĐžĐœĐŸĐČ Đž ĐŒĐŸŃ‡Đ”ĐČĐžĐœŃ‹, у лаĐșторующох ĐșĐŸŃ€ĐŸĐČ. Опыт ĐżŃ€ĐŸĐČĐŸĐŽĐžĐ»Đž ĐČ ĐžĐžĐž Â«ĐŁŃ‡Ń…ĐŸĐ· ĐąŃƒĐ»ĐžĐœŃĐșĐŸĐ”Â». ĐŸĐŸ ĐżŃ€ĐžĐœŃ†ĐžĐżŃƒ пар-Đ°ĐœĐ°Đ»ĐŸĐłĐŸĐČ Đ±Ń‹Đ»Đž ŃŃ„ĐŸŃ€ĐŒĐžŃ€ĐŸĐČĐ°ĐœŃ‹ ĐŸĐŽĐœĐ° ĐșĐŸĐœŃ‚Ń€ĐŸĐ»ŃŒĐœĐ°Ń Đž ĐŽĐČĐ” ĐŸĐżŃ‹Ń‚ĐœŃ‹Đ” группы ĐșĐŸŃ€ĐŸĐČ, ĐČ ĐșĐ°Đ¶ĐŽĐŸĐč ĐżĐŸ 7 жОĐČĐŸŃ‚ĐœŃ‹Ń…. ĐšĐŸŃ€ĐŸĐČĐ°ĐŒ 1-Đč ĐŸĐżŃ‹Ń‚ĐœĐŸĐč группы Đ·Đ°ĐŽĐ°ĐČалО ĐżŃ€ĐŸĐ±ĐžĐŸŃ‚ĐžŃ‡Đ”ŃĐșĐžĐč прДпарат Đ’Đ”Ń‚ĐŸĐŒ 1 ĐČ ĐŽĐŸĐ·Đ” 50 ĐŒĐł/ĐșĐł раз ĐČ ŃŃƒŃ‚ĐșĐž, ŃƒŃ‚Ń€ĐŸĐŒ пДрДЎ ĐŽĐŸĐčĐșĐŸĐč, 5 ŃŃƒŃ‚ĐŸĐș Đ”Đ¶Đ”ĐŽĐœĐ”ĐČĐœĐŸ, Đ·Đ°Ń‚Đ”ĐŒ чДрДз сутĐșĐž ĐČ Ń‚Đ”Ń‡Đ”ĐœĐžĐ” ĐŒĐ”ŃŃŃ†Đ°. ĐšĐŸŃ€ĐŸĐČĐ°ĐŒ 2-Đč ĐŸĐżŃ‹Ń‚ĐœĐŸĐč группы ĐżŃ€ĐžĐŒĐ”ĐœŃĐ»Đž ĐżŃ€ĐŸĐ±ĐžĐŸŃ‚ĐžŃ‡Đ”ŃĐșĐžĐč прДпарат Đ’Đ”Ń‚ĐŸĐŒ 1 ĐČ ĐŽĐŸĐ·Đ” 50 ĐŒĐł/ĐșĐł раз ĐČ ŃŃƒŃ‚ĐșĐž, ŃƒŃ‚Ń€ĐŸĐŒ пДрДЎ ĐŽĐŸĐčĐșĐŸĐč, Đ”Đ¶Đ”ĐŽĐœĐ”ĐČĐœĐŸ ĐČ Ń‚Đ”Ń‡Đ”ĐœĐžĐ” ĐŒĐ”ŃŃŃ†Đ°. Про ĐżŃ€ĐžĐŒĐ”ĐœĐ”ĐœĐžĐž ĐžĐ·ŃƒŃ‡Đ°Đ”ĐŒĐŸĐłĐŸ прДпарата ĐżŃ€ĐŸĐžŃŃ…ĐŸĐŽĐžĐ»ĐŸ ĐżĐŸĐœĐžĐ¶Đ”ĐœĐžĐ” ĐșĐŸĐœŃ†Đ”ĐœŃ‚Ń€Đ°Ń†ĐžĐž ĐŸĐ±Ń‰Đ”ĐłĐŸ бДлĐșĐ° ĐČ ŃŃ‹ĐČĐŸŃ€ĐŸŃ‚ĐșĐ” ĐșŃ€ĐŸĐČĐž ĐČ ĐżŃ€Đ”ĐŽĐ”Đ»Đ°Ń… Ń„ĐžĐ·ĐžĐŸĐ»ĐŸĐłĐžŃ‡Đ”ŃĐșĐŸĐč ĐœĐŸŃ€ĐŒŃ‹. В ĐżĐ”Ń€ĐžĐŸĐŽ ĐżĐŸŃĐ»Đ”ĐŽĐ”ĐčстĐČоя про ĐżŃ€ĐžĐŒĐ”ĐœĐ”ĐœĐžĐž Đ’Đ”Ń‚ĐŸĐŒĐ° 1 ĐżĐŸŃĐ»Đ” 5 ŃŃƒŃ‚ĐŸĐș Đ”Đ¶Đ”ĐŽĐœĐ”ĐČĐœĐŸ, Đ·Đ°Ń‚Đ”ĐŒ чДрДз сутĐșĐž ĐČ Ń‚Đ”Ń‡Đ”ĐœĐžĐ” ĐŒĐ”ŃŃŃ†Đ° ĐœĐ° 180-Đ” сутĐșĐž ĐżĐŸŃĐ»Đ” ĐœĐ°Ń‡Đ°Đ»Đ° ĐżŃ€ĐžĐŒĐ”ĐœĐ”ĐœĐžŃ прДпарата Ń€Đ”ĐłĐžŃŃ‚Ń€ĐžŃ€ĐŸĐČалО ĐżĐŸĐČŃ‹ŃˆĐ”ĐœĐžĐ” ĐșĐŸĐœŃ†Đ”ĐœŃ‚Ń€Đ°Ń†ĐžĐž ĐŸĐ±Ń‰Đ”ĐłĐŸ бДлĐșĐ° ĐČ ŃŃ‹ĐČĐŸŃ€ĐŸŃ‚ĐșĐ” ĐșŃ€ĐŸĐČĐž ĐČŃ‹ŃˆĐ” Ń„ĐžĐ·ĐžĐŸĐ»ĐŸĐłĐžŃ‡Đ”ŃĐșĐŸĐč ĐœĐŸŃ€ĐŒŃ‹. Про ĐżŃ€ĐžĐŒĐ”ĐœĐ”ĐœĐžĐž Đ’Đ”Ń‚ĐŸĐŒĐ° 1 Đ”Đ¶Đ”ĐŽĐœĐ”ĐČĐœĐŸ Đ°ĐœĐ°Đ»ĐŸĐłĐžŃ‡ĐœŃ‹Đč ŃŃ„Ń„Đ”Đșт ĐœĐ” ĐœĐ°Đ±Đ»ŃŽĐŽĐ°Đ»Đž. ĐžŃ‚ĐŒĐ”Ń‡Đ°Đ»Đž Đ»ĐžŃˆŃŒ ĐœĐ”Đ·ĐœĐ°Ń‡ĐžŃ‚Đ”Đ»ŃŒĐœĐŸĐ” ĐżĐŸĐČŃ‹ŃˆĐ”ĐœĐžĐ” ĐșĐŸĐœŃ†Đ”ĐœŃ‚Ń€Đ°Ń†ĐžĐž Đ°Đ»ŃŒĐ±ŃƒĐŒĐžĐœĐŸĐČ ĐČ ŃŃ‹ĐČĐŸŃ€ĐŸŃ‚ĐșĐ” ĐșŃ€ĐŸĐČĐž ĐșĐ°Đș ĐČ ĐżĐ”Ń€ĐžĐŸĐŽ ĐżŃ€ĐžĐŒĐ”ĐœĐ”ĐœĐžŃ, таĐș Đž ĐŽĐŸ 180-х ŃŃƒŃ‚ĐŸĐș ĐżĐŸŃĐ»Đ” ĐœĐ°Ń‡Đ°Đ»Đ° ĐżŃ€ĐžĐŒĐ”ĐœĐ”ĐœĐžŃ прДпарата. Про ĐżŃ€ĐžĐŒĐ”ĐœĐ”ĐœĐžĐž ĐžĐ·ŃƒŃ‡Đ°Đ”ĐŒĐŸĐłĐŸ прДпарата ĐżŃ€ĐŸĐžŃŃ…ĐŸĐŽĐžŃ‚ ĐŒĐ”ĐœĐ”Đ” ĐČŃ‹Ń€Đ°Đ¶Đ”ĐœĐœĐŸĐ” ĐżĐŸĐČŃ‹ŃˆĐ”ĐœĐžĐ” ĐșĐŸĐœŃ†Đ”ĐœŃ‚Ń€Đ°Ń†ĐžĐž ĐŒĐŸŃ‡Đ”ĐČĐžĐœŃ‹ ĐČ ŃŃ‹ĐČĐŸŃ€ĐŸŃ‚ĐșĐ” ĐșŃ€ĐŸĐČĐž ĐŸŃ‚ĐœĐŸŃĐžŃ‚Đ”Đ»ŃŒĐœĐŸ Đ°ĐœĐ°Đ»ĐŸĐłĐŸĐČ ĐžĐ· ĐșĐŸĐœŃ‚Ń€ĐŸĐ»ŃŒĐœĐŸĐč группы. Đ˜Đ·ĐŒĐ”ĐœĐ”ĐœĐžĐ” ĐșĐŸĐœŃ†Đ”ĐœŃ‚Ń€Đ°Ń†ĐžĐč Đ°Đ»ŃŒĐ±ŃƒĐŒĐžĐœĐŸĐČ Đž ĐŒĐŸŃ‡Đ”ĐČĐžĐœŃ‹ ĐżŃ€ĐŸĐžŃŃ…ĐŸĐŽĐžĐ»ĐŸ ĐČ ĐżŃ€Đ”ĐŽĐ”Đ»Đ°Ń… Ń„ĐžĐ·ĐžĐŸĐ»ĐŸĐłĐžŃ‡Đ”ŃĐșĐŸĐč ĐœĐŸŃ€ĐŒŃ‹

    Pectobacterium atrosepticum exopolysaccharides: Identification, molecular structure, formation under stress and in planta conditions

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    © The Author 2017. Published by Oxford University Press. All rights reserved. In the present study, we identified exopolysaccharides of the harmful phytopathogenic bacterium Pectobacterium atrosepticum SCRI1043 and characterized the molecular structure of these polymers. The synthesis of the target polysaccharides was shown to be induced under starvation conditions. Moreover, intensive accumulation of exopolysaccharides occurred during the colonization by bacteria of the xylem vessels of infected plants, where microorganisms formed specific 3D "multicellular" structures-bacterial emboli. Thus, the identified polymers are likely to be involved in the adaptation and virulence of bacteria of Pectobacterium genus

    Improved risk stratification of patients with atrial fibrillation: an integrated GARFIELD-AF tool for the prediction of mortality, stroke and bleed in patients with and without anticoagulation.

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    OBJECTIVES: To provide an accurate, web-based tool for stratifying patients with atrial fibrillation to facilitate decisions on the potential benefits/risks of anticoagulation, based on mortality, stroke and bleeding risks. DESIGN: The new tool was developed, using stepwise regression, for all and then applied to lower risk patients. C-statistics were compared with CHA2DS2-VASc using 30-fold cross-validation to control for overfitting. External validation was undertaken in an independent dataset, Outcome Registry for Better Informed Treatment of Atrial Fibrillation (ORBIT-AF). PARTICIPANTS: Data from 39 898 patients enrolled in the prospective GARFIELD-AF registry provided the basis for deriving and validating an integrated risk tool to predict stroke risk, mortality and bleeding risk. RESULTS: The discriminatory value of the GARFIELD-AF risk model was superior to CHA2DS2-VASc for patients with or without anticoagulation. C-statistics (95% CI) for all-cause mortality, ischaemic stroke/systemic embolism and haemorrhagic stroke/major bleeding (treated patients) were: 0.77 (0.76 to 0.78), 0.69 (0.67 to 0.71) and 0.66 (0.62 to 0.69), respectively, for the GARFIELD-AF risk models, and 0.66 (0.64-0.67), 0.64 (0.61-0.66) and 0.64 (0.61-0.68), respectively, for CHA2DS2-VASc (or HAS-BLED for bleeding). In very low to low risk patients (CHA2DS2-VASc 0 or 1 (men) and 1 or 2 (women)), the CHA2DS2-VASc and HAS-BLED (for bleeding) scores offered weak discriminatory value for mortality, stroke/systemic embolism and major bleeding. C-statistics for the GARFIELD-AF risk tool were 0.69 (0.64 to 0.75), 0.65 (0.56 to 0.73) and 0.60 (0.47 to 0.73) for each end point, respectively, versus 0.50 (0.45 to 0.55), 0.59 (0.50 to 0.67) and 0.55 (0.53 to 0.56) for CHA2DS2-VASc (or HAS-BLED for bleeding). Upon validation in the ORBIT-AF population, C-statistics showed that the GARFIELD-AF risk tool was effective for predicting 1-year all-cause mortality using the full and simplified model for all-cause mortality: C-statistics 0.75 (0.73 to 0.77) and 0.75 (0.73 to 0.77), respectively, and for predicting for any stroke or systemic embolism over 1 year, C-statistics 0.68 (0.62 to 0.74). CONCLUSIONS: Performance of the GARFIELD-AF risk tool was superior to CHA2DS2-VASc in predicting stroke and mortality and superior to HAS-BLED for bleeding, overall and in lower risk patients. The GARFIELD-AF tool has the potential for incorporation in routine electronic systems, and for the first time, permits simultaneous evaluation of ischaemic stroke, mortality and bleeding risks. CLINICAL TRIAL REGISTRATION: URL: http://www.clinicaltrials.gov. Unique identifier for GARFIELD-AF (NCT01090362) and for ORBIT-AF (NCT01165710)

    Use of anticoagulants and antiplatelet agents in stable outpatients with coronary artery disease and atrial fibrillation. International CLARIFY registry

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    Two-year outcomes of patients with newly diagnosed atrial fibrillation: results from GARFIELD-AF.

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    AIMS: The relationship between outcomes and time after diagnosis for patients with non-valvular atrial fibrillation (NVAF) is poorly defined, especially beyond the first year. METHODS AND RESULTS: GARFIELD-AF is an ongoing, global observational study of adults with newly diagnosed NVAF. Two-year outcomes of 17 162 patients prospectively enrolled in GARFIELD-AF were analysed in light of baseline characteristics, risk profiles for stroke/systemic embolism (SE), and antithrombotic therapy. The mean (standard deviation) age was 69.8 (11.4) years, 43.8% were women, and the mean CHA2DS2-VASc score was 3.3 (1.6); 60.8% of patients were prescribed anticoagulant therapy with/without antiplatelet (AP) therapy, 27.4% AP monotherapy, and 11.8% no antithrombotic therapy. At 2-year follow-up, all-cause mortality, stroke/SE, and major bleeding had occurred at a rate (95% confidence interval) of 3.83 (3.62; 4.05), 1.25 (1.13; 1.38), and 0.70 (0.62; 0.81) per 100 person-years, respectively. Rates for all three major events were highest during the first 4 months. Congestive heart failure, acute coronary syndromes, sudden/unwitnessed death, malignancy, respiratory failure, and infection/sepsis accounted for 65% of all known causes of death and strokes for <10%. Anticoagulant treatment was associated with a 35% lower risk of death. CONCLUSION: The most frequent of the three major outcome measures was death, whose most common causes are not known to be significantly influenced by anticoagulation. This suggests that a more comprehensive approach to the management of NVAF may be needed to improve outcome. This could include, in addition to anticoagulation, interventions targeting modifiable, cause-specific risk factors for death. CLINICAL TRIAL REGISTRATION: http://www.clinicaltrials.gov. Unique identifier: NCT01090362

    Why Are Outcomes Different for Registry Patients Enrolled Prospectively and Retrospectively? Insights from the Global Anticoagulant Registry in the FIELD-Atrial Fibrillation (GARFIELD-AF).

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    Background: Retrospective and prospective observational studies are designed to reflect real-world evidence on clinical practice, but can yield conflicting results. The GARFIELD-AF Registry includes both methods of enrolment and allows analysis of differences in patient characteristics and outcomes that may result. Methods and Results: Patients with atrial fibrillation (AF) and ≄1 risk factor for stroke at diagnosis of AF were recruited either retrospectively (n = 5069) or prospectively (n = 5501) from 19 countries and then followed prospectively. The retrospectively enrolled cohort comprised patients with established AF (for a least 6, and up to 24 months before enrolment), who were identified retrospectively (and baseline and partial follow-up data were collected from the emedical records) and then followed prospectively between 0-18 months (such that the total time of follow-up was 24 months; data collection Dec-2009 and Oct-2010). In the prospectively enrolled cohort, patients with newly diagnosed AF (≀6 weeks after diagnosis) were recruited between Mar-2010 and Oct-2011 and were followed for 24 months after enrolment. Differences between the cohorts were observed in clinical characteristics, including type of AF, stroke prevention strategies, and event rates. More patients in the retrospectively identified cohort received vitamin K antagonists (62.1% vs. 53.2%) and fewer received non-vitamin K oral anticoagulants (1.8% vs . 4.2%). All-cause mortality rates per 100 person-years during the prospective follow-up (starting the first study visit up to 1 year) were significantly lower in the retrospective than prospectively identified cohort (3.04 [95% CI 2.51 to 3.67] vs . 4.05 [95% CI 3.53 to 4.63]; p = 0.016). Conclusions: Interpretations of data from registries that aim to evaluate the characteristics and outcomes of patients with AF must take account of differences in registry design and the impact of recall bias and survivorship bias that is incurred with retrospective enrolment. Clinical Trial Registration: - URL: http://www.clinicaltrials.gov . Unique identifier for GARFIELD-AF (NCT01090362)

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

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    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
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