Evolution of the use of corticosteroids for the treatment of hospitalised COVID-19 patients in Spain between March and November 2020: SEMI-COVID national registry

Objectives: Since the results of the RECOVERY trial, WHO recommendations about the use of corticosteroids (CTs) in COVID-19 have changed. The aim of the study is to analyse the evolutive use of CTs in Spain during the pandemic to assess the potential influence of new recommendations. Material and methods: A retrospective, descriptive, and observational study was conducted on adults hospitalised due to COVID-19 in Spain who were included in the SEMI-COVID- 19 Registry from March to November 2020. Results: CTs were used in 6053 (36.21%) of the included patients. The patients were older (mean (SD)) (69.6 (14.6) vs. 66.0 (16.8) years; p < 0.001), with hypertension (57.0% vs. 47.7%; p < 0.001), obesity (26.4% vs. 19.3%; p < 0.0001), and multimorbidity prevalence (20.6% vs. 16.1%; p < 0.001). These patients had higher values (mean (95% CI)) of C-reactive protein (CRP) (86 (32.7-160) vs. 49.3 (16-109) mg/dL; p < 0.001), ferritin (791 (393-1534) vs. 470 (236- 996) µg/dL; p < 0.001), D dimer (750 (430-1400) vs. 617 (345-1180) µg/dL; p < 0.001), and lower Sp02/Fi02 (266 (91.1) vs. 301 (101); p < 0.001). Since June 2020, there was an increment in the use of CTs (March vs. September; p < 0.001). Overall, 20% did not receive steroids, and 40% received less than 200 mg accumulated prednisone equivalent dose (APED). Severe patients are treated with higher doses. The mortality benefit was observed in patients with oxygen saturation </=90%. Conclusions: Patients with greater comorbidity, severity, and inflammatory markers were those treated with CTs. In severe patients, there is a trend towards the use of higher doses. The mortality benefit was observed in patients with oxygen saturation </=90%

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

Short communication. Effective pollination period in ?RedChief? and ?Golden Delicious? apples (Malus domestica Borkh)

Due to the significant variation in the initial fruit set of apples among seasons and producing regions of Chihuahua, Mexico, it is important to determine the cause(s). Apple fruit yield is strongly determined by the initial fruit set, which is the result of a series of physiological events, such as pollination, pollen tube growth, ovule longevity and fertilisation. During one or two seasons, in the two main apple-producing regions in the state of Chihuahua, México, the effective pollination period (EPP) was evaluated in �Golden Delicious�, �RedChief Delicious� and �Golden Delicious Tardío,� a regional mutant of Golden Delicious. Daily manual pollinations after the full pink stage were made with �Snow Drift� pollen to determine the EPP. The initial fruit set at 30 days after the last day of hand pollination was evaluated. A daily sampling of flowers was used to measure the pollen tube growth (average growth of 11.70 mm at 96 h) in the pistil and ovule viability in the ovary. The EPP lasted 6 days for RedChief Delicious, 4 days for Golden Delicious, and 10 days for Golden Delicious Tardío. The average ovule longevity of 63% seemed to be a limiting factor for Golden Delicious, leading to a reduced initial fruit set.En el estado de Chihuahua, México, existe una gran variación en el amarre inicial del fruto de manzana entre los diferentes ciclos y regiones productoras, por lo que es importante establecer alguna(s) causa o causas de ello. La producción en el manzano está determinada fuertemente por el amarre inicial de frutos, y éste es el resultado de una serie de eventos fisiológicos como polinización, crecimiento del tubo polínico, longevidad del óvulo y fecundación. Durante uno o dos ciclos, el periodo de polinización efectiva (EPP) se evaluó en �Golden Delicious�, �RedChief Delicious� y �Golden Delicious Tardío�, un mutante regional de Golden Delicious, en las regiones de mayor producción de manzana en el Estado de Chihuahua, México. Para determinar el EPP, se llevaron a cabo polinizaciones manuales diarias, después del estadio de rosa completo, con polen de Snow Drift. Se evaluó el amarre inicial de frutos a los 30 días después del último día de polinización manual. Se tomaron muestras diarias de flores para determinar el crecimiento del tubo polínico (crecimiento promedio de 11,70 mm a las 96 h) en el pistilo y la viabilidad de los óvulos en el ovario. El EPP observado fue de 6 días para �RedChief Delicious�, 4 días en �Golden Delicious� y 10 días en �Golden Delicious Tardío�. La viabilidad del óvulo, un promedio de 63%, pudo ser un factor limitante para �Golden Delicious�, el cual redujo el amarre inicial de fruto

Comunicación corta. Periodo de polinización efectiva en manzano (Malus domestica Borkh) "Red" y "Golden Delicious"

Due to the significant variation in the initial fruit set of apples among seasons and producing regions of Chihuahua, Mexico, it is important to determine the cause(s). Apple fruit yield is strongly determined by the initial fruit set, which is the result of a series of physiological events, such as pollination, pollen tube growth, ovule longevity and fertilisation. During one or two seasons, in the two main apple-producing regions in the state of Chihuahua, México, the effective pollination period (EPP) was evaluated in "Golden Delicious", "RedChief Delicious" and "Golden Delicious Tardío", a regional mutant of Golden Delicious. Daily manual pollinations after the full pink stage were made with "Snow Drift" pollen to determine the EPP. The initial fruit set at 30 days after the last day of hand pollination was evaluated. A daily sampling of flowers was used to measure the pollen tube growth (average growth of 11.70 mm at 96 h) in the pistil and ovule viability in the ovary. The EPP lasted 6 days for RedChief Delicious, 4 days for Golden Delicious, and 10 days for Golden Delicious Tardío. The average ovule longevity of 63% seemed to be a limiting factor for Golden Delicious, leading to a reduced initial fruit set.En el estado de Chihuahua, México, existe una gran variación en el amarre inicial del fruto de manzana entre los diferentes ciclos y regiones productoras, por lo que es importante establecer alguna(s) causa o causas de ello. La producción en el manzano está determinada fuertemente por el amarre inicial de frutos, y éste es el resultado de una serie de eventos fisiológicos como polinización, crecimiento del tubo polínico, longevidad del óvulo y fecundación. Durante uno o dos ciclos, el periodo de polinización efectiva (EPP) se evaluó en "Golden Delicious", "RedChief Delicious" y "Golden Delicious Tardío", un mutante regional de Golden Delicious, en las regiones de mayor producción de manzana en el Estado de Chihuahua, México. Para determinar el EPP, se llevaron a cabo polinizaciones manuales diarias, después del estadio de rosa completo, con polen de Snow Drift. Se evaluó el amarre inicial de frutos a los 30 días después del último día de polinización manual. Se tomaron muestras diarias de flores para determinar el crecimiento del tubo polínico (crecimiento promedio de 11,70 mm a las 96 h) en el pistilo y la viabilidad de los óvulos en el ovario. El EPP observado fue de 6 días para "RedChief Delicious", 4 días en "Golden Delicious" y 10 días en "Golden Delicious Tardío". La viabilidad del óvulo, un promedio de 63%, pudo ser un factor limitante para "Golden Delicious", el cual redujo el amarre inicial de fruto

Influence of nitrogen fertilization on K+, Mg2+ and Ca2+ concentrations and on its bioindicators in roots and leaves of green bean plants

The pyruvate kinase (PK) and ATPase activities taking part in nitrogen (N) assimilation is essential for the growth and development of plants. Studies on the kinetics of these enzymes reveal that its activities are dependent of the cofactors K+, Ca2+, and Mg2+. Therefore, the objective of the present work was to determine the effect of different doses of N on enzymatic activities of ATPase and PK as potentials biochemical indicators of the levels of K+, Mg2+, and Ca2+ in the roots and leaves of green bean plants. The N was applied to the nutrient solution as NH4NO3 at the following rates: 1.5, 3.0, 6.0, 12.0, 18.0, and 24.0 mM of N. These results indicate that deficient conditions of N (N1 and N2) were characterized by the lowest accumulation of K+, Mg2+ and Ca2+ in both total and soluble forms, and also minimum activities of PK and ATPase induced by K+, Mg2+ and Ca2+, with respect to the activity of basal PK and ATPase; this could mean near optimum conditions for these cations. On the contrary, high-N treatments (N4, N5 and N6) were characterized by presenting decreasing concentrations of total and soluble K+, Mg2+ and Ca2+ in roots and leaves of green bean plants; however, the activities of PK and ATPase induced with K+, Mg2+ and Ca2+ were increased reaching their maximum activity with respect to basal PK and ATPase, both enzymes reflecting the level of cations in roots and leaves, hence being considered as good physiological bioindicators of these cations.Las actividades piruvato kinasa (PK) y ATPasa participan en la asimilación de nitrógeno (N), la cual es esencial para el crecimiento y desarrollo de las plantas. Estudios sobre cinéticas de estas enzimas revelan que sus actividades son dependientes de los cofactores K+, Ca2+ y Mg2+. Por lo tanto, el objetivo del presente trabajo fue determinar el efecto de diferentes dosis de N sobre las actividades de la ATPasa y PK como posibles bioindicadores de los niveles de K+, Mg2+ y Ca2+ en raíces y hojas de plantas de judía (Phaseolus vulgaris L. cv. Strike). Se aplicó N a la solución nutritiva como NH4NO3 en las siguientes dosis: N1 = 1,5 mM, N2 = 3,0 mM, N3 = 6,0 mM, N4 = 12,0 mM, N5 = 18,0 mM y N6 = 24,0 mM. Los resultados indican que bajo condiciones deficientes de N (N1 y N2), las plantas presentaron menor acumulación de K+, Mg2+ y Ca2+ en su forma total y soluble, así como mínimas actividades PK y ATPasa inducidas por K+, Mg2+ y Ca2+ respecto a la actividad PK y ATPasa basal; lo cual indica condiciones cercanas a las óptimas de estos cationes. Por el contrario, en los tratamientos elevados de N (N4, N5 y N6) las plantas presentaron concentraciones decrecientes de K+, Mg2+ y Ca2+ total y soluble tanto en raíces como en hojas; sin embargo, las actividades PK y ATPasa inducidas con K+, Mg2+ y Ca2+ se incrementaron alcanzando sus máximas actividades con respecto a la PK y ATPasa basal, lo que indica una mayor necesidad fisiológica de estos cationes en los tratamientos elevados de N. Finalmente, la actividad ATPasa basal y la inducida con K+, Mg2+ y Ca2+ se comportaron de forma similar a la actividad PK, lo que refleja el nivel de cationes en raíces y en hojas, por lo que se consideran buenos bioindicadores fisiológicos de estos cationes

Large expert-curated database for benchmarking document similarity detection in biomedical literature search

Document recommendation systems for locating relevant literature have mostly relied on methods developed a decade ago. This is largely due to the lack of a large offline gold-standard benchmark of relevant documents that cover a variety of research fields such that newly developed literature search techniques can be compared, improved and translated into practice. To overcome this bottleneck, we have established the RElevant LIterature SearcH consortium consisting of more than 1500 scientists from 84 countries, who have collectively annotated the relevance of over 180 000 PubMed-listed articles with regard to their respective seed (input) article/s. The majority of annotations were contributed by highly experienced, original authors of the seed articles. The collected data cover 76% of all unique PubMed Medical Subject Headings descriptors. No systematic biases were observed across different experience levels, research fields or time spent on annotations. More importantly, annotations of the same document pairs contributed by different scientists were highly concordant. We further show that the three representative baseline methods used to generate recommended articles for evaluation (Okapi Best Matching 25, Term Frequency-Inverse Document Frequency and PubMed Related Articles) had similar overall performances. Additionally, we found that these methods each tend to produce distinct collections of recommended articles, suggesting that a hybrid method may be required to completely capture all relevant articles. The established database server located at https://relishdb.ict.griffith.edu.au is freely available for the downloading of annotation data and the blind testing of new methods. We expect that this benchmark will be useful for stimulating the development of new powerful techniques for title and title/abstract-based search engines for relevant articles in biomedical science. © The Author(s) 2019. Published by Oxford University Press