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

Wildfire events (>1ha) in central Chile 2022-2023 summer (dec-mar) and PM2.5 emissions

In an effort to assess the economic costs associated with the recent mega-wildfire season in Chile (2022-2023), our study draws upon data sourced from public wildfire records, specific CO2 emission/fixation factors for forests, air quality monitoring stations (specifically measuring PM2.5, particulate matter This study highlights the substantial loss of benefits and environmental costs associated with forest fires, emphasizing the formidable challenge of implementing timely prevention and control measures.The data presented here consolidates fundamental information regarding the burned area during the 2022-2023 Chilean wildfire season, initially provided by the Corporación Nacional Forestal of Chile (CONAF, 2023). We have subsequently made adjustments to calculate CO2 emissions and fixation indexes for both natural forests and forestry plantations. Additionally, mean daily values of particulate matter emissions (< 2.5 um) for the same period are reported for South-central Chile (30° - 42° S). These PM2.5 averages were derived from the publicly available hourly air quality data in Chile, accessible at: https://sinca.mma.gob.cl/.</p

Trends in Antarctic ecological research in Latin America shown by publications in international journals

Antarctica is a highly interesting region for ecologists because of its extreme climatic conditions and the uniqueness of its species. In this article, we describe the trends in Antarctic ecological research participation by Latin American countries. In a survey of articles indexed by the ISI Web of Science, we searched under the categories ‘‘Ecology,’’ ‘‘Biodiversity Conservation’’ and ‘‘Evolutionary Biology’’ and found a total of 254 research articles published by Latin American countries. We classified these articles according to the country of affiliation, kingdom of the study species, level of biological organization and environment. Our main finding is that there is a steady increase in the relative contribution of Latin American countries to Antarctic ecological research. Within each category, we found that marine studies are more common than terrestrial studies. Between the different kingdoms, most studies focus on animals and most studies use a community approach. The leading countries in terms of productivity were Argentina, Chile and Brazil, with Argentina showing the highest rate of increase.Keywords: Antarctica; Argentina; Brazil; Chile; research trends; scientific productivity(Published: 17 September 2013)Citation: Polar Research 2013, 32, 19993, http://dx.doi.org/10.3402/polar.v32i0.1999

Model selection with multiple regression on distance matrices leads to incorrect inferences

<div><p>In landscape genetics, model selection procedures based on Information Theoretic and Bayesian principles have been used with multiple regression on distance matrices (MRM) to test the relationship between multiple vectors of pairwise genetic, geographic, and environmental distance. Using Monte Carlo simulations, we examined the ability of model selection criteria based on Akaike’s information criterion (AIC), its small-sample correction (AICc), and the Bayesian information criterion (BIC) to reliably rank candidate models when applied with MRM while varying the sample size. The results showed a serious problem: all three criteria exhibit a systematic bias toward selecting unnecessarily complex models containing spurious random variables and erroneously suggest a high level of support for the incorrectly ranked best model. These problems effectively increased with increasing sample size. The failure of AIC, AICc, and BIC was likely driven by the inflated sample size and different sum-of-squares partitioned by MRM, and the resulting effect on delta values. Based on these findings, we strongly discourage the continued application of AIC, AICc, and BIC for model selection with MRM.</p></div

Results from a single simulation run.

<p>The absolute values (top row), delta values Δ_<i>i</i> (middle row), and model weights <i>w</i>_<i>i</i> (bottom row) for node-based analysis (Node: left column), distance-based analysis with low correlation (Dist (LC): middle column), and distance-based analysis with high correlation (Dist: (HC): right column) as a function of the number of spurious random variables added sequentially to the correct model with a single meaningful predictor <i>x</i>₁ (<i>ρ</i>_<i>xy</i> = 0.6) for node-based, based on <i>n</i> = 100.</p

Proportional selection of the correct model by means of MRM among 1000 simulated data sets for different levels of correlated predictors.

<p>The proportion of 1000 simulated data sets where each of the five candidate models were selected as the best model using AIC (top row), AICc (middle row), and BIC (bottom row) with three different sample sizes <i>n</i> = 30 (left column), <i>n</i> = 100 (middle column), <i>n</i> = 300 (right column) for the node-based analysis with low correlation (Node LC), the distance-based analysis with low correlation (Dist LC), and the distance-based analysis with high correlation (Dist HC). We were primarily interested in determining whether AIC, AICc, and BIC selected the correct model containing three meaningful variables with tapering effects (black) or selected an underfitted (dark grey) or overfitted (light grey) model.</p

Trends in Antarctic ecological research in Latin America shown by publications in international journals

Antarctica is a highly interesting region for ecologists because of its extreme climatic conditions and the uniqueness of its species. In this article, we describe the trends in Antarctic ecological research participation by Latin American countries. In a survey of articles indexed by the ISI Web of Science, we searched under the categories &#x201C;Ecology,&#x201D; &#x201C;Biodiversity Conservation&#x201D; and &#x201C;Evolutionary Biology&#x201D; and found a total of 254 research articles published by Latin American countries. We classified these articles according to the country of affiliation, kingdom of the study species, level of biological organization and environment. Our main finding is that there is a steady increase in the relative contribution of Latin American countries to Antarctic ecological research. Within each category, we found that marine studies are more common than terrestrial studies. Between the different kingdoms, most studies focus on animals and most studies use a community approach. The leading countries in terms of productivity were Argentina, Chile and Brazil, with Argentina showing the highest rate of increase

Impact of COVID-19 on Diagnostic Cardiac Procedural Volume in Oceania: The IAEA Non-Invasive Cardiology Protocol Survey on COVID-19 (INCAPS COVID)

Objectives: The INCAPS COVID Oceania study aimed to assess the impact caused by the COVID-19 pandemic on cardiac procedure volume provided in the Oceania region. Methods: A retrospective survey was performed comparing procedure volumes within March 2019 (pre-COVID-19) with April 2020 (during first wave of COVID-19 pandemic). Sixty-three (63) health care facilities within Oceania that perform cardiac diagnostic procedures were surveyed, including a mixture of metropolitan and regional, hospital and outpatient, public and private sites, and 846 facilities outside of Oceania. The percentage change in procedure volume was measured between March 2019 and April 2020, compared by test type and by facility. Results: In Oceania, the total cardiac diagnostic procedure volume was reduced by 52.2% from March 2019 to April 2020, compared to a reduction of 75.9% seen in the rest of the world (p&lt;0.001). Within Oceania sites, this reduction varied significantly between procedure types, but not between types of health care facility. All procedure types (other than stress cardiac magnetic resonance [CMR] and positron emission tomography [PET]) saw significant reductions in volume over this time period (p&lt;0.001). In Oceania, transthoracic echocardiography (TTE) decreased by 51.6%, transoesophageal echocardiography (TOE) by 74.0%, and stress tests by 65% overall, which was more pronounced for stress electrocardiograph (ECG) (81.8%) and stress echocardiography (76.7%) compared to stress single-photon emission computerised tomography (SPECT) (44.3%). Invasive coronary angiography decreased by 36.7% in Oceania. Conclusion: A significant reduction in cardiac diagnostic procedure volume was seen across all facility types in Oceania and was likely a function of recommendations from cardiac societies and directives from government to minimise spread of COVID-19 amongst patients and staff. Longer term evaluation is important to assess for negative patient outcomes which may relate to deferral of usual models of care within cardiology

Reduction of cardiac imaging tests during the COVID-19 pandemic: The case of Italy. Findings from the IAEA Non-invasive Cardiology Protocol Survey on COVID-19 (INCAPS COVID)

Background: In early 2020, COVID-19 massively hit Italy, earlier and harder than any other European country. This caused a series of strict containment measures, aimed at blocking the spread of the pandemic. Healthcare delivery was also affected when resources were diverted towards care of COVID-19 patients, including intensive care wards. Aim of the study: The aim is assessing the impact of COVID-19 on cardiac imaging in Italy, compare to the Rest of Europe (RoE) and the World (RoW). Methods: A global survey was conducted in May–June 2020 worldwide, through a questionnaire distributed online. The survey covered three periods: March and April 2020, and March 2019. Data from 52 Italian centres, a subset of the 909 participating centres from 108 countries, were analyzed. Results: In Italy, volumes decreased by 67% in March 2020, compared to March 2019, as opposed to a significantly lower decrease (p &lt; 0.001) in RoE and RoW (41% and 40%, respectively). A further decrease from March 2020 to April 2020 summed up to 76% for the North, 77% for the Centre and 86% for the South. When compared to the RoE and RoW, this further decrease from March 2020 to April 2020 in Italy was significantly less (p = 0.005), most likely reflecting the earlier effects of the containment measures in Italy, taken earlier than anywhere else in the West. Conclusions: The COVID-19 pandemic massively hit Italy and caused a disruption of healthcare services, including cardiac imaging studies. This raises concern about the medium- and long-term consequences for the high number of patients who were denied timely diagnoses and the subsequent lifesaving therapies and procedures