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

Efficiënter gebruik van raapzaad : Mogelijkheden van raapzaad als grondstof voor de Biobased Economy

In dit onderzoek is nagegaan of er mogelijkheden zijn om door inzet van bioraffinage, raapzaad op een efficiëntere wijze te gebruiken. Bioraffinage opent mogelijkheden om componenten vrij te maken uit een grondstof. Resultaat van deze studie was dat een laag-eiwit component mogelijk gebruikt kan worden voor diervoeder, een hoog-eiwitcomponent toepasbaar is in petfood, voor jonge dieren of in de materialenindustrie en chemische sector, en glucosinolaat als derde component voor toepassing als biofumigant tegen nematoden

Diversity and community structure of ericoid mycorrhizal fungi in European bogs and heathlands across a gradient of nitrogen deposition

Despite the ecological significance of ericoid mycorrhizal fungi, little is known about the abiotic and biotic factors driving their diversity and community composition. To determine the relative importance of abiotic and biotic filtering in structuring ericoid mycorrhizal fungal communities, we established 156 sampling plots in two highly contrasting environments but dominated by the same Ericaceae plant species: waterlogged bogs and dry heathlands. Plots were located across 25 bogs and 27 dry heathlands in seven European countries covering a gradient in nitrogen deposition and phosphorus availability. Putatively ericoid mycorrhizal fungal communities in the roots of 10 different Ericaceae species were characterized using high-throughput amplicon sequencing. Variation in ericoid mycorrhizal fungal communities was attributed to both habitat and soil variables on the one hand and host plant identity on the other. Communities differed significantly between bogs and heathlands and, in a given habitat, communities differed significantly among host plant species. Fungal richness was negatively related to nitrogen deposition in bogs and phosphorus availability in bogs and heathlands. Our results demonstrate that both abiotic and biotic filtering shapes ericoid mycorrhizal fungal communities and advocate an environmental policy minimizing excess nutrient input in these nutrient-poor ecosystems to avoid loss of ericoid mycorrhizal fungal taxa.status: publishe

Phosphorus resource partitioning shapes phosphorus acquisition and plant species abundance in grasslands

Species diversity is commonly hypothesized to result from trade-offs for different limiting resources, providing separate niches for coexisting species(1-4). As soil nutrients occur in multiple chemical forms, plant differences in acquisition of the same element derived from different compounds may represent unique niche dimensions(5,6). Because plant productivity of ecosystems is often limited by phosphorus(7), and because plants have evolved diverse adaptations to acquire soil phosphorus(6,8), a promising yet untested hypothesis is phosphorus resource partitioning(6,9,10). Here, we provided two different chemical forms of phosphorus to sown grassland mesocosms to investigate phosphorus acquisition of eight plant species that are common in European grasslands, and to identify subsequent patterns of plant abundance. For the first time, we show that the relative abundance of grassland plant species can be influenced by soil phosphorus forms, as higher abundance was linked to higher acquisition of a specific form of phosphorus. These results were supported by a subsequent isotope dilution experiment using intact grassland sods that were treated with different inorganic or organic phosphorus forms. Here, 5 out of 14 species showed greater phosphorus acquisition in the inorganic phosphorus treatment, and 4 in the organic phosphorus treatments. Furthermore, for the species used in both experiments we found similar acquisition patterns. Our results support the hypothesis of phosphorus resource partitioning and may provide a new mechanistic framework to explain high plant diversity in phosphorus-poor ecosystems(6,11-13). As world biodiversity hotspots are almost invariably related to phosphorus limitation(8,11,12), our results may thus also be key to understanding biodiversity loss in an era of ever-increasing nutrient enrichment(14)

An exploration of the methods to determine the protein-specific synthesis and breakdown rates in vivo in humans.

The present study explores the methods to determine human in vivo protein-specific myofibrillar and collagenous connective tissue protein fractional synthesis and breakdown rates. We found that in human myofibrillar proteins, the protein-bound tracer disappearance method to determine the protein fractional breakdown rate (FBR) (via 2 H2 O ingestion, endogenous labeling of 2 H-alanine that is incorporated into proteins, and FBR quantified by its disappearance from these proteins) has a comparable intrasubject reproducibility (range: 0.09-53.5%) as the established direct-essential amino acid, here L-ring-13 C6 -phenylalanine, incorporation method to determine the muscle protein fractional synthesis rate (FSR) (range: 2.8-56.2%). Further, the determination of the protein breakdown in a protein structure with complex post-translational processing and maturation, exemplified by human tendon tissue, was not achieved in this experimentation, but more investigation is encouraged to reveal the possibility. Finally, we found that muscle protein FBR measured with an essential amino acid tracer prelabeling is inappropriate presumably because of significant and prolonged intracellular recycling, which also may become a significant limitation for determination of the myofibrillar FSR when repeated infusion trials are completed in the same participants

Arbuscular mycorrhizal fungi in European grasslands under nutrient pollution

status: publishe