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

Maternal Antibody-Mediated Disease Enhancement in Type I Interferon-Deficient Mice Leads to Lethal Disease Associated with Liver Damage

10.1371/journal.pntd.0004536PLoS Neglected Tropical Diseases103e000453

Composição química e de ácidos graxos do músculo longissimus dorsi e da gordura subcutânea de tourinhos Red Norte e Nelore Chemical composition and of fatty acids of the muscle longissimus dorsi and backfat of Red Norte and young Nellore bulls

Objetivou-se com este trabalho avaliar a composição química e o perfil de ácidos graxos do músculo longissimus dorsi e da gordura subcutânea de tourinhos Red Norte e Nelore terminados em confinamento. Utilizaram-se 44 animais, sendo 22 Red Norte com peso vivo inicial médio de 367±30 kg e 22 do grupo Nelore com peso vivo inicial médio de 361±30 kg. Os animais receberam ração à vontade durante 112 dias e foram abatidos com 519 e 482 kg, respectivamente. Amostras do músculo longissimus dorsi e da gordura subcutânea foram coletadas 24 horas após abate entre a 12ª e 13ª costelas para análise da composição centesimal e do perfil de ácidos graxos. As análises de ácidos graxos foram realizadas por meio de cromatografia gasosa, em coluna capilar de 100 m. Não houve diferença na composição química da carne entre os grupos genéticos. Nos animais Red Norte, foram maiores os teores dos ácidos graxos pentadecanoico, palmítico, palmitoleico, linoleico e ácido linoleico conjugado (CLA), enquanto nos animais Nelore foi encontrado o maior teor de ácido oleico. O músculo longissimus dorsi apresentou maiores teores dos ácidos láurico, heptadecenoico, esteárico, linoleico, &#945;-linolênico e araquidônico. Em comparação ao músculo longissimus dorsi, na gordura subcutânea foram maiores os teores dos ácidos mirístico, miristoleico, pentadecanoico, palmítico, palmitoleico, oleico e CLA. Os animais Red Norte apresentaram maiores teores de ácidos graxos saturados em comparação aos Nelore. Em bovinos, o perfil de ácidos graxos depositados no músculo é diferente do observado na gordura subcutânea. O perfil de ácidos graxos da carne de tourinhos difere entre grupos genéticos.<br>The objective of this study was to evaluate the chemical composition and the fatty acid profile of the longissimus dorsi muscle and the backfat thickness of Red Norte and Nellore young bulls finished in feedlot. Fourty-four animals (22 Red Norte with initial average weight of 367±30 kg and 22 Nellore at initial average weight of 361±30 kg) were used. The animals were fed ad libitum during 112 days, slaughtered at 519 and 482 kg, respectively. Samples of the longissimus dorsi muscle and backfat thickness were collected 24 hours after slaughter between the 12th and 13th ribs for analysis of the chemical composition and the fatty acids profile. Fatty acid analyses were performed by gas chromatography with a 100-m capillary column. There was no difference for the chemical composition of the meat between the genetic groups. Red Norte animals showed higher contents of pentadecanoic, palmitic, palmitoleic, linoleic and conjugated linoleic acid (CLA) fatty acids, while Nellore animals had the highest content of oleic acid. The muscle longissimus dorsi showed greater concentrations of lauric, heptadecenoic, stearic, linoleic, &#945;-linoleic and arachidonic acids. Comparing the fatty acid deposited in the longissimus dorsi muscle with backfat thickness, the latter showed higher contents of miristic, miristoleic, pentadecanoic, palmitic, palmitoleic, oleic and CLA acids. Red Norte animals showed higher contents of saturated fatty acid than Nellore. In bovine, the profile of fatty acids deposited in the muscle is different than the that in the backfat thickness. The fatty acids profile of the meat from young bulls differs between genetic groups