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

ATOMIC RELAXATION IN MIXED-VALENT SYSTEMS DEDUCED FROM EXAFS SPECTROSCOPY

Nous présentons une méthode d'analyse des spectres EXAFS permettant de mettre en évidence les effets de relaxation atomique même dans le cas de composés à valence intermédiaire homogène pour lesquels ces relaxations sont très faibles. L'EXAFS peut donc être utilisé pour préciser la nature homogène ou inhomogène de l'état mixte. Enfin, nous appliquerons notre procédé au système TmxSe pour conclure à la préservation du caractère homogène de la valence dans les composés non-stoéchiométriques.We will present how it is possible, from EXAFS spectroscopy, to estimate atomic relaxation effects even in homogeneous mixed valent compounds, for which these relaxations are known to be very small. EXAFS experiments, analysed by our procedure, can then be used to decide if the ground state is homogeneous or inhomogeneous. At least, the procedure will be applied to the TmxSe system. We conclude that the homogeneous character of the mixed valent state is preserved in the non-stoichiometric compounds

Territorial cohesion through cross-border landscape policy? The European case of the Three Countries park (BE-NL-DE)

Landscapes can be understood as socialecological systems under constant change. In Europe various territorial dynamics pose persistent challenges to maintaining diverse landscapes both as European heritage and in their capacity to provide vital functions and services. Concurrently, under the competence of cohesion policy, the EU is attempting to improve policy making by better policy coordination and respecting regional specifics. This paper explores the question how a policy dedicated to landscape can help to handle territorial change and support territorial cohesion. It presents results and performances of the ESPON applied research study LP3LP: (1) a common landscape policy for the Three Countries Park, across the Dutch, German and Belgium borders, including a spatial landscape vision, a governance proposal of adaptive landscape management, and thematic strategies dealing with green infrastructure, cultural heritage, complementary biomass and quality production; (2) recommendations at the EU level. In discussing the significance of a landscape approach for EU policy,three dimensions of landscape are linked withimportant aspects of territorial cohesion: ‘landscape as asset’ addressing natural-cultural territorial capital as an indigenous base forsmart, sustainable, and inclusivedevelopment;‘landscape as place’ stressing the relevance of landscape for place-based policies; and ‘landscape as common ground’ highlighting its potential for horizontal, vertical, and territorial integration

Mood disorders in eating disorder patients: Prevalence and chronology of ONSET.

OBJECTIVES: In a clinical population, we estimated the frequency of mood disorders among 271 patients suffering from Anorexia Nervosa (AN) and Bulimia Nervosa (BN) in comparison to a control group matched for age and gender. METHOD: The frequency of mood disorders was measured using the Mini International Neuropsychiatric Interview (MINI), DSM-IV version. RESULTS: Mood disorders were more frequent among eating disorder (ED) patients than among controls, with a global prevalence of the order of 80% for each ED group. The majority of the mood disorders comorbid with ED were depressive disorders (MDD and dysthymia). The relative chronology of onset of these disorders was equivocal, because mood disorders in some cases preceded and in others followed the onset of the eating disorders. LIMITATIONS: Our sample was characterized by patients with severe ED and high comorbidities, and thus do not represent the entire population of AN or BN. This also may have resulted in an overestimation of prevalence. CONCLUSION: Mood disorders appear significantly more frequently in patients seeking care for ED than in controls. These results have implications for the assessment and treatment of ED patients, and for the aetio-pathogenesis of these disorders

Fast and scalable preparation of tetrahedrite for thermoelectrics via glass crystallization

International audienceA Cu12Sb3.6Bi0.4S10Se3 glass was prepared by melt spinning and crystallized by heat treatments at selected temperatures, the total preparation procedure taking less than one day. The sample characterization by powder X-ray diffraction, scanning and transmission electron microscopy complemented with EDS indicate the formation of compact materials, with a tetrahedrite relative weight fraction higher than 90% when treated at temperatures close to the crystallization peaks (~200º C). Selenium enters the tetrahedrite structure, while bismuth precipitates in submicron and nanosized spherical shape phases depleted in copper and enriched in antimony, sulfur and selenium (when compared with the matrix composition). The characterization of electrical transport properties (electrical resistivity and Seebeck coefficient) indicate a behavior similar to that obtained by other methods on Cu12Sb4S13, with a maximum power factor of ~400 mW/K2m at room temperature

CoRoT Observations of O Stars: Diverse Origins of Variability

Six O-type stars were observed continuously by the CoRoT satellite during a 34.3-day run. The unprecedented quality of the data allows us to detect even low-amplitude stellar pulsations in some of these stars (HD 46202 and the binaries HD 46149 and Plaskett's star). These cover both opacity-driven modes and solar-like stochastic oscillations, both of importance to the asteroseismological modeling of O stars. Additional effects can be seen in the CoRoT light curves, such as binarity and rotational modulation. Some of the hottest O-type stars (HD 46223, HD 46150 and HD 46966) are dominated by the presence of red-noise: we speculate that this is related to a sub-surface convection zone