Gender differences and determinants of health related quality of life in coronary patients: a follow-up study

<p>Abstract</p> <p>Background</p> <p>The role of gender differences in Health Related Quality Life (HRQL) in coronary patients is controversial, so understanding the specific determinants of HRQL in men and women might be of clinical importance. The aim of this study was to know the gender differences in the evolution of HRQL at 3 and 6 months after a coronary event, and to identify the key clinical, demographic and psychological characteristics of each gender associated with these changes.</p> <p>Methods</p> <p>A follow-up study was carried out, and 175 patients (112 men and 63 women) with acute myocardial infarction (AMI) or unstable angina were studied. The SF-36v1 health questionnaire was used to assess HRQL, and the GHQ-28 (General Health Questionnaire) to measure mental health during follow-up. To study the variables related to changes in HRQL, generalized estimating equation (GEE) models were performed.</p> <p>Results</p> <p>Follow-up data were available for 55 men and 25 women at 3 months, and for 35 men and 12 women at 6 months. Observations included: a) Revascularization was performed later in women. b) The frequency of rehospitalization between months 3 and 6 of follow-up was higher in women c) Women had lower baseline scores in the SF-36. d) Men had progressed favourably in most of the physical dimensions of the SF-36 at 6 months, while at the same time women's scores had only improved for Physical Component Summary, Role Physical and Social Functioning; e) the variables determining the decrease in HRQL in men were: worse mental health and angina frequency; and in women: worse mental health, history of the disease, revascularization, and angina frequency.</p> <p>Conclusions</p> <p>There are differences in the evolution of HRQL, between men and women after a coronary attack. Mental health is the determinant most frequently associated with HRQL in both genders. However, other clinical determinants of HRQL differed with gender, emphasizing the importance of individualizing the intervention and the content of rehabilitation programs. Likewise, the recognition and treatment of mental disorders in these patients could be crucial.</p

DNA Barcode Detects High Genetic Structure within Neotropical Bird Species

BACKGROUND: Towards lower latitudes the number of recognized species is not only higher, but also phylogeographic subdivision within species is more pronounced. Moreover, new genetically isolated populations are often described in recent phylogenies of Neotropical birds suggesting that the number of species in the region is underestimated. Previous COI barcoding of Argentinean bird species showed more complex patterns of regional divergence in the Neotropical than in the North American avifauna. METHODS AND FINDINGS: Here we analyzed 1,431 samples from 561 different species to extend the Neotropical bird barcode survey to lower latitudes, and detected even higher geographic structure within species than reported previously. About 93% (520) of the species were identified correctly from their DNA barcodes. The remaining 41 species were not monophyletic in their COI sequences because they shared barcode sequences with closely related species (N = 21) or contained very divergent clusters suggestive of putative new species embedded within the gene tree (N = 20). Deep intraspecific divergences overlapping with among-species differences were detected in 48 species, often with samples from large geographic areas and several including multiple subspecies. This strong population genetic structure often coincided with breaks between different ecoregions or areas of endemism. CONCLUSIONS: The taxonomic uncertainty associated with the high incidence of non-monophyletic species and discovery of putative species obscures studies of historical patterns of species diversification in the Neotropical region. We showed that COI barcodes are a valuable tool to indicate which taxa would benefit from more extensive taxonomic revisions with multilocus approaches. Moreover, our results support hypotheses that the megadiversity of birds in the region is associated with multiple geographic processes starting well before the Quaternary and extending to more recent geological periods

The evolutionary history of Senna ser. Aphyllae (Leguminosae–Caesalpinioideae), an endemic clade of southern South America

In the legume genus Senna, series Aphyllae includes seven species of leafless shrubs and subshrubs from arid, semiarid and xerophilous areas of three different biogeographic subregions in southern South America. In this study, we investigated the evolutionary history of Aphyllae in a molecular phylogenetic framework. We reconstructed phylogenetic relationships among Aphyllae species based on DNA sequence data of four plastid (rpS16, rpL16, matK, trnL-F) and one nuclear (ITS) region from 23 accessions, analyzed with parsimony, Bayesian and maximum likelihood methods. We inferred the evolutionary and biogeographic history estimating divergence times and reconstructing ancestral character states and ancestral areas of distribution. Series Aphyllae was found to be monophyletic, and the taxa formed two main clades: Clade A gathering S. aphylla var. aphylla, S. crassiramea, S. rigidicaulis and S. spiniflora; and Clade B grouping S. acanthoclada, S. aphylla var. divaricata, S. aphylla var. pendula and S. pachyrrhiza. The morphologically complex S. aphylla appears thus polyphyletic. Molecular dating and ancestral area reconstructions suggest that the Aphyllae clade started to diversify in the South American Transition Zone in the Late Pliocene. Based on these results, we hypothesize that this diversification occurred during the last period of Andean uplift with the aridification in South America. The ancestral character state reconstructions suggest that, in addition to the loss of leaves in adult plants, series Aphyllae evolved various morphological features, such as fastigiate, thickened or decumbent–subdecumbent branches during the colonization and establishment in different arid and semiarid lands in South America.EEA SaltaFil: Robbiati, Federico Omar. Instituto Nacional de Tecnología Agropecuaria (INTA). Estación Experimental Agropecuaria Salta; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Anton, Ana Maria Ramona. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba. Instituto Multidisciplinario de Biología Vegetal. Universidad Nacional de Córdoba. Facultad de Ciencias Exactas Físicas y Naturales. Instituto Multidisciplinario de Biología Vegetal; ArgentinaFil: Marazzi, Brigitte. Natural History Museum of Cantone Ticino; SuizaFil: Vásquez-Cruz, Marilyn. Instituto de Ecología. Biología Evolutiva; MéxicoFil: Fortunato, Renee Hersilia. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Instituto Nacional de Tecnología Agropecuaria (INTA). Instituto de Recursos Biológicos; Argentina. Universidad de Morón. Facultad de Agronomía y Ciencias Agroalimentarias; Argentin