Effects of Anacetrapib in Patients with Atherosclerotic Vascular Disease

BACKGROUND: Patients with atherosclerotic vascular disease remain at high risk for cardiovascular events despite effective statin-based treatment of low-density lipoprotein (LDL) cholesterol levels. The inhibition of cholesteryl ester transfer protein (CETP) by anacetrapib reduces LDL cholesterol levels and increases high-density lipoprotein (HDL) cholesterol levels. However, trials of other CETP inhibitors have shown neutral or adverse effects on cardiovascular outcomes. METHODS: We conducted a randomized, double-blind, placebo-controlled trial involving 30,449 adults with atherosclerotic vascular disease who were receiving intensive atorvastatin therapy and who had a mean LDL cholesterol level of 61 mg per deciliter (1.58 mmol per liter), a mean non-HDL cholesterol level of 92 mg per deciliter (2.38 mmol per liter), and a mean HDL cholesterol level of 40 mg per deciliter (1.03 mmol per liter). The patients were assigned to receive either 100 mg of anacetrapib once daily (15,225 patients) or matching placebo (15,224 patients). The primary outcome was the first major coronary event, a composite of coronary death, myocardial infarction, or coronary revascularization. RESULTS: During the median follow-up period of 4.1 years, the primary outcome occurred in significantly fewer patients in the anacetrapib group than in the placebo group (1640 of 15,225 patients [10.8%] vs. 1803 of 15,224 patients [11.8%]; rate ratio, 0.91; 95% confidence interval, 0.85 to 0.97; P=0.004). The relative difference in risk was similar across multiple prespecified subgroups. At the trial midpoint, the mean level of HDL cholesterol was higher by 43 mg per deciliter (1.12 mmol per liter) in the anacetrapib group than in the placebo group (a relative difference of 104%), and the mean level of non-HDL cholesterol was lower by 17 mg per deciliter (0.44 mmol per liter), a relative difference of -18%. There were no significant between-group differences in the risk of death, cancer, or other serious adverse events. CONCLUSIONS: Among patients with atherosclerotic vascular disease who were receiving intensive statin therapy, the use of anacetrapib resulted in a lower incidence of major coronary events than the use of placebo. (Funded by Merck and others; Current Controlled Trials number, ISRCTN48678192 ; ClinicalTrials.gov number, NCT01252953 ; and EudraCT number, 2010-023467-18 .)

Discutindo a educação ambiental no cotidiano escolar: desenvolvimento de projetos na escola formação inicial e continuada de professores

A presente pesquisa buscou discutir como a Educação Ambiental (EA) vem sendo trabalhada, no Ensino Fundamental e como os docentes desta escola compreendem e vem inserindo a EA no cotidiano escolar., em uma escola estadual do município de Tangará da Serra/MT, Brasil. Para tanto, realizou-se entrevistas com os professores que fazem parte de um projeto interdisciplinar de EA na escola pesquisada. Verificou-se que o projeto da escola não vem conseguindo alcançar os objetivos propostos por: desconhecimento do mesmo, pelos professores; formação deficiente dos professores, não entendimento da EA como processo de ensino-aprendizagem, falta de recursos didáticos, planejamento inadequado das atividades. A partir dessa constatação, procurou-se debater a impossibilidade de tratar do tema fora do trabalho interdisciplinar, bem como, e principalmente, a importância de um estudo mais aprofundado de EA, vinculando teoria e prática, tanto na formação docente, como em projetos escolares, a fim de fugir do tradicional vínculo “EA e ecologia, lixo e horta”.Facultad de Humanidades y Ciencias de la Educació

Peering inside the peak ring of the Chicxulub Impact Crater-its nature and formation mechanism

The IODP-ICDP Expedition 364 drilled into the Chicxulub crater, peering inside its well-preserved peak ring. The borehole penetrated a sequence of post-impact carbonates and a unit of suevites and clast-poor impact melt rock at the top of the peak ring. Beneath this sequence, basement rocks cut by pre-impact and impact dykes, with breccias and melt, were encountered at shallow depths. The basement rocks are fractured, shocked and uplifted, consistent with dynamic collapse, uplift and long-distance transport of weakened material during collapse of the transient cavity and final crater formation

New shock microstructures in titanite (CaTiSiO5) from the peak ring of the Chicxulub impact structure, Mexico

Accessory mineral geochronometers such as apatite, baddeleyite, monazite, xenotime and zircon are increasingly being recognized for their ability to preserve diagnostic microstructural evidence of hypervelocity-impact processes. To date, little is known about the response of titanite to shock metamorphism, even though it is a widespread accessory phase and a U–Pb geochronometer. Here we report two new mechanical twin modes in titanite within shocked granitoid from the Chicxulub impact structure, Mexico. Titanite grains in the newly acquired core from the International Ocean Discovery Program Hole M0077A preserve multiple sets of polysynthetic twins, most commonly with composition planes (K1) = ~ {1¯11} { 1 ¯ 11 } , and shear direction (η1) =  , and less commonly with the mode K1 = {130}, η1 = ~  . In some grains, {130} deformation bands have formed concurrently with the deformation twins, indicating dislocation slip with Burgers vector b =  can be active during impact metamorphism. Titanite twins in the modes described here have not been reported from endogenically deformed rocks; we, therefore, propose this newly identified twin form as a result of shock deformation. Formation conditions of the twins have not been experimentally calibrated, and are here empirically constrained by the presence of planar deformation features in quartz (12 ± 5 and ~ 17 ± 5 GPa) and the absence of shock twins in zircon (< 20 GPa). While the lower threshold of titanite twin formation remains poorly constrained, identification of these twins highlight the utility of titanite as a shock indicator over the pressure range between 12 and 17 GPa. Given the challenges to find diagnostic indicators of shock metamorphism to identify both ancient and recent impact evidence on Earth, microstructural analysis of titanite is here demonstrated to provide a new tool for recognizing impact deformation in rocks where other impact evidence may be erased, altered, or did not manifest due to generally low (< 20 GPa) shock pressure

Biodiversidad 2017. Estado y tendencias de la biodiversidad continental de Colombia

En la cuarta versión del Reporte, que corresponde al año 2017, es una obligación preguntarnos cuál ha sido y es el papel de esta publicación y si ha abarcado la diversidad de formas y conceptos que definen el estado y el futuro de la biodiversidad colombiana. Las temáticas que constituyen la columna vertebral de cada uno de los reportes anuales responden a temas de pertinencia, nivel de incidencia y actualidad desde cada uno de los diferentes niveles de organización de la biodiversidad y buscan responder las siguientes preguntas fundamentales: 1) ¿Cómo se encuentra la biodiversidad del país? 2)¿Qué factores, en dónde y en qué medida está siendo afectada? 3)¿Cuáles son las iniciativas que desde la sociedad civil o a nivel de políticas públicas buscan evitar esa pérdida? 4)¿Cuáles son las grandes oportunidades para mejorar su gestión y manejo? Si bien evaluar la incidencia que puede tener el Reporte sobre acciones de gestión no es tarea fácil, se debe reconocer la buena acogida que han tenido los textos, las ilustraciones y la cifras entre los distintos tipos de lectores y el papel fundamental que ha jugado el Reporte en comunicar información de altísima calidad sobre la biodiversidad colombiana en diferentes momentos coyunturales. En ese sentido esta publicación es cada vez más una herramienta de consulta y referencia que está abierta al público tanto en formato impreso como digital, y de la misma manera busca fortalecerse para continuar brindando información relevante para la toma de decisiones en materia ambiental.BogotáSubdirección de Investigacione