Is diet partly responsible for differences in COVID-19 death rates between and within countries?

Correction: Volume: 10 Issue: 1 Article Number: 44 DOI: 10.1186/s13601-020-00351-w Published: OCT 26 2020Reported COVID-19 deaths in Germany are relatively low as compared to many European countries. Among the several explanations proposed, an early and large testing of the population was put forward. Most current debates on COVID-19 focus on the differences among countries, but little attention has been given to regional differences and diet. The low-death rate European countries (e.g. Austria, Baltic States, Czech Republic, Finland, Norway, Poland, Slovakia) have used different quarantine and/or confinement times and methods and none have performed as many early tests as Germany. Among other factors that may be significant are the dietary habits. It seems that some foods largely used in these countries may reduce angiotensin-converting enzyme activity or are anti-oxidants. Among the many possible areas of research, it might be important to understand diet and angiotensin-converting enzyme-2 (ACE2) levels in populations with different COVID-19 death rates since dietary interventions may be of great benefit.Peer reviewe

Human impacts on Karst aquifers of Albania

Albania is situated in the western part of the Balkan Peninsula, on the eastern coast of the Adriatic and the Ionian Sea. The karst landscape in Albania covers about 6750 km2, approximately 24 % of the Albanian territory. There are 25 karst regions in the country, 23 in carbonate rocks and 2 in evaporites. The total renewable karst water resources are estimated about 227 m3/s, representing 80 % of the groundwater resources of Albania. About 70 % of the population of the cities, including also part of the capital Tirana, obtains the water from karst springs. However, the negative human impacts often are threatening the karst groundwater resources of Albania. Several bad experiences in Albania have demonstrated that the main human negative impacts on karst water are related to: (a) urbanised areas, (b) agriculture activities, and (c) quarrying activities. Understanding the vital importance of karst waters and the necessity for intensive scientific investigations and monitoring, to evidence their high vulnerability, are still at a low level in Albania

Intraoperative transfusion practices in Europe

BACKGROUND: Transfusion of allogeneic blood influences outcome after surgery. Despite widespread availability of transfusion guidelines, transfusion practices might vary among physicians, departments, hospitals and countries. Our aim was to determine the amount of packed red blood cells (pRBC) and blood products transfused intraoperatively, and to describe factors determining transfusion throughout Europe. METHODS: We did a prospective observational cohort study enrolling 5803 patients in 126 European centres that received at least one pRBC unit intraoperatively, during a continuous three month period in 2013. RESULTS: The overall intraoperative transfusion rate was 1.8%; 59% of transfusions were at least partially initiated as a result of a physiological transfusion trigger- mostly because of hypotension (55.4%) and/or tachycardia (30.7%). Haemoglobin (Hb)- based transfusion trigger alone initiated only 8.5% of transfusions. The Hb concentration [mean (sd)] just before transfusion was 8.1 (1.7) g dl(-1) and increased to 9.8 (1.8) g dl(-1) after transfusion. The mean number of intraoperatively transfused pRBC units was 2.5 (2.7) units (median 2). CONCLUSION: Although European Society of Anaesthesiology transfusion guidelines are moderately implemented in Europe with respect to Hb threshold for transfusion (7-9 g dl(-1)), there is still an urgent need for further educational efforts that focus on the number of pRBC units to be transfused at this threshold. CLINICAL TRIAL REGISTRATION: NCT 01604083

Contribution to the flora of Asian and European countries: new national and regional vascular plant records, 7

The paper presents new records for 29 vascular plant species from 12 Eurasian countries. Seven taxa (Agave sisalana, Austrocylindropuntia subulata, Lagurus ovatus subsp. nanus, Opuntia stricta, Orobanche serbica, Oxalis articulata, Vitis Ã instabilis) are reported from Albania, one (Allium carinatum) from the Europaean part of Russia, six (Dipsacus fullonum, Gagea shmakoviana, Mentha Ã dalmatica, Thymus indigirkensis, Thymus sergievskajae, Viola Ã sukaczewii) from the Asian part of Russia, two (Agrostis sozanensis, Poa mustangensis) from China, two (Carex muskingumensis, Sedum rubens) from Poland, two (Crataegus macrocarpa, Dactylorhiza lapponica) from Romania, two (Oxygraphis delavayi, Ranunculus eryuanensis) from Nepal, two (Erigeron bonariensis, Ophioglossum vulgatum) from Tajikistan, one (Ranunculus olgae) from Kazakhstan, one (Najas guadelupensis) from Hungary, one (Orobanche bartlingii) from Armenia, one (Crataegus petrodavisii) from Azerbaijan and one (Amaranthus powellii) from Georgia. For each species, synonyms, general distribution, habitat preferences, taxonomy with remarks on recognition, and differentiation the species from the most similar taxa occurring in a given country, as well as a list of recorded localities (often far from the previously known areas) are presented

Contribution to the flora of Asian and European countries : new national and regional vascular plant records, 7

The paper presents new records for 29 vascular plant species from 12 Eurasian countries. Seven taxa (Agave sisalana, Austrocylindropuntia subulata, Lagurus ovatus subsp. nanus, Opuntia stricta, Orobanche serbica, Oxalis articulata, Vitis x instabilis) are reported from Albania, one (Allium carinatum) from the Europaean part of Russia, six (Dipsacus fullonum, Gagea shmakoviana, Mentha x dalmatica, Thymus indigirkensis, Thymus sergievskajae, Viola x sukaczewii) from the Asian part of Russia, two (Agrostis sozanensis, Poa mustangensis) from China, two (Carex muskingumensis, Sedum rubens) from Poland, two (Crataegus macrocarpa, Dactylorhiza lapponica) from Romania, two (Oxygraphis delavayi, Ranunculus eryuanensis) from Nepal, two (Erigeron bonariensis, Ophioglossum vulgatum) from Tajikistan, one (Ranunculus olgae) from Kazakhstan, one (Najas guadelupensis) from Hungary, one (Orobanche bartlingii) from Armenia, one (Crataegus petrodavisii) from Azerbaijan and one (Amaranthus powellii) from Georgia. For each species, synonyms, general distribution, habitat preferences, taxonomy with remarks on recognition, and differentiation the species from the most similar taxa occurring in a given country, as well as a list of recorded localities (often far from the previously known areas) are presented