ARIA 2016: Care pathways implementing emerging technologies for predictive medicine in rhinitis and asthma across the life cycle

The Allergic Rhinitis and its Impact on Asthma (ARIA) initiative commenced during a World Health Organization workshop in 1999. The initial goals were (1) to propose a new allergic rhinitis classification, (2) to promote the concept of multi-morbidity in asthma a

Global impact of COVID-19 on stroke care and IV thrombolysis

Objective To measure the global impact of COVID-19 pandemic on volumes of IV thrombolysis (IVT), IVT transfers, and stroke hospitalizations over 4 months at the height of the pandemic (March 1 to June 30, 2020) compared with 2 control 4-month periods. Methods We conducted a cross-sectional, observational, retrospective study across 6 continents, 70 countries, and 457 stroke centers. Diagnoses were identified by their ICD-10 codes or classifications in stroke databases. Results There were 91,373 stroke admissions in the 4 months immediately before compared to 80,894 admissions during the pandemic months, representing an 11.5% (95% confidence interval [CI] -11.7 to -11.3, p < 0.0001) decline. There were 13,334 IVT therapies in the 4 months preceding compared to 11,570 procedures during the pandemic, representing a 13.2% (95% CI -13.8 to -12.7, p < 0.0001) drop. Interfacility IVT transfers decreased from 1,337 to 1,178, or an 11.9% decrease (95% CI -13.7 to -10.3, p = 0.001). Recovery of stroke hospitalization volume (9.5%, 95% CI 9.2-9.8, p < 0.0001) was noted over the 2 later (May, June) vs the 2 earlier (March, April) pandemic months. There was a 1.48% stroke rate across 119,967 COVID-19 hospitalizations. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection was noted in 3.3% (1,722/52,026) of all stroke admissions. Conclusions The COVID-19 pandemic was associated with a global decline in the volume of stroke hospitalizations, IVT, and interfacility IVT transfers. Primary stroke centers and centers with higher COVID-19 inpatient volumes experienced steeper declines. Recovery of stroke hospitalization was noted in the later pandemic months.Paroxysmal Cerebral Disorder

Efeito do raleio e do anelamento do tronco no crescimento, produção e qualidade da ameixeira japonesa Effect of thinning and of trunk girdling on growth, production and quality of japanese plums

Na produção de ameixas (Prunus salicina Lindley) para consumo in natura, o tamanho do fruto é um dos aspectos mais valorizados. O raleio de frutos é tradicionalmente utilizado para obter, entre outros efeitos, a melhoria do tamanho dos frutos remanescentes. Uma antiga prática, que está recebendo renovada atenção, é o anelamento, que em muitas situações pode aumentar o tamanho dos frutos e antecipar a colheita. Este trabalho avaliou os efeitos do raleio manual de frutos em intensidades de 0, 25, 50 e 75%, associado ou não ao anelamento do tronco (4 mm de largura), sobre o crescimento, a produção e a qualidade da ameixeira cv. Amarelinha. O experimento foi conduzido na Estação Experimental Agronômica da Universidade Federal do Rio Grande do Sul (EEA/UFRGS) no ciclo 1995/96. O raleio foi realizado em 16/10/95, 36 dias após a plena floração, e o anelamento, sete dias após o raleio. O raleio reduziu a produção proporcionalmente à intensidade de raleio aplicada. O anelamento antecipou a colheita, diminuiu a firmeza e a acidez titulável, e aumentou a relação sólidos solúveis totais/acidez titulável dos frutos; mas diminuiu o vigor e o crescimento das plantas. Nenhum dos tratamentos alterou significativamente o peso médio dos frutos.<br>In the production of plums (Prunus salicina Lindley) for in natura consumption the fruit size is a very important feature. Fruit thinning is traditionally used to increase fruit size. Girdling is a practice which is deserving renewed attention, since in many situations is useful to improve fruit size and to advance harvest. This study seeks to evaluate the effect of manual fruit thinning at intensities of 0, 25, 50, and 75% associated or not to trunk girdling (4 mm wide) on the growth, production and quality of plum cv. Amarelinha. The experiment was carried out at the Universidade Federal do Rio Grande do Sul Experimental Research Station (Southern Brazil), during the growth season of 1995-96 (August - June). Thinning was applied on October 16, 1995, 36 days after full bloom, and girdling seven days after thinning. Thinning decreased total fruit yield proportionally to the applied intensity. Trunk girdling anticipated harvesting, decreased fruit firmness, titratable acidity and increased the ratio total soluble solids: titratable acidity of fruits, but decreased the vigour and vegetative growth of the trees. None of treatments affected significantly the mean fruit weight