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

Aspectos reprodutivos de Palaemon pandaliformis (Stimpson) (Crustacea, Decapoda, Palaemonidae) no Rio Sahy, Mangaratiba, Rio de Janeiro, Brasil The reproductive aspects of the freshwater shrimp Palaemon pandaliformis (Stimpson) (Crustacea, Decapoda, Palaemonidae) from Sahy River, Mangaratiba, Rio de Janeiro, Brazil

<abstract language="eng">The reproductive aspects of the freshwater shrimp Palaemon pandaliformis (Stimpson, 1871) were studied from March, 1998 to February, 1999. Monthly, samples were collected with sives, on the river edge, under the edging vegetation or in small pools. At the laboratory, shrimps were sexed and measured in their total lenght, from the tip of the rostrum to the of telson with precision callipters. The ovigerous shrimps were separated and counted for fecundity determination. The eggs diameter was measured with calibrated stereomicroscope. A total of 872 were collected among which, 46% female, 29% male and 25% juvenil. The sex ratio was 1:1.57. Ovigerous females were present during all seasons, but the reproductive peak accurred in Spring. The ovigerous female showed total lenght from 23.0 to 39.6 mm. The mean fecundity was 137 eggs per female, with a minimum of 40 eggs and a maximum of 270 eggs. The first sexual maturation probably occur at 23.0 mm total lenght. The mean diameter os the eggs size was 0.51 mm (minor) and 0.73 mm (major)

Distribuição espacial, sazonal e estrutura populacional do caranguejo Aratus pisonii (H. Milne Edwards) (Crustacea, Decapoda, Sesarmidae) do manguezal de Itacuruçá, Rio de Janeiro, Brasil Spatial and seasonal distribution and population structure of the crab Aratus pisonii (H. Milne Edwards) (Crustacea, Decapoda, Sesarmidae) in Itacuruçá mangrove, Rio de Janeiro, Brazil

Este trabalho teve por objetivo analisar a distribuição espacial e sazonal e a estrutura populacional do caranguejo arborícula Aratuspisonii (H. Milne Edwards, 1837). O trabalho foi realizado através de coletas mensais de junho de 2000 a maio de 2001, para estudo da estrutura populacional e coletas sazonais de janeiro a outubro de 2002 para o estudo da distribuição espacial e sazonal, dividiu-se o manguezal em três áreas. Para a distribuição espacial e sazonal foram capturados 694 indivíduos sendo 45% na área 1, 36% na área 2 e 19% na área 3. O número de indivíduos apresentou diferença significativa na distribuição espacial entre as áreas 2 e 3. Para o estudo da estrutura populacional foi capturado um total de 742 caranguejos, sendo 59% machos, 32,7% fêmeas e 8,3% fêmeas ovígeras. A razãosexual obtida foi de 1: 0,69 (macho:fêmea) e a largura da carapaça variou de 9,6 a 25,0 mm em machos e de 5,5 a 24,9 mm em fêmeas. A distribuição da freqüência em classes de tamanho foi unimodal e os machos foram mais freqüentes entre as classes de 19,1 a 21,0 mm LC, enquanto as fêmeas entre 17,1 a 19,0 mm LC. A razão sexual ao longo de cada classe de tamanho demonstrou predominância de machos em quase todas as classes, exceto entre as classes de 5,1 a 7,0 e 7,1 a 9,0 mm de LC.<br>This work was performed by monthly sampling from June 2000 to May 2001 for population structure studies and by seasonal sampling from January to October 2002 for space and seasonal distribution studies, dividing the mangrove in three different areas. On the space-seasonal distribution study, 694 crabs were caught, where 45% was captured in area 1,36% in area 2 and 19% in area 3. There were significant differences between the number of individuals between area 2 and 3. For the population structure study a total of 742 crabs were captured, being 59% male, 32.7% female and 8.3% ovigerous females. The sex ratio was 1:0.69 (male:female), and the carapace width ranged from 9.6 to 25.0 mm CW in males and from 5.5 to 24.9 mm CW in females. The size class distribution was unimodal and the males were more frequent between 19.1 to 21.0 mm CW, while females between 17.1 to 19 mm CW. The sex ratio along each size class showed the male predominance in almost all classes except between the classes of 5.1 to 7.0 and 7.1 to 9.0 mm CW

Taking stock of national climate policies to evaluate implementation of the Paris Agreement

Many countries have implemented national climate policies to accomplish pledged Nationally Determined Contributions and to contribute to the temperature objectives of the Paris Agreement on climate change. In 2023, the global stocktake will assess the combined effort of countries. Here, based on a public policy database and a multi-model scenario analysis, we show that implementation of current policies leaves a median emission gap of 22.4 to 28.2 GtCO2eq by 2030 with the optimal pathways to implement the well below 2 °C and 1.5 °C Paris goals. If Nationally Determined Contributions would be fully implemented, this gap would be reduced by a third. Interestingly, the countries evaluated were found to not achieve their pledged contributions with implemented policies (implementation gap), or to have an ambition gap with optimal pathways towards well below 2 °C. This shows that all countries would need to accelerate the implementation of policies for renewable technologies, while efficiency improvements are especially important in emerging countries and fossil-fuel-dependent countries.JRC.C.6-Economics of Climate Change, Energy and Transpor

Nutritional levels of digestible methionine + cystine to brown-egg laying hens from 50 to 66 weeks of age

The objective of this study was to determine the requirement of digestible methionine + cystine of brown-eggs laying hens from 50 to 66 weeks age at the end of the first production cycle. The design was completely randomized, with 150 Brown Shaver hens, which were distributed in five treatments with six replications of five birds each. Birds received a basal diet with 2857 kcal/kg metabolizable energy and 15.97% crude protein, supplemented with 0.132; 0.174, 0.215, 0.256 and 0.298% DL-methionine (98%), in order to provide 0.572, 0.613, 0.653, 0.693 and 0.734% digestible methionine + cystine. The levels of digestible methionine + digestible cystine followed, respectively, the relations of 67, 72, 77, 81 and 86% with lysine fixed at 0.851%. Feed intake, methionine + cystine intake, feed conversion per dozen eggs, egg weigth and mass, percentage of egg components, internal egg quality and weight gain were evaluated. Methionine + cystine levels showed a quadratic effect on feed conversion per dozen eggs and egg weight, a linear effect on feed conversion per kilogram of eggs and percentage of albumen. There was also a positive linear effect on yolk percentage. The methionine + cystine requirement was estimated at 0.572%, corresponding to 682 mg of digestible methionine + cystine/bird/day

Maturidade sexual do caranguejo Armases rubripes (Rathbun) (Crustacea, Brachyura, Sesarmidae) na Baía de Sepetiba, Rio de Janeiro, Brasil Sexual maturity of the crab Armases rubripes (Rathbun) (Crustacea, Brachyura, Sesarmidae) in Sepetiba Bay, Rio de Janeiro, Brazil

Objetivou-se analisar a maturidade sexual de Armases rubripes (Rathbun, 1897) em três diferentes ambientes (rio, praia arenosa e manguezal) no sudeste do Brasil. Os caranguejos foram coletados mensalmente de julho/2002 a fevereiro/2004, utilizando-se peneiras no Rio Sahy durante as marés altas e, manualmente, na praia e no manguezal, durante as marés baixas. Os animais foram capturados por dois coletores num esforço de 15 minutos por estação de coleta. No laboratório, os exemplares foram separados por sexo e mensurados em relação a largura da carapaça, do abdome e comprimento do gonopódio. As gônadas, gonopódios e o abdome foram analisados segundo sua forma e seu aspecto. Um total de 4.051 indivíduos foram amostrados (1.067 machos, 1.563 fêmeas e 1.421 juvenis). Foram determinados cinco morfotipos: juvenis, machos imaturos, fêmeas imaturas, machos maduros e fêmeas maduras. O início da maturidade sexual fisiológica e morfológica ocorreu de forma assíncrona, com machos produzindo gametas mais cedo que as fêmeas. O tamanho da primeira maturidade sexual apresentou diferença significativa entre os ambientes analisados, exceção observada para o manguezal. Os indivíduos obtidos no manguezal apresentaram menores tamanhos para o início da maturidade sexual. Embora, estimados os tamanhos da maturidade sexual morfológica de machos e fêmeas, a análise do crescimento alométrico foi inadequado para a espécie.<br>The present study analyzed the sexual maturity of Armases rubripes (Rathbun, 1897) in three populations from different environmental conditions (river, beach and mangrove) in the southeastern Brazilian coast. Crabs were sampled monthly from July 2002 to February 2004; they were captured with sieves at Sahy River, during the high tides, and by hand at beach and mangrove areas, during low tides. Animals were captured by establishing a catch effort of two collectors during 15 minutes for each station. At laboratory, all individuals were sexed and the carapace width measured. The gonads, gonopods and abdomen morphology were observed according to shape and macroscopic aspects. A total of 4,051 specimens were sampled (1,067males, 1,563 females and 1,421 juveniles). There were recognized five morphotypes: juveniles, immature males, immature females, mature males and mature females. The onset of physiological and morphological sexual maturity was asynchronous within sexes, of which, males reaching the ability to produce gametes earlier than females. The size at the onset of sexual maturity was significantly different among populations different coming from areas, except for mangrove area. The individuals obtained from mangrove showed the shortest size at the onset of sexual maturity. Therefore, estimates of males and females sizes at morphological sexual maturity the allometric growth analyses are inadequate in this species