Impact of COVID-19 on cardiovascular testing in the United States versus the rest of the world

Objectives: This study sought to quantify and compare the decline in volumes of cardiovascular procedures between the United States and non-US institutions during the early phase of the coronavirus disease-2019 (COVID-19) pandemic. Background: The COVID-19 pandemic has disrupted the care of many non-COVID-19 illnesses. Reductions in diagnostic cardiovascular testing around the world have led to concerns over the implications of reduced testing for cardiovascular disease (CVD) morbidity and mortality. Methods: Data were submitted to the INCAPS-COVID (International Atomic Energy Agency Non-Invasive Cardiology Protocols Study of COVID-19), a multinational registry comprising 909 institutions in 108 countries (including 155 facilities in 40 U.S. states), assessing the impact of the COVID-19 pandemic on volumes of diagnostic cardiovascular procedures. Data were obtained for April 2020 and compared with volumes of baseline procedures from March 2019. We compared laboratory characteristics, practices, and procedure volumes between U.S. and non-U.S. facilities and between U.S. geographic regions and identified factors associated with volume reduction in the United States. Results: Reductions in the volumes of procedures in the United States were similar to those in non-U.S. facilities (68% vs. 63%, respectively; p = 0.237), although U.S. facilities reported greater reductions in invasive coronary angiography (69% vs. 53%, respectively; p < 0.001). Significantly more U.S. facilities reported increased use of telehealth and patient screening measures than non-U.S. facilities, such as temperature checks, symptom screenings, and COVID-19 testing. Reductions in volumes of procedures differed between U.S. regions, with larger declines observed in the Northeast (76%) and Midwest (74%) than in the South (62%) and West (44%). Prevalence of COVID-19, staff redeployments, outpatient centers, and urban centers were associated with greater reductions in volume in U.S. facilities in a multivariable analysis. Conclusions: We observed marked reductions in U.S. cardiovascular testing in the early phase of the pandemic and significant variability between U.S. regions. The association between reductions of volumes and COVID-19 prevalence in the United States highlighted the need for proactive efforts to maintain access to cardiovascular testing in areas most affected by outbreaks of COVID-19 infection

Effect of salinity, temperature, organic and inorganic nutrients on growth of cultured Fibrocapsa japonica (Raphidophyceae) from the northern Adriatic Sea

The effects of temperature, salinity, inorganic and organic nutrients on the growth and physiological performance of Fibrocapsa japonica have been investigated in strains isolated from the northern Adriatic Sea, where intense and regular blooms have occurred since 1997 in coastal waters during summer. Strains isolated at different times and from different locations appeared homogeneous in terms of both physiological responses and molecular (ITS-5.8S rDNA) characteristics. Growth rates were higher at temperatures between 20 and 26 °C and a salinity range of 30-35 (0.7 div d-1). The temperature of 16°C inhibited growth, more markedly at the lowest and highest salinity values, a result also confirmed by a lower photosynthetic efficiency and by an increase in cell volume due to impaired division. Higher cell concentrations were obtained with macronutrients at f/2 levels than in a five-fold diluted medium. Comparing the utilization of 200 &#956;M nitrate to that of different N sources (inorganic and organic), F. japonica showed an efficient growth with equivalent amounts of ammonia, urea and amino acids, such as glycine and tryptophan; glutamate was less effective, while methionine had toxic effects. Organic phosphate, administered as glycerophosphate, could also sustain F. japonica growth, probably on account of an alkaline phosphatase whose activity was enhanced in the presence of the organic form. Vitamins were necessary for growth, though no further stimulation was observed when a surplus of vitamin B12 (3 nM) was added. The addition of 11.7 &#956;M iron instead of 2.3 &#956;M, as well as that of humic acid, with or without macronutrients, did not enhance algal growth either. These results led us to hypothesise that F. japonica blooms became more frequent due to a general seawater temperature increase and to the availability of organic forms which, in coastal anthropized areas, are especially abundant in summer periods

Transfer of natural and man made radionuclides from plants to roe deer and farm animals

In this work the transfer behavior of long living radionuclides from the Thorium decay series (Ra-228, Th-228, Th-232) as well as of K-40 and Cs-137 is studied. In a small area of middle Europe (southeast Gemany) showing an increased Thorium content of soil the activity concentrations in samples of feed plants, farm animals, farm animal products, roe deer has been determined. The concentration ratios feed-to-animal tissue and to animal products are calculated indicating a significantly enhanced transfer from feed to roe deer tissues. Determinations of the activity concentrations in fish (carp), pig (tissues), egg, milk complete this examinations. Among all studied samples which are important for human nourishing eggs and carp cause the greatest exposure by ingestion

Meat substitutes - past, present, and future of products available in Brazil : changes in the nutritional profile

Plant-based meat substitutes are products used to replace meat in the human diet. These products have developed from traditional whole-grain meat substitutes to products based on an advanced technology called 2nd generation meat substitutes. Increased market visibility of 2nd generation products raised questions about the products´ healthiness once they are classified by NOVA as ultra-processed, are allegedly high in salt and saturated fat, and might not be nutritionally equivalent to meat. To answer those queries, we evaluated the nutritional profile of the 3 generations of products available in the Brazilian market. Products were classified into one of three stages of technology as traditional meat substitutes, 1st generation meat substitutes, or 2nd generation meat substitutes. Their nutritional values, ingredient composition, and nutrient profile were analyzed and compared. Most of the products analyzed (169 in total) were classified as 1st generation meat substitutes (55.6%), while 2nd generation ones represented 16% of products. The 2nd generation of meat substitutes presented a higher amount of protein, sodium, saturated fat, and a greater number of additives than previous generation products. The future generation of meat substitutes should focus on reducing saturated fat content and the use of fewer additives