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

A digital filter bank cochlear model for speech pre-processing

Thesis (M. Ing.) -- University of Stellenbosch, 1996.Full text to be digitised and attached to bibliographic record

Effects of Soil Properties on the Distribution of Woody Plants in Communally Managed Rangelands in Ngaka Modiri Molema District, North-West Province, South Africa

Soil properties are important drivers of species distribution and community structure in grassland. This study was undertaken to assess the influence of soil properties on woody plant distribution around six selected communally managed rangelands in the District. At each communal rangeland, a total of 25 plots of 20 × 20 m were surveyed to record the density, frequency, and composition of woody species. Soil samples were collected for thirteen soil variables. A Tukey HSD (Tukey’s honestly significant difference) post hoc test was used to compare soil properties and canonical correspondence analysis (CCA) to relate the soil properties to the woody species distribution. The study recorded a total of 17 woody species in 9 families. Fabaceae was the most dominant family, and Senegalia mellifera was the most abundant and frequent encroaching species. Most of the species were native, whereas Prosopis velutina was the only invasive alien species recorded. Senegalia mellifera, P. velutina, and Terminalia sericea were considered the most encroaching in the study sites, with densities exceeding 2000 TE ha-1 (i.e., tree equivalent). CCA results exhibited the strong effect of soil variables on the distribution of woody plant species. CCA ordination analyses showed that K was the most influential soil variable on woody species distributions, followed by Mg, CEC, Na, pH, sand, clay and silt. In terms of woody distribution, the CCA diagram showed similarities between Disaneng, Logageng and Tshidilamolomo. This study provides baseline information on woody species diversity for future management of this ecosystem

Effects of Soil Properties on the Distribution of Woody Plants in Communally Managed Rangelands in Ngaka Modiri Molema District, North-West Province, South Africa

Soil properties are important drivers of species distribution and community structure in grassland. This study was undertaken to assess the influence of soil properties on woody plant distribution around six selected communally managed rangelands in the District. At each communal rangeland, a total of 25 plots of 20 &times; 20 m were surveyed to record the density, frequency, and composition of woody species. Soil samples were collected for thirteen soil variables. A Tukey HSD (Tukey&rsquo;s honestly significant difference) post hoc test was used to compare soil properties and canonical correspondence analysis (CCA) to relate the soil properties to the woody species distribution. The study recorded a total of 17 woody species in 9 families. Fabaceae was the most dominant family, and Senegalia mellifera was the most abundant and frequent encroaching species. Most of the species were native, whereas Prosopis velutina was the only invasive alien species recorded. Senegalia mellifera, P. velutina, and Terminalia sericea were considered the most encroaching in the study sites, with densities exceeding 2000 TE ha-1 (i.e., tree equivalent). CCA results exhibited the strong effect of soil variables on the distribution of woody plant species. CCA ordination analyses showed that K was the most influential soil variable on woody species distributions, followed by Mg, CEC, Na, pH, sand, clay and silt. In terms of woody distribution, the CCA diagram showed similarities between Disaneng, Logageng and Tshidilamolomo. This study provides baseline information on woody species diversity for future management of this ecosystem

Impact of <i>Prosopis velutina</i> Wooton on the Composition and Diversity of Native Woody Species in a Semi-Arid Zone along the Molopo River, South Africa

Invasive alien species represent one of the main threats to biodiversity and species extinction. This is the case for the genus Prosopis, among which Prosopis velutina is the most invasive and common tree species along the Molopo River in the North-West Province, impacting native plant communities. However, its impact on the composition and diversity of native woody species remains poorly investigated in the area. Thus, this study aimed to assess the impact of P. velutina on native woody plant composition and diversity across three sites along the Molopo River. At each site, five quadrats of 20 × 20 m2 were randomly established in invaded and adjacent uninvaded stands. A comparative methodological approach was adopted, and the woody plants in invaded and uninvaded stands with similar site conditions were sampled. The results showed that native woody species density differed significantly (p p = 0.6). The overall native woody species density decreased by 79.7% in the invaded stand. However, non-metric multidimensional scaling (nMDS) and analysis of similarity (ANOSIM) indicated significant differences in native tree composition between invaded and uninvaded stands at all sites. In all three sites, all ecological indices had significantly lower values in invaded stands compared to uninvaded stands. The decrease in all ecological indices in invaded over uninvaded stands indicated that P. velutina invasion reduced the diversity of native woody plant species. Due to the incessant spread of P. velutina, it may become a long-term dominant species with an increasing impact on the native vegetation. Therefore, the findings of this study call for urgent management and appropriate control measures against the ongoing spread of this invader within the riparian zones of the Molopo River in North-West Province

Reduction of cardiac imaging tests during the COVID-19 pandemic: The case of Italy. Findings from the IAEA Non-invasive Cardiology Protocol Survey on COVID-19 (INCAPS COVID)

Background: In early 2020, COVID-19 massively hit Italy, earlier and harder than any other European country. This caused a series of strict containment measures, aimed at blocking the spread of the pandemic. Healthcare delivery was also affected when resources were diverted towards care of COVID-19 patients, including intensive care wards. Aim of the study: The aim is assessing the impact of COVID-19 on cardiac imaging in Italy, compare to the Rest of Europe (RoE) and the World (RoW). Methods: A global survey was conducted in May–June 2020 worldwide, through a questionnaire distributed online. The survey covered three periods: March and April 2020, and March 2019. Data from 52 Italian centres, a subset of the 909 participating centres from 108 countries, were analyzed. Results: In Italy, volumes decreased by 67% in March 2020, compared to March 2019, as opposed to a significantly lower decrease (p &lt; 0.001) in RoE and RoW (41% and 40%, respectively). A further decrease from March 2020 to April 2020 summed up to 76% for the North, 77% for the Centre and 86% for the South. When compared to the RoE and RoW, this further decrease from March 2020 to April 2020 in Italy was significantly less (p = 0.005), most likely reflecting the earlier effects of the containment measures in Italy, taken earlier than anywhere else in the West. Conclusions: The COVID-19 pandemic massively hit Italy and caused a disruption of healthcare services, including cardiac imaging studies. This raises concern about the medium- and long-term consequences for the high number of patients who were denied timely diagnoses and the subsequent lifesaving therapies and procedures