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

Análise estrutural e considerações sobre a dinâmica sucessional de dois fragmentos florestais semideciduais do Jardim Botânico Municipal de Bauru, SP, Brasil Structural analysis and considerations on the successional dynamic of two semideciduous forest fragments at the Municipal Botanical Garden of Bauru, SP, Brazil

Parâmetros fitossociológicos, como freqüência de classes de altura e de diâmetro, são muito utilizados em inferências sobre sucessão secundária em fitocenoses. Indivíduos abustivo-arbóreos com no mínimo 1,5 m de altura e fuste a 1,3 m, foram amostrados em 2.600 m² de floresta estacional semidecidual do Jardim Botânico Municipal de Bauru (JBMB). Informações sobre as freqüências de classes de diâmetro das cinco espécies com maior índice de valor de importância (Ocotea pulchella, Protium heptaphyllum, Copaifera langsdorffii, Platypodium elegans e Trichilia pallida) e a classificação sucessional das populações mais numerosas também foram analisadas para inferências sobre as características sucessionais da comunidade estudada. As freqüências de classes de diâmetro de Vochysia tucanorum, espécie típica de savana, também foi estudada. As informações obtidas permitiram considerar que a floresta do JBMB encontra-se em estádio sucessional intermediário, e que, embora tenha sofrido com a ação do fogo no passado, algumas dessas populações estão conseguindo renovar-se.<br>Phytosociological parameters, as the frequency of height and diameter classes, are commonly used to make inferences about secondary succession in given phytocenoses. Shrub and tree individuals higher than 1.5 m and with a bole length of at least 1.3 m were sampled in 2,600 m2 of semideciduous seasonal forest in the Municipal Botanical Garden of Bauru (JBMB). Information on the diameter class frequencies of five species with the highest Importance Value Index (Ocotea pulchella, Protium heptaphyllum, Copaifera langsdorffii, Platypodium elegans and Trichilia pallida) and the more numerous species' successional classification were analyzed to make inferences about the successional features of the studied community. The diameter class frequencies of savannic species Vochysia tucanorum were also studied. The information obtained allowed to consider that the forest of the JBMB is at an intermediate successional stage, and that, although it used to be periodically burnt, some of its populations are able to renew themselves