Cyclotella alvarniensis (Stephanodiscaceae): ¿Diatomea moderna o fósil?

Cyclotella alvarniensis is considered a fossil species of diatom from the Upper Miocene. The occurrence of this species is usually associated with the proximity of diatomite exploitation areas. Frustules have been found in some regions of Spain (Murcia-Albacete), France, Switzerland, and recently in Senegal. However, the causes of their aerial dispersal and their geographical distribution are not clear. During a diatom monitoring and dispersal study carried out in the Sant Llorenç del Munt i l’Obac Natural Park (Barcelona, Spain), we recorded the presence of C. alvarniensis frustules for the first time in Catalonia. Specifically, they were found in four different types of substrates: on running water biofilm, artificial pools or mesocosms, natural disconnected pools and rehydrated dry sediments. Given the forms of occurrence of C. alvarniensis in our samples and the absence of nearby diatomite deposits, we discuss the possibility that it is also an extant species in freshwater diatom communities.Cyclotella alvarniensis es considerada una especie fósil de diatomea del Mioceno Superior. La presencia de esta especie suele estar asociada a su proximidad a zonas de explotación de diatomita. Se han encontrado frústulas en algunas regiones de España (Murcia-Albacete), Francia, Suiza y recientemente en Senegal. Sin embargo, las causas de su dispersión aérea y su distribución geográfica no están claras. Durante un estudio de seguimiento y dispersión de diatomeas realizado en el Parque Natural de Sant Llorenç del Munt i l’Obac (Barcelona, España), registramos la presencia de C. alvarniensis por primera vez en Cataluña. Concretamente, aparecieron en cuatro tipos distintos de sustratos: sobre biopelículas de agua corriente, pozas artificiales o mesocosmos, pozas naturales desconectadas y sedimento rehidratado. Dadas las formas de aparición de C. alvarniensis en nuestras muestras y a la ausencia de depósitos de diatomita cercanos, discutimos la posibilidad de que también sea una especie actual de las comunidades de diatomeas de agua dulce

Un estudio sobre pensamiento pseudocientífico en estudiantes de educación secundaria

A study about the opinion and beliefs of a group of Secondary Education students concerning several pseudo-sciences is presented. Likewise, the beliefs of students towards superstition and science are analyzed, and a self-assessment of the degree of skepticism is included. Data obtained are analyzed according to the gender of the students. Results show significant differences by gender when evaluating some pseudo-sciences. An educational proposal is made for the first year of Secondary Education in the subject of Biology and Geology to favor critical thinking, based on scientific evidence

Clonal chromosomal mosaicism and loss of chromosome Y in elderly men increase vulnerability for SARS-CoV-2

The pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2, COVID-19) had an estimated overall case fatality ratio of 1.38% (pre-vaccination), being 53% higher in males and increasing exponentially with age. Among 9578 individuals diagnosed with COVID-19 in the SCOURGE study, we found 133 cases (1.42%) with detectable clonal mosaicism for chromosome alterations (mCA) and 226 males (5.08%) with acquired loss of chromosome Y (LOY). Individuals with clonal mosaic events (mCA and/or LOY) showed a 54% increase in the risk of COVID-19 lethality. LOY is associated with transcriptomic biomarkers of immune dysfunction, pro-coagulation activity and cardiovascular risk. Interferon-induced genes involved in the initial immune response to SARS-CoV-2 are also down-regulated in LOY. Thus, mCA and LOY underlie at least part of the sex-biased severity and mortality of COVID-19 in aging patients. Given its potential therapeutic and prognostic relevance, evaluation of clonal mosaicism should be implemented as biomarker of COVID-19 severity in elderly people. Among 9578 individuals diagnosed with COVID-19 in the SCOURGE study, individuals with clonal mosaic events (clonal mosaicism for chromosome alterations and/or loss of chromosome Y) showed an increased risk of COVID-19 lethality

Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study

Summary Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung’s disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung’s disease) from 264 hospitals (89 in high-income countries, 166 in middleincome countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030

Integrating spatiotemporal hydrological connectivity into conservation planning to protect temporary rivers

1. Temporary rivers (TRs) have been largely overlooked in conservation assessments. Because TRs are such dynamic ecosystems, spatial and temporal aspects of their hydrology and ecology need to be taken into account when designing conservation plans. 2. The aim of this paper is to propose a set of recommendations that could be useful for managers to do this, using seasonal diatom and macroinvertebrate data from north-eastern Spain as a case study. Beta diversity was partitioned into local and species contributions to beta diversity (LCBD and SCBD). Additionally, priority conservation sites covering the spatial distribution of all species were identified using Marxan and the selection frequency (MSF) of the sites served as a measure of the relative irreplaceability of each site. 3. Using both approaches (beta diversity and Marxan), the effects of changing spatiotemporal connectivity and habitat heterogeneity on the selection and prioritization of sites to be conserved were assessed. 4. It was found that LCBD and MSF ranged widely both in space and time. However, LCBD and MSF were weakly related. Marxan adequately represented all taxa by selecting a few sites, while LCBD selected communities with higher differentiation but not necessarily those with rare species. In addition, SCBDs assigned low values to rare taxa, thus care must be taken when using this index for conservation planning. 5. Spatiotemporal connectivity and local habitat heterogeneity played a critical role at the regional and local scales, driving site prioritization. 6. Overall, we recommend: 1) monitoring multiple hydrological phases to encompass the different community types and capturing total diversity; 2) using Marxan and LCBD in combination, to benefit from their complementary insights; and 3) integrating spatiotemporal isolation and habitat heterogeneity into conservation plans, since they are the main drivers of community variation over space and time in TRs.This study was carried out in the FEHM research group (Freshwater Ecology, Hydrology and Management) and supported by the MECODISPER (CTM2017-89295-P) and the DRY-Guadalmed projects (PID2021-126143OB-C21), both funded by the Spanish Ministry of Science and Innovation and by “ERDF A way of making Europe”. DCM has received funding from the European Union's Horizon 2020 research and innovation programme under the Marie Skłodowska-Curie grant agreement No 101062388. MC was supported by a Ramón y Cajal contract funded by the Spanish Ministry of Science and Innovation (RYC2020-029829-I).info:eu-repo/semantics/publishedVersio

Development of atrioventricular and intraventricular conduction disturbances in patients undergoing transcatheter aortic valve replacement with new generation self-expanding valves: A real world multicenter analysis.

High degree cardiac conduction disturbances (HDCD) remain a major complication after transcatheter aortic valve replacement (TAVR), especially with self-expandable valves (SEV). Our aim was to investigate peri-procedural and in-hospital modification of atrioventricular and intracardiac conduction associated to new generation SEV implantation, and the development of new HDCD resulting in permanent pacemaker implantation (PPM) in patients undergoing TAVR. Three-hundred forty-four consecutive patients with severe aortic stenosis who underwent TAVR with a new generation SEV [Evolut-R/Pro (n = 130), Acurate-neo (n = 79), Portico (n = 75) and Allegra (n = 60)] were included. An analysis of baseline, post-TAVR and pre-discharge ECG and procedural aspects were centrally performed. A significant increase in baseline PR interval (169.6 ± 28.2 ms) and QRS complex width (101.7 ± 25.9 ms) was noted immediately post-TAVR (188.04 ± 34.49; 129.55 ± 30.02 ms), with a partial in-hospital reversal (179.4 ± 30.1; 123.06 ± 30.94 ms), resulting in a net increase at hospital discharge of 12.6 ± 38.8 ms and 21.4 ± 31.6 ms (p  New generation self-expanding aortic valves were associated with a significant increase in PR and QRS interval at hospital discharge leading to a very high rate of HDCD. While valve recapture and implantation depth were independent predictors for the occurrence of HDCD, use of Accurate-Neo valve was a protective factor

Socioeconomic status and age at menarche in indigenous and non-indigenous Chilean adolescents Nivel socioeconómico y edad de la menarquia en adolescentes chilenas indígenas y no indígenas

The objective was to analyze the relationship between socioeconomic status and age at menarche among indigenous and non-indigenous girls in the Araucanía Region of Chile, controlling for nutritional status and mother's age at menarche. A total of 8,624 randomly selected girls from 168 schools were screened, resulting in the selection of 207 indigenous and 200 non-indigenous girls who had recently experienced menarche. Age at menarche was 149.6±10.7 months in the indigenous group and 146.6±10.8 months in the non-indigenous group. Among the non-indigenous, the analysis showed no significant association between age at menarche and socioeconomic status. In the indigenous group, age at menarche among girls with low socioeconomic status was 5.4 months later than among those with higher socioeconomic status. There were no differences in nutritional status according to socioeconomic level. Obesity was associated with earlier menarche. Menarche occurred earlier than in previous generations. An inverse relationship between socioeconomic status and age at menarche was seen in the indigenous group only; low socioeconomic status was associated with delayed menarche, regardless of nutritional status or mother's age at menarche.<br>El objetivo fue analizar la relación entre nivel socioeconómico y edad de menarquia en adolescentes indígenas y no indígenas de la Región de la Araucanía, Chile, controlando el efecto del estado nutricional, y la edad de menarquia de las madres. Se estudiaron 8.624 niñas de 168 escuelas elegidas aleatoriamente, seleccionando 207 indígenas y 200 no indígenas que habían tenido recientemente la menarquia. La edad de menarquia ocurrió a los 149,6±10,7 meses en indígenas y a los 146,6±10,8 meses en no indígenas. En el grupo no indígena, hubo una relación significativa entre edad de menarquia y nivel socioeconómico. En el grupo indígena, edad de menarquia del nivel socioeconómico bajo fue de 5,4 meses más tarde que el nivel socioeconómico más alto. No se observaron diferencias de estado nutricional por nivel socioeconómico. La obesidad adelantó la menarquia y la edad de menarquia ocurrió antes que la de sus madres. Existe una relación inversa entre nivel socioeconómico y edad de menarquia sólo en el grupo indígena; en los niveles socioeconómicos más bajos la edad de menarquia se retrasa independiente del estado nutricional y de la edad de menarquia de la madre

Impact of Age at the Time of the First ST-Elevation Myocardial Infarction on 10-Year Outcomes (from the EXAMINATION-EXTEND Trial)

The aim of this substudy of the EXAMINATION-EXTEND was to analyze 10-year outcomes according to the patient's age at the time of the first ST-elevation myocardial infarction (STEMI). Of 1,498 patients with STEMI included in the EXAMINATION-EXTEND study, those with a previous history of coronary ischemic even or ischemic stroke were excluded from this analysis. The remaining 1,375 patients were divided into 4 age groups: 75 years. The primary end point was 10-year patient-oriented composite end point (POCE) of all-cause death, any MI, or any revascularization. At 10-year follow-up, patients aged 75 years, led by a lower incidence of all-cause death (75 years: 61.6%, p = 0.001). Cardiac death was more prevalent in the older group (75 years: 35.5%, p = 0.001). In the landmark analyses, between 5- and 10-year follow-up, young patients exhibited a higher incidence of any revascularization (65 years: 1.6%, p = 0.001). In conclusion, in patients with a first STEMI, advanced age was associated with high rates of POCE at 10-year follow-up due to all-cause and cardiac death. Conversely, younger patients exhibited a high risk of revascularization at long-term follow-up