Predictors of Resistance Hypertension and Achievement of Target Blood Pressure Levels in Patients with Resistant Hypertension

Uncontrolled arterial pressure is associated with a fourfold increase in the risk of developing cardiovascular events compared to patients with hypertension who have reached the target blood pressure level. The aim of this study is to evaluate the characteristics of patients with resistant arterial hypertension undergoing inpatient treatment at the Department of Symptomatic Hypertension and assess the prevalence of true resistant hypertension in a cohort of patients who take 3 and more antihypertensive agents, the clinical predictors of resistant hypertension. The study included 1146 patients with resistant AH who received 3 or more antihypertensive drugs with the level of office blood pressure at admission ≥140/90 mm Hg. Patients were followed by the next examinations: body height and body measurements, office blood pressure, echocardiography, sleep apnea determination, blood biochemical analysis, determination of levels of TTH, T3, T4, blood renin, blood aldosterone, metanephrine urine, and cortisol. Our data showed that 31% of patients who received 3 or more antihypertensive drugs had true resistant hypertension. Fixed combinations were taken by 71.9% of patients. We have found which factors were significantly associated with the treatment regimen with ≥3 or 4 drugs. Also we have demonstrated predictors for blood pressure reduction

Late Pleistocene and Holocene pikas (Mammalia, Lagomorpha) from Europe and the validity of Ochotona spelaea: New insights based on mtDNA analysis

Pikas were among small mammals that inhabited mammoth steppes during the last glacial. The evolutionary history of ochotonids in Europe is relatively well studied, although the taxonomic status of many described forms remains ambiguous, and the majority of extant species of the genus Ochotona are poorly represented in the fossil record. The present study aims to analyse the taxonomic relationships of a sample of Late Pleistocene–Holocene pikas based on mtDNA data and to clarify the status of the species described from Europe. A phylogenetic analysis has revealed that pikas form two large clades: one includes O. pusilla and the other includes the extant Asian and North American species. The study of haplotypes has shown similar results. The anal ysis supports the view that in the Late Pleistocene and Holocene O. pusilla was distrib uted throughout Europe, and its geographic range has contracted to the east until reaching its modern limits. The analysis of samples provided evidence that O. pusilla had survived in Eastern Europe until relatively recently and disappeared only about 150 years ago. The molecular data inferred from mtDNA do not support the species status of O. spelaea, despite morphological differences possibly related to the particu lar ecology of the Late Pleistocen

Middle Pleistocene fauna and palaeoenvironment in the south of Eastern Europe: A case study of the Medzhybizh 1 locality (MIS 11, Ukraine)

The Middle Pleistocene was a period of dynamic changes in Europe. During MIS 11, a number of modern mammal taxa appeared and environmental conditions remained warm and favourable for a relatively long time. The Medzhybizh 1 locality of Ukraine dated to this very period comprises alluvial deposits with rich animal remains, which allow not only to reconstruct the fauna composition, but also to highlight the environmental conditions that dominated at this locality. A revision of the fauna of Medzhybizh 1 locality based on remains of all vertebrate groups revealed a taxonomically diverse fish community (16 species of 11 genera) dominated by cyprinids common for lacustrine or riverine assemblages. Amphibians are represented by 11 species, while the number of reptile and bird remains are less significant. Mammals are the most represented group at the locality, including small mammals (30 species), carnivorans (2 species), and ungulates (5 taxa), the latter dominated by C. elaphus. The taxonomic composition of terrestrial groups indicates temperate climate with boreal-type forests and meadows similar to cold steppe, as well as low wet areas and riparian habitats inhabited by amphibians, reptiles, insectivores, beavers, and various voles. The fish assemblage indicates a partially overgrown but well-aerated water body (lake or slow-flowing river) with sandy-silty bottom. Lithic artefacts found at the Medzhybizh 1 locality contribute to a better understanding of relationships between ancient hominins and faunas during the Middle Pleistocene of Eastern Europe.Archaeological field works at Medzhybizh were supported by the NASU state research projects 0105U001383 (2005–2009), 0109U008921 (2010–2014) and partly funded by the State Fund of Fundamental Research of Ukraine grant 0118U001457 (F77/50–2018). This research was also supported by the grant 0201/2048/18 ‘Life and death of extinct rhino (Stephanorhinus sp.) from Western Poland: a multi-proxy palaeoenvironmental approach’ financed from the funds of the National Science Centre, Poland. JvdM received support from the Spanish Ministerio de Ciencia, Inovación y Universidades (current grant numbers PGC2018-093925-B-C31 and PGC2018-095489-B-I00).Peer reviewe

Re-Evaluation of Sinocastor (Rodentia: Castoridae) with Implications on the Origin of Modern Beavers

The extant beaver, Castor, has played an important role shaping landscapes and ecosystems in Eurasia and North America, yet the origins and early evolution of this lineage remain poorly understood. Here we use a geometric morphometric approach to help re-evaluate the phylogenetic affinities of a fossil skull from the Late Miocene of China. This specimen was originally considered Sinocastor, and later transferred to Castor. The aim of this study was to determine whether this form is an early member of Castor, or if it represents a lineage outside of Castor. The specimen was compared to 38 specimens of modern Castor (both C. canadensis and C. fiber) as well as fossil specimens of C. fiber (Pleistocene), C. californicus (Pliocene) and the early castorids Steneofiber eseri (early Miocene). The results show that the specimen falls outside the Castor morphospace and that compared to Castor, Sinocastor possesses a: 1) narrower post-orbital constriction, 2) anteroposteriorly shortened basioccipital depression, 3) shortened incisive foramen, 4) more posteriorly located palatine foramen, 5) longer rostrum, and 6) longer braincase. Also the specimen shows a much shallower basiocciptal depression than what is seen in living Castor, as well as prominently rooted molars. We conclude that Sinocastor is a valid genus. Given the prevalence of apparently primitive traits, Sinocastor might be a near relative of the lineage that gave rise to Castor, implying a possible Asiatic origin for Castor

Ancient DNA of narrow-headed vole reveal common features of the Late Pleistocene population dynamics in cold-adapted small mammals

The narrow-headed vole, collared lemming and common vole were the most abundant small mammal species across the Eurasian Late Pleistocene steppe-tundra environment. Previous ancient DNA studies of the collared lemming and common vole have revealed dynamic population histories shaped by climatic fluctuations. To investigate the extent to which species with similar adaptations share common evolutionary histories, we generated a dataset comprised the mitochondrial genomes of 139 ancient and 6 modern narrow-headed voles from several sites across Europe and northwestern Asia covering approximately the last 100 thousand years (kyr). We inferred Bayesian time-aware phylogenies using 11 radiocarbon-dated samples to calibrate the molecular clock. Divergence of the main mtDNA lineages across the three species occurred during marine isotope stages (MIS) 7 and MIS 5, suggesting a common response of species adapted to open habitat during interglacials. We identified several time-structured mtDNA lineages in European narrow-headed vole, suggesting lineage turnover. The timing of some of these turnovers was synchronous across the three species, allowing us to identify the main drivers of the Late Pleistocene dynamics of steppe- and cold-adapted species.NWOVI.C.191.070Human Origin

Plio-Pleistocene climatic change had a major impact on the assembly and disassembly processes of Iberian rodent communities

Comprehension of changes in community composition through multiple spatio-temporal scales is a prime challenge in ecology and palaeobiology. However, assembly, structuring and disassembly of biotic metacommunities in deep-time is insufficiently known. To address this, we used the extensively sampled Iberian Plio-Pleistocene fossil record of rodent faunas as our model system to explore how global climatic events may alter metacommunity structure. Through factor analysis, we found five sets of genera, called faunal components, which co-vary in proportional diversity over time. These faunal components had different spatio-temporal distributions throughout the Plio-Pleistocene, resulting in non-random changes in species assemblages, particularly in response to the development of the Pleistocene glaciations. Three successive metacommunities with distinctive taxonomic structures were identified as a consequence of the differential responses of their members to global climatic change: (1) Ruscinian subtropical faunas (5.3–3.4 Ma) dominated by a faunal component that can be considered as a Miocene legacy; (2) transition faunas during the Villafranchian–Biharian (3.4–0.8 Ma) with a mixture of different faunal components; and (3) final dominance of the temperate Toringian faunas (0.8–0.01 Ma) that would lead to the modern Iberian assemblage. The influence of the cooling global temperature drove the reorganisation of these rodent metacommunities. Selective extinction processes due to this large-scale environmental disturbance progressively eliminated the subtropical specialist species from the early Pliocene metacommunity. This disassembly process was accompanied by the organisation of a diversified metacommunity with an increased importance of biome generalist species, and finally followed by the assembly during the middle–late Pleistocene of a new set of species specialised in the novel environments developed as a consequence of the glaciations