Dieta mediterránea y enfermedad cardiovascular: resultados del estudio piloto del proyecto SUN

Fundamento: La dieta mediterránea ha sido propuesta como modelo de patrón dietético para la prevención de la cardiopatía isquémica. El proyecto SUN (“Seguimiento Universidad de Navarra”) es un estudio epidemiológico prospectivo de cohortes, que se inició en el año 2000 y que va dirigido a identificar determinantes dietéticos y no dietéticos implicados en estas enfermedades. La viabilidad del proyecto, se comprobó con un estudio piloto en dos fases. Métodos: La primera fase del estudio piloto contó con la participación de voluntarios en los que se valoraron las exposiciones dietéticas y no dietéticas mediante un cuestionario autoadministrado y por entrevista personal. Para la segunda fase, se seleccionó una muestra aleatoria de 600 graduados y se les envió el cuestionario por correo. Para estimar la variabilidad inter-sujetos se calcularon los percentiles 10, 25, 50, 75 y 90 de consumo para los principales alimentos y nutrientes considerados. Resultados: Los participantes entendieron y respondieron adecuadamente los cuestionarios. El tiempo medio empleado en contestar el cuestionario fue de 55,0 minutos (IC 95%=50,7-59,3). Se encontró una amplia variabilidad inter-sujetos entre los percentiles 10 y 90 en el consumo de los principales alimentos que pueden considerarse indicadores de la dieta mediterránea, como son el aceite de oliva, las frutas, las verduras y el vino. Conclusiones: La submuestra presentó una participación relativamente aceptable. Se halló un patrón de dieta mediterránea con una variabilidad inter-sujetos suficientemente amplia como para poder encontrar asociaciones entre el consumo de alimentos y la incidencia de las principales enfermedades cardiovasculares

A Randomized Trial of Endovascular Embolization Treatment in Pelvic Congestion Syndrome: Fibered Platinum Coils versus Vascular Plugs with 1-Year Clinical Outcomes

Purpose: To compare safety and efficacy of vascular plugs (VPs) and fibered platinum coils (FPCs) for embolization in pelvic congestion syndrome (PCS). Materials and Methods A randomized, prospective, single-center study enrolled 100 women with PCS from January 2014 to January 2015. Patients were randomly assigned to 2 groups, and embolization was performed with FPCs (n = 50) or VPs (n = 50). Mean age of patients was 42.7 years ± 7.60, and mean visual analog scale (VAS) score for pelvic pain before treatment was 7.4 ± 7.60. Primary outcome (clinical success at 1 y using a VAS), number of devices, procedure and fluoroscopy times, radiation doses, costs, and complications were compared, and participants were followed at 1, 3, 6, and 12 months. Results: Clinical success and subjective improvement were not significantly different at 1-year follow-up (89.7% for FPCs vs 90.6% for VPs; P = .760). Mean number of devices per case was 18.2 ± 1.33 for FPCs and 4.1 ± 0.31 for VPs (P < .001). Three FPCs and 1 VP migrated to pulmonary vasculature approximately 3–6 months after the embolization procedure; all were retrieved without complications. The FPC group had a significantly longer fluoroscopy time (33.4 min ± 4.68 vs 19.5 min ± 6.14) and larger radiation dose (air kerma 948.0 mGy ± 248.45 vs 320.7 mGy ± 134.33) (all P < .001). Conclusions: Embolization for PCS resulted in pain relief in 90% of patients; clinical success was not affected by embolic device. VPs were associated with decreased fluoroscopy time and radiation dose

Determinants of the adherence to an "a priori" defined Mediterranean dietary pattern

Background: A prospective cohort study with university level participants was initiated to study the effect of Mediterranean diet on health. Aims: The objective of this study was to identify possible lifestyle and socioeconomic variables associated with the consumption of a Mediterranean dietary pattern (MDP). Method: This analysis includes 1587 males and 2260 females. MDP was defined “a priori” by summing the standardized residuals of nutrients and foods after adjusting a regression model using total energy intake as the independent variable. Multiple regression and non-parametric locally weighted regression models were adjusted with the relative adherence to the MDP as the dependent variable in males and females. Results: Women were more compliant than men with the MDP (Coefficient regression (b) = 4.1; Confidence Interval (CI) 95 % = 3.2 to 4.9). The compliance with the MDP was significantly poorer among younger participants both in men and women (p < 0.001 in men and in women). Participants who were more physically active were more likely to fulfill the traditional MDP (p = 0.01 in men and p < 0.001 in women). Conclusions: Our findings provide evidence supporting the progressive departure from the traditional MDP in younger and highly educated subjects of the Mediterranean area. A more active life-style is associated with a better compliance with the MDP

Colour remote sensing of the impact of artificial light at night (I): the potential of the International Space Station and other DSLR-based platforms

This is the author accepted manuscript. The final version is available from Elsevier via the DOI in this record.Sensors on remote sensing satellites have provided useful tools for evaluation of the environmental impacts of nighttime artificial light pollution. However, due to their panchromatic nature, the data available from these sensors (VI-IRS/DNB and DMSP/OLS) has a limited capacity accurately to assess this impact. Moreover, in some cases, recorded variations can be misleading. Until new satellite platforms and sensors are available, only nighttime images taken with DSLR cameras from the International Space Station (ISS), airplanes, balloons or other such platforms can provide the required information. Here we describe a theoretical approach using colour-colour diagrams to analyse images taken by astronauts on the ISS to estimate spatial and temporal variation in the spectrum of artificial lighting emissions. We then evaluate how this information can be used to determine effects on some key environmental indices: photopic vision, the Melatonin Suppression Index, the Star Light Index, the Induced Photosynthesis Index, production of NO2-NO radicals, energy efficiency and CO2 emissions, and Correlated Colour Temperature. Finally, we use the city of Milan as a worked example of the approach.Natural Environment Research Council (NERC

Dietary Fat Intake and the Risk of Depression: The SUN Project

Emerging evidence relates some nutritional factors to depression risk. However, there is a scarcity of longitudinal assessments on this relationship. Objective: To evaluate the association between fatty acid intake or the use of culinary fats and depression incidence in a Mediterranean population. Material and Methods: Prospective cohort study (1999–2010) of 12,059 Spanish university graduates (mean age: 37.5 years) initially free of depression with permanently open enrolment. At baseline, a 136-item validated food frequency questionnaire was used to estimate the intake of fatty acids (saturated fatty acids (SFA), polyunsaturated fatty acids (PUFA), trans unsaturated fatty acids (TFA) and monounsaturated fatty acids (MUFA) and culinary fats (olive oil, seed oils, butter and margarine) During follow-up participants were classified as incident cases of depression if they reported a new clinical diagnosis of depression by a physician and/or initiated the use of antidepressant drugs. Cox regression models were used to calculate Hazard Ratios (HR) of incident depression and their 95% confidence intervals (CI) for successive quintiles of fats. Results: During follow-up (median: 6.1 years), 657 new cases of depression were identified. Multivariable-adjusted HR (95% CI) for depression incidence across successive quintiles of TFA intake were: 1 (ref), 1.08 (0.82–1.43), 1.17 (0.88–1.53), 1.28 (0.97–1.68), 1.42 (1.09–1.84) with a significant dose-response relationship (p for trend = 0.003). Results did not substantially change after adjusting for potential lifestyle or dietary confounders, including adherence to a Mediterranean Dietary Pattern. On the other hand, an inverse and significant dose-response relationship was obtained for MUFA (p for trend = 0.05) and PUFA (p for trend = 0.03) intake. Conclusions: A detrimental relationship was found between TFA intake and depression risk, whereas weak inverse associations were found for MUFA, PUFA and olive oil. These findings suggest that cardiovascular disease and depression may share some common nutritional determinants related to subtypes of fat intake

Artificially lit surface of Earth at night increasing in radiance and extent

This is the author accepted manuscript. The final version is available from AAAS via the DOI in this record.A central aim of the “lighting revolution” (the transition to solid-state lighting technology) is decreased energy consumption. This could be undermined by a rebound effect of increased use in response to lowered cost of light. We use the first-ever calibrated satellite radiometer designed for night lights to show that from 2012 to 2016, Earth’s artificially lit outdoor area grew by 2.2% per year, with a total radiance growth of 1.8% per year. Continuously lit areas brightened at a rate of 2.2% per year. Large differences in national growth rates were observed, with lighting remaining stable or decreasing in only a few countries. These data are not consistent with global scale energy reductions but rather indicate increased light pollution, with corresponding negative consequences for flora, fauna, and human well-being.This article is based upon work from COST Action ES1204 LoNNe, supported by COST (European Cooperation in Science and Technology). The authors acknowledge the funding received by ERA-PLANET (www.era-planet.eu) funded by the EC as part of H2020 (contract no. 689443). NOAA’s participation was funded by NASA’s VIIRS science program, contract number NNH15AZ01I. ASM’s contribution was funded by ORISON project (H2020-INFRASUPP-2015-2) Cities at Night

Newborns of Mothers with Venous Disease during Pregnancy Show Increased Levels of Lipid Peroxidation and Markers of Oxidative Stress and Hypoxia in the Umbilical Cord

The study (FIS-PI18/00912) was supported by the Instituto de Salud Carlos III (grant no. Estatal de I + D + I 2013–2016) and co-financed by the European Development Regional Fund “A way to achieve Europe” and B2017/BMD-3804 MITIC-CM (Comunidad de Madrid), and Halekulani S.L.Chronic venous disease (CVD) encompasses a set of disorders of the venous system that have a high prevalence in Western societies and are associated with significant sociohealth costs. Pregnancy is a period in which different hormonal and haemodynamic changes occur that lead to significant changes in the cardiovascular system, increasing the risk of developing venous problems, especially during the third trimester of gestation. In turn, CVD involves a series of local and systemic alterations that can have negative repercussions in pregnancy. In this context, the role of oxidative stress in the pathophysiology of this condition has been shown to significantly affect other vascular structures during pregnancy, such as the placenta. However, the effects of oxidative stress on the umbilical cord in women with CVD have not yet been fully elucidated. Thus, the objective of this study was to analyse the gene and protein expression of the enzymes NOX-1, NOX-2 and iNOS, which are involved in the production of reactive oxygen and nitrogen species, respectively. Similarly, the presence of hypoxia-inducible factor 1-alpha (HIF-1α) in the umbilical cord in women with CVD was compared to that of pregnant control women, and the levels of the lipid peroxidation marker malonyldialdehyde (MDA) in cord tissue and blood was also analysed. Our results support a significant increase in the enzymes NOX-1, NOX-2 and iNOS and HIF-1α and MDA in the umbilical cord tissue and blood of women with CVD. For the first time, our work demonstrates an increase in oxidative stress and cellular damage in the umbilical cords of pregnant women who develop this condition, deepening the understanding of the consequences of CVD during pregnancy.Depto. de Salud Pública y Materno - InfantilFac. de MedicinaTRUEUnión EuropeaComunidad de MadridInstituto de Salud Carlos IIIHalekulanipu

The nature of the diffuse light near cities detected in nighttime satellite imagery

This is the final version. Available on open access from Nature Research via the DOI in this recordDiffuse glow has been observed around brightly lit cities in nighttime satellite imagery since at least the first publication of large scale maps in the late 1990s. In the literature, this has often been assumed to be an error related to the sensor, and referred to as ”blooming”, presumably in relation to the effect that can occur when using a CCD to photograph a bright light source. Here we show that the effect seen on the DMSP/OLS, SNPP/VIIRS-DNB and ISS is not only instrumental, but in fact represents a real detection of light scattered by the atmosphere. Data from the Universidad Complutense Madrid sky brightness survey are compared to nighttime imagery from multiple sensors with differing spatial resolutions, and found to be strongly correlated. These results suggest that it should be possible for a future space-based imaging radiometer to monitor changes in the diffuse artificial skyglow of cities.Natural Environment Research Council (NERC)COST (European Cooperation in Science and Technology)European Union Horizon 2020Ministerio de Ciencia y TecnologiaHelmholtz Association Initiative and Networking Fun

National scale spatial variation in artificial light at night

This is the final version. Available on open access from MDPI via the DOI in this recordThe disruption to natural light regimes caused by outdoor artificial nighttime lighting has significant impacts on human health and the natural world. Artificial light at night takes two forms, light emissions and skyglow (caused by the scattering of light by water, dust and gas molecules in the atmosphere). Key to determining where the biological impacts from each form are likely to be experienced is understanding their spatial occurrence and how this varies with other landscape factors. To examine this, we used data from the Visible Infrared Imaging Radiometer Suite (VIIRS) day/night band and the World Atlas of Artificial Night Sky Brightness to determine covariation in (a) light emissions, and (b) skyglow, with human population density, landcover, protected areas and roads in Britain. We demonstrate that although artificial light at night increases with human density, the amount of light per person decreases with increasing urbanization (with per capita median direct emissions three times greater in rural than urban populations, and per capita median skyglow eleven times greater). There was significant variation in artificial light at night within different landcover types, emphasizing that light pollution is not a solely urban issue. Further, half of English National parks have higher levels of skyglow than light emissions indicating their failure to buffer biodiversity from pressures that artificial lighting poses. The higher per capita emissions in rural than urban areas provide different challenges and opportunities to mitigating the negative human health and environmental impacts of light pollution.Natural Environment Research Council (NERC