Prognosis in patients with myocardial infarction with ST-elevation depending on the timing of interventional revascularization

Проверена е прогнозата (болничния и следболничния леталитет до края на 6-ия месец) при 300 болни (212 мъже и 88 жени) с първи миокарден инфаркт със ST- елевация (STEMI) на средна възраст 62.9 год. в зависимост от срока на извършената първична коронарна интервенция (PCI) след началото на симптомите. В зависимост от срока на извършената РСІ болните са разделени на 4 групи: до 3-ия, до 6-ия, до 12-ия и до 24-ия час след началото на инфаркта. Болничният леталитет за всички болни е 6.3%, a до края на 6-ия месец - 13.3%, еднакъв при І-ва и ІІ-ра група и достоверно по-малък, отколкото при ІІІ-та и ІV-та група, по-голям при жените, при болните над 65 г., с ФИ <35.0% и с тромботична оклузия на LM и LAD.The prognosis (in-hospital and post-hospitalization lethality by the end of the 6th moth) of 300 patients (212 men and 88 women) with a first myocardial infarction with ST-elevation (STEMI) at an average age of 62.9 years was studied depending on the timing of the conducted primary coronary intervention (PCI) after the onset of symptoms. Depending on the timing of the conducted PCI, the patients were divided into 4 groups: by the 3rd, 6th, 12th, and 24th hour after the onset of the infarction. The patients` in-hospital lethality was 6.3%, and that by the end of the 6th month - 13.3%. It was the same for groups I and II and significantly lower than in groups III and IV; higher in women, in patients over 65 years of age, with ejection fraction (EF) <35.0% and with thrombotic occlusion of LM and LAD

The future distribution of wetland birds breeding in Europe validated against observed changes in distribution

Wetland bird species have been declining in population size worldwide as climate warming and land-use change affect their suitable habitats. We used species distribution models (SDMs) to predict changes in range dynamics for 64 non-passerine wetland birds breeding in Europe, including range size, position of centroid, and margins. We fitted the SDMs with data collected for the first European Breeding Bird Atlas and climate and land-use data to predict distributional changes over a century (the 1970s-2070s). The predicted annual changes were then compared to observed annual changes in range size and range centroid over a time period of 30 years using data from the second European Breeding Bird Atlas. Our models successfully predicted ca. 75% of the 64 bird species to contract their breeding range in the future, while the remaining species (mostly southerly breeding species) were predicted to expand their breeding ranges northward. The northern margins of southerly species and southern margins of northerly species, both, predicted to shift northward. Predicted changes in range size and shifts in range centroids were broadly positively associated with the observed changes, although some species deviated markedly from the predictions. The predicted average shift in core distributions was ca. 5 km yr(-1) towards the north (5% northeast, 45% north, and 40% northwest), compared to a slower observed average shift of ca. 3.9 km yr(-1). Predicted changes in range centroids were generally larger than observed changes, which suggests that bird distribution changes may lag behind environmental changes leading to 'climate debt'. We suggest that predictions of SDMs should be viewed as qualitative rather than quantitative outcomes, indicating that care should be taken concerning single species. Still, our results highlight the urgent need for management actions such as wetland creation and restoration to improve wetland birds' resilience to the expected environmental changes in the future