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

Highly-parallelized simulation of a pixelated LArTPC on a GPU

The rapid development of general-purpose computing on graphics processing units (GPGPU) is allowing the implementation of highly-parallelized Monte Carlo simulation chains for particle physics experiments. This technique is particularly suitable for the simulation of a pixelated charge readout for time projection chambers, given the large number of channels that this technology employs. Here we present the first implementation of a full microphysical simulator of a liquid argon time projection chamber (LArTPC) equipped with light readout and pixelated charge readout, developed for the DUNE Near Detector. The software is implemented with an end-to-end set of GPU-optimized algorithms. The algorithms have been written in Python and translated into CUDA kernels using Numba, a just-in-time compiler for a subset of Python and NumPy instructions. The GPU implementation achieves a speed up of four orders of magnitude compared with the equivalent CPU version. The simulation of the current induced on 10^3 pixels takes around 1 ms on the GPU, compared with approximately 10 s on the CPU. The results of the simulation are compared against data from a pixel-readout LArTPC prototype

The DUNE far detector vertical drift technology. Technical design report

DUNE is an international experiment dedicated to addressing some of the questions at the forefront of particle physics and astrophysics, including the mystifying preponderance of matter over antimatter in the early universe. The dual-site experiment will employ an intense neutrino beam focused on a near and a far detector as it aims to determine the neutrino mass hierarchy and to make high-precision measurements of the PMNS matrix parameters, including the CP-violating phase. It will also stand ready to observe supernova neutrino bursts, and seeks to observe nucleon decay as a signature of a grand unified theory underlying the standard model. The DUNE far detector implements liquid argon time-projection chamber (LArTPC) technology, and combines the many tens-of-kiloton fiducial mass necessary for rare event searches with the sub-centimeter spatial resolution required to image those events with high precision. The addition of a photon detection system enhances physics capabilities for all DUNE physics drivers and opens prospects for further physics explorations. Given its size, the far detector will be implemented as a set of modules, with LArTPC designs that differ from one another as newer technologies arise. In the vertical drift LArTPC design, a horizontal cathode bisects the detector, creating two stacked drift volumes in which ionization charges drift towards anodes at either the top or bottom. The anodes are composed of perforated PCB layers with conductive strips, enabling reconstruction in 3D. Light-trap-style photon detection modules are placed both on the cryostat's side walls and on the central cathode where they are optically powered. This Technical Design Report describes in detail the technical implementations of each subsystem of this LArTPC that, together with the other far detector modules and the near detector, will enable DUNE to achieve its physics goals

Consumo, digestibilidade total, produção de proteína microbiana e balanço de nitrogênio em dietas com subprodutos de frutas para ruminantes Intake, total digestibility, microbial protein production and the nitrogen balance in diets with fruit by-products for ruminants

Objetivou-se avaliar os efeitos da inclusão de subprodutos de frutas in natura (abacaxi, goiaba, mamão, manga e maracujá) e do nível (10 e 30%) utilizado na dieta de bovinos em substituição parcial à silagem de milho sobre o consumo e a digestibilidade total dos nutrientes, a produção de proteína microbiana (Pmic) e o balanço de nitrogênio e sobre a predição das frações digestíveis e nutrientes digestíveis totais (NDT) desses subprodutos. Todos os animais receberam silagem de milho e mistura ureia/sulfato de amônio (9:1) para que as rações se mantivessem isonitrogenadas. Os consumos de matéria seca (MS) (kg/dia), matéria orgânica (MO), proteína bruta (PB), fibra em detergente neutro (FDN) e NDT, além da digestibilidade de PB, extrato etéreo (EE) e carboidratos não-fibrosos (CNF) foram afetados pela origem do subproduto. Houve efeito para o nível de inclusão dos subprodutos na digestibilidade da PB e EE. Os subprodutos de mamão, manga e abacaxi apresentaram valor energético 23,1; 18,0 e 7,1%, respectivamente, superior ao da silagem de milho. A fonte do subproduto influenciou as excreções urinárias de derivados de purinas totais e purinas absorvidas e a produção de proteína microbiana, além da ingestão (g/dia), a excreção dos compostos nitrogenados nas fezes e na urina (g/dia) e o balanço de nitrogênio (g/dia). O nível de inclusão dos subprodutos na dieta afetou as excreções urinárias de derivados de purinas totais e purinas absorvidas e a produção de proteína microbiana. Os subprodutos de abacaxi, mamão e manga têm valor energético superior ao da silagem de milho e podem substituir parcialmente concentrados energéticos em dietas para ruminantes. O subproduto de maracujá tem potencial para substituir parcialmente volumosos em dietas para ruminantes. O subproduto de goiaba apresenta limitações para uso em dietas para ruminantes.<br>The objective of this study was to evaluate the effects of inclusion of by-product of fresh fruit (pineapple, guava, papaya, mango and passion fruit) used in the diet for bovines partly replacing corn silage on intake and total nutrient digestibility, on the production of microbial protein and the nitrogen balance and on prediction of digestible fractions and total digestible nutrients (TDN) of these by-products. All animals received corn silage and the urea/ammonium sulfate (9:1) mixture so diets would remain isonitrogenous. The intakes of dry matter (DM) (kg/day), organic matter (OM), crude protein (CP), neutral detergent fiber (NDF) and TDN, and the digestibility of CP, non-fibrous carbohydrates (NFC) and ether extract (EE) were affected by the source of the by-product. There was an effect for the level of inclusion of products in the digestibility of CP and EE. The by-products of papaya, mango and pineapple showed energy values of 23.1, 18.0 and 7.1% respectively, higher than corn silage. The source of the by-product influenced urinary excretion of derived from total purine, purine absorbed and production of microbial protein, in addition to the intake (g/day), the excretion in feces and urine (g/day) of nitrogen compounds and nitrogen balance (g/day). The level of inclusion of the by-product in the diet affect the urinary excretion of derived from total purine, purine absorbed and microbial protein production. The by-products of pineapple, papaya and mango have energy value higher than corn silage and they can partly replace energy concentrates in diets for ruminants. The by-product of passion fruit has the potential to partly replace roughage in the diets of ruminants. The by-product of guava has use limitations in diets of ruminants