Aripiprazole as protector against COVID-19 mortality.

The relation of antipsychotics with severe Coronavirus Disease 19 (COVID-19) outcomes is a matter of debate since the beginning of the pandemic. To date, controversial results have been published on this issue. We aimed to prove whether antipsychotics might exert adverse or protective effects against fatal outcomes derived from COVID-19. A population-based retrospective cohort study (January 2020 to November 2020) comprising inpatients (15,968 patients) who were at least 18 years old and had a laboratory-confirmed COVID-19 infection. Two sub-cohorts were delineated, comprising a total of 2536 inpatients: individuals who either had no prescription medication or were prescribed an antipsychotic within the 15 days preceding hospitalization. We conducted survival and odds ratio analyses to assess the association between antipsychotic use and mortality, reporting both unadjusted and covariate-adjusted results. We computed the average treatment effects, using the untreated group as the reference, and the average treatment effect on the treated, focusing solely on the antipsychotic-treated population. Among the eight antipsychotics found to be in use, only aripiprazole showed a significant decrease in the risk of death from COVID-19 [adjusted odds ratio (OR) = 0.86; 95% CI, 0.79-0.93, multiple-testing adjusted p-value < 0.05]. Importantly, these findings were consistent for both covariate-adjusted and unadjusted analyses. Aripiprazole has been shown to have a differentiated beneficial effect in protecting against fatal clinical outcome in COVID-19 infected individuals. We speculate that the differential effect of aripiprazole on controlling immunological pathways and inducible inflammatory enzymes, that are critical in COVID19 illness, may be associated with our findings herein.

Feasibility of mitigation measures for agricultural greenhouse gas emissions in the UK. A systematic review.

The UK Government has set an ambitious target of achieving a national "net-zero" greenhouse gas economy by 2050. Agriculture is arguably placed at the heart of achieving net zero, as it plays a unique role as both a producer of GHG emissions and a sector that has the capacity via land use to capture carbon (C) when managed appropriately, thus reducing the concentration of carbon dioxide (CO2) in the atmosphere. Agriculture's importance, particularly in a UK-specific perspective, which is also applicable to many other temperate climate nations globally, is that the majority of land use nationwide is allocated to farming. Here, we present a systematic review based on peer-reviewed literature and relevant "grey" reports to address the question "how can the agricultural sector in the UK reduce, or offset, its direct agricultural emissions at the farm level?" We considered the implications of mitigation measures in terms of food security and import reliance, energy, environmental degradation, and value for money. We identified 52 relevant studies covering major foods produced and consumed in the UK. Our findings indicate that many mitigation measures can indeed contribute to net zero through GHG emissions reduction, offsetting, and bioenergy production, pending their uptake by farmers. While the environmental impacts of mitigation measures were covered well within the reviewed literature, corresponding implications regarding energy, food security, and farmer attitudes towards adoption received scant attention. We also provide an open-access, informative, and comprehensive dataset for agri-environment stakeholders and policymakers to identify the most promising mitigation measures. This research is of critical value to researchers, land managers, and policymakers as an interim guideline resource while more quantitative evidence becomes available through the ongoing lab-, field-, and farm-scale trials which will improve the reliability of agricultural sustainability modelling in the future. Supplementary Information: The online version contains supplementary material available at 10.1007/s13593-023-00938-0.

Prevalence of urinary tract cancer in the Spanish cohort of the IDENTIFY study.

INTRODUCTION: Malignant tumors of the urinary tract are associated with high morbidity and mortality, and their prevalence can vary worldwide. Recently, the IDENTIFY study has published results on the prevalence of urinary tract cancer at a global level. This study evaluates the prevalence of cancer within the Spanish cohort of the IDENTIFY study to determine whether the published results can be extrapolated to our population. PATIENTS AND METHODS: An analysis of the data from the Spanish cohort of patients in the IDENTIFY study was performed. This is a prospective cohort of patients referred to secondary care with suspected cancer, predominantly due to hematuria. Patients were recruited between December 2017 and December 2018. RESULTS: A total of 706 patients from 9 Spanish centers were analyzed. Of these, 277 (39.2%) were diagnosed with cancer: 259 (36.7%) bladder cancer, 10 (1.4%) upper tract urothelial carcinoma, 9 (1.2%) renal cancer and 5 (0.7%) prostate cancer. Increasing age (OR 1.05 (95% CI 1.03-1.06; P < 0.001)), visible hematuria (VH) OR 2.19 (95% CI 1.13-4.24; P = 0.02)) and smoking (ex-smokers: OR 2.11(95% CI 1.30-3.40; P = 0.002); smokers: OR 2.36 (95% CI 1.40-3.95; P = 0.001)) were associated with higher probability of bladder cancer. CONCLUSION: This study highlights the risk of bladder cancer in patients with VH and smoking habits. Bladder cancer presented the highest prevalence; higher than the prevalence reported in previous series and presented in the IDENTIFY study. Future work should evaluate other associated factors that allow us to create cancer prediction models to improve the detection of cancer in our patients.

Grazing livestock move by Lévy walks: Implications for soil health and environment.

Grazing livestock plays an important role in the context of food security, agricultural sustainability and climate change. Understanding how livestock move and interact with their environment may offer new insights on how grazing practices impact soil and ecosystem functions at spatial and temporal scales where knowledge is currently limited. We characterized daily and seasonal grazing patterns using Global Positioning System (GPS) data from two grazing strategies: conventionally- and rotationally-grazed pastures. Livestock movement was consistent with the so-called Lévy walks, and could thus be simulated with Lévy-walk based probability density functions. Our newly introduced "Moovement model" links grazing patterns with soil structure and related functions by coupling animal movement and soil structure dynamics models, allowing to predict spatially-explicit changes in key soil properties. Predicted post-grazing management-specific bulk densities were consistent with field measurements and confirmed that rotational grazing produced similar disturbance as conventional grazing despite hosting higher stock densities. Harnessing information on livestock movement and its impacts in soil structure within a modelling framework can help testing and optimizing grazing strategies for ameliorating their impact on soil health and environment.

Three environmental dimensions of beef cattle in tropical feedlot: Water, nutrients and land.

This study aims to evaluate water, land, and nutrient efficiencies in a tropical beef feedlot system by providing artificial shading and considering local conditions and feed cultivation. The study was conducted at the Experimental Feedlot of Embrapa Southeast Livestock in Brazil. Forty-eight Nellore bulls were divided into two groups, with one group having shade (GS) and the other without shade (GWS). The animals' body weights, water intake, and dry matter intake were recorded. The water footprint was calculated using a product-focused assessment, considering water consumed in feed production and animal drinking. The nutrient balance and land footprint were also assessed. To both treatments, the crop scenario with soybean and corn first crop produced in Maringa resulted in the lowest water and land footprint values. Corn was the main contributor to green water consumption. The efficiency in water use for corn decreased between the first and second crops. The water footprint of soybean meal varied between production locations. GWS had slightly higher average blue water consumption than GS. In terms of nutrient balance, the GS treatment exhibited lower nitrogen and phosphorus balance values, indicating higher efficiency in the use of these elements. The provision of artificial shading was found to reduce the water footprint and improve nutrient use efficiency. The location of grain production and the timing of corn planting were identified as key factors influencing water and land footprint values.

Chronotype delay and sleep disturbances shaped by the Antarctic polar night.

Chronotype is a reliable biomarker for studying the influence of external zeitgebers on circadian entrainment. Assessment of chronotype variation in participants exposed to extreme photoperiods may be useful to investigate how changes in light-dark cycle modulate the circadian system. This study aimed to examine chronotype and sleep changes during a winter campaign at the Argentine Antarctic station Belgrano II. A sample of 82 men who overwintered in Antarctica completed the Munich Chronotype Questionnaire during March (daylight length: 18.6 h), May (daylight length: 2.8 h), July (daylight length: 0 h), September (daylight length: 14.5 h), November (daylight length: 24 h). The main results showed a decrease in sleep duration and a delay in chronotype and social jetlag during the polar night, highlighting the influence of social cues and the impact of the lack of natural light on circadian rhythms.

Comparison of the welfare of beef cattle in housed and grazing systems: hormones, health, and behaviour.

Animal welfare encompasses all aspects of an animal's life and the interactions between animals. Consequently, welfare must be measured across a variety of factors that consider aspects such as health, behaviour, and mental state. Decisions regarding housing and grazing are central to farm management. In this study, two beef cattle systems and their herds were compared from weaning to slaughter across numerous indicators. One herd ("HH") were continuously housed, the other ("HG") were housed only during winter. Inspections of animals were conducted to assess body condition, cleanliness, diarrhoea, hairlessness, nasal discharge, and ocular discharge. Hair and nasal mucus samples were taken for quantification of cortisol and serotonin. Qualitative behaviour assessments (QBA) were also conducted and performance monitored. Physical health indicators were similar between herds with the exception of nasal discharge which was more prevalent in HH (P < 0.001). During winter, QBA yielded differences between herds over PC1 (arousal) (P = 0.032), but not PC2 (mood) (P = 0.139). Through summer, there was a strong difference across both PC1 (P < 0.001) and PC2 (P = 0.002), with HG exhibiting more positive behaviour. A difference was found in hair cortisol levels, with the greatest concentrations observed in HG (P = 0.011), however such a pattern was not seen for nasal mucus cortisol, or for serotonin. Overall, providing summer grazing (HG) appeared to afford welfare benefits to the cattle as shown with more positive QBA assessments, but also slightly better health indicators, notwithstanding the higher levels of cortisol in that group.

Evaluation of the susceptibility of Tritrichomonas foetus to extracts of Lantana camara (Verbenaceae) by flow cytometry.

Bovine Trichomonosis (BT), a sexually transmitted disease endemic in countries with extensive cattle farming and natural service, is one of the most common causes of reproductive failure. 5-nitroimidazoles and their derivatives are used for its treatment, mainly metronidazole. The emergence of drug resistance mechanisms and treatment failures raise the need to investigate the effectiveness of new active compounds that contribute to parasite control. In this regard, extracts of Lantana camara (Verbenacea) have shown high biocidal potential against isolates of Trypanosoma cruzi and Leishmania braziliensis in vitro assays, although their effect on Tritrichomonas foetus has not been demonstrated yet. The available information on in vitro susceptibility of trichomonicidal drugs comes from the use of a diversity of methodologies and criteria, especially the observation of parasite motility under the optical microscope to assess their viability. Recently, in our laboratory, the use of flow cytometry has been described for the first time as a rapid and efficient method to evaluate the viability of T. foetus against metronidazole. The present study aimed to evaluate the cytostatic effect of L. camara extracts against T. foetus isolates by flow cytometry. Under aerobic conditions, IC50 values of 22.60 µg/mL were obtained on average. Under anaerobic conditions, the IC50 oscilated around 29.04 µg/mL. The results obtained allowed describing the susceptibility exhibited by these protozoa, being a valuable information for the development of potential BT treatments.

Rethinking efficiency: Growth curves as a proxy for inputs and impacts in finishing beef systems.

Quantifying and improving efficiency within beef systems is essential for economic and environmental sustainability. The industry standard for assessing efficiency is liveweight gain per day, however, this metric is limited in that it values each day of a growing animal's life as equally costly, despite the increasing maintenance requirements, inputs, and emissions associated with increasing liveweight. Quantifying the area under the growth curve (AUC) considers both time and liveweight as a cost and therefore may hold potential as a better estimate of cost, impact, and efficiency in beef systems. Liveweight data was taken from 439 finishing beef cattle split across three herds grazing on different pastures, known as 'farmlets'. Analysis was conducted in three parts: [1] Validation of AUC as a proxy for costs using data from a sub-set of 87 animals that had been part of a previous life cycle assessment (LCA) study in which dry matter intake (DMI), methane emissions (CH4), and nitrous oxide emissions (N2O) were calculated. [2] Calculation of AUC relative to liveweight gain (LWG AUC-1) and comparison of that metric against the industry standard of liveweight gain per day (LWG day-1). [3] Assessment of how LWG AUC-1 varied with breed, sex, and management. When comparing to LCA results, AUC correlated significantly with DMI (r = 0.886), CH4 (r = 0.788) and N2O (r = 0.575) emissions. Over the full dataset, there was a negative non-linear relationship between LWG AUC-1 and slaughter age (r = -0.809). There was a significant difference in LWG AUC-1 between breeds (p = 0.046) and farmlets (p = 0.028), but not sex (p = 0.388). LWG AUC-1 has the potential to act as a proxy for feed intake and emissions. In that regard it is superior to LWG day-1, whilst requiring no additional data. Results highlighted the decreasing efficiency of beef cattle over time and the potential benefits of earlier slaughter. The use of LWG AUC-1 could allow farmers to improve their understanding of efficiency within their herds, aiding informed management decision making.

Variations in the carbohydrate expression pattern and in lesions of the uterine horns of BALB/c mice infected with different Tritrichomonas foetus isolates.

Bovine tritrichomonosis, a sexually transmitted disease caused by the protozoan Tritrichomonas foetus, is characterized by producing reproductive alterations in cattle. Carbohydrates on the surface of the uterine epithelium are involved in the process of adhesion and colonization of the protozoan. The murine model has proved to be an inexpensive, practical and representative alternative to study the lesions produced in the natural host. For this work, during the first stage, 6-8 week old female BALB/c mice were inoculated with 24 different T. foetus isolates in order to classify them according to their pathogenicity. Then, seven isolates were selected and processed with lectin histochemistry to determine if the differences in pathogenicity corresponded to the changes found in the uterine carbohydrate expression pattern. In this work, we demonstrate the differences in the expression of the carbohydrate pattern between infected and uninfected mice. In addition, within the group of infected mice, differences were found in the degree of pathogenicity of the isolates, thus evidencing their biological variability.

V-QBA vs. QBA-How Do Video and Live Analysis Compare for Qualitative Behaviour Assessment?

Animal welfare is an inextricable part of livestock production and sustainability. Assessing welfare, beyond physical indicators of health, is challenging and often relies on qualitative techniques. Behaviour is a key component of welfare to consider and Qualitative Behaviour Assessment (QBA) aims to achieve this by systematically scoring behaviour across specific terms. In recent years, numerous studies have conducted QBA by using video footage, however, the method was not originally developed using video and video QBA (V-QBA) requires validation. Forty live QBAs were conducted, by two assessors, on housed beef cattle to help fill this validation gap. Video was recorded over the assessment period and a second video assessment was conducted. Live and video scores for each term were compared for both correlation and significant difference. Principle component analysis (PCA) was then conducted and correlations and differences between QBA and V-QBA for the first two components were calculated. Of the 20 terms, three were removed due to an overwhelming majority of scores of zero. Of the remaining 17 terms, 12 correlated significantly, and a significant pairwise difference was found for one ("Bored"). QBA and V-QBA results correlated across both PC1 (defined as "arousal") and PC2 (defined as "mood"). Whilst there was no significant difference between the techniques for PC1, there was for PC2, with V-QBA generally yielding lower scores than QBA. Furthermore, based on PC1 and PC2, corresponding QBA and V-QBA scores were significantly closer than would be expected at random. Results found broad agreement between QBA and V-QBA at both univariate and multivariate levels. However, the lack of absolute agreement and muted V-QBA results for PC2 mean that caution should be taken when implementing V-QBA and that it should ideally be treated independently from live QBA until further evidence is published. Future research should focus on a greater variety of animals, environments, and assessors to address further validation of the method.

Coral composition and bottom-wave metrics improve understanding of the patchiness of cyclone damage on reefs.

Coral reefs are likely to be exposed to more intense cyclones under climate change. Cyclone impacts are spatially highly variable given complex hydrodynamics, and coral-specific sensitivity to wave impacts. Predicting reef vulnerability to cyclones is critical to management but requires high resolution environmental data that are difficult to obtain over broad spatial scales. Using 30m-resolution wave modelling, we tested cyclonic and non-cyclonic wave metrics as predictors of coral damage on 22 reefs after severe cyclone Ita impacted the northern Great Barrier Reef, Australia in 2014. Analyses of coral cover change accounting for the type of coral along a gradient of vulnerability to wave damage (e.g., massive, branching, Acroporids) excluded cyclone-generated surface wave metrics (derived from wave height) as important predictors. Increased bottom stress wave environment (near-bed wave orbital velocity) due to Ita (Ita-Ub) explained spatial patterns of 17% to 46% total coral cover loss only when the initial abundance of Acroporids was accounted for, and only when exceeding 35% cover. Greater coral losses occurred closer to the cyclone path irrespective of coral type. Massive and encrusting corals, however, had losses exacerbated in higher non-cyclonic bottom-wave energy environments (nc-Ub). The effect of community composition on structural vulnerability to wave damage was more important predicting damage that the magnitude of the cyclone-generated waves, especially when reefs are surveyed well beyond where damaging waves are expected to occur. Exposure to Ita-Ub was greater in typically high nc-Ub environments with relatively low cover of the most fragile morphologies explaining why these were the least affected overall. We reveal that the common surface-wave metrics of cyclone intensity may not always be able to predict spatial impacts and conclude that reef vulnerability assessments need to account for chronic wave patterns and differences in community composition in order to provide predictive tools for future conservation and restoration.

Does cattle and sheep grazing under best management significantly elevate sediment losses? Evidence from the North Wyke Farm Platform, UK.

PURPOSE: Intensive livestock grazing has been associated with an increased risk of soil erosion and concomitant negative impacts on the ecological status of watercourses. Whilst various mitigation options are promoted for reducing livestock impacts, there is a paucity of data on the relationship between stocking rates and quantified sediment losses. This evidence gap means there is uncertainty regarding the cost-benefit of policy preferred best management. METHODS: Sediment yields from 15 hydrologically isolated field scale catchments on a heavily instrumented ruminant livestock farm in the south west UK were investigated over ~ 26 months spread across 6 years. Sediment yields were compared to cattle and sheep stocking rates on long-term, winter (November-April), and monthly timescales. The impacts of livestock on soil vegetation cover and bulk density were also examined. Cattle were tracked using GPS collars to determine how grazing related to soil damage. RESULTS: No observable impact of livestock stocking rates of 0.15-1.00 UK livestock units (LU) ha-1 for sheep, and 0-0.77 LU ha-1 for cattle on sediment yields was observed at any of the three timescales. Cattle preferentially spent time close to specific fences where soils were visually damaged. However, there was no indication that livestock have a significant effect on soil bulk density on a field scale. Livestock were housed indoors during winters when most rainfall occurs, and best management practices were used which when combined with low erodibility clayey soils likely limited sediment losses. CONCLUSION: A combination of clayey soils and soil trampling in only a small proportion of the field areas lead to little impact from grazing livestock. Within similar landscapes with best practice livestock grazing management, additional targeted measures to reduce erosion are unlikely to yield a significant cost-benefit. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s11368-021-02909-y.

Estudio descriptivo sobre el perfil de los pacientes derivados a la Unidad de Tratamiento del Dolor Crónico del Hospital Universitario de Gran Canaria Dr. Negrín (utdc-hugcdn) como base para la reorganización de esta / Descriptive study on the profile of patients sent to the Chronic Pain Treatment Unit of the University Hospital of Gran Canaria Dr. Negrín (utdc-hugcdn) as a basis for the reorganization of this

Objetivo: Conocer las necesidades y fortalezas de nuestra Unidad derivadas del conocimiento del perfil de paciente que es remitido para la atención en la misma. Pacientes y métodos: Estudio descriptivo transversal sobre 5000 pacientes derivados a nuestra Unidad entre 2017 y 2020. Se recogieron de forma anónima los siguientes datos: número de pacientes remitidos por mes, edad, sexo, servicio remisor, localización del dolor, pacientes/interconsultas preferentes, rechazados y atendidos previamente. De los 1000 primeros pacientes también se registraron los antecedentes quirúrgicos, existencia o no de obesidad y consumo de fármacos psicoactivos. Resultados: Son derivados para valoración unos 1560 pacientes de media anuales (130 al mes), con una edad media de 59,8 años (± 14,3) de los cuales el 62,6 % son mujeres. Un 62,08 % se encontraba en edad laboral. Los servicios asistenciales que remitieron más pacientes fueron: Traumatología, Neurocirugía, Unidad de Raquis y Rehabilitación. El 6,6 % de las derivaciones fueron calificadas como preferentes. Fueron rechazadas el 9,98 % de las interconsultas. Los tipos de dolores según su localización más frecuentes fueron: lumbalgia, cervicalgia y dolores generalizados. Se constató la toma habitual de ansiolíticos y/o antidepresivos en un 34,9 %, el 10,8 % eran obesos y el 10,3 % sufrían dolor crónico postquirúrgico. Conclusiones: El perfil del paciente predominante derivado a nuestra unidad suele ser el de un adulto mayor, en edad laboral, de género femenino, derivado desde el servicio de Traumatología y con dolor en la región lumbar, perfil muy similar al descrito en otras unidades del dolor del mundo occidental desarrollado. Más de 1 de cada 3 pacientes puede sufrir ansiedad y/o depresión, siendo también muy frecuente el dolor postquirúrgico y la obesidad.(AU)

Objective: Determine the shortcomings and strengths of our pain clinic derived from the knowledge of the profile of the patients who are referred for care in the clinic. Patients and methods: Cross-sectional descriptive study on 5000 patients referred to our pain clinic between 2017 y 2020. The following data were collected: number of patients referred per month, age, sex, referring service, location of pain, patients referred preferentially, rejected patients, and previously attended consultations. Data on surgical history, obesity, and use of psychoactive drugs were also recorded for the first 1000 patients. Results: An average of 1560 patients were referred for evaluation per year (130 per month), with a mean age of 59.8 years (± 14.3) of which 62.6 % are women and 62.08 % were of working age. The healthcare services that referred the most patients were Orthopedic Surgery, Neurosurgery, Spine Unit and Rehabilitation. 6.6 % of the requests were derived preferentially. Of the referrals, 9.98 % were rejected. The most frequent pain locations were low back pain, neck pain and generalized pain. In the The usual taking of anxiolytics and / or antidepressants was found in 34.9 %, 10.8 % were diagnosed as obese and 10.3 % were referred for chronic postoperative pain. Conclusions: The profile of the predominant patient referred to our pain clinic is an older adult, of working age, female, referred from the orthopedics department and with pain in the lumbar region. This described profile is very similar to other pain units in the developed western world. Almost one in 3 patients may suffer from anxiety and / or depression, and post-surgical pain and obesity are also very common.(AU)

Comparative Expression Profiling and Sequence Characterization of ATP1A1 Gene Associated with Heat Tolerance in Tropically Adapted Cattle.

Climate change is an imminent threat to livestock production. One adaptation strategy is selection for heat tolerance. While it is established that the ATP1A1 gene and its product play an important role in the response to many stressors, there has been no attempt to characterize the sequence or to perform expression profiling of the gene in production animals. We undertook a field experiment to compare the expression profiles of ATP1A1 in heat-tolerant Vechur and Kasaragod cattle (Bos taurus indicus) with the profile of a heat-susceptible crossbreed (B. t. taurus × B. t. indicus). The cattle were exposed to heat stress while on pasture in the hot summer season. The environmental stress was quantified using the temperature humidity index (THI), while the heat tolerance of each breed was assessed using a heat tolerance coefficient (HTC). The ATP1A1 mRNA of Vechur cattle was amplified from cDNA and sequenced. The HTC varied significantly between the breeds and with time-of-day (p < 0.01). The breed-time-of-day interaction was also significant (p < 0.01). The relative expression of ATP1A1 differed between heat-tolerant and heat-susceptible breeds (p = 0.02). The expression of ATP1A1 at 08:00, 10:00 and 12:00, and the breed-time-of-day interaction, were not significant. The nucleotide sequence of Vechur ATP1A1 showed 99% homology with the B. t. taurus sequence. The protein sequence showed 98% homology with B. t. taurus cattle and with B. grunniens (yak) and 97.7% homology with Ovis aries (sheep). A molecular clock analysis revealed evidence of divergent adaptive evolution of the ATP1A1 gene favoring climate resilience in Vechur cattle. These findings further our knowledge of the relationship between the ATP1A1 gene and heat tolerance in phenotypically incongruent animals. We propose that ATP1A1 could be used in marker assisted selection (MAS) for heat tolerance.