PR prolongation as a predictor of atrial fibrillation onset: A state-of-the-art review.

First-degree atrioventricular block (1-AVB), characterized by a PR interval exceeding 200 milliseconds, has traditionally been perceived as a benign cardiac condition. Recently, this perception has been challenged by investigations that indicate a potential association between PR prolongation and an elevated risk of atrial fibrillation (AF). To consolidate these findings, we performed a comprehensive review to assess the available evidence indicating a relationship between these two conditions. We searched MEDLINE and EMBASE databases as well as manually searched references of retrieved articles. We selected 18 cohort studies/meta-analyses involving general and special populations. Consistent findings across expansive cohort studies reveal that incremental increases in the PR interval may serve as an independent risk factor for AF. However, our analyses underscore the need for further research into the association between 1-AVB, defined by a specified PR interval cutoff, and the risk of AF.

Identification of effective best management practices in sediment yield diminution using GeoWEPP: the Kasilian watershed case study.

Identifying areas that are susceptible to soil erosion is crucial for water resource planning and management efforts. Furthermore, modeling has proven helpful in recognizing and monitoring high-risk areas at the watershed scale. The Water Erosion Prediction Project (WEPP) geospatial interface (GeoWEPP) software integrates GIS with the WEPP to analyze the spatial variation in soil loss, and it has been used as a modeling tool to determine the areas that are most prone to soil erosion and to evaluate best management practices for the Kasilian watershed in Iran. As much as 62.4% of the agronomic land in the Kasilian watershed is affected by a high magnitude of erosion (>5 t/ha). On the basis of this study, by using soybeans, high fertilization levels, and the drill-no-tillage system, reductions of erosion by almost 32.68-34.02% are perceivable in three critical subwatersheds that are located in the cultivated lands. Also, it is projected that reductions in the production of sediment in the range of about 36.7-47.1% are achievable by structural management within two critical, upland subwatersheds. So, by utilizing the best management strategies, sediment yield can be lowered and the conservation of soil and water is feasible at the watershed scale. These results objectively indicate that GeoWEPP can be efficaciously used for evaluating effective management practices for developing watershed conservation.