European Society of Cardiology: cardiovascular disease statistics 2021.

AIMS: This report from the European Society of Cardiology (ESC) Atlas Project updates and expands upon the widely cited 2019 report in presenting cardiovascular disease (CVD) statistics for the 57 ESC member countries. METHODS AND RESULTS: Statistics pertaining to 2019, or the latest available year, are presented. Data sources include the World Health Organization, the Institute for Health Metrics and Evaluation, the World Bank, and novel ESC sponsored data on human and capital infrastructure and cardiovascular healthcare delivery. New material in this report includes sociodemographic and environmental determinants of CVD, rheumatic heart disease, out-of-hospital cardiac arrest, left-sided valvular heart disease, the advocacy potential of these CVD statistics, and progress towards World Health Organization (WHO) 2025 targets for non-communicable diseases. Salient observations in this report: (i) Females born in ESC member countries in 2018 are expected to live 80.8 years and males 74.8 years. Life expectancy is longer in high income (81.6 years) compared with middle-income (74.2 years) countries. (ii) In 2018, high-income countries spent, on average, four times more on healthcare than middle-income countries. (iii) The median PM2.5 concentrations in 2019 were over twice as high in middle-income ESC member countries compared with high-income countries and exceeded the EU air quality standard in 14 countries, all middle-income. (iv) In 2016, more than one in five adults across the ESC member countries were obese with similar prevalence in high and low-income countries. The prevalence of obesity has more than doubled over the past 35 years. (v) The burden of CVD falls hardest on middle-income ESC member countries where estimated incidence rates are ∼30% higher compared with high-income countries. This is reflected in disability-adjusted life years due to CVD which are nearly four times as high in middle-income compared with high-income countries. (vi) The incidence of calcific aortic valve disease has increased seven-fold during the last 30 years, with age-standardized rates four times as high in high-income compared with middle-income countries. (vii) Although the total number of CVD deaths across all countries far exceeds the number of cancer deaths for both sexes, there are 15 ESC member countries in which cancer accounts for more deaths than CVD in males and five-member countries in which cancer accounts for more deaths than CVD in females. (viii) The under-resourced status of middle-income countries is associated with a severe procedural deficit compared with high-income countries in terms of coronary intervention, ablation procedures, device implantation, and cardiac surgical procedures. CONCLUSION: Risk factors and unhealthy behaviours are potentially reversible, and this provides a huge opportunity to address the health inequalities across ESC member countries that are highlighted in this report. It seems clear, however, that efforts to seize this opportunity are falling short and present evidence suggests that most of the WHO NCD targets for 2025 are unlikely to be met across ESC member countries.

Automatic Personality Assessment through Movement Analysis.

Obtaining accurate and objective assessments of an individual's personality is vital in many areas including education, medicine, sports and management. Currently, most personality assessments are conducted using scales and questionnaires. Unfortunately, it has been observed that both scales and questionnaires present various drawbacks. Their limitations include the lack of veracity in the answers, limitations in the number of times they can be administered, or cultural biases. To solve these problems, several articles have been published in recent years proposing the use of movements that participants make during their evaluation as personality predictors. In this work, a multiple linear regression model was developed to assess the examinee's personality based on their movements. Movements were captured with the low-cost Microsoft Kinect camera, which facilitates its acceptance and implementation. To evaluate the performance of the proposed system, a pilot study was conducted aimed at assessing the personality traits defined by the Big-Five Personality Model. It was observed that the traits that best fit the model are Extroversion and Conscientiousness. In addition, several patterns that characterize the five personality traits were identified. These results show that it is feasible to assess an individual's personality through his or her movements and open up pathways for several research.

Nosocomial SARS-CoV-2 infection in urology departments: Results of a prospective multicentric study.

OBJECTIVE: To evaluate the coronavirus disease 2019 perioperative infection rate and mortality rate of patients undergoing urological surgeries during the early pandemic period in Spain. METHODS: This was a non-interventional multicenter prospective study carried out from 9 March to 3 May 2020 in two urology departments in Madrid, Spain. Clinical, microbiological and radiological data of patients who underwent surgery were collected from computerized medical records. RESULTS: A total of 148 patients were included in the study, and 141 were analyzed for nosocomial infection risk, after excluding previous and concomitant severe acute respiratory syndrome coronavirus type 2 infections. Elective surgeries represented 76.6% of the procedures, whereas emergent surgeries represented 23.4%. Preoperative screening was carried out with polymerase chain reaction test in 34 patients, all were negative. A total of 14 patients also had chest X-ray (not suspicious in all cases). Three patients (2.1%) developed severe acute respiratory syndrome coronavirus type 2 nosocomial infection (symptoms developed between the third day after surgery to the 14th day after hospital discharge). Time from admission to a compatible clinical case was 5.5 days (4-12 days). Two patients underwent surgery with concomitant diagnosis of coronavirus disease. The mortality rate due to severe acute respiratory syndrome coronavirus type 2 infection is 0.7%, and the specific mortality rate in patients undergoing surgery with community-acquired coronavirus disease 2019 infection was 50% (1/2). CONCLUSIONS: The nosocomial severe acute respiratory syndrome coronavirus type 2 infection rate was low in patients undergoing urological surgical procedures during the peak of the pandemic in Madrid. With appropriate perioperative screening, urological surgical activity can be carried out in safety conditions.

Automatic Change Detection System over Unmanned Aerial Vehicle Video Sequences Based on Convolutional Neural Networks.

In recent years, the use of unmanned aerial vehicles (UAVs) for surveillance tasks has increased considerably. This technology provides a versatile and innovative approach to the field. However, the automation of tasks such as object recognition or change detection usually requires image processing techniques. In this paper we present a system for change detection in video sequences acquired by moving cameras. It is based on the combination of image alignment techniques with a deep learning model based on convolutional neural networks (CNNs). This approach covers two important topics. Firstly, the capability of our system to be adaptable to variations in the UAV flight. In particular, the difference of height between flights, and a slight modification of the camera's position or movement of the UAV because of natural conditions such as the effect of wind. These modifications can be produced by multiple factors, such as weather conditions, security requirements or human errors. Secondly, the precision of our model to detect changes in diverse environments, which has been compared with state-of-the-art methods in change detection. This has been measured using the Change Detection 2014 dataset, which provides a selection of labelled images from different scenarios for training change detection algorithms. We have used images from dynamic background, intermittent object motion and bad weather sections. These sections have been selected to test our algorithm's robustness to changes in the background, as in real flight conditions. Our system provides a precise solution for these scenarios, as the mean F-measure score from the image analysis surpasses 97%, and a significant precision in the intermittent object motion category, where the score is above 99%.

European Society of Cardiology: cardiovascular disease statistics 2021: Executive Summary.

AIMS: This report from the European Society of Cardiology (ESC) Atlas Project updates and expands upon the widely cited 2019 report in presenting cardiovascular disease (CVD) statistics for the 57 ESC member countries. METHODS AND RESULTS: Statistics pertaining to 2019, or the latest available year, are presented. Data sources include the World Health Organization, the Institute for Health Metrics and Evaluation, the World Bank, and novel ESC sponsored data on human and capital infrastructure and cardiovascular healthcare delivery. New material in this report includes sociodemographic and environmental determinants of CVD, rheumatic heart disease, out-of-hospital cardiac arrest, leftsided valvular heart disease, the advocacy potential of these CVD statistics, and progress towards World Health Organization (WHO) 2025 targets for non-communicable diseases. Salient observations in this report: (i) Females born in ESC member countries in 2018 are expected to live 80.8 years and males 74.8 years. Life expectancy is longer in high income (81.6 years) compared with middle-income (74.2 years) countries. (ii) In 2018, high-income countries spent, on average, four times more on healthcare than middle-income countries. (iii) The median PM2.5 concentrations in 2019 were over twice as high in middle-income ESC member countries compared with high-income countries and exceeded the EU air quality standard in 14 countries, all middle-income. (iv) In 2016, more than one in five adults across the ESC member countries were obese with similar prevalence in high and low-income countries. The prevalence of obesity has more than doubled over the past 35 years. (v) The burden of CVD falls hardest on middle-income ESC member countries where estimated incidence rates are ∼30% higher compared with high-income countries. This is reflected in disability-adjusted life years due to CVD which are nearly four times as high in middle-income compared with high-income countries. (vi) The incidence of calcific aortic valve disease has increased seven-fold during the last 30 years, with age-standardized rates four times as high in high-income compared with middle-income countries. (vii) Although the total number of CVD deaths across all countries far exceeds the number of cancer deaths for both sexes, there are 15 ESC member countries in which cancer accounts for more deaths than CVD in males and five-member countries in which cancer accounts for more deaths than CVD in females. (viii) The under-resourced status of middle-income countries is associated with a severe procedural deficit compared with high-income countries in terms of coronary intervention, ablation procedures, device implantation, and cardiac surgical procedures. CONCLUSION: Risk factors and unhealthy behaviours are potentially reversible, and this provides a huge opportunity to address the health inequalities across ESC member countries that are highlighted in this report. It seems clear, however, that efforts to seize this opportunity are falling short and present evidence suggests that most of the WHO NCD targets for 2025 are unlikely to be met across ESC member countries.

The status of the species Beijerinckia fluminensis Dobereiner and Ruschel 1958. Request for an Opinion.

In a previous article [Oggerin M., Arahal, D. R., Rubio, V. & Marin, I. (2009). Int J Syst Evol Microbiol 59, 2323-2328], it has been shown that strain Beijerinckia fluminensis UQM 1685(T) and its derived equivalent B. fluminensis CIP 106281(T) do not conform to the description of the type strain of Beijerinckia fluminensis Döbereiner and Ruschel 1958. Indeed, both strains were identified as members of the species Rhizobium radiobacter and exhibited marked phenotypic and genotypic differences with members of the genus Beijerinckia. It was concluded that both strains, and any other equivalents derived from them, do not descend from the nomenclatural type. Since then, our attempts to find older deposits of the type strain, hopefully derived from the original isolate, or other existing strains of Beijerinckia fluminensis that could be proposed as a neotype strain, have been in vain. It is therefore proposed that the Judicial Commission should place the name Beijerinckia fluminensis Döbereiner and Ruschel 1958 on the list of rejected names if a suitable replacement type strain or a neotype cannot be found within two years following the publication of this Request (Rule 18c).

Are we more consistent when talking about ourselves than when behaving? Consistency differences through a questionnaire and an objective task.

The present paper aimed to examine questionnaire response patterns and objective task-based test behavioral patterns in order to analyze the differences people show in consistency. It is hypothesized that people tend to be more consistent when talking about themselves (when describing themselves through verbal statements) that when they solve a task (when behaving). Consistency is computed using the pi* statistic (Hernandez, Rubio, Revuelta, & Santacreu, 2006). According to this procedure, consistency is defined as the value and the dimensionality of the latent trait of an individual (theta) remaining invariant through out the test of. Participants who are consistent must show a constant theta and follow a given response pattern during the entire course of the test. A sample of 3,972 participants was used. Results reveal that 68% of participants showed a consistent response pattern when completing the questionnaire. When tackling the task-based test, the percentage was 66%. 45% of individuals showed a consistent pattern in both tests. Implications for personality and individual differences assessment are discussed.

Gamifying App-Based Low-Intensity Psychological Interventions to Prevent Sports Injuries in Young Athletes: A Review and Some Guidelines.

Sports injuries have become a real health concern. Particularly noticeable is the increasing number of severe sports injuries among young people. Sports injury (SI) is a multifactorial event where many internal and external, proximal and remote factors play a role in a recursive way, including physical and psychological variables. Accordingly, many voices expressing the need of tackling that and several prevention programs have arisen. Nevertheless, different barriers and limitations prevent a wide extension of well-controlled programs, closely monitored by highly specialized professionals in ordinary sports grass-root organizations. These have helped flourishing different low intensity (LI)-interventions and e-Health apps focusing on both physical warmup, training and fitness, and mental skills aimed at reducing athlete's vulnerability to SIs. This kind of intervention usually uses self-administered techniques and/or non-specialized staff that can effectively monitoring the program. In fact, LI-interventions have shown to be effective coping with different health and psychological issues. However, these interventions face an important challenge: the lack of engagement people usually show. The current paper proposes how gamification can contribute to the engagement to such interventions. Based on the mechanics-dynamics-aesthetics framework to analyze game design, the paper suggests a set of guidelines app- and web-LI interventions aimed at preventing SIs should include to foster motivation and reduce attrition.

PSIXPORT: Mobile App for Ecological Momentary Assessment of Psychological Dimensions in Sport Injury.

Retrospective self-reports have been commonly used to assess psychological variables such as feelings, thoughts, or emotions. Nevertheless, this method presents serious limitations to gather accurate information about variables that change over time. The Ecological Momentary Assessment (EMA) approach has been used to deal with some of the limitations these retrospective assessment methods present, and for gathering real-time information about dynamic psychological variables, such as feelings, thoughts, or behaviors. In the sports injury rehabilitation context, athletes' thoughts, feelings, behaviors, and pain perceptions during the rehabilitation process can influence the outcomes of this process. These responses change over different stages of the rehabilitation and taking them into account can help therapists to adapt the rehabilitation process and increasing their effectiveness. With this aim, an EMA mobile app (PSIXPORT) was designed to gather real-time information about severely injured athletes' cognitive appraisals, emotional responses, behaviors, and pain perceptions during their rehabilitation process. The goals of this study were to evaluate Psixport's ability to gather real-time information about injured athletes' psychological responses during the rehabilitation, to test the users' perceived usability of Psixport, and to compare the reliability and differences between real-time data gathered with Psixport and the data gathered through the one-time retrospective method. Twenty-eight severely injured athletes (10 men and 18 women) were assessed using Psixport, a retrospective questionnaire, and the uMARS usability test. Results showed that Psixport can be considered as a good tool to gather information about injured athletes' cognitive appraisals, emotional responses, behaviors, and pain perceptions. Moreover, multiple data assessments gathered with the app showed to be more accurate information about injured athletes' psychological responses than one-time retrospective reports.

Athletes' Psychological Adaptation to Confinement Due to COVID-19: A Longitudinal Study.

Studies of individuals under conditions of confinement or severe social and physical restrictions have consistently shown deleterious mental health effects but also high levels of adaptability when dealing with such conditions. Considering the role of physical activity and sport in psychological adaptation, this paper describes a longitudinal study to explore to what extent the imposed restrictions due to the outbreak of SARS-CoV-2 may have affected athletes' mental health outcomes and how far the process of adaptation to confinement conditions is differentially affected depending on whether the sports activity was practiced individually or in a group, and outdoors, indoors, or both. Two hundred and seventy-four athletes were assessed over 7 weeks using the GHQ-28 and an ad hoc survey exploring the practice of physical activity. A mixed-model fixed effects ANCOVA was used to analyze the effects of time, place, and company in which the sport was practiced, with an index of the amount of physical activity expended as a covariate. Results show a significant effect of time in three out of four of the GHQ-28 subscales, in all cases showing a consistent adaptation to conditions over time. Results also show that playing sport indoors, outdoors, or both, and practicing alone vs. with others differentially affect the somatic symptoms exhibited during confinement: Athletes who practiced sport with others showed higher levels of somatic symptoms at the beginning of the set of data but a quicker rate of adaptation. Differences arising from practicing sport alone or with others were more pronounced in the case of indoor sports, which could be related to the fact that physical activity that can be practiced during confinement is more similar to that practiced indoors alone. Implications relating to what sport psychologists and other health professionals may offer to athletes in stressful situations are discussed.

Understanding the dimensions of sport-injury related growth: A DELPHI method approach.

Despite the multitude of adverse physical and psychosocial consequences of sports injury, evidence also highlights the potential for positive benefits in the injury aftermath. The purpose of this study is to address this gap by exploring the dimensions of personal growth following a severe sports injury. A 3-rounds e-Delphi method was utilized to develop a consensual understanding of the dimensions of sport-injury related growth. A panel of 24 psychology of sport injury experts participated in the process. The final list of items obtained was subjected to conventional content analysis to identify general themes. The process led to the development of a 5-dimension model capable of describing athletes' experiences of personal growth following a severe sports-related injury: personal strength, improved social life, health benefits, sport benefits, and social support and recognition. The domains of sport-injury related growth identified here are consistent with growth-domains identified in previous personal growth literature. However, they also highlight the importance of contextualizing the experience of growth. We have captured key elements of sport-injury related growth, domains that can be used as the basis for further psychometric testing and for further interventions to increase adjustment and well-being during the rehabilitation process.

A Bayesian Approach to Sport Injuries Likelihood: Does Player's Self-Efficacy and Environmental Factors Plays the Main Role?

The psychological factors of sports injuries constitute a growing field of study, even from the point of view of the prediction of their occurrence. Most of them, however, do not take into account the likelihood of the injuries' occurrence and the weight and role of the psychological variables on it. We conducted a study building up a Bayesian Network on a big sample of athletes, trying to assess these probabilistic links among several relevant psychological variables and the injuries' occurrence. The sample was constituted by 297 athletes (239 males, 58 females) from a wide range of sports: track and field; judo; fencing; karate; boxing; swimming; kayaking; artistic rollerskating, and team sports as football, basketball, and handball (Mean age: 25.10 ±-3.87; range: 21-38 years). Several psychological variables, such as anxiety, social support, and self-efficacy were studied. Also, we recorded the history of injuries as well the body mass index and personal epidemiological data. The overall picture of the generated graph and Bayesian Network and its analysis - including the use of hypothetical data by means of several instantiations - includes the nuclear role of the Self-Efficacy regarding the injuries' occurrence likelihood; the decreasing impact of the competitive anxiety previous to the injury; the probabilistic independence of the players' risk behaviors, and the relevance of the environmental clues such the use of coping strategies and social support in order to build up a good level of Self-Efficacy after the occurrence of an injury. All these data are relevant when designing both preventive and recovery interventions from the multidisciplinary as well as from the psychological point of view.

Resilience, stress and injuries in the context of the Brazilian elite rhythmic gymnastics.

The study had the goal to study the relationship between resilience, stress and injuries in the sport context. Eight female athletes, part of the Rhythmic Gymnastics Brazilian Team along the Olympic Cycle 2015-2016 participated in the study, with a mean age of 20.4±2.5 years. The following instruments were used: RESTQ-76 Sport, CD-RISC 10, documental analysis of physical therapy records, and structured questionnaire. Data was analyzed by descriptive statistics (frequency, mean and standard deviation); Repeated Measured ANOVA with Bonferroni's post-hoc, Student's "t" test, Friedman test, Pearson Correlation Coefficient, Cohen's d, and inductive thematic analysis. We found relatively stable levels of stress and recovery across the season; total recovery levels were higher than stress at all four measured timepoints (p<0.05); All athletes had at least one injury, with a total of 14 injuries; No significant correlations were found between the quantitative scores of resilience, stress and recovery; Training and the sport's scoring system were the most relevant perceived stressors; athletes presented meta-cognition and a non-positive evaluation (neutral) of stressors; Social support was considered the main psychological factor for the resilience process; such process resulted in improved control and interpretation of emotions; Our hypothesized model proposes that, in the relationship between stress and injuries, resilience acts by optimizing the injury recovery process. It was concluded that resilience plays a role in the process of injury rehabilitation and stress control in elite rhythmic gymnastics' athletes.

Psychological Profiling of Triathlon and Road Cycling Athletes.

Psychological characteristics of athletes play a key role in sport performance and may moderate and mediate the influence of technical, tactical, and physical abilities athletes show. Different authors have emphasized the special attention such psychological characteristics should receive considering the extent they can influence athletes' behavior either in training or in competition. This paper is aimed at describing the psychological profiles of two cycling sports: triathlon and road cycling. One hundred and twenty-nine male and female professional and amateur cycling athletes (35.74 years old average age ±12.79; 14.94 average number of years practicing cycling ±11.20) were assessed on different psychological characteristics. For that purpose, the Psychological Characteristics related to the Sport Performance (CPRD) Questionnaire and the Psychological Skills Inventory for Sports (PSIS) was used. Results showed significant differences among triathlon and road cyclists (Stress control = t116 =-3.711, p = 0.000, d = 0.48 ; Influence of Performance Evaluation = t115 =-3-115, p = 0.002, d = 0.49; Motivation = t124 =-5.520, p = 0.000, d = 0.82; Mental Skills = t119 =-4.985, p = 0.000, d = 1.02). There were no significant differences between men and women though there were differences among pros and amateur athletes. Triathlon professional, compared to amateurs, showed higher scores in all the psychological dimensions assessed (Stress control = t85 = 3.005, p = 0.003, d = 1.07; Influence of Performance Evaluation = t83 = 2.858, p = 0.005, 0.77; Motivation = t91 = 2.721, p = 0.008, d = 0.26; Mental Skills = t87 = 2.556, p = 0.012, d = 0.77). The results of this descriptive study contribute to establishing a model of optimal psychological profiling applied to the different cycling groups that can be used by sport psychologist, trainers, and coaches in order to promote peak performance of these athletes.

Influence of impulsivity-reflexivity when testing dynamic spatial ability: sex and g differences.

This work analyzes the possibility that the differences in the performance of men and women in dynamic spatial tasks such as the Spatial Orientation Dynamic Test-Revised (SODT-R; Santacreu & Rubio, 1998), obtained in previous works, are due to cognitive style (Reflexivity-Impulsivity) or to the speed-accuracy tradeoff (SATO) that the participants implement. If these differences are due to cognitive style, they would be independent of intelligence, whereas if they are due to SATO, they may be associated with intelligence. In this work, 1652 participants, 984 men and 668 women, ages between 18 and 55 years, were assessed. In addition to the SODT-R, the "Test de Razonamiento Analitico, Secuencial e Inductivo" (TRASI [Analytical, Sequential, and Inductive Reasoning Test]; Rubio & Santacreu, 2003) was administered as a measure of general intelligence. Impulsivity scores (Zi) of Salkind and Wright (1977) were used to analyze reflexivity-impulsivity and SATO. The results obtained indicate that (a) four performance groups can be identified: Fast-accurate, Slow-inaccurate, Impulsive, and Reflexive. The first two groups solve the task as a function of a competence variable and the last two as a function of a personality variable; (b) performance differences should be attributed to SATO; (c) SATO differs depending on sex and intelligence level.

Hiperpigmentación gingival en enfermedad de Addison

Mujer de 26 años, gestante de 8 semanas y antecedente de enfermedad de Addison desde hace dos años, que descontinuó su tratamiento con prednisona desde el inicio de su gestación. Acudió al Servicio de Emergencia por presentar desde hace tres días dolor abdominal difuso, asociado a náuseas y vómitos. Al examen físico, se le halló hipotensa, y con hiperpigmentación generalizada de labios, mucosa gingival (Figura 1) y surcos palmares.

Effectiveness of a stress management pilot program aimed at reducing the incidence of sports injuries in young football (soccer) players.

OBJECTIVES: Several attempts to reduce the incidence of sport injuries using psychosocial interventions produced fruitful, although inconclusive results. This paper presents the effectiveness and implementation issues of a pilot 3-month stress-management and muscle relaxation program aimed at reducing sport injury incidence. DESIGN: Pre-post treatment-non treatment group comparison. PROGRAM ADMINISTRATION: The program was administered by a trained psychologist on a once-a-week, 1-h session basis. PARTICIPANTS: Seventy-four male soccer players from four National Youth league teams voluntarily participated. Teams were randomly assigned to either treatment/non-treatment group. MEASURES: Injury protocol, Self-monitoring cards, Athletes' satisfaction and commitment survey, Coaches' interview. RESULTS: Group main effect and Time-Group interaction effect were both statistically significant, F(1,60) = 8.30, p = 0.005, η2p = 0.121, with the average number of injuries larger in the post-treatment phase of non-treatment group (p = 0.005, η2p = 0.077). There was a significant decrease in the average number of injuries for the intervention group before and after implementing the program (p < 0.001, η2p = 0.309). CONCLUSIONS: A controlled implementation of a psychosocial program was effective in reducing youth soccer sport injuries, with a high level of satisfaction and commitment from the athletes, as well as high acceptance from the coaches.

Two new pycnidial members of the Atractiellales: Basidiopycnis hyalina and Proceropycnis pinicola.

Two new genera, Basidiopycnis and Proceropycnis, and two new species, Basidiopycnis hyalina and Proceropycnis pinicola, are described. An integrated analysis of morphological, ecological, ultrastructural and molecular data indicates that the new taxa belong to the Atractiellales. Relevant characteristics of the new genera and species are discussed and compared with those of related taxa.