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Title Page -- Table of Contents -- Memorabilia: A Homage to a Medical Informatics Pioneer -- Eulogy and Introduction to the "de Dombal" Paradigm -- Tim de Dombal 1937-1995 -- Let Me Through - I'm A Computer -- A COMPUTER-ASSISTED SYSTEM FOR LEARNING CLINICAL DIAGNOSIS -- Computer-aided Diagnosis of Acute Abdominal Pain -- Part I. General Basis -- Section 1. Medicine, Information and Knowledge -- Information: The Cornerstone of Medical Sciences -- Information Technology in Health -- The Health Informatics Wave and Decision Makers -- Health Information Systems in an Environment of Change -- Multi-Media Technologies and Health -- A World-Wide Association for Health Informaties (IMIA) -- Section 2. Information Technology -- Hardware, Operating Systems and Networks -- Software: Main Applications -- Multimodal User Interface -- Telecommunications: Present and Future -- Section 3. The Internet Revolution -- A Brief History of Internet -- Main Applications: Electronic Mail -- Main Applications: World Wide Web -- Other Applications: FTP, Telnet, Gopher and WAIS -- How to Access the Internet -- Section 4. Health Informatics andTelematics -- Medical Informatics and Telematics: Overview of European Research -- Computer-Based Health Records -- Medical Language and Terminologies -- Patient Health Cards -- Tele-medicine and Tele-care -- Computer-Assisted Decision Support -- Data Bases and Scientific Literature -- Educational Applications -- Health Informatics Standards -- Nursing Applications -- Security and Data Protection -- Virtual Reality and Minimally Invasive Techniques -- Section 5. Experiences around the World -- International Cooperation for Better Information Access: Onconet Project -- History and Future of Academic Computer Networking in Latin America and the Caribbean -- The Global Health Network GHNet -- An Ambitious ATM Medical Trial in Canada.

De agosto de 1996 a mayo de 1997, fueron estudiados 16 pacientes entre las edades de 4 meses a 31 años siendo el promedio de edad 44 años, a los cuales se les realizó cierre del conducto arterioso mediante técnica transcatéter con dispositivo endovascular (coil).
El diagnóstico de conducto arterioso permeable se realizó mediante clínica, por la presencia de soplo continuo en la porción superior del borde estema izquierdo, mediante tele Rx de tórax, por la evidencia de cardiomegalia e hiper flujo pulmonar y electrocardiográficamente por datos de crecimiento auricular izquierdo y sobrecarga de ventrículos.
Ecocardiográficamente mediante flujo Doppler color. El criterio de inclusión clínica para este estudio fue la presencia del conducto arterioso permeable con un diámetro menor a 3.5 mm, sin lesiones asociadas.
De los 16 pacientes se logró la oclusión exitosa del conducto arterioso permeable en 12 casos, lo que nos da un porcentaje de éxito de un 75%, sin complicaciones mayores y un promedio de estancia hospitalaria de 1.1 días.
La falla en la técnica se presentó en cuatro pacientes, los cuales tenían un conducto arterioso permeable con un diámetro mayor a 4 milímetros.

INTRODUCTION: Atrial fibrillation (AF) is an arrhythmia that impacts deployment and retention rates for United States military pilots. This study aims to characterize United States active duty (AD) pilots with AF and review deployment and retention rates associated with medical and ablative therapies. METHODS: An observational analysis was performed to assess AD pilots diagnosed with AF in the largest military regional healthcare system from 2004 to 2019. Baseline characteristics and AF management were reviewed. RESULTS: 27 AD pilots (mean age, 37.3 ± 7.9 years; mean BMI, 27.3 ± 3.1 kg/m(2); 100% male sex) were diagnosed with AF during the study dates. 17 (63%) were Air Force branch pilots with hypertension as the most common risk factor (26%). There were overall low CHA(2)DS(2)-VASc scores (mean 0.29 ± 0.47). 22 (82%) pilots were equally treated with medical rate and rhythm strategies (41% and 41%, respectively). 16 (59%) underwent pulmonary vein isolation (PVI) with zero complications. 11 (41%) pilots received warfarin and 5 (19%) received a direct oral anticoagulant for stroke prevention. After diagnosis, 12 (44%) pilots deployed and 25 (93%) were retained in military. PVI was not associated with a change in subsequent deployments rates (PVI, 38% vs no PVI, 55%; p = 0.3809) or retention rates (PVI, 94% vs no PVI, 91%; p = 0.7835). CONCLUSIONS: United States military pilots diagnosed with AF are younger patients with few traditional AF risk factors and they receive medical rate and rhythm strategies equally. Many pilots maintain deployment eligibility and most remain on AD status after diagnosis. PVI is not associated with differences in retention or deployment rates. Further prospective study is needed to further evaluate these findings.

New ways of sustainable production on urban and peri- urbans areas have contributed to the conservation of species diversity, as to ornamentals plants that belong to family: Heliconiaceae. For this reason we recorded nine species of Heliconia as new accessions from Central Region of Cuba, that were prospected in gardens and yards of national reference as well as from three botanical gardens in central provinces of Cuba (Cienfuegos, Villa Clara and Santi Spíritus), located in forested mountain areas. Molecular corroboration of the species collected was included, as well as a brief description of the morphological and ecological characteristics of these accessions. We show the high commercial potential they have for the island and the contribution to the territorial expansion of these species. In the propagation strategy we considered the micropropagation through biotechnological techniques of tissue culture and in vitro conservation in Cienfuegos Biofactory. The collaboration of universities and the municipal government of Cuba Central region together with the active participation of the farmers have allowed the development of new areas, gardens and home gardens, despite limited resources.

New ways of sustainable production on urban and peri- urbans areas have contributed to the conservation of species diversity, as to ornamentals plants that belong to family: Heliconiaceae. For this reason we recorded nine species of Heliconia as new accessions from Central Region of Cuba, that were prospected in gardens and yards of national reference as well as from three botanical gardens in central provinces of Cuba (Cienfuegos, Villa Clara and Santi Spíritus), located in forested mountain areas. Molecular corroboration of the species collected was included, as well as a brief description of the morphological and ecological characteristics of these accessions. We show the high commercial potential they have for the island and the contribution to the territorial expansion of these species. In the propagation strategy we considered the micropropagation through biotechnological techniques of tissue culture and in vitro conservation in Cienfuegos Biofactory. The collaboration of universities and the municipal government of Cuba Central region together with the active participation of the farmers have allowed the development of new areas, gardens and home gardens, despite limited resources.

Citation: Koppel, K., Higa, F., Godwin, S., Gutierrez, N., Shalimov, R., Cardinal, P., . . . Chambers, E. (2016). Food Leftover Practices among Consumers in Selected Countries in Europe, South and North America. Foods, 5(3), 14. doi:10.3390/foods5030066 ; Foodborne illnesses may be related to many food production factors with home practices of consumers playing an important role in food safety. Consumer behavior for handling food leftovers has been studied, however little work on comparisons among countries has been published. The objective of this study was to investigate home food leftover practices of people from North American, South American, and European countries. Surveys were conducted with approximately 100 or more consumers in Argentina, Colombia, the United States, Estonia, Italy, Russia, and Spain. The participants responded to questions related to the length of time different types of food leftovers; such as meat, fresh salads, or restaurant dishes would be kept refrigerated or would be left at room temperature before refrigeration. Researchers also investigated how consumers would determine if the food was still safe for consumption. Potentially risky behaviors were observed in all seven countries. For instance, 55.8% of Estonians, 25% of Russians and 25.8% of Argentinean participants left food out at room temperature for several hours before storing in the refrigerator. Furthermore, 25%-29% of Colombian, Estonian, and Spanish consumers would look, smell, and taste leftovers to determine its probable safety. Correct handling of leftovers is an important aspect of consumer food safety. Although the surveys cannot be representative of all consumers in each country, they do provide an initial overview of comparative practices for handling leftovers among different countries. This provides government and educators with information on potential universal and unique consumer food safety issues related to handling leftover foods among various countries.

Background: Surgery is the main modality of cure for solid cancers and was prioritised to continue during COVID-19 outbreaks. This study aimed to identify immediate areas for system strengthening by comparing the delivery of elective cancer surgery during the COVID-19 pandemic in periods of lockdown versus light restriction. Methods: This international, prospective, cohort study enrolled 20 006 adult (≥18 years) patients from 466 hospitals in 61 countries with 15 cancer types, who had a decision for curative surgery during the COVID-19 pandemic and were followed up until the point of surgery or cessation of follow-up (Aug 31, 2020). Average national Oxford COVID-19 Stringency Index scores were calculated to define the government response to COVID-19 for each patient for the period they awaited surgery, and classified into light restrictions (index 60). The primary outcome was the non-operation rate (defined as the proportion of patients who did not undergo planned surgery). Cox proportional-hazards regression models were used to explore the associations between lockdowns and non-operation. Intervals from diagnosis to surgery were compared across COVID-19 government response index groups. This study was registered at ClinicalTrials.gov, NCT04384926. Findings: Of eligible patients awaiting surgery, 2003 (10·0%) of 20 006 did not receive surgery after a median follow-up of 23 weeks (IQR 16-30), all of whom had a COVID-19-related reason given for non-operation. Light restrictions were associated with a 0·6% non-operation rate (26 of 4521), moderate lockdowns with a 5·5% rate (201 of 3646; adjusted hazard ratio [HR] 0·81, 95% CI 0·77-0·84; p<0·0001), and full lockdowns with a 15·0% rate (1775 of 11 827; HR 0·51, 0·50-0·53; p<0·0001). In sensitivity analyses, including adjustment for SARS-CoV-2 case notification rates, moderate lockdowns (HR 0·84, 95% CI 0·80-0·88; p<0·001), and full lockdowns (0·57, 0·54-0·60; p<0·001), remained independently associated with non-operation. Surgery beyond 12 weeks from diagnosis in patients without neoadjuvant therapy increased during lockdowns (374 [9·1%] of 4521 in light restrictions, 317 [10·4%] of 3646 in moderate lockdowns, 2001 [23·8%] of 11 827 in full lockdowns), although there were no differences in resectability rates observed with longer delays. Interpretation: Cancer surgery systems worldwide were fragile to lockdowns, with one in seven patients who were in regions with full lockdowns not undergoing planned surgery and experiencing longer preoperative delays. Although short-term oncological outcomes were not compromised in those selected for surgery, delays and non-operations might lead to long-term reductions in survival. During current and future periods of societal restriction, the resilience of elective surgery systems requires strengthening, which might include protected elective surgical pathways and long-term investment in surge capacity for acute care during public health emergencies to protect elective staff and services.