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11.
Lipoprotein(a) (Lp(a)) is a largely genetically determined biomarker for cardiovascular disease (CVD), while its potential interplay with family history (FHx) of CVD, a measure of both genetic and environmental exposures, remains unclear. We examined the associations of Lp(a) in terms of circulating concentration or polygenetic risk score (PRS), and FHx of CVD with risk of incident heart failure (HF). Included were 299,158 adults from the UK Biobank without known HF and CVD at baseline. Hazards ratios (HRs) and 95% Cls were estimated by Cox regression models adjusted for traditional risk factors defined by the Atherosclerosis Risk in Communities study HF risk score. During the 11.8-year follow-up, 5,502 incidents of HF occurred. Higher levels of circulating Lp(a), Lp(a) PRS, and positive FHx of CVD were associated with higher risks of HF. Compared with individuals who had lower circulating Lp(a) and no FHx, HRs (95% CIs) of HF were 1.36 (1.25, 1.49), 1.31 (1.19, 1.43), and 1.42 (1.22, 1.67) for those with higher Lp(a) and a positive history of CVD for all family members, parents, and siblings, respectively; similar results were observed by using Lp(a) PRS. The risk estimates for HF associated with elevated Lp(a) and positive FHx were attenuated after excluding those with incident myocardial infarction (MI) during follow-up. Lp(a) and FHx of CVD were independent risk factors for incident HF, and the highest risk of HF was observed among individuals with both risk factors. The association may be partly mediated by myocardial infarction.  相似文献   
12.
Objective this study aimed to determine the thermal favorability for the oidium (Oidium caricae) and early blight (Asperisporium caricae) in areas of edaphoclimatic aptitude for the papaya (Carica papaya) in the Espírito Santo state, Brazil. The edaphoclimatic zoning was based on the overlapping of maps that characterize the average annual air temperature obtained by multiple linear regression, annual water deficiency calculated by the Thornthwaite and Matter method (1955) and favorable soil classes to the development of papaya. The results indicated that as regards the edaphoclimatic zoning for the papaya crop it was observed that 71.70% of the area is classified as apt for its development. In relation to agrometeorological favorability for the occurrence of fungal diseases, there was a favorability of 7.64% for the development without restrictions of the oidium and a predominance of 64,56% of favorability with thermal restriction. For the early blight fungus, it was observed that the zones of favorability without restriction correspond to 11.66% of the area apt for the papaya cultivation and that 55.13% of the area has favorability with restriction of humidity. The edaphoclimatic zoning for the papaya crop showed compatibility with the most productive areas of this crop in the state of Espírito Santo. The zoning of thermal favorability for the occurrence of papaya fungal diseases proved to be a valuable tool for studies of plant diseases, allowing the establishment of plans for the allocation of resistant varieties, in order to minimize the risks of loss of crop productivity due to the disease. This methodology presents potential to be used in other areas, cultures and phytopathological diseases.  相似文献   
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