Transcatheter interatrial shunt device for the treatment of heart failure with preserved ejection fraction (REDUCE LAP-HF I [Reduce Elevated Left Atrial Pressure in Patients With Heart Failure]): A phase 2, randomized, sham-controlled trial

Background -In non-randomized, open-label studies, a transcatheter interatrial shunt device (IASD, Corvia Medical) was associated with lower pulmonary capillary wedge pressure (PCWP), less symptoms, and greater quality of life and exercise capacity in patients with heart failure (HF) and mid-range or preserved ejection fraction (EF ≥ 40%). We conducted the first randomized, sham-controlled trial to evaluate the IASD in HF with EF ≥ 40%. Methods -REDUCE LAP-HF I was a phase 2, randomized, parallel-group, blinded multicenter trial in patients with New York Heart Association (NYHA) class III or ambulatory class IV HF, EF ≥ 40%, exercise PCWP ≥ 25 mmHg, and PCWP-right atrial pressure gradient ≥ 5 mmHg. Participants were randomized (1:1) to the IASD vs. a sham procedure (femoral venous access with intracardiac echocardiography but no IASD placement). The participants and investigators assessing the participants during follow-up were blinded to treatment assignment. The primary effectiveness endpoint was exercise PCWP at 1 month. The primary safety endpoint was major adverse cardiac, cerebrovascular, and renal events (MACCRE) at 1 month. PCWP during exercise was compared between treatment groups using a mixed effects repeated measures model analysis of covariance that included data from all available stages of exercise. Results -A total of 94 patients were enrolled, of which n=44 met inclusion/exclusion criteria and were randomized to the IASD (n=22) and control (n=22) groups. Mean age was 70±9 years and 50% were female. At 1 month, the IASD resulted in a greater reduction in PCWP compared to sham-control (P=0.028 accounting for all stages of exercise). Peak PCWP decreased by 3.5±6.4 mmHg in the treatment group vs. 0.5±5.0 mmHg in the control group (P=0.14). There were no peri-procedural or 1-month MACCRE in the IASD group and 1 event (worsening renal function) in the control group (P=1.0). Conclusions -In patients with HF and EF ≥ 40%, IASD treatment reduces PCWP during exercise. Whether this mechanistic effect will translate into sustained improvements in symptoms and outcomes requires further evaluation. Clinical Trial Registration -URL: http://clinicaltrials.gov. Unique identifier: NCT02600234

Oscillatory-derivative measurements on sting-mounted wind-tunnel models method of test and results for pitch and yaw on a cambered ogee wing at mach numbers up to 2.6

This report describes a method which has been developed for measuring oscillatory derivatives on sting-mounted models in the 8 ft by 8 ft Supersonic Tunnel at R.A.E. Bedford. Direct and cross derivatives with respect to angular displacements and velocities in pitch and yaw have been measured satisfactorily, and results are given of tests on a cambered ogee wing at six Mach numbers from 0.2 to 2.6. Some tests were made on this model in the course of the preliminary development work in the 13 ft by 9 ft Low-Speed Wind Tunnel, and results of these are included

Low-speed wind-tunnel measurements of the oscillatory lateral stability derivatives for a model of a slender aircraft (HP 115) including the effects of frequency parameter

Low-speed tunnel tests on a model of the HP 115 aircraft have provided a complete set of lateral derivatives for a range of frequency parameters. Over a range appropriate to full scale flight, the effects of frequency parameter are small, but for very high values there is a marked reduction in the derivatives ... Some information is included on the derivatives ... and there is evidence that the virtual inertias are about the same wind-on and wind-off. The Paper also describes some recent improvements in technique

Field response of two cetoniin chafers (Coleoptera, scarabaeidae) to floral compounds in ternary and binary combinations

Several synthetic floral lures have been described for the cetoniin scarabs Cetonia aurata aurata L. and Potosia cuprea Fabr. (Coleoptera, Scarabaeidae), exploiting their olfaction-guided behavioural preference for a wide range of flower volatiles. A ternary mixture of 3-methyl eugenol, 1-phenylethanol and (E)-anethol has previously been described as a powerful synthetic floral attractant for both C. a. aurata and P. cuprea. The first objective of the present research was to test whether isoeugenol and eugenol, with a very similar molecular structure to 3-methyl eugenol, can substitute 3-methyl eugenol in the ternary blend. All baited traps caught significantly more of both species than unbaited control traps, however, traps containing 3-methyl eugenol caught significantly more than those with either isoeugenol or eugenol. This indicates a fine tuning in behavioural response to 3-methyl eugenol. The second objective was to devise simpler attractant combinations for C. a. aurata and P. cuprea, based on previous field studies with synthetic floral compounds. Both C. a. aurata and P. cuprea showed strong attraction to the combination of 2-phenylethanol and 4-methoxyphenethyl alcohol, while the combination of 2-phenylethanol and 1,2,4-trimethoxybenzene resulted in medium-size catches, however, mostly catching P. cuprea. This level of selectivity may lead to the development of more selective lures for P. cuprea, and provide a better understanding of the feeding-related olfactory ecology of the two important pest chafer species

Low-speed experiments on the wake characteristics of flat plates normal to an air stream

Experiments on isolated fiat plates perpendicular to the wind are described. It is shown that the effects of aspect ratio on drag, base pressure and flow pattern are small up to A = 10. All of these rectangular plates shed turbulent eddies at particular frequencies; generally there are two shedding frequencies for each plate, one associated with the smaller dimension of the plate, and a lower frequency associated with the larger dimension. Large changes in the shape of low-aspect-ratio plates have very small effects on the aerodynamic characteristics but perforating the plate can eliminate the regular shedding of eddies and reduce the random low-frequency velocity fluctuations

The IMGT/HLA database

It is 10 years since the IMGT/HLA database was released, providing the HLA community with a searchable repository of highly curated HLA sequences. The HLA complex is located within the 6p21.3 region of human chromosome 6 and contains more than 220 genes of diverse function. Many of the genes encode proteins of the immune system and are highly polymorphic. The naming of these HLA genes and alleles, and their quality control is the responsibility of the WHO Nomenclature Committee for Factors of the HLA System. Through the work of the HLA Informatics Group and in collaboration with the European Bioinformatics Institute, we are able to provide public access to this data through the website http://www.ebi.ac.uk/imgt/hla/. The first release contained 964 sequences, the most recent release 3300 sequences, with around 450 new sequences been added each year. The tools provided on the website have been updated to allow more complex alignments, which include genomic sequence data, as well as the development of tools for probe and primer design and the inclusion of data from the HLA Dictionary. Regular updates to the website ensure that new and confirmatory sequences are dispersed to the HLA community, and the wider research and clinical communities

The Optimal Choice of Trap Type for the Recently Spreading Jewel Beetle Pests Lamprodila festiva and Agrilus sinuatus (Coleoptera, Buprestidae)

BACKGROUND: Two jewel beetle species native to Europe, the cypress jewel beetle, Lamprodila (Palmar, Ovalisia) festiva L. (Buprestidae, Coleoptera), and the sinuate pear tree borer, Agrilus sinuatus Olivier (Buprestidae, Coleoptera), are key pests of ornamental thuja and junipers and of orchard and ornamental rosaceous trees, respectively. Although chemical control measures are available, due to the beetles’ small size, agility, and cryptic lifestyle at the larval stage, efficient tools for their detection and monitoring are missing. Consequently, by the time emerging jewel beetle adults are noticed, the trees are typically significantly damaged. METHODS: Thus, the aim of this study was to initiate the development of monitoring traps. Transparent, light green, and purple sticky sheets and multifunnel traps were compared in field experiments in Hungary. RESULTS: Light green and transparent sticky traps caught more L. festiva and A. sinuatus jewel beetles than non-sticky multifunnel traps, regardless of the larger size of the colored surface of the funnel traps. CONCLUSIONS: Although light green sticky sheets turned out to be optimal for both species, using transparent sheets can reduce catches of non-target insects. The key to the effectiveness of sticky traps, despite their reduced suitability for quantitative comparisons, may lie in the behavioral responses of the beetles to the optical features of the traps