The Multi-center Evaluation of the Accuracy of the Contrast MEdium INduced Pd/Pa RaTiO in Predicting FFR (MEMENTO-FFR) Study.

AIMS: Adenosine administration is needed for the achievement of maximal hyperaemia fractional flow reserve (FFR) assessment. The objective was to test the accuracy of Pd/Pa ratio registered during submaximal hyperaemia induced by non-ionic contrast medium (contrast FFR [cFFR]) in predicting FFR and comparing it to the performance of resting Pd/Pa in a collaborative registry of 926 patients enrolled in 10 hospitals from four European countries (Italy, Spain, France and Portugal). METHODS AND RESULTS: Resting Pd/Pa, cFFR and FFR were measured in 1,026 coronary stenoses functionally evaluated using commercially available pressure wires. cFFR was obtained after intracoronary injection of contrast medium, while FFR was measured after administration of adenosine. Resting Pd/Pa and cFFR were significantly higher than FFR (0.93±0.05 vs. 0.87±0.08 vs. 0.84±0.08, p<0.001). A strong correlation and a close agreement at Bland-Altman analysis between cFFR and FFR were observed (r=0.90, p<0.001 and 95% CI of disagreement: from -0.042 to 0.11). ROC curve analysis showed an excellent accuracy (89%) of the cFFR cut-off of ≤0.85 in predicting an FFR value ≤0.80 (AUC 0.95 [95% CI: 0.94-0.96]), significantly better than that observed using resting Pd/Pa (AUC: 0.90, 95% CI: 0.88-0.91; p<0.001). A cFFR/FFR hybrid approach showed a significantly lower number of lesions requiring adenosine than a resting Pd/Pa/FFR hybrid approach (22% vs. 44%, p<0.0001). CONCLUSIONS: cFFR is accurate in predicting the functional significance of coronary stenosis. This could allow limiting the use of adenosine to obtain FFR to a minority of stenoses with considerable savings of time and costs.info:eu-repo/semantics/publishedVersio

The optical potential of 6^{6}He in the eikonal approximation

The new data of the elastic scattering of $^{6}$He+$^{12}$C at about 40 MeV/nucleon are analyzed in the eikonal approximation. The $^{6}$He+$^{12}$C phase-shift function is evaluated completely without any {\it ad hoc} assumption by a Monte Carlo integration, which makes it possible to use a realistic 6-nucleon wave function for a halo nucleus $^{6}$He. The effect of the breakup of $^6$He on the elastic differential cross sections as well as the optical potential is studied at different energies from 40 to 800 MeV/nucleon. PACS number(s): 24.10.-i; 21.60.Ka; 25.60.Bx; 25.10.+s Keywords: Eikonal; Glauber; Monte Carlo; Halo; BreakupComment: 13 pages, 9 figure

A regulation-based classification system for marine protected areas: A response to Dudley et al. [9]

Dudley et al. [9] commented on our paper [11], arguing that the current IUCN objective-based categorization of protected areas, which is also used in marine protected areas (MPAs), should not be abandoned and replaced by the new regulation-based classification system [11]. Here we clarify that we do not advocate replacing the current IUCN categories, but highlight the benefits of using both the objective-based IUCN categories and the new regulation-based classification when applied to MPAs. With an increasing number of MPA types being implemented, most of them multiple-use areas zoned for various purposes, assessing ecological and socio-economic benefits is key for advancing conservation targets and policy objectives. Although the IUCN categories can be used both in terrestrial and marine systems, they were not designed to follow a gradient of impacts and there is often a mismatch between stated objectives and implemented regulations. The new regulation-based classification system addresses these problems by linking impacts of activities in marine systems with MPA and zone classes in a simple and globally applicable way. Applying both the IUCN categories and the regulation based classes will increase transparency when assessing marine conservation goals.ERA-Net BiodivERsA project "BUFFER Partially protected areas as buffers to increase the linked social ecological resilience"; national funders ANR (France); FCT (Portugal); FOR-MAS (Sweden); SEPA (Sweden); RCN (Norway); project BUFFER; Fernand Braudel IFER fellowship (Fondation Maison des Sciences de l'Homme); Fundacao para a Ciencia e a Tecnologia (FCT) [UID/MAR/04292/2013

Residues located inside the Escherichia coli FepE protein oligomer are essential for lipopolysaccharide O-antigen modal chain length regulation

The Escherichia coli O157 : H7 FepE protein regulates lipopolysaccharide (LPS) O-antigen (Oag) chain length to confer a very long modal chain length of >80 Oag repeat units (RUs). The mechanism by which FepE regulates Oag modal chain length and the regions within it that are important for its function remain unclear. Studies on the structure of FepE show that the protein oligomerizes. However, the exact size of the oligomer is in dispute, further hampering our understanding of its mechanism. Guided by information previously obtained for regions known to be important for Oag modal chain length determination in the homologous Shigella flexneri WzzBSF protein, a set of FepE mutant constructs with single amino acid substitutions was created. Analysis of the resulting LPS conferred by these mutant His6-FepE proteins showed that amino acid substitutions of leucine 168 (L168) and aspartic acid 268 (D268) resulted in LPS with consistently shortened Oag chain lengths of <80 Oag RUs. Substitution of FepE’s transmembrane cysteine residues did not affect function. Chemical cross-linking experiments on mutant FepE proteins showed no consistent correlation between oligomer size and functional activity, and MS analysis of FepE oligomers indicated that the in vivo size of FepE is consistent with a maximum size of a hexamer. Our findings suggest that different FepE residues, mainly located within the internal cavity of the oligomer, contribute to Oag modal chain length determination but not the oligomeric state of the protein.Elizabeth Ngoc Hoa Tran and Renato Moron

Brane Tilings and M2 Branes

Brane tilings are efficient mnemonics for Lagrangians of N=2 Chern-Simons-matter theories. Such theories are conjectured to arise on M2-branes probing singular toric Calabi-Yau fourfolds. In this paper, a simple modification of the Kasteleyn technique is described which is conjectured to compute the three dimensional toric diagram of the non-compact moduli space of a single probe. The Hilbert Series is used to compute the spectrum of non-trivial scaling dimensions for a selected set of examples.Comment: 47 pages, 23 figure

Human Inborn Errors of Immunity: 2019 Update of the IUIS Phenotypical Classification.

Since 2013, the International Union of Immunological Societies (IUIS) expert committee (EC) on Inborn Errors of Immunity (IEI) has published an updated phenotypic classification of IEI, which accompanies and complements their genotypic classification into ten tables. This phenotypic classification is user-friendly and serves as a resource for clinicians at the bedside. There are now 430 single-gene IEI underlying phenotypes as diverse as infection, malignancy, allergy, autoimmunity, and autoinflammation. We herein report the 2019 phenotypic classification, including the 65 new conditions. The diagnostic algorithms are based on clinical and laboratory phenotypes for each of the ten broad categories of IEI

Concepts for Reusing Composite Materials from Decommissioned Wind Turbine Blades in Affordable Housing

The very rapid growth in wind energy technology in the last 15 years has led to a rapid growth in the amount of non-biodegradable, thermosetting fiber reinforced polymer (FRP) composite materials used in wind turbine blades. This paper discusses conceptual architectural and structural options for recycling these blades by reusing parts of wind turbine blades in new or retrofitted housing projects. It focuses on large-sized FRP pieces that can be salvaged from the turbine blades and can potentially be useful in infrastructure projects where harsh environmental conditions (water and high humidity) exist. Since reuse design should be for specific regional locations and architectural characteristics the designs presented in this paper are for the coastal regions of the Yucatan province in Mexico on the Gulf of Mexico where low-quality masonry block informal housing is vulnerable to severe hurricanes and flooding. To demonstrate the concept a prototype 100 m long wind blade model developed by Sandia National Laboratories is used to show how a wind blade can be broken down into parts, thus making it possible to envision architectural applications for the different wind blade segments for housing applications

Monte Carlo integration in Glauber model analysis of reactions of halo nuclei

Reaction and elastic differential cross sections are calculated for light nuclei in the framework of the Glauber theory. The optical phase-shift function is evaluated by Monte Carlo integration. This enables us to use the most accurate wave functions and calculate the phase-shift functions without approximation. Examples of proton nucleus (e.g. p-$^6$He, p-$^6$Li) and nucleus-nucleus (e.g. $^6$He$-^{12}$C) scatterings illustrate the effectiveness of the method. This approach gives us a possibility of a more stringent analysis of the high-energy reactions of halo nuclei.Comment: 20 pages, 8 figure