Omecamtiv mecarbil in chronic heart failure with reduced ejection fraction, GALACTIC‐HF: baseline characteristics and comparison with contemporary clinical trials

Aims: The safety and efficacy of the novel selective cardiac myosin activator, omecamtiv mecarbil, in patients with heart failure with reduced ejection fraction (HFrEF) is tested in the Global Approach to Lowering Adverse Cardiac outcomes Through Improving Contractility in Heart Failure (GALACTIC‐HF) trial. Here we describe the baseline characteristics of participants in GALACTIC‐HF and how these compare with other contemporary trials. Methods and Results: Adults with established HFrEF, New York Heart Association functional class (NYHA) ≥ II, EF ≤35%, elevated natriuretic peptides and either current hospitalization for HF or history of hospitalization/ emergency department visit for HF within a year were randomized to either placebo or omecamtiv mecarbil (pharmacokinetic‐guided dosing: 25, 37.5 or 50 mg bid). 8256 patients [male (79%), non‐white (22%), mean age 65 years] were enrolled with a mean EF 27%, ischemic etiology in 54%, NYHA II 53% and III/IV 47%, and median NT‐proBNP 1971 pg/mL. HF therapies at baseline were among the most effectively employed in contemporary HF trials. GALACTIC‐HF randomized patients representative of recent HF registries and trials with substantial numbers of patients also having characteristics understudied in previous trials including more from North America (n = 1386), enrolled as inpatients (n = 2084), systolic blood pressure < 100 mmHg (n = 1127), estimated glomerular filtration rate < 30 mL/min/1.73 m2 (n = 528), and treated with sacubitril‐valsartan at baseline (n = 1594). Conclusions: GALACTIC‐HF enrolled a well‐treated, high‐risk population from both inpatient and outpatient settings, which will provide a definitive evaluation of the efficacy and safety of this novel therapy, as well as informing its potential future implementation

Evaluation of drag coefficients of poplar-tree crowns by a field test method

To estimate the wind force that causes windthrow damage to a tree, the drag coefficients of actual-sized trees were evaluated by a field test method. In this method, the wind velocity and stem deflection were monitored simultaneously. The wind force acting on a tree crown was calculated from the stem deflection; the stem stiffness was evaluated by conducting tree-bending tests. The results of tests conducted on three poplar trees showed that the drag coefficients decreased with an increase in the wind velocity. Although the variation in the drag coefficients was large at low wind velocity because of the vibrating behavior of the stem subjected to variable wind force, the variation at wind velocities above 10 m/s was small. The average drag coefficient at a wind velocity of 30 m/s was estimated by the curve fitting of a power function to the wind velocity-drag coefficient relationship, and it was found to be 0.102, which was smaller than that of actual-sized conifers studied in previous wind tunnel experiments. The drag coefficients of these crown areas in the defoliation season were smaller than those measured in the leaved season

Nanoprocessing of diamond using a variable pressure scanning electron microscope

We demonstrated diamond processing using a variable pressure scanning electron microscope. Dents were formed in diamond by electron beam irradiation in air, nitrogen gas, oxygen gas, and water vapor. The processing in oxygen atmosphere showed the highest efficiency. The processing mechanism can be explained in terms of gas ion sputtering and chemical reaction. We used this method to remove residue on a diamond device, which showed that it is practical for fabricating diamond-based nano-devices