Contact force sensing in ablation of ventricular arrhythmias using a 56-hole open-irrigation catheter: a propensity-matched analysis.

PURPOSE: The effect of adding contact force (CF) sensing to 56-hole tip irrigation in ventricular arrhythmia (VA) ablation has not been previously studied. We aimed to compare outcomes with and without CF sensing in VA ablation using a 56-hole radiofrequency (RF) catheter. METHODS: A total of 164 patients who underwent first-time VA ablation using Thermocool SmartTouch Surround Flow (TC-STSF) catheter (Biosense-Webster, Diamond Bar, CA, USA) were propensity-matched in a 1:1 fashion to 164 patients who had first-time ablation using Thermocool Surround Flow (TC-SF) catheter. Patients were matched for age, gender, cardiac aetiology, ejection fraction and approach. Acute success, complications and long-term follow-up were compared. RESULTS: There was no difference between procedures utilising either TC-SF or TC-STSF in acute success (TC-SF: 134/164 (82%), TC-STSF: 141/164 (86%), p = 0.3), complications (TC-SF: 11/164 (6.7%), TC-STSF: 11/164 (6.7%), p = 1.0) or VA-free survival (TC-SF: mean arrhythmia-free survival time = 5.9 years, 95% CI = 5.4-6.4, TC-STSF: mean = 3.2 years, 95% CI = 3-3.5, log-rank p = 0.74). Fluoroscopy time was longer in normal hearts with TC-SF (19 min, IQR: 14-30) than TC-STSF (14 min, IQR: 8-25; p = 0.04). CONCLUSION: Both TC-SF and TC-STSF catheters are safe and effective in treating VAs. The use of CF sensing catheters did not improve safety or acute and long-term outcomes, but reduced fluoroscopy time in normal heart VA

More Legal Transformations for Locality

Distinguished paper award Commercial link : http://www.springerlink.de ALCHEMY/http://www.springer.comProgram transformations are one of the most valuable compiler techniques to improve data locality. However, restructuring compilers have a hard time coping with data dependences. A typical solution is to focus on program parts where the dependences are simple enough to enable any transformation. For more complex problems is only addressed the question of checking whether a transformation is legal or not. In this paper we propose to go further. Starting from a transformation with no guarantee on legality, we show how we can correct it for dependence satisfaction with no consequence on its locality properties. Generating code having the best locality is a direct application of this result

Crystal structures of self-assembled nanotubes from flexible macrocycles by weak interactions

8 páginas, 7 figuras, 2 tablas, 2 esquemas.Herein we report the crystal structures of tubular self-assemblies of flexible macrooligolides. The assembly is driven by the propensity of the macrocycles to create nearly flat structures displaying a void space within them and the cooperativity of weak directional interactions such as dipole–dipole interactions and CH***Ohydrogen bonds and non-directional interactions such as van der Waals contacts. The significance of the stereochemistry and the size of the cavity in the formation of the nanotubes are also studied.This research was supported by the Spanish MICINN-FEDER (CTQ2008-03334/BQU, CTQ2008-06806-C02-01/BQU and CTQ2008-06754-C04-01/PPQ), the MSC (RTICC RD06/0020/ 1046) and the Canary Islands FUNCIS (PI 01/06).Peer reviewe

A Comparative Assessment of Machine-Learning Techniques for Forest Degradation Caused by Selective Logging in an Amazon Region Using Multitemporal X-Band SAR Images.

Abstract: The near-real-time detection of selective logging in tropical forests is essential to support actions for reducing CO2 emissions and for monitoring timber extraction from forest concessions in tropical regions. Current operating systems rely on optical data that are constrained by persistent cloud-cover conditions in tropical regions. Synthetic aperture radar data represent an alternative to this technical constraint. This study aimed to evaluate the performance of three machine learning algorithms applied to multitemporal pairs of COSMO-SkyMed images to detect timber exploitation in a forest concession located in the Jamari National Forest, Rondônia State, Brazilian Amazon. The studied algorithms included random forest (RF), AdaBoost (AB), and multilayer perceptron artificial neural network (MLP-ANN). The geographical coordinates (latitude and longitude) of logged trees and the LiDAR point clouds before and after selective logging were used as ground truths. The best results were obtained when the MLP-ANN was applied with 50 neurons in the hidden layer, using the ReLu activation function and SGD weight optimizer, presenting 88% accuracy both for the pair of images used for training (images acquired in June and October) of the network and in the generalization test, applied on a second dataset (images acquired in January and June). This study showed that X-band SAR images processed by applying machine learning techniques can be accurately used for detecting selective logging activities in the Brazilian Amazon

Sex-specific efficacy and safety of cryoballoon versus radiofrequency ablation for atrial fibrillation: An individual patient data meta-analysis

BACKGROUND: Atrial fibrillation (AF) is a growing health burden, and pulmonary vein isolation (PVI) using cryoballoon (CB) or radiofrequency (RF) represents an attractive therapeutic option. Sex-specific differences in the epidemiology, pathophysiology, and clinical presentation of AF and PVI are recognized. OBJECTIVE: We aimed at comparing the efficacy, safety, and procedural characteristics of CB and RF in women and men undergoing a first PVI procedure. METHODS: We searched for randomized controlled trials and prospective observational studies comparing CB and RF ablation with at least 1 year of follow-up. After merging individual patient data from 18 data sets, we investigated the sex-specific (procedure failure defined as recurrence of atrial arrhythmia, reablation, and reinitiation of antiarrhythmic medication), safety (periprocedural complications), and procedural characteristics of CB vs RF using Kaplan-Meier and multilevel models. RESULTS: From the 18 studies, 4840 men and 1979 women were analyzed. An analysis stratified by sex correcting for several covariates showed a better efficacy of CB in men (hazard ratio for recurrence 0.88; 95% confidence interval 0.78-0.98, P = .02) but not in women (hazard ratio 0.98; 95% confidence interval 0.83-1.16; P = .82). For women and men, the energy source had no influence on the occurrence of at least 1 complication. For both sexes, the procedure time was significantly shorter with CB (-22.5 minutes for women and -27.1 minutes for men). CONCLUSION: CB is associated with less long-term failures in men. A better understanding of AF-causal sex-specific mechanisms and refinements in CB technologies could lead to higher success rates in women