NEXAFS measurements of the molecular ordering in the boundary layers of liquid crystalline free standing films

By near edge X-ray absorption fine-structure (NEXAFS) spectroscopy a finite molecular tilt angle in the surface layer of a free standing film in the liquid crystalline smectic A phase of C7 was directly detected. Analysis of the angular dependent intensities of the oxygen K edge NEXAFS spectra leads to an average tilt angle of the molecules in the surface layer of about 34°, which is characteristic for the bulk smectic C* phase of C7

PASCAL mitral valve repair system versus MitraClip: comparison of transcatheter edge-to-edge strategies in complex primary mitral regurgitation

Background!#!The PASCAL system is a novel device for edge-to-edge treatment of mitral regurgitation (MR). The aim of this study was to compare the safety and efficacy of the PASCAL to the MitraClip system in a highly selected group of patients with complex primary mitral regurgitation (PMR) defined as effective regurgitant orifice area (MR-EROA) ≥ 0.40 cm!##!Methods!#!38 patients with complex PMR undergoing mitral intervention using PASCAL (n = 22) or MitraClip (n = 16) were enrolled. Primary efficacy endpoints were procedural success and degree of residual MR at discharge. The rate of major adverse events (MAE) according to the Mitral Valve Academic Consortium (MVARC) criteria was chosen as the primary safety endpoint.!##!Results!#!Patient collectives did not differ relevantly regarding pertinent baseline parameters. Patients` median age was 83.0 [77.5-85.3] years (PASCAL) and 82.5 [76.5-86.5] years (MitraClip). MR-EROA at baseline was 0.70 [0.68-0.83] cm!##!Conclusion!#!In this highly selected patient group with complex PMR both systems exhibited equal procedural safety. MitraClip and PASCAL reduced qualitative and semi-quantitative parameters of MR to an at least comparable extent

Dynamics of Cognitive Function in Patients with Heart Failure Following Transcatheter Mitral Valve Repair

Aims: Interventional transcatheter edge-to-edge mitral valve repair (TMVR) is an established treatment option for patients with severe mitral regurgitation (MR) and high operative risk. Cognitive impairment is one of the most common conditions among often extensive comorbidities in these patients. The specific patterns of cognitive decline and particularly the effect of TMVR are not well described. Thus, this study aimed to investigate into the impact of TMVR on cognitive impairment, exercise capacity, and quality of life. Methods: Cognitive function (executive, naming, memory, attention, language, abstraction, and orientation) was assessed with the standardized Montreal Cognitive Assessment test (MoCA; range between 0 and 30 points) before and 3 months after TMVR in 72 consecutive patients alongside echocardiographic examination and assessment of exercise capacity (six-minute walk test) as well as quality-of-life questionnaires (Minnesota living with heart failure questionnaire, MLHF-Q). Results: Patients’ median age was 81 [76.0; 84.5] years, 39.7% were female with a median EuroScore II of 4.4% [2.9; 7.7]. The assessment of cognitive function showed a significant improvement of the cumulative MoCA-Test result (from 22.0 [19.0; 24.5] to 24 [22.0; 26.0]; p < 0.001) with significant changes in the subcategories executive (p < 0.001), attention (p < 0.001), abstraction (p < 0.001), and memory (p < 0.001). In addition, quality of life (from 47.5 [25.0; 69.3] to 24.0 [12.0; 40.0]; p < 0.001) and exercise capacity (from 220.0 m [160.0; 320.0] to 280.0 m [200.0; 380.0]; p = 0.003) increased significantly 3 months after the TMVR procedure. Conclusions: TMVR leads to a significant improvement of cognitive function, exercise capacity, and quality of life in patients with chronic heart failure in 3 months follow up and again highlights the benefit of the evermore established TMVR procedure for patients with high operative risk

Hormonal regulation of source-sink relations to maintain crop productivity under salinity:a case study of root-to-shoot signalling in tomato

Salinity decreases crop yield first by reducing growth of assimilate-consuming sink organs and, second, by decreasing assimilate production in photosynthetically active source tissues. Although much work has focussed on controlling the accumulation of toxic ions (mainly Na+ and Cl-), the search for primary growth limiting factor(s) continues. The root, by sensing environmental constraints of the soil, may influence root-to-shoot signalling to control shoot growth and physiology, and ultimately agricultural productivity. Hormonal signals, such as cytokinins, ABA, the ethylene precursor 1-aminocyclopropane-1-carboxylic acid and the auxin indole-3-acetic acid may coordinate assimilate production and usage in competing sinks (biomass partitioning). Hormonal regulation of source-sink relations during the osmotic phase of salinity (independent of specific ions) affects whole-plant energy availability to prolong the maintenance of growth, root function and ion homeostasis, and could be critical to delay the accumulation of Na+ or any other ion to toxic levels. This viewpoint emphasises that simultaneously maintaining growth and delaying early leaf senescence is necessary to increase crop yield in salt-affected soils