New Challenging Scenarios in Transcatheter Aortic Valve Implantation: Valve-in-valve, Bicuspid and Native Aortic Regurgitation

Transcatheter aortic valve implantation (TAVI) is the most frequently performed structural technique in the field of interventional cardiology. Initially, this procedure was only used in patients with severe symptomatic aortic stenosis and prohibitive risk. Now, barely one decade after its introduction, TAVI indications extend to low- and intermediate-risk patients. Despite these advances, several challenging scenarios are still on the periphery of the evidence base for TAVI. These include valve-in-valve procedures, lower-risk patients with bicuspid aortic valve and the treatment of pure aortic regurgitation. Whereas the valve-in-valve indication has expanded rapidly, evidence for the use of TAVI compared with conventional surgery for bicuspid aortic valve is limited, including the best choice of device should TAVI be used. Evidence for TAVI in pure aortic regurgitation is still anecdotal because of suboptimal outcomes. Operators worldwide have described variations in the TAVI procedural technique to achieve commissural alignment and to minimise the rate of pacemaker use through cusp overlap implantation. In light of the potential clinical benefits, this may also be an area of further development. This review aims to discuss the current evidence available supporting the use of TAVI for these new indications

Commentary: improving the health of neglected populations in Latin America

Neglected diseases encompass a group of pathologies that disproportionally affect resource-constrained areas of the world. In tropical and subtropical areas in Latin America, the vicious cycle of poverty, disease and underdevelopment is widespread. The burden of disease associated to neglected diseases in this region is mainly expressed through diseases such as malaria, dengue, intestinal parasitic infections, Chagas' disease, and many others. These maladies have burdened Latin America throughout centuries and have directly influenced their ability to develop and become competitive societies in the current climate of globalization. Therefore, the need for a new paradigm that integrates various public health policies, programs, and a strategy with the collaboration of all responsible sectors is long overdue. In this regard, innovative approaches are required to ensure the availability of low-cost, simple, sustainable, and locally acceptable strategies to improve the health of neglected populations to prevent, control, and potentially eliminate neglected diseases. Improving the health of these forgotten populations will place them in an environment more conducive to development and will likely contribute significantly to the achievement of the Millennium Development Goals in this area of the globe

Evolution of equity norms in small-world networks

The topology of interactions has been proved very influential in the results of models based on learning and evolutionary game theory. This paper is aimed at investigating the effect of structures ranging from regular ring lattices to random networks, including small-world networks, in a model focused on property distribution norms. The model considers a fixed and finite population of agents who play the Nash bargaining game repeatedly. Our results show that regular networks promote the emergence of the equity norm, while less-structured networks make possible the appearance of fractious regimes. Additionally, our analysis reveals that the speed of adoption can also be affected by the network structureSpanish MICINN Projects CSD2010-00034 SimulPast CONSOLIDER-INGENIO 2010 , TIN2008-06464-C03-02 and DPI2010-16920, and by the Junta de Castilla y León, References BU034A08 and GREX251-200

Mechanical properties of geopolymer concretes reinforced with waste steel fibers

The article presents the research that try to determinate the possibilities of utilization the waste came from used tires to create the composites based on geopolymer matrix. The tire is multicomponent construction. It mainly consists of elastomer (rubber), metal and textile fibres such called textile cord. A lot of components causes difficulties in the tire recycling process. The main aim of the research was determinate the possibilities of recycling the waste steel from used tires in geopolymer composites and develop the eco-friendly material for construction industry. The matrix based on fly ash from power station located in city named Skawina (Poland) and fine sand at a ratio of 1:1. The process of activation was made by 10M sodium hydroxide solution combined with the sodium silicate solution. In order to manufacture these composites the addition of 2% and 3.5% of waste steel fibres by mass was applied. Also specimen without steel fiber reinforcement were made to get reference specimens. The waste steel fibres came from recycling company from Argentina - 'Regomax'. The specimens were prepared according to the methodology described in the standard EN 12390-1. The research methods used were: microstructure research, tensile strength and compressive strength tests as well as analysis of breakthroughs.Fil: Gailitis, R. Riga Technical University; LetoniaFil: Korniejenko, K. Cracow University Of Technology; PoloniaFil: Lach, M. Riga Technical University; LetoniaFil: Sliseris, J. Riga Technical University; LetoniaFil: Moran, Juan Ignacio. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Mar del Plata. Instituto de Investigaciones en Ciencia y Tecnología de Materiales. Universidad Nacional de Mar del Plata. Facultad de Ingeniería. Instituto de Investigaciones en Ciencia y Tecnología de Materiales; ArgentinaFil: Rodriguez, Exequiel Santos. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Mar del Plata. Instituto de Investigaciones en Ciencia y Tecnología de Materiales. Universidad Nacional de Mar del Plata. Facultad de Ingeniería. Instituto de Investigaciones en Ciencia y Tecnología de Materiales; ArgentinaFil: Mikula, J. Cracow University Of Technology; Poloni

Relativistic domain-wall dynamics in van der Waals antiferromagnet MnPS3

The discovery of two-dimensional (2D) magnetic van der Waals (vdW) materials has flourished an endeavor for fundamental problems as well as potential applications in computing, sensing and storage technologies. Of particular interest are antiferromagnets, which due to their intrinsic exchange coupling show several advantages in relation to ferromagnets such as robustness against external magnetic perturbations. Here we show that, despite of this cornerstone, the magnetic domains of recently discovered 2D vdW MnPS3 antiferromagnet can be controlled via magnetic fields and electric currents. We achieve ultrafast domain-wall dynamics with velocities up to ~3000 m s−1 within a relativistic kinematic. Lorentz contraction and emission of spin-waves in the terahertz gap are observed with dependence on the edge termination of the layers. Our results indicate that the implementation of 2D antiferromagnets in real applications can be further controlled through edge engineering which sets functional characteristics for ultrathin device platforms with relativistic features

Application of mixed reality to ultrasound-guided femoral arterial cannulation during real-time practice in cardiac interventions

Producción CientíficaMixed reality opens interesting possibilities as it allows physicians to interact with both, the real physical and the virtual computer-generated environment and objects, in a powerful way. A mixed reality system, based in the HoloLens 2 glasses, has been developed to assist cardiologists in a quite complex interventional procedure: the ultrasound-guided femoral arterial cannulations, during real-time practice in interventional cardiology. The system is divided into two modules, the transmitter module, responsible for sending medical images to HoloLens 2 glasses, and the receiver module, hosted in the HoloLens 2, which renders those medical images, allowing the practitioner to watch and manage them in a 3D environment. The system has been successfully used, between November 2021 and August 2022, in up to 9 interventions by 2 different practitioners, in a large public hospital in central Spain. The practitioners using the system confirmed it as easy to use, reliable, real-time, reachable, and cost-effective, allowing a reduction of operating times, a better control of typical errors associated to the interventional procedure, and opening the possibility to use the medical imagery produced in ubiquitous e-learning. These strengths and opportunities were only nuanced by the risk of potential medical complications emerging from system malfunction or operator errors when using the system (e.g., unexpected momentary lag). In summary, the proposed system can be taken as a realistic proof of concept of how mixed reality technologies can support practitioners when performing interventional and surgical procedures during real-time daily practice.Junta de Castilla y León - Gerencia Regional de Salud (SACyL) (grant number GRS 2275/A/2020)Instituto de Salud Carlos III (grant number DTS21/00158)Publicación en abierto financiada por el Consorcio de Bibliotecas Universitarias de Castilla y León (BUCLE), con cargo al Programa Operativo 2014ES16RFOP009 FEDER 2014-2020 DE CASTILLA Y LEÓN, Actuación:20007-CL - Apoyo Consorcio BUCL