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

The Importance of the Mining Subsidence Reservoirs Located Along the Trans-Regional Highway in the Conservation of the Biodiversity of Freshwater Molluscs in Industrial Areas (Upper Silesia, Poland)

The objectives of the survey were to analyse the structure of the mollusc communities in the mining subsidence reservoirs that were created as a result of land subsidence over exploited hard coal seams and to determine the most predictive environmental factors that influence the distribution of mollusc species. The reservoirs are located in urbanised and industrialised areas along the Trans-Regional Highway, which has a high volume of vehicular traffic. They all have the same sources of supply but differ in the physical and chemical parameters of the water. In total, 15 mollusc species were recorded including four bivalve species. Among them Anodonta cygnea is classified as Endangered according to the Polish Red Data Book of Animals and also as Near Threatened according to the European Red List of Non-marine Molluscs. Eleven of the 15 mollusc species are included on the European Red List of Nonmarine Molluscs as Least Concern. Conductivity, pH and the concentration of calcium were the parameters most associated with the distribution of mollusc species. Canonical correspondence analysis showed that Potamopyrgus antipodarum, Radix balthica, Physella acuta, Gyraulus crista and Pisidium casertanum were associated with higher conductivity and lower pH values. A. cygnea, Anodonta anatina and Ferrissia fragilis were negatively influenced by these parameters of the water. The results of this survey showed that the mining subsidence reservoirs located in urbanised and industrialised areas provide refuges for rare and legally protected species and that they play an essential role in the dispersal of alien species as well

Results, Old and New, in Computed Tomography

Introduction Computed tomography (CT) entails the reconstruction of a function f from line integrals of f . This mathematical problem is encountered in a growing number of diverse settings in medicine, science, and technology, ranging from the famous application in diagnostic radiology to recent research in quantum optics. As a consequence, many aspects of CT have been extensively studied and are now well understood, thus providing an interesting model case for the study of other inverse problems. Other aspects, notably three-dimensional reconstructions, still provide numerous open problems. The present article grew out of a series of tutorial talks given by the author at the IMA. In the spirit of such talks, it attempts to provide a brief introduction to the subject, highlight some aspects of general interest, sketch some recent developments, and point out references for further study. In practice only integrals over finitely many lines can b