Echocardiography Core Laboratory Methodology for TAVR: A Transatlantic Consensus.

Inter-echocardiography core laboratory (ECL) harmonization is pivotal to consider data from different ECLs interchangeable. On the basis of the experience of the first trans-Atlantic harmonization of 2 established ECLs in the field of transcatheter aortic valve replacement (TAVR) trials, this review describes the harmonized ECL methodology in analyzing and adjudicating the post-TAVR echocardiographic endpoints according to Valve Academic Research Consortium 3 definitions. This review presents the feasibility and intra- and inter-ECL reproducibility, explains the root cause of potential important inter-ECL variability, and formulates ECL recommendations for optimal post-TAVR echocardiographic image acquisition.

Orbital variations as a major driver of climate and biome distribution during the greenhouse to icehouse transition.

Recent studies suggest increasing sensitivity to orbital variations across the Eocene-Oligocene greenhouse to icehouse climate transition. However, climate simulations and paleoenvironmental studies mostly provide snapshots of the past climate, therefore overlooking the role of this short-term variability in driving major environmental changes and possibly biasing model-data comparisons. We address this problem by performing numerical simulations describing the end-members of eccentricity, obliquity, and precession.

Management of an Intrauterine Device Migration Resulting in a Pregnancy - Clinical Case.

Intrauterine devices (IUD) are one of the most commonly used methods of contraception worldwide. The long term effect makes it desirable by most patients. The insertion of an IUD is not difficult as a technique but it involves multiple complications such as uterine perforation and migration into the abdominal cavity, urinary bladder perforation, fistula formation, bowel perforation and intra-abdominal adhesions.

The Vision of Managing for Pest-Resistant Landscapes: Realistic or Utopic?

Purpose Of Review: Forest managers have long suggested that forests can be made more resilient to insect pests by reducing the abundance of hosts, yet this has rarely been done. The goal of our paper is to review whether recent scientific evidence supports forest manipulation to decrease vulnerability. To achieve this goal, we first ask if outbreaks of forest insect pests have been more severe in recent decades.

Cenozoic evolution of the steppe-desert biome in Central Asia.

The origins and development of the arid and highly seasonal steppe-desert biome in Central Asia, the largest of its kind in the world, remain largely unconstrained by existing records. It is unclear how Cenozoic climatic, geological, and biological forces, acting at diverse spatial and temporal scales, shaped Central Asian ecosystems through time. Our synthesis shows that the Central Asian steppe-desert has existed since at least Eocene times but experienced no less than two regime shifts, one at the Eocene-Oligocene Transition and one in the mid-Miocene.