Porous polymer bilayer with near-ideal solar reflectance and longwave infrared emittance.

This study explores the optical design of a daytime radiative cooler with near-ideal solar reflectance and longwave infrared (LWIR) emittance through materials selection and nanostructuring. Focusing on polymers as a materials platform, we introduce a bilayer architecture, comprising a porous poly(vinylidene fluoride-co-hexafluoropropene) (P(VdF-HFP)) topcoat that serves as a low-index LWIR emissive effective medium, over a nanofibrous, solar scattering polytetrafluoroethene underlayer. This novel configuration yields a superwhite coating with a near-ideal solar reflectance of >0.

[Cardiomyopathy in the peripartum period: current aspects. A multicenter study. 11 cases].

Eleven of 17 case histories recensed after an inquiry addressed to all the French university hospital cardiological departments were attributed to peripartum cardiomyopathy. Three patients (27%) needed cardiac transplantation. Predisposing factors were multiparity and twin pregnancies.

Bronchial hyperresponsiveness to methacholine in patients with impaired left ventricular function.

To elucidate the pathogenesis of bronchospasm in congestive heart failure, we studied 23 patients with chronic impairment of left ventricular function due to coronary artery disease or dilated cardiomyopathy. In 21 of them we found marked bronchial hyperresponsiveness to methacholine. The mean dose (+/- SD) of methacholine that elicited a 20 percent decrease in the forced expiratory volume in one second (FEV1) was 421 +/- 298 micrograms, nearly the same as in patients with symptomatic asthma.

[Laser fluorimetry of NADH].

Laser fluorimetry of reduced nicotinamide adenine-dinucleotide (NADH) in situ is a new technique used for real-time studies of the degree of reduction of the first link in the mitochondrial respiration chain. We present here the first results obtained in animal experiments and in clinical exploration: In rats, coronary occlusion produces a substantial rise in mitochondrial NADH, followed by a fall below basal level during reperfusion. Tetanic contraction of slow-twitch muscles in rats results in a rise in NADH level higher than that produced by contraction of fast-twitch muscles.

[Primary cardiomyopathies and disorders of myocardial energy metabolism: causes or consequences?].

In this review paper, the authors summarize the studies which support the theory that a defect in production of energy by the myocardial cells is a determinant factor in the genesis and/or aggravation of dilated cardiomyopathy. Points that are common to this metabolic theory and to the other pathogenetic mechanisms usually described (notably viral or toxic mechanisms) are presented.