Other patient characteristics such as alcohol and drug abuse were

Other patient characteristics such as alcohol and drug abuse were associated with being tested for HIV. Providers should be reminded that an STI is a sufficient reason to test for HIV.”
“Six species of Vaucheria were identified in calcified mats growing on a shaded travertine surface. Growth was seasonal and strongly influenced by irradiance but little influenced by temperature which was consistently below 15 degrees C. Calcification of Vaucheria

was low at the mat surface but increased rapidly with depth and was significantly higher on empty siphons. Crystals of calcite were randomly distributed on the siphons, and consisted almost entirely of combinations of the flat rhombohedron and prism. Vaucheria oospores were occasionally calcified preferentially suggesting some biological control of the process. Calcification was influenced to some extent by photosynthesis,

but was mainly the result of carbon dioxide evasion selleck from a turbulent, bicarbonate-rich check details stream water.”
“Our previous study showed that Aldh2-knockout (Aldh2-KO) mice, an animal model of inactive aldehyde dehydrogenase 2 (ALDH2), have better spatial memory when compared with wild-type (WT) mice. Given that the neurotransmitter glutamate has been associated with learning and memory, the goal of the present study was to investigate whether the strain-dependent difference in spatial memory was associated with changes in glutamate transmitter levels or receptor function in the frontal cortex of Aldh2-KO and WT mice. Thus, we first measured extracellular glutamate levels in free-moving mice using microdialysis. Second, we studied protein expression of the N-methyl-D-aspartate (NMDA) receptor (GluN1) subunit and the alpha-amino-3-hydroxy-5 methylisoxazole-4-propionic acid (AMPA) receptor (GluA1) subunit in lipid raft fractions using

Western blot (WB). The samples were collected for WB, and lipid rafts were prepared from the insoluble fraction of homogenate buy LB-100 tissue. Protein concentration was measured in the whole cell lysate (WCL) and in five separate lipid raft fractions. Cholesterol was also measured in all fractions 1-5. The microdialysis study revealed that basal glutamate concentration in the dialysates was approximately three-fold (0.27 +/- 0.12 mu M) higher in Aldh2-KO mice than in WT (0.10 +/- 0.03 mu M) mice. We also found an increase in the expression of GluN1 in Aldh2-KO mice compared with WT mice, both in the WCL and fraction 5, but GluA1 levels were unchanged as measured by WB. Our novel findings provide the first evidence for the role of ALDH2 in glutamate release and GluN1 protein expression in the frontal cortex. The observed strain differences in glutamate levels and GluN1 expression may suggest that enhanced glutamatergic function facilitates improved spatial memory in Aldh2-KO mice and such observation deserves further investigation. (C) 2014 Elsevier B.V. All rights reserved.

(C) 2015 Elsevier B V All rights reserved “
“IL-32 is a new

(C) 2015 Elsevier B.V. All rights reserved.”
“IL-32 is a newly discovered protein found in human and certain primates, but absent in rodent. Various reports suggest its role as a proinflammatory mediator. Since vascular endothelium is critical in inflammation, we investigate IL-32 in endothelial cells. We found that the gene is expressed in human endothelial cells and Akt strongly induces Selleckchem AMN-107 its expression. Sequence analysis indicates IL-32 beta as the major isoform in endothelial cells. Surprisingly, we did not detect any secretion of IL-32 beta in human endothelial cells: instead we

observed co-localization of IL-32 beta with endoplasmic reticulum, suggesting IL-32 beta is an intracellular protein in these cells. Promoter analysis identified a minimum required region for IL-32 transcription at -0.1 to +0.5 kb around the initially identified transcription start site. We

also defined a transcriptional suppressor-binding site at -2.0 to -1.5 kb. Importantly, RNA ligase mediated rapid SB273005 price amplification of cDNA ends in endothelial cells determined the transcription start site at the 328 bp downstream from the original identified site. Finally, we found a positive correlation of IL-32 levels with human breast cancer and glioblastoma multiforme (GBM). These findings improve our understanding of IL-32 in vascular endothelium. IL-32 expression might be valuable as a biomarker for cancer. Published by Elsevier Ltd.”
“Domestic

fuel combustion from cooking and heating, to which about 3 billion people worldwide are exposed, is associated with increased lung cancer risk. Lung cancer incidence in Xuanwei is the highest in China, and the attributable risk of lung cancer from unvented smoky coal burning is greater than 90%. To evaluate any lung cancer mortality reduction after changing from unvented stoves to portable stoves, we used lifetime smoky coal users in a retrospective cohort of all farmers born during 1917-1951 and residing in Xuanwei in 1976. Of the 42 422 enrolled farmers, 4054 lifetime smoky coal users changed to portable stoves, 4364 did not change, and 1074 died of lung cancer. Lung cancer morality buy GS-7977 associated with stove change was assessed by product-limit survival curves and multivariate Cox regression models. Both men (P < 0.0001) and women (P < 0.0001) who changed to portable stoves had a significantly increased probability of survival compared with those who did not change. Portable stoves were associated with decreased risk of lung cancer mortality in male participants (hazard ratio (HR) 0.62, 95% confidence interval (CI) 0.46-0.82) and female participants (HR 0.41, 95% CI 0.29-0.57). Portable stove use is associated with reduced lung cancer mortality risk, highlighting a cost-effective intervention that could substantially benefit health in developing countries.

(C) 2012 Elsevier B V All rights reserved “
“The commercial

(C) 2012 Elsevier B.V. All rights reserved.”
“The commercial production of glycerol has increased considerably for several years, because of its rising inevitable formation as a by-product of biodiesel. For the effective utilization of glycerol, a new click here synthesis of glycerol carbonate (4-hydroxymethyl-2-oxo-1,3-dioxolane) that is used as solvents and raw material of plastics from glycerol was explored. By combined the selenium-catalyzed carbonylation of slightly excess of glycerol

with carbon monoxide and potassium carbonate under 0.1 MPa at 20 degrees C for 4 h in DMF with the oxidation of resulting selenocarbonate salt with molecular oxygen (0.1 MPa, 20 degrees C) for 2 h, glycerol carbonate was obtained in good yields (83-84%). GSK923295 However, sodium hydride to form sodium alkoxide in situ lowered the yield of glycerol carbonate. Use of triethylamine, 1-methylpyrrolidine, and DBU as bases gave poor results. Furthermore, styrene carbonate was obtained in excellent yield (90%) under similar reaction conditions. The catalytic synthesis of glycerol carbonate was also brought about in the mixed gas atmosphere (carbon monoxide: oxygen = 3:1, 0.1 MPa, 20 degrees C). Glycerol carbonate and styrene carbonate were obtained in reasonable yields (197% and 119%, based on selenium used). (C) 2010 Wiley Periodicals, Inc. Heteroatom Chem 21:541-545, 2010; View

this article online at wileyonlinelibrary.com. DOI 10.1002/hc.20640″
“One of the properties of bacteria is their capacity to acquire large fragments of genomic DNA from other bacteria

or to loose important parts of their own genome. Such fragments include genomic islands (GIs); nine GIs are present in Brucella, including genomic island 3 (GI-3), present in B. abortus, B. melitensis and B. ovis. The GI-3 have 29 open reading frames (ORFs) most of them with unknown function. Within the GI-3, the ORFs BAB1_0267 encodes a hypothetical protein sharing a SH3 domain and BAB1_270 a zinc-dependent metallopeptidase. We have obtained deletion mutants for BAB1_0267 and BAB1_0270 ORFs present within GI-3, which have been named the Delta 0267 and Delta 0270, respectively; in both cases the mutation did not affect the growth of bacteria. MK0683 Both mutants were evaluated with respect to their growth rates, their ability to invade and replicate in the non-professional and professional phagocytes, HeLa and J774.A1 cells, respectively. Their persistence in the spleens of mice was also evaluated. The mutants efficiently invaded HeLa and J774.A1 cells but both mutants showed a decreased intracellular survival in macrophages and HeLa cells 72 and 96 h post-infection, respectively, and were non-detected in J774.A1 cells 120 h post infection. With respect to in vivo persistence Delta 0267 was detected through the fourth week while Delta 0270 decreased at 7 days disappearing the second week.

The uncertainty of locating the 3-D space points using subset-bas

The uncertainty of locating the 3-D space points using subset-based pattern matching is estimated by using theoretical formulae developed in Part I and the experimentally defined confidence margins for image locations. Finally,

the uncertainty in strains is predicted using formulae that involves both the variance and covariance of intermediate variables during the strain calculation process. Results from both theoretical predictions and the experimental work show the feasibility and accuracy of the predictive formulae for estimating the uncertainty in the stereo-based deformation measurements.”
“Cholangiocarcinoma is a highly fatal primary cancer of the bile ducts which ZD1839 arises from malignant transformation of bile duct epithelium. While being an uncommon malignancy with an annual incidence in the United States of

5000 new cases, the incidence has been increasing over the past 30 years and comprises 3% of all gastrointestinal cancers. Cholangiocarcinoma can be classified into intrahepatic (ICC) and extrahepatic (including hilar and distal bile duct) according to its anatomic location within the biliary tree with respect to the liver. This paper reviews the management of ICC, focusing on the epidemiology, risk factors, diagnosis, and surgical and nonsurgical management.”
“The aim of this study is to produce the relation between cognitive DMH1 and functional performance and some biochemical parameters in elderly population. So, we searched for the correlation between the activities of daily living (ADL), mini-mental state examination (MMSE) and body weight, age, hemoglobin, albumin, buy Alvespimycin serum sodium level of 180 elderly people in five nursing homes. Face-to-face interviews and questionnaires

were applied to evaluate ADL To evaluate the cognitive function we used the MMSE. The average age of 180 people contacted was 71.5 +/- 5.1 ( S.D.). ranging 65-91 years; 112 of them were women (62.2%),68 were men (37.8%). Of these elderly people, 25% had no medically diagnosed illnesses, whereas 17 of them (9.4%) were bedridden. There was a positive correlation between ADL and hemoglobin, albumin, body weight, cognitive function parameters and a negative one with age and serum sodium. There was a positive correlation between cognitive functions and hemoglobin, body weight, ADL and a negative one with serum sodium. Hemoglobin concentrations indicating anemia were observed in 30% of subjects. 3.9% of them had hyponatremia and 26.7% displayed a hypernatremia. There was a positive correlation between cognitive and physical function scores and hemoglobin. albumin levels in elderly patients. These results suggest that restoration of hemoglobin and albumin levels could improve cognitive and physical functional status in the elderly population. (C) 2009 Elsevier Ireland Ltd. All rights reserved.

40% food intake (DM basis) might increase the beneficial bacteria

40% food intake (DM basis) might increase the beneficial bacterial populations and SCFA concentrations in the faeces of dogs. Thus, the feeding of prebiotics has a great

prospective to improve the intestinal health of dogs.”
“This study proposes a novel graded photonic crystal structure that can be used to achieve asymmetric light propagation. This structure is obtained by changing the radius of a conventional square lattice photonic crystal. A higher contrast ratio is obtained by extending the numbers of the periods of the graded photonic crystal in the horizontal direction. The best contrast ratio almost reaches 1. The intensity at the spot where the light propagated forward converges is two orders of magnitude greater than the intensity at the optical axis of the backward transmission. Numerical results are obtained using the finite-difference time Stattic mouse domain and plane wave methods. The proposed structure has significant application potential in optical integration. (C) 2013 The Japan Society of Applied Physics”
“Preference for beauty is human nature, as previous behavior studies have supported the notion of “beauty premium” in which attractive people were more easily to get promoted and receive higher salaries. In the present study, 29 males were recruited to participate in a three-person ultimatum game (UG) including a proposer,

a responder and a powerless third player. Each subject, playing as the responder, had to decide whether Galardin research buy Selleck Vorinostat to accept an offer from the allocator both for himself and a female third person. We aimed to elucidate how the facial

attractiveness of the female subject affected the male subjects’ fairness and decision-making in social exchanges. Frontal feedback-related negativity (FRN) in response to four offers in an attractive-face condition revealed no significant differences between offers; however, when the companion was an unattractive female, an “unfair/fair” offer, which assigned a lower share to the responder and a fair share to the third player, elicited the largest FRN. Furthermore, when the third player was offered the smallest amount (“fair/unfair” offer), a larger FRN was generated in an attractive-face condition than unattractive-face condition. In the “unfair/fair” offer condition in which subjects received a smaller allocation than the third person, the beauty of their female counterparts attenuated subjects’ aversion to inequality, resulting in a less negative FRN in the frontal region and an increased acceptance ratio. However, the influence of the third player’s facial attractiveness only affected the early evaluation stage: late P300 was found to be immune to the “beauty premium”. Under the two face conditions, P300 was smallest following an “unfair/fair” offer, whereas the amplitudes in the other three offer conditions exhibited no significant differences.

3% of calls and advised planned GP visits in 2 5% of calls Concl

3% of calls and advised planned GP visits in 2.5% of calls. Conclusion Unplanned GP visits consistently indicated a significant change to worse health with planned visits presenting less acuity in this study of older multi-morbid patients in general practice, when monitored by regular calls at about every 3 days. The PaJR study actively prompted GP visits according to its algorithms. Assessing and predicting acuity in older multi-morbid patients appears to be a promising strategy to improve access to primary care, and thus to reducing avoidable hospital utilization. Further research is needed to investigate the topic on a wider scale.”
“Chinese hamster ovary (CHO) cells are

currently GS-7977 DNA Damage inhibitor the workhorse of the biopharmaceutical industry. However, yeasts such as Pichia pastoris are about to enter this field. To compare their capability for recombinant protein secretion, P. pastoris strains and CHO cell lines producing human serum albumin (HSA) and the 3D6 single chain Fv-Fc anti-HIV-1 antibody (3D6scFv-Fc) were cultivated in comparable fed batch processes. In P. pastoris, the ARS-1620 manufacturer mean biomass-specific secretion rate (q(p)) was 40-fold lower for 3D6scFv-Fc compared to HSA. On the contrary, q(p) was similar for both proteins in CHO cells. When comparing both organisms, the mean q(p) of the CHO cell lines was 1011-fold higher for 3D6scFv-Fc and 26-fold higher for HSA. Due to the low q(p) of the 3D6scFv-Fc producing strain, the space-time yield (STY) was 9.6-fold

lower for P. pastoris. In contrast, the STY of the HSA producer was 9.2-fold higher compared to CHO cells because of the shorter process time and higher biomass density. The results indicate that the protein secretion machinery of P. pastoris is much less efficient and the secretion rate strongly depends on the complexity of the recombinant PF-562271 mouse protein. However, process efficiency of the yeast system allows higher STYs for less complex proteins.”
“Oxidative

stress in the body occurs when the production of free radicals overwhelms the antioxidant defence systems. The aim of this study was to examine the effects of a tiletamine/zolazepam-xylazine-tramadol combination on the antioxidant status, lipoperoxidase and blood cell indicators in eight miniature pigs. Baseline measures were recorded prior to anaesthesia, then the animals were anaesthetized with the combination of tiletamine/zolazepam (3.5 mg/kg), xylazine (1.32 mg/kg), and tramadol (1.8 mg/kg). Blood samples were collected from the anterior vena cava at 15, 30, 60, 90, 120 min, 24 h, and 72 h after anaesthesia. Plasma malondialdehyde, superoxide dismutase, catalase, and glutathione peroxidase concentrations were measured by colorimetry, and red blood cell counts, white blood cell counts, haemoglobin and packed cell volume were determined using an automated cell counter. The results showed that the concentration of malondialdehyde increased significantly at 30 and 60 min after the injection (P smaller than 0.

Moreover, we

also demonstrated that Hes5 regulated the tr

Moreover, we

also demonstrated that Hes5 regulated the transcription of Phox2b as a negative regulator and it inhibited the SNS differentiation. These findings have enabled us to determine the novel regulatory mechanism of Phox2b in SNS differentiation. (C) 2011 Elsevier Inc. All rights reserved.”
“Interphase fluorescence in situ hybridization was used to detect common deletions in B-CLL patients as well as trisomy 12 and aberrations of IgH gene complex at 14q32.33 where we evaluated not only translocation-like signal pattern but also deletions. 120 (82%) patients showed genetic changes – del(13)(q 14) 95 (62%), deletion of ATM gene 22 (15%), deletion of p53 gene 25 (17%) and trisomy 12 was proved in 18 (12%) cases. PF-03084014 price IgH rearrangements were detected in 45 (31%), split of the signals in 11 (8%), deletion of 3′segment flanking IgH gene in 5 (3%) and deletions of variable segment in 29 (20%) patients. Although deletions of 3′segment flanking IgH gene complex are supposed to have an adverse prognostic impact and the genetic background of variable segment MLN2238 mw deletions

is believed to be most probably physiological, we assumed a detailed mapping of the 14q32.33 region will be needed to unravel these mysteries.”
“ErbB4 receptor tyrosine kinase contributes to the development of the heart, the central nervous system, and the lactating mammary gland, but whether it has a role in the development of the kidney epithelium is unknown. Here, we found that expression of Erbb4 isoforms JM-a CYT-1 and JM-a CYT-2 was first detectable around embryonic day 13 in the mouse, mainly in the collecting ducts and both the proximal and distal tubules. In vitro, overexpression of a relevant ErbB4 isoform promoted proliferation and disturbed polarization of kidney ATM signaling pathway epithelial cells when cultured

as three-dimensional structures. We examined ErbB4 function in developing kidney tubules in vivo with Pax8-Cre mediated conditional overexpression of Rosa26 locus targeted ERBB4 and with conditional Erbb4 knock-out mice. The Pax8-Cre driven ERBB4 overexpression enhanced proliferation in the collecting ducts, reduced the size of epithelial duct lumens, and promoted formation of cortical tubular cysts. These defects were associated with changes in the subcellular distribution of markers of epithelial cell polarity. Similarly, the Pax8-Cre mediated Erbb4 knock-out mice manifested dysfunctional kidneys with larger duct lumens and epithelial cell mispolarization. Taken together, these data suggest that ErbB4 signaling modulates proliferation and polarization, cellular functions critical for the development of epithelial ducts in the kidney.”
“Iron-based nanoparticles (OT-FeNP) were synthesized using oolong tea extracts.

We describe procedures for the simultaneous resolution of proteom

We describe procedures for the simultaneous resolution of proteome maps, the identification of proteins modified by nitration, carbonylation, and phosphorylation, and proteins with unique

spectra such as the heme containing proteins.”
“Extracellular adenosine triphosphate (eATP) is a potent molecule that has the capacity to modulate various aspects of cell functions including gene expression. This element of modulation is essential to the role of ATP as a therapeutic Selleck ATM inhibitor agent. The hypothesis presented is that ATP can have an important impact on the treatment of HIV infection. This is supported in part by published research, although a much greater role for ATP is suggested than prior authors ever thought possible. ATP has

the ability to enhance the immune system and could thus improve the host’s own defense mechanisms to eradicate the virus-infected cells and restore normal immune function. This could provide effective therapy when used in conjunction with highly active antiretroviral therapies (HAART) to eliminate the latently infected cells. The key lies in applying ATP through the methodology described. This Metabolism inhibitor article presents a strategy for using ATP therapeutically along with background evidence to substantiate the importance of using ATP in the treatment of HIV infection.”
“Background: The management and treatment of bone defects caused by trauma, non-union, tumors and disease poses a major clinical problem. Limitations with autograft and allograft have led to research into tissue engineering of bone graft using scaffolds and mesenchymal stem cells.\n\nObjectives: This systematic review aims to examine and summarize the pre clinical in-vivo studies and the limited clinical studies on the use of scaffolds in the treatment of critical size bony defects.\n\nData

sources: Databases: PubMed, Medline, OVID, Scopus and Cochrane library. The following key words and search terms Daporinad chemical structure were used: scaffolds, bone repair, bone regeneration, mesenchymal stem cells, and tissue engineering and musculoskeletal.\n\nMethods: A total of 503 articles were reviewed. 23 articles were identified as relevant for the purpose of this systematic literature review.\n\nResults: Three tables of studies were constructed: pre clinical biological scaffolds, pre clinical synthetic scaffolds and clinical scaffolds.\n\nConclusions: There is a lot of pre clinical evidence that the use of scaffold combined with mesenchymal stem cells enhances osteogenesis when treating bone defects. There is limited clinical evidence at this early stage that scaffolds can be used safely and effectively in tissue engineered grafts to repair bone defects with no RCTs as yet having been conducted. The limited clinical series reported have however produced promising results.

Most commonly the women self-medicated

with herbal medici

Most commonly the women self-medicated

with herbal medicine to treat pregnancy-related health ailments. More knowledge regarding the efficacy and safety of herbal medicines in pregnancy is warranted.”
“OBJECTIVES: To assess how cognitive impairment affects rehabilitation outcomes and to determine whether individual benefit regardless of cognition.\n\nDESIGN: Prospective open observational study.\n\nSETTING: Two rehabilitation wards admitting older adults after admissions with medical or surgical problems.\n\nPARTICIPANTS: Two hundred forty-one individuals admitted to two rehabilitation wards, 144 female, mean age 84.4 +/- 7.3 (range: 59-103).\n\nMEASUREMENTS: The Mini-Mental State Examination (MMSE) was administered, and participants were categorized into four groups: cognitively intact (MMSE score: 27-30), mildly impaired (MMSE score: 21-26), moderately impaired (MMSE score: 11-20), and severely impaired (MMSE score: 0-10). JNJ-26481585 in vivo Barthel activity of daily living score was calculated on admission, at 2 and 6 weeks (if appropriate), and at discharge to assess level of independence and improvement or deterioration in function. Information relating to mortality, discharge destination, and length of stay was also collected.\n\nRESULTS: After

adjusting for comorbidities and age, all four groups showed improvement in Barthel score from admission to discharge. This improvement was highly significant (P = .005) in participants with selleckchem normal cognition and mild to moderate impairment. Severely LOXO-101 in vitro impaired participants also made significant improvement (P = .01). Length of stay was significantly longer for participants with lower cognitive scores. Discharge of 50% of participants occurred by 26,

28, 38, and 47 days for Groups 1 to 4, respectively (P = .001). Higher rates of institutionalization and mortality (P = .02) were associated with lower MMSE score.\n\nCONCLUSION: All participants improved functionally regardless of cognition. Likelihood of institutionalization, mortality, length of stay, and adverse incidents was higher with lower MMSE scores. J Am Geriatr Soc 59:2108-2111, 2011.”
“Cold hypersensitivity is the hallmark of oxaliplatin-induced neuropathy, which develops in nearly all patients under this chemotherapy. To date, pain management strategies have failed to alleviate these symptoms, hence development of adapted analgesics is needed. Here, we report that oxaliplatin exaggerates cold perception in mice as well as in patients. These symptoms are mediated by primary afferent sensory neurons expressing the thermoreceptor TRPM8. Mechanistically, oxaliplatin promotes over-excitability by drastically lowering the expression of distinct potassium channels (TREK1, TRAAK) and by increasing the expression of pro-excitatory channels such as the hyperpolarization-activated Channels (HCNs).

Investigations in this simple organism often guide the direction

Investigations in this simple organism often guide the direction of chemotaxis studies in areas such as forming concepts, discovering molecular components, revealing pathways and networks. The cooperation between experimental approaches and computational modeling has helped us

to comprehend the signaling network as a system. To further reveal the relationships among the molecular mechanisms of individual signaling steps, a continuous interplay between model development and refinement and experimental testing and verification will be useful. This article focuses on a chemoattractant G-protein-coupled receptor (GPCR)/G-protein gradient sensing machinery, which ismonitored by PIP(3) responses and investigated by the interplay between live cell imaging buy GS-7977 experiments and computational modeling.

We believe that such an approach will lead to a much better understanding of GPCR-controlled chemotaxis of all eukaryotic cells. (C) 2011 John Wiley & Sons, Inc. WIREs Syst Biol Med 2011 3 717-727 DOI: 10.1002/wsbm.143″
“The effects of formulation and storage time on the physicochemical and rheological properties of a stirred yogurt, with the inclusion of a Mexican caramel jam (“cajeta”) as a flavor source, were studied. The systems were prepared by following a factorial design, analyzed after formulation and during four weeks of storage by studying three factors: fat, caramel, and x-carrageenan with different levels. Formulation as well as the storage time Apoptosis Compound Library clinical trial influenced in a different degree both properties: physicochemical and flow. Soluble solids and moisture were stable, pH decreased while acidity DZNeP manufacturer augmented; the luminosity remained constant but redness and yellowness showed an inverse

relationship as a function of storage. The non Newtonian behavior of the flavored yogurt was fitted by the Herschel and Bulkley model, in which fat increased the yield stress and consistency coefficient; both parameters increased with storage in contrary to the flow behavior index. Dynamic tests and microscopy observations completed the characterization, a weak gel was identified. (C) 2012 Elsevier Ltd. All rights reserved.”
“Background and aim of the study: The early diastolic transmitral velocity/early mitral annular diastolic velocity ratio (E/Ea) reflects left ventricular (LV) filling pressure in a variety of cardiac diseases. The value of this parameter in patients with significant mitral regurgitation (MR) remains controversial. It has been hypothesized that, by combining the index of diastolic function (E/Ea) and a parameter that explores LV systolic performance (Sa, mitral annulus peak systolic velocity), a close prediction of the LV end-diastolic pressure (LVEDP) can be provided. Hence, the study aim was to assess the relationship between a new parameter, E/(EaxSa), and LVEDP in patients with severe MR.