Before LVAD implant, 22 patients were Interagency Registry for Mechanically Assisted Circulatory Support (INTERMACS) level 1, and 17 were at level 2. Temporary mechanical assistance was present in 50% of the cohort at LVAD implantation. The 6-month survival/progression

to transplant was 92.5%. Average LVAD support time was 385 days (range, 21-1,011 days). RHF developed postoperatively in 13 of 40 patients (32.5%). RHF patients had more severe pre-operative tricuspid incompetence than non-RHF patients. The BTT patients with evidence of RHF had poorer survival to transplant (6 of 11 [54.5%]) than those without RHF (20 of 22 [90.9%]), p = 0.027). There were no other hemodynamic or echocardiographic predictors of short-term RHF. After LVAD, 22 of the 40 patients (55%) thrived clinically. For

BTT patients, 20 of 21 (95%) of those who thrived progressed to transplant selleck screening library or were alive at latest follow-up vs 6 of 12 (50%) of those who failed to thrive (FIT; p < 0.005). The thrivers had lower New York Heart Association class (1.5 vs 2.9, p < 0.001), spent less time in the hospital, and had less ventricular tachycardia than the FTT patients. However, no differences were noted in pre-operative INTERMACS level, echocardiographic, https://www.selleckchem.com/products/CAL-101.html hemodynamic, and biochemical indices, or in early post-operative RHF. Age was the only significant predictor: the thrivers were significantly younger (43.7 +/- 15.9 vs 60.3 +/- 12.6 years; p < 0.001). This age difference was unchanged after exclusion of destination strategy patients. RV function deteriorated in the patients and remained stable in those who thrived.

CONCLUSIONS: Early post-operative RHF results in poorer survival/progression to transplantation for BTT patients and is predicted by greater pre-operative tricuspid incompetence. The most important predictor for those who will clinically thrive longer-term after LVAD insertion is younger age. J Heart Lung Transplant 2011;30:888-95 LY3039478 order Crown Copyright (C) 2011 Published by Elsevier Inc. All rights reserved.”
“We conduct

a systematic investigation of the valence band offset Delta E(v) for amorphous/crystalline silicon heterojunctions (a-Si:H/c-Si) using low-energy photoelectron spectroscopy in the constant final state mode. The dependence of Delta E(v) on a-Si:H thickness as well as on the possible combinations of c-Si substrate and a-Si:H film doping types are explored. Delta E(v) is found to be independent of both substrate and film doping and amounts to Delta E(v) = 0.458(6)eV, averaged over all doping combinations and thicknesses, with a systematic error of 50-60 meV. A slight but statistically significant dependency of Delta E(v) on the a-Si:H film thickness may be explained by a changing interface dipole due to variations in dangling bond saturation during a-Si:H growth. (C) 2011 American Institute of Physics. [doi:10.1063/1.