2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC). Developed with the special contribution of the Heart Failure Association (HFA) of the ESC.

The rapid technological developments of the past decade and the changes in echocardiographic practice brought about by these developments have resulted in the need for updated recommendations to the previously published guidelines for cardiac chamber quantification, which was the goal of the joint writing group assembled by the American Society of Echocardiography and the European Association of Cardiovascular Imaging. This document provides updated normal values for all four cardiac chambers, including three-dimensional echocardiography and myocardial deformation, when possible, on the basis of considerably larger numbers of normal subjects, compiled from multiple databases. In addition, this document attempts to eliminate several minor discrepancies that existed between previously published guidelines.

https://biblio.ugent.be/publication/5953422/file/5953443.pdf

Recommendations for cardiac chamber quantification by echocardiography in adults: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging.

XI. STRATEGIES FOR IMPROVING DIABETES CARE D iabetes is a chronic illness that requires continuing medical care and patient self-management education to prevent acute complications and to reduce the risk of long-term complications. Diabetes care is complex and requires that many issues, beyond glycemic control, be addressed. A large body of evidence exists that supports a range of interventions to improve diabetes outcomes. These standards of care are intended to provide clinicians, patients, researchers, payors, and other interested individuals with the components of diabetes care, treatment goals, and tools to evaluate the quality of care. While individual preferences, comorbidities, and other patient factors may require modification of goals, targets that are desirable for most patients with diabetes are provided. These standards are not intended to preclude more extensive evaluation and management of the patient by other specialists as needed. For more detailed information, refer to Bode (Ed.): Medical Management of Type 1 Diabetes (1), Burant (Ed): Medical Management of Type 2 Diabetes (2), and Klingensmith (Ed): Intensive Diabetes Management (3). The recommendations included are diagnostic and therapeutic actions that are known or believed to favorably affect health outcomes of patients with diabetes. A grading system (Table 1), developed by the American Diabetes Association (ADA) and modeled after existing methods, was utilized to clarify and codify the evidence that forms the basis for the recommendations. The level of evidence that supports each recommendation is listed after each recommendation using the letters A, B, C, or E.

Standards of Medical Care in Diabetes

Co-Planar Stereotaxic Atlas of the Human Brain—3-Dimensional Proportional System: An Approach to Cerebral Imaging, J. Talairach, P. Tournoux. Georg Thieme Verlag, New York (1988), 122 pp., 130 figs. DM 268

I have developed "tennis elbow" from lugging this book around the past four weeks, but it is worth the pain, the effort, and the aspirin. It is also worth the (relatively speaking) bargain price. Including appendixes, this book contains 894 pages of text. The entire panorama of the neural sciences is surveyed and examined, and it is comprehensive in its scope, from genomes to social behaviors. The editors explicitly state that the book is designed as "an introductory text for students of biology, behavior, and medicine," but it is hard to imagine any audience, interested in any fragment of neuroscience at any level of sophistication, that would not enjoy this book. The editors have done a masterful job of weaving together the biologic, the behavioral, and the clinical sciences into a single tapestry in which everyone from the molecular biologist to the practicing psychiatrist can find and appreciate his or

Principles of Neural Science

Abstract 11681: Increased Nitrosative/Oxidative Stress Lowers Myocardial Protein Kinase G Activity in Heart Failure with Preserved Ejection Fraction

Heart Failure Peripartum Cardiomyopathy as a Part of Familial Dilated Cardiomyopathy

Ancient Gunpowder and Novel Insights Team Up Against Heart Failure With Preserved Ejection Fraction

Increased NADPH oxidase mediated superoxide production in human heart failure: Potential role in left ventricular dysfunction

Introduction High frequency repetitive transcranial magnetic stimulation induces excitation when applied to the motor cortex as reflected by the increase MEP amplitudes after the stimulation. The effects differ according to pulse width, probably due to higher content of energy in the wider pulses and their ability to cause wider activation in comparison to shorter pulse shapes. Here we focus on the aftereffects generated with high frequency controllable pulse TMS (cTMS) with different pulse widths. Objectives To investigate the influence of pulse energy by using different stimulation intensities and pulse widths on the excitatory plastic aftereffects of high frequency (HF) rTMS. Methods Using a controllable pulse stimulator TMS (cTMS), we stimulated the hand motor cortex with 5 Hz rTMS applying 1200 bidirectional pulses with the main component widths of 80, 100 and 120 microseconds. 14 healthy subjects were initially investigated for six randomized sessions first with 80% RMT for anterior-posterior (AP) and posterior-anterior (PA). Then three more sessions using same pulse widths were added for 90% RMT anterior-posterior (AP). Results 80% HF rTMS did not produce any significant excitation in either AP or PA direction. 90% RMT AP stimulation with 100 and 120 microsecond-wide pulses were more excitatory, when compared to the 80 microsecond-wide pulses. We also found a correlation between the individual pulse energy and the plastic outcome of each session. Conclusions HF rTMS with wider pulses is more effective in producing excitatory aftereffects, an effect that correlated with the higher energy content of wider pulses and higher intensity. Significance The findings here suggest that wider pulses are capable of inducing more excitation, a fact that could contribute to better results in future clinical studies performed with wider pulses.

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Walter Paulus

Papers

Abstract 11681: Increased Nitrosative/Oxidative Stress Lowers Myocardial Protein Kinase G Activity in Heart Failure with Preserved Ejection Fraction

Heart Failure Peripartum Cardiomyopathy as a Part of Familial Dilated Cardiomyopathy

Ancient Gunpowder and Novel Insights Team Up Against Heart Failure With Preserved Ejection Fraction

Increased NADPH oxidase mediated superoxide production in human heart failure: Potential role in left ventricular dysfunction

Increasing pulse energy of 5Hz rTMS improves its efficacy in inducing excitatory aftereffects