Left bundle branch pacing vs biventricular pacing in heart failure patients with left bundle branch block:A systematic review and meta-analysis

BACKGROUND Left bundle branch pacing(LBBP)is a novel pacing modality of cardiac resynchronization therapy(CRT)that achieves more physiologic native ventricular activation than biventricular pacing(BiVP).AIM To explore the validity of electromechanical resynchronization,clinical and echocardiographic response of LBBP-CRT.METHODS Systematic review and Meta-analysis were conducted in accordance with the standard guidelines as mentioned in detail in the methodology section.RESULTS In our analysis,the success rate of LBBP-CRT was determined to be 91.1%.LBBP CRT significantly shortened QRS duration,with significant improvement in echocardiographic parameters,including left ventricular ejection fraction,left ventricular end-diastolic diameter and left ventricular end-systolic diameter in comparison with BiVP-CRT.CONCLUSION A significant reduction in New York Heart Association class and B-type natriuretic peptide levels was also observed in the LBBP-CRT group vs BiVP-CRT group.Lastly,the LBBP-CRT cohort had a reduced pacing threshold at follow-up as compared to BiVP-CRT.

Engineering high amylose and resistant starch in maize by CRISPR/Cas9-mediated editing of starch branching enzymes

To improve the amylose content(AC)and resistant starch content(RSC)of maize kernel starch,we employed the CRISPR/Cas9 system to create mutants of starch branching enzyme I(SBEI)and starch branching enzyme IIb(SBEIIb).A frameshift mutation in SBEI(E1,a nucleotide insertion in exon 6)led to plants with higher RSC(1.07%),lower hundred-kernel weight(HKW,24.71±0.14 g),and lower plant height(PH,218.50±9.42 cm)compared to the wild type(WT).Like the WT,E1 kernel starch had irregular,polygonal shapes with sharp edges.A frameshift mutation in SBEIIb(E2,a four-nucleotide deletion in exon 8)led to higher AC(53.48%)and higher RSC(26.93%)than that for the WT.E2 kernel starch was significantly different from the WT regarding granule morphology,chain length distribution pattern,X-ray diffraction pattern,and thermal characteristics;the starch granules were more irregular in shape and comprised typical B-type crystals.Mutating SBEI and SBEIIb(E12)had a synergistic effect on RSC,HKW,PH,starch properties,and starch biosynthesis-associated gene expression.SBEIIa,SS1,SSIIa,SSIIIa,and SSIIIb were upregulated in E12 endosperm compared to WT endosperm.This study lays the foundation for rapidly improving the starch properties of elite maize lines.

ON THE EMPTY BALLS OF A CRITICAL OR SUBCRITICAL BRANCHING RANDOM WALK

Let{Z_(n)}_(n)≥0 be a critical or subcritical d-dimensional branching random walk started from a Poisson random measure whose intensity measure is the Lebesugue measure on R^(d).Denote by R_(n):=sup{u>0:Z_(n)({x∈R^(d):∣x∣<u})=0}the radius of the largest empty ball centered at the origin of Z_(n).In this work,we prove that after suitable renormalization,Rn converges in law to some non-degenerate distribution as n→∞.Furthermore,our work shows that the renormalization scales depend on the offspring law and the dimension of the branching random walk.This completes the results of Révész[13]for the critical binary branching Wiener process.

A random walk with a branching system in random environments

We consider a branching random walk in random environments, where the particles are reproduced as a branching process with a random environment (in time), and move independently as a random walk on ? with a random environment (in locations). We obtain the asymptotic properties on the position of the rightmost particle at time n, revealing a phase transition phenomenon of the system.

Analysis of the role of branching angle in the dynamic rupture process on a 3-D branching fault system

The fault branching phenomenon,which may heavily influence the patterns of rupture propagation in fault systems,is one of the geometric complexities of fault systems that is widely observed in nature.In this study,we investigate the effect of the branching angle on the rupture inclination and the interaction between branch planes in two-fork branching fault systems by numerical simulation and theoretical analysis based on Mohr’s circle.A friction law dependent on normal stress is used,and special attention is paid to studying how ruptures on the upper and lower branch planes affect the stress and rupture on each other separately.The results show that the two branch planes affect each other in different patterns and that the intensity of the effect changes with the branching angle.The rupture of the lower branch plane has a negative effect on the rupture of the upper branch plane in the case of a small branching angle but has almost no negative effect in the case of a large branching angle.The rupture of the upper branch plane,however,suppresses the rupture of the lower branch plane regardless of whether the branching angle is large or small.

Nonreciprocity of energy transfer in a nonlinear asymmetric oscillator system with various vibration states

The nonreciprocity of energy transfer is constructed in a nonlinear asymmetric oscillator system that comprises two nonlinear oscillators with different parameters placed between two identical linear oscillators.The slow-flow equation of the system is derived by the complexification-averaging method.The semi-analytical solutions to this equation are obtained by the least squares method,which are compared with the numerical solutions obtained by the Runge-Kutta method.The distribution of the average energy in the system is studied under periodic and chaotic vibration states,and the energy transfer along two opposite directions is compared.The effect of the excitation amplitude on the nonreciprocity of the system producing the periodic responses is analyzed,where a three-stage energy transfer phenomenon is observed.In the first stage,the energy transfer along the two opposite directions is approximately equal,whereas in the second stage,the asymmetric energy transfer is observed.The energy transfer is also asymmetric in the third stage,but the direction is reversed compared with the second stage.Moreover,the excitation amplitude for exciting the bifurcation also shows an asymmetric characteristic.Chaotic vibrations are generated around the resonant frequency,irrespective of which linear oscillator is excited.The excitation threshold of these chaotic vibrations is dependent on the linear oscillator that is being excited.In addition,the difference between the energy transfer in the two opposite directions is used to further analyze the nonreciprocity in the system.The results show that the nonreciprocity significantly depends on the excitation frequency and the excitation amplitude.

Fluctuation limits of strongly degenerate branching systems

Functional limit theorems for scaled occupation time fluctuations of a sequence of generalized branching particle systems in Rd with anisotropic space motions and strongly degenerated splitting abilities are studied in the cases of critical and intermediate dimensions. The results show that the limit processes are time-independent measure-valued Wiener processes with simple spatial structure.

Research Progress and Application of Plant Branching

Plant branching development plays an important role in plant morphogenesis(aboveground plant type),the number and angle of branches are important agronomic characters that determine crop plant type.Effective branches determine the number of panicles or pods of crops and then control the yield of crops.With the rapid development of plant genomics and molecular genetics,great progress has been made in the study of branching development.In recent years,a series of important branching-related genes have been validated from Arabidopsis thaliana,rice,pea,tomato and maize mutants.It is reviewed that plant branching development is controlled by genetic elements and plant hormones,such as auxin,cytokinin and lactones(or lactone derivatives),as well as by environment and genetic elements.Meanwhile,shoot architecture in crop breeding was discussed in order to provide theoretical basis for the study of crop branching regulation.

Detection of tracheal branching with computerized tomography:The relationship between the angles and age-gender

BACKGROUND The data obtained on the anatomical knowledge of the tracheobronchial system can be used for diagnosis,treatment and interventional interventions in areas such as anesthesia,thoracic surgery,pulmonary physiology.AIM To determine the tracheobronchial branching angles in pediatric and adult populations by using the multislice computed tomography(CT)and minimum intensity projection(MinIP)technique,which is a non-invasive method.METHODS Our study was carried out retrospectively.Patients who underwent contrast and non-contrast CT examination,whose anatomically and pathophysiologically good tracheobronchial system and lung parenchyma images were obtained,were included in the study.Measurements were made in the coronal plane of the lung parenchyma.In the coronal plane,right main bronchus-left main bronchus angle,right upper lobe bronchus-intermedius bronchus angle,right middle lobe bronchus-right lower lobe bronchus angle,left upper lobe bronchus-left lower lobe bronchus angle were measured.RESULTS The study population consisted of 1511 patients,753 pediatric(mean age:13.4±4.3;range:1-18 years)and 758 adults(mean age:54.3±17.3;range:19-94 years).In our study,tracheal bifurcation angle was found to be 73.3°±13.7°(59.6°-87°)in the whole population.In the pediatric group,the right-left main coronal level was found to be higher in boys compared to girls(74.6°±12.9°vs 71.2°±13.9°,P=0.001).In the adult group,the right-left main coronal level was found to be lower in males compared to females(71.9°±12.9°vs 75.8°±14.7°,P<0.001).CONCLUSIONS Our study,with the number of 1511 patients,is the first study in the literature with the largest number of patient populations including pediatric and adult demographic data,measuring the angle values of the tracheobronchial system using multislice CT and MinIP technique.Study data will not only be a guide during invasive procedures,but it can also guide studies to be done with imaging methods.

Branching and growth of plantings in fifth year of a seedling seed orchard of Masson pine (Pinus massoniana Lamb.)

The features of branching and growth studied included height, diameter at breast height (DBH), total number of branches, annual height growth, annual branch elongation in the year of elongating, annual branch number for four consecutive years, diameter of branches of different ages, and diameter of stem where branch-whorl originates. For features of total growth and overall branching, no significant differences were found between families, except for DBH. For annual features, no significant differences were found in annual stem height growth, annual branch elongation in the year of elongation and diameter of branches. In the last four years, differences in number of branches were not significant in the first two years but were significant in the last two year; differences in stem diameter where branch-whorls grow were significant for the four consecutive years. Trend of annual growth and branching features of families can be divided into three types as increasing type, stable type and fluctuating type. Most of families have an increasing type with respect of annual height growth and annual branch elongation, while most families belong to a fluctuating type with annual branch number. The results indicated that in the fifth year after planted in seedling seed orchard, differences between families were mostly insignificant. This result may have two main explanations: one is the growth rhyme in early ages of Masson pine, the other one is the complex paternal components to form the open-pollinated families. Family selection seemed to be not useful based on the result. It is suggested to select some of families in the nursery instead of to use all the families when establishing seedling seed orchards with open-pollinated families from plus-trees.

An Explicit Difference Scheme with High Accuracy and Branching Stability for Solving Parabolic Partial Differential Equation

This paper presents an explicit difference scheme with accuracy and branching stability for solving onedimensional parabolic type equation by the method of undetermined parameters and its truncation error is O(△t4+△x4). The stability condition is r=a△t/△x2<1/2.

Left bundle branch pacing set to outshine biventricular pacing for cardiac resynchronization therapy?

The deleterious effects of long-term right ventricular pacing necessitated the search for alternative pacing sites which could prevent or alleviate pacinginduced cardiomyopathy.Until recently,biventricular pacing(BiVP)was the only modality which could mitigate or prevent pacing induced dysfunction.Further,BiVP could resynchronize the baseline electromechanical dssynchrony in heart failure and improve outcomes.However,the high non-response rate of around 20%-30%remains a major limitation.This non-response has been largely attributable to the direct non-physiological stimulation of the left ventricular myocardium bypassing the conduction system.To overcome this limitation,the concept of conduction system pacing(CSP)came up.Despite initial success of the first CSP via His bundle pacing(HBP),certain drawbacks including lead instability and dislodgements,steep learning curve and rapid battery depletion on many occasions prevented its widespread use for cardiac resynchronization therapy(CRT).Subsequently,CSP via left bundle branch-area pacing(LBBP)was developed in 2018,which over the last few years has shown efficacy comparable to BiVP-CRT in small observational studies.Further,its safety has also been well established and is largely free of the pitfalls of the HBP-CRT.In the recent metanalysis by Yasmin et al,comprising of 6 studies with 389 participants,LBBPCRT was superior to BiVP-CRT in terms of QRS duration,left ventricular ejection fraction,cardiac chamber dimensions,lead thresholds,and functional status amongst heart failure patients with left bundle branch block.However,there are important limitations of the study including the small overall numbers,inclusion of only a single small randomized controlled trial(RCT)and a small follow-up duration.Further,the entire study population analyzed was from China which makes generalizability a concern.Despite the concerns,the meta-analysis adds to the growing body of evidence demonstrating the efficacy of LBBP-CRT.At this stage,one must acknowledge that the fact that still our opinions on this technique are largely based on observational data and there is a dire need for larger RCTs to ascertain the position of LBBPCRT in management of heart failure patients with left bundle branch block.

The Channel Branches & Network Vessels on the Tianhui Lacquered Meridian Figurine——Taking the Heart-Regulated Channel as an Example

Along with the surge of unearthed medical literature and cultural relics in recent years,a network of channels in the system of medical conduit vessels(meridians) during the early Western Han dynasty has become much clearer gradually.In it,the increasing number of channel branches,network vessels and needle insertion holes(acupoints) is an important feature of the development of channel medicine during the Western Han dynasty.This is not only a reflection of the expanding requirements of the theoretical system of the main trunk channels and other vessels,but also an inevitable result of the continuous enrichment and accumulation of clinical experience.This article integrates the information about channel branches,network vessels,inscriptions,dots and further relics on the Tianhui(天回) Lacquered Meridian Figurine to compare the unearthed literature of the channel genre with the transmitted classical literature about acupuncture.The “Heart-Regulated Channel” in Medical Manuscripts on Bamboo Slips from Tianhui(《天回医简》) serves as an example to explain the occurrence,development and changes of the channel branches and network vessels in the early system of medical channels.

Particle Discontinuous Deformation Analysis of Static and Dynamic Crack Propagation in Brittle Material

Crack propagation in brittle material is not only crucial for structural safety evaluation,but also has a wideranging impact on material design,damage assessment,resource extraction,and scientific research.A thorough investigation into the behavior of crack propagation contributes to a better understanding and control of the properties of brittle materials,thereby enhancing the reliability and safety of both materials and structures.As an implicit discrete elementmethod,the Discontinuous Deformation Analysis(DDA)has gained significant attention for its developments and applications in recent years.Among these developments,the particle DDA equipped with the bonded particle model is a powerful tool for predicting the whole process of material from continuity to failure.The primary objective of this research is to develop and utilize the particle DDAtomodel and understand the complex behavior of cracks in brittle materials under both static and dynamic loadings.The particle DDA is applied to several classical crack propagation problems,including the crack branching,compact tensile test,Kalthoff impact experiment,and tensile test of a rectangular plate with a hole.The evolutions of cracks under various stress or geometrical conditions are carefully investigated.The simulated results are compared with the experiments and other numerical results.It is found that the crack propagation patterns,including crack branching and the formation of secondary cracks,can be well reproduced.The results show that the particle DDA is a qualified method for crack propagation problems,providing valuable insights into the fracture mechanism of brittle materials.

Identification and characterization of a no-grain mutant(nog1)in foxtail millet

Increasing crop grain yields is an urgent global priority due to population growth,shrinking arable land,and severe climate change in recent years(Tang et al.2023).Unraveling the process of panicle development is crucial for enhancing the grain yield of cereal crops.In the development of rice panicles,the inflorescence meristem(IM)gives rise to two types of lateral branch meristems(BMs):primary branch meristem(pBM)and secondary branch meristem(sBM).The pBM generates sBM and spikelet meristems(SMs),and the sBM further differentiates into more SMs(Zhang and Yuan 2014).

Information for Authors

Chinese Physics Letters(CPL)is a peer-reviewed,international and multidisciplinary journal sponsored by the Chinese Physical Society(CPS)and Institute of Physics,CAS,and hosted online by IOP Publishing Ltd.Launched in 1984 as the flagship journal of CPS,CPL has become one of the most prestigious periodicals published in China,and been among the good choices for worldw ide physicists to disseminate their most important breakthroughs.Nowadays it is dedicated to build an internationally recognized platform for researchers to pub-lish original research works in all the branches of fundamental,applied,and interdisciplinary physics.

Information for Authors

Chinese Physics Letters(CPL)is a peer-reviewed,international and multidisciplinary journal sponsored by the Chinese Physical Society(CPS)and Institute of Physics,CAS,and hosted online by IOP Publishing Ltd.Launched in 1984 as the flagship journal of CPS,CPL has become one of the most prestigious periodicals published in China,and been among the good choices for worldwide physicists to disseminate their most important breakthroughs.Nowadays it is dedicated to build an internationally recognized platform for researchers to publish original research works in all the branches of fundamental,applied,and interdisciplinary physics.

Information for Authors

Chinese Physics Letters(CPL)is a peer-reviewed,inter-national and multidisciplinary journal sponsored by the Chi-nese Physical Society(CPS)and Institute of Physics,CAS,and hosted online by IOP Publishing Ltd.Launched in 1984 as the flagship journal of CPS,CPL has become one of the most prestigious periodicals published in China,and been among the good choices for worldwide physicists to disseminate their most important breakthroughs.Nowadays it is dedicated to build an internationally recognized platform for researchers to pub-lish original research works in all the branches of fundamental,applied,and interdisciplinary physics.

Information for Authors

Chinese Physics Letters(CPL)is a peer-reviewed,international and multidisciplinary journal sponsored by the Chinese Physical Society(CPS)and Institute of Physics,CAS,and hosted online by IOP Publishing Ltd.Launched in 1984 as the flagship journal of CPS,CPL has become one of the most prestigious periodicals published in China,and been among the good choices for worldwide physicists to disseminate their most important breakthroughs.Nowadays it is dedicated to build an internationally recognized platform for researchers to publish original research works in all the branches of fundamental,applied,and interdisciplinary physics.

Information for Authors

Chinese Physics Letters(CPL)is a peer-reviewed,international and multidisciplinary journal sponsored by the Chinese Physical Society(CPS)and Institute of Physics,CAS,and hosted online by IOP Publishing Ltd.Launched in 1984 as the flagship journal of CPS,CPL has become one of the most prestigious periodicals published in China,and been among the good choices for worldwide physicists to disseminate their most important breakthroughs.Nowadays it is dedicated to build an internationally recognized platform for researchers to publish original research works in all the branches of fundamental,applied,and interdisciplinary physics.