Conclusion: The proficiency testing programme is designed as a co

Conclusion: The proficiency testing programme is designed as a cooperative effort to help participating laboratories assess their

ability to carry out drug analysis, resolve any potential problem areas and to improve their results – and, in so doing, to improve the quality of anti-malarial pharmacokinetic data published and shared with WWARN. By utilizing the same source of standards for all laboratories, it is possible to minimize bias arising SBC-115076 research buy from poor quality reference standards. By providing anti-malarial drug standards from a central point, it is possible to lower the cost of these standards.”
“Minilaparotomic access in spinal anaesthesia represents an example of mininvasive surgery and could be a valid cost-benefit alternative in the surgical treatment of benign gynaecologic diseases.

The study is a randomized study. We analyzed a consecutive series of 80 patients treated for benign gynaecological

diseases with spinal (group A) or with general anaesthesia (group B).

The median length of incision was 5 cm. The average operating time was 40.5 +/- A 9.39 min, without differences between groups. The average hospital stay was 0.71 days shorter BI-D1870 order (p a parts per thousand currency sign 0.0001) and the postoperative pain was lower at 2 and 6 h from the surgery and at 10 p.m. in the group A (p a parts per thousand currency sign 0.0001).

Minilaparotomy in spinal anaesthesia carries advantages buy CBL0137 from economic point of view

with reduction of length of stay in hospital which is an important parameter for the evaluation of the quality of surgical treatments.”
“The association between the immune system and malignancy is at the forefront of research aimed at identifying and developing effective immunotherapies to treat and suppress cancer. Understanding the mechanisms underlying the biology, differentiation and effector functions of key immune cells in the tumor microenvironment is central to this process. The stimulation of T cells results in their activation, triggering the release of cellular mediators, including cytokines and chemokines. The interplay between these components determines the polarization of T cells into phenotypically-, functionally- and transcriptionally-distinct subsets (e.g. T-helper [Th] 1, Th2, Th17 and T-regulatory cells). Given that antigen recognition, costimulation and the cytokine milieu are critical signals in T-cell activation and differentiation, they represent potential and important therapeutic targets for modulating immune responses in disease. The aim of this article is to review the role of T cells in immune protection and pathogenesis, and to discuss the key pathways involved in these processes.”
“Background: Childhood chronic disease may affect patients’ and their family’s functioning.

In the nonpolar quantum well, the IQE is much better than in the

In the nonpolar quantum well, the IQE is much better than in the c-plane case but is still strongly influenced by dislocation density. Our results show that to achieve 100% IQE, the dislocation density levels need to be lower than 10(6) cm(-2) and 10(7) cm(-2) for c-plane and nonpolar plane InGaN quantum well, respectively. Our results are also compared with published experimental work and have shown a good agreement. (C) 2010 American Institute of Physics. [doi:10.1063/1.3524544]“
“The Candida albicans ALS family has eight genetic loci, each encoding IPI-549 cost a large glycoprotein. Als protein function is discussed most frequently in

terms of adhesion to host and abiotic surfaces. Analyses of C. albicans strain WO-1 indicated variation within the ALS1 locus compared with other isolates such as SC5314. Investigation revealed a recombination between the contiguous ALS5 and ALS1 loci to generate a new coding region, named ALS51, because it encodes the 5′ domain of ALS5 fused in-frame to the tandem repeat region and 3′ domain of ALS1. ALS51 was detected

in 11 isolates (4.6%) from a collection of 239 C. albicans strains of diverse origin and clade assignment. The 12 ALS51-positive strains identified in this study represented three different ALS family genotypes with respect to the presence and copy number of ALS51, ALS5 and ALS1. ALS51 transcription was detected by G418 purchase real-time reverse-transcription-PCR in WO-1. Although the cell-surface abundance of Als51 on WO-1 and Als5 on SC5314 was too low to visualize by indirect immunofluorescence using an anti-Als5 monoclonal antibody, both proteins were observed on Western blots of beta-1,6-glucanase-digested C. albicans cell walls. Characterization

of ALS51 illustrates one of the recombination mechanisms that generate diversity within C. albicans gene families.”
“Aims: Failure to carry out intracavitary brachytherapy (ICBT) in cervical carcinoma results in suboptimal chemoradiation and increases the Fisk of recurrence. The aim of this study was to investigate the role AZD3965 of adjuvant hysterectomy after unsuccessful ICBT.

Materials and methods: A retrospective analysis was carried out of all women referred with cervical carcinoma between January 1999 and July 2007 where ICBT insertion was unsuccessful after the initial chemoradiation. The data collected and analysed included histology, stage of disease, causes for unsuccessful ICBT insertion, the response to the initial chemoradiation, subsequent treatment, morbidity, recurrence rates and survival rates. Kaplan-Meier and Log-rank methods were used to analyse recurrence-free and overall Survival rates.

Results: ICBT insertion was unsuccessful in 19 of 208 (9%) patients.

Methods: This open-label, uncontrolled usability test included pa

Methods: This open-label, uncontrolled usability test included patients aged 6 to <= 18 years with GHD currently receiving daily injections of GH with pen injectors. Patients performed repeated injections of test medium into a foam cushion. Patients or guardians completed a questionnaire on pen handling.

Results: A

total of 73/74 patients (99%) rated Norditropin (R) FlexPro (R) easy to handle, reporting no technical complaints. In total, 60 (81 %) preferred Norditropin (R) FlexPro (R) over their current device, with 12 % preferring their current device and 7 % not sure.

Conclusions: Norditropin (R) FlexPro (R) was perceived as easy to use and reliable, and was well accepted and preferred over the current device for the administration of GH in children and AZD8055 mouse adolescents. Patients were more confident that Norditropin (R) FlexPro (R) delivered the right dose compared

with their current device.”
“Populations of rare or elusive large mammals are difficult to monitor, because they usually are secretive, solitary, occur at low densities, and have large home ranges. The global trend of generally decreasing large carnivore populations necessitates new, feasible, reliable, and cost-effective learn more monitoring methods. We evaluate an index method developed for monitoring populations of moose (Alces alces) based on voluntarily and systematically collected observations Entinostat in vivo from hunters, corrected for effort, for use in monitoring populations of large carnivores in Sweden. For our evaluation, we used independent estimates of minimum brown bear (Ursus

arctos) densities from DNA-based scat surveys and brown bear distribution from mandatory reports from successful bear hunters. We verified that the index correctly reflected bear distribution. We also found strong linear relationships between the indices and the independent density estimates for bears at the scale of local management units (about 1000-2000 km(2)) in all three regional study areas (adjusted R(2) = 0.88-0.60). Our results suggest that systematic, effort-corrected reports of observed animals can be an alternative and accurate monitoring method for the conservation and management of large mammals occurring over large areas when large numbers of willing volunteers are available (effort >30,000 h). (C) 2008 Elsevier Ltd. All rights reserved.”
“The carbon fabric composites filled with several nanoparticles were prepared by dip-coating and hot press molding technique. The friction and wear behavior of the resulting composites were studied systematically using a block-on-ring arrangement. Experimental results showed that the optimal content of nanoparticles as fillers contributed to improve the tribological properties of the carbon fabric composites. Moreover, the friction and wear properties of the fabric composites were closely dependent with the sliding conditions.

Mean

Mean selleck chemicals age was 62.5 years (range: 21-82 years) with 327 males (79%). Emergent operations were performed in 5% of the cases, while concomitant surgical procedures were performed in 24.9%. Postoperative AKI (all RIFLE classes) occurred in 69 (16.7%) patients, while eight (1.9%) required dialysis. Independent AKI predictors were packed red blood cells (pRBCs) > 4 units (OR 2.28; 95% CI 1.20-4.30), cardiopulmonary bypass (CPB) time longer than 180 min (OR, 2.08; 95% CI, 1.16-3.73), and concomitant surgical

procedures (OR, 1.85; 95% CI, 1.04-3.29). The severity of RIFLE class was associated with longer ICU stay, hospitalization, and higher hospital mortality (p < 0.001 for each variable). AKI after ARR operations with valve conduit for ascending aorta aneurysms increases utilization of health resources and is associated with adverse events. Concomitant surgical procedures, prolonged CPB-time, and pRBCs > 4 units as independent AKI predictors check details merit further

researches enhancing possible preventive strategies.”
“Macrolides are widely used at low dosage for long-term therapy of chronic sinusitis. Twenty clinical macrolide-resistant Staphylococcus aureus strains were morphologically compared with 10 clinical macrolide-sensitive strains. PCR amplification was performed to determine the presence of four known macrolide resistance genes. Transmission electron microscopy revealed significantly thicker cell walls in clinical macrolide-resistant strains. Even though the ultrastructural characteristics were shared by all macrolide-resistant strains, they were not associated

with the presence or absence of the known macrolide-resistance genes. We also demonstrated that macrolide-resistant mutant strains derived in vitro from a macrolide-sensitive parent strain had thickened cell walls and did not harbor the known macrolide-resistance genes. These results, therefore, revealed that macrolide-resistant S. aureus strains have thickened cell walls as a common ultrastructural characteristic and that cell wall Epigenetics inhibitor thickening is likely mediated by an unknown gene which is unrelated to any known macrolide resistance gene.”
“Some theories of memory propose that the hippocampus integrates the individual items and events of experience within a contextual or spatial framework. The hippocampus receives cortical input from two major pathways: the medial entorhinal cortex (MEC) and the lateral entorhinal cortex (LEC). During exploration in an open field, the firing fields of MEC grid cells form a periodically repeating, triangular array. In contrast, LEC neurons show little spatial selectivity, and it has been proposed that the LEC may provide non-spatial input to the hippocampus. Here, we recorded MEC and LEC neurons while rats explored an open field that contained discrete objects.

Temperature variables from 4 climatic stations in Vienna were pro

Temperature variables from 4 climatic stations in Vienna were provided from the Central

Institute for Meteorology and Geodynamics. AZD2014 order Depending on the outside temperature at the scene the study participants were assigned to a seasonal group. To compare the seasonal groups a Student’s t-test or Mann-Whitney U test was performed as appropriate.

Results: Of 134 patients, 61 suffered their cardiac arrest during winter, with an outside temperature below 10 degrees C; in 39 patients the event occurred during summer, with an outside temperature above 20 degrees C. Comparing the tympanic temperature recorded at hospital admission, the median of 36 degrees C (IQR 35.3-36.3) during summer differed significantly to winter with a median of 34.9 Epacadostat concentration degrees C (IQR 34-35.6) (p < 0.05). This seasonal alterations in core body temperature had no impact on the time-to-target-temperature, survival rate or neurologic recovery.

Conclusion: The seasonal variability of outside temperature influences body temperature of out-of-hospital cardiac arrest victims. (C) 2012 Elsevier Ireland Ltd. All

rights reserved.”
“OBJECTIVE: To estimate whether staples or subcuticular suture closure is associated with a higher risk of wound complications when used for transverse skin incisions after cesarean delivery.

DATA SOURCES: A systematic review and meta-analysis were performed through electronic database searches (MEDLINE, Cochrane, and Trial Registries).

METHODS OF STUDY SELECTION: We searched electronic databases from 1966 to September 2010 for randomized controlled trials (RCTs) and prospective cohort studies comparing staples to subcuticular

sutures after cesarean delivery. The primary outcome was occurrence of a wound complication (infection or separation). Secondary outcomes were components of the composite outcome, operating time, postoperative pain, cosmesis, and patient satisfaction. Heterogeneity was assessed using the chi(2) test for heterogeneity, and I(2) test. Pooled odds ratios (ORs) were calculated using a fixed-effects model. We assessed publication bias using funnel plots and Egger test.

RESULTS: Six studies met inclusion criteria: five RCTs and one prospective cohort study. Staple closure (n=803) was associated with a twofold higher risk of wound infection or separation compared with subcuticular suture closure Epigenetic Reader Do inhibitor (n=684) (13.4% versus 6.6%, pooled OR 2.06, 95% confidence interval [CI] 1.43-2.98). The number needed to harm associated with staple closure was 16. The increased risk persisted when analysis was limited to the RCTs (OR 2.43, 95% CI 1.47-4.02). There was no evidence of significant statistical heterogeneity among studies (chi(2)=0.74, P=.327, I(2)=13.7%) or publication bias (Egger test, t=-0.86, P=.439). Staple closure was associated with shorter duration of surgery, whereas the two techniques appeared equivalent overall with regard to pain, cosmesis, and patient satisfaction.

In this review, we examine the functions of the plant cuticle in

In this review, we examine the functions of the plant cuticle in host-pathogen interactions, and discuss the possibilities of integrating the membrane and cuticular glycerolipid biosynthesis. selleck compound (C) 2009 Elsevier Masson SAS. All rights reserved.”
“Neonatal myocardial infarction secondary to congenital heart disease, anomalous coronary artery anatomy, thromboembolism, coagulopathy, birth asphyxia, and unknown causes has been previously reported. We now report an infant who suffered a massive myocardial infarction during birth, requiring extensive resuscitation and aggressive management. A thrombus, the origin of which was not detected on autopsy,

was found occluding the proximal left coronary artery several hours after birth. Genetic studies revealed

a single copy variant of the MTHFR C677T mutation that we speculate may have predisposed the infant to coronary thrombosis.”
“We VX-680 datasheet obtain an analytical solution to the problem of transverse injection current in an undoped semiconductor i layer of arbitrary thickness with account of self-consistent boundary conditions. Charge transfer in the semiconductor bulk is described in the drift-diffusion approximation. Current transfer through the boundaries of an undoped layer is described in terms of the thermoelectron emission theory. Thus, the generalized thermoemission-diffusion approach applies for semiconductors with both low and high mobilities of charge carriers. On the basis of the obtained solution, we analyze the characteristics www.selleckchem.com/products/CAL-101.html of the current nonlinearity of the Mott-barrier diodes. The generalized approach is used for describing current transfer in low-barrier diodes based on Mott

contacts with near-surface delta-doping. Characteristics of detection of low-barrier diodes are analyzed. Limiting values of the volt-watt and threshold sensitivities of the detectors based on these diodes in the subterahertz frequency range (up to 1 THz) are determined. (C) 2009 American Institute of Pkysics. [DOI: 10.1063/1.3194791]“
“How B cells affect the outcome of transplants is a question of enduring interest. Initial efforts to answer that question suggested, wrongly, that B cells have no impact on transplantation. Now, however, B cells are known to influence not only the outcome of vascularized grafts through the production of anti-donor antibodies but also the competence of cellular immunity through a number of physiologic functions. In this study, we explain why the importance of B cells was overlooked in the past and consider the range of noncognate functions of B cells that may determine the outcome of transplants.”
“The incidence of maternal cancer during pregnancy is low, and metastatic disease involving the placenta is rare. We present a case of rapidly progressive and fatal gastric carcinoma presenting during pregnancy, with spread to the maternal blood space within the placenta but no chorionic villous invasion and no evidence of fetal transmission at the time of delivery or on 12-month follow up.

Biopsy specimens were assessed for AMR using histopathologic crit

Biopsy specimens were assessed for AMR using histopathologic criteria and immunohistochemical staining.

RESULTS: During the study period, 5 patients had AMR; of these, 2 were C1q virtual crossmatch positive (VXM+) and had persistent C1q DSAs after transplant, and 3 were C1q VXM- but antibody developed immediately after transplant. A positive C1q assay in the immediate post-transplant period had a positive predictive value (PPV) of 100% and a negative predictive value (NPV) of 100%, with 100% sensitivity

and 100% specificity (Fisher exact Selleck CYT387 p = 0.001). Of 11 patients who were IgG VXM+, 5 had AMR; the IgG VXM had a PPV of 45% and NPV of 100%, with 100% sensitivity and 54% specificity (Fisher exact p = 0.101).

CONCLUSIONS: The C1q assay can detect a sub-set of antibodies capable of fixing complement and predicts AMR early after transplant. Avoiding only the donor antigens that would be recognized by the C1q assay may accelerate time to transplant by expansion of the donor pool and potentially allows transplantation of previously “”incompatible”" organs. J Heart Lung Transplant 2011;30:158-63 (C) 2011 International Society for Heart and Lung Transplantation. All rights reserved.”
“Adiponectin is an adipose tissue-secreted endogenous insulin sensitizer, which plays a key role as a mediator

of peroxisome proliferator-activated receptor c action. Adiponectin alters glucose metabolism and insulin sensitivity, exhibits antiinflammatory and antiatherogenic properties, and has been linked to several malignancies. Circulating PRIMA-1MET molecular weight concentrations of adiponectin are determined primarily by genetic factors, nutrition, exercise, and abdominal adiposity. Adiponectin concentrations are lower in subjects with obesity,

metabolic syndrome, and cardiovascular disease. Adiponectin knockout mice manifest glucose intolerance, insulin resistance, and hyperlipidemia and tend to develop malignancies especially when on high-fat diets. Animal studies have also shown beneficial effects of adiponectin in rodents in vivo. Circulating concentrations of adiponectin are lower in patients with diabetes, cardiovascular disease, and several Selisistat order malignancies. Studies to date provide promising results for the diagnostic and therapeutic role of adiponectin in obesity, insulin resistance, diabetes, cardiovascular disease, and obesity-associated malignancies. Am J Clin Nutr 2010;91(suppl):258S-61S.”
“Artificial and local control of spin-configuration in nanoscale in continuous magnetic films could enable new spin-based electronics and precision sensor technologies. Extensive theoretical research has recently been devoted to examination of surface nanovariation mediated magnetism and its utility, which has been demonstrated only in one-dimensional surface modulation.

Clinical validity was assessed by comparing the on-and off-treatm

Clinical validity was assessed by comparing the on-and off-treatment scores using Kruskal-Wallis and Mann-Whitney U tests.

Results: Cronbach’s coefficient alpha was over 0.70 for the total scale and over 0.60 for each subscale by age except for the ‘pain and hurt’ subscale for children selleck inhibitor aged 5 to 7 years. For test-retest reliability,

the ICC exceeded 0.70 for the total scale for each age. Exploratory factor analysis demonstrated sufficient factorial validity. Multitrait scaling analysis showed high success rates. Strong correlations were found between the reports by children and their parents, and the scores of the Cancer Module and the Generic Core Scales except for ‘treatment anxiety’ subscales for child reports. The Depression Self-Rating Scale for Children (DSRS-C) scores

were significantly correlated with emotional domains and the total score of the cancer module. Children who had been off treatment over 12 months demonstrated significantly higher scores than those on treatment.

Conclusions: The results demonstrate the reliability and validity of the Japanese version of the PedsQL Cancer Module among Japanese children.”
“Introduction and hypothesis The find more present study was designed to investigate the effect of nitric oxide precursor, L-arginine, on bladder function following ovariectomy.

Methods Twenty-eight New Zealand white female rabbits were separated into seven groups. Groups 1 to 6 underwent ovariectomy surgery. Among them, groups 1 and 2 received

ovariectomy without treating with L-arginine. Groups 3, 4, 5, and 6 were given high L-arginine diet and were sacrificed 1, 3, 7, and 14 days after ovariectomy, respectively. Group 7 served as the control group. The effects of L-arginine on the contractility of bladder tissues were determined in response to various stimulations. In addition, L-arginine effects on the expression of Rho kinase (ROK), protein kinase C potentiated inhibitor (CPI-17), caldesmon (CaD), and calponin (CaP) were studied by immunoblotting.

Results Ovariectomy significantly decreases contractile response to all forms of stimulation. Feeding rabbits L-arginine significantly increases contractile response at 1 day following ovariectomy, but the response decreases to the control level by 14 days. Ovariectomy Selleck BIIB057 increases the expressions of both isoforms of CaD, CaP, and CPI-17; L-arginine treatment induces ROK underexpression, while CaP is overexpressed in the early few days of ovariectomy but returns to the control level at 2 weeks after ovariectomy.

Conclusions Ovariectomy appreciably reduced bladder contractility. Treatment with L-arginine reversed the ovariectomy-induced bladder dysfunction. Decreased bladder contractile response was observed in the early days following ovariectomy.”
“Childhood sarcoidosis is a rare multisystemic disorder that can have variable clinical presentations.

The extra electrons appear to originate from a change in the loca

The extra electrons appear to originate from a change in the local bonding configuration of V at the La-O terminated substrate surface as determined by Z-contrast imaging. (C) 2011 American Institute of Physics. [doi:10.1063/1.3601870]“
“Background:

The renin-angiotensin system (RAS) has been implied in the pathogenesis of various diseases including acute and chronic pancreatitis. Angiotensin-converting enzyme (ACE) is the key enzyme in activating the RAS. Deletion (D)-type polymorphism in the 16th intron of the ACE gene has been associated with higher serum levels of the enzyme. Inhibition of ACE was found to ameliorate acute pancreatitis in animal models suggesting that ACE plays a role in pathogenesis and progression of acute pancreatitis. Objectives were to investigate the occurrence of the ACE insertion/deletion (I/D) polymorphism in acute pancreatitis patients and its association with the IPI 145 severity of the disease.

Material and Methods: Seventy-nine acute pancreatitis patients and 95 healthy controls were evaluated. Acute pancreatitis cases were grouped as mild or severe according to the Atlanta criteria. Main outcome measure: selleck The presence of the ACE I/D polymorphism.

Results: ACE gene I and D allele frequency of patients (44% and

56%) were similar to controls (45% and 55%, respectively). There were no significant differences in severity of pancreatitis between patients with the ACE-insertion or ACE-insertion/deletion versus ACE-deletion genotypes.

Conclusions: The ACE gene deletion polymorphism is neither a risk factor for development

of acute pancreatitis nor contributes to the severity of disease or development of complications.”
“BACKGROUND: No prior reports documenting the safety and diagnostic yield of cardiac catheterization and endomyocardial biopsy (EMB) in heart transplant recipients include multicenter signaling pathway data.

METHODS: Data on the safety and diagnostic yield of EMB procedures performed in heart transplant recipients were recorded in the Congenital Cardiac Catheterization Outcomes Project database at 8 pediatric centers during a 3-year period. Adverse events (AEs) were classified according to a 5-level severity scale. Generalized estimating equation models identified risk factors for high-severity AEs (HSAEs; Levels 3-5) and non-diagnostic biopsy samples.

RESULTS: A total of 2,665 EMB cases were performed in 744 pediatric heart transplant recipients (median age, 12 years [interquartile range, 4.8, 16.7]; 54% male). AEs occurred in 88 cases (3.3%), of which 28 (1.1%) were HSAEs. AEs attributable to EMB included tricuspid valve injury, transient complete heart block, and right bundle branch block. Amongst 822 cases involving coronary angiography, 10 (1.2%) resulted in a coronary-related AE. There were no myocardial perforations or deaths. Multivariable risk factors for HSAEs included fewer prior catheterizations (p = 0.006) and longer case length (p < 0.001).

However, beneficial trends raise the possibility that A(1) RAs mi

However, beneficial trends raise the possibility that A(1) RAs might prevent renal dysfunction in these high risk patients. To test this hypothesis, further larger studies need to evaluate the effects of adenosine A(1) antagonists in patients GSK1120212 solubility dmso with progressive renal dysfunction in the face of active heart failure therapy. (J Cardiac Fail 2010;16:714-719)”
“Purpose: Some of the adverse clinical effects of intravascular radiological contrast agents include the interference of these contrast media with normal hemostatic processes. The aim of this report

was to investigate in vivo whether a non-ionic iodinated contrast agent possess prothrombotic or anticoagulant properties.

Material and methods: Hemostatic parameters: vWF (von Willebrand factor), F1+2 (prothrombin fragments 1+2), TAT (thrombin-antithrombin complexes), D-Dimer, beta-TG (beta-thromboglobulin)

were measured in a group of 35 patients. Blood samples for laboratory investigations were collected before and 30 min after the administration of a iodine contrast agent.

Results: There was observed statistically highly significant contrast-induced increase in TAT and F1+2 (p = 0.005 and p = 0.008, respectively). D-Dimer increase and decrease of beta-TG and vWF after contrast medium administration were non significant. The volume of contrast medium has no influence on the assessed hemostatic parameters, while the type of contrast medium and/or the route of the contrast administration may significantly

affect hemostatic parameters.

Conclusion: We found significant effects of non-ionic GM6001 agents on hemostatic activation. These effects may be important for adverse reactions and for thromboembolic complications.”
“Background: Although nesiritide is a potent vasodilator, studies using myocytes and isolated muscle strips have shown that recombinant B-type natriuretic peptide (BNP; nesiritide) decreases contractility. We sought to determine whether nesiritide decreases contractility in heart failure patients.

Methods and Results: Twenty-five heart failure patients underwent left heart learn more catheterization (using a pressure-volume conductance catheter) and echocardiography at baseline and after a 2 mcg/kg bolus and 30-minute nesiritide infusion (0.01 mcg.kg.min). From invasive and noninvasive measurements, left ventricular (LV) systolic function indices were calculated, including ejection fraction, end-systolic elastance (E(es); single-beat invasive and noninvasive methods) and preload-recruitable stroke work (PRSW; noninvasive, single-beat method). The mean age was 60 +/- 11 years, 48% were male, 56% had coronary disease, and 64% had hypertension. Although nesiritide did not change LV ejection fraction, it did decrease contractility on pressure-volume analysis. Noninvasive E(es) decreased from 2.6 +/- 1.6 to 2.0 +/- 1.4 mm Hg/mL (P = .02). For those with reduced ejection fraction, E(es) decreased by invasive (P = .