Targeting landing zone 0 by total arch rerouting and TEVAR: midterm results of a transcontinental registry

Landing zone 0, defined as a proximal landing zone in the ascending aorta, remains the last frontier to be taken. Midterm results of total arch rerouting and thoracic endovascular aortic repair (TEVAR) extending into landing zone 0 remain to be determined.

Melting of Northern Greenland during the last interglaciation

Using simulated climate data from the comprehensive coupled climate model IPSL CM4, we simulate the Greenland ice sheet (GrIS) during the Eemian interglaciation with the three-dimensional ice sheet model SICOPOLIS. The Eemian is a period 126 000 yr before present (126 ka) with Arctic temperatures comparable to projections for the end of this century. In our simulation, the northeastern part of the GrIS is unstable and retreats significantly, despite moderate melt rates. This result is found to be robust to perturbations within a wide parameter space of key parameters of the ice sheet model, the choice of initial ice temperature, and has been reproduced with climate forcing from a second coupled climate model, the CCSM3. It is shown that the northeast GrIS is the most vulnerable. Even a small increase in melt removes many years of ice accumulation, giving a large mass imbalance and triggering the strong ice-elevation feedback. Unlike the south and west, melting in the northeast is not compensated by high accumulation. The analogy with modern warming suggests that in coming decades, positive feedbacks could increase the rate of mass loss of the northeastern GrIS, exceeding the recent observed thinning rates in the south.

Capillary zone electrophoresis determination of carbohydrate-deficient transferrin using the new CEofix reagents under high-resolution conditions

Capillary zone electrophoresis (CZE) with a dynamic double coating based on the new CEofix reagents is shown to provide high-resolution separations of serum transferrin (Tf) isoforms, a prerequisite for the monitoring of unusual and complex Tf patterns, including those seen with genetic variants and disorders of glycosylation. A 50 microm I.D. fused-silica capillary of 60 cm total length, an applied voltage of 20 kV and a capillary temperature of 30 degrees C results in 15 min CZE runs of high assay precision and thus provides a robust approach for the determination of carbohydrate-deficient transferrin (CDT, sum of asialo-Tf and disialo-Tf in relation to total Tf) in human serum. Except for selected samples of patients with severe liver diseases and sera with high levels of paraproteins, interference-free Tf patterns are detected. Compared with the use of the previous CEofix reagents for CDT under the same instrumental conditions, the resolution between disialo-Tf and trisialo-Tf is significantly higher (1.7 versus 1.4). The CDT levels of reference and patient sera are comparable, suggesting that the new assay can be applied for screening and confirmation analyses. The high-resolution CZE assay represents an attractive alternative to HPLC and can be regarded as a candidate of a reference method for CDT.