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OA Förderung 2022 Background: Pulmonary hypertension (PH) is common in patients with left-side valvular diseases, especially with mitral regurgitation (MR). Measurement using pulmonal artery catheter (PAC) is the gold standard to asses pulmonary vascular pressures. During mitral valve surgery echocardiography is routinely used for valvular management and to evaluate pulmonary hemodynamic. The accuracy of echocardiographic measurements is controversial in the literature. We aimed to evaluate the reliability and accuracy of the noninvasive measurement for systolic pulmonary artery pressure (SPAP) using Doppler echocardiography compared to the invasive measurement using PAC in patients presenting with MR undergoing surgery. Methods: This prospective observational study evaluated 146 patients with MR undergoing cardiac surgery between 09/2020 and 10/2021. All patients underwent simultaneous SPAP assessment by PAC and transesophageal echocardiography at three different time points: before heart-lung-machine (HLM), after weaning from HLM and at the end of surgery. Results: Mean patients’ age was 61 ± 11.5 years, and 51 (35%) patients were female. Most of patients presented with severe MR (n = 126; 86.3%) or endocarditis (n = 18; 12.3%). Patients underwent either isolated mitral valve surgery (n = 65; 44.5%) or mitral valve surgery combined with other surgeries (n = 81; 55.5%). Mean SPAP was underestimated by transesophageal echocardiographic measurement in comparison to PAC measurement before HLM (41.9 ± 13.1 mmHg vs. 44.8 ± 13.8 mmHg, p < 0.001), after weaning from HLM (37.6 ± 9.3 mmHg vs. 42.4 ± 10.1 mmHg, p < 0.001), and at the end of surgery (35.6 ± 9.1 mmHg vs. 39.9 ± 9.9 mmHg, p < 0.001). This difference remained within the sub-analysis in patients presented with moderate or severe PH during all the time points. Bland-Altman analysis showed that transesophageal echocardiographic measurement underestimate SPAP in comparison to PAC as these two approaches are significantly different from one another. Conclusions: In patients presented with MR, transesophageal Doppler echocardiography could asses the presence of PH with high probability. This assessment is however underestimated and the use of PAC in those patients to diagnose, classify and monitor the therapy of PH remains recommended if required.

The micromorphological features of the fruit surfaces of nine species of Ukrainian flora, namely Valeriana tuberosa L., Valeriana tripteris L., Valeriana rossica P. Smirn., Valeriana stolonifera Czern., Valeriana grossheimii Worosch, Valeriana sambucifolia Mikan fil., Valeriana officinalis L. s. str., Valeriana wolgensis Kazak. [ Valeriana officinalis var. nitida (Kreyer) Rostanski], and Valeriana simplicifolia (Rchb.) Kabath, were examined. Depending on the presence and localization of pubescence on the surface of the fruit, three groups of species were distinguished: those with glabrous fruits, those with fruits pubescent only on the adaxial side, and those with fruits pubescent on both sides. Scanning electron microscopy revealed the additional characteristics of the fruits (microsculpture of the fruit surface, shape of cuticular formations on the surface of the outer periclinal walls of epidermal cells and on the surface of hairs, and structure of the stomatal complex), which were useful for the identification of the species. At the supraspecific level, the revealed features of the fruit surfaces somewhat overlapped and could be used to identify series and sections only as additional features. Based on the studied samples from herbarium material (KW), V. officinalis var. nitida was considered synonymous with V. wolgensis since there were no micromorphological differences between their fruits. The detailed micromorphological characteristics of the fruit surfaces of all the studied species can be used for further comparative morphological investigations of different aerial parts to identify stable features independent of geographic and ecological conditions.

Analysis of the publicly available data from social networks may benefit many practical applications, and analysis of text messages to reveal emergent cases is an urgent and important task. Wide spread of social media may be used in order to detect and manage rescue operations. In this paper, an approach to analysis of public messages from social network for understanding the emergency scenario developing and rescue operation managing is proposed. This approach allows filtering data according to the settings chosen by researcher and visualizing the result of analysis using two options: placing number of messages on the map and creating a pie diagram. The designed application was tested on data from VAST Mini-Challenge 3 2019 describing social network response on earthquake. The experiments showed that the proposed approach allows detecting the most dangerous areas in the city and highlighting them visually.