Many tasks, sports or leisure activities require maximal knee flexion. We hypothesized that this position could result in reduced calf perfusion, in young European subjects. We quantified calf ischemia resulting from the knee flexion with transcutaneous oxygen pressure (TcpO2) sensors by assessing the decrease from rest of TcpO2 (DROP) defined as limb changes minus chest changes. A minimal DROP (DROPm) <-15mmHg defines the presence of ischemia. From the crawling position, participants kneeled for 3min while bending as in prostration/prayer position (P). Thirty-five participants repeated this maneuver a second time, while 7 participants were also required to sit on their heels with the torso in the vertical position to attain knee flexion without significant groin flexion (S). In 41 healthy young volunteers (30 males), 25 [20-31] years old, 37 patients showed a DROPm < -15mmHg from "R" to "P" in one (n = 4) or both (n = 33) calves (90.2%; 95% CI 76.9-97.3). After backward regression of the DROPm, there was no significant association with side, body weight of systolic blood pressure. However, age was strongly associated with DROPm (OR 5.34 [2.45-8.69]) so that DROPm was significantly higher in older, with a correlation ρ = 0.31 (p = 0.003). Kneeling dramatically reduces calf perfusion, likely through popliteal artery kinking, possibly through muscle crushing. Eastern lifestyle includes routine flexed position since childhood. Whether or not such a chronic training reduces the risk of kneeling-induced ischemia in adults is unknown to date.Kneeling dramatically reduces calf perfusion, likely through popliteal artery kinking, possibly through muscle crushing. Eastern lifestyle includes routine flexed position since childhood. Whether or not such a chronic training reduces the risk of kneeling-induced ischemia in adults is unknown to date. Coffee is a popular beverage because of its pleasant aroma and distinctive flavor. The flavor of coffee results from chemical transformations influenced by various intrinsic and extrinsic factors, including altitude, geographical origin, and postharvest processing. Despite is the importance of grading coffee quality, there is no report on the dominant factor that influences the metabolomic profile of green coffee beans and the correlated metabolites for each factor. This study investigated the total metabolite profile of coffees from different altitudes and coffees subjected to different postharvest processing. Arabica green coffee beans obtained from different geographical origins and different altitudes (400 and 800m) and produced by different postharvest processes (dry, honey, and washed process) were used in this study. Coffee samples obtained from altitudes of 400-1600m above sea level from various origins that were produced by the washed method were used for further study with regard to altitudes. This is the first study to report characteristic coffee metabolites obtained from different altitudes. Hepatorenal dysfunction is a strong prognostic predictor in patients with heart failure. However, the prognostic impact of the hepatorenal dysfunction in patients undergoing transcatheter mitral valve repair (TMVR) has not been well studied. In consecutive patients who underwent edge-to-edge TMVR at three German centers, the model for end-stage liver disease excluding international normalized ratio (MELD-XI) score was calculated as 5.11 × ln [serum total bilirubin (mg/dl)] + 11.76 × ln [serum creatinine (mg/dl)] + 9.44. Patients were stratified into high (> 11) or low (≤ 11) MELD-XI score of which an incidence of the composite outcome, consisting of all-cause mortality and heart failure hospitalization, within 2years after TMVR was assessed. Of the 881 patients, the mean MELD-XI score was 11.0 ± 5.9, and 415 patients (47.1%) had high MELD-XI score. The MELD-XI score was correlated with male, effective regurgitant orifice area, and tricuspid regurgitation severity and inversely related to left ventricular ejection fraction. Patients with high MELD-XI score had a higher incidence of the composite outcome than those with low MELD-XI score (47.7% vs. SB-743921 concentration 29.8%; p < 0.0001), and in multivariable analysis, the high MELD-XI score was an independent predictor of the composite outcome [adjusted hazard ratio (HR) 1.34; 95% confidence interval (CI) 1.02-1.77; p = 0.04). Additionally, the MELD-XI score as a continuous variable was also an independent predictor (adjusted HR 1.02; 95% CI 1.00-1.05; p = 0.048). The MELD-XI score was associated with clinical outcomes within 2years after TMVR and can be a useful risk-stratification tool in patients undergoing TMVR.The MELD-XI score was associated with clinical outcomes within 2 years after TMVR and can be a useful risk-stratification tool in patients undergoing TMVR. Genomic selection enabled accurate prediction for the concentration of 13 nutritional element traits in wheat. Wheat biofortification is one of the most sustainable strategies to alleviate mineral deficiency in human diets. Here, we investigated the potential of genomic selection using BayesR and Bayesian ridge regression (BRR) models to predict grain yield (YLD) and the concentration of 13 nutritional elements in grains (B, Ca, Co, Cu, Fe, K, Mg, Mn, Mo, Na, Ni, P and Zn) using a population of 1470 spring wheat lines. The lines were grown in replicated field trials with two times of sowing (TOS) at 3 locations (Narrabri-NSW, all lines; Merredin-WA and Horsham-VIC, 200 core lines). Narrow-sense heritability across environments (locations/TOS) ranged from 0.09 to 0.45. Co, K, Na and Ca showed low to negative genetic correlations with other traits including YLD, while the remaining traits were negatively correlated with YLD. When all environments were included in the reference population, medium to high predis for YLD. We also investigated the utility of one or two locations (reference locations) to predict the remaining location(s), as well as the ability of one TOS to predict the other. Under these scenarios, BayesR and BRR showed comparable performance but with lower prediction accuracy compared to the scenario of predicting reference environments for new lines. Our study demonstrates the potential of genomic selection for enriching wheat grain with nutritional elements in biofortification breeding.