A considerable body of research is currently being performed to quantify available tidal energy resources and to develop efficient devices with which to harness them. This work is naturally focussed on maximising power generation from the most promising sites, and a review of the literature suggests that the potential for smaller scale, local tidal power generation from shallow near-shore sites has not yet been investigated. If such generation is feasible, it could have the potential to provide sustainable electricity for coastal homes and communities as part of a distributed generation strategy, and would benefit from easier installation and maintenance, lower cabling and infrastructure requirements and reduced capital costs when compared with larger scale projects. This article reviews tidal barrages and lagoons, tidal turbines, oscillating hydrofoils and tidal kites to assess their suitability for smaller scale electricity generation in the shallower waters of coastal areas at the design stage. This is achieved by discussing the power density, scalability, durability, maintainability, economic potential and environmental impacts of each concept. The discussion suggests that tidal kites and range devices are not well suited toward small-scale shallow water applications due to depth and size requirements, respectively. Cross-flow turbines appear to be the most suitable technology, as they have high power densities and a maximum size that is not constrained by water depth. Oscillating hydrofoils would also be appropriate, provided comparable levels of efficiency can be achieved.

Background-Microvascular obstruction (MO) is associated with large acute myocardial infarction and lower left ventricular (LV) ejection fraction and predicts greater remodeling, but whether this effect is abolished by contemporary antiremodeling therapies is subject to debate. We examined the influence of several infarct characteristics, including MO, on LV remodeling in an optimally treated post-acute myocardial infarction cohort, using contrast-enhanced cardiac magnetic resonance. Methods and Results-One hundred patients (mean age, 58.9Ϯ12 years, 77% men) underwent contrast-enhanced cardiac magnetic resonance at baseline (Ϸ4 days) and at 12 and 24 weeks. The effects on LV remodeling (ie, change in LV end-systolic volume index [⌬LVESVi]) of infarct site, transmurality, endocardial extent, and the presence of early and late MO were analyzed. Mean baseline infarct volume index decreased from 34.0 (21.2) mL/m 2 to 20.9 (12.9) mL/m

High-concentration inhaled oxygen has significant haemodynamic effects in patients with LVSD and mild HF. Such effects may be detrimental in patients with decompensated HF.