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Swimming and diving are popular recreational activities. As congenital heart disease, especially patients with univentricular hearts after Fontan palliation are thought to have reduced physiologic capacities for compensation of submersion-associated physiologic demands, current guidelines put restraints on this group of patients. Although these restrictions on doctoral advice place a significant burden on affected patients, it is especially interesting that these guideline recommendations are merely based on physiologic assumptions, i.e., expert consensus. A recent study by Paech et al. presented the first in vivo data on the effects of immersion in Fontan patients, stating no major adverse events in their study group as well as comparable physiologic adaption as reported in the literature for healthy people. Yet, submersion was not reflected in this study, and the current study therefore aimed to conduct a first study for the evaluation of the effects of submersion and apnea diving in Fontan patients. A control group of healthy adults as well as patients recruited from the Heart Center Leipzig, Department of pediatric cardiology underwent a standardized diving protocol including a static as well as dynamic apnea phase. Physiologic data were recorded. This study presents the first structured data on diving physiology in Fontan patients compared to healthy probands. There were no adverse events. The physiologic response to diving seems to be comparable between healthy probands and Fontan patients. Although, healthy probands did reach a much better performance, the basic mechanisms of physiologic adaption seem comparable. [ABSTRACT FROM AUTHOR]

While swimming represents a popular recreational activity, the immersion of the human body into the water requires a complex physiologic adaption of the whole cardiopulmonary and circulatory system. While this sport is regarded as beneficial, especially in cardiovascular patients, current guidelines hypothesized a possible hazardous effect of swimming and especially diving in patients with univentricular hearts after Fontan palliation. Yet, actual data to underline or contradict these assumptions are lacking. Therefore, this study aimed to conduct a first feasibility study for the evaluation of these effects on Fontan physiology and elucidate the gap of evidence currently preventing patients after Fontan palliation from being restricted from swimming or diving on doctoral advice. Patients recruited from the Heart Center Leipzig, Department of pediatric cardiology, underwent spiroergometry treadmill testing followed by a spiroergometry swimming stress test in a counter current pool. Physiologic data were recorded. A short apnea diving test was performed. The current study found similar physiologic reactions comparing treadmill and swimming exercise stress testing. Heart rate response and oxygen uptake were comparable on land and in the water. This study presents the first-in-man data on swimming and diving in Fontan patients. In this small study cohort of three Fontan patients, there were no adverse events triggered by swimming and breath-hold diving seen. Basically, the physiologic response to exercise was comparable on land and in the water. [ABSTRACT FROM AUTHOR]

Modern physics experiments often utilize field-programmable gate array (FPGA)-based systems for real-time data acquisition (DAQ). Integrated analog electronics demand for complex calibration routines. Furthermore, versatile configuration and control of the whole system are key requirements. Besides a low-level register interface to the FPGA, also, access to I2C and SPI buses is often needed to configure the complete system. Calibration through an FPGA is inflexible and yields a complex hardware implementation. On the contrary, calibration through a remote system is possible but considerably slower due to repetitive network accesses. By using system-on-chip (SoC)-FPGA solutions with a microprocessor, more sophisticated configuration and calibration solutions, as well as standard remote access protocols, can be efficiently integrated into the software. Based on Xilinx Zynq US+ SoC-FPGAs, we implemented a versatile control framework. This software framework offers convenient access to the hardware and a flexible abstraction via remote-procedure calls (RPCs). Based on the open-source RPC library gRPC, functionality with low-latency control flow, complex algorithms, data conversions and processing, and configuration via external buses can be provided to a client via Ethernet. Furthermore, client interfaces for various programming languages can be generated automatically, which eases collaboration among different working groups and integration into existing software. This contribution presents the framework and benchmarks regarding latency and data throughput. [ABSTRACT FROM AUTHOR]

There is an urgent need to better understand the processes underlying trees resistance and resilience to drought as a prerequisite for adapting to climate change. In this study, the effect of different short-term drought events on the physiology of European white elm saplings, as well as the rates at which their physiological traits recover after drought were identified. Elm saplings responded sensitively to drought stress: leaf water potential, net photosynthesis and stomatal conductance were the most sensitive traits. The normalized difference vegetation index and leaf water content responded only to severe drought stress conditions. Drought triggered the conversion of soluble carbohydrates to starch in leaves but not in roots. Root function was severely damaged by drought as indicated by increased root electrolyte leakage. Tree survival and the recovery rate were significantly better under two shorter drought periods compared to one longer drought. For this reason, the precipitation pattern in models evaluating tree survival under climatic change has to be taken into account. The differences in the studied traits between surviving and dying saplings increased as drought progressed and leaf water content together with leaf reflectance indexes were identified as the best indicators for evaluating tree mortality risk. These findings are very important, as they show that these specific traits can be used to identify trees susceptible to drought in the field as they can be sensed remotely. • A high resilience of elm saplings to drought was found. • Sensitive physiological traits to drought were identified. • Root function was severely damaged by drought. • Precipitation patters should be modelled and included in the plant survival analysis. [ABSTRACT FROM AUTHOR]

Abstract Present research suggests that phenotypic variations and consequent potential differences in suitability for commercial culture are more likely to occur among genetically diverse populations. We investigated diversity in traits important to aquaculture and assessed genetic differentiation based on four mitochondrial markers in three European populations of Perca fluviatilis. Using a transplant approach to standardize conditions and minimize environmental effects on phenotype expression, we compared survival, cannibalism, growth rate, growth heterogeneity, and specific growth rate of the populations to assess whether difference in aquaculture performance (i.e. expression of phenotypical traits that facilitate the rearing of fish and impact the productivity of the farming) is more likely between genetically differentiated populations than between genetically similar populations. We found key traits of performance to differ among allopatric populations, suggesting value in considering geographic source of broodstock. The largest aquaculture performance disparities were observed among genetically differentiated populations. Some lesser differences were observed between allopatric genetically similar populations, possibly the consequence of pre-collection environment, or transgenerational effects. Highlights • Allopatric populations of European perch differ in suitability to commercial culture. • Evaluation of geographic differences in key traits is a potential way to overcome current issues in perch aquaculture. • The differences in traits affecting aquaculture performance was observed among genetically differentiated populations. [ABSTRACT FROM AUTHOR]

Renewable energy is often generated from biomass, produced in short-rotation coppice (SRC) cultures. These cultures are frequently established on former agricultural land with ample availability of plant nutrients as nitrogen, phosphorous, potassium, calcium and magnesium. Nevertheless, little is known about the annual recycling of these nutrients through the leaves, as well as about the amounts that are removed at harvest. We therefore quantified soil nutrient concentrations, as well as nutrient concentrations and the gross calorific value of the proleptic branches and of the leaves of 12 poplar ( Populus ) genotypes in the second rotation of an operational SRC (with two-year rotations). For the produced leaf biomass, we also quantified the standing energy stock and the nutrient stock of each genotype. After four years the P, K, Ca and Mg soil concentrations had not significantly changed, while the N concentration at 30–60 cm of soil depth had significantly increased. On average, the standing aboveground woody biomass of the 12 genotypes in 2013 was 13.75 Mg ha −1 and the total leaf biomass was 3.54 Mg ha −1 . This resulted in an average standing energy stock in the leaves of 64.8 GJ ha −1 . Nutrient concentrations were lower in the proleptic branches as compared to the leaves, but the proleptic branches and leaf nutrient concentrations significantly varied among the genotypes. [ABSTRACT FROM AUTHOR]

The electron capture in 163 Holmium (ECHo) experiment seeks to achieve sub-eV sensitivity of the electron neutrino mass through calorimetric decay spectroscopy of 163 Ho in large arrays of cryogenic magnetic microcalorimeters (MMCs). Microwave SQUID multiplexing serves to efficiently increase the number of readout channels, thus calorimeters per array and ultimately per cryostat. A corresponding frequency multiplexing room temperature software-defined radio (SDR) system is in development to enable the readout of this increased number of MMCs per cable. The SDR consists of a custom FPGA platform that provides signal generation and analysis capabilities, as well as tailored signal conversion and analog conditioning front end electronics that enable the room-temperature-to-cryogenic interface. Ultimately, the system will read out 400 multiplexer channels with double pixel detectors through a bandwidth of 4 GHz (IEEE C band). As high-resolution data converters are limited in sample rate, the C-band is split into five sub-bands using a two-stage mixing method. In this contribution, a prototype of the heterodyne RF design is presented. It comprises one of the five 800 MHz sub-bands for a target frequency range between 4 and 8 GHz. Furthermore, the second version of the A/D converter stage is presented, capable of generating and digitizing up to five complex basebands using 1 GSs - 1 converters, the reference clocks and a flux-ramp signal. We will show first results of their single and combined characterization in the lab. The current state of the prototype hardware enables preliminary measurements, only limited in bandwidth and with slightly higher noise. Potential improvements could be derived and will be implemented in the full bandwidth, 5-sub-band RF PCB design. [ABSTRACT FROM AUTHOR]

Background: Cardiac resynchronisation therapy (CRT) is increasingly used in children in a variety of anatomical and pathophysiological conditions, but published data are scarce. Objective: To record current practice and results of CRT in paediatric and congenital heart disease. Design: Retrospective multicentre European survey. Setting: Paediatric cardiology and cardiac surgery centres. Patients: One hundred and nine patients aged 0.24-73.8 (median 16.9) years with structural congenital heart disease (n = 87), congenital atrioventricular block (n = 12) and dilated cardiomyopathy (n = 10) with systemic left (n = 69), right (n = 36) or single (n = 4) ventricular dysfunction and ventricular dyssynchrony during sinus rhythm (n = 25) or associated with pacing (n = 84). Interventions: CRT for a median period of 7.5 months (concurrent cardiac surgery in 16/109). Main outcome measures: Functional improvement and echocardiographic change in systemic ventricular function. Results: The z score of the systemic ventricular end-diastolic dimension decreased by median 1.1 (p<0.001). Ejection fraction (EF) or fractional area of change increased by a mean (SD) of 11.5 (14.3)% (p<0.001) and New York Heart Association (NYHA) class improved by median 1.0 grade (p<0.001). Non-response to CRT (18.5%) was multivariably predicted by the presence of primary dilated cardiomyopathy (p = 0.002) and poor NYHA class (p = 0.003). Presence of a systemic left ventricle was the strongest multivariable predictor of improvement in EF/fractional area of change (p<0.001). Results were independent of the number of patients treated in each contributing centre. Conclusion: Heart failure associated with ventricular pacing is the largest indication for CRT in paediatric and congenital heart disease. CRT efficacy varies widely with the underlying anatomical and pathophysiological substrate. [ABSTRACT FROM AUTHOR]

Abstract: Sandwiched between a set of magnetic phases at lower pressure, and a non magnetic phase at higher pressure, the magnetic state of phase of oxygen has so far been elusive, together with its crystal structure. Neutron diffraction data indicate an absence of antiferromagnetism, but do not exclude a ferromagnetic order. The recent refinement of the internal atomic positions from single-crystal diffraction finally provides us with a correct structural model to study the possible occurrence of a magnetic ground state. By employing non-collinear spin-polarized density-functional theory we show that the ground state of -O2 is non magnetic. We also calculate vibrational spectra and show that -O2 possesses an additional vibron mode with large Raman cross section, not seen in experiments yet. [Copyright &y& Elsevier]

This article discusses the risk of ventricular tachycardias (VT) in patients who have undergone repaired Tetralogy of Fallot (rTOF) surgery. The study included 39 patients who underwent electrophysiological study for VT risk stratification. The researchers found that slow conducting anatomic isthmuses (SCAI) were present in the majority of patients, with the most common SCAI being isthmus 3 and isthmus 4. Ablation procedures were successful in 87% of patients, with only one patient experiencing recurrence of VT/VF. The study suggests that implantable cardioverter-defibrillator (ICD) implantation may be necessary in some cases. [Extracted from the article]

Drought-induced mortality is a major direct effect of climate change on tree health, but drought can also affect trees indirectly by altering their susceptibility to pathogens. Here, we report how a combination of mild or severe drought and pathogen infection affected the growth, pathogen resistance and gene expression in potted 5-year-old Norway spruce trees [ Picea abies (L.) Karst.]. After 5 weeks of drought, trees were inoculated with the fungal pathogen Endoconidiophora polonica. Combined drought–pathogen stress over the next 8 weeks led to significant reductions in the growth of drought-treated trees relative to well-watered trees and more so in trees subjected to severe drought. Belowground, growth of the smallest fine roots was most affected. Aboveground, shoot diameter change was most sensitive to the combined stress, followed by shoot length growth and twig biomass. Both drought-related and some resistance-related genes were upregulated in bark samples collected after 5 weeks of drought (but before pathogen infection), and gene expression levels scaled with the intensity of drought stress. Trees subjected to severe drought were much more susceptible to pathogen infection than well-watered trees or trees subjected to mild drought. Overall, our results show that mild drought stress may increase the tree resistance to pathogen infection by upregulating resistance-related genes. Severe drought stress, on the other hand, decreased tree resistance. Because drought episodes are expected to become more frequent with climate change, combined effects of drought and pathogen stress should be studied in more detail to understand how these stressors interactively influence tree susceptibility to pests and pathogens. [ABSTRACT FROM AUTHOR]

Ablation of accessory pathways (AP) is one of the most often performed procedures in pediatric electrophysiology. In pediatric patients these procedures are mostly performed in anaesthesia or sedation. In some of these patients who are referred for electrophysiologic (EP) study, we could observe disappearance of the preexcitation, i.e. antegrade conduction of an AP during introduction of sedation. As a suppression of AP conduction capacities has been reported as negative side effect of propofol and other anaesthetics, the aim of this study was to evaluate risk factors for drug-induced suppression of AP conduction properties. Consecutive, pediatric patients with Wolff-Parkinson-White (WPW) pattern referred for EP study in the period of 2016-2017 were reviewed in retrospect. Patients with complex congenital heart disease were excluded. An entire chart review including ECG, bicycle stress testing, and periprocedural data was performed. In 4 of 37 patients included into the study, loss of preexcitation could be observed during sedation. Data analysis showed weaker conduction capacities of the AP as a risk factor (p = 0.009). Interestingly, absolute (p = 0.11) or adjusted to body weight (p = 0.92) drug doses were not a relevant risk factor. Patients with WPW and weaker conduction capacities of the AP, as implied by an early disappearance of preexcitation during exercise stress testing, seem to be more prone to drug-induced suppression of an AP. [ABSTRACT FROM AUTHOR]

As new customer health devices have been spread throughout the consumer market in recent years, it now needs to be evaluated if they also fulfill the requirements of clinical use. The Apple Watch Series 6 provides a new health feature with its oxygen saturation measurement. The aim of this prospective, investigator-initiated, single-arm study was to compare transcutaneous oxygen saturation measurements using the Apple Watch 6 with the conventional method of pulse oximetry in patients with congenital heart disease. Patients of any age presenting at the Leipzig Heart Center, Department for pediatric cardiology, were included. After obtaining informed consent, the routine oxygen saturation measurement with the pulse oximeter was taken and simultaneously three measurements with the Apple Watch. A total of 508 patients were enrolled. Comparing children and adults in terms of measurement success shows a statistically significant difference with a higher proportion of unsuccessful measurements in children, but no difference concerning correct versus incorrect Apple Watch measurements. Noticeable, strapping on the watch properly around the patient's wrists significantly improved the measurements compared to a watch only laid on. The study demonstrated that oxygen saturation measurement with the Apple Watch 6 is not yet up to the medical standard of pulse oximetry, too large a proportion of the measurements remain either unsuccessful or incorrect. While a high proportion of unsuccessful measurements in children can be attributed to movement, the cause in adults usually remains unclear. Further influencing factors on a correct, or successful measurement could not be found. [ABSTRACT FROM AUTHOR]

The development of smart technologies paves the way for new diagnostic modalities. The Apple Watch provides an FDA approved iECG function for users from 22 years of age. Yet, there are currently no data on the accuracy of the Apple Watch iECG in children. While arrhythmias are a frequent phenomenon in children, especially those with congenital heart disease, the increasing spread of smart watches provides the possibility to use a smart watch as mobile event recorder in case of suspected arrhythmia. This may help to provide valuable information to the treating physician, without having the patient to come to the hospital. Necessary treatment adjustments might be provided without timely delay. The aim of this study was therefore to evaluate the agreement of measured values of rate, interval, and amplitude with those obtained by a diagnostic quality ECG recording to an Apple Watch iECG in children with and without congenital heart disease. In this prospective, single-arm study, consecutive patients aged 0–16 years presenting to the Heart Center Leipzig, Department for pediatric cardiology were included. After obtaining informed consent from participants' parents, a 12-lead ECG and an iECG using an Apple Watch were performed. Cardiac rhythm was classified, amplitudes and timing intervals were measured and analyzed in iECG and 12-lead ECG for comparability. These measurements were performed blinded to the patients' history by two experienced pediatric cardiologists. Patient demographic data, medical and cardiac history were assessed. 215 children between 0 and 16 years were enrolled. Comparison of amplitudes and timing intervals between ECG and iECG showed excellent correlation (K > 0.7, p < 0.01) in all parameters except for the p-waves. Automatic rhythm classification was inferior to manual interpretation of ECG / iECG, while iECG interpretation was reliable in 94.86% of cases. The study demonstrates equal quality of the Apple Watch derived iECG compared to a lead I in 12-lead ECG in children of all age groups and independent from cardiac anatomy. [ABSTRACT FROM AUTHOR]

We present a density-functional theory study of Si nanoparticle quantum dots, focusing on determination of their optical properties. To calculate the absorption spectra of our quantum dot models we use a recently-developed method based on the application of Lanczos algorithms to linear-response time-dependent density-functional theory (LR-TDDFT). Quantum dot models are obtained by cutting Si atoms from the bulk crystal lattice and adding appropriate H terminating atoms to the surface; these structures are relaxed using density-functional theory in the plane-wave pseudopotential supercell approach, and then absorption spectra are calculated. We verify that with increasing size of the nanoparticle, the optical gap/onset of absorption steadily moves to lower energies. The paper represents an important demonstration of this new methodology on a class of systems that are the focus of significant current research in nanoscience. [ABSTRACT FROM AUTHOR]

The acute hemodynamic effect of atrioventricular (AV) and inter/intraventricular (IV) resynchronization accomplished by temporary pacing using multiple epicardial pacing wires was evaluated in 20 children (aged 3.4 months to 14.0 years) after surgery for congenital heart defects fulfilling the following criteria: (1) presence of AV and/or IV conduction delay, and (2) need for inotropic support. AV resynchronization (n = 13) was achieved by AV delay optimization during atrial synchronous right ventricular outflow tract pacing. IV resynchronization (n = 14) was accomplished by atrial synchronous pacing from the right ventricular lateral wall in 7 patients with right bundle branch block and normal AV conduction and by atrial synchronous multisite ventricular pacing in another 7 patients with previously performed AV resynchronization. Compared with baseline values, AV resynchronization resulted in an increase in arterial systolic, mean, and pulse pressures by 7.2 +/- 8.3% (p <0.01), 8.6 +/- 8.1% (p <0.005), and 6.9 +/- 13.5% (p = NS), respectively. IV resynchronization used either alone or added to previously performed AV resynchronization led to a pressure increase of 7.0 +/- 4.7%, 5.9 +/- 4.7%, and 9.4 +/- 7.8%, respectively (p <0.001 for all). The combined effect of AV and IV resynchronization resulted in a systolic, mean, and pulse pressure increase of 10.2 +/- 5.0% (range 4.0 to 19.1), 8.6 +/- 5.4% (range 0.8 to 14.8), and 15.2 +/- 8.5% (range 6.1 to 33.3), respectively (p <0.001 for all). The increase in systolic arterial pressure after IV resynchronization was positively correlated with the initial QRS duration (r = 0.62, p <0.05) and extent of QRS shortening (r = 0.66, p <0.05). In conclusion, resynchronization pacing led to a significant increase in arterial blood pressure and was a useful adjunct to the treatment of acute postoperative heart failure in patients with AV and/or IV conduction delay. [ABSTRACT FROM AUTHOR]

We demonstrate the possibility to achieve the doping of eumelanin thin films through K+ incorporation during the electrodeposition of the film. K-doping changes the optical properties of the eumelanin thin films, reducing the energy gap from 1.0 to 0.6 eV, with possible implications for the photophysical properties. We have identified the doping-related occupied and unoccupied electronic states and their spectral weight using resonant photoemission spectroscopy (ResPES) and x-ray absorption at the C and N K-edges (near edge x-ray absorption fine spectroscopy, NEXAFS). All data are consistently interpreted by ab initio calculations of the electronic structure within the frame of the macrocycle model developed for the eumelanin protomolecule. Our analysis puts in evidence the intercalation of K with one specific oligomer (a tetramer composed of one indolequinone and 3 hydroquinone monomers) in correspondence of the nitrogen macrocycle. The predicted variation of the tetramer spacing is also in agreement with the recent x-ray diffraction experiments. The charge donation from K to N and C atoms gives rise to new electronic states at the top of the valence band and in NEXAFS resonances of the unoccupied orbitals. The saturation of the tetramer macrocycles leaves an excess of K that bind to N and C atoms in alternative configurations, as witnessed by the occurrence of additional spectral features in the carbon-related ResPES measurements. [ABSTRACT FROM AUTHOR]

Many studies have reported that hydraulic properties vary considerably between tree species, but little is known about their intraspecific variation and, therefore, their capacity to adapt to a warmer and drier climate. Here, we quantify phenotypic divergence and clinal variation for embolism resistance, hydraulic conductivity and branch growth, in four tree species, two angiosperms (Betula pendula, Populus tremula) and two conifers (Picea abies, Pinus sylvestris), across their latitudinal distribution in Europe. Growth and hydraulic efficiency varied widely within species and between populations. The variability of embolism resistance was in general weaker than that of growth and hydraulic efficiency, and very low for all species but Populus tremula. In addition, no and weak support for a safety vs. efficiency trade-off was observed for the angiosperm and conifer species, respectively. The limited variability of embolism resistance observed here for all species except Populus tremula, suggests that forest populations will unlikely be able to adapt hydraulically to drier conditions through the evolution of embolism resistance. [ABSTRACT FROM AUTHOR]

Following the first record of red swamp crayfish (Procambarus clarkii, Girard, 1852) in Carpathian Basin in January 2015, the established populations were found in a tributary creek (Sulák creek, Érd-Ófalú) and the adjacent River Danube in June 2016. Thereafter, we focused to survey the populations of the red swamp crayfish at the national scale. The aim of this study was to summarise the current distribution of the red swamp crayfish in Hungary and evaluate its effects on the fish assemblages in selected tributary creeks of the River Danube (including comparison of sites with red swamp crayfish presence/absence). During our field surveys, the fishes and crayfishes were collected using electrofishing, various types of traps, and handling nets, involving several water habitats. We detected the species in a 144 rkm-long section of the River Danube, in several thermal and man-made ponds in area of Budapest and in three tributary streams of the River Danube. The occurrence of the species was recorded in the drainage area of River Tisza in thermal ponds, their outflows and natural habitats of Laskó creek near Egerszalók in November 2017. The results of our twoyear- long survey showed that the non-native red swamp crayfish is capable to substantially alter associated fish fauna. Thus, our results are in line with previous findings on red swamp crayfish elsewhere, confirming invasive habits of the species. Further monitoring of this species in Hungary is strongly recommended. [ABSTRACT FROM AUTHOR]

Recent data showed a right ventricular dyssynchrony in patients with tetralogy of Fallot (TOF). Percutaneous pulmonary valve implantation (PPVI) has become an important procedure to treat a pulmonary stenosis and/or regurgitation of the right ventricular outflow tract in these patients. Despite providing good results, there is still a considerable number of nonresponders to PPVI. The authors speculated that electrical dysfunction of the right ventricle plays an underestimated role in the outcome of patients after PPVI. This study aimed to investigate the influence of right ventricular electrical dysfunction, i.e., right bundle branch block (RBBB) on the RV remodeling after PPVI. The study included consecutive patients after correction of TOF with or without RBBB, who had received a PPVI previously at the Heart Center of the University of Leipzig, Germany during the period from 2012 to 2015. 24 patients were included. Patients without RBBB, i.e., with narrow QRS complexes pre-intervention, had significantly better RV function and had smaller right ventricular volumes. Patients with pre-interventionally QRS width below 150 ms showed a post-interventional remodeling of the right ventricle with the decreasing RV volumes ( p = 0.001). The parameters of LV function and volume as well as RV ejection fraction remained unaffected by RBBB. The presented data indicate that the QRS width seems to be a valuable parameter in the prediction of right ventricular remodeling after PPVI, as it represents both electrical and mechanical functions of the right ventricle and may serve as an additional parameter for optimal timing of a PPVI. [ABSTRACT FROM AUTHOR]

Tachyarrhythmia-induced cardiomyopathy (TIC) is a rare, yet life-threatening phenomenon in children. TIC has been defined as myocardial dysfunction that is entirely or partially reversible after control of the responsible tachyarrhythmia and is typically caused by an incessant supraventricular tachycardia. In cases of unsuccessful termination of the tachycardia, cardiogenic shock may occur. Several authors favour the use of mechanical circulatory support in such cases. Particularly with regard to these partly severe cases, the authors would like to present the option of transoesophageal overdrive pacing (TOP) as a tool for initial heart rate control and hemodynamic stabilization of patients with TIC refractory to conventional strategies of tachycardia termination. Chart review for patients receiving TOP during the last 5 years in two centres was performed. A case series of successful TOP including technique and outcomes is depicted. Rate control through TOP is a safe and effective option to restore acceptable hemodynamics in infants with refractory supraventricular tachycardia and severe impairment of ventricular function. It presents the possibility of immediate heart rate control and offers time for myocardial recovery and safe implementation of antiarrhythmic drug therapy. [ABSTRACT FROM AUTHOR]

Genetic variation of Siberian dwarf pine Pinus pumila (Pall.) Regel was characterized in three marginal populations in southwestern, southern and eastern parts of the natural species range (Baikal Area, Primorye, Kamchatka) using isozyme analysis. Analysis involving 16 isozyme loci encoding ten enzyme systems was conducted. Our results confirm that P. pumila is one of the most polymorphic species in the genus Pinus. Three marginal populations exhibited high genetic variation ( P = 68.8%, H = 0.247, H = 0.291). Populations heterogeneity and significantly high level of divergence in coniferous ( F = 0.050, D = 0.044) reflect their genetic originality. In summary, it was shown that the level of genetic variation characteristic for P. pumila in other parts of the not only is reproduced in the populations examined but even is close to maximum there. [ABSTRACT FROM AUTHOR]