Managing a Mental Disorder With New Technologies: TheLeadless Pacemaker in Reel's Syndrome, a Case Report.

Reel's syndrome (RS) is an unusual cause of pacemaker lead dislodgement. We present the case of a 59-year-old female patient with Down syndrome (DS) implanted with a dual-chamber endovascular pacemaker due to symptomatic sinus node disfunction, reporting several syncopal episodes in last days and showing abnormal electrical parameters at the 2-months follow-up due to RS. The malfunctioning device was removed and an endocardial leadless pacing system was implanted.

South American Dry Chaco rangelands: Positive effects of cattle trampling and transit on ecohydrological functioning.

Livestock production in drylands requires consideration of the ecological applications of ecohydrological redistribution of water. Intensive cattle trampling and the associated increase of surface runoff are common concerns for rangeland productivity and sustainability. Here, we highlight a regional livestock production system in which cattle trails and trampling surrounding an artificial impoundment are purposely managed to enhance redistribution and availability of water for cattle drinking.

Ultra-high-density mapping to guide effective His-bundle pacing.

Permanent His bundle pacing is a physiological alternative to right ventricular pacing, resulting in a lower probability of pacing-induced cardiomyopathy and left ventricular ejection fraction deterioration. The combined use of UHD mapping systems allows precise and detailed information on the His bundle location, possibly providing more pacing option locations.

Rainfall intensity switches ecohydrological runoff/runon redistribution patterns in dryland vegetation patches.

Effectively managing net primary productivity in drylands for grazing and other uses depends on understanding how limited rainfall input is redistributed by runoff and runon among vegetation patches, particularly for patches that contrast between lesser and greater amounts of vegetation cover. Due in part to data limitations, ecohydrologists generally have focused on rainfall event size to characterize water redistribution processes. Here we use soil moisture data from a semiarid woodland to highlight how, when event size is controlled and runoff and interception are negligible at the stand scale, rainfall intensity drives the relationship between water redistribution and canopy and soil patch attributes.

ATP citrate lyase activity is post-translationally regulated by sink strength and impacts the wax, cutin and rubber biosynthetic pathways.

Cytosolic acetyl-CoA is involved in the synthesis of a variety of compounds, including waxes, sterols and rubber, and is generated by the ATP citrate lyase (ACL). Plants over-expressing ACL were generated in an effort to understand the contribution of ACL activity to the carbon flux of acetyl-CoA to metabolic pathways occurring in the cytosol. Transgenic Arabidopsis plants synthesizing the polyester polyhydroxybutyrate (PHB) from cytosolic acetyl-CoA have reduced growth and wax content, consistent with a reduction in the availability of cytosolic acetyl-CoA to endogenous pathways.