Ventricular pacemaker lead in the left hemithorax: Mechanisms and evidence-based management of a late-onset hazardous complication

Late-onset migration of pacing leads in the left hemithorax is a rare but potentially life-threatening complication. Radiological examinations are required to detect any involvement of either left ventricle or lung parenchyma, prompting immediate surgical extraction in this setting. Identification of high-risk patients is mandatory to prevent this complex iatrogenic complication

Living organisms and sedimentary remains from high mountain lakes in the Alps

We publish a data set of environmental and biological data collected in 2000 during the ice-free period in high mountain lakes located above the local timberline in the Alps, in Italy, Switzerland and Austria. Environmental data include coordinates, geographical attributes and detailed information on vegetation, bedrock and land use in lake catchments. Chemical analyses of a sample for each lake collected at the lake surface in Summer 2000 are also reported. Biological data include phytoplankton (floating algae and cyanobacteria), zooplankton (floating animals), macroinvertebrates (aquatic organisms visible to the naked eye living in contact with sediments on lake bottom), benthic diatoms. Diatoms, cladocera and chironomids remains and algal and bacterial pigments were also analysed in lake sediments

The chemical and biological response of two remote mountain lakes in the Southern Central Alps (Italy) to twenty years of changing physical and chemical climate

Two small high mountain lakes in the Alps were monitored in 1984-2003 to follow their response to changes in human impact, such as deposition of atmospheric pollutants, fish stocking and climate change. The results were compared to occasional samplings performed in the 1940s, and to the remains found in sediment cores. When monitoring started, the most acid-sensitive of them, Lake Paione Superiore, was acidified, with evident effects in its flora and fauna: benthic diatoms assemblage was shifted towards aci- dophilous species, and zooplankton lost the dominant species, Arctodiaptomus alpinus. Palaeolimnological studies outlined that lake acidification paralleled the increasing input of long-range transported industrial pollutants, traced by spherical carbonaceous parti- cles. On the contrary, the biota of Lake Paione Inferiore appeared to be mainly affected by fish stocking. In the last twenty years, de- crease in acid load from the atmosphere led to an improvement in lake water quality, with an increase in both pH and alkalinity. First signs of biological recovery were identified, such as change in diatom flora and appearance of sensitive species among benthic insects. However, climate change and episodic deposition of Saharan dust were important driving factors controlling lake water chemistry. Further monitoring to assess the effects of climate change and of the increasing load of nitrogen and other pollutants is recommended. Key word: atmospheric deposition, acidification, plankton, benthos, diatom

Indici per la valutazione della qualit? ecologica dei laghi

Collection of methods to evaluate lake quality using biological element

Trattamento "ibrido" della coartazione aortica associata a valvulopatia atrioventricolare nell'adulto. ["Hybrid" management of aortic coarctation associated with atrioventricular valve regurgitation in the adult]

The incidence of heart valve disease associated with aortic coarctation is 40% in patients < 30 years and 27% in younger patients. This report describes the case of a 41-year-old man, admitted for severe mitral and tricuspid valve incompetence, causing impairment of left ventricular function and pulmonary hypertension. During hospitalization an occasional finding of aortic coarctation was diagnosed. The optimal management of aortic coarctation associated with atrioventricular valve regurgitation remains a matter of debate. In this report the proper decision-making and the management are discussed