Multi-year net ecosystem carbon balance of a restored peatland reveals a return to carbon sink.

Peatlands after drainage and extraction are large sources of carbon (C) to the atmosphere. Restoration, through re-wetting and revegetation, aims to return the C sink function by re-establishing conditions similar to that of an undrained peatland. However, the time needed to re-establish C sequestration is not well constrained due to the lack of multi-year measurements. We measured over 3 years the net ecosystem exchange of CO2 (NEE), methane ( F CH 4 ), and dissolved organic carbon (DOC) at a restored post-extraction peatland (RES) in southeast Canada (restored 14 years prior to the start of the study) and compared our observations to the C balance of an intact reference peatland (REF) that has a long-term continuous flux record and is in the same climate zone. Small but significant differences in winter respiration driven by temperature were mainly responsible for differences in cumulative NEE between years. Low growing season inter-annual variability was linked to constancy of the initial spring water table position, controlled by the blocked drainage ditches and the presence of water storage structures (bunds and pools). Half-hour F CH 4 at RES was small except when Typha latifolia-invaded drainage ditches were in the tower footprint; this effect at the ecosystem level was small as ditches represent a minor fraction of RES. The restored peatland was an annual sink for CO2 (-90 ± 18 g C m-2  year-1 ), a source of CH4 (4.4 ± 0.2 g C m-2  year-1 ), and a source of DOC (6.9 ± 2.2 g C m-2  year-1 ), resulting in mean net ecosystem uptake of 78 ± 17 g C m-2  year-1 . Annual NEE at RES was most similar to wetter, more productive years at REF. Integrating structures to increase water retention, alongside re-establishing key species, have been effective at re-establishing the net C sink rate to that of an intact peatland.

Permanent cardiac pacing in children: choosing the optimal pacing site: a multicenter study.

BACKGROUND: We evaluated the effects of the site of ventricular pacing on left ventricular (LV) synchrony and function in children requiring permanent pacing. METHODS AND RESULTS: One hundred seventy-eight children (aged <18 years) from 21 centers with atrioventricular block and a structurally normal heart undergoing permanent pacing were studied cross-sectionally. Median age at evaluation was 11.2 (interquartile range, 6.3-15.0) years. Median pacing duration was 5.4 (interquartile range, 3.1-8.8) years. Pacing sites were the free wall of the right ventricular (RV) outflow tract (n=8), lateral RV (n=44), RV apex (n=61), RV septum (n=29), LV apex (n=12), LV midlateral wall (n=17), and LV base (n=7). LV synchrony, pump function, and contraction efficiency were significantly affected by pacing site and were superior in children paced at the LV apex/LV midlateral wall. LV dyssynchrony correlated inversely with LV ejection fraction (R=0.80, P=0.031). Pacing from the RV outflow tract/lateral RV predicted significantly decreased LV function (LV ejection fraction <45%; odds ratio, 10.72; confidence interval, 2.07-55.60; P=0.005), whereas LV apex/LV midlateral wall pacing was associated with preserved LV function (LV ejection fraction ≥55%; odds ratio, 8.26; confidence interval, 1.46-47.62; P=0.018). Presence of maternal autoantibodies, gender, age at implantation, duration of pacing, DDD mode, and QRS duration had no significant impact on LV ejection fraction. CONCLUSIONS: The site of ventricular pacing has a major impact on LV mechanical synchrony, efficiency, and pump function in children who require lifelong pacing. Of the sites studied, LV apex/LV midlateral wall pacing has the greatest potential to prevent pacing-induced reduction of cardiac pump function.

Clinical application of a micro multiplane transoesophageal probe in congenital cardiac disease.

AIM: To assess the quality of imaging modalities of a new micro multiplane transoesophageal echocardiogram probe. METHOD: This is a prospective study of micro transoesophageal echocardiogram S8-3t probe used at a single institution between 15 December, 2009 and 15 March, 2010. The images were compared with standard paediatric or adult probes where possible. Assessors prospectively rated imaging quality - two dimensional, colour flow imaging, pulse wave, and continuous wave Doppler - with a subjective 4-point scale (1 = poor to 4 = excellent). RESULTS: A total of 24 studies were performed on 23 patients, with a median weight = 11.7 kilograms (2.6-72 kilograms) and a median age of 3 years (0.16-60 years). Of the 23 patients, one neonate (2.8 kilograms) had transient bradycardia on probe insertion. Imaging in patients less than 10 kilograms was of full diagnostic value and new information was obtained in eight out of ten patients. Pulse wave and continuous wave Doppler was consistently good across all weight groups. There were high frame rates and good imaging quality to a depth of 4-6 centimetres in all studies. A comparison with a larger alternative probe was available for 12 studies (weight 11.9-72 kilograms). The median micro transoesophageal two-dimensional image quality score was 3 (2-4) and 4 (3-4) with the comparative probe. For the 10- to 30-kilogram group, image quality with the micro transoesophageal echocardiogram probe was judged as inferior to larger standard probes. Adult sized patients had good imaging of near the field, allowing guidance for percutaneous device closure of the atrial septum. CONCLUSION: The micro multiplane transoesophageal echocardiogram probe provides imaging of diagnostic quality in neonates. In larger patients, it offers good imaging of near field structures. In the intermediate-sized child (10-30 kilograms), standard paediatric probes provide better imaging.