Effect of long-term application of biosolids for land reclamation on surface water chemistry.

Biosolids are known to have a potential to restore degraded land, but the long-term impacts of this practice on the environment, including water quality, still need to be evaluated. The surface water chemistry (NO3-, NH4+, and total P, Cd, Cu, and Hg) was monitored for 31 yr from 1972 to 2002 in a 6000-ha watershed at Fulton County, Illinois, where the Metropolitan Water Reclamation District of Greater Chicago was restoring the productivity of strip-mined land using biosolids. The mean cumulative loading rates during the past 31 yr were 875 dry Mg ha(-1) for 1120-ha fields in the biosolids-amended watershed and 4.3 dry Mg ha(-1) for the 670-ha fields in the control watershed. Biosolids were injected into mine spoil fields as liquid fertilizer from 1972 to 1985, and incorporated as dewatered cake from 1980 to 1996 and air-dried solids from 1987 to 2002. The mean annual loadings of nutrients and trace elements from biosolids in 1 ha were 735 kg N, 530 kg P, 4.5 kg Cd, 30.7 kg Cu, and 0.11 kg Hg in the fields of the biosolids-amended watershed, and negligible in the fields of the control watershed. Sampling of surface water was conducted monthly in the 1970s, and three times per year in the 1980s and 1990s. The water samples were collected from 12 reservoirs and 2 creeks receiving drainage from the fields in the control watershed, and 8 reservoirs and 4 creeks associated with the fields in the biosolids-amended watershed for the analysis of NO3- -N (including NO2- N), NH4+-N, and total P, Cd, Cu, and Hg. Compared to the control (0.18 mg L(-1)), surface water NO3- -N in the biosolids-amended watershed (2.23 mg L(-1)) was consistently higher; however, it was still below the Illinois limit of 10 mg L(-1) for public and food-processing water supplies. Biosolids applications had a significant effect on mean concentrations of ammonium N (0.11 mg L(-1) for control and 0.24 mg L(-1) for biosolids) and total P (0.10 mg L(-1) for control and 0.16 mg L(-1) for biosolids) in surface water. Application of biosolids did not increase the concentrations of Cd and Hg in surface water. The elevation of Cu in surface water with biosolids application only occurred in some years of the first decade, when land-applied sludges contained high concentrations of trace metals, including Cu. In fact, following the promulgation of 40 CFR Part 503, the concentrations of all three metals fell below the method detection level (MDL) in surface water for nearly all samplings. Nitrate in the surface water tends to be higher in spring, and ammonium, total P, and total Hg in summer and fall. Mean nitrate, ammonium, and total phosphorus concentrations were found to be greater in creeks than reservoirs. The results indicate that application of biosolids for land reclamation at high loading rates from 1972 to 2002, with adequate runoff and soil erosion control, had only a minor impact on surface water quality.

Physical self-regulation training for the management of temporomandibular disorders.

AIMS: To evaluate the long-term effectiveness of a brief skills training program for the management of chronic facial muscle pain. This program of physical self-regulation (PSR) involved primarily training in breathing, postural relaxation, and proprioceptive re-education. METHODS: Physical self-regulation training was presented by a dentist during two 50-minute sessions spaced at 3-week intervals and was compared to a standard dental care (SDC) program that included a flat-plane intraoral appliance and self-care instructions provided by a dentist. Participants (n = 44) were initially evaluated by a dentist experienced in the diagnosis and management of orofacial pain and were determined to have myofascial pain (Type 1a and 1b diagnoses per the Research Diagnostic Criteria) prior to random assignment to either the PSR or SDC conditions. Posttreatment evaluations 6 weeks and 26 weeks after treatment had begun were conducted by a dentist who was not aware of which treatment the participants received. RESULTS: Initial results indicated that pain severity and life interference from pain were reduced in both groups (P < 0.001), while perception of control was increased (P < 0.001), as was incisal opening without pain (P < 0.05). At the 26-week follow-up, the PSR group reported less pain (P < 0.04) and greater incisal opening, both with (P < 0.04) and without (P < 0.01) pain, than the SDC group. There were also significant decreases (P < 0.05) in affective distress, somatization, obsessive-compulsive symptoms, tender point sensitivity, awareness of tooth contact, and sleep dysfunction for both groups over time. CONCLUSION: The findings support the use of PSR for the short- and long-term management of muscle pain in the facial region. These results are discussed in terms of the potential mechanisms by which self-regulation treatment strategies are effective for the management of these pain disorders.

Effects of stretch-based progressive relaxation training on the secretion of salivary immunoglobulin A in orofacial pain patients.

There is a growing body of evidence that psychologic stressors can affect physical health and proneness to disease through depletion of the body's immune system. Relatively little research, however, has investigated the potential immunoenhancing effect of stress-relieving strategies such as progressive muscle relaxation. This study explored the relationship between immune functioning and relaxation training with persons experiencing persistent facial pain. In a single experimental session, 21 subjects either received relaxation training or rested for an equivalent time period. Salivary immunoglobulin A, mood, pain, and tension levels were measured before and after relaxation and rest periods. Results indicated that a greater proportion of those receiving relaxation training had increases in secretion of salivary immunoglobulin A. These findings suggest that immunoenhancement may be another potential benefit of progressive relaxation training for persons with chronic pain conditions.

Relaxation training and opioid inhibition of blood pressure response to stress.

The present study was designed to determine the role of endogenous opioid mechanisms in the circulatory effects of relaxation training. Opioid mechanisms were assessed by examination of the effects of opioid receptor blockade with naltrexone on acute cardiovascular reactivity to laboratory stress before and after relaxation training. Thirty-two young men with mildly elevated casual arterial pressure were recruited for placebo-controlled naltrexone stress tests and relaxation training. The results indicated that relaxation training significantly reduced the diastolic pressure response to mental arithmetic stress. Opioid receptor blockade with naltrexone antagonized the effects of relaxation training. These findings suggest that some of the physiological effects of relaxation training are mediated by augmentation of inhibitory opioid mechanisms.

Stretch-based relaxation training.

This paper is a review of progressive relaxation training based on muscle stretching exercises. Stretch-based relaxation training is an alternative to traditional tense-release methods for teaching self-regulation of muscle activity. The rationale and basic procedures for stretch-based relaxation are presented, along with a review of research studies exploring the clinical efficacy of the techniques. Experimental evidence has demonstrated decreases in subjective measures of muscle tension and activation, as well as decreases in EMG activity at selected target muscle sites when stretch-based relaxation procedures are employed. The clinical application of stretch-based relaxation is presented and illustrated with a case study describing the use of these procedures to assist in the treatment of neck tension/pain and anxiety. Discussion centers on the potential role of stretch-based relaxation in the management of anxiety and musculoskeletal disorders.

Efficacy of abbreviated progressive muscle relaxation training: a quantitative review of behavioral medicine research.

A quantitative review was undertaken of recent research in which abbreviated progressive muscle relaxation training (APRT) was used as an intervention for psychophysiological and stress-related disorders. The strength of association between APRT and outcome measures was calculated for 29 experiments published after 1980. The average effect size across all experiments was moderate (r = .40). Moreover, for experiments that included a follow-up assessment, a similar effect size was noted at the first follow-up (r = .43). Additionally, experiments that used a prospective design (i.e., analyzed change) detected a stronger effect for APRT than those that used a cross-sectional design (i.e., compared groups). APRT was most strongly associated with improvement in experiments that delivered APRT on an individual basis and provided recipients with training tapes. Moreover, the treatment duration and number of sessions positively influenced the strength of association.

Negative side effects of self-regulation training: relaxation and the role of the professional in service delivery.

Procedures used for relaxation training can resolve or precipitate dysfunction in patients undergoing self-regulation treatments. The present article discusses the role of the clinician in administering relaxation training via thermal biofeedback and coping with unforeseen negative effects of treatment. A case illustration involving the biobehavioral treatment of chest pain is presented and discussed to remind the reader of the significance of the therapist's role in helping tailor treatment programs to unique responses of the individual patient. The case highlights the value of thorough case management and clinical formulation in the successful resolution of relaxation-induced leg pain.

Stretch-based relaxation and the reduction of EMG activity among masticatory muscle pain patients.

This study explored the efficacy of stretch-based relaxation procedures for the reduction of muscle activity in the masseter regions of subjects diagnosed with masticatory muscle pain disorders. Thirty-four subjects with elevated masseter activity were assigned randomly to either a postural relaxation/rest experimental group or a stretch-based relaxation experimental group. Following a psychosocial stressor and application of the relaxation procedure, persons in the stretch-based group showed greater reductions in EMG activity than did those in the postural group for the right masseter region (t = 1.94, P less than .04) and the left masseter region (t = 2.07, P less than .03). The results are discussed in terms of the implications of these findings for further research concerning the etiology and treatment of masticatory muscle pain.

Muscle stretching as an alternative relaxation training procedure.

The purpose of this program of research was to explore the use of muscle stretching procedures in relaxation training with a clinical population. In the first controlled study, stretching exercises for four muscle groups (obicularis occuli, sternocleidomastoid/trapezius, triceps/pectoralis major, and forearm/wrist flexors) were prepared. A group of people using these procedures (SR, N = 8) was compared to a group using the Bernstein and Borkovec (1973) tense-release (TR; N = 8) techniques for those same muscle groups, as well as compared to an appropriate group of controls (WL; N = 8). Assessment of physiological (multi-site EMG) and subjective (emotions, muscle tension, and self-efficacy) responses showed that persons in the SR displayed less sadness, less self-reported muscle tension at four sites, and less EMG activity on the r.masseter than persons in the TR group. In the second study, 15 subjects were administered an expanded version of the SR relaxation procedures. Results showed that all subjects reported significant decreases in self-reported levels of muscle tension; muscle tension responders showed lowered trapezius EMG and respiration rates and cardiovascular responders showed lowered diastolic blood pressure. The results are discussed in terms of the utility of relaxation procedures based primarily on muscle stretching exercises for lowering subjective and objective states of arousal.

Relaxation training through muscle stretching procedures: a pilot case.

The present paper introduces a relaxation procedure based upon muscle stretching exercises. Traditional progressive relaxation training starts from muscle tensing exercises to teach voluntary control of muscle tension, but the literature shows widely varying results. An alternative method of relaxation training starts from muscle stretching exercises. Muscle stretching provides sensation contrasts for learning relaxation in addition to fostering relaxation through the stretching of muscles. The present report documents the rationale for the procedure and presents data from a clinical case study, including six months' follow-up, in support of its efficacy.