Alkalinity and diatom assemblages in lowland streams: How to separate alkalinity from inorganic phosphorus in ecological assessments?

Benthic algae are widely used as ecological indicators of the ecological status of streams because they are widely distributed, they show high species diversity and they respond rapidly to human pressures in particular eutrophication and organic pollution. Recent findings have highlighted that in addition to human pressures, alkalinity may also play a role for community composition as bicarbonate becomes an increasingly important carbon source for photosynthesis when alkalinity increases. With this study, we aimed to elucidate how alkalinity influences the distribution of diatoms in Danish lowland streams, and to explore ifdiatom assemblage patterns can be affected by alkalinity in a way that interferes with the ecological assessment using diatom-based indices. We found that alkalinity affect the benthic algae community in lowland streams and that different species of diatoms were associated with different levels of alkalinity, a finding that might indicate dissimilarities in the efficiency of their HCO3- use. Nitzschia intermedia, Synedra acus, Nitzschia recta, Diatoma tenue, and Nitzschia linearis were associated with high alkalinity, whereas Synedra rumpens, Fragilaria vaucheriae, Psammothidium bioretii, and Gomphonema parvulum were associated with low alkalinity in streams with very low levels of phosphate. We also found that the Danish indicator for ecological status in streams (a combination of two Austrian indices, the Saprobic Index (SID) and the Trophic Index (TID) may exceed levels acceptable for good ecological status in moderate to high alkaline streams despite low phosphate levels. These findings highlight the need for the development of a diagnostic method to disentangle the effects of alkalinity from eutrophication and, additionally, that we need more insight into the autecology of species to interpret ecological assessments to be able to guide management efforts.

Vulnerability of Aquatic Insect Species to Insecticides, Depending on Their Flight Period and Adult Life Span.

Effects of insecticides on terrestrial adult life stages of otherwise aquatic insects, such as mayflies (Ephemeroptera), stoneflies (Plecoptera), and caddisflies (Trichoptera), are largely unknown. In the present study, a risk model was used to pinpoint the species most likely to experience effects due to spray drift exposure during the adult life stage. Using data from an earlier case study with lambda-cyhalothrin, 6 species with different life cycle traits were used to explore how life cycle characteristics may influence vulnerability. In addition, we performed a generic calculation of the potential effect on the terrestrial life stages of 53 species (including 47 species with unknown sensitivity). Our approach incorporated temporal and spatial distribution of both the insect and the insecticide, creating different exposure conditions among species due to variation in the relative proportion of the populations present at the time of insecticide spraying. The Ephemeroptera species represented were least vulnerable due to their extremely short adult life span and relatively short flight period. Based on their life cycle characteristics, Plecoptera and Trichoptera species were more vulnerable. These vulnerable species segregated into 2 distinct groups; one with a long adult life span to emergent period ratio and another with a high overlap between emergent period and spraying season. We therefore recommend that future ecotoxicological tests be done on species with these life cycle characteristics. Environ Toxicol Chem 2021;40:1778-1787. © 2021 SETAC.

Terrestrial adult stages of freshwater insects are sensitive to insecticides.

Terrestrial adult stages of freshwater insects may be exposed to pesticides by wind drift, over-spray, contact or feeding. However, studies addressing insecticide effects on freshwater invertebrates focus primarily on the impact of pesticides reaching the streams and potentially harming the aquatic juvenile stages. This is also reflected in the current risk assessment procedures, which do not include testing of adult freshwater insects. In order to assess the potential impact of insecticides on adult stages of freshwater insects, we exposed six common species to the insecticides Karate (lambda-cyhalothrin) and Confidor (imidacloprid). Dose-response relations were established, and LD50 estimates were compared to those of the honey bee, Apis mellifera L. (Hymenoptera: Apidae), which is the standard terrestrial test insect when pesticides are evaluated prior to commercial release. Generally, the tested species were more sensitive to the studied insecticides than the honey bee. In order to examine whether the sensitivity of adult stages of freshwater insects corresponds with the sensitivity of the juvenile stages of the same species, the ranking of the two life stages with respect to the toxicity of Karate was compared, revealing some correspondence, but also some dissimilarities. Our results strongly indicate that terrestrial adult stages of aquatic insects are not adequately protected by current risk assessment procedures.

Reducing adverse side effects by seasonally lowering nitrate removal in subsurface flow constructed wetlands.

Subsurface flow constructed wetlands with wood chips (SSF-CWs) have proven to effectively reduce the loss of nitrogen (N) from agricultural fields to surface water, however in some cases production of negative side effects such as methane and phosphate occur. We examined if these side effects can be avoided by decreasing the hydraulic retention time (HRT) from on average 82 h to 11 h during summer to autumn in two pilot SSF-CWs. Furthermore, we investigated the potential of the SSF-CWs to reduce phosphorus (P) loss from agricultural drainage systems. The influent and effluent concentration of total N (TN), nitrate-N, total P, phosphate-P, suspended sediment, and sulphate were monitored for five years (2013-2017). Methane concentrations were measured during two periods in 2014 and 2017. Flow was measured continuously by electromagnetic flow-meters. The nitrate-N removal was reduced from 98-100% to 27-32% and the sulphate reduction from 32-53% to 1-2% when decreasing HRT. Concurrently this resulted in a considerable decrease in the difference between the effluent and influent concentration of phosphate-P and methane concentration compared to similar periods in the preceding years. The SSF-CWs retained 67-85% of the annual loading of particulate P, but acted as both a sink and source of phosphate-P, thus further initiatives are therefore required to prevent phosphate-P release from SSF-CWs. Although during the entire monitoring period the SSF-CWs retained 29-33% of the total P loading. In summary, this study stresses how important a holistic approach is when implementing and designing new N mitigation measures.

[Microsurgery in plastic surgery].

The most common indication for free flap surgery is breast reconstruction. Deep inferior epigastric perforator flaps are safe, quick and provide excellent cosmetic results. The reconstruction in head and neck cancer patients is more complex. The aims are preservation of function and appearance. Free flaps are important in traumatology and the timing of intervention can make the difference between amputation and extremity conserving treatment. Due to the improvement in surgical technique failure rates as low as 2% can be seen. Post-operative monitoring is well-established in all microsurgical centres.

[Microsurgery in reanimation, lymphoedema and hand surgery].

Microsurgery is defined as surgery performed with the aid of ocular magnification. In Denmark, this is undertaken by four units. This review describes the history of microsurgery which evolved during the 1960s. Microsurgery in hand surgery is primarily replantation and revascularisation but also peripheral nerve surgery as well as brachial plexus surgery. Lymphoedema is being treated with super microsurgery on an experimental basis. Dynamic reconstruction of facial palsy is performed in a two-stage operation with cross-over nerve graft and a free microvascular muscle flap, typically gracilis.

The Efficacy and Safety of Concurrent Collagenase Clostridium Histolyticum Injections for 2 Dupuytren Contractures in the Same Hand: A Prospective, Multicenter Study.

PURPOSE: To evaluate efficacy and safety of concurrent administration of 2 collagenase clostridium histolyticum (CCH) injections to treat 2 joints in the same hand with Dupuytren fixed flexion contractures (FFCs). METHODS: Patients with 2 or more contractures in the same hand caused by palpable cords participated in a 60-day, multicenter, open-label, phase 3b study. Two 0.58 mg CCH doses were injected into 1 or 2 cords in the same hand (1 injection per affected joint) during the same visit. Finger extension was performed approximately 24, 48, or 72 or more hours later. Changes in FFC and range of motion, incidence of clinical success (FFC ≤ 5°), and adverse events (AEs) were summarized. RESULTS: The study enrolled 715 patients (725 treated joint pairs), and 714 patients (724 joint pairs) were analyzed for efficacy. At day 31, mean total FFC (sum of 2 treated joints) decreased 74%, from 98° to 27°. Mean total range of motion increased from 90° to 156°. The incidence of clinical success was 65% in metacarpophalangeal joints and 29% in proximal interphalangeal joints. Most treatment-related AEs were mild to moderate, resolving without intervention; the most common were swelling of treated extremity, contusion, and pain in extremity. The incidence of skin lacerations was 22% (160 of 715). Efficacy and safety were similar regardless of time to finger extension. CONCLUSIONS: Collagenase clostridium histolyticum can be used to effectively treat 2 affected joints concurrently without a greater risk of AEs than treatment of a single joint, with the exception of skin laceration. The incidence of clinical success in this study after 1 injection per joint was comparable to phase 3 study results after 3 or more injections per joint. Two concurrent CCH injections may allow more rapid overall treatment of multiple affected joints, and the ability to vary the time between CCH injection and finger extension may allow physicians and patients greater flexibility with scheduling treatment.

Local physical habitat quality cloud the effect of predicted pesticide runoff from agricultural land in Danish streams.

The combination of intensive agricultural activities and the close connectivity between land and stream emphasise the potential risk of pesticide exposure in Danish streams. Benthic macroinvertebrates are applied in the assessment of stream ecological status, and some sensitive species have been shown to respond strongly to brief pulses of pesticide contamination. In this study we investigate the impact of agriculturally derived pesticides on stream macroinvertebrate communities in Denmark. As a measure of toxic pressure we apply the Runoff Potential. We investigated a total of 212 streams. These were grouped into distinct classes according to the magnitude of pesticide contamination in the period from 2003-2006. A total of 24 different macroinvertebrate indices were applied to detect effects of pesticide runoff (e.g. the SPEAR-index and the number of EPT taxa). We found high predicted pesticide runoff in 39% of the streams, but we found no significant effect of predicted pesticide exposure on stream macroinvertebrate indices. We, additionally, examined the influence of a series of environmental parameters ranging from site scale to catchment scale on the macroinvertebrate community. Relative proportions of gravel, sand and silt in bed sediments explained most of the variation in macroinvertebrate indices as well as the upstream riparian habitat quality. We suggest that the Runoff Potential model overestimate pesticide runoff contamination in Danish streams due the presence of buffer strips enforced by Danish legislation. When pesticide runoff contamination is low to moderate, poor physical properties (indirectly related to agricultural activity) are the main impediment for the ecological quality of Danish streams.

[Injuries associated with unpowered scooters. Treatment at the Odense University Hospital 1996-2001]. / Skader ved brug af løbehjul. Behandlet ved Odense universitetshospital 1996-2001.

INTRODUCTION: Since the beginning of the nineties, skate-boards, in-liners, roller skates, and during the past years non-powered scooters have gained increasing popularity. This surge of enthusiasm has resulted in an increasing number of injuries involving scooters. MATERIAL AND METHODS: The subject of our study was to ascertain injuries resulting from scooter usage based on consecutive sampling of patients treated at the casualty department of Odense University Hospital in Denmark between January 1st 1996 and December 31st 2001. RESULTS: 162 patients were registered. 86% of the injuries occurred in the years 2000 and 2001. The major part took place among children under the age of fifteen (93% of all). 94% of the injuries were sustained because the person tumbled when scooting. The injuries were distributed as follows: skull/face 51 (32%), upper extremity 78 (48%), lower extremity 31 (17%), and trunk 2 (1%). 43 persons sustained a fracture of which 32 (74%) were located to the upper extremity. DISCUSSION: Based on the distribution of severe injuries by body regions the results advocates usage of wrist protection at all ages when using a scooter, and parents are advised to restrict usage of scooters to children above the age of eight. Furthermore the study underlines the need for precise registration and code procedures in the emergency room. Otherwise injuries resulting from new products or behaviours cannot be identified.