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1.
Wetlands (Wilmington) ; 43(8): 105, 2023.
Article in English | MEDLINE | ID: mdl-38037553

ABSTRACT

Wetlands cover a small portion of the world, but have disproportionate influence on global carbon (C) sequestration, carbon dioxide and methane emissions, and aquatic C fluxes. However, the underlying biogeochemical processes that affect wetland C pools and fluxes are complex and dynamic, making measurements of wetland C challenging. Over decades of research, many observational, experimental, and analytical approaches have been developed to understand and quantify pools and fluxes of wetland C. Sampling approaches range in their representation of wetland C from short to long timeframes and local to landscape spatial scales. This review summarizes common and cutting-edge methodological approaches for quantifying wetland C pools and fluxes. We first define each of the major C pools and fluxes and provide rationale for their importance to wetland C dynamics. For each approach, we clarify what component of wetland C is measured and its spatial and temporal representativeness and constraints. We describe practical considerations for each approach, such as where and when an approach is typically used, who can conduct the measurements (expertise, training requirements), and how approaches are conducted, including considerations on equipment complexity and costs. Finally, we review key covariates and ancillary measurements that enhance the interpretation of findings and facilitate model development. The protocols that we describe to measure soil, water, vegetation, and gases are also relevant for related disciplines such as ecology. Improved quality and consistency of data collection and reporting across studies will help reduce global uncertainties and develop management strategies to use wetlands as nature-based climate solutions. Supplementary Information: The online version contains supplementary material available at 10.1007/s13157-023-01722-2.

2.
Glob Chang Biol ; 29(18): 5240-5249, 2023 09.
Article in English | MEDLINE | ID: mdl-37409538

ABSTRACT

Cyanobacterial blooms pose a significant threat to water security, with anthropogenic forcing being implicated as a key driver behind the recent upsurge and global expansion of cyanobacteria in modern times. The potential effects of land-use alterations and climate change can lead to complicated, less-predictable scenarios in cyanobacterial management, especially when forecasting cyanobacterial toxin risks. There is a growing need for further investigations into the specific stressors that stimulate cyanobacterial toxins, as well as resolving the uncertainty surrounding the historical or contemporary nature of cyanobacterial-associated risks. To address this gap, we employed a paleolimnological approach to reconstruct cyanobacterial abundance and microcystin-producing potential in temperate lakes situated along a human impact gradient. We identified breakpoints (i.e., points of abrupt change) in these time series and examined the impact of landscape and climatic properties on their occurrence. Our findings indicate that lakes subject to greater human influence exhibited an earlier onset of cyanobacterial biomass by 40 years compared to less-impacted lakes, with land-use change emerging as the dominant predictor. Moreover, microcystin-producing potential increased in both high- and low-impact lakes around the 1980s, with climate warming being the primary driver. Our findings chronicle the importance of climate change in increasing the risk of toxigenic cyanobacteria in freshwater resources.


Subject(s)
Cyanobacteria , Microcystins , Humans , Climate Change , Lakes/microbiology , Biomass , Eutrophication
3.
J Environ Manage ; 343: 118162, 2023 Oct 01.
Article in English | MEDLINE | ID: mdl-37224685

ABSTRACT

The global rise of cyanobacterial blooms emphasizes the need to develop tools to manage water bodies prone to cyanobacterial dominance. Reconstructing cyanobacterial baselines and identifying environmental drivers that favour cyanobacterial dominance are important to guide management decisions. Conventional techniques for estimating cyanobacteria in lake sediments require considerable resources, creating a barrier to routine reconstructions of cyanobacterial time-series. Here, we compare a relatively simple technique based on spectral inferences of cyanobacteria using visible near-infrared reflectance spectroscopy (VNIRS) with a molecular technique based on real-time PCR quantification (qPCR) of the 16S rRNA gene conserved in cyanobacteria in 30 lakes across a broad geographic gradient. We examined the sedimentary record from two perspectives: 1) relationships throughout the entire core (without radiometric dating); 2) relationships post-1900s with the aid of radiometric dating (i.e., 210Pb). Our findings suggest that the VNIRS-based cyanobacteria technique is best suited for reconstructing cyanobacterial abundance in recent decades (i.e., circa 1990 onwards). The VNIRS-based cyanobacteria technique showed agreement with those generated using qPCR, with 23 (76%) lakes showing a strong or very strong positive relationship between the results of the two techniques. However, five (17%) lakes showed negligible relationships, suggesting cyanobacteria VNIRS requires further refinement to understand where VNIRS is unsuitable. This knowledge will help scientists and lake managers select alternative cyanobacterial diagnostics where appropriate. These findings demonstrate the utility of VNIRS, in most instances, as a valuable tool for reconstructing past cyanobacterial prevalence.


Subject(s)
Cyanobacteria , Lakes , Lakes/chemistry , Lakes/microbiology , RNA, Ribosomal, 16S , Inventions , Cyanobacteria/genetics , Time Factors , Eutrophication
4.
J Environ Qual ; 51(4): 731-744, 2022 Jul.
Article in English | MEDLINE | ID: mdl-35580837

ABSTRACT

Delineating the relative solubility of soil phosphorus (P) in agricultural landscapes is essential to predicting potential P mobilization in the landscape and can improve nutrient management strategies. This study describes spatial patterns of soil extractable P (easily, moderately, and poorly soluble P) in agricultural landscapes of the Red River basin and the southern Great Lakes region. Surface soils (0-30 cm) and select deeper cores (0-90 cm) were collected from 10 cropped fields ranging in terrain (near-level to hummocky), soil texture (clay to loam), composition (calcareous to noncalcareous), and climate across these differing glacial landscapes. Poorly soluble P dominated (up to 91%) total extractable P in the surface soils at eight sites. No differences in the relative solubilities of soil extractable P with microtopography were apparent in landscapes without defined surface depressions. In contrast, in landscapes with pronounced surface depressions, increased easily soluble P (Sol-P), and decreased soil P sorption capacity were found in soil in wetter, low-slope zones relative to drier upslope locations. The Sol-P pool was most important to soil P retention (up to 28%) within the surface depressions of the Red River basin and at sites with low-carbonate soils in the southern Lake Erie watershed (up to 28%), representing areas at elevated risk of soil P remobilization. This study demonstrates interrelationships among soil extractable P pools, soil development, and soil moisture regimes in agricultural glacial landscapes and provides insight into identifying potential areas for soil P remobilization and associated P availability to crops and runoff.


Subject(s)
Phosphorus , Soil , Agriculture , Crops, Agricultural , Lakes
5.
Heart Rhythm ; 19(5): 847-855, 2022 05.
Article in English | MEDLINE | ID: mdl-35066183

ABSTRACT

BACKGROUND: Left ventricular (LV) remodeling following a myocardial infarction (MI) is associated with new-onset atrial fibrillation (AF). LV remodeling post-MI is characterized by regional changes in matrix metalloproteinases (MMPs) and tissue inhibitors of metalloproteinases (TIMPs), causing extracellular matrix (ECM) remodeling. OBJECTIVE: The purpose of this study was to test the hypothesis that a shift in regional atrial MMP activity, MMP/TIMP expression, and ECM remodeling occurs post-MI, which cause increased vulnerability to AF. METHODS: MI was induced in pigs (weight 25 kg; coronary ligation; n = 9). At approximately 14 days post-MI, an atrial electrical stimulation protocol was performed, after which an MMP radiotracer was infused, MMP/TIMP mRNA profiling performed, and ECM collagen assessed by histochemistry. An additional 7 non-MI pigs served as controls. RESULTS: AF could be induced in 89% (8/9) of the post-MI pigs but none of the controls. MMP activity (MMP radiotracer uptake) increased by approximately 2-fold in most atrial regions post-MI, whereas fibrillar collagen content was unchanged or actually reduced in right atrial regions and increased in left atrial regions. MMP/TIMP profiles revealed a heterogeneous pattern from the left atrial appendage to right atrial regions. CONCLUSION: AF vulnerability early post-MI was associated with a heterogeneous pattern of atrial ECM remodeling, detectable by noninvasive molecular imaging. Detection of early atrial MMP activation post-MI may help define the myocardial substrate underlying AF.


Subject(s)
Atrial Fibrillation , Atrial Remodeling , Myocardial Infarction , Animals , Atrial Fibrillation/etiology , Atrial Fibrillation/metabolism , Matrix Metalloproteinases , Myocardial Infarction/complications , Myocardial Infarction/metabolism , Myocardium/metabolism , Swine , Ventricular Remodeling/physiology
6.
Data Brief ; 38: 107405, 2021 Oct.
Article in English | MEDLINE | ID: mdl-34621932

ABSTRACT

Phosphorus (P) runoff from agricultural land plays a critical role in downstream water quality. This article summarizes P and sediment runoff data for both snowmelt and rainfall runoff from 30 arable fields in the Canadian provinces of Saskatchewan, Manitoba and Ontario. The data were collected from 216 site-years of field experiments, with climates ranging from semi-arid to humid and a wide range of field management practices. In the article, mean annual and seasonal (in terms of snowmelt and rain) precipitation inputs, runoff depths, and P and sediment concentrations and loads are presented, along with ranges of yearly values. In addition, information of field management and soil characteristics (e.g. soil type and soil Olsen P) is also presented for each field. The data have potential to be reused for national and international cross-region comparisons of P and sediment losses, constructing and validating decision-support models and tools for assessing and managing P losses in both snowmelt and rainfall runoff, and informing beneficial management practices to improve agricultural water quality. Interpretation of the data is found in "Phosphorus runoff from Canadian agricultural land: A cross-region synthesis of edge-of-field results" [1].

7.
Neurosurg Focus ; 50(4): E6, 2021 04.
Article in English | MEDLINE | ID: mdl-33794501

ABSTRACT

OBJECTIVE: Patients presenting with head shape changes phenotypical for craniosynostosis may have incomplete fusion of the involved sutures. The surgical literature is lacking in appropriate management strategies for these patients. In this paper, the authors evaluate their experience with a novel treatment strategy: suturectomy of only the fused portion followed by helmeting therapy in patients with skull deformity secondary to incomplete suture synostosis. METHODS: Patients with craniosynostosis with incomplete suture fusion requiring operative intervention between 2018 and 2020 were included for evaluation. Patients were selected for partial suturectomy if the patent portion of the suture had a normal appearance. All patients underwent craniectomy of the involved portion of the synostosed suture. Intraoperative ultrasound was used to reassess the degree of fusion at the time of surgery and incision planning. A 2- to 3-cm strip craniectomy was performed under direct visualization through a single minimal access incision. Postoperative helmeting was utilized for all patients. Demographic and perioperative data were collected, including laser scan data in the form of cranial index (CI) and cranial vault asymmetry (CVA), defined as the difference between two diagonal measurements, from the frontozygomaticus to the opposite eurion. RESULTS: Four males and 1 female with a mean age of 2.8 months (range 1.1-3.9 months) at presentation were included. All patients had incomplete sagittal synostosis (one patient also had an incomplete left lambdoid synostosis and another had an incomplete left coronal synostosis). The mean age at surgery was 3.5 months (range 2.0-4.7 months) without any major complications. All patients were compliant with postoperative helmeting. The average age at the last follow-up was 12.8 months (range 5.3-23.7 months) with a mean follow-up duration of 9.3 months (range 0.5-19.6 months). Final laser scan evaluations were available for 3 patients and showed an improvement of the CI from an average of 71.3 (range 70-73) to 84.3 (range 82-86). The CVA improved from an average of 9.67 mm (range 2-22 mm) to 1.67 mm (range 1-2 mm). CONCLUSIONS: Minimally invasive direct excision of the involved portion of fused cranial sutures followed by helmet therapy for phenotypical craniosynostosis is a safe and effective treatment strategy. This technique is suitable for very young patients and appears to offer similar outcomes to complete suturectomy. Further studies are required to see if this approach reduces the deformity severity for patients requiring vault remodeling later in life.


Subject(s)
Cranial Sutures , Craniosynostoses , Child, Preschool , Cranial Sutures/diagnostic imaging , Cranial Sutures/surgery , Craniosynostoses/diagnostic imaging , Craniosynostoses/surgery , Craniotomy , Female , Humans , Infant , Male , Postoperative Period , Retrospective Studies , Skull/surgery
8.
J Pharmacol Exp Ther ; 375(2): 296-307, 2020 11.
Article in English | MEDLINE | ID: mdl-32958629

ABSTRACT

Infarct expansion can occur after myocardial infarction (MI), which leads to adverse left ventricular (LV) remodeling and failure. An imbalance between matrix metalloproteinase (MMP) induction and tissue inhibitors of MMPs (TIMPs) can accelerate this process. Past studies have shown different biologic effects of TIMP-3, which may depend upon specific domains within the TIMP-3 molecule. This study tested the hypothesis that differential effects of direct myocardial injections of either a full-length recombinant TIMP-3 (F-TIMP-3) or a truncated form encompassing the N-terminal region (N-TIMP-3) could be identified post-MI. MI was induced in pigs that were randomized for MI injections (30 mg) and received targeted injections within the MI region of F-TIMP-3 (n = 8), N-TIMP-3 (n = 9), or saline injection (MI-only, n = 11). At 14 days post-MI, LV ejection fraction fell post-MI but remained higher in both TIMP-3 groups. Tumor necrosis factor and interleukin-10 mRNA increased by over 10-fold in the MI-only and N-TIMP-3 groups but were reduced with F-TIMP-3 at this post-MI time point. Direct MI injection of either a full-length or truncated form of TIMP-3 is sufficient to favorably alter the course of post-MI remodeling. The functional and differential relevance of TIMP-3 domains has been established in vivo since the TIMP-3 constructs demonstrated different MMP/cytokine expression profiles. These translational studies identify a unique and more specific therapeutic strategy to alter the course of LV remodeling and dysfunction after MI. SIGNIFICANCE STATEMENT: Using different formulations of tissue inhibitor of matrix metalloproteinase-3 (TIMP-3), when injected into the myocardial infarction (MI) region, slowed the progression of indices of left ventricular (LV) failure, suggesting that the N terminus of TIMP-3 is sufficient to attenuate early adverse functional events post-MI. Injections of full-length recombinant TIMP-3, but not of the N-terminal region of TIMP-3, reduced relative indices of inflammation at the mRNA level, suggesting that the C-terminal region affects other biological pathways. These unique proof-of-concept studies demonstrate the feasibility of using recombinant small molecules to selectively interrupt adverse LV remodeling post-MI.


Subject(s)
Myocardial Infarction/pathology , Peptide Fragments/pharmacology , Tissue Inhibitor of Metalloproteinase-3/chemistry , Ventricular Remodeling/drug effects , Amino Acid Sequence , Collagen/genetics , Cytokines/genetics , Gene Expression Regulation/drug effects , Humans , Injections , Matrix Metalloproteinases/genetics , Peptide Fragments/chemistry , Protein Domains , RNA, Messenger/genetics , Tissue Inhibitor of Metalloproteinase-3/genetics
9.
Environ Monit Assess ; 192(9): 603, 2020 Aug 28.
Article in English | MEDLINE | ID: mdl-32857191

ABSTRACT

This paper identifies the main sediment sources to the Beaudet Reservoir in Quebec (Canada) using sediment fingerprinting. The reservoir, which is built on the Bulstrode River and provides drinking water to Victoriaville, has decreased in capacity by 35% in the past 35 years. This study provides new data on fingerprinting in large and complex watersheds, a first in the province of Quebec. Nine sampling sites on the Bulstrode River and its three main tributaries were selected and five sampling campaigns were conducted. Samples from river bank profiles and adjacent fields, along with suspended sediments, were collected. All samples were sieved to 2 mm and analyzed for 137Caesium, 15 geochemical elements and sieved to 63 µm for color analysis. Source classification, based on an ANOVA test to verify the independence hypothesis and iterative linear discriminant analysis to optimize the ratio of inter-group/within-group variability, resulted in four sample classes: agricultural soils, forested soils, stream bank bottom and stream bank top. A Kruskal-Wallis H test then identified 21 out of the 32 tracers with p value < 0.05. The linear discriminant analysis led to a set of 14 tracers, namely 137Cs and 13 color coefficients with a discriminating result of 94%. That combination of 137Cs and color coefficients proved to be a cost-effective fingerprint. Based on MixSIAR modeling results, this sediment fingerprinting study has demonstrated that the main sediment sources varied within the watershed but, generally, forested soil particles dominated (33 to 49%), then agricultural soils (43 to 50%) reflecting the land use changes, followed by stream bank bottoms (82%) at the Beaudet Reservoir.


Subject(s)
Cesium Radioisotopes , Geologic Sediments , Appalachian Region , Canada , Environmental Monitoring , Quebec , Rivers
10.
Ann Plast Surg ; 84(6S Suppl 5): S386-S388, 2020 06.
Article in English | MEDLINE | ID: mdl-32356950

ABSTRACT

BACKGROUND: This study sought to examine the feasibility and effectiveness of the use of ultrasound (US) as a clinical adjunct in the delivery of botulinum toxin for the treatment of Raynaud disease of the hand. METHODS: One cadaver hand was injected with a colored simulation material using the current traditional surface anatomy approach, whereas an additional cadaver hand was injected using US guidance. The hands were dissected and areas of distribution of the simulation material were evaluated. Five patients diagnosed with Raynaud disease were treated with botulinum toxin using US guidance and data using the Patient-Reported Outcomes Measurement Information System Upper Extremity were collected. RESULTS: The cadaver hand injected with a colored simulation material using US guidance demonstrated significantly reduced surface area of muscle infiltrated compared with the cadaver hand injected using the traditional surface anatomy approach (16 cm vs 37 cm, P < 0.001).All 5 patients treated with botulinum toxin using US guidance reported significant improvement in symptoms and function after injection (P < 0.05), where zero patients reported intrinsic hand weakness. CONCLUSIONS: The use of US significantly improves the accuracy of delivery of a surrogate dye in a cadaver model of Raynaud disease, whereas its use clinically results in at least as effective a treatment as the landmark approach, but with less botulinum toxin required to achieve the clinical effect.


Subject(s)
Botulinum Toxins, Type A , Neuromuscular Agents , Raynaud Disease , Botulinum Toxins, Type A/therapeutic use , Hand/diagnostic imaging , Humans , Raynaud Disease/diagnostic imaging , Raynaud Disease/drug therapy , Ultrasonography , Upper Extremity
11.
Ann Plast Surg ; 84(6S Suppl 5): S389-S392, 2020 06.
Article in English | MEDLINE | ID: mdl-32049758

ABSTRACT

BACKGROUND: Staged expander to implant breast reconstruction is associated with a high complication rate when the patient has had postmastectomy radiation. With an increasing number of American women undergoing implant-based breast reconstruction after postmastectomy radiation, surgeons may find themselves operating in a radiated field with synthetic devices. We report the performance characteristics of a novel surgical modification to the second stage expander to implant exchange after adjuvant radiation using a transaxillary approach through a prior sentinel lymph node incision, a site remote from the breast implant pocket. METHODS: We performed a retrospective review of a prospectively maintained database to evaluate the surgical outcomes of serial patients undergoing second staged expander to implant exchange through the sentinel lymph node incision 6 months or more after completing whole breast radiation. A case matched cohort to age, body mass index, and comorbid status was used to compare outcomes between patients in the group of interest versus a traditional skin sparing incision on the anterior breast mound through the radiated skin envelope. All patients included demonstrated grade 1 or 2 skin changes on the Radiation Therapy Oncology Group/European Organization for Research and Treatment of Cancer Late Radiation Morbidity Scoring Schema for the skin organ system. RESULTS: Nineteen breasts were reconstructed for 18 women after immediate tissue expander placement and adjuvant whole breast radiation were included in our group of interest. Forty-one case-matched second controls were identified for the comparison group. There were no intraoperative complications. Two postoperative complications were reported for the sentinel lymph node approach group (10.5%) with an average of 9 months of follow-up: 1 operative exploration for hematoma and 1 minor wound requiring recloser in the office. The case matched cohort demonstrated significantly more minor postoperative complications (P = 0.037) with a total complications rate of 41.4%. There were 31.7% of the patients that experienced a minor complication alone, whereas 9.7% of the case-matched cohort experienced a major complication. CONCLUSIONS: These data support the use of the existing axillary sentinel lymph node access incision for second stage placement of a gel implant after immediate expander and adjuvant radiation therapy. The sentinel lymph node incision approach facilitates layered closure over the breast pocket at a site remote from irradiated tissue, reducing the incidence of postoperative minor complications. Forthcoming long-term data will determine if differences in reported capsular contracture rates can be achieved with a remote transaxillary approach to second stage implant reconstruction after radiation.


Subject(s)
Breast Implantation , Breast Implants , Breast Neoplasms , Mammaplasty , Sentinel Lymph Node , Breast Neoplasms/radiotherapy , Breast Neoplasms/surgery , Female , Humans , Mastectomy , Postoperative Complications/epidemiology , Postoperative Complications/etiology , Retrospective Studies , Tissue Expansion , Tissue Expansion Devices
12.
J Craniofac Surg ; 30(2): 339-341, 2019.
Article in English | MEDLINE | ID: mdl-31137450

ABSTRACT

PURPOSE: A significant challenge in surgical education is to provide a meaningful hands-on experience with the pathology the trainee will see in independent practice. Craniofacial anatomy is challenging and unfamiliar to the learner. METHODS: Using preoperative computed tomography data, the authors produced an accurately sized, three-dimensional (3D) printed model of the congenital craniofacial anatomy of patients treated by the same attending surgeon-PGY4 resident surgeon pair over the course of a 6-month rotation. A preoperative stepwise surgical plan was written by the attending and resident, and the plan was marked on the 3D model by the attending and resident separately. The written and marked plans were measured for accuracy and time to completion. The resident surgeon's applicable milestone levels were assessed. RESULTS: Seven congenital craniofacial anomalies met criteria for inclusion: 4 craniosynostosis cases, 2 mandibular distractions, and 1 LeFort I distraction. The number of inaccuracies of the written plan improved from 5 to 0 for sagittal synostosis and 4 to 0 for mandibular distraction. The time to complete the written plan decreased by 22% for sagittal synostosis and 45% for mandibular distraction. The number of inaccuracies of the marked plan decreased from 5 to 0 for sagittal synostosis and 2 to 0 for mandibular distraction. Time to completion of the marked plan decreased by 76% for sagittal synostosis and 50% for mandibular distraction. Milestone scores increased an average of 1.875 levels. CONCLUSION: Three-dimensional printed craniofacial models are a positive addition to resident training and have been objectively quantified to improve the accuracy and time to completion of the surgical plan as well as progression in the plastic surgery milestones.


Subject(s)
Craniosynostoses/surgery , Internship and Residency/methods , Models, Anatomic , Printing, Three-Dimensional , Surgery, Plastic/education , Cephalometry , Humans , Mandible/surgery , Plastic Surgery Procedures/education , Plastic Surgery Procedures/methods , Tomography, X-Ray Computed
13.
J Environ Qual ; 48(2): 314-321, 2019 Mar.
Article in English | MEDLINE | ID: mdl-30951107

ABSTRACT

The continued phosphorus (P) impairment of freshwaters and the associated risk of eutrophication raise questions regarding the efficiency of current beneficial management practices (BMPs) for improving water quality. Vegetated buffer strips (VBSs) are widely encouraged BMPs for reducing P export from agricultural land. However, there is a lack of evidence regarding the long-term efficiency of VBSs for reducing legacy P losses. This research used soil analyses to investigate the P removal efficiency of an unmanaged VBS for controlling P loss from agricultural land in Manitoba, Canada, between 1954 and 2011. The results showed statistically significant retention of total P, Olsen extractable P, and 0.01 M CaCl extractable P by a 5-m wide VBS compared with field soils. We found that surface soils at 5-m into the VBS had a significantly greater P sorption capacity and a smaller degree of P saturation (DPS) than adjacent field soils. The elevated DPS in field soils is likely associated with gradual P enrichment as a result of manure or fertilizer application over time and the strong affinity of P compounds for soil. Although P stratification in the VBS over 57 yr resulted in a significant increase (∼11%) in DPS of VBS topsoil compared with VBS subsoil, our findings do not support the saturation of VBS soils with P. However, cutting and removal of vegetation from VBS could be a useful strategy to remove P from VBS and minimize possible P remobilization associated with vegetation senescence, especially where the climate is cold and runoff is dominated by snowmelt.


Subject(s)
Agriculture , Non-Point Source Pollution/prevention & control , Phosphorus/analysis , Soil Pollutants/analysis , Canada , Rivers , Soil , Water Pollutants, Chemical/analysis
14.
J Hand Surg Am ; 44(6): 497-505.e2, 2019 Jun.
Article in English | MEDLINE | ID: mdl-30704784

ABSTRACT

Owing to its osteoinductive and osteoconductive properties and the presence of osteogenic cells, freshly harvested autologous bone graft is the gold standard for skeletal reconstruction where there is inadequate native bone. Whereas these characteristics are difficult to replicate, engineered, commercially available bone graft substitutes aim to achieve a comparable osseoregenerative profile. This work furnishes the reader with an understanding of the predominant classes of bone graft substitutes available for reconstruction of upper extremity bone defects following trauma or oncological surgery. We review bone graft substitutes with respect to their mechanisms of action, their advantages and disadvantages, and their indications and contraindications. We provide examples of bone graft substitutes in clinical use and outline comparative costs. We also describe the future directions for this specific aspect of reconstructive surgery with a focus on the role of bioactive glass.


Subject(s)
Bone Substitutes , Bone Morphogenetic Proteins , Calcium Phosphates , Calcium Sulfate , Durapatite , Glass , Humans , Polymethyl Methacrylate , Upper Extremity/surgery
15.
Sci Total Environ ; 645: 1410-1424, 2018 Dec 15.
Article in English | MEDLINE | ID: mdl-30248863

ABSTRACT

While wetlands are known as long-term storages or sinks for contaminants, not all are equally effective at trapping phosphorus (P). The prevalence of P-sink behavior in prairie pothole wetlands remains unclear, especially across gradients of human disturbance. The objectives of the current study were three-fold: (1) characterize the spatiotemporal variability of wetland hydrology and wetland water P concentration across a range of prairie potholes; (2) establish the propensity of different pothole wetlands to act as sources or sinks of P; and (3) assess the potential controls of climatic conditions, landscape characteristics, wetland soil physiochemical properties and local hydrology on source versus sink dynamics. Ten intact and three consolidated (i.e., drained) wetlands located in southwestern Manitoba, Canada, were monitored for water level fluctuations and water soluble reactive P (SRP) concentration over two years with contrasting antecedent wetness conditions. Soil cores were also collected to measure soil physiochemical properties such as the equilibrium phosphorus concentration (EPC). Water column SRP concentrations were compared to EPC values to infer the time-variable source versus sink behavior of each of wetland. Statistical analyses were then performed to assess whether the source versus sink behavior of individual wetlands could be linked to their physiographic or hydrologic characteristics. Results show that some wetlands persistently acted as P sinks while others switched between source and sink behavior. Persistent P-sink behavior was more common with intact wetlands, as opposed to consolidated wetlands. Wetland soil texture, storage volume and short-term water level fluctuations appeared to control the source versus sink behavior of individual wetlands. The dominant controls on P-sink behavior identified under dry conditions were, however, different from those identified under wetter conditions. This study therefore highlights the importance of considering the non-stationary nature of P-sorption dynamics and their controls, even at sub-annual timescales, in the prairie pothole region.

16.
Sci Rep ; 8(1): 13073, 2018 08 30.
Article in English | MEDLINE | ID: mdl-30166587

ABSTRACT

Increasing complexity in human-environment interactions at multiple watershed scales presents major challenges to sediment source apportionment data acquisition and analysis. Herein, we present a step-change in the application of Bayesian mixing models: Deconvolutional-MixSIAR (D-MIXSIAR) to underpin sustainable management of soil and sediment. This new mixing model approach allows users to directly account for the 'structural hierarchy' of a river basin in terms of sub-watershed distribution. It works by deconvoluting apportionment data derived for multiple nodes along the stream-river network where sources are stratified by sub-watershed. Source and mixture samples were collected from two watersheds that represented (i) a longitudinal mixed agricultural watershed in the south west of England which had a distinct upper and lower zone related to topography and (ii) a distributed mixed agricultural and forested watershed in the mid-hills of Nepal with two distinct sub-watersheds. In the former, geochemical fingerprints were based upon weathering profiles and anthropogenic soil amendments. In the latter compound-specific stable isotope markers based on soil vegetation cover were applied. Mixing model posterior distributions of proportional sediment source contributions differed when sources were pooled across the watersheds (pooled-MixSIAR) compared to those where source terms were stratified by sub-watershed and the outputs deconvoluted (D-MixSIAR). In the first example, the stratified source data and the deconvolutional approach provided greater distinction between pasture and cultivated topsoil source signatures resulting in a different posterior distribution to non-deconvolutional model (conventional approaches over-estimated the contribution of cultivated land to downstream sediment by 2 to 5 times). In the second example, the deconvolutional model elucidated a large input of sediment delivered from a small tributary resulting in differences in the reported contribution of a discrete mixed forest source. Overall D-MixSIAR model posterior distributions had lower (by ca 25-50%) uncertainty and quicker model run times. In both cases, the structured, deconvoluted output cohered more closely with field observations and local knowledge underpinning the need for closer attention to hierarchy in source and mixture terms in river basin source apportionment. Soil erosion and siltation challenge the energy-food-water-environment nexus. This new tool for source apportionment offers wider application across complex environmental systems affected by natural and human-induced change and the lessons learned are relevant to source apportionment applications in other disciplines.

17.
Environ Sci Pollut Res Int ; 24(22): 18372-18382, 2017 Aug.
Article in English | MEDLINE | ID: mdl-28639023

ABSTRACT

Vegetated buffer strips (VBSs) are widely encouraged as a cost-effective strategy to address phosphorus (P) pollution associated with agricultural production. However, there is a lack of evidence in the effectiveness of these measures for tackling diffuse P pollution in cold-climate regions under concentrated runoff flow conditions. This research aimed to investigate the effects of VBSs on reducing P concentrations in surface runoff at three different watersheds in Manitoba, Canada. Surface runoff samples were collected in four sub-catchments from each watershed by installing paired weirs at 0.5-m and at 5-m into the VBSs along the expected runoff flow path. In addition, P concentrations were measured in soil samples collected within and outside of the runoff flow path to gain further insight into P dynamics within VBSs at each study site. The results indicate that VBSs had little or no significant effect on reducing the concentration of P forms in surface runoff in the majority of situations, resulting in reduced runoff losses of total, dissolved and particulate P concentrations in only 23, 12 and 12% of the situations, respectively. In addition, Olsen extractable P concentrations in VBS soils were not significantly different from field soils both within and outside of the flow path. The ineffective P retention by VBSs in this region is likely associated with the fact that the majority of the runoff flow is concentrated through small portions of VBSs and occurs during snowmelt when biogeochemical processes responsible for P retention in VBSs are limited. Further research is needed to develop alternative management practices that enhance P retention during concentrated snowmelt runoff events in such cold-climate regions.


Subject(s)
Agriculture/methods , Environmental Monitoring/methods , Phosphorus/analysis , Soil Pollutants/analysis , Soil/chemistry , Water Pollutants, Chemical/analysis , Canada , Cold Climate , Environmental Monitoring/statistics & numerical data , Grassland , Uncertainty , Water Movements
18.
J Craniofac Surg ; 28(2): 311-313, 2017 Mar.
Article in English | MEDLINE | ID: mdl-28085769

ABSTRACT

The omental flap is a well described pedicled flap for surgical reconstruction of multiple body locations. As a laparoscopically harvested free flap, the omentum offers a minimally invasive solution to many reconstructive problems including extremity and head and neck wounds. This video article highlights the operative technique involved in flap harvest and inset for a cranial defect. An illustrative case involving a 23-year-old female's traumatic scalp degloving injury that was resurfaced by free omental flap and split-thickness skin graft is presented. This patient had stable long-term wound coverage for a very severe injury. Through video media we demonstrate that the laparoscopically harvested free omental flap is a minimally invasive, 2-team operation that provides soft tissue coverage of severe, remote wounds. This video demonstrates a safe operative technique and nuances specific to laparoscopic harvest of this flap.


Subject(s)
Degloving Injuries/surgery , Free Tissue Flaps , Laparoscopy/methods , Omentum/transplantation , Scalp/injuries , Surgical Flaps , Tissue and Organ Harvesting/methods , Female , Humans , Scalp/surgery , Skin Transplantation , Young Adult
19.
J Environ Qual ; 44(5): 1605-16, 2015 Sep.
Article in English | MEDLINE | ID: mdl-26436277

ABSTRACT

The use of sediment color as a fingerprint property to determine sediment sources is an emerging technique that can provide a rapid and inexpensive means of investigating sediment sources. The present study aims to test the feasibility of color fingerprint properties to apportion sediment sources within the South Tobacco Creek Watershed (74 km) in Manitoba, Canada. Suspended sediment from 2009 to 2011 at six monitoring stations and potential source samples along the main stem of the creek were collected. Reflectance spectra of sediments and source materials were quantified using a diffuse reflectance spectrometry, and 16 color coefficients were derived from several color space models. Canonical discriminant analysis was used to reclassify and downsize sediment source groups. After the linear additive test and stepwise discriminant function analysis, four color coefficients were chosen to fit the Stable Isotope Analysis in R model. Consistent with the conventional fingerprinting approach, the color fingerprint results demonstrated a switch in the dominant sediment source between the headwaters and the outlet of the watershed, with the main sources being topsoil in the upper reaches, whereas outcrop shale and stream bank materials dominated in the lower reaches. The color fingerprinting approach can be integrated with conventional fingerprints (e.g., geochemical and fallout radionuclide properties) to improve source discrimination, which is a key component for source ascription modeling. We concluded that the use of color fingerprints is a promising, cost-effective technique for sediment source fingerprinting.

20.
Nat Mater ; 13(6): 653-61, 2014 Jun.
Article in English | MEDLINE | ID: mdl-24681647

ABSTRACT

Inhibitors of matrix metalloproteinases (MMPs) have been extensively explored to treat pathologies where excessive MMP activity contributes to adverse tissue remodelling. Although MMP inhibition remains a relevant therapeutic target, MMP inhibitors have not translated to clinical application owing to the dose-limiting side effects following systemic administration of the drugs. Here, we describe the synthesis of a polysaccharide-based hydrogel that can be locally injected into tissues and releases a recombinant tissue inhibitor of MMPs (rTIMP-3) in response to MMP activity. Specifically, rTIMP-3 is sequestered in the hydrogels through electrostatic interactions and is released as crosslinks are degraded by active MMPs. Targeted delivery of the hydrogel/rTIMP-3 construct to regions of MMP overexpression following a myocardial infarction significantly reduced MMP activity and attenuated adverse left ventricular remodelling in a porcine model of myocardial infarction. Our findings demonstrate that local, on-demand MMP inhibition is achievable through the use of an injectable and bioresponsive hydrogel.


Subject(s)
Hydrogels/pharmacology , Matrix Metalloproteinase Inhibitors/pharmacology , Myocardial Infarction/drug therapy , Tissue Inhibitor of Metalloproteinase-3/pharmacology , Ventricular Remodeling/drug effects , Animals , Disease Models, Animal , Humans , Hydrogels/chemistry , Matrix Metalloproteinase Inhibitors/chemistry , Matrix Metalloproteinases/metabolism , Myocardial Infarction/enzymology , Myocardial Infarction/metabolism , Recombinant Proteins/chemistry , Recombinant Proteins/pharmacology , Swine , Tissue Inhibitor of Metalloproteinase-3/chemistry
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