Teres major tendon transfer in the treatment of irreparable posterosuperior rotator cuff tears: long-term improvement of shoulder function and pain reduction at eight to 12 years' follow-up.

Aims: Since long-term outcome of teres major tendon transfer surgery for irreparable posterosuperior rotator cuff (RC) tears is largely unknown, the primary aim of this study was to evaluate the long-term outcome of the teres major transfer. We also aimed to report on the results of a cohort of patients with a similar indication for surgery that underwent a latissimus dorsi tendon transfer. Patients and Methods: Patients and Methods In this prospective cohort study, we reported on the long-term results of 20 consecutive patients with a teres major tendon transfer for irreparable massive posterosuperior RC tears. Additionally, we reported on the results of the latissimus dorsi tendon transfer (n = 19). The mean age was 60 years (47 to 77). Outcomes included the Constant score (CS), and pain at rest and during movement using the Visual Analogue Scale (VAS). Results: At a mean of ten years (8 to 12) following teres major transfer, the CS was still 23 points (95% confidence interval (CI) 14.6 to 30.9, p < 0.001) higher than preoperatively. VAS for pain at rest (21 mm, 95% CI 4.0 to 38.9, p = 0.016) and movement (31 mm, 95% CI 16.0 to 45.1, p < 0.001) were lower than preoperatively. We also found an increase in CS (32 points, 95% CI 23.4 to 40.2, p < 0.001) and reduction of pain (26 mm, 95% CI 9.9 to 41.8, p = 0.001) six years after latissimus dorsi transfer. Conclusion: Teres major tendon transfer is a treatment option to gain shoulder function and reduce pain in patients with an irreparable posterosuperior RC tear at a mean follow-up of ten years. The teres major tendon might be a valuable alternative to the commonly performed latissimus dorsi tendon transfer in the treatment of irreparable posterosuperior RC tears. Cite this article: Bone Joint J 2018;100-B:309-17.

[Persistent shoulder symptoms in calcific tendinitis: clinical and radiological predictors]. / Aanhoudende schouderklachten bij tendinitis calcarea.

OBJECTIVE: We assessed the most important demographics and radiological characteristics at the time of diagnosis of rotator cuff calcific tendinitis (RCCT), and their associations with long-term clinical outcome. DESIGN: Observational study. METHOD: Baseline characteristics and treatment were evaluated in 342 patients in whom RCCT had been diagnosed. Interobserver agreement of the radiological investigations was analysed. Patients were sent a general questionnaire and 2 shoulder questionnaires, the "Western Ontario rotator cuff" (WORC) and the "Disabilities of the arm, shoulder and hand" (DASH) for evaluation of long-term clinical outcome. Associations between baseline characteristics and long-term outcomes were analysed using logistic regression. RESULTS: Mean age at diagnosis was 49.0 years (SD = 10.0), and 60% were female. The dominant arm was affected in 66%, and 21% had bilateral RCCT. Calcifications were on average 18.7 mm in size (SD = 10.1, ICC = 0.84 (p < 0.001)) and located 10.1 mm (SD = 11.8) medially to the acromion (ICC = 0.77 (p < 0.001)). 32% of the calcifications had a Gärtner type I classification (κ: 0.47 (p<0.001)). After a mean follow-up of 14 years (SD =7.1), median WORC score was 72.5 (range: 3.0-100.0) and median DASH score 17.0 (range: 0.0-82.0). Female gender, dominant arm involvement, bilateral disease, longer duration of symptoms at presentation, and presence of multiple calcifications were associated with inferior long-term outcomes. CONCLUSION: RCCT is not self-limiting. Radiological variations have no significant predictive value. We identified specific prognostic factors for inferior long-term outcome; more intensive follow-up and treatment should be considered in patients with these characteristics.

Survey on the management of acute first-time anterior shoulder dislocation amongst Dutch public hospitals.

INTRODUCTION: The primary aim of this study was to record how orthopaedic surgeons are currently managing acute first-time anterior shoulder dislocation (AFASD) 8 years after introduction of the Dutch national guideline: "acute primary shoulder dislocation, diagnostics and treatment" in 2005. The second aim was to evaluate how these surgeons treat recurrent instability after AFASD. MATERIALS AND METHODS: An online questionnaire regarding the management of AFASD and recurrent shoulder instability was held amongst orthopaedic surgeons of all 98 Dutch hospitals. RESULTS: The overall response rate was 60%. Of the respondents, 75% had a local protocol for managing AFASD, of which 28% had made changes in their treatment protocol after the introduction of the national guideline. The current survey showed wide variety in the overall treatment policies for AFASD. Twenty-seven percent of the orthopaedic surgeons were currently unaware of the national guideline. The variability in treatment for AFASD was present throughout the whole treatment from which policy at the emergency department; when to operate for recurrent instability; type of surgical technique for stabilization and type of fixation of the labrum. As for the treatment of recurrent instability, the same variability was seen: 36% of the surgeons perform only arthroscopic procedures, 7% only open and 57% perform both open and arthroscopic procedures. CONCLUSIONS: Despite the introduction of the national guideline for the initial management of AFASD in 2005, still great variety among orthopaedic surgeons in the Netherlands was present. As for the surgical stabilization technique, the vast majority of the respondents are performing an arthroscopic shoulder stabilization procedure at the expense of the more traditional open procedure as a first treatment option for post-traumatic shoulder instability.

Retention and remobilization dynamics of fine particles and microorganisms in pastoral streams.

Both microbial metabolism and pathogen retention and remobilization are dependent on downstream transport of fine particles, which migrate in a series of deposition and resuspension events. All fine particles, including clay minerals, particulate organic carbon, nutrients and microbes, are often considered to be transported similarly in the environment because of a lack of specific observations comparing their relative transport. We conducted a tracer injection study to compare the transport and retention of the fecal indicator bacterium Escherichia coli, synthetic inert fluorescent fine particles, and a dissolved conservative tracer. We found that the fluorescent fine particles and bacteria were transported similarly, with both having greater retention than the solute tracer. We used a stochastic model to evaluate in-stream retention and migration of the solute, fluorescent particles, and E. coli. The best-fit model parameters indicate that different stream reaches had varied retention characteristics, but always showed greater retention of fluorescent particles and E. coli compared to the solute tracer. Direct measurements within known retention areas after the injection showed that the majority of the fluorescent particles and E. coli were retained near the sediment-water interface in macrophyte stands or filtered within the top 3 cm of the streambed sediment. Both the tracer particles and E. coli were retained within these regions for multiple months following the injection experiment. The stochastic model properly captured the wide range of storage timescales and processes we observed in the stream. Our results demonstrate the importance of the streambed sediment and in-stream macrophytes as short- and long-term reservoirs for fine organic particles and microbes in streams.

Treatment of supination deformity for obstetric brachial plexus injury: a systematic review and meta-analysis.

PURPOSE: To conduct a systematic review and meta-analysis of the literature evaluating treatment outcome for supination deformity in obstetric brachial plexus injury. METHODS: We included studies on brachial plexus and supination deformity with follow-up of at least one year and quantitative measurements of forearm mean passive pronation and position at rest. Meta-analysis was used to explore modifying factors. RESULTS: An elaborate search strategy resulted in 366 studies, of which 13 were included totaling 238 patients (157 osteotomies and 71 biceps rerouting). There was a 75° gain in position at rest and a 65° gain in passive pronation for the osteotomy group, compared to a 79° gain in position at rest for the biceps rerouting group. More severe deformities had greater gains. No influence of age was found. Important adverse effects were hardware failure and a biceps rupture. Recurrence in the osteotomy group was 20% to 40%, versus none in the soft-tissue group. CONCLUSIONS: This review showed an overall benefit for forearm osteotomies and for biceps rerouting for supination deformity with the gain proportionate to the severity of the deformity. TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic III.

Cranial translation of the humeral head on radiographs in rotator cuff tear patients: the modified active abduction view.

Cranial translation of the humeral head is related to massive rotator cuff tears; however, it may be unapparent in early-stage tears. The goal of this study was to investigate whether active abduction leads to increased active cranial humeral translation in early-stage tears. We assessed 20 consecutive patients (9 full-thickness supraspinatus tears, 11 posterosuperior tears) using the newly introduced modified active abduction view: acromiohumeral (AH) distance was measured on radiographs acquired during rest and active isometric abduction and adduction tasks with the arm alongside the body. Rest AH was 7.5 mm (SD = 1.53); during abduction and adduction, it decreased to 2.1 mm (95 % CI 1.28-3.01, p < 0.001) and 1.1 mm (95 % CI 0.46-1.65, p = 0.001), respectively. Cranial translation during abduction was more severe in shoulders with posterosuperior cuff tears (∆AH = 3 mm, SD = 1.5) compared to supraspinatus tears (∆AH = 1 mm, SD = 1.6), with a mean difference of 2 mm (95 % CI 0.64-3.58, p = 0.007). Both active isometric abduction and adduction leads to active cranial translation in cuff tear patients. Cranial translation is largest during active abduction. Furthermore, there is significant more cranial translation in posterosuperior cuff tear patients compared to supraspinatus cuff tear patients. Possibly, radiographs combined with active tasks offer new possibilities in diagnosing early-stage rotator cuff tears.

Cranial humerus translation, deltoid activation, adductor co-activation and rotator cuff disease - different patterns in rotator cuff tears, subacromial impingement and controls.

BACKGROUND: Arm adductor co-activation during abduction has been reported as a potential compensation mechanism for a narrow subacromial space in patients with rotator cuff dysfunction. We assessed differences in acromiohumeral distance at rest and the amount of humerus translation during active abduction and adduction in patients with rotator cuff tears (n=20) and impingement (n=30) and controls (n=10), controlled for deltoid, pectoralis major, latissimus dorsi and teres major activation (electromyography). METHODS: During the acquirement of shoulder radiographs, subjects performed standardized isometric arm abduction and adduction tasks. EMG's were normalized between -1 and 1 using the "Activation Ratio", where low values express (pathologic) co-activation, e.g. adductor activation during abduction. FINDINGS: In patients with cuff tears mean rest acromiohumeral distance was 7.6mm (SD=1.6): 3.5mm narrower compared to patients with impingement (95%-CI: 2.4-4.5) and 1.3mm narrower compared to controls (95%-CI: -0.1-2.7). Both during abduction and adduction tasks, cranial translation was observed with equal magnitudes for patients and controls, with average values of 2.3 and 1.7mm, respectively. Where patients with cuff tears had lower adductor Activation Ratios (i.e. more adductor co-activation during abduction), no association between abductor/adductor muscle activation and acromiohumeral distance was found. INTERPRETATION: The subacromial space is narrower in patients with rotator cuff tears compared to patients with impingement and controls. We found additional subacromial narrowing during isometric abduction and, to a lesser amount, during adduction in all subjects and more adductor co-activation in patients with cuff tears. We found no association between subacromial space and activation of the deltoid and main adductors.

Teres major tendon transfer for patients with massive irreparable posterosuperior rotator cuff tears: Short-term clinical results.

Surgical repair of posterosuperior rotator cuff tears has a poorer outcome and a higher rate of failure compared with repairs of supraspinatus tears. In this prospective cohort study 28 consecutive patients with an irreparable posterosuperior rotator cuff tear after failed conservative or surgical treatment underwent teres major tendon transfer. Their mean age was 60 years (48 to 71) and the mean follow-up was 25 months (12 to 80). The mean active abduction improved from 79° (0° to 150°) pre-operatively to 105° (20° to 180°) post-operatively (p = 0.011). The mean active external rotation in 90° abduction improved from 25° (0° to 70°) pre-operatively to 55° (0° to 90°) post-operatively (p < 0.001). The mean Constant score improved from 43 (18 to 78) pre-operatively to 65 (30 to 86) post-operatively (p < 0.001). The median post-operative VAS (0 to 100) for pain decreased from 63 (0 to 96) pre-operatively to 5 (0 to 56) post-operatively (p < 0.001). In conclusion, teres major transfer effectively restores function and relieves pain in patients with irreparable posterosuperior rotator cuff tears and leads to an overall clinical improvement in a relatively young and active patient group with limited treatment options.

Arm adductor with arm abduction in rotator cuff tear patients vs. healthy -- design of a new measuring instrument [corrected].

The incidence of (a)symptomatic rotator cuff tears is high, but etiologic mechanisms are unclear and treatment outcomes vary. A practical tool providing objective outcome measures and insight into etiology and potential patient subgroups is desirable. Symptomatic cuff tears coincide with humerus cranialization. Adductor co-activation during active arm abduction has been reported to reduce subacromial narrowing and pain in cuff patients. We present an easy-to-use method to evaluate adductor co-activation. Twenty healthy controls and twenty full-thickness cuff tear patients exerted EMG-recorded isometric arm abduction and adduction tasks. Ab- and adductor EMG's were expressed using the "Activation Ratio (AR)" (-1 ≤ AR ≤ 1), where lower values express more co-activation. Mean control AR's ranged from .7 to .9 with moderate to good test-retest reliability (ICC: .60-.74). Patients showed significantly more adductor co-activation during abduction, with adductor AR's ranging between .3 (teres major) and .5 (latissimus dorsi). In conclusion, the introduced method discriminates symptomatic cuff tear patients from healthy controls, quantifies adductor co-activation in an interpretable measure, and provides the opportunity to study correlations between muscle activation and humerus cranialization in a straightforward manner. It has potential as an objective outcome measure, for distinguishing symptomatic from asymptomatic cuff tears and as a tool for surgical or therapeutic decision-making.

A kinematical analysis of the shoulder after arthroplasty during a hair combing task.

BACKGROUND: After shoulder arthroplasty, post-operative Range of Motion is usually compromised. It is, however, unclear to what extent limitations in Range of Motion are related to functional outcome in terms of Activities of Daily Living. METHODS: The upper extremity motions of 13 patients (16 shoulders) and a control group (N = 24) during four Range of Motion tasks and Activities of Daily Living were measured using a six degree-of-freedom electromagnetic tracking device. Based on the results for the Activities of Daily Living task 'hair combing', the patient groups was divided into a group that could perform this task ('Able', N = 8, 10 shoulders) and a group that could not perform the task ('Unable', N = 6, six shoulders). RESULTS: Both patient groups showed considerable limitation in glenohumeral Range of Motion, when compared to controls, but between patient groups only axial rotation Range of Motion was different: the 'Able' group has a larger external rotational Range of Motion, but less internal rotation. During 'combing hair' the Able group appeared to successfully perform the task through a larger clavicular retraction. INTERPRETATION: The ability to perform, or not perform a task appeared to be related to a compensatory movement implementation by means of clavicular retraction. It is concluded that the functional outcome after arthroplasty is limited due to a lack of glenohumeral Range of Motion but that it is possible to compensate for this restriction.

Virus removal in a pilot-scale 'advanced' pond system as indicated by somatic and F-RNA bacteriophages.

Advanced pond systems (APS), incorporating high-rate ponds, algal settling ponds, and maturation ponds, typically achieve better and more consistent disinfection as indicated by Escherichia coli than conventional waste stabilisation ponds. To see whether this superior disinfection extends also to enteric viruses, we studied the removal of somatic phages ('model' viruses) in a pilot-scale APS treating sewage. Measurements through the three aerobic stages of the APS showed fairly good removal of somatic phage in the summer months (2.2 log reduction), but much less effective removal in winter (0.45 log reduction), whereas E. coli was removed efficiently (> 4 logs) in both seasons. A very steep depth-gradient of sunlight inactivation of somatic phage in APS pond waters (confined in silica test tubes) is consistent with inactivation mainly by solar UVB wavelengths. Data for F-RNA phage suggests involvement of longer UV wavelengths. These findings imply that efficiency of virus removal in APS will vary seasonally with variation in solar UV radiation.

Optical characteristics of waste stabilization ponds: recommendations for monitoring.

The optical character of waste stabilization ponds (WSPs) is of concern for several reasons. Algal photosynthesis, which produces oxygen for waste oxidation in WSPs, is influenced by attenuation of sunlight in ponds. Disinfection in WSPs is influenced by optical characteristics because solar UV exposure usually dominates inactivation. The optical nature of WSPs effluent also affects assimilation by receiving waters. Despite the importance of light behaviour in WSPs, few studies have been made of their optical characteristics. We discuss simple optical measures suitable for routine monitoring of WSPs (including at sites remote from laboratories): optical density of filtrates - an index of dissolved coloured organic (humic) matter, visual clarity - to provide an estimate of the beam attenuation coefficient (a fundamental quantity needed for optical modelling) colour (hue) - as an indicator of general WSP 'condition' and irradiance attenuation quantifying depth of light penetration. The value of optical characterisation of WSPs is illustrated with reference to optical data for WSPs in NZ (including high-rate algal ponds) treating dairy cattle wastewater versus domestic sewage. We encourage increased research on optical characteristics of WSPs and the incorporation of optical measures in monitoring and modelling of WSP performance.

Faecal bacteria yields in artificial flood events: quantifying in-stream stores.

Stream sediments have been recognised as an in-channel store of faecal contamination that can be mobilised during floods or other sediment-disturbing events. We studied this store of faecal contamination by creating artificial floods during dry weather when, in the absence of overland flow from the catchment, the only source of faecal bacteria was stores within the channel. Artificial floods, created by releasing water from a supply reservoir, increased the E. coli concentration in the water column by two orders of magnitude, from a background level of 10(2) cfu per 100 mL to over 10(4) cfu per 100 mL. The bacterial peak concentrations and yields declined systematically through a triplicate flood series. The size of the total in-channel store, calculated as the sum of yields of an infinite series of artificial floods, was approximately 10(8) cfu m(-2) of streambed area. Direct measurements of sediment E. coli found few sites (only those associated with cattle crossings) with areal concentrations as high as 10(8) cfu m(-2), consistent with flood yields. Concentrations of E. coli in the biofilms on exposed rocks were orders of magnitude lower, indicating that exposed rocks were not a source of E. coli released by the artificial floods.

Disinfection in a pilot-scale "advanced" pond system (APS) for domestic sewage treatment in New Zealand.

"Advanced" pond systems (APS) have the potential for improving treatment, including disinfection, over conventional WSPs. Disinfection in a pilot scale APS at Ngatea, New Zealand was studied. This system comprises a high-rate algal pond (HRP) that optimises growth of settleable colonial green algae, followed by an algal settling pond (ASP) that removes much of the nutrients and solids as non-noxious algal sludge, and then a maturation pond (MP) for effluent polishing. Monitoring of this pilot-scale system over 2 years showed excellent overall removal of E. coli (average of 2000-fold reduction), with approximately 1 log removal in each of the three stages. Experiments in the pilot scale HRP suggest that most E. coli removal in this stage is inactivation by sunlight exposure, but with an important contribution from continuous dark processes. Preliminary experiments on the pilot scale algal settling pond (APS) suggest the combined effect of sedimentation of bacteria and sunlight disinfection of the (clarified) supernatant water.

Combined photosynthesis and mechanical aeration for nitrification in dairy waste stabilisation ponds.

New Zealand has 16,500 dairy farms (avg. 220 cows), with cows kept on pasture throughout the year. During the 9-month dairy season, the cows are milked twice a day (averaging 2.5-3 h per day in the dairy parlour). Urine and faecal wastes deposited in the dairy parlour are washed away with high pressure hoses, using large volumes of water. A common method of treatment is in simple two-pond (anaerobic/facultative) lagoon systems, which remove about 95% of suspended solids and BOD5, but only 75% of total-N prior to discharge. High concentrations of ammoniacal-N in the effluent can cause toxicity to aquatic organisms in receiving waters. Mechanical aeration of the second (facultative) lagoon to promote nitrification improves effluent quality by reducing oxygen demand and potential ammonia toxicity to streamlife. Mechanical aeration however is associated with considerable mixing, which may prevent algae from optimising photosynthesis in the facultative lagoon. A series of experiments was undertaken which tested the efficiency of mechanical aeration and then attempted to combine it with daytime algal oxygen production in order to maximise ammonia conversion to nitrate, while minimising costs to the farmer. An experimental facility was developed by dividing a large facultative lagoon into two, producing a matched pair of lagoons, operated in parallel with influent flow split equally. Over successive dairy seasons, various aeration regimes were compared. Continuous aeration promoted nearly complete nitrification of the ammoniacal-N (99% removal), and effluent BOD was approximately halved. However the continuous mixing reduced algal biomass, and thus daytime algal photosynthesis. Night-only aeration permitted greater algal photosynthesis to occur, as well as halving electrical power consumption. Ammoniacal-N removal reduced to 90% (10 g m(-3) remaining in the effluent), while BOD removal was also lower than in the continuously aerated lagoon (59 and 69% respectively). Providing a series of biofilm attachment surfaces for nitrifying bacteria by suspending geotextile material close to the surface in the pond in consistently aerobic water resulted in improved ammoniacal-N removal efficiency (93%) with night aeration, but still lower removal than continuous aeration.

External rotation in the glenohumeral joint during elevation of the arm.

OBJECTIVE: To describe patterns of external rotation during humeral elevation, and to compare motion patterns.Design. Patterns of external rotation during forward flexion, scapular abduction and abduction in the frontal plane are described with P-spline curves with an approximately 95% confidence interval. BACKGROUND: External rotation of the humerus is an essential part of humeral elevation. Standard clinical assessment of external rotation provides insufficient information to describe external rotation patterns which may be essential for insight in shoulder disorders.Methods. The dominant and non-dominant arms of thirty subjects are measured, using a three-dimensional electromagnetic movement recording system. RESULTS: Overall group patterns demonstrate that humeral elevation in all planes is accompanied by about 55 degrees of external rotation, and each elevation plane has its own typical pattern. The dominant and non-dominant sides are comparable and can be combined. CONCLUSIONS: There are specific external rotation patterns for each elevation plane. Curves representing the approximately 95% confidence intervals make comparison between groups possible. This method can therefore possibly be used to study the external rotation patterns in groups with certain shoulder disorders to evaluate the results of before and after treatment. RELEVANCE: The method presented in this paper can be used to study external rotation patterns in healthy shoulders and in shoulders with a specific disorders to gain more insight, to define functional treatment, and to evaluate the results of treatment.

The kinematic elbow axis as a parameter to evaluate total elbow replacement: A cadaver study of the iBP elbow system.

Malpositioning of prosthetic implants leads to biomechanical changes, often resulting in deteriorating functional outcome. This emphasizes the relevance of evaluating the surgical process of inserting the prostheses. This study tested to what extent the iBP elbow prosthesis and its alignment tools enabled a surgeon to reconstruct normal joint kinematics. It demonstrates the use of the kinematic elbow axis as an evaluation tool. An electromagnetic tracking device registered controlled passive elbow flexion of 10 embalmed upper extremities. The position and direction of the preoperative and postoperative kinematic elbow axes were established with the use of helical axes and compared. The postoperative position of the elbow axis differed from the preoperative axis because of limitations of the alignment tools. Suggestions for adjustment of the alignment tools are made. The direction of the imposed resection plane was correct; therefore, the direction of the postoperative elbow axis corresponded with the direction of the preoperative axis.

Faecal contamination over flood events in a pastoral agricultural stream in New Zealand.

Faecal bacterial dynamics during flood events were studied in the Topehaehae Stream near Morrinsville, New Zealand, in a catchment used for grazing dairy and beef cattle. During the rising limb of a natural flood event, E. coli bacterial concentration rose by more than 2 orders of magnitude and peaked at 41,000 cfu/100 mL. E. coli correlated closely with turbidity over the flood event, and both variables peaked close to the time of maximum flow acceleration rather than peak flow. An artificial flood on the same stream, created by releasing water from a supply reservoir during fine weather with no wash-in from the catchment, produced a broadly similar pattern of faecal contamination (peak E. coli = 12,500 cfu/100 mL). This and other evidence suggests that direct deposition of faecal matter by cattle in the stream channel may be of similar or greater importance than wash-in from land. The flood experiments have been useful for constructing a model of faecal bacterial yields, and they imply that exclusion of livestock from stream channels may appreciably improve water quality.

Patterns of loosening of the glenoid component.

The incidence of loosening of a cemented glenoid component in total shoulder arthroplasty, detected by means of radiolucent lines or positional shift of the component on true anteroposterior radiographs, has been reported to be between 0% and 44%. Radiolucent lines are, however, difficult to detect and to interpret because of the mobility of the shoulder girdle and the obliquity of the glenoid which hinder standardisation of radiographs. We examined radiolucencies around cemented glenoid components in 48 patients, with a mean follow-up of 5.3 years, and found progressive changes to be present predominantly at the inferior pole of the component. This may hold a clue for the mechanism of loosening of this implant. In five patients we performed an additional analysis of loosening of the glenoid component using digital roentgen stereophotogrammetric analysis (RSA). After three years, three of the five implants had loosened (migration 1.2 to 5.5 mm). In only one, with gross loosening, were the radiological signs consistent with the RSA findings. When traditional radiographs are used for assessment, the rate of early loosening is underestimated. We recommend that RSA be used for this.

Effects of aquatic macrophytes on physico-chemical conditions of three contrasting lowland streams: a consequence of diffuse pollution from agriculture?

Three lowland streams in developed pasture catchments with different farming intensities exhibited contrasting summer diurnal variations in pH, DO and temperature. These are ascribed to differences in dominant aquatic vegetation and their respective effects on shade, and on photosynthetic production and respiration within each stream. The stream dominated by submerged macrophytes had the greatest amplitude swings in DO and pH, and DO levels of 86-128% saturation. Floating marginal macrophytes reduced photosynthetic inputs while providing additional organic loading for respiration, with consequent flat DO and pH curves and conditions not conducive to healthy stream ecosystems. The third stream was shaded by riparian plants, which inhibited photosynthetic effects on DO and pH so that diurnal variation was intermediate between the other two streams. The interaction between nutrients and increased insolation in agricultural catchments, in stimulating aquatic plants, needs to be better understood for managing the sustainability of stream habitats and ecosystems.