Bottom water hypoxia suppresses fish chorusing in estuariesa).

Hypoxia in coastal ecosystems is increasing as a result of water quality declines from nutrient pollution. Hypoxia negatively affects fish populations and marine life, limiting their spawning habitats, population size, and growth. In this study, two approaches were used to understand the effect of hypoxia on the chorusing and reproductive behavior of fishes in estuaries. One approach used a water quality meter integrated with a prototype passive acoustic recorder, developed to monitor dissolved oxygen and fish chorusing simultaneously and continuously at sites with normoxic and hypoxic conditions. In a second approach, passive acoustic recorders were deployed near ambient water quality monitoring stations, monitored by the North Carolina agencies in estuaries where hypoxia occurs periodically. In both approaches, when hypoxia (dissolved oxygen < 4.0 mg/L) occurred, fish chorusing was diminished or ceased. A strong correlation was observed between bottom water dissolved oxygen and the power spectral density in a 100-200 Hz frequency band associated with red drum (Sciaenops ocellatus, Sciaenidae) calling. Passive acoustic monitoring stations and integrated passive acoustic and water quality meters should be used in estuarine hypoxia monitoring efforts to examine the expanding areas of hypoxia and its impact on fish critical spawning habitats.

An investigation of bubble resonance and its implications for sound production by deep-water fishes.

Although the continental slope and abyss comprise the largest habitat on earth, the absence of documented fish sounds from deep waters is striking. Fishes with sexually dimorphic muscles attached to their swim bladders suggests that sounds are likely used in male courtship on the upper, mid and lower continental slope. To investigate the effects of environmental extremes on fish sound production, the acoustic behavior of a driven bubble is examined. This study is also relevant to target strength of sonar returns from fish and hearing in auditory specialist fishes. A bubble is a classic, if imperfect, model for swim bladder behavior since the swim-bladder wall is an anisotropic viscoelastic structure responsible for rapid damping. Acoustic properties of bubbles-including far-field resonant frequency, damping factor, and quality factor-are calculated in warm and cold surface conditions and in cold deep-water (depths 1000 m, 2000 m, and 3500 m) conditions using parameters for oxygen and nitrogen, the dominant gases in swim bladders. The far-field resonant frequency and damping factor of a bubble increase with depth, and the scattering cross-section and quality factor decrease with depth. These acoustic properties scale with undamped oscillation frequency of the bubble and do not vary significantly due to gas type or temperature. Bubbles in the deep-water environments are much less efficient radiators of sound than bubbles near the surface because the far-field radiated power for the same excitation decreases with depth. A bubble at depth 3500 m has a 25 dB loss in radiated sound power compared to the same-radius bubble at the surface. This reduction of radiation efficiency in deep water likely contributes to the absence of fish sound recordings in those environments.

Does Vessel Noise Affect Oyster Toadfish Calling Rates?

The question we addressed in this study is whether oyster toadfish respond to vessel disturbances by calling less when vessels with lower frequency spectra are present in a sound recording and afterward. Long-term data recorders were deployed at the Neuse (high vessel-noise site) and Pamlico (low vessel-noise site) Rivers. There were many fewer toadfish detections at the high vessel-noise site than the low-noise station. Calling rates were lower in the high-boat traffic area, suggesting that toadfish cannot call over loud vessel noise, reducing the overall calling rate, and may have to call more often when vessels are not present.

Development of a Finite-Difference Time Domain (FDTD) Model for Propagation of Transient Sounds in Very Shallow Water.

This finite-difference time domain (FDTD) model for sound propagation in very shallow water uses pressure and velocity grids with both 3-dimensional Cartesian and 2-dimensional cylindrical implementations. Parameters, including water and sediment properties, can vary in each dimension. Steady-state and transient signals from discrete and distributed sources, such as the surface of a vibrating pile, can be used. The cylindrical implementation uses less computation but requires axial symmetry. The Cartesian implementation allows asymmetry. FDTD calculations compare well with those of a split-step parabolic equation. Applications include modeling the propagation of individual fish sounds, fish aggregation sounds, and distributed sources.

The outcome of resection shoulder arthroplasty for recalcitrant shoulder infections.

Postarthroplasty infection is a devastating complication. In some patients, virulent pathogens or poor health complicate reconstruction. Resection arthroplasty is a viable option in such cases. Seven patients with resection arthroplasty following infection after shoulder arthroplasty were reviewed retrospectively at an average 20- month follow-up (range, 12-41). Average time between the initial procedure and the first debridement was 59.5 months (4-151 months). The average number of debridements was 2.2 per patient (range, 1-4 procedures). There were no complications, no recurrence of deep infection, no nerve damage, and no fractures. All patients were able to reach the opposite axilla, their backpocket and perineum, and their mouth. All but 1 patient were satisfied with their result. No patient had a satisfactory outcome via Neer's criteria. Resection arthroplasty is a reasonable salvage option for patients who are not good candidates for prosthetic reimplantation. This yields patients who can reliably perform basic activities of daily living.

Interscalene regional anesthesia for arthroscopic shoulder surgery: a safe and effective technique.

There has been resistance to the use of interscalene regional block for arthroscopic shoulder surgery because of concerns about potential complications and failed blocks with the subsequent need for general anesthesia. The purpose of this study was to assess whether interscalene regional block is safe and effective and offers many advantages over general anesthesia for outpatient arthroscopic shoulder surgery. Through a retrospective chart review of consecutive arthroscopic shoulder surgeries over a 2.5-year time period, in a tertiary university medical center with an anesthesiology residency, 277 interscalene blocks (96%) were successful; 12 (4%) required general anesthesia because of an inadequate block. There were no seizures, pneumothoraces, cardiac events, or other major complications. There was a 1% rate of minor complications, all of which were transient sensory neuropathies that resolved within 5 weeks on average. We conclude that interscalene block can provide effective anesthesia for arthroscopic shoulder surgery.

Interscalene regional anesthesia for shoulder surgery.

BACKGROUND: Despite a trend toward the use of regional anesthesia for orthopaedic procedures, there has been resistance to the use of interscalene regional block for shoulder surgery because of concerns about failed blocks and potential complications. METHODS: We retrospectively reviewed the cases of 568 consecutive patients who had shoulder surgery under interscalene regional block in a tertiary-care, university-based practice with an anesthesiology residency program. The blocks were performed by a group of anesthesiologists who were dedicated to the concept of regional anesthesia in their practice. Complete anesthetic and orthopaedic records were available for 547 patients. The surgical procedure, planned type of anesthesia, occurrence of block failure, and the presence of complications were noted. RESULTS: Of the 547 patients, 295 underwent an arthroscopic procedure and 252 (including eighty who had an arthroplasty) underwent an open procedure. General anesthesia was the initial planned choice for sixty-nine patients because of the complexity or duration of the procedure, the anatomic location, or patient insistence. Thirty-four of the sixty-nine patients also received an interscalene regional block. Interscalene regional block alone was planned for 478 patients. A total of 462 patients (97%) had a successful block whereas sixteen required general anesthesia because the block was inadequate. The success of the block was independent of the type or length of the surgery. No patient had a seizure, pneumothorax, cardiac event, or other major complication. Twelve (2.3%) of the 512 patients who had a block had minor complications, which included sensory neuropathy in eleven patients and a complex regional pain syndrome that resolved at three months in one patient. For ten of the eleven patients, the neuropathy had resolved by six months. CONCLUSIONS: Interscalene regional block provides effective anesthesia for most types of shoulder surgery, including arthroplasty and fracture fixation. When administered by an anesthesiologist committed to and skilled in the technique, the block has an excellent rate of success and is associated with a relatively low complication rate.

Measurement of an individual silver perch Bairdiella chrysoura sound pressure level in a field recording.

Simultaneous audio and video were recorded of a silver perch Bairdiella chrysoura producing its characteristic drumming sound in the field. The background noise contribution to the total sound pressure level is estimated using sounds that occurred between the pulses of the silver perch sound. This background contribution is subtracted from the total sound to give an estimate of the sound pressure level of the individual fish. A silver perch source level in the range 128-135 dB (re: 1 microPa) is obtained using an estimate of the distance between the fish and the hydrophone. The maximum distance at which an individual silver perch could be detected depends on the background sound level as well as the propagation losses. Under the conditions recorded in this study, the maximum detection distance would be 1-7 m from the hydrophone.

Early versus delayed fixation of isolated closed femur fractures in an urban trauma center.

The use of intramedullary rods is accepted as the gold standard for treatment of closed femur fractures. Early fixation of these fractures has been shown to be beneficial in the multiply-injured patient. This retrospective review was undertaken to examine the isolated femur fractures in an urban trauma center over a six-year period. Of the 76 patients included in the study, 42 underwent early fixation (less than 48 hours after injury) and 34 had delayed fixation (more than 48 hours after injury). There was no statistical difference in postoperative complications between the two groups. Fixation performed within 48 hours did not seem to decrease morbidity when compared to fixation performed after 48 hours. Length of stay and hospital costs were increased with delayed fixation.