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1.
Sci Rep ; 14(1): 10641, 2024 05 09.
Article in English | MEDLINE | ID: mdl-38724571

ABSTRACT

Although Eucalyptus is widely planted outside its native range for timber and pulp production, the effects of these exotic plantations on biodiversity relative to native semi-natural forests or plantations of native tree species remain incompletely understood. Here, we compare the diversity of saproxylic beetles (Coleoptera) and true bugs (Hemiptera) between non-native Eucalyptus benthamii Maiden and Cambage (Camden white gum) and native Pinus taeda L. (loblolly pine) stands on the upper Coastal Plain of South Carolina, U.S.A. We sampled insects emerging from logs of both species placed in both stand types after 1, 2, 6, and 12 months in the field. Beetle and true bug richness and diversity were both significantly lower from eucalypt than from pine wood. Moreover, the two communities were compositionally distinct. Whereas pine supported many species of host-specific phloeoxylophagous beetles, most species collected from eucalypts were mycophagous or predatory taxa capable of utilizing a wide range of hosts. Species richness did not differ between logs placed in eucalypt vs. pine stands but Shannon's diversity was significantly higher in the eucalypt stands, possibly due to greater sun exposure in the latter. Contrary to a previous study, we found no support for the idea that eucalypt litter reduces the diversity of saproxylic insects. Our findings add to the growing body of evidence that non-native plantations are less favorable to biodiversity than those consisting of native tree species.


Subject(s)
Biodiversity , Coleoptera , Eucalyptus , Plant Leaves , Animals , Coleoptera/physiology , Plant Leaves/chemistry , Wood , Forests , Hemiptera/physiology , Southeastern United States , South Carolina
2.
Ecol Evol ; 13(8): e10450, 2023 Aug.
Article in English | MEDLINE | ID: mdl-37608923

ABSTRACT

Whereas the Coastal Plain of the southeastern United States historically experienced fire primarily during the mid-summer lightning season, managers today typically apply prescribed fire during the late winter or early spring months. The ecological implications of this discrepancy remain poorly understood, especially with regard to pollinators and their interactions with flowers. In a replicated field experiment, we compared the abundance and richness of bees and bee-flower interactions among pine savanna plots in Florida that were burned either during the winter, spring, summer, or fall. We netted 92 bee species from 77 species of flowers, representing 435 unique bee-flower interactions in total. When analyzing the results from each month separately, we detected significant short-term reductions in the number of bees and bee-flower interactions following fires regardless of season. Although bee abundance and richness did not differ over the entire season, bee-flower interaction richness was significantly higher overall in spring and summer plots than in fall plots and the composition of both bees and bee-flower interactions differed significantly among treatments. Several bee-flower interactions were significantly associated with one or more of the treatments. Some of these associations could be attributed to differences in flowering phenology among treatments. Taken together, our findings suggest that season of fire has modest but potentially important implications for interactions between bees and flowers in southeastern pine ecosystems. Because most flowering plants within our study region are pollinated by a variety of bees and other insects, and most bees endemic to the region are polylectic, season of fire may not be very important to either group overall. However, the timing of fire may be more important to particular species including certain flower specialists and fire-sensitive taxa such as butterflies. Future research targeting such species would be of interest.

3.
Curr Biol ; 33(7): 1346-1350.e3, 2023 04 10.
Article in English | MEDLINE | ID: mdl-36870330

ABSTRACT

Despite growing concerns about pollinator declines,1,2,3,4 evidence that this is a widespread problem affecting entire communities remains limited.5 There is a particular shortage of pollinator time series from relatively undisturbed natural habitats, such as forests, which are generally thought to provide refuge to biodiversity from anthropogenic stressors.6 Here, we present the results from standardized pollinator sampling over 15 years (2007-2022) at three relatively undisturbed forested locations in the southeastern United States. We observed significant declines in the richness (39%) and abundance (62.5%) of bees as well as the abundance of butterflies (57.6%) over this time period. Unexpectedly, we detected much stronger declines in the richness and abundance of above-ground-nesting bees (81.1% and 85.3%, respectively) compared with below-ground-nesting bees. Even after dropping the first or last year of sampling, which happened to yield the greatest and lowest numbers of pollinators, respectively, we still detected many of the same negative trends. Our results suggest that sharp declines in pollinators may not be limited to areas experiencing direct anthropogenic disturbances. Possible drivers in our system include increasing mean annual minimum temperatures near our study sites as well as an invasive wood-nesting ant that has become increasingly widespread and abundant in the region over the course of this study.


Subject(s)
Bees , Butterflies , Forests , Southeastern United States , Animals , Pollination , Ecosystem , Population Dynamics , Climate Change , Introduced Species
4.
Ecol Evol ; 12(3): e8677, 2022 Feb.
Article in English | MEDLINE | ID: mdl-35261754

ABSTRACT

Rhododendron maximum is an evergreen shrub native to the Appalachian Mountains of North America that has expanded in recent decades due to past disturbances and land management. The purpose of this study was to explore how bees and plants were affected by the experimental removal of R. maximum followed by a prescribed fire in one watershed compared to a neighboring reference watershed. Bees and plants were sampled for three years in both watersheds. Comparisons were based on the rarefaction and extrapolation sampling curves of Hill numbers as well as multivariate methods to assess effects on community composition. Bee richness, Shannon's diversity, and Simpson's diversity did not differ between watersheds in the year after removal but were all significantly higher in the removal watershed in year two, following the prescribed fire. Bee Shannon's diversity and Simpson's diversity, but not richness, remained significantly higher in the removal watershed in the third year. Similar but weaker patterns were observed for plants. Comparisons of community composition found significant differences for bees in the second and third year and significant differences for plants in all three years. For both groups, significant indicator taxa were mostly associated with the removal watershed. Because bees appeared to respond more strongly to the prescribed fire than to the removal of R. maximum and these benefits weakened considerably one year after the fire, clearing R. maximum does not appear to dramatically improve pollinator habitat in the southern Appalachians. This conclusion is underscored by the fact that about one quarter of the bee species in our study area were observed visiting R. maximum flowers. The creation of open areas with wildflowers may be a better way to benefit bees in this region judging from the high diversity of bees captured in the small roadside clearings in this study.

5.
PM R ; 14(3): 377-382, 2022 03.
Article in English | MEDLINE | ID: mdl-33773077

ABSTRACT

BACKGROUND: Few studies have evaluated the effect of final needle position on contrast flow patterns during the performance of cervical transforaminal epidural steroid injections (TFESIs). OBJECTIVE: To analyze fluoroscopically guided cervical TFESI contrast flow patterns based upon final needle tip position. DESIGN: Retrospective, observational in vivo study. SETTING: Outpatient private practice physical medicine and rehabilitation spine clinic. PARTICIPANTS: One hundred consecutive patients undergoing cervical TFESIs. INTERVENTIONS: Cervical TFESIs. MAIN OUTCOME MEASURES: Categories of contrast flow patterns including epidural, intraforaminal, "sufficient to inject," and "predominantly epidural and/or intraforaminal," based upon final needle tip position. RESULTS: Two independent observers reviewed images from 100 consecutive patients and classified injectate flow patterns stratified by needle tip position. The interrater reliability for all categories of interest was moderate, with kappa values from 0.61 to 0.76. More medially placed needles (middle third and lateral third of the articular pillars) resulted in higher rates of epidural contrast flow (75%; 95% confidence interval [CI]: 56%-94%; and 60%; 95% CI: 47%-73%) compared to needles placed lateral to the articular pillars (26%; 95% CI: 8%-44%), and higher rates of "predominantly epidural and/or intraforaminal" flow patterns with needles placed in the middle one third (75%; 95% CI: 56%-94%) and lateral one third of the articular pillars (47%; 95% CI: 34%-60%) compared to flow patterns when needles were placed lateral to the articular pillars (17%; 95% CI: 2%-32%). No needles were placed in the medial third of the articular pillars. CONCLUSIONS: More medially placed needle tips result in more optimal flow patterns during cervical TFESIs. The importance of this finding is unknown as clinical outcomes were not measured.


Subject(s)
Needles , Steroids , Humans , Injections, Epidural/methods , Reproducibility of Results , Retrospective Studies
6.
Pain Med ; 21(10): 2090-2099, 2020 10 01.
Article in English | MEDLINE | ID: mdl-32683452

ABSTRACT

OBJECTIVE: A modification of the conventional technique for cervical transforaminal epidural steroid injection (CTFESI) has been developed. This technique may, theoretically, decrease the likelihood of the needle encountering the vertebral artery and spinal nerve. The approach uses angle measurements of the superior articular process ventral surface from the patient's axial MRI as a guide for fluoroscopic set-up and needle trajectory. This report aims to compare contrast flow patterns of the modified approach with those of the conventional technique. DESIGN: Retrospective chart review and prospective blinded analysis of contrast flow patterns. Setting. Outpatient interventional physiatry practice. METHODS: A retrospective blinded qualitative review of fluoroscopic images was performed to compare contrast flow patterns of CTFESIs performed using the modified approach with those using the conventional technique. A detailed description of the modified approach is provided in this report. RESULTS: Ninety-seven CTFESI procedures were used for flow analysis. The modified approach resulted in a statistically significant greater percentage of injections with epidural flow: 69% [95% CI = 57-82%] modified approach vs. 42% [95% CI = 28-56%] conventional approach. The modified technique also showed a statistically significant higher percent of injections categorized as having an ideal flow pattern, that of predominate epidural and/or intraforaminal flow: 65% [95% CI = 52-78%] vs. 27% [95% CI = 14-40%]. CONCLUSIONS: A modification of the conventional CTFESI technique, developed for the purpose of improved safety, may provide superior contrast flow patterns when compared to the conventional approach.


Subject(s)
Magnetic Resonance Imaging , Steroids , Humans , Injections, Epidural , Prospective Studies , Retrospective Studies
8.
Pain Med ; 21(9): 1753-1758, 2020 09 01.
Article in English | MEDLINE | ID: mdl-32249302

ABSTRACT

BACKGROUND: During a cervical transforaminal epidural injection, injectate flows along the path of least resistance. Given the proximity of the vertebral artery to the intervertebral foramen, injected contrast may flow along the external wall of the artery. The incidence of this contrast flow pattern during cervical transforaminal epidural injections is unknown. PURPOSE: To determine the incidence of extravascular perivertebral artery contrast flow patterns during cervical transforaminal epidural injections. STUDY DESIGN/SETTING: Retrospective, observational, in vivo study. PATIENT SAMPLE: Patients receiving cervical transforaminal epidural injections at a single outpatient spine clinic. OUTCOME MEASURES: The presence or absence of extravascular perivertebral artery contrast flow. METHODS: The saved images from 100 consecutive patients were reviewed by two independent observers and classified with or without extravascular perivertebral artery contrast flow. The incidence was determined and kappa was used to examine inter-rater reliability. All disagreements were reviewed, and the final classification was determined by consensus. RESULTS: The inter-rater reliability was moderate, with a kappa value of 0.69. The incidence of extravascular perivertebral artery contrast flow patterns was 49% by consensus. No statistically significant differences in incidence were present when comparing three different final needle tip positions. CONCLUSIONS: During a cervical transforaminal epidural injection, an extravascular perivertebral artery contrast flow pattern is frequently encountered. This includes flow along the exiting nerve and then around the vertebral artery, as suggested by this study. Although this contrast pattern does not represent an intravascular injection into the vertebral artery, practitioners should remain cautious to exclude intravascular needle placement before injecting medication.


Subject(s)
Contrast Media , Fluoroscopy , Humans , Incidence , Injections, Epidural , Reproducibility of Results , Retrospective Studies
10.
Pain Med ; 19(7): 1334-1339, 2018 07 01.
Article in English | MEDLINE | ID: mdl-29016955

ABSTRACT

Objective: To determine if a history of severe episodic low back pain (LBP) correlates with positive discography. Methods: A retrospective chart review identified patients undergoing discography from January 2012 through February 2016. The review determined if the patient's LBP began or continued with severe disabling episodes (lasting a minimum of two days). A gradual onset or initiating event with continuous symptoms was considered a nonepisodic history. Patients were excluded for unclear record, workers' compensation, litigation, prior lumbar surgery, radiologic instability, or indeterminate discography. Results: Seventy-eight patients underwent discography. Thirty-nine patients were included, 31 of which had positive discograms. Eight had negative discograms. Nineteen patients had a history of episodic LBP, and 20 had no history of episodic LBP. Of those 19 with a history of episodic LBP, 18 had positive discography and one had negative discography. Of those with no history of episodic LBP, 13 had positive discography and seven had negative discography. Using the historical finding of severe episodic LBP as a test for discogenic source of LBP, the sensitivity is 58% (95% confidence interval [CI] = 41-75%) and the specificity is 88% (95% CI = 65-100%). The likelihood ratio is 4.7 (95% CI = 0.72-30). The positive predictive value (PPV) is 95% (95% CI = 72-100%). The PPV is based upon a prevalence of 79% (discogram positive) in our sample of patients considering fusion surgery. The diagnostic confidence odds are 18.2, with a diagnostic confidence of 95%. Conclusions: A positive history of severe episodic LBP may be a strong indicator for a discogenic etiology.


Subject(s)
Intervertebral Disc Displacement/diagnostic imaging , Low Back Pain/diagnostic imaging , Lumbar Vertebrae/diagnostic imaging , Pain Measurement/methods , Severity of Illness Index , Adult , Female , Humans , Intervertebral Disc Displacement/complications , Intervertebral Disc Displacement/surgery , Low Back Pain/etiology , Low Back Pain/surgery , Lumbar Vertebrae/surgery , Male , Middle Aged , Retrospective Studies , Young Adult
11.
Pain Med ; 18(11): 2257-2259, 2017 11 01.
Article in English | MEDLINE | ID: mdl-28460031
12.
Environ Entomol ; 45(4): 897-908, 2016 08.
Article in English | MEDLINE | ID: mdl-27325627

ABSTRACT

Chinese privet, Ligustrum sinense Lour., is an invasive shrub within riparian areas of the southeastern United States. Biological control is considered the most suitable management option for Chinese privet. The potential host range of the lace bug, Leptoypha hospita Drake et Poor, was evaluated on the basis of adult feeding and oviposition, combined oviposition-nymphal development no-choice tests, nymphal development no-choice tests, multiple generation comparison on Forestiera pubescens Nutt. and L. sinense no-choice tests, and multiple-choice tests with 45 plant species in 13 families. No-choice tests showed that the host range of L. hospita was restricted to the tribe Oleeae. In adult feeding and oviposition no-choice tests, the bug fed and oviposited significantly more on Chinese privet than all other test plant species except for three native Forestiera spp., two nonnative Syringa spp., and another exotic Ligustrum sp. Among those, only F. pubescens supported complete development in numbers comparable to Chinese privet. However, when reared for multiple generations lace bugs reared on F. pubescens were smaller and had lower fecundity than those reared on L. sinense, suggesting F. pubescens is not an optimal host. In multiple-choice tests, L. hospita displayed a strong preference for feeding and ovipositing on Chinese privet over other test plant species, with the exception of the closely related nonnative Syringa spp. and its congenic species Ligustrum vulgare. The results of this study suggest that the risk to nontarget plant species in North America is minimal, and L. hospita would be a promising candidate for Chinese privet biological control.


Subject(s)
Herbivory , Heteroptera/physiology , Introduced Species , Ligustrum , Oleaceae , Pest Control, Biological , Animals , Female , Heteroptera/growth & development , Host Specificity , Ligustrum/growth & development , Male , Nymph/growth & development , Nymph/physiology , Oleaceae/growth & development
13.
J Econ Entomol ; 109(3): 1196-1204, 2016 Apr 06.
Article in English | MEDLINE | ID: mdl-27053703

ABSTRACT

The redbay ambrosia beetle, Xyleborus glabratus Eichhoff, is the principal vector of laurel wilt disease in North America. Lures incorporating essential oils of manuka plants ( Leptospermum scoparium J. R. Forster & G. Forster) or cubeb seeds ( Piper cubeba L.f.) are the most effective in-flight attractants to date. Using grids of traps baited with these essential oil lures, we evaluated 1) the effect of trap distance from a source beetle population on beetle captures, 2) the feasibility of trapping out low-density beetle populations, and 3) the effect of trap spacing on beetle captures. In the first experiment, increasing trap distance up to 300 m from a source X. glabratus population had little effect on beetle captures. In a second experiment conducted in a study area with very low beetle densities, trapping for 5 mo prior to deploying freshly cut, uninfested redbay bolts had no effect on subsequent attack densities. In a third experiment, numbers of X. glabratus captured in traps in the center of a grid of nine traps spaced 1 or 5 m apart were compared with lone baited or unbaited traps 30 m away. Relative to the more distant traps, the grid of baited traps neither increased captures in the unbaited center trap nor decreased captures in the baited center trap, regardless of spacing. The results suggest that the effective trapping distance of essential oil lures for X. glabratus is <1 m, and that newer, more attractive lures will be needed to be useful in managing X. glabratus populations.

14.
Pain Med ; 17(6): 1010-22, 2016 06.
Article in English | MEDLINE | ID: mdl-26814283

ABSTRACT

BACKGROUND: Platelet-rich plasma (PRP) has been found to be effective for a variety of musculoskeletal conditions. The treatment of discogenic pain with PRP is under investigation. OBJECTIVE: To assess changes in pain and function in patients with discogenic low back pain after an intradiscal injection of PRP. STUDY DESIGN: Prospective trial. METHODS: Patients were diagnosed with discogenic low back pain by clinical means, imaging, and exclusion of other structures. Provocation discography was used in a minority of the patients. Patients underwent a single treatment of intradiscal injection of PRP at one or multiple levels. MAIN OUTCOME MEASURES: Patients were considered a categorical success if they achieved at least 50% improvement in the visual analog score and 30% decrease in the Oswestry Disability Index at 1, 2, and 6 months post-treatment. RESULTS: 22 patients underwent intradiscal PRP. Nine patients underwent a single level injection, ten at 2 levels, two at 3 levels, and one at 5 levels. Categorical success rates were as follows: 1 month: 3/22 = 14% (95% CI 0% to 28%), 2 months: 7/22 = 32% (95% CI 12% to 51%), 6 months: 9/19 = 47% (95% CI 25% to 70%). CONCLUSION: This trial demonstrates encouraging preliminary 6 month findings, using strict categorical success criteria, for intradiscal PRP as a treatment for presumed discogenic low back pain. Randomized placebo controlled trials are needed to further evaluate the efficacy of this treatment.


Subject(s)
Low Back Pain/therapy , Platelet-Rich Plasma , Adult , Female , Humans , Injections, Intralesional , Intervertebral Disc , Male , Middle Aged , Treatment Outcome
15.
Pain Med ; 17(8): 1416-22, 2016 08.
Article in English | MEDLINE | ID: mdl-26814293

ABSTRACT

BACKGROUND: Lumbar transforaminal epidural steroid injections (TFESIs) are often used in the treatment of radicular pain. In light of safety concerns, many practitioners have proposed adopting the retrodiscal (infraneural) approach with the needle tip positioned into Kambin's triangle. With this technique, the needle may inadvertently be directed too far ventrally and enter the intervertebral disc. In addition, the risk of subarachnoid or subdural extra-arachnoid injection may be higher with this technique as well. OBJECTIVE: To determine the incidence of inadvertent intradiscal, intrathecal, and vascular injections during the performance of retrodiscal TFESI. STUDY DESIGN: Retrospective review METHODS: Retrospective review of all retrodiscal approach TFESIs performed from July 2012 to August 2014 by two of the authors (DL and SH). RESULTS: A total of 257 retrodiscal transforaminal injections were performed. There were no neurologic complications. There were no cases of discitis. Inadvertent intradiscal injections occurred in 12/257 injections, 4.7% (95% CI 2.1-7.3%). Intrathecal injections occurred in 8/257 injections, 3.1% (95% CI 0.99- 5.23%). Three were subarachnoid (SA), four were subdural extra-arachnoid (SDXA), and one was both SA and SDXA. Vascular injections occurred in 17/257, 6.6% (95% CI 3.6-9.6%). CONCLUSION: This retrospective review demonstrates that a relatively high rate of inadvertent intradiscal injections occurs in the performance of the retrodiscal approach for TFESI. This has significant implications in terms of the potential risk of disc injury induced by the needle puncture. The high incidence of intrathecal injections may also be of great concern depending upon the injectate delivered.


Subject(s)
Injections, Epidural/adverse effects , Injections, Epidural/methods , Glucocorticoids/administration & dosage , Humans , Incidence , Lumbar Vertebrae , Radiculopathy/drug therapy , Retrospective Studies
16.
Pain Med ; 17(9): 1628-33, 2016 09.
Article in English | MEDLINE | ID: mdl-26814309

ABSTRACT

BACKGROUND AND OBJECTIVE: Contralateral oblique (CLO) angle view has been a useful addition to standard views in fluoroscopically guided interlaminar epidural injections. Determination of the appropriate CLO angle is paramount in the usefulness of this technique. Using MRI laminar angle measurements as a pre-procedural guide for the intra-procedural fluoroscopic CLO angle has been proposed. The purpose of this study was to help determine if using axial MRI laminar measurements prior to a cervical or thoracic epidural steroid injection would be useful in predicting the appropriate fluoroscopic CLO angle. STUDY DESIGN: A retrospective review was performed for patients who underwent cervical or thoracic interlaminar injections. In the performance of interlaminar injections, the authors had routinely determined the true fluoroscopic contra-lateral oblique angle after epidural access was confirmed, for use during any potential future injections. The fluoroscopic CLO angle measurements were obtained from a chart review and compared blindly to each patient's MRI axial laminar angle measurements. RESULTS: 34 injections were included. Inter-rater reliability comparing the two authors' MRI angle measurements was considered fair, ICC = 0.395. Accuracy was only 57% comparing MRI laminar angle measurements to within five degrees of the true fluoroscopic CLO angle as determined during the injection procedure. Accuracy by ICC showed only fair agreement, 0.47 and 0.22, for the two authors. CONCLUSIONS: The findings of this study indicate fair inter-rater reliability in manual measurements of laminar angle on axial MRI images. MRI laminar angle measurements do not appear to be highly accurate in determining the appropriate fluoroscopic CLO angle.


Subject(s)
Cervical Vertebrae/diagnostic imaging , Epidural Space/diagnostic imaging , Injections, Epidural/methods , Thoracic Vertebrae/diagnostic imaging , Fluoroscopy , Humans , Magnetic Resonance Imaging , Retrospective Studies
17.
Anesthesiology ; 122(5): 974-84, 2015 May.
Article in English | MEDLINE | ID: mdl-25668411

ABSTRACT

BACKGROUND: Epidural corticosteroid injections are a common treatment for radicular pain caused by intervertebral disc herniations, spinal stenosis, and other disorders. Although rare, catastrophic neurologic injuries, including stroke and spinal cord injury, have occurred with these injections. METHODS: A collaboration was undertaken between the U.S. Food and Drug Administration Safe Use Initiative, an expert multidisciplinary working group, and 13 specialty stakeholder societies. The goal of this collaboration was to review the existing evidence regarding neurologic complications associated with epidural corticosteroid injections and produce consensus procedural clinical considerations aimed at enhancing the safety of these injections. U.S. Food and Drug Administration Safe Use Initiative representatives helped convene and facilitate meetings without actively participating in the deliberations or decision-making process. RESULTS: Seventeen clinical considerations aimed at improving safety were produced by the stakeholder societies. Specific clinical considerations for performing transforaminal and interlaminar injections, including the use of nonparticulate steroid, anatomic considerations, and use of radiographic guidance are given along with the existing scientific evidence for each clinical consideration. CONCLUSION: Adherence to specific recommended practices when performing epidural corticosteroid injections should lead to a reduction in the incidence of neurologic injuries.


Subject(s)
Adrenal Cortex Hormones/administration & dosage , Adrenal Cortex Hormones/adverse effects , Injections, Epidural/adverse effects , Injections, Epidural/standards , Nervous System Diseases/chemically induced , Nervous System Diseases/prevention & control , Adrenal Cortex Hormones/therapeutic use , Animals , Consensus , Epidural Space/anatomy & histology , Humans , Low Back Pain/drug therapy , Pain/complications , Pain/drug therapy , United States , United States Food and Drug Administration
18.
PM R ; 6(11): 1030-7, 2014 Nov.
Article in English | MEDLINE | ID: mdl-24780850

ABSTRACT

BACKGROUND: Low back pain is a leading cause of pain and disability. The intervertebral disk has been identified as the most common source of chronic low back pain. Although prior treatments directed at intervertebral disks have been disappointing, recent studies show promising improvement of pain and function after a single intradiskal injection of methylene blue. OBJECTIVE: To assess changes in pain and function in patients with diskogenic low back pain, diagnosed by diskography, after an intradiskal injection of methylene blue. STUDY DESIGN: Prospective trial. METHODS: Patients diagnosed with diskogenic pain by diskography underwent a single treatment of intradiskal injection of methylene blue, determined by prior provocation diskography. MAIN OUTCOME MEASURES: Pain and function measurements were completed at baseline and 1, 2, and 6 months after treatment. Treatment was considered a categorical success based on a 30% improvement in pain according to a visual analog scale (VAS) and function on the Oswestry Disability Index (ODI). Treatment was considered a categorical failure if less than 30% improvement in pain and function was achieved or if the patient pursued other invasive treatment options during the trial period. RESULTS: Sixteen patients received the intradiskal methylene blue injection. Eleven patients received a single-level injection, 4 patients received a 2-level injection, and one patient received injections at 3 levels. For the VAS, at 1, 2, and 6 months after the injection, the categorical success rates were 25%, 21%, and 25%, respectively. For the ODI, at 1, 2 and 6 months after the injection, the categorical success rates were 25%, 21%, and 33%, respectively. The overall categorical success rates at 1, 2, and 6 months after the injection were 19%, 21%, and 25%, respectively. CONCLUSION: This small trial did not demonstrate overall clinical success of intradiskal methylene blue injection for patients diagnosed with diskogenic pain by diskography.


Subject(s)
Intervertebral Disc Displacement/complications , Low Back Pain/drug therapy , Lumbar Vertebrae , Methylene Blue/administration & dosage , Adolescent , Adult , Aged , Dose-Response Relationship, Drug , Enzyme Inhibitors/administration & dosage , Enzyme Inhibitors/therapeutic use , Female , Follow-Up Studies , Humans , Injections, Spinal/methods , Intervertebral Disc , Intervertebral Disc Displacement/diagnosis , Intervertebral Disc Displacement/drug therapy , Low Back Pain/diagnosis , Low Back Pain/etiology , Male , Methylene Blue/therapeutic use , Middle Aged , Myelography , Prospective Studies , Treatment Outcome , Young Adult
19.
Environ Entomol ; 41(1): 40-50, 2012 Feb.
Article in English | MEDLINE | ID: mdl-22525058

ABSTRACT

The bean plataspid, Megacopta cribraria (F.), recently was discovered in the United States feeding on kudzu, Pueraria montana Lour. (Merr.) variety lobata (Willd.), an economically important invasive vine. We studied its biology on kudzu and its impact on kudzu growth. We also tested its ability to use other common forest legumes for oviposition and development. Flight intercept traps operated from 17 May 2010 to 31 May 2011 in a kudzu field near Athens, GA showed three peaks of adult flight activity suggesting there are two generations per year on kudzu. Vine samples examined for eggs from April 2010 to April 2011 and June to October 2011 showed two periods of oviposition activity in 2010, which coincided with the peaks in adult activity. In 2011, the second period of oviposition began on or before 24 June and then egg abundance declined gradually thereafter until late August when we recovered <2 eggs/0.5 m of vine. Samples of the five nymphal instars and adults on vines did not show similar trends in abundance. Adults did not lay eggs on the various legume species tested in 2010 in a no-choice test possibly because the cages were too small. In the 2011 field host range experiments conducted in a kudzu field by using 12 legume species, M. cribraria preferentially oviposited on kudzu over soybean, Glycine max Merrill., but they still laid 320 eggs per plant on soybean. Lespedeza hirta (L.) Hornem. and Lespedeza cuneata (Dum. Cours.) G. Don had 122.2 and 108.4 eggs per plant, respectively. Kudzu and soybean were the only species M. cribraria completed development on. Plots protected from M. cribraria feeding by biweekly insecticide applications had 32.8% more kudzu biomass than unprotected plots. Our results show that M. cribraria has a significant impact on kudzu growth and could help suppress this pest weed.


Subject(s)
Biological Control Agents , Heteroptera/physiology , Oviposition , Pueraria/growth & development , Animals , Fabaceae/growth & development , Female , Food Preferences , Georgia , Heteroptera/growth & development , Male , Nymph , Ovum , Seasons
20.
Pest Manag Sci ; 68(7): 1048-52, 2012 Jul.
Article in English | MEDLINE | ID: mdl-22359265

ABSTRACT

BACKGROUND: Tests were conducted on two insecticides (carbaryl and bifenthrin) for excluding subcortical beetles (Coleoptera: Curculionidae and Cerambycidae) from loblolly pine trees (Pinus taeda L.). Two trap designs (single- and double-pane windows) and two trapping heights (1.5 and 4 m) were also evaluated for maximizing beetle catches. RESULTS: In July 2009, 15 loblolly pine trees were double girdled and were either left unsprayed or sprayed with carbaryl or bifenthrin. A total of 28 473 bark beetles were caught in window traps, including Ips avulsus Eichoff, I. grandicollis (Eichhoff), I. calligraphus (Germar) and Dendroctonus terebrans (Olivier). Both insecticides significantly reduced colonization of the trees by bark and woodboring beetles by 300-400%, with no differences in efficacy observed between the two insecticides. About 59% more I. avulsus were caught in double- than in single-pane window traps, with no differences for any other species. Traps at 4 m caught more I. avulsus and I. grandicollis (290 and 153% respectively), while traps at 1.5 m caught more D. terebrans (215%). CONCLUSIONS: Either bifenthrin or carbaryl can be used to exclude subcortical beetles from loblolly pine trees. Trapping data reflect known vertical partitioning on the bole by these insects. Double-pane traps were slightly more effective than single-pane traps in catching subcortical beetles.


Subject(s)
Carbaryl , Insect Control/methods , Insecticides , Pinus taeda , Pyrethrins , Weevils , Animals
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