Runoff and leaching of dissolved phosphorus in streams from a rainfed mixed cropping and grazing catchment under a Mediterranean climate in Australia.

Managing phosphorus (P) is a global priority for environmental water quality due to P lost from agricultural land through leaching, runoff and subsurface flow. In Western Australia (WA), following decades of P fertiliser application to crops and pastures in low rainfall regions, questions have been raised about this region's contribution to environmental P loss. This study was conducted on the Fitzgerald River catchment in the south Western Australia (WA) with mixed cropping and grazing land uses and a Mediterranean climate with low mean rainfall (~350 mm yr-1). Phosphorus forms were monitored continuously over a three-year period in five separate streams, each draining a defined sub-catchment. The P concentrations in streams consistently exceeded Australian and New Zealand Environment Conservation Council (ANZECC) trigger values throughout the monitoring period. Of the measured total P concentration, ~75% was dissolved P (DRP; <0.45 µm) and 80% of that fraction was in the filterable reactive form (FRP). These water quality measurements and other independent soil investigations at this site, suggest that transport of dissolved P rather than erosion of sediment-bound P was dominant in this environment. Based on extractable soil P (Colwell P) and the P buffering index (PBI), predicted concentrations of dissolved reactive P (DRP) in soil solution in topsoils (0-10 cm) across this catchment, generally exceeded ANZECC's values of 0.07 mg PL-1. The level of exceedance was spatially variable. Streams draining areas with the lowest predicted DRP concentrations also had the lowest measured FRP concentrations. Elsewhere stream water FRP concentrations depended on both DRP concentration and the PBI of the land being drained. Our findings suggest that deployment of practices that physically filter runoff, for example riparian vegetation, would be ineffective in restricting P transport into stream in this environment. This conclusion is consistent with previous findings of the ineffectiveness of riparian buffers on coarse textured sandy soils in higher rainfall areas of southwest WA. A reduction in DRP losses without yield loss could be achieved by following evidence-based fertiliser advice from soil testing to limit losses of legacy P".

Ammonia fluxes and emission factors under an intensively managed wetland rice ecosystem.

Nitrogen (N) loss from rice production systems in the form of ammonia (NH3) can be a significant N loss pathway causing significant economic and environmental costs. Yet, data on NH3 fluxes in wetland rice ecosystems are still very scarce which limits the accuracy of national and global NH3 budgets. We measured the NH3 fluxes in situ in a wetland rice field and estimated emission factors (EF) under two soil management systems (i.e. conventional tillage, CT and strip tillage, ST); two residue retention levels (i.e. 15%, LR and 40% crop residue by height, HR); and three N fertilization rates (i.e. 108, 144 and 180 kg N ha-1) in two consecutive years (2019 and 2020). The highest NH3 peaks were observed within the first 3 days after urea application. The mean and cumulative NH3 fluxes significantly increased with the increases in N fertilization rates and were 18.5% and 18.6% higher in ST than in CT in 2020 but not in 2019. Overall, the highest mean NH3 fluxes were in 180 kg N ha-1 coupled with either HR or LR and ST or CT. In 2019, the NH3 EF was unchanged by any treatments. In 2020, the lower EF was in CT coupled with LR (15%) than all other treatment combinations, where ST with HR showed the highest EF (20%). Likewise, the lowest N rate (108 kg N ha-1) in ST had the highest NH3 EF (20%) that was similar to higher N rates (144 and 180 kg N ha-1) in the same tillage treatment and to 180 kg N ha-1 in CT. Our results highlight that NH3 fluxes in rice field particularly the effects of ST correlated with higher soil pH and NH4+ content and lower redox potential. Our results highlight that NH3 fluxes are a potentially large N loss pathway in wetland rice under conventional and decreased soil disturbance regimes.

Rheumatoid arthritis-associated necrotizing scleritis and peripheral ulcerative keratitis treated successfully with infliximab.

In patients with rheumatoid arthritis (RA), necrotizing scleritis, an ocular manifestation of a systemic vasculitic process, is associated with significant ocular morbidity and high mortality. We present a 60-year-old man with RA who developed necrotizing scleritis and peripheral ulcerative keratitis. The scleritis was refractory to local measures, systemic corticosteroids, and cyclophosphamide but responded rapidly to infliximab. Our case illustrates that biologic agents may be considered in refractory cases of sight- and life-threatening scleritis.

Morphological and physiological responses of rice (Oryza sativa) to limited phosphorus supply in aerated and stagnant solution culture.

BACKGROUND AND AIMS: Rain-fed lowland rice commonly encounters stresses from fluctuating water regimes and nutrient deficiency. Roots have to acquire both oxygen and nutrients under adverse conditions while also acclimating to changes in soil-water regime. This study assessed responses of rice roots to low phosphorus supply in aerated and stagnant nutrient solution. METHODS: Rice (Oryza sativa 'Amaroo') was grown in aerated solution with high P (200 micro m) for 14 d, then transferred to high or low (1.6 micro m) P supply in aerated or stagnant solution for up to 8 d. KEY RESULTS: After only 1 d in stagnant conditions, root radial oxygen loss (ROL) had decreased by 90 % in subapical zones, whereas near the tip ROL was maintained. After 4 d in stagnant conditions, maximum root length was 11 % less, and after 8 d, shoot growth was 25 % less, compared with plants in aerated solution. The plants in stagnant solution had up to 19 % more adventitious roots, 24 % greater root porosity and 26 % higher root/shoot ratio. Rice in low P supply had fewer tillers in both stagnant and aerated conditions. After 1-2 d in stagnant solution, relative P uptake declined, especially at low P supply. Aerated roots at low P supply maintained relative P uptake for 4 d, after which uptake decreased to the same levels as in stagnant solution. CONCLUSIONS: Roots responded rapidly to oxygen deficiency with decreased ROL in subapical zones within 1-2 d, indicating induction of a barrier to ROL, and these changes in ROL occurred at least 2 d before any changes in root morphology, porosity or anatomy were evident. Relative P uptake also decreased under oxygen deficiency, showing that a sudden decline in root-zone oxygen adversely affects P nutrition of rice.

Boron supply into wheat (Triticum aestivum L. cv. Wilgoyne) ears whilst still enclosed within leaf sheaths.

The present study investigates whether there is significant remobilization of (10)B previously loaded in the flag and penultimate leaves into the young, actively growing ear enclosed within the sheaths of flag and penultimate leaves. It also explores whether B transport into the enclosed ear declines when air humidity in the shoot canopy increases. After 5 d (10)B labelling during the period from early to full emergence of the flag leaf, the plants were transferred into nutrient solutions containing either 10 microM (11)B or no added B for 3 d. Regardless of the subsequent B supply levels to the roots, (10)B contents in the ear continued to increase by up to 5-fold 3 d after the end of (10)B supply in the nutrient solution. During these 3 d, the ear experienced a rapid increase in biomass. However, the majority of B in the ear during the 3 d treatment period was from the newly acquired (11)B from root uptake, rather than retranslocation of (10)B previously deposited in the leaves. By comparing the relative distribution of (10)B, Rb (xylem-to-phloem transfer marker) and Sr (xylem-marker) in the ear and the flag leaf, the distribution of (10)B resembled that of Rb more than Sr. Canopy cover treatment greatly suppressed leaf transpiration and decreased the amount of newly acquired (10)B in the flag leaf and the ear, but not in the upper stem segments. The results suggest that whilst the young ear was still fully enclosed within the leaf sheaths without any significant transpiration activity, B transport into the ear is predominantly dependent on the long-distance B transport in the xylem driven by leaf transpiration and, therefore, on concurrent B uptake from the roots.

Clinical and pathologic findings in human keratolimbal allograft rejection.

OBJECTIVE: To characterize the clinical and pathologic features of cadaveric keratolimbal allograft (KLAL) rejection. DESIGN: The study design is descriptive. PARTICIPANTS: Four patients (five eyes) with KLAL rejection are reported. INTERVENTION: All patients were subjected to slit-lamp biomicroscopy, treatment of rejection, and ultimately required repeat KLAL surgery. In three patients (four eyes), specimens obtained at the time of repeat surgery were subjected to immunohistochemical staining against the following immune and surface human antigens: CD4, CD8, CD19, CD3, DR, CK19, CK3, and vimentin. RESULTS: Signs of allograft rejection included intense sectoral injection, diffuse or perilimbal conjunctival injection, edema, and infiltration of the KLAL grafts, leading to punctate epithelial erosions, epithelial defects, and surface keratinization. Rejected specimens revealed T-lymphocyte infiltration (CD4:CD8, 2:1) with strong HLA-DR (MHC class II) expression. The epithelium stain results were positive for cytokeratin 19 and weakly positive to absent for cytokeratin 3. The epithelial stain results were weakly positive for vimentin in only one specimen. CONCLUSIONS: KLAL rejection is a newly recognized entity. Pathologic findings of rejected specimens indicate that this is a T-cell mediated rejection phenomenon. The pattern of cytokeratin staining provided little evidence that the epithelium covering KLALs had a corneal phenotype. The scarcity of vimentin-positive epithelial cells suggests that the stem-cell/transient-cell pool was probably depleted. Early recognition of clinical rejection is important, as treatment with immunosuppressive therapy may reverse the process.

Airborne hexavalent chromium in southwestern Ontario.

This study reports the first field measurements of airborne hexavalent chromium (Cr(vi)) in southwestern Ontario. Hexavalent chromium was identified as an inhalation carcinogen and an air toxic of concern during the 1991-93 Windsor Air Quality Study. The results of that study indicated that approximately 20% of the routinely monitored ambient airborne chromium (Cr) was in the hexavalent form. In addition, the range of carcinogenic health risks attributable to airborne Cr(vi) was determined to be between 1.4 x 10(-5) and 3.0 x 10(-4) for people living in the Windsor area. During the summer of 1993, analyses of concurrent indoor and outdoor 24-hour air quality samples taken at 33 residences in Hamilton resulted in geometric mean Cr(vi) concentrations of 0.20 ng/m3 and 0.55 ng/m3, respectively, and little or no relationship between the indoor and outdoor sample sets. During the summer of 1994, an airborne Cr(vi) size-fraction study was conducted in Hamilton, the results of which suggested that the majority of the Cr(vi) was in the inhalable fraction.

Blow-out fracture of the orbit associated with inflation of an airbag: a case report.

We report a case of blow-out fracture of the orbit in a 37-year-old woman which was caused by deployment of an airbag following collision with a stationary vehicle whilst travelling at 30 m.p.h. The fracture did not become evident until she blew her nose some hours later. She was treated with antibiotics orally and made a full and complete recovery. Therefore, refinements in the design of airbags are warranted.

Long-term results and complications after trabeculectomy with a single per-operative application of 5-fluorouracil.

We retrospectively evaluated a consecutive series of 45 patients (45 eyes) who underwent trabeculectomy augmented with a single intra-operative 5 minute application of 5-fluorouracil (5-FU; 25 mg/ml). All patients were at an increased risk of subconjunctival fibrosis and surgical failure. The mean follow-up period was 24 months (range 12-42, SD 6.9). The mean pre-operative intraocular pressure (IOP) was 29.1 mmHg (SD 6.1) and the mean IOP at the last post-operative visit was 16.6 mmHg (SD 6.4) (p < 0.0001) with a mean IOP reduction of 42%. The number of medications reduced from a mean of 2.3 (SD 0.7) pre-operatively, to 0.8 (SD 0.7) post-operatively (p < 0.0001) and 22 eyes (49%) required no topical treatment for IOP control. An IOP of 21 mmHg or less with or without medications was achieved in 80% of cases. There was no significant difference in final IOP or success rate over time between low- and high-risk patients, although the low-risk patients did better in the first 12-18 months. Complications included hypotony maculopathy in 2 cases (4%), leaking bleb in 5 cases (11%) and giant bleb in 1 case (2%), giving a total of 8 cases (18%) with bleb-related sequelae. In the short to medium term, a single per-operative application of 5-FU is a useful adjunctive treatment during glaucoma filtering surgery for low- to moderate-risk cases, although a steady increase in the failure rate was associated with increasing length of follow-up.

The diagnostic outcome of new glaucoma referrals.

A retrospective cohort study of the case notes of 295 patients referred to the glaucoma clinic at the Royal Infirmary of Edinburgh between October 1993 and March 1994 was performed. The purpose of the study was to determine the diagnostic outcome of new referrals suspected of having glaucoma, all of whom were examined by a single glaucoma specialist. The largest diagnostic group was ocular hypertension (113, 42%), just over half of which were started on treatment. A new diagnosis of glaucoma was confirmed in 46 patients (17%). In total, 107 patients (39%), required treatment (46 glaucoma and 61 ocular hypertension). Thirty-six percent of new referrals were either discharged (80, 29%) or had other ocular conditions unrelated to glaucoma (19, 7%). A proportionately high number of new glaucoma cases (15 out of 46) had normal intraocular pressures, which emphasises the important role of ophthalmoscopy and perimetry in case detection. In conclusion, the number of newly diagnosed cases of glaucoma (17%) is considerably less than previous reports (22-39%), with a high proportion of referrals (2 in every 5) having ocular hypertension.

Accuracy of referral to a glaucoma clinic.

The accuracy of referral to the glaucoma clinic in Edinburgh was evaluated retrospectively by case note analysis. Two hundred and ninety-five patients suspected of having glaucoma were referred during a 6 month period. Optometrists accounted for 96% of referrals with the remainder being referred directly by the GP. The highest overall detection rates (glaucoma + glaucoma suspects) were amongst those optometrists who combined tonometry with either a field assessment, ophthalmoscopy or both (66-78%). Despite this there was a high false positive rate with 36% of referrals being discharged or having conditions unrelated to glaucoma. To improve referral efficiency it is recommended that optometrists should routinely combine tonometry with ophthalmoscopy and perimetry, and tests should preferably be repeated prior to referral if an abnormality is suspected. The accuracy of referrals could be improved by the use of Goldmann applanation tonometry and by better interpretation of perimetric findings.

Enhancement of post trabeculectomy bleb formation by laser suture lysis.

AIMS: To study the efficacy of laser suture lysis in the promotion of filtration and bleb formation during the early postoperative period after trabeculectomy. METHODS: This was a prospective study of 20 eyes from 20 patients undergoing trabeculectomy. Patients were entered into the study if, after a trial period of ocular massage, the intraocular pressure (IOP) was greater than 21 mm Hg 48 hours after surgery. Other criteria for inclusion were a deep quiet anterior chamber, no bleb formation, and a patent internal ostium on gonioscopy. Suture lysis was performed using a frequency doubled neodymium YAG (532 nm) laser and a Hoskins lens. The IOP was measured within 5 minutes of lysis and gentle ocular massage was employed if there was no spontaneous bleb formation. A further suture was lysed if at this stage there was still no bleb associated with a high IOP. RESULTS: Suture lysis was successful in all cases in the early postoperative period. The mean IOP before lysis was 33.8 (SD 8.9) mm Hg and the IOP immediately after lysis was 13.2 (7.9) mm Hg. Eighteen (90%) patients had successfully controlled IOP (mean 14.1 (3.6) mm Hg) without medication after a mean follow up of 6 months. CONCLUSION: Laser suture lysis is a safe and effective method of promoting filtration following trabeculectomy. It can avoid surgical manipulation of the scleral flap with its associated risks of bleb failure and thereby contributes to a successful operative outcome.

Reality monitoring in recovering alcoholics.

OBJECTIVE: The major aim of this study was to provide confirmation of the lack of metamemory deficits found in previous research, and we chose reality monitoring as our empirical arena. Reality monitoring is defined as the ability to distinguish between memories for events that have actually occurred and memories for imagined events, with actual events characterized by higher levels of sensory-perceptual information. Further, since detoxified alcoholics have demonstrated perceptual, especially visual, deficits, this study examined whether that would have an adverse effect on reality-monitoring performance. METHOD: Young adult, male, detoxified alcoholics (n = 60) and appropriate controls (n = 29) participated in reality-monitoring tasks using, primarily, either visual or verbal information. RESULTS: There were no significant differences between the two subject groups on either of the reality-monitoring tasks, and no significant contributions from descriptive, background or educational variables on these tasks. CONCLUSIONS: Convergent validation of the previous finding of no metamemory deficits with young, male, recovering alcoholics was obtained. The results also were discussed briefly in the context of alcoholics' quality of memory in therapeutic situations.

Warming lignocaine reduces the pain of injection during local anaesthetic eyelid surgery.

The injection of local anaesthetic solutions is frequently a painful and unpleasant experience for patients. A double-masked randomised controlled trial was performed to study the potential benefit of warming lignocaine during local anaesthetic minor surgical procedures on the eyelids. The pain of subcutaneous injection of 1.5 ml of 2% lignocaine at room temperature (cold) and body temperature (warm) was compared in 60 patients during the surgical incision of solitary meibomian cysts of one eyelid. Patients were randomly allocated to receive either warm or cold lignocaine. Pain was assessed subjectively by the use of a linear analogue pain scale ranging from 0 to 100. The median pain score for the group receiving cold anaesthetic (19.5) was found to be greater than that for the warm group (10.0; p = 0.02). In conclusion, the simple process of warming lignocaine to 37 degrees C was found to reduce the pain associated with its injection significantly. It is recommended that this technique be more widely adopted in order to minimise patients' discomfort.

Warming lignocaine reduces the pain of injection during peribulbar local anaesthesia for cataract surgery.

AIMS: To test if the simple technique of warming lignocaine reduces the pain of injection during local anaesthetic cataract surgery. METHODS: Sixty patients undergoing peribulbar local anaesthesia for cataract surgery were allocated randomly to receive either warm (37 degrees C) or cold (room temperature) plain 2% lignocaine for the injection. Pain was assessed subjectively by asking the patients to score their pain from 0 (no pain) to 10 (most severe pain imaginable). RESULTS: The mean pain score for the warm group was 2.3 (SD 1.3) in comparison with a mean score of 5.5 (1.0) for the cold group (p < 0.01). CONCLUSIONS: The process of warming lignocaine to 37 degrees C has been found to reduce significantly the pain of injection during peribulbar local anaesthesia. It is recommended that this technique be more widely adopted in order to minimise patient's discomfort.

Non-penetrating corneal foreign body injuries: factors affecting delay in rehabilitation of patients.

A review of 783 patients with non-penetrating, superficial corneal foreign bodies (FBs), indicated that delay in rehabilitation was related to two factors: (1) the size of the abrasion following removal of the FB, larger abrasions requiring longer duration of antibiotic ointment, and (2) inadequate removal of corneal rust. Allergy to chloramphenicol 1% ointment (5.5 in 1000), commonly used in the management of corneal abrasions, is unpredictable and can also impair rapid rehabilitation.

The polio survivor as expert: implications for rehabilitation nursing research.

Clients' personal experiences with illness or tragedy can uniquely qualify them as experts in many research-relevant content areas. Nurse researchers can benefit from this expertise by involving such clients in important decision-making aspects of research planning. The advantages of consulting with client-experts in the early and subsequent stages of research are discussed in this article, which uses as an example the way such consultation has worked in the development of a study of coping in polio survivors. Consultation with client-experts is especially appropriate when research involves sensitive issues or the measurement of subjects at vulnerable periods in their lives. It is advocated as a means of helping to ensure that participants are questioned in the most ethical, sensitive way possible and that the research will address the needs and concerns of the target population.