Interactive effects of precipitation and above canopy nitrogen deposition on understorey vascular plants in a jack pine (Pinus banksiana) forest in northern Alberta, Canada.

Elevated nitrogen (N) deposition in the bituminous sands region of northern Alberta, Canada is localized but expected to increase over time. Here we seek to determine the effects of above canopy N deposition on understorey vascular plants in a jack pine (Pinus banksiana) stand in a five-year experimental study. Aqueous N (ammonium nitrate) was applied four times annually (May through October) via helicopter above the canopy between 2011 and 2015 across a narrow but environmentally relevant N deposition gradient (0, 5, 10, 15, 20 and 25 kg N ha-1 yr-1). Changes in vascular plant species richness, diversity and total vascular cover were best explained by throughfall water flux, but the positive responses to precipitation decreased with increasing N application. Arctostaphylos uva-ursi and Maianthemum canadense showed positive cover increases in wet years; however, the positive cover expansion at ≥5 kg N ha-1 yr-1 treatments was suppressed relative to controls. Total cover expansion was muted in low precipitation years in treatments ≥10 kg N ha-1 yr-1. In contrast, Vaccinium vitis-idaea cover changes ≥10 kg N ha-1 yr-1 were consistently negative. There were no differences in soil net N mineralization rates, plant foliar N or NO3- leaching among treatments. We conjecture the extensive moss/lichen layer of the forest floor that accumulates most of incoming N in throughfall allows them to outcompete vascular plants for water during higher precipitation years, effectively reducing vascular cover expansion relative to controls. This work suggests the response of vascular plants in xeric jack pine ecosystems may interact with climate and these interactions should be considered in risk assessment studies.

Establishing trace element concentrations for lichens and bryophytes in the ring of fire region of the Hudson Bay Lowlands, Ontario, Canada.

Peatlands dominate the landscape of the Hudson Bay Lowlands in Ontario, Canada. Recently, mineral deposits of chromium (Cr), nickel (Ni), and copper (Cu) were discovered in the region and anticipated future industrial mining operations have the potential to impact the environment. Lichens and bryophytes are considered excellent biomonitors and indicators of deposition, deriving their nutrients directly from the atmosphere. Trace element concentrations in lichens and bryophytes have not been reported in the Hudson Bay Lowlands. Here, we seek to determine the baseline trace element concentrations of six non-vascular species (Evernia mesomorpha, Bryoria spp., Cladonia stellaris, Cladonia stygia, Sphagnum fuscum, and Sphagnum capillifolium) common to the region, explore linear relationships of trace elements with iron (Fe) as a signature of particulates with geogenic origin, and calculate trace element enrichment factors. Thalli, foliage, and peat (0-30 cm) were collected from 55 locations between 2013 and 2018 and analyzed for trace elements. Thalli and foliar concentrations are among the lowest reported in the broader literature and differ substantially from peat. Fe concentrations were significantly correlated (Pearson's r ≥ 0.8) with aluminum (Al), titanium (Ti), and vanadium (V) in all six species. Enrichment factors show some anthropogenic deposition effects non-vascular organism chemistry. Most trace element concentrations in lichens and bryophytes are indicative of long-range atmospheric transport of dust, but some is attributed to industry, with only minimal inclusions from the local area. Epiphytic lichens are well suited for ongoing atmospheric biomonitoring as industrialization commences.

An analysis of the utility, effectiveness and scope of advanced physiotherapy practitioners in an urgent treatment centre pilot.

BACKGROUND: The NHS Five Year Forward View explored the requirement to redesign emergency departments in England. It suggested that by December 2019, all emergency departments should aim to develop urgent treatment centres primarily led by primary care services opposed to the traditional model of being emergency physician led. This redesign aims to improve patient care by "helping people who need urgent care to get the right advice in the right place, first time". AIM: One aim was to quantify the proportional presentations of patients attending the emergency department who were suitable for management by advanced physiotherapy practitioners (APPs). A second aim was to analyse patient care delivered by APPs in comparison to other members of the multidisciplinary team. METHODS: A retrospective service evaluation was undertaken reviewing a pilot urgent treatment centre at a busy major trauma centre. Data was collected to assess number of patients seen by all multidisciplinary cohort members. This was to assess presentation patterns and compare workload delivery. RESULTS: The pilot found that APPs could assess and treat a wide range of conditions within the urgent treatment centre. APPs saw 30% of the caseload, organised similar numbers of investigations than GPs and had fewer 30 days re-attendances. CONCLUSION: The service review highlighted APP can assess, treat, discharge and appropriately refer similar numbers of patients compared to multidisciplinary colleagues. This would suggest that APPs are likely to be highly cost effective within an urgent treatment centre environment, but further study is warranted to assess clinical and cost effectiveness.

Fate and budget of poly- and perfluoroalkyl substances in three common garden plants after experimental additions with contaminated river water.

Poly- and perfluoroalkyl substances (PFAS) have become ubiquitous contaminants in the environment. Contamination of the terrestrial ecosystem can occur from the release of aqueous film forming foams (AFFF) used in firefighting operations. Following soil contamination with AFFF, studies report root uptake and translocation of PFAS to other plant organs, typically favouring the short chain moiety. This body of experimental work often focuses on edible organs and generally lacks entire PFAS budgets. Here, we calculate short chain (≤6 carbons) and long chain (≥6 or ≥ 7 carbons) PFAS concentrations and respective budgets for terrestrial multimedia mesocosms (plants, soil and lysimeter) of three common agricultural plants (tomato, lettuce and beet) following irrigation with low level PFAS (<1 µg L-1) contaminated river water (short chain: 167 ng L-1; long chain 526 ng L-1). Total net recoveries were strong, ranging between 91% and 118% of added PFAS across all media. While soil was the largest receptor of PFAS in general (∼70% and 115%), there was considerable mobility to various media, including vegetation (∼3% and 20%) and leachate (∼1%). Translocation of short chain PFAS to tomato flowers resulted with biomagnified concentrations (maximus >4000 ng g-1) and accounted for 1.4% of PFAS additions. While smaller tomato fruits had higher concentrations of short chain PFAS, larger fruit had more total PFAS mass. This work provides a detailed description of the fate of short and long chain PFAS when added to relatively uncontaminated terrestrial agricultural systems. We show low-level PFAS concentrations from real-world irrigation sources can affect various receptors across the multimedia landscape. This is most evident in tomato flowers and fruit where biomagnification and high total masses of short chain PFAS occurred which could have implications for pollinators and consumption, respectively.

Reliability of clinical tests for prediction of occult scaphoid fractures and cost benefit analysis of a dedicated scaphoid pathway.

We reviewed the outcomes of our dedicated clinic for suspected scaphoid fractures. The primary outcome measure was to test the reliability of accurately diagnosing an occult scaphoid fracture with a combination of anatomical snuff box, scaphoid tubercle, longitudinal compression tenderness, ulnar deviation and the pinch test. Cost savings of the new patient pathway was our secondary outcome measure. Between December 2016 and March 2020, 922 patients were recruited at a mean of 12 days post-injury. Sixty-five per cent (n = 602) with a low clinical suspicion were discharged and 35% (n = 320) with a high clinical suspicion had same day MRI scan. Fifty-eight scaphoid fractures were diagnosed and treated with no nonunions reported. Anatomical snuff box tenderness was the most sensitive test (90%). A combination of five tests better excluded an occult fracture (80% accuracy). The dedicated scaphoid clinic pathway resulted in 350 fewer follow-up visits and an overall saving of £59,666.Level of evidence: III.

Accumulation of metals and polycyclic aromatic hydrocarbons in agricultural soil after additions of street sediment in southern Ontario.

Prior to 2012 street sediment from the Greater Toronto Area was being managed by a local authority and provided to rural landowners under the assumption it was clean fill. The aim of this study was to characterise the chemical and physical composition of that street sediment applied to an agricultural field in southwestern Ontario, Canada and determine if contaminants had migrated to native soil. Soil was sampled from an impact and a background location during the fall of 2016 at four soil depths (0-10, 10-20, 20-30 and 30-40 cm below the surface) to characterise texture, pH, organic content, recoverable metals and total polycyclic aromatic hydrocarbons (PAHs). Textural analysis revealed street sediment was dominated by very coarse and coarse sand which differed from the native silty clay loam and extended to 30 cm below the surface. Some PAHs, including benzo(a)pyrene (1.29 µg g-1) exceeded the typical regional background concentrations. A distinct pattern of high molecular mass PAHs in the native soil below street sediments suggests that PAHs have migrated to native soil. To our knowledge this is the first study to report PAH concentrations in street sediment in Ontario and to show their potential movement and introduction to native soil. Future studies should focus on transport mechanisms and understanding movement of PAHs in native coarse textured soil.

Probability of foliar injury for Acer sp. based on foliar fluoride concentrations.

Fluoride is considered one of the most phytotoxic elements to plants, and indicative fluoride injury has been associated over a wide range of foliar fluoride concentrations. The aim of this study was to determine the probability of indicative foliar fluoride injury based on Acer sp. foliar fluoride concentrations using a logistic regression model. Foliage from Acer nedundo, Acer saccharinum, Acer saccharum and Acer platanoides was collected along a distance gradient from three separate brick manufacturing facilities in southern Ontario as part of a long-term monitoring programme between 1995 and 2014. Hydrogen fluoride is the major emission source associated with the manufacturing facilities resulting with highly elevated foliar fluoride close to the facilities and decreasing with distance. Consistent with other studies, indicative fluoride injury was observed over a wide range of foliar concentrations (9.9-480.0 µg F- g-1). The logistic regression model was statistically significant for the Acer sp. group, A. negundo and A. saccharinum; consequently, A. negundo being the most sensitive species among the group. In addition, A. saccharum and A. platanoides were not statistically significant within the model. We are unaware of published foliar fluoride values for Acer sp. within Canada, and this research provides policy maker and scientist with probabilities of indicative foliar injury for common urban Acer sp. trees that can help guide decisions about emissions controls. Further research should focus on mechanisms driving indicative fluoride injury over wide ranging foliar fluoride concentrations and help determine foliar fluoride thresholds for damage.

Impacts of nitrogen deposition on herbaceous ground flora and epiphytic foliose lichen species in southern Ontario hardwood forests.

In this study 70 sugar maple (Acer saccharum Marsh.) dominated plots in Ontario, Canada were sampled in the spring of 2009 and 2010 and herbaceous plant and epiphytic foliose lichen species data were compared against modeled N and S deposition data, climate parameters and measured soil and plant/lichen S and N concentration. Herbaceous plant species richness was positively correlated with temperature and indices of diversity (Shannon Weiner and Simpson's Index) were positively correlated with soil pH but not N or S deposition or standardized foliar N scores. Herbaceous community composition was strongly controlled by traditional factors, but there was a small and significant influence of atmospheric S and N deposition. Epiphytic lichen species richness exhibited a strong negative relationship with standardized foliar N score and only one lichen species (Phaeophyscia rubropulchra) was observed at sites with a standardized foliar N score of 0.76.

Characterizing the influence of highways on springtime NO2 and NH3 concentrations in regional forest monitoring plots.

Highways are major sources of nitrogen dioxide (NO2) and ammonia (NH3). In this study, springtime NO2 and NH3 concentrations were measured at 17 Ontario Forest Biomonitoring Network (OFBN) plots using passive samplers. Average springtime NO2 concentrations were between 1.3 µg m(-3) and 27 µg m(-3), and NH3 concentrations were between 0.2 µg m(-3) and 1.7 µg m(-3), although concentrations measured in May (before leaf out) were typically twice as high as values recorded in June. Average NO2 concentrations, and to a lesser extent NH3, could be predicted by road density at all radii (around the plot) tested (500 m, 1000 m, 1500 m). Springtime NO2 concentrations were predicted for a further 50 OFBN sites. Normalized plant/lichen N concentrations were positively correlated with estimated springtime NO2 and NH3 concentrations. Epiphytic foliose lichen richness decreased with increasing NO2 and NH3, but vascular plant richness was positively related to estimated springtime NO2 and NH3.

Can glenohumeral joint isokinetic strength and range of movement predict injury in professional rugby league.

OBJECTIVE: To isokinetically record shoulder strength scores and range of motion in a professional rugby league squad. To prospectively monitor injuries over a season looking for associations between measured variables and injury. DESIGN: A cohort study design involving prospective screening of risk factors with subsequent injury surveillance. SETTING: University Sports Science Laboratory and Professional Rugby League Club. PARTICIPANTS: All players participating in the clubs reserve team squad for the 2011 season (n = 20). MAIN OUTCOME MEASURES: Concentric (Con) and eccentric (Ecc) peak torque values; ratio of Ecc internal rotation IR to Con external rotation ER, also known as the dynamic control ratio (DCR), shoulder range of IR and ER. RESULTS: Eight players (36%) received a total of eleven injuries over the season. There were no statistically significant differences between injured and non-injured shoulders. IR range of movement was significantly lower in injured versus non-injured groups with left (p = 0.022) and right (p = 0.024). Left IR range of movement was predictive of injury using binary logistic regression (p = 0.046). No isokinetic strength parameters reached statistical significance (p > 0.05) for prediction of injury; however size effects were apparent for reduced con IR of the left shoulder and Ecc IR of both shoulders. CONCLUSION: Reduced shoulder IR range appears predictive of future shoulder injury although caution is drawn due to small participant numbers. Injury prevention strategies for rugby league players should include exercises to improve shoulder IR and possibly Ecc IR strength.

Critical reflection of the advanced rehabilitation of an elite rugby league player sustaining a posterior Bankart lesion.

The following is a critical description and discussion of the successful assessment and rehabilitation of a right shoulder posterior Bankart repair in an elite rugby league player. The rehabilitation follows accelerated, goal based guidelines, widely adopted in current sports practice but not well documented in the literature (Funk & Snow, 2007; Park, Lin, Yokota, & McFarland, 2004). The study serves to be the first critical discussion of such a regime.

Coordination variability during load carriage walking: can it contribute to low back pain?

Load carriage walking is frequently associated with low back pain. Mechanical stress is a potential cause of such pain, and a lack of coordination variability may produce mechanical stress. We tested the hypothesis that coordination variability would decrease during load carriage walking. We examined the trunk-thigh coordination variability in the sagittal and frontal planes and the thorax-pelvis coordination variability in the transverse plane. Ten healthy participants were recruited to perform unloaded and load carriage walking. Coordination variability was quantified as the standard deviation of continuous relative phase between two segments across a number of walking trials. During load carriage walking, the coordination variability significantly increased rather than decreased in the sagittal and transverse planes, and it did not change significantly in the frontal plane compared to those during unloaded walking. The findings rejected the hypothesis and suggested that reduced coordination variability may not predict the development of low back pain associate with load carriage walking in healthy people.

Temporal relationship between trunk and thigh contributes to balance control in load carriage walking.

Load carriage walking (LCW) challenges a person's balance as the load increases their forward trunk inclination, shifting the center of mass (COM) forward with respect to the base of support (BOS). We examined LCW to understand whether and how healthy people adjust the temporal relationship (TR) between the trunk and leg for balance control. Ten subjects were recruited to perform unloaded walking and LCW. The TR between the trunk and leg was measured by the continuous relative phase. The maximum forward displacement of the COM with respective to the BOS (FDCOM(BOS)) was recorded during the stance phase. We found that the TR was shifted in LCW, and the shift was associated with a decrease in the maximum FDCOM(BOS). The findings suggest that the TR between the trunk and leg contributes to balance control, and it may be a variable that needs to be addressed in gait rehabilitation.