Tillage Research in Ohio A Guide to the Selection of Profitable Tillage Systems

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Estuarine Infauna Within Incidentally Retained Sediment in Artificial Rockpools

Artificial coastal structures (ACSs) are primarily designed to provide services for human use, such as flood defence or shipping, and are generally poor for marine biodiversity. Consequently, there has been significant research effort to enhance these hard structures to increase biodiversity and habitat availability via eco-engineering. On seawalls and breakwaters, this has included the creation of habitats for benthic species found on natural rocky shores, including the provision of cracks, crevices and water retaining features, such as artificial rockpools. When sediment retention in these features has occurred, it has often been deemed detrimental to the overarching aim of the intervention. Yet, it is soft sediment habitat that is impacted the most through coastal construction. As ecological enhancement of a flood defence scheme, nine concrete retrofit rockpools were installed at three different tidal elevations between mean high water neap tide and mean tide level on steel sheet piling on the Arun Estuary in Littlehampton Harbour, United Kingdom, which naturally filled with mud 1 year after installation. To explore how analogous the faunal assemblages and sediment profile of rockpool mud were to two local mudflats, core samples were taken and analysed for species richness, abundance, biomass, assemblage structure, median grain size, and organic matter content. More benthic species were observed in the artificial rockpool than in the local mudflats. Although the rockpools were placed at higher tidal levels than the lower shore mudflat, their assemblage structure and species richness were more similar to the lower shore mudflat at the base of the sheet piling than the upper shore mudflat. This study demonstrates that retained sediment within eco-engineered features on hard ACSs can create habitat for benthic assemblages. Providing sediment-retentive features on ACSs has the potential to provide a novel eco-engineering option that may be appropriate for some heavily modified waterbodies on sheltered, depositional coasts

Maintained physical activity and physiotherapy in the management of distal upper limb pain – a protocol for a randomised controlled trial (the arm pain trial)

<b>Background</b><p></p> Distal upper limb pain (pain affecting the elbow, forearm, wrist, or hand) can be non-specific, or can arise from specific musculoskeletal disorders. It is clinically important and costly, the best approach to clinical management is unclear. Physiotherapy is the standard treatment and, while awaiting treatment, advice is often given to rest and avoid strenuous activities, but there is no evidence base to support these strategies. This paper describes the protocol of a randomised controlled trial to determine, among patients awaiting physiotherapy for distal arm pain, (a) whether advice to remain active and maintain usual activities results in a long-term reduction in arm pain and disability, compared with advice to rest; and (b) whether immediate physiotherapy results in a long-term reduction in arm pain and disability, compared with physiotherapy delivered after a seven week waiting list period.<p></p> <b>Methods/Design</b><p></p> Between January 2012 and January 2014, new referrals to 14 out-patient physiotherapy departments were screened for potential eligibility. Eligible and consenting patients were randomly allocated to one of the following three groups in equal numbers: 1) advice to remain active, 2) advice to rest, 3) immediate physiotherapy. Patients were and followed up at 6, 13, and 26 weeks post-randomisation by self-complete postal questionnaire and, at six weeks, patients who had not received physiotherapy were offered it at this time. The primary outcome is the proportion of patients free of disability at 26 weeks, as determined by the modified DASH (Disabilities of the Arm, Shoulder and Hand) questionnaire.<p></p> We hypothesise (a) that advice to maintain usual activities while awaiting physiotherapy will be superior than advice to rest the arm; and (b) that fast-track physiotherapy will be superior to normal (waiting list) physiotherapy. These hypotheses will be examined using an intention-to-treat analysis.<p></p> <b>Discussion</b><p></p> Results from this trial will contribute to the evidence base underpinning the clinical management of patients with distal upper limb pain, and in particular, will provide guidance on whether they should be advised to rest the arm or remain active within the limits imposed by their symptoms

Le FORUM, Vol. 36 No. 3

https://digitalcommons.library.umaine.edu/francoamericain_forum/1034/thumbnail.jp

Le FORUM, Vol. 36 No. 4

https://digitalcommons.library.umaine.edu/francoamericain_forum/1035/thumbnail.jp