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Vegetation indices are widely used as model inputs and for non-destructive estimation of biomass and photosynthesis, but there have been few validation studies of the underlying relationships. To test their applicability on temperate fens and the impact of management intensity, we investigated the relationships between normalized difference vegetation index ( NDVI), leaf area index ( LAI), brown and green above-ground biomass and photosynthesis potential ( PP). Only the linear relationship between NDVI and PP was management independent ( R2 = 0·53). LAI to PP was described by a site-specific and negative logarithmic function ( R2 = 0·07-0·68). The hyperbolic relationship of LAI versus NDVI showed a high residual standard error (s.e.) of 1·71-1·84 and differed between extensive and intensive meadows. Biomass and LAI correlated poorly ( R2 = 0·30), with high species-specific variability. Intensive meadows had a higher ratio of LAI to biomass than extensive grasslands. The fraction of green to total biomass versus NDVI showed considerable noise (s.e. = 0·13). These relationships were relatively weak compared with results from other ecosystems. A likely explanation could be the high amount of standing litter, which was unevenly distributed within the vegetation canopy depending on the season and on the timing of cutting events. Our results show there is high uncertainty in the application of the relationships on temperate fen meadows. For reliable estimations, management intensity needs to be taken into account and several direct measurements throughout the year are required for site-specific correction of the relationships, especially under extensive management. Using NDVI instead of LAI could reduce uncertainty in photosynthesis models. [ABSTRACT FROM AUTHOR]

Drained organic soils are considered to be hotspots for greenhouse gas (GHG) emissions. Arable lands and intensively used grasslands, in particular, have been regarded as the main producers of carbon dioxide (CO2) and nitrous oxide (N2O). However, GHG balances of former peatlands and associated organic soils not considered to be peatland according to the definition of the Intergovernmental Panel on Climate Change (IPCC) have not been investigated so far. Therefore, our study addressed the question to what extent the soil organic carbon (SOC) content affects the GHG release of drained organic soils under two different land-use types (arable land and intensively used grassland). Both land-use types were established on a Mollic Gleysol (labeled Cmedium) as well as on a Sapric Histosol (labeled Chigh). The two soil types differed significantly in their SOC contents in the topsoil (Cmedium: 9.4-10.9% SOC; Chigh: 16.1-17.2% SOC). We determined GHG fluxes over a period of 1 or 2 years in case of N2O or methane (CH4) and CO2, respectively. The daily and annual net ecosystem exchange (NEE) of CO2 was determined by measuring NEE and the ecosystem respiration (RECO) with the closed dynamic chamber technique and by modeling the RECO and the gross primary production (GPP). N2O and CH4 were measured with the static closed chamber technique. Estimated NEE of CO2 differed significantly between the two land-use types, with lower NEE values (-6 to 1707 g CO2-Cm-2yr-1) at the arable sites and higher values (1354 to 1823 g CO2-Cm-2yr-1) at the grassland sites. No effect on NEE was found regarding the SOC content. Significantly higher annual N2O exchange rates were observed at the arable sites (0.23-0.86g Nm-2yr-1) than at the grassland sites (0.12-0.31 g Nm-2yr-1). Furthermore, N2O fluxes from the Chigh sites significantly exceeded those of the Cmedium sites. CH4 fluxes were found to be close to zero at all plots. Estimated global warming potential, calculated for a time horizon of 100 years (GWP100) revealed a very high release of GHGs from all plots ranging from 1837 to 7095 g CO2eq. m-2 yr-1. Calculated global warming potential (GWP) values did not differ between soil types and partly exceeded the IPCC default emission factors of the Tier 1 approach by far. However, despite being subject to high uncertainties, the results clearly highlight the importance of adjusting the IPCC guidelines for organic soils not falling under the definition in order to avoid a significant underestimation of GHG emissions in the corresponding sectors of the national climate reporting. Furthermore, the present results revealed that mainly the type of land-use, including the management type, and not the SOC content is responsible for the height of GHG exchange from intensive farming on drained organic soils. [ABSTRACT FROM AUTHOR]

Black alder (Alnus glutinosa (L.) Gaertn.) forests on peat soils have been reported to be hotspots for high nitrous oxide (N2O) losses. High emissions may be attributed to alternating water tables of peatlands and to the incorporation of high amounts of easily decomposable nitrogen (N) into the ecosystem by symbiotic dinitrogen (N2)-fixation of alder trees. Our study addressed the question to what extent drainage enhances the emissions of N2O from black alder forests and how N turnover processes and physical factors influence the production of N2O and total denitrification. The study was conducted in a drained black alder forest with variable groundwater tables at a southern German fen peatland. Fluxes of N2O were measured using the closed chamber method at two drained sites (D-1 and D-2) and one undrained site (U). Inorganic N contents and net N mineralization rates (NNM) were determined. Additionally a laboratory incubation experiment was carried out to investigate greenhouse gas and N2 fluxes at different temperature and soil moisture conditions. Significantly different inorganic N contents and NNM rates were observed, which however did not result in significantly different N2O fluxes in the field but did in the laboratory experiment. N2O fluxes measured were low for all sites, with total annual emissions of 0.51 ± 0.07 (U), 0.97 ± 0.13 (D-1) and 0.93 ± 0.08 kg N2O-N ha-1 yr-1 (D-2). Only 37% of the spatiotemporal variation in field N2O fluxes could be explained by peat temperature and groundwater level, demonstrating the complex interlinking of the controlling factors for N2O emissions. However, temperature was one of the key variables of N2O fluxes in the incubation experiment conducted. Increasing soil moisture content was found to enhance total denitrification losses during the incubation experiment, whereas N2O fluxes remained constant. At the undrained site, permanently high groundwater level was found to prevent net nitrification, resulting in a limitation of available nitrate (NO3-) and negligible gaseous N losses. N2O flux rates that were up to four times higher were measured in the incubation experiment. They reveal the potential of high N2O losses under changing soil physical conditions at the drained alder sites. The high net nitrification rates observed and high NO3- contents bear the risk of considerable NO3- leaching at the drained sites. [ABSTRACT FROM AUTHOR]

The European Position Paper on Rhinosinusitis and Nasal Polyps 2020 is the update of similar evidence based position papers published in 2005 and 2007 and 2012. The core objective of the EPOS2020 guideline is to provide revised, up-to-date and clear evidence-based recommendations and integrated care pathways in ARS and CRS. EPOS2020 provides an update on the literature published and studies undertaken in the eight years since the EPOS2012 position paper was published and addresses areas not extensively covered in EPOS2012 such as paediatric CRS and sinus surgery. EPOS2020 also involves new stakeholders, including pharmacists and patients, and addresses new target users who have become more involved in the management and treatment of rhinosinusitis since the publication of the last EPOS document, including pharmacists, nurses, specialised care givers and indeed patients themselves, who employ increasing self-management of their condition using over the counter treatments. The document provides suggestions for future research in this area and offers updated guidance for definitions and outcome measurements in research in different settings. EPOS2020 contains chapters on definitions and classification where we have defined a large number of terms and indicated preferred terms. A new classification of CRS into primary and secondary CRS and further division into localized and diffuse disease, based on anatomic distribution is proposed. There are extensive chapters on epidemiology and predisposing factors, inflammatory mechanisms, (differential) diagnosis of facial pain, allergic rhinitis, genetics, cystic fibrosis, aspirin exacerbated respiratory disease, immunodeficiencies, allergic fungal rhinosinusitis and the relationship between upper and lower airways. The chapters on paediatric acute and chronic rhinosinusitis are totally rewritten. All available evidence for the management of acute rhinosinusitis and chronic rhinosinusitis with or without nasal polyps in adults and children is systematically reviewed and integrated care pathways based on the evidence are proposed. Despite considerable increases in the amount of quality publications in recent years, a large number of practical clinical questions remain. It was agreed that the best way to address these was to conduct a Delphi exercise . The results have been integrated into the respective sections. Last but not least, advice for patients and pharmacists and a new list of research needs are included. The full document can be downloaded for free on the website of this journal: http://www.rhinologyjournal.com.

Drainage has turned peatlands from a carbon sink into one of the world's largest greenhouse gas (GHG) sources from cultivated soils. We analyzed a unique data set (12 peatlands, 48 sites and 122 annual budgets) of mainly unpublished GHG emissions from grasslands on bog and fen peat as well as other soils rich in soil organic carbon (SOC) in Germany. Emissions and environmental variables were measured with identical methods. Site-averaged GHG budgets were surprisingly variable (29.2 ± 17.4 t CO 2 -eq. ha -1  yr -1 ) and partially higher than all published data and the IPCC default emission factors for GHG inventories. Generally, CO 2 (27.7 ± 17.3 t CO 2  ha -1  yr -1 ) dominated the GHG budget. Nitrous oxide (2.3 ± 2.4 kg N 2 O-N ha -1  yr -1 ) and methane emissions (30.8 ± 69.8 kg CH 4 -C ha -1  yr -1 ) were lower than expected except for CH 4 emissions from nutrient-poor acidic sites. At single peatlands, CO 2 emissions clearly increased with deeper mean water table depth (WTD), but there was no general dependency of CO 2 on WTD for the complete data set. Thus, regionalization of CO 2 emissions by WTD only will remain uncertain. WTD dynamics explained some of the differences between peatlands as sites which became very dry during summer showed lower emissions. We introduced the aerated nitrogen stock (N air ) as a variable combining soil nitrogen stocks with WTD. CO 2 increased with N air across peatlands. Soils with comparatively low SOC concentrations showed as high CO 2 emissions as true peat soils because N air was similar. N 2 O emissions were controlled by the WTD dynamics and the nitrogen content of the topsoil. CH 4 emissions can be well described by WTD and ponding duration during summer. Our results can help both to improve GHG emission reporting and to prioritize and plan emission reduction measures for peat and similar soils at different scales., (© 2016 John Wiley & Sons Ltd.)

Objective: The purpose of this study was to determine the efficacy of treating chronic ear disease by performing a single surgical intervention in the austere environment of a developing nation., Subjects and Methods: Data were collected from retrospective chart reviews on 121 patients who underwent surgical treatment of chronic ear disease during humanitarian surgical missions in South and Central America. Surgical outcomes and clinical course were assessed at 10 to 12 months after the initial surgery., Results: A total of 117 patients were included in the study. Follow-up records were available for 75 patients (64%). A total of 20 surgeries were performed for dry perforations (group 1), 30 for chronically draining ears (group 2), and 25 for cholesteatomas (group 3). Surgical success was determined as 60 percent, 74 percent, and 92 percent for groups 1, 2, and 3, respectively., Conclusions: Surgical results during international otologic outreach missions to developing nations fall within the results expected in developed nations.