Search

Residue incorporation and organic fertilisation are recommended to increase soil organic matter (SOM) content, thus promoting the provision of multiple ecosystem services. However, the positive effect of crop residue on SOM is often considered rather low, thus requiring a deeper knowledge of their management. In addition, organic fertilisation is thought to be less efficient than mineral. In this context, it is important to understand the response of SOM pools to long-term crop residue incorporation and organic fertilisation and their effect on nutrient cycling and on feed production, in order to judge the sustainability of these practices. We carried out an in-depth multidisciplinary survey to investigate the effect of 28 years of residue incorporation combined with three different nitrogen (N) fertilisation strategies (manure, slurry and mineral) on density fractionated SOM pools differing for their turnover time, and on soil enzymatic activity in a monocropping maize system in NW Italy. Results showed that in the long-term crop production was not altered by organic fertilisation. Organic fertilisation in combination with residue incorporation led to the highest total organic C and total N content down to 90 cm, which was reflected in each SOM pool. In addition, regular applications of crop residue and manures markedly increased C- and N-degrading enzymes, thus enhancing the turnover rates of C and N. We conclude that combining crop residue with organic fertilisation enhanced the provision of regulating services and soil activity, and is a valid approach for maintaining sustainable production in agroecosystems.

BACKGROUND In blunt trauma, orthopedic injuries are often associated with cerebral and torso injuries. The optimal timing for definitive care is a concern. The aim of the study was to develop evidence-based guidelines for damage-control orthopedic (DCO) and early total care (ETC) of pelvic and long-bone fractures, closed or open, and mangled extremities in adult trauma patients with and without associated injuries. METHODS The literature since 2000 to 2016 was systematically screened according to Preferred Reporting Items for Systematic Reviews and meta-analyses protocol. One hundred twenty-four articles were reviewed by a panel of experts to assign grade of recommendation and level of evidence using the Grading of recommendations Assessment, Development, and Evaluation system, and an International Consensus Conference, endorsed by several scientific societies was held. RESULTS The choice between DCO and ETC depends on the patient's physiology, as well as associated injuries. In hemodynamically unstable pelvic fracture patient, extraperitoneal pelvic packing, angioembolization, external fixation, C-clamp, and resuscitative endovascular balloon occlusion of the aorta are not mutually exclusive. Definitive reconstruction should be deferred until recovery of physiological stability. In long bone fractures, DCO is performed by external fixation, while ETC should be preferred in fully resuscitated patients because of better outcomes. In open fractures early debridement within 24 hours should be recommended and early closure of most grade I, II, IIIa performed. In mangled extremities, limb salvage should be considered for non-life-threatening injuries, mostly of upper limb. CONCLUSION Orthopedic priorities may be: To save a life: Control hemorrhage by stabilizing the pelvis and femur fractures; to save a limb: Treat soft tissue and vascular injuries associated with fractures, stabilize fractures, recognize, and prevent compartmental syndrome; to save functionality: Treat