Inequity in exercise-based interventions for adults with rheumatoid arthritis: a systematic review.

Objectives: This systematic review describes the extent to which PROGRESS-Plus equity factors were considered in the eligibility criteria of trials of exercise interventions for adults with RA.

Methods: Electronic databases were searched for published (Cinahl, Embase, Medline, Physiotherapy Evidence Database), unpublished (Opengrey) and registered ongoing (International Standard Randomized Controlled Trial Number registry) randomized controlled trials (RCTs) of exercise interventions for adults with RA. Two authors independently performed study selection and quality assessment (Cochrane risk of bias tool).

Accumulation of trace metals in freshwater macroinvertebrates across metal contamination gradients.

Historical mining activities cause widespread, long-term trace metal contamination of freshwater ecosystems. However, measuring trace metal bioavailability has proven difficult, because it depends on many factors, not least concentrations in water, sediment and habitat. Simple tools are needed to assess bioavailabilities.

The Impact of Metal-Rich Sediments Derived from Mining on Freshwater Stream Life.

Metal-rich sediments have the potential to impair life in freshwater streams and rivers and, thereby, to inhibit recovery of ecological conditions after any remediation of mine water discharges. Sediments remain metal-rich over long time periods and have long-term potential ecotoxicological interactions with local biota, unless the sediments themselves are physically removed or replaced by less metal-rich sediment. Laboratory-derived environmental quality standards are difficult to apply to the field situation, as many complicating factors exist in the real world.

Caddisflies Hydropsyche spp. as biomonitors of trace metal bioavailability thresholds causing disturbance in freshwater stream benthic communities.

Demonstration of an ecotoxicological effect of raised toxic metal bioavailabilities on benthic macroinvertebrate communities in contaminated freshwater streams typically requires the labour-intensive identification and quantification of such communities before the application of multivariate statistical analysis. A simpler approach is the use of accumulated trace metal concentrations in a metal-resistant biomonitor to define thresholds that indicate the presence of raised trace metal bioavailabilities causing ecotoxicological responses in populations of more metal-sensitive members of the community. We explore further the hypothesis that concentrations of toxic metals in larvae of species of the caddisfly genus Hydropsyche can be used to predict metal-driven ecotoxicological responses in more metal-sensitive mayflies, especially ephemerellid and heptageniid mayflies, in metal-contaminated rivers.

Metal accumulation and toxicity: the critical accumulated concentration of metabolically available zinc in an oyster model.

Invertebrates typically carry out detoxification of accumulated metals. There is, therefore, no threshold total body concentration of accumulated metal initiating toxicity, the onset of toxic effects rather being related to a critical concentration of metabolically available (MA) accumulated metal. The challenge remains as to whether any particular combination of subcellular fractions of accumulated metal can be identified to represent this theoretical MA component.