First report of Apple bitter rot caused by Colletotrichum godetiae in Ontario

Bitter rot is an emerging disease of apple (Malus domestica) fruit in Ontario in part due to changing weather conditions. The disease was mostly documented in warm and humid regions such as the southern USA, and Central and South America. Thirteen Ontario orchards in the fall of 2019 and 15 in 2020 were scouted for bitter rot based on their previous history of the disease. 100 fruit were collected from ten asymptomatic trees per cultivar and two susceptible cultivars, 'Empire' and 'Ambrosia' were scouted per orchard. If an orchard did not have either one of these cultivars, 'Honeycrisp' or 'Gala' were used. The fruit was stored at 4-5 oC for five months and then left at 22 oC for two weeks and assessed thereafter for bitter rot symptoms. Monoconidial cultures of Colletrotrichum spp. were established from the symptomatic fruit using potato dextrose agar media with antibiotics at 22 oC 14-hour light cycles. The fungal isolates were divided into two groups based on colony morphology observations seven days after culturing. The first group showed light grey, cottony, aerial mycelium on top and a pink to dark red color on the reverse of the plate. The second group showed light to dark grey, cottony mycelium on top and dark green colonies on the reverse of the plate. It is difficult to identify Colletrotricuhum species solely based on morphology, therefore the representative isolates from each group were used for multilocus gene sequencing and species identification. Genomic DNA was extracted using the Qiagen DNeasy Plant Mini Kit according to the manufacturer's protocols. The ITS region was amplified and sequenced using the primers ITS-1F (Grades & Bruns 1993) and ITS-4 (White et al. 1990). Primers T1 and T2 (O'Donnell & Cigelnik 1997) were used to amplify and sequence the 750 bp region of the TUB gene. Primers GDF1 and GDR1 (Guerber et. al. 2003) were used to amplify a 280 bp region of the GADPH gene. Following an NCBI nucleotide blast search, the isolates from group 1 were identified as C. fioriniae.The ITS sequences of group 2 isolates were matched 100% to the Colletotrichum godetiae type strain CBS133.44 and they were 99% matched to the closest species C. Johnstonii CBS128532. The TUB sequences matched 100% identity to 20 sequences belonging to C. godetiae, 99.59 % identity to C. godetiae type strain CBS133.44, and 97.75% to C. Johnstonii CBS128532. The GADPH sequences matched with 100% identity to C. godetiae ON241087.1 or MT816329.1 and 99-99.5% identity to the type strain CBS133.44 and 98.61-99% identity to CBS128532. Based on the blast results the group 2 isolates were identified as C. godetiae and their sequences were submitted to GenBank with ID OP702962 for ITS and OP972240 and OP972241 for GADPH and OP972242 for the TUB gene. Out of 50 isolates collected in this work, 94% belonged to group 1 and 6% belonged to group 2. Koch's postulates were performed on selected isolates by artificial inoculation of 5 healthy detached fruits of the cultivar, 'Empire.' Fruit surfaces were wiped with 70% ethanol, dried, wounded with a sterile needle, and then inoculated with a 10 µl of spore suspension containing 1x10^6 spores /ml. Inoculated fruits were incubated in a humid chamber at 22°C in dark. Symptoms started to appear at 5 days post-inoculation and looked like small brown circular lesions which developed orange spore masses as they grew into larger lesions. The non-inoculated control fruit did not develop lesions. Fungal colonies were established from the spores collected from the inoculated fruit and found to have identical morphological characteristics to the original isolates. C. godetiae has previously been reported to cause bitter rot in apples from various countries in Europe (Baroncelli et al. 2014; Munda, 2014; Wenneker et al. 2016). C. fioriniae has previously been reported as the dominant species causing bitter rot in apples although other species including C. chrysophilum and C. noveboracense have also been reported as causal agents from the Eastern USA (Khodadadi et al. 2020). To the best of our knowledge, this is the first report of Colletotrichum godetiae causing the bitter rot of apples in Ontario, Canada.

First Report of Magnaporthe poae, Cause of Summer Patch Disease on Annual Bluegrass, in Canada

The ectotrophic, root-infecting fungus Magnaporthe poae Landschoot & Jackson, the causal agent of summer patch disease in the U.S. (2), is implicated in the damage and loss of annual bluegrass (Poa annua L.) on golf course greens. This pathogenic fungus, one of the important root pathogens of turfgrass, attacks and colonizes susceptible turfgrass roots suffering from environmental or cultural stresses. Over 100 turf samples that exhibited symptoms (chlorotic circular or irregular patches of ≥15 cm in diameter with necrotic crowns and discolored roots) reminiscent of summer patch were collected from 77 southwestern Ontario golf courses from July to August of 2009 and 2010. Roots and crowns were often covered with dark, ectotrophic runner hyphae, lobed hyphopodia, and growth cessation structures, characteristic of M. poae. Sections of root tissue were surface sterilized in 0.6% sodium hypochlorite (NaOCl) for 5 min. Sterilized root tissue was plated on potato dextrose agar (PDA) containing 50 mg L^-1 streptomycin sulfate and incubated at 28°C for 7 to 10 days. A fungus with morphological characteristics (hyaline mycelium that appears gray or olive-brown when mature) similar to those of M. poae (1) was consistently isolated (≥100 isolates were obtained) and used to identify M. poae through molecular techniques and Koch's postulates. DNA was extracted from the fungal mycelium of the collected isolates using the PowerPlant DNA isolation kit (MO BIO Laboratories, Inc., Carlsbad, CA). The rDNA internal transcribed spacer (ITS) regions of the isolates (≥100 isolates) were amplified by PCR using universal fungal rDNA primers ITS 4 (5'-TCCTCCGCTTATTGATATGC-3') and ITS 5 (5'- GGAAGTAAAAGTCGTAACAAGG-3') (3). The purified PCR products were sequenced (GenBank Accession No. JX134588 through JX134601) and a BLAST search exhibited seven isolates with 99% (MAG3, MAG6, MAG13, MAG16, and MAG17) and 100% (MAG1 and MAG14) similarity to M. poae in the GenBank database. Pathogenicity of four isolates (MAG1, MAG3, MAG6, and MAG14) was confirmed with Koch's postulates. Sixteen healthy P. annua core samples (four replicates of each treatment/isolate) collected from an Ontario golf course were inoculated with 25 mg M. poae-infested Kentucky bluegrass seed (Poa pratensis L.; 12.5 mg inoculum applied at the surface of the potting medium and 12.5 mg inoculum applied on the foliar surface) and were placed in a growth chamber with 12-h day/night cycles at 30/25°C and approximate relative humidity. After 2 to 3 weeks, inoculated plants exhibited chlorotic foliage and necrotic roots covered with dark ectotrophic runner hyphae and lobed hyphopodia. Infected root sections from each replication were surface sterilized and placed on PDA containing 50 mg L^-1 streptomycin sulfate. The fungal cultures exhibited morphological characteristics consistent with M. poae (1). To our knowledge, this is the first report of summer patch caused by M. poae in Canada. References: (1) B. B. Clarke and A. B. Gould, eds. Turfgrass Patch Diseases Caused by Ectotrophic Root-Infecting Fungi. The American Phytopathological Society, St. Paul, MN, 1993. (2) P. J. Landschoot and N. Jackson. Mycol. Res. 93:59, 1989. (3) T. J. White et al. Amplification and direct sequencing of fungal ribosomal RNA genes for phylogenetics. Pages 315-322 in: PCR Protocols: A Guide to Methods and Applications. M. A. Innis et al. eds. Academic Press, San Diego, CA, 1990.

Population Dynamics of Plant-Parasitic Nematodes in Golf Course Greens Turf in Southern New England

The distribution, frequency, and population levels over time of plant-parasitic nematodes were surveyed on 114 greens from 38 different golf courses throughout southern New England. Sampling took place in the spring, summer, and fall of 2003 and 2004. The predominant genera of phytoparasitic nematodes recovered from soil samples were Tylenchorhynchus, Helicotylenchus, Criconemella, Hoplolaimus, and Heterodera. Tylenchorhynchus and Helicotylenchus spp. were the most common, found in all 38 golf courses sampled. Population levels were significantly higher (α = 0.05) in 2004 than in 2003 for Criconemella, Tylenchorhynchus, and Heterodera juveniles. There was a significant effect of season on population levels of Criconemella, Tylenchorhynchus, and Heterodera juveniles in the 2003 sampling year, and on Helicotylenchus, Tylenchorhynchus, and Heterodera juveniles in 2004. Population levels were highest in the fall for all genera except for Tylenchorhynchus, which were highest in the summer for both years. The results of this study suggest that parasitic nematodes are present in relatively high numbers in golf course turf soils in southern New England, and that there are variations in the dynamics of population levels among the different genera found in the area.

Fluid resuscitation in acutely injured patients

Injuries are the third leading cause of death in the United States, exceeded only by heart disease and cancer. The success of resuscitation after an acute injury is dependent on providing adequate oxygenation, restoring intravascular fluid volume, and maintaining optimum cardiac output and cellular perfusion. Fluid resuscitation is essential to the successful management of hemorrhagic shock; it involves obtaining venous access, administration of the appropriate type and amount of fluid and blood products, and ongoing monitoring of the patient. There are special considerations in fluid resuscitation for the pediatric and burn patient. Care of the trauma patient is a dynamic process and requires ongoing evaluation of clinical parameters. Fluid resuscitation is a central component in the overall management of the trauma patient.

Air bags: a major advance in injury control

Motor vehicle related injury is the number one cause of injury related to morbidity and mortality, exceeding 5 million injuries per year. There is a growing body of scientific evidence that motor vehicles equipped with air bags make a significant impact in reducing both the severity of injury and the overall fatality rate. Nurses are a key resource in the prevention and mitigation of motor vehicle related injury. Nurses must not only be knowledgeable in the vital role that air bags play in motor vehicle crashes, but actively promote and educate individuals and groups regarding injury prevention programs that focus on air bags. Nurses also play an essential role in this approach to injury through the development of partnerships among businesses, government, health care, community groups, and consumers.

A 39-year-old man with acute hemolytic crisis secondary to intravenous injection of hydrogen peroxide

The diagnosis of cancer or its recurrence is often emotionally devastating for patients and those close to them. People may have a great deal of difficulty accepting the diagnosis and may seek others' opinions about the best course of treatment. When a physician projects that there is no hope, or if a cure is no longer probable, the patient and those close to him or her may feel helpless and hopeless. Given the resultant psychologic turmoil, the patient may be led to try unproven methods. Such methods, often referred to as "cancer quackery," represent a person's attempt to reassert personal control in response to these feelings of helplessness and hopelessness. Cancer quackery involves about $2 billion each year in the United States alone. One study demonstrated that approximately 39% of the pediatric outpatients studied had either tried, considered, or received recommendations for unproven methods of cancer treatment. Laetrile and faith healing were the most frequent methods used. One of the most recent of the unproven methods of cancer treatment that have been shown to cause life-threatening complications is IV injection of hydrogen peroxide. The scientific rationale behind this procedure is still unclear, but the side effects are clearly life threatening.

Assessment of the person with AIDS in the emergency department

It is difficult to describe a "typical" clinical picture of a person with acquired immunodeficiency syndrome (AIDS) who is seen in the emergency department. The clinical course and the early clinical manifestations that lead to the initial diagnosis of AIDS vary greatly. Variability is the rule, because the patient with AIDS may manifest a wide range of signs and symptoms--from those associated with a minor illness to those indicative of a critical near-death state. Indeed, some patients with AIDS have no complaints or relatively minor constitutional complaints before becoming acutely compromised as a result of an overwhelming opportunistic infection. Other patients have a relatively short history (weeks to months) of vague, nonspecific complaints.

Perception of treatment needs: differences between patients and staff of a drug abuse treatment program

Patients and staff of the Seattle Veterans Administration Drug Dependency Treatment Program were surveyed to elicit their perception of treatment priorities in establishing a series of educationally oriented short-term groups. Comparisons of priorities were made between patients and staff, methadone and polydrug patients, and patients with alcohol problems and those without alcohol problems. After the survey a series of short-term groups was established and attendance was kept. It was found in general that the groups which patients thought had higher priority in their treatment--including drug and medical information, stress management, and money management--were better attended.