A Simulation-Based Assessment of Alternative Explanations for Apparent Confounding in “PM Decomposition” Studies

Environmental Modeling & Assessment - Determining whether there is a causal link between chronic exposure to PM2.5 (atmospheric particulate matter with a diameter of 2.5 µm or...     

Vascular plant extinction in the continental United States and Canada

Extinction rates are expected to increase during the Anthropocene. Current extinction rates of plants and many animals remain unknown. We quantified extinctions among the vascular flora of the continental United States and Canada since European settlement. We compiled data on apparently extinct species by querying plant conservation databases, searching the literature, and vetting the resulting list with botanical experts. Because taxonomic opinion varies widely, we developed an index of taxonomic uncertainty (ITU). The ITU ranges from A to F, with A indicating unanimous taxonomic recognition and F indicating taxonomic recognition by only a single author. The ITU allowed us to rigorously evaluate extinction rates. Our data suggest that 51 species and 14 infraspecific taxa, representing 33 families and 49 genera of vascular plants, have become extinct in our study area since European settlement. Seven of these taxa exist in cultivation but are extinct in the wild. Most extinctions occurred in the west, but this outcome may reflect the timing of botanical exploration relative to settlement. Sixty-four percent of extinct plants were single-site endemics, and many occurred outside recognized biodiversity hotspots. Given the paucity of plant surveys in many areas, particularly prior to European settlement, the actual extinction rate of vascular plants is undoubtedly much higher than indicated here.     

Occupational risk of exposure to methicillin-resistant Staphylococcus aureus (MRSA) and the quality of infection hygiene in nursing homes

• Staff members were not colonised with MRSA. • But staff were exposed to MRSA from air, sedimented dust and surfaces. • MRSA was found in the rooms of MRSA-colonised residents but not in common areas. • Staff worry about MRSA and spreading it to other residents, family, and acquaintances. • The use of protective eyewear and facemasks could be improved. Methicillin-resistant Staphylococcus aureus (MRSA) is an increasing health concern across the globe and is often prevalent at long-term care facilities, such as nursing homes. However, we know little of whether nursing home staff is exposed to MRSA via air and surfaces. We investigated whether staff members at nursing homes are colonised with and exposed to culturable MRSA, and assessed staff members’ self-reported knowledge of MRSA and compliance with infection hygiene guidelines. Five nursing homes with MRSA positive residents were visited in Copenhagen, Denmark. Personal bioaerosol exposure samples and environmental samples from surfaces, sedimented dust and bioaerosols were examined for MRSA and methicillin-susceptible S. aureus (MSSA) to determine occupational exposure. Swabs were taken from staffs’ nose, throat, and hands to determine whether they were colonised with MRSA. An online questionnaire about MRSA and infection control was distributed. No staff members were colonised with MRSA, but MRSA was detected in the rooms of the colonised residents in two out of the five nursing homes. MRSA was observed in air (n = 4 out of 42, ranging from 2.9–7.9 CFU/m³), sedimented dust (n = 1 out of 58, 1.1 × 10³ CFU/m²/d), and on surfaces (n = 9 out of 113, 0.04–70.8 CFU/m²). The questionnaire revealed that half of the staff members worry about spreading MRSA to others. Identified aspects for improvement were improved availability and use of protective equipment, not transferring cleaning supplies (e.g., vacuum cleaners) between residents’ rooms and to reduce worry of MRSA, e.g., through education.     

Remediation of chloroform in fine-textured soil using zero-valent iron

Chloroform, a probable human carcinogen, is mainly produced anthropogenically for industrial use and may be released to the environment from a large number of sources related to its manufacture and use, including pulp and paper mills, hazardous waste sites, and sanitary landfills. Remediation of chloroform through conventional technologies has been met with limited success due to the conditions required and the formation of hazardous substances such as dichloromethane. The objective of this study was to investigate chloroform reduction in multicontaminated fine-textured soil using zero-valent iron (Fe⁰) in anaerobic microcosms. Four amended matrices were tested: simple matrix control (glass beads), soil matrix control (glass beads + soil), Fe⁰ in a simple matrix (glass beads + Fe⁰), and Fe⁰ in a soil matrix (soil + Fe⁰). Headspace chloroform and its transformation products dichloromethane, chloromethane, and methane were measured over 230 days and during short intervals in the initial 3 days. Chloroform (~0.3 mM initial mass) persisted in both control microcosms but was completely transformed in microcosms containing soil + Fe⁰ by 12 h and glass beads + Fe⁰ by 48 h. Reductive dechlorination of chloroform occurred with simultaneous production of dichloromethane (~0.11 to 0.14 mM mass) and chloromethane (~0.02 to 0.13 mM mass). Little methane (~0.07 to 0.26 μM mass) production as an end product of chloroform reduction was observed in microcosms amended with Fe⁰. Produced dichloromethane and chloroform almost disappeared by 230 days. The results showed a complete chloroform transformation pathway that has good potential for the remediation of chlorinated compounds in fine-textured soil. The role of soil clay minerals in redox reactions can be further investigated to improve the reductive dechlorination of chlorinated compounds in contaminated environments.     

Performance of comprehensive first trimester fetal anatomy assessment

Objective

Ultrasound assessment of the fetal anatomy and fetal echocardiography are feasible in the first trimester of pregnancy. This study was designed to assess the performance of a comprehensive fetal anatomy assessment in a high-risk population at a tertiary fetal medicine unit.

Methods

A retrospective review of high-risk patients undergoing comprehensive fetal anatomy ultrasound assessment between 11 weeks and 13 + 6 weeks of gestation was conducted. Findings of the early anatomy ultrasound scan were compared with those of the second trimester anatomy scan, and birth outcomes or post-mortem results.

Results

Early anatomy ultrasounds were performed in 765 patients. The sensitivity of the scan for detecting fetal anomalies compared to the birth outcome was 80.5% (95% CI 73.5–86.3) and specificity was 93.1% (95%CI 90.6–95.2). Positive and negative predictive values were 78.5% (95% CI 71.4–84.6) and 93.9% (95% CI 91.4–95.8), respectively. The most missed and overdiagnosed abnormalities were ventricular septal defects. The second trimester ultrasound had sensitivity of 69.0% (95% CI 55.5–80.5) and specificity of 87.5% (95% CI 84.3–90.2).

Conclusions

In a high-risk population, early assessments had similar performance metrics as the second trimester anatomy ultrasound. We advocate for a comprehensive fetal assessment in the care of high-risk pregnancies.