Association of generalized dystrophic epidermolysis bullosa with positive acetylcholinesterase and markedly elevated maternal serum and amniotic fluid alpha-fetoprotein

A case of fatal generalized dystrophic epidermolysis bullosa is described in a prematurely born female whose mother had strikingly elevated mid-trimester serum and amniotic fluid alpha-fetoprotein concentrations, a positive amniotic fluid acetylcholinesterase band, and negative serial ultrasound studies. This case lends further support to an association between autosomal recessive generalized dystrophic epidermolysis bullosa and increased levels of alpha-fetoprotein, positive amniotic fluid acetylcholines'terase, and normal ultrasound findings.     

Influence of canola and sunflower diet amendments on cattle feedlot manure

Cattle (Bos taurus) producers can replace a part of the traditional diet of barley (Hordeum vulgare L.) grain/silage with sunflower (Helianthus annus L.) seeds or canola meal (Brassica napus L.)/oil to enhance conjugated linoleic acids (CLA) content in milk and meat for its positive health benefits. The objective of this study is to investigate the effects of feeding sunflower or canola to finishing steers on cattle manure chemical properties and volatile fatty acid (VFA) content. The control diet contained 84% rolled barley and 15% barley silage, which provided only 2.6% lipid. The other six treatments had 6.6 to 8.6% lipid delivered from sources such as hay, sunflower seed (SS), canola meal/oil, and SS forage pellets. Manure samples (a mixture of cattle urine, feces, and woodchip bedding materials) were collected and analyzed after cattle had been on these diets for 113 d. The dietary source and level of lipid had no effect on organic N and nitrate N content in manure, but significantly affected ammonia N and VFA. Inclusion of SS forage pellets, hay, or canola meal/oil in cattle diets had no significant impact on manure characteristics, but SS significantly reduced the pH and increased propionic, isobutyric, and isovaleric content. In addition, N loss after excretion (mainly from urine N) increases with the pH and N levels in both feed and manure. The combination of SS with barley silage resulted in a lower VFA and NH3 content in manure and should be a more attractive option. To better manage N nutrient cycles and reduce NH3 related odor problems, feed and manure pH should be one of the factors to consider when determining feed mix rations.     

Does safety climate moderate the influence of staffing adequacy and work conditions on nurse injuries?

PROBLEM: Hospital nurses have one of the highest work-related injury rates in the United States. Yet, approaches to improving employee safety have generally focused on attempts to modify individual behavior through enforced compliance with safety rules and mandatory participation in safety training. We examined a theoretical model that investigated the impact on nurse injuries (back injuries and needlesticks) of critical structural variables (staffing adequacy, work engagement, and work conditions) and further tested whether safety climate moderated these effects. METHOD: A longitudinal, non-experimental, organizational study, conducted in 281 medical-surgical units in 143 general acute care hospitals in the United States. RESULTS: Work engagement and work conditions were positively related to safety climate, but not directly to nurse back injuries or needlesticks. Safety climate moderated the relationship between work engagement and needlesticks, while safety climate moderated the effect of work conditions on both needlesticks and back injuries, although in unexpected ways. DISCUSSION AND IMPACT ON INDUSTRY: Our findings suggest that positive work engagement and work conditions contribute to enhanced safety climate and can reduce nurse injuries.     

Dry and heat stress affects H2S production of Salmonella on selective plating media

The pH of Salmonella pre-enrichment media can become acidic (pH 4.0–5.0) when feeds/ingredients are incubated for 24?h. Salmonella in feed that have been stressed by heat and desiccation exhibit different pH tolerances than non-stressed cultures. Acidic conditions can result in cell injury/death and affect biochemical pathways. In this study, eight serotypes of Salmonella were grown in sterile meat and bone meal that was subjected to desiccation and heat stress. Cultures of non-stressed and stressed isolates were subsequently exposed to acidic pH from 4.0 to 7.0 in 0.5?pH increments (3 replicates/pH increment) in citrate buffer. At 6 and 24?h, serial dilutions were plated in duplicate on XLT-4 (xylose lysine tergitol-4) agar. Four serotypes showed an impaired ability to decarboxylate lysine on XLT-4. This inability to decarboxylate lysine was dependent on isolate, stress status, and incubation time. When the isolates’ ability to decarboxylate lysine was examined using biochemical tests, cultures were found to be able to decarboxylate lysine with the exception of S. Infantis. This suggests that XLT-4 contains a biochemical stressor(s) which affects the rate of decarboxylation by these Salmonella. These results suggest that acidic conditions may influence the detection and confirmation of Salmonella in feed.     

Preparation, certification and interlaboratory analysis of workplace air filters spiked with high-fired beryllium oxide

Occupational sampling and analysis for multiple elements is generally approached using various approved methods from authoritative government sources such as the National Institute for Occupational Safety and Health (NIOSH), the Occupational Safety and Health Administration (OSHA) and the Environmental Protection Agency (EPA), as well as consensus standards bodies such as ASTM International. The constituents of a sample can exist as unidentified compounds requiring sample preparation to be chosen appropriately, as in the case of beryllium in the form of beryllium oxide (BeO). An interlaboratory study was performed to collect analytical data from volunteer laboratories to examine the effectiveness of methods currently in use for preparation and analysis of samples containing calcined BeO powder. NIST SRM(?) 1877 high-fired BeO powder (1100 to 1200 °C calcining temperature; count median primary particle diameter 0.12 μm) was used to spike air filter media as a representative form of beryllium particulate matter present in workplace sampling that is known to be resistant to dissolution. The BeO powder standard reference material was gravimetrically prepared in a suspension and deposited onto 37 mm mixed cellulose ester air filters at five different levels between 0.5 μg and 25 μg of Be (as BeO). Sample sets consisting of five BeO-spiked filters (in duplicate) and two blank filters, for a total of twelve unique air filter samples per set, were submitted as blind samples to each of 27 participating laboratories. Participants were instructed to follow their current process for sample preparation and utilize their normal analytical methods for processing samples containing substances of this nature. Laboratories using more than one sample preparation and analysis method were provided with more than one sample set. Results from 34 data sets ultimately received from the 27 volunteer laboratories were subjected to applicable statistical analyses. The observed performance data show that sample preparations using nitric acid alone, or combinations of nitric and hydrochloric acids, are not effective for complete extraction of Be from the SRM 1877 refractory BeO particulate matter spiked on air filters; but that effective recovery can be achieved by using sample preparation procedures utilizing either sulfuric or hydrofluoric acid, or by using methodologies involving ammonium bifluoride with heating. Laboratories responsible for quantitative determination of Be in workplace samples that may contain high-fired BeO should use quality assurance schemes that include BeO-spiked sampling media, rather than solely media spiked with soluble Be compounds, and should ensure that methods capable of quantitative digestion of Be from the actual material present are used.     

Visualizing dynamic capabilities as adaptive capacity for municipal water governance

This study seeks to expand empirical research on how municipalities have adapted and innovated (or not) their water systems as a result of climate change. We analyze characteristics of water governance at the municipal scale in Oklahoma, USA. ArcMap 10.3 was used to build a qualitative geographic information system (GIS) based on fieldwork, including interviews and site-observations, to compare dynamic capabilities that lead to innovation in 38 cities in the state. The GIS enables visualization of our digitalized research to understand the interconnections between drivers of innovativeness—the combination of dynamic capabilities and innovation rates—and state of water resource infrastructure in place specific and regional planning contexts. In particular, the GIS takes into consideration income level, the influence of state-level water policy (Water for 2060 Act), water manager certification levels, population, dynamic capabilities, and perceptions of risk and vulnerability to water system change. Digitizing this information provides a diverging perspective on the historical lack of innovation in the public sector, as different socio-cultural, socio-economic, and socio-political contexts occur throughout Oklahoma, a state notorious for its oil centered economy and its climate change deniers. The findings suggest that innovativeness is directly related to dynamic capabilities and indirectly related to population size, income level, and the educational backgrounds of water decision-makers. The visualizations also show that some cities have surplus capacity for adaptation, while others were able to more efficiently turn capacity into water management innovations. Seeing representations of water governance success and failure in communities affords the opportunity to educate citizens and decision-makers to adapt water infrastructures to the effects of climate change, showcasing the utility of digitalization in a quest for sustainable solutions.     

Simulated climate adaptation in stormwater systems: evaluating the efficiency of adaptation strategies

Adaptations in infrastructure may be necessitated by changes in temperature and precipitation patterns to avoid losses and maintain expected levels of service. A roster of adaptation strategies has emerged in the climate change literature, especially with regard to timing: anticipatory, concurrent, or reactive. Significant progress has been made in studying climate change adaptation decision making that incorporates uncertainty, but less work has examined how strategies interact with existing infrastructure characteristics to influence adaptability. We use a virtual testbed of highway drainage crossings configured with a selection of actual culvert emplacements in Colorado, USA, to examine the effect of adaptation strategy and culvert characteristics on cost efficiency and service level under varying rates of climate change. A meta-model approach with multinomial regression is used to compare the value of better climate change predictions with better knowledge of existing crossing characteristics. We find that, for a distributed system of infrastructural units like culverts, knowing more about existing characteristics can improve the efficacy of adaptation strategies more than better projections of climate change. Transportation departments choosing climate adaptation strategies often lack detailed data on culverts, and gathering that data could improve the efficiency of adaptation despite climate uncertainty.     

The Superfund Remedial Action Decision Process: A Review of Fifty Records of Decision

Abstract

Although the Superfund remedial action decision process is a complex process involving a variety of technical, political, and public health issues, the primary goal of remedial action is the protection of public health. We performed an in-depth analysis of 50 post-SARA Records of Decision in order to characterize the role of risk assessment in the decision-making process and determine whether decisions are being made in an effective and environmentally protective manner. Our findings indicate that the majority of decisions to remediate Superfund sites are based on the existence of contamination per se and not on actual public health risk. Although hypothetical risk is an essential consideration, this gray area is not well-defined in the current decision-making process.

The lack of assessment of the degree of risk reduction associated with the remedial alternatives evaluated and the lack of support indicating the effectiveness of the remedial alternatives selected also constitute major weaknesses in the majority of decisions. These inadequacies undermine rationales regarding the protectiveness and cost-effectiveness of the remedial alternatives selected. The fact that objectives beyond addressing public health risk are often unclear in the decision-making process also weakens rationales for costeffectiveness.