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1.
J Med Ethics ; 49(5): 303-304, 2023 05.
Article in English | MEDLINE | ID: mdl-37085165
3.
Environ Pollut ; 314: 120129, 2022 Dec 01.
Article in English | MEDLINE | ID: mdl-36113642

ABSTRACT

Antimicrobial resistance (AMR) is a recognised threat to global health. Obtaining data on the prevalence of AMR in environmental bacteria is key to understanding drivers and routes of transmission. Here, 325 Shiga toxin negative deer faecal samples-gathered from across the Scottish mainland-were screened for the presence of AMR Escherichia coli and investigated for potential risk factors associated with AMR occurrence. E. coli with resistance to antimicrobials of clinical health concern, including carbapenems and 3rd generation cephalosporins, were targeted. Ninety-nine percent of samples yielded E. coli, and the prevalence of resistant E. coli at the level of faecal samples was 21.8% (n = 71) for tetracycline, 6.5% (n = 21) for cefpodoxime, 0.3% for ciprofloxacin (n = 1), with no recorded resistance to meropenem. Potential risk factors for tetracycline and cefpodoxime resistance were investigated. The presence of broadleaved woodlands was significantly associated with both AMR phenotypes, which may relate to land use within or around such woodlands. Associated risk factors varied across resistance phenotype and deer species, with proximity or density of horses an indicator of significantly decreased and increased risk, respectively, or tetracycline and cefpodoxime resistance in E. coli from roe deer, but not from red deer. Distance from wastewater treatment plants was a significant risk factor for tetracycline resistance in E. coli from red deer but not from roe deer. Data indicated that AMR E. coli can occur in wild deer populations that are not directly exposed to the selective pressure exerted by antimicrobial treatment. Overall, resistance to critically important antimicrobials was found to be low in the studied population, suggesting no immediate cause for concern regarding human health. Utilising existing culling frameworks, wild deer in Scotland could function well as a sentinel species for the surveillance of AMR in the Scottish environment.


Subject(s)
Anti-Infective Agents , Deer , Escherichia coli Infections , Humans , Animals , Horses , Escherichia coli , Prevalence , Meropenem , Deer/microbiology , Escherichia coli Infections/epidemiology , Escherichia coli Infections/veterinary , Escherichia coli Infections/microbiology , Anti-Bacterial Agents/pharmacology , Animals, Wild , Ceftizoxime , Anti-Infective Agents/pharmacology , Ciprofloxacin , Risk Factors , Tetracyclines , Shiga Toxins , Drug Resistance, Bacterial , Cefpodoxime
4.
Synthese ; 200(1): 1-21, 2022.
Article in English | MEDLINE | ID: mdl-35194259

ABSTRACT

A perennial problem in social epistemology is the problem of expert testimony, specifically expert testimony regarding scientific issues: for example, while it is important for me to know information pertaining to anthropogenic climate change, vaccine safety, Covid-19, etc., I may lack the scientific background required to determine whether the information I come across is, in fact, true. Without being able to evaluate the science itself, then, I need to find trustworthy expert testifiers to listen to. A major project in social epistemology has thus become determining what the markers of trustworthiness are that laypersons can appeal to in order to identify and acquire information from expert testifiers. At the same time, the ways in which we acquire scientific information has changed significantly, with much of it nowadays being acquired in online environments. While much has been said about the potential pitfalls of seeking information online (e.g. the prevalence of filter bubbles, echo chambers, and the overall proliferation of "fake news"), little has been said about how the nature of seeking information online should make us think about the problem of expert testimony. Indeed, it seems to be an underlying assumption that good markers of trustworthiness apply equally well when seeking information from expert testifiers in online and offline environments alike, and that the new challenges and opportunities presented by online environments merely affects the methods by which we can acquire evidence of said trustworthiness. Here I argue that in making this assumption one risks failing to account for how unique features of the ways in which we acquire information online affect how we evaluate the trustworthiness of experts. Specifically, I argue for two main claims: first, that the nature of information-seeking online is such that the extent to which information is susceptible to manipulation is a dominant marker of trustworthiness; second, as a result, one will be more likely to seek out a particular kind of expert testifier in online environments, what I call a cooperative as opposed to preemptive expert. The result is that criteria for expert trustworthiness may look significantly different when acquiring information online as opposed to offline.

5.
Food Chem ; 377: 131955, 2022 May 30.
Article in English | MEDLINE | ID: mdl-34990953

ABSTRACT

The limited understanding of the effect of pre-and post-harvest techniques still hinders the full exploitation of seaweed. Here, the effect of harvest site, long term storage and species on the elemental composition, fatty acid profile, lipid content, and antioxidant properties were determined in eight intertidal seaweed species common to Scotland, harvested for potential food application and stored for up to 128 weeks. Result showed that the most significant variation was due to species, with no statistical link found for the combined interaction effect of both storage duration and harvest site in most cases, except for the antioxidant parameters and some selected elements, which was limited to some seaweed species. Overall, our result showed that the chemical profiles of the seaweed species studied were remarkably consistent and unaffected by long term storage. Thus, suggesting that seaweeds sampled from Scotland could be a valuable resource for the development of functional foods.


Subject(s)
Antioxidants , Seaweed , Fatty Acids , Minerals , Vegetables
6.
Disaster Med Public Health Prep ; 16(5): 1901-1909, 2022 10.
Article in English | MEDLINE | ID: mdl-33678211

ABSTRACT

Colleges and universities around the world engaged diverse strategies during the COVID-19 pandemic. Baylor University, a community of ˜22,700 individuals, was 1 of the institutions which resumed and sustained operations. The key strategy was establishment of multidisciplinary teams to develop mitigation strategies and priority areas for action. This population-based team approach along with implementation of a "Swiss Cheese" risk mitigation model allowed small clusters to be rapidly addressed through testing, surveillance, tracing, isolation, and quarantine. These efforts were supported by health protocols including face coverings, social distancing, and compliance monitoring. As a result, activities were sustained from August 1 to December 8, 2020. There were 62,970 COVID-19 tests conducted with 1435 people testing positive for a positivity rate of 2.28%. A total of 1670 COVID-19 cases were identified with 235 self-reports. The mean number of tests per week was 3500 with approximately 80 of these positive (11/d). More than 60 student tracers were trained with over 120 personnel available to contact trace, at a ratio of 1 per 400 university members. The successes and lessons learned provide a framework and pathway for similar institutions to mitigate the ongoing impacts of COVID-19 and sustain operations during a global pandemic.


Subject(s)
COVID-19 , Humans , COVID-19/epidemiology , Pandemics/prevention & control , Universities , SARS-CoV-2 , Quarantine
7.
Environ Pollut ; 292(Pt A): 118295, 2022 Jan 01.
Article in English | MEDLINE | ID: mdl-34626711

ABSTRACT

Pharmaceuticals (a class of emerging contaminants) are continuously introduced into effluent-receiving surface waters due to their incomplete removal within wastewater treatment plants (WWTPs). This work investigated the presence and distribution of eight commonly used human pharmaceuticals in the River Dee (Scotland, UK), a Scottish Environment Protection Agency priority catchment that is a conservation site and important raw water source. Grab sampling and passive sampling (Polar Organic Chemical Integrative Sampler, POCIS) was performed over 12 months, targeting: paracetamol, ibuprofen, and diclofenac (analgesics/anti-inflammatories); clarithromycin and trimethoprim (antibiotics); carbamazepine and fluoxetine (psychoactive drugs); and 17α-ethynylestradiol (estrogen hormone). Sampling sites spanned from the river's rural source to the heavily urbanised estuary into the North Sea. Ibuprofen (ranging 0.8-697 ng/L), paracetamol (ranging 4-658 ng/L), trimethoprim (ranging 3-505 ng/L), diclofenac (ranging 2-324 ng/L) and carbamazepine (ranging 1-222 ng/L) were consistently detected at the highest concentrations through grab sampling, with concentrations generally increasing down river with increasing urbanisation. However, POCIS revealed trace contamination of most compounds throughout the river (commonly <0.5 ng/L), indicating pollution may be related to diffuse sources. Analysis of river flows revealed that low flow and warm seasons corresponded to statistically significantly higher concentrations of diclofenac and carbamazepine, two compounds of environmental and regulatory concern. Below the largest WWTP, annual average fluxes ranged 0.1 kg/yr (clarithromycin) to 143.8 kg/yr (paracetamol), with 226.2 kg/yr for total target compounds. It was estimated that this source contributed >70% of the total mass loads (dissolved phase) of the target compounds in the river. As the River Dee is an important raw water source and conservation site, additional catchment monitoring is warranted to safeguard water quality and assess environmental risk of emerging contaminants, particularly in relation to unusual weather patterns, climate change and population growth.


Subject(s)
Pharmaceutical Preparations , Water Pollutants, Chemical , Environmental Monitoring , Humans , Rivers , Scotland , Wastewater/analysis , Water Pollutants, Chemical/analysis
8.
J Med Ethics ; 47(8): 529-530, 2021 08.
Article in English | MEDLINE | ID: mdl-34312218
9.
Waste Manag ; 124: 160-171, 2021 Apr 01.
Article in English | MEDLINE | ID: mdl-33631441

ABSTRACT

There is now increasing interest in the creation of a more 'circular economy', with a particular aim to eliminate waste - by design, within which products are optimised to be reused, restored or returned. Here, a sulphur functionalised microporous biochar was synthesised from an abundant biomass waste material (cherry kernels), for the selective removal of Pb(II) from landfill leachate as a representative heavy metal. The production process utilises renewable waste material and removes toxic chemicals. Characterisation of the biochar showed that pyrolysis and functionalisation formed an adsorbent with a microporous structure and rich surface chemical functionality. The adsorption process was optimised using a 'response surface methodology - Box-Behnken Design'. Lead removal efficiency approached 99.9% under optimised experimental conditions, i.e., where the solution pH was 6.0, the biochar dose was 4.0 g/L and the contact time was 47 min. The adsorption process was best described using a Freundlich model. The maximum amount of Pb(II) adsorbed was 44.92 mg/g. The main adsorption mechanisms occurred through outer-sphere (electrostatic attraction) and inner-sphere complexation. Desorption studies showed that three successful regeneration cycles (with acidic deionised water) could be used post pyrolysis. The biochar removed 97% of Pb(II) from landfill leachate samples, as compared to 9.4%, and 7.6% for two commercial activated carbon adsorbents. These findings demonstrate the high selectivity of this biochar towards Pb(II) and its applicability even in the presence of high concentrations of many potentially interfering inorganic and organic ions and compounds.


Subject(s)
Charcoal , Water Pollutants, Chemical , Adsorption , Sulfur
10.
Hist Philos Life Sci ; 43(1): 12, 2021 Jan 27.
Article in English | MEDLINE | ID: mdl-33502602

ABSTRACT

Even before it had been developed there had already been skepticism among the general public concerning a vaccine for COVID-19. What are the factors that drive this skepticism? While much has been said about how political differences are at play, in this article I draw attention to two additional factors that have not received as much attention: witnessing the fallibility of the scientific process play out in real time, and a perceived breakdown of the distinction between experts and non-experts.


Subject(s)
Anti-Vaccination Movement/psychology , COVID-19 Vaccines/administration & dosage , Expert Testimony , Anti-Vaccination Movement/statistics & numerical data , Humans , Politics , Science/methods
11.
Clin Exp Allergy ; 50(12): 1391-1399, 2020 12.
Article in English | MEDLINE | ID: mdl-32966647

ABSTRACT

BACKGROUND: Identifying early stages of hypersensitivity pneumonitis (HP) is hampered by variable presentation, heterogeneous or undetected causal antigens and lack of gold-standard biomarkers. Krebs von den Lungen (KL)-6 is pathophysiological biomarker of alveolar epithelial damage. Pigeon fanciers, susceptible to HP, provide a model to investigate early HP. OBJECTIVE: To test the hypothesis that plasma concentrations of KL-6 are increased in early-stage acute HP. METHODS: Clinical history, spirometry and blood samples were obtained from pigeon fanciers, 20 with intermittent acute symptoms indicative of developing HP, 27 with no symptoms and 10 healthy subjects with no avian exposure. Plasma KL-6 (units/mL) and pigeon antigen-specific IgG antibody were quantified by enzyme immunoassay. Blood lymphocytes were quantified by flow cytometry and antigen specificity by in vitro cytokine production. RESULTS: KL-6 was higher in fanciers than controls, median (IQR) 452 (244, 632) vs 274 (151, 377), P = .01. Although fanciers with symptoms had similar antigen exposure and lung function, they had higher KL-6 than those without, 632 (468, 1314) vs 320 (200, 480), P < .001. KL-6 correlated with IgG antibody titre in those with symptoms, r = .591, P = .006. High KL-6, irrespective of symptom category, was associated with higher antibody (P = .006) and lymphocyte proliferation (P = .041), and lower CD4+ T lymphocyte proportion (P = .032). CONCLUSION AND CLINICAL RELEVANCE: Raised KL-6 is associated with acute symptoms of early-stage HP, and its correlation with antibody may support therapeutic strategies when HP is suspected. KL-6 may act as a mechanistic biomarker of early pathogenesis by linking lung pathophysiological changes with an endotype of immune hypersensitivity.


Subject(s)
Bird Fancier's Lung/diagnosis , Columbidae/immunology , Mucin-1/blood , Adult , Animals , Biomarkers/blood , Bird Fancier's Lung/blood , Bird Fancier's Lung/immunology , Bird Fancier's Lung/physiopathology , CD4-Positive T-Lymphocytes/immunology , Case-Control Studies , Cell Proliferation , Cells, Cultured , Cross-Sectional Studies , Early Diagnosis , Humans , Immunoglobulin G/blood , Lung/immunology , Lung/physiopathology , Lymphocyte Activation , Middle Aged , Predictive Value of Tests , Up-Regulation
12.
J Med Ethics ; 46(8): 493-494, 2020 08.
Article in English | MEDLINE | ID: mdl-32723775
13.
Sci Total Environ ; 737: 139618, 2020 Oct 01.
Article in English | MEDLINE | ID: mdl-32534267

ABSTRACT

It is widely recognised that inadequate removal of pharmaceuticals in wastewater may lead to their presence in surface waters. Hospitals are key point-sources for pharmaceuticals entering municipal waterways, and rural hospitals are of concern as receiving wastewater treatment plants (WWTPs) may be smaller, less advanced and thus less efficient. While most research has focused on urban settings, here we present results from a rural ''source-to-sink'' study around a hospital. The aim was to determine the contribution of pharmaceuticals discharged to a municipal wastewater system, and, to assess pharmaceutical removal efficiency in the WWTP. Samples were collected daily for one month to assess water quality and pharmaceuticals in the broader water cycle: (i) raw water supply; (ii) treated hospital tap water; (iii) hospital wastewater discharge; (iv) combined WWTP influent; and (v) final WWTP effluent. Target compounds included analgesics/antiinflammatories, antibiotics, psychiatric drugs, and a synthetic estrogen hormone. Concentrations ranged from: 3 ng/L (carbamazepine) to 105,910 ng/L (paracetamol) in hospital discharge; 5 ng/L (ibuprofen) to 105,780 ng/L (paracetamol) in WWTP influent; and 60 ng/L (clarithromycin) to 36,201 ng/L (paracetamol) in WWTP effluent. WWTP removal ranged from 87% (paracetamol) to <0% (carbamazepine and clarithromycin), and significant correlations with water quality characteristics and WWTP flow data were observed for some compounds. Results suggested that the hospital is an important source of certain pharmaceuticals entering municipal wastewater, and associated water quality parameters are impacted. Pharmaceutical persistence in the WWTP effluent highlighted the direct pathway these compounds have into receiving surface water, where their impact remains uncharacterised. Rural regions may face future challenges mitigating environmental risk as WWTP infrastructure ages, populations grow and pharmaceutical use and diversity continue to increase.


Subject(s)
Pharmaceutical Preparations , Water Pollutants, Chemical/analysis , Environmental Monitoring , Waste Disposal, Fluid , Wastewater/analysis , Water Quality , Water Supply
16.
Environ Pollut ; 258: 113698, 2020 Mar.
Article in English | MEDLINE | ID: mdl-31818623

ABSTRACT

There is growing global awareness of the presence and negative impacts of waste plastic in the marine environment. Risks to wildlife include ingestion and entanglement for macro-plastic (larger than 5 mm in length), alongside food chain transfer for micro-plastics (less than 5 mm in length). Plastics in the marine environment have also been shown to adsorb and accumulate contaminants from seawater, e.g., heavy metals and hydrophobic organic compounds. This means that plastics can additionally act as vectors for transport of contaminants, permitting ecotoxicological risks to be spatially extended. However, the ability of waste plastic to adsorb pollutants also offers potential opportunity, if they can be used for the decontamination of wastewater. Here, we provide an overview of marine plastic types and distribution, and then systematically assess their potential to be repurposed as novel adsorbents. Data published in recent years are interrogated to gain an overview of the interaction mechanisms between marine plastics and both organic and inorganic contaminants. In addition, factors that may be exploited to enhance their performance in removal of contaminants are also reviewed and prioritised, e.g., surface modification and activation. This paper highlights the novel potential of repurposing plastic waste for wastewater treatment applications and seeks to identify key knowledge gaps and future research priorities for scientists and engineers.


Subject(s)
Plastics , Water Pollutants, Chemical/isolation & purification , Water Purification/methods , Ecotoxicology , Seawater
18.
J Med Ethics ; 45(7): 423-424, 2019 07.
Article in English | MEDLINE | ID: mdl-31375640
19.
J Med Ethics ; 44(9): 583-584, 2018 09.
Article in English | MEDLINE | ID: mdl-30135172
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