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1.
Class Quantum Gravity ; 34(No 6)2017.
Article in English | MEDLINE | ID: mdl-29722360

ABSTRACT

With the first direct detection of gravitational waves, the advanced laser interferometer gravitational-wave observatory (LIGO) has initiated a new field of astronomy by providing an alternative means of sensing the universe. The extreme sensitivity required to make such detections is achieved through exquisite isolation of all sensitive components of LIGO from non-gravitational-wave disturbances. Nonetheless, LIGO is still susceptible to a variety of instrumental and environmental sources of noise that contaminate the data. Of particular concern are noise features known as glitches, which are transient and non-Gaussian in their nature, and occur at a high enough rate so that accidental coincidence between the two LIGO detectors is non-negligible. Glitches come in a wide range of time-frequency-amplitude morphologies, with new morphologies appearing as the detector evolves. Since they can obscure or mimic true gravitational-wave signals, a robust characterization of glitches is paramount in the effort to achieve the gravitational-wave detection rates that are predicted by the design sensitivity of LIGO. This proves a daunting task for members of the LIGO Scientific Collaboration alone due to the sheer amount of data. In this paper we describe an innovative project that combines crowdsourcing with machine learning to aid in the challenging task of categorizing all of the glitches recorded by the LIGO detectors. Through the Zooniverse platform, we engage and recruit volunteers from the public to categorize images of time-frequency representations of glitches into pre-identified morphological classes and to discover new classes that appear as the detectors evolve. In addition, machine learning algorithms are used to categorize images after being trained on human-classified examples of the morphological classes. Leveraging the strengths of both classification methods, we create a combined method with the aim of improving the efficiency and accuracy of each individual classifier. The resulting classification and characterization should help LIGO scientists to identify causes of glitches and subsequently eliminate them from the data or the detector entirely, thereby improving the rate and accuracy of gravitational-wave observations. We demonstrate these methods using a small subset of data from LIGO's first observing run.

2.
Transplant Proc ; 46(7): 2440-2, 2014 Sep.
Article in English | MEDLINE | ID: mdl-25017243

ABSTRACT

BACKGROUND: We report a unique case which quantifies the effect of molecular adsorbent recirculating system (MARS [Gambro, Sweden]) therapy on blood concentrations of tacrolimus in a patient treated for refractory pruritus associated with recurrent hepatitis C of the liver allograft. Tacrolimus is a low-molecular-weight, highly protein-bound drug with the potential to be removed during MARS therapy. CASE REPORT: Results of therapeutic drug monitoring revealed extracorporeal tacrolimus elimination accounted for only 0.3% of total drug removal during the session. CONCLUSIONS: Although no explanation can be offered as to why MARS contributed so little to overall tacrolimus elimination, the data clearly show minimal impact of MARS on tacrolimus blood level.


Subject(s)
Immunosuppressive Agents/blood , Sorption Detoxification/methods , Tacrolimus/blood , Aged , Humans , Immunosuppressive Agents/pharmacokinetics , Liver Transplantation , Male , Reoperation , Tacrolimus/pharmacokinetics
3.
J Environ Qual ; 42(6): 1743-51, 2013 Nov.
Article in English | MEDLINE | ID: mdl-25602414

ABSTRACT

Manganese oxide (MnO) occurs naturally in soil and has a high affinity for trace metals adsorption. In this work, we quantified the factors (pH; flow rate; use of oxidants such as bleach, HO, and O; initial Mn(II) concentrations; and two types of geologic media) affecting MnO coatings onto Ottawa and aquifer sand using batch and column experiments. The batch experiments consisted of manual and automated titration, and the column experiments mimicked natural MnO adsorption and oxidation cycles as a strategy for in situ adsorption. A Pb solution of 50 mg L was passed through MnO-coated sand at a flow rate of 4 mL min to determine its adsorption capacity. Batch experimental results showed that MnO coatings increased from pH 6 to 8, with maximum MnO coating occurring at pH 8. Regarding MnO coatings, bleach and O were highly effective compared with HO. The Ottawa sand had approximately twice the MnO coating of aquifer sand. The sequential increase in initial Mn(II) concentrations on both sands resulted in incremental buildup of MnO. The automated procedure enhanced MnO coatings by 3.5 times compared with manual batch experiments. Column results showed that MnO coatings were highly dependent on initial Mn(II) and oxidant concentrations, pH, flow rate, number of cycles (h), and the type of geologic media used. Manganese oxide coating exceeded 1700 mg kg for Ottawa sand and 130 mg kg for aquifer sand. The Pb adsorption exceeded 2200 mg kg for the Ottawa sand and 300 mg kg for the aquifer sand.

4.
J Hazard Mater ; 215-216: 280-6, 2012 May 15.
Article in English | MEDLINE | ID: mdl-22445717

ABSTRACT

Fragmentation grenades contain Composition B (RDX and TNT) within a steel shell casing. There is the potential for off-site migration of high explosives and metals from hand grenade training ranges by transport in surface water and subsurface transport in leachate. This treatability study used bench-scale columns and mesocosm-scale laboratory lysimeters to investigate the potential of hydrated lime as a soil amendment for in situ remediation of explosives and metals stabilization in hand grenade range soils. Compared to the unamended soil there was a 26-92% reduction of RDX in the leachate and runoff water from the lime treated soils and a 66-83% reduction of zinc in the leachate and runoff water samples; where the hand grenade range metals of concern were zinc, iron, and manganese. The amended soil was maintained at the target pH of greater than 10.5 for optimum explosives decomposition. The treatability study indicated a high potential of success for scale-up to an in situ field study.


Subject(s)
Calcium Compounds/chemistry , Environmental Restoration and Remediation/methods , Explosive Agents/chemistry , Metals/chemistry , Oxides/chemistry , Soil Pollutants/chemistry , Hydrogen-Ion Concentration , Rain , Water Pollutants, Chemical/chemistry
5.
Talanta ; 76(1): 21-8, 2008 Jun 30.
Article in English | MEDLINE | ID: mdl-18585234

ABSTRACT

The methods traditionally used for explosives analysis in soil matrices have inherent data quality limitations for low-level samples. The traditional methods employ a soil-dilution extraction of the sample prior to analysis by high performance liquid chromatography with UV absorption detection. Another concern with the traditional analysis is that energetics contamination in environmental samples is often very heterogeneous in nature, usually requiring a large number of samples and multiple testing. The technique presented here addresses these data quality limitations by using a concentrative extraction procedure which produces a small volume of extract from a large soil sample. A concentration factor of 60-fold is achieved in this manner and energetics detection limits for soils are lowered by two orders of magnitude. The larger soil sample size also helps reduce the error associated with sample heterogeneity. The ability to detect explosive-based contaminants at levels of environmental interest enables a more accurate assessment of the transport pathways and treatment options for explosives contamination.

6.
J Environ Qual ; 37(1): 229-33, 2008.
Article in English | MEDLINE | ID: mdl-18178896

ABSTRACT

The biogeochemistry of tungsten and its effects on mobility have recently gained attention due to the existence of human cancer clusters, such as in Fallon, NV. Tungsten exists in many environmental matrices as the soluble and mobile tungstate anion. However, tungsten can polymerize with itself and other anions, creating poly- and heteropoly-tungstates with variable geochemical and toxicological properties. In the present work, geochemical parameters are determined for tungstate species in a model soil that describe the potential for tungsten mobility. Soluble tungsten leached from a metallic tungsten-spiked soil after six to twelve months aging reached an equilibrium concentration >150 mg/L within 4 h of extraction with deionized water. Partition coefficients determined for various tungstate and polytungstate compounds in the model soil suggest a dynamic system in which speciation changes over time affect tungsten geochemical behavior. Partition coefficients for tungstate and some poly-species have been observed to increase by a factor of 3 to 6 over a four month period, indicating decreased mobility with soil aging.


Subject(s)
Soil Pollutants/chemistry , Tungsten Compounds/chemistry , Tungsten/chemistry , Adsorption , Solubility
7.
Chemosphere ; 70(2): 237-47, 2007 Dec.
Article in English | MEDLINE | ID: mdl-17709130

ABSTRACT

This work studied interactions of uranium with pure organic compounds, such as glutathione, and more complex mixtures, such as humic acid and aqueous plant extracts. High performance liquid chromatography with UV absorption interfaced to inductively coupled plasma mass spectrometry sequential detection was used to detect organouranium complexes in a variety of soils and plant materials, indicating that nearly 100% of the uranium extracted from certain plant tissues was bound to organic ligands. In addition, soil sorption experiments indicated that humic acid generally decreased uranium sorption to soils and promoted subsequent desorption of uranium because of uranium partitioning to the organic phase. These experiments demonstrate that organic compounds influence the mobility and chemistry of uranium in the environment.


Subject(s)
Environmental Monitoring/methods , Humic Substances/analysis , Organometallic Compounds/analysis , Plant Development , Soil Pollutants/analysis , Uranium/analysis , Adsorption , Chromatography, High Pressure Liquid , Glutathione/chemistry , Plants/chemistry , Solubility , Spectrophotometry, Atomic
8.
Talanta ; 72(5): 1828-32, 2007 Jul 31.
Article in English | MEDLINE | ID: mdl-19071839

ABSTRACT

The toxic properties of tungsten compounds have recently been brought to the forefront with clusters of human cancer cases, such as in Fallon, NV. Such instances have made the determination of tungsten in natural water supplies vitally important. Tungsten exists in most environmental matrices as the soluble and mobile tungstate anion, although it can polymerize with itself and other anions, such as molybdate and phosphate. Because the geochemical and toxicological properties of these polymer species will vary from the monomeric tungstate parent, determination of tungstate speciation is as critical as determination of total dissolved tungsten concentration. Use of chromatographic separations, followed by element-specific detection is a proven technology for elemental speciation. In the present work, anion exchange chromatography has been coupled to inductively coupled plasma mass spectrometry to determine tungstate, molybdate, and phosphate species at the sub-microg l(-1) and microg l(-1) levels. The method provides quantitative determination of these species in about 10 min with the capability to simultaneously determine other oxyanion species. The method has been applied to groundwater and extracts of soils amended with tungsten powder. The water soluble tungsten in 1-h deionized water extracts after six months of soil aging was >15 mg l(-1), however, only approximately 50% of the tungsten was present as monomeric tungstate.

9.
Chemosphere ; 59(7): 1015-22, 2005 May.
Article in English | MEDLINE | ID: mdl-15823335

ABSTRACT

Understanding contaminant distribution is critical to selection and implementation of effective and affordable containment and remediation efforts. This article describes the characterization of soil containing thorium at a training site on Kirtland Air Force Base, Albuquerque, NM. The site has been used by the Defense Nuclear Weapons School since the early 1960's to train personnel in emergency response to nuclear weapons accidents and for characterization and containment of radioactive contamination. The purpose of work reported herein is to describe the primary location and migration pattern of 232Thorium (232Th) and 232Th progeny (decay products) at the site. Soil containing thorium oxide (ThO2) was applied to the site for approximately 30 years (early 1960-1990) and was used to simulate a plutonium release from a nuclear weapons accident. Data presented indicate that surface 232Th and 232Th progeny at approximately 5 times background levels are approaching test site boundaries. However, the data also indicate that vertical migration has not exceeded 0.9 m because of the insoluble nature of ThO2. The major mechanisms of 232Th mobility appear to be surface migration mediated by precipitation runoff and wind-blown soil.


Subject(s)
Radiation Monitoring/methods , Radiation Monitoring/statistics & numerical data , Soil Pollutants, Radioactive/analysis , Thorium/analysis , New Mexico , Radiation Monitoring/instrumentation , Rain , Solubility , Wind
10.
J Environ Qual ; 33(6): 2070-7, 2004.
Article in English | MEDLINE | ID: mdl-15537929

ABSTRACT

Thorium concentrations at Kirtland Air Force Base training sites in Albuquerque, NM, have been previously described; however, the mechanisms of thorium migration were not fully understood. This work describes the processes affecting thorium mobility in this semiarid soil, which has implications for future remedial action. Aqueous extraction and filtration experiments have demonstrated the colloidal nature of thorium in the soil, due in part to the low solubility of thorium oxide. Colloidal material was defined as that removed by a 0.22-microm or smaller filter after being filtered to nominally dissolved size (0.45 microm). Additionally, association of thorium with natural organic matter is suggested by micro- and ultrafiltration methods, and electrokinetic data, which indicate thorium migration as a negatively charged particle or anionic complex with organic matter. Soil fractionation and digestion experiments show a bimodal distribution of thorium in the largest and smallest size fractions, most likely associated with detrital plant material and inorganic oxide particles, respectively. Plant uptake studies suggest this could also be a mode of thorium migration as plants grown in thorium-containing soil had a higher thorium concentration than those in control soils. Soil erosion laboratory experiments with wind and surface water overflow were performed to determine bulk soil material movement as a possible mechanism of mobility. Information from these experiments is being used to determine viable soil stabilization techniques at the site to maintain a usable training facility with minimal environmental impact.


Subject(s)
Soil Pollutants, Radioactive/analysis , Thorium/analysis , Thorium/chemistry , Colloids , Desert Climate , Environmental Monitoring , Solubility , Wind
11.
Psychol Med ; 34(2): 211-9, 2004 Feb.
Article in English | MEDLINE | ID: mdl-14982127

ABSTRACT

BACKGROUND: The co-occurrence of affective distress and back pain is well documented but the relationship between them is less certain. This study examines the relationship between lifetime occurrence of depressive disorder and incident back pain reported over a 13-year period. METHOD: The Baltimore Epidemiologic Catchment Area Study is a prospective study of a household-residing cohort, selected probabilistically from East Baltimore in 1981. Between 1982-3 (wave 2) and again between 1993-6 (wave 3), a follow-up study of the original cohort was conducted. Questions on depressive disorder and back pain were drawn from the Diagnostic Interview Schedule. Logistic regression analyses were used to evaluate whether depressive disorder acts as a risk factor for incident back pain. RESULTS: In cross-sectional analyses, lifetime occurrence of depressive disorder was a significant correlate of lifetime prevalence of back pain at wave 1 (OR = 1.6, P = 0.01). During the 13-year follow-up, across three data collection points, there was an increase in the risk for incident back pain when depressive disorder was present at baseline (OR = 1.9, 95% CI 1.03, 3.4). However, during the short-term follow-up period of 1 year, between baseline and wave 2, depressive disorder at baseline was unrelated to first-ever reports of back pain. Lifetime depressive disorder in both waves 1 (baseline) and 2 (1 year later) was associated with a more than three times greater risk for a first-ever report of back pain during the 12 to 13 year follow-up period, in comparison to those who did not have depressive disorder at waves 1 or 2 (OR = 3.4, 95% CI 1.4, 7.8). Back pain at wave 1 was not significantly associated with an increased risk for depression in the longitudinal analysis (OR = 0.8, 95% CI 0.5, 1.4). CONCLUSIONS: Depressive disorder appears to be a risk factor for incident back pain independent of other characteristics often associated with back pain. Back pain is not a short-term consequence of depressive disorder but emerges over periods longer than 1 year. Moreover, in this study the alternative pathway of back pain as a risk factor for depressive disorder could not be supported.


Subject(s)
Back Pain/epidemiology , Depressive Disorder/epidemiology , Back Pain/diagnosis , Body Mass Index , Catchment Area, Health , Cross-Sectional Studies , Demography , Depressive Disorder/diagnosis , Female , Follow-Up Studies , Humans , Incidence , Male , Middle Aged , Prospective Studies , Risk Factors , Severity of Illness Index , United States/epidemiology
12.
J Arthroplasty ; 16(8 Suppl 1): 42-8, 2001 Dec.
Article in English | MEDLINE | ID: mdl-11742450

ABSTRACT

We analyzed the cement-metal interface of 3 different types of femoral components that had proximal macrotexturing after in vitro insertion and after fatigue testing designed to produce debonding and micromotion. These components were compared with clinical retrieval specimens. The cement did not flow into the macrotexturing; rather, hollow, brittle volcanoes or calderas were formed. These fragile protrusions of cement become worn down or abraded by debonded components. This abrasion of cement may contribute to the early and aggressive osteolysis seen in some of these early failures with proximal macrotextured components. The formation of these volcanos and calderas can be aborted by placing bone-cement onto the macrotexturing before stem insertion. This simple technique allows the macrotexturing to be filled with cement.


Subject(s)
Arthroplasty, Replacement, Hip/instrumentation , Hip Prosthesis , Adult , Aged , Aged, 80 and over , Bone Cements , Female , Femur/surgery , Humans , Male , Metals , Microscopy, Electron, Scanning , Middle Aged , Prosthesis Design , Prosthesis Failure , Reoperation , Surface Properties
13.
Stroke ; 32(9): 1979-83, 2001 Sep.
Article in English | MEDLINE | ID: mdl-11546884

ABSTRACT

BACKGROUND AND PURPOSE: This study examined depressive disorder as a risk factor for incident stroke in a prospective, population-based design. METHODS: The Baltimore Epidemiologic Catchment Area Study is a prospective 13-year follow-up of a probability sample of household residents from Baltimore, Md. Depressive disorder was measured with the diagnostic interview schedule, and stroke was assessed by questions from the health interview survey or by documentation on a death certificate. RESULTS: During the 13-year follow-up of 1703 individuals, 66 strokes were reported and 29 strokes were identified by death certificate search. Individuals with a history of depressive disorder were 2.6 times more likely to report stroke than those without this disorder after controlling for heart disease, hypertension, diabetes, and current and previous use of tobacco. Medications used in the treatment of depressive disorder at baseline did not alter this finding. A history of dysthymia demonstrated a similar relationship to stroke, although the estimate was not statistically significant. CONCLUSIONS: Depressive disorder is a risk factor for stroke that appears to be independent of traditional cardiovascular risk factors. Further research on mechanisms for the association and the impact of treatment for depressive disorder on subsequent stroke is needed.


Subject(s)
Depressive Disorder/epidemiology , Dysthymic Disorder/epidemiology , Stroke/epidemiology , Adolescent , Adult , Age Distribution , Aged , Baltimore/epidemiology , Cohort Studies , Comorbidity , Depressive Disorder/diagnosis , Dysthymic Disorder/diagnosis , Female , Follow-Up Studies , Humans , Incidence , Interviews as Topic , Logistic Models , Male , Middle Aged , Multivariate Analysis , Neuropsychological Tests , Prevalence , Prospective Studies , Risk Assessment , Risk Factors , Sex Distribution , Stroke/diagnosis
14.
AANA J ; 69(5): 386-92, 2001 Oct.
Article in English | MEDLINE | ID: mdl-11899457

ABSTRACT

Closed claims analysis of adverse anesthesia outcomes was initiated through the AANA Foundation in 1995 to examine adverse outcomes of anesthesia care provided by Certified Registered Nurse Anesthetists (CRNAs). A research team of 8 CRNAs using an instrument incorporating more than 150 variables undertook document analyses of closed claim files. All files reviewed involved incidents in which the CRNA named in the policy was potentially involved in the adverse patient outcome. Thirty-eight percent (58/151) of CRNA-related claims involved a respiratory incident as the primary cause of the negative patient outcome. Patient outcomes involving respiratory incidents were more likely to result in death or permanent injury compared with nonrespiratory incidents (P < .01). Reviewers found that respiratory claims were more likely to have involved inappropriate anesthesia management (P < .01), more likely to have involved a lack of vigilance (P < .01), and more likely to have been judged by the reviewer as preventable (P < .01). A higher percentage of respiratory incidents occurred in emergency cases (75% vs 34%, P < .01) and in cases involving general anesthesia (44% vs 17%, P < .01). Adverse respiratory incidents are largely preventable and frequently result in serious patient morbidity and mortality.


Subject(s)
Anesthesia/adverse effects , Anesthesia/nursing , Insurance Claim Review , Outcome Assessment, Health Care/statistics & numerical data , Respiratory Insufficiency/epidemiology , Guideline Adherence , Humans , Intraoperative Complications , Malpractice , Nurse Anesthetists , Nursing/standards , Respiratory Insufficiency/etiology , Risk Factors , Safety Management , United States
15.
Water Sci Technol ; 44(11-12): 515-21, 2001.
Article in English | MEDLINE | ID: mdl-11804143

ABSTRACT

A short-term study was performed to determine the feasibility of using constructed wetlands to remove explosives from groundwater, and to assess accumulation of parent explosives compounds and their known degradation compounds in wetland plants. Tolerance towards explosives in submersed and emergent plants was screened over a range of 0 to 40 mg L(-1). Tolerance varied per compound, with TNT evoking the highest, 2NT the lowest, and 24DNT, 26DNT, and RDX an intermediate growth reducing effect. Submersed plants were more sensitive to TNT than emergent ones. A small-scale 4-month field study was carried out at the Volunteer Army Ammunition Plant, Chattanooga, TN. In this surface-flow, modular system, the influent contained high levels (>2.1 mg L(-1)) of TNT, 2,4DNT, 2,6DNT, 2NT, 3NT, and 4NT, and the HRT was 7 days. The performance criteria of US EPA treatment goals for local discharge of 2,4DNT concentration <0.32 mg L(-1), and 26DNT concentration <0.55 mg L(-1) were not met at the end of the experiment, although explosives levels were greatly reduced. Low levels of 2ADNT and 4ADNT were transiently observed in the plant biomass. Results of two other, older, constructed wetlands, however, indicated that in these systems treatment goals were met most of the time, residues of explosives parent compounds and known degradation compounds in plant tissues were low and/or transient, and in substrates were low.


Subject(s)
Ecosystem , Explosions , Nitro Compounds/metabolism , Water Pollution/prevention & control , Biomass , Facility Design and Construction , Nitro Compounds/analysis , Nitro Compounds/pharmacokinetics , Plants , Tissue Distribution , Waste Disposal, Fluid/methods , Water Purification/methods
16.
Memory ; 8(4): 217-34, 2000 Jul.
Article in English | MEDLINE | ID: mdl-10932792

ABSTRACT

Recall of script, script-irrelevant, and script-interruptive actions in script-based stories was examined in four experiments. By varying the plausibility of the script-irrelevant and the script-interruptive actions, the bizarreness effect (i.e., enhanced recall for bizarre, implausible actions) was assessed within the context of script-based text. In addition, presentation of script-interruptive actions actions allowed for an assessment of the interruption effect (i.e., enhanced recall for interruptive actions). A bizarreness effect was found, to the extent that implausible script-irrelevant actions were better recalled than their more plausible counterparts and script actions. However, implausible actions were not better recalled than script-interruptive actions, nor did bizarreness significantly enhance recall of script-interruptive actions. These results are discussed in terms of recent assumptions underlying interruptions underlying interruption and bizarreness effects, and in terms of recent assumptions about how scripted and nonscripted actions are retained in memory.


Subject(s)
Attention , Mental Recall , Reading , Adult , Humans , Writing
17.
Chemosphere ; 39(12): 2057-72, 1999 Nov.
Article in English | MEDLINE | ID: mdl-10576106

ABSTRACT

Uptake and fate of TNT and RDX by three aquatic and four wetland plants were studied using hydroponic, batch, incubations in explosives-contaminated groundwater amended with [U-14C]-TNT or [U-14C]-RDX in the laboratory. Substrates in which the plants were rooted were also tested. Plants and substrates were collected from a small-scale wetland constructed for explosives removal, and groundwater originated from a local aquifer at the Milan Army Ammunition Plant. This study demonstrated rapid uptake of [U-14C]-TNT derived 14C, concentration at the uptake sites and limited transport in all plants. Per unit of mass, uptake was higher in submersed than in emergent species. Biotransformation of TNT had occurred in all plant treatments after 7-day incubation in 1.6 to 3.4 mg TNT L-i, with labeled amino-dinitrotoluenes (ADNTs), three unidentified compounds unique for plants, and mostly polar products as results. Biotransformation occurred also in the substrates, yielding labeled ADNT, one unidentified compound unique for substrates, and polar products. TNT was not recovered by HPLC in plants and substrates after incubation. Uptake of [U-14C]-RDX derived 14C in plants was slower than that of TNT, transport was substantial, and concentration occurred at sites where new plant material was synthesized. As for TNT, uptake per unit of mass was higher in submersed than in emergent species. Biotransformation of RDX had occurred in all plant treatments after 13-day incubation in 1.5 mg RDX L-1, with one unidentified compound unique for plants, and mostly polar products as results. Biotransformation had occurred also in the substrates, but to a far lower extent than in plants. Substrates and plants had one unidentified 14C-RDX metabolite in common. HPLC analysis confirmed the presence of RDX in most plants and in three out of four substrates at the end of the incubation period.


Subject(s)
Ecosystem , Plants/metabolism , Triazines/pharmacokinetics , Trinitrotoluene/pharmacokinetics , Water Pollutants, Chemical/pharmacokinetics , Autoradiography , Biotransformation , Carbon Radioisotopes , Chromatography, Thin Layer , Fresh Water , Tissue Distribution
18.
J Cardiothorac Vasc Anesth ; 13(4): 424-30, 1999 Aug.
Article in English | MEDLINE | ID: mdl-10468255

ABSTRACT

OBJECTIVE: To evaluate whether cardiac surgical patients receiving conventional versus fast-track anesthetic management are statistically significantly different with regard to cardiovascular drug infusions, weight gain, cardiac and pulmonary morbidity, length of intubation, and length of stay. DESIGN: Retrospective, (partially) sequential, cohort design. SETTING: Surgical suite and intensive care unit (ICU) at a community hospital. PARTICIPANTS: Two hundred seven patients who presented for coronary artery bypass graft and/or cardiac valve replacement. INTERVENTIONS: None MEASUREMENTS AND MAIN RESULTS: Group comparisons of the seven individual cardiovascular drug infusions showed less frequent use in the fast-track patients for lidocaine (9% v 28%; p = 0.00046) only. However, the fast-track group received fewer combinations of cardiovascular drug infusions overall for the first 24-hour postoperative period (p < 0.0005). Hourly comparisons of inotropes showed significantly fewer combinations of dobutamine, norepinephrine, and epinephrine for the first postoperative hour and for postoperative hours 7 through 12 (p < 0.01 for each hour). Fast-track patients had less postoperative weight gain for days 1 through 4 (p < 0.01 for each day), shorter length of ICU stay (p < 0.00005), and shorter total length of postoperative hospital stay (p = 0.0004). No differences were found with respect to myocardial infarction, death, pulmonary complications, rate of reintubation, or length of hospital stay once discharged from the ICU. CONCLUSIONS: Fast-track anesthetic management may be associated with decreased need for inotropic and antiarrhythmic drug infusions and decreased weight gain.


Subject(s)
Anesthesia/methods , Cardiac Surgical Procedures , Cardiotonic Agents/administration & dosage , Weight Gain , Aged , Cohort Studies , Female , Humans , Infusions, Intravenous , Intraoperative Care , Intubation, Intratracheal , Length of Stay , Male , Middle Aged , Postoperative Care , Postoperative Complications , Retrospective Studies , Time Factors
19.
Chemosphere ; 38(14): 3383-96, 1999 Jun.
Article in English | MEDLINE | ID: mdl-10390848

ABSTRACT

Phytoremediation of 2,4,6-trinitrotoluene (TNT) and hexahydro-1,3,5-trinitro-1,3,5-triazine (RDX) in groundwater using constructed wetlands is a potentially economical remediation alternative. To evaluate Explosives removal and fate was evaluated using hydroponic batch incubations of plant and substrate treatments with explosives-contaminated groundwater amended with [U-14C]-TNT or [U-14C]-RDX. Plants and substrates were collected from a small-scale wetland constructed for explosives removal, and groundwater originated from a local aquifer at the Milan Army Ammunition Plant. The study surveyed three aquatic, four wetland plant species and two substrates in independent incubations of 7 days with TNT and 13 days with RDX. Parent compounds and transformation products were followed using 14C and chemical (HPLC) analyses. Mass balance of water, plants, substrates and air was determined. It was demonstrated that TNT disappeared completely from groundwater incubated with plants, although growth of most plants except parrot-feather was low in groundwater amended to contain 1.6 to 3.4 mg TNT L-1. Highest specific removal rates were found in submersed plants in water star-grass and in all emergent plants except wool-grass. TNT declined less with substrates, and least in controls without plants. Radiolabel was present in all plants after incubation. Mineralization to 14CO2 was very low, and evolution into 14C-volatile organics negligible. RDX disappeared less rapidly than TNT from groundwater. Growth of submersed plants was normal, but that of emergent plants reduced in groundwater amended to contain 1.5 mg RDX L-1. Highest specific RDX removal rates were found in submersed plants in elodea, and in emergent plants in reed canary grass. RDX failed to disappear with substrates. Mineralization to 14CO2 was low, but relatively higher than in the TNT experiment. Evolution into 14C-volatile organics was negligible. Important considerations for using certain aquatic and wetland plants in constructed wetlands aimed at removing explosives from water are: (1) plant persistence at the explosives level to which it is exposed, (2) specific plant-mass based explosives removal rates, (3) plant productivity, and (4) fate of parent compounds and transformation products in water, plants, and sediments.


Subject(s)
Rodenticides/pharmacokinetics , Triazines/pharmacokinetics , Trinitrotoluene/pharmacokinetics , Water Pollutants, Chemical/pharmacokinetics , Environmental Pollution/prevention & control , Industry , Italy , Pest Control, Biological , Plants/chemistry , Water Supply
20.
Dev Psychol ; 34(4): 747-56, 1998 Jul.
Article in English | MEDLINE | ID: mdl-9681267

ABSTRACT

The predominant early childhood education philosophy in the United States views formal academic instruction as inappropriate and harmful to the social development of young children. Chinese American immigrants to the United States, however, have been found to teach their young children in more formal ways, to be more directive, and to structure their children's use of time to a greater degree (C. S. Huntsinger, P. E. Jose, F.-R. Liaw, & W.-D. Ching, 1997). Forty European American (20 boys, 20 girls) and 36 2nd-generation Chinese American (18 boys, 18 girls) 1st- and 2nd-grade children and their mothers, fathers, and teachers participated in the Time 2 data collection of this longitudinal study to assess whether the formal academic environment provided by Chinese American parents is linked to poorer social adjustment in their children. Regressions showed that parents' work-oriented methods influenced academic performance but not social adjustment of their children.


Subject(s)
Parenting , Social Adjustment , Adult , Asian , Child , Educational Status , Female , Humans , Male , Parent-Child Relations , United States
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