Seasonal nearshore ocean acidification and deoxygenation in the Southern California Bight.

The California Current System experiences seasonal ocean acidification and hypoxia (OAH) owing to wind-driven upwelling, but little is known about the intensity, frequency, and depth distribution of OAH in the shallow nearshore environment. Here we present observations of OAH and dissolved inorganic carbon and nutrient parameters based on monthly transects from March 2017 to September 2018 extending from the surf zone to the ~ 40 m depth contour in La Jolla, California. Biologically concerning OAH conditions were observed at depths as shallow as 10 m and as close as 700 m to the shoreline. Below 20 m depth, 8% of observations were undersaturated with respect to aragonite, 28% of observations had a pHT less than 7.85, and 19% of observations were below the sublethal oxygen threshold of 157 µmol kg-1. These observations raise important questions about the impacts of OAH on coastal organisms and ecosystems and how future intensified upwelling may exacerbate these conditions.

Parametric release for EtO sterilization.

The use of microwave spectroscopy as a process-control monitor to measure ethylene oxide (EtO) is an exciting breakthrough in EtO sterilization. Technologies employed until now have lacked the specificity or long-term stability to measure EtO, but microwave spectrometers now in EtO facilities have shown consistent and accurate results. This article explains the technology.

Sterilisation of implantable devices.

The pathogenesis and rates of infection associated with the use of a wide variety of implantable devices are described. The multi-factorial nature of post-operative periprosthetic infection is outlined and the role of sterilisation of devices is explained. The resistance of bacterial spores is highlighted as a problem and a full description is given of the processes of sterilisation by heat, steam, ethylene oxide, low temperature steam and formaldehyde, ionising radiation and liquid glutaraldehyde. Sterility assurance and validation are discussed in the context of biological indicators and physical/chemical indicators. Adverse effects upon the material composition of devices and problems of process control are listed. Finally, possible optimisations of the ethylene oxide process and their potential significance to the field of sterilisation of implants is explored.

A gas monitoring system for ethylene oxide sterilizers with constant sample flow through a microwave cavity spectrometer.

This paper reports a measurement system for monitoring the gas concentrations of ethylene oxide (EO) within sterilizers. It samples gas from the sterilizer chamber at a constant flow into a microwave cavity spectrometer. The pressure in the cavity of the spectrometer is linearly proportional to that in the sterilizer chamber, hence the partial pressure (i.e. gas concentration) of the EO gas is linearly proportional to that in the chamber. Measurement of the gas concentration in the chamber can therefore take place without the need to monitor and interpret the chamber pressure. As a consequence the reliability of the sterilization process may be improved, thus enabling a reduction in the in-chamber concentration of EO during sterilization and, hence, EO residues. The microwave cavity spectrometer operates under conditions of power saturation, and there is a good linear correlation between the output signal and the concentration of EO in the gas cell (to within a standard error of 4%).

Computerized model for accurate determination of ethylene oxide diffusion in sterilized medical supplies.

A computerized numerical model is described which is shown to be more generally applicable than analytical methods in the determination of ethylene oxide diffusion in polymeric material. Diffusion coefficients of ethylene oxide in poly(vinyl chloride) were determined from the rates of desorption both for conventional aeration with warm air and for microwave-assisted desorption and found to be concentration dependent. The model takes account of device geometry and concentration dependence of diffusion coefficient and its predictions are in agreement with experimental results for desorption. The model is also used to simulate the whole sterilization process with a view to a planned diminution of EO residuals after sterilization.

Optimization of the ethylene oxide sterilization process.

Hospitals and manufacturers of medical supplies use ethylene oxide (EO) gas almost exclusively to sterilize devices that are heat sensitive. However, the evidence relating the mutagenicity and cytogeneticity shows the desirability of reducing personal exposure to a practical minimum.

Enhancement of the kinetics of the aeration of ethylene oxide sterilized polymers using microwave radiation.

Ethylene oxide (EO) is used extensively to sterilize medical supplies that are heat sensitive. EO residues in materials post sterilization can present a hazard to patients at the point of use. Protracted aeration (i.e. degassing) times are necessary post sterilization to reduce EO residues to an accepted level. The sorption of EO into polyvinylchloride was found to be an active process given that at sorption equilibrium (i.e. when the net flow of diffusant into the host material has reduced to zero) the number of molecules of EO per unit volume was greater in PVC than in its external environment. The diffusion coefficient (D) was concentration (c) dependent and the relationship which best describes this dependence was D(c) alpha ln c. The diffusion of EO was dramatically accelerated (as evidenced by a time saving in degassing of up to 400%) if microwave heating (2.45 GHz) was used instead of conventional heating for the same macroscopic temperature. The values of activation energy for diffusion were obtained from the respective Arrhenius plots of diffusion coefficient versus inverse temperature for each process. In general, even small reductions in activation energy can greatly increase the specific rate of reaction. The relative efficacy of microwaves in eliminating EO residues as evidenced by this data occurs as a result of microwaves reducing the activation energy for diffusion by almost a factor of two. The relative efficiency of microwave desorption compared to conventional aeration offers considerable gains in the cost-effectiveness of gas sterilization since it will permit a much greater throughput of material, thereby obviating the need for excessively large inventories of equipment.

Microwave desorption: a combined sterilizer/aerator for the accelerated elimination of ethylene oxide residues from sterilized supplies.

Ethylene oxide gas is widely used in medical and related facilities for low-temperature sterilization of surgical devices. Evidence of its toxicity and, in particular, its mutagenicity and carcinogenicity provide sufficient reasons for caution in its use and for minimizing exposure. Little advancement has been made in the removal of ethylene oxide residuals from plastics into which the gas is heavily absorbed during sterilization, despite the fact that the gas has been used for 20 years or more. This article describes a novel process (PCT Application/GB85/00509) in which microwave irradiation of ethylene oxide-sterilized materials is utilized to enhance the rate at which the gas is desorbed. The experimental apparatus is described, and an explanation of the effect of microwaves on the energy of activation for diffusion is given. Data are presented in support of the authors' claim of a 400% improvement in the efficiency of the new process over conventional aeration procedures. The advantages and economy of an integrated sterilizer/microwave-enhanced desorber are discussed in the context of the implications that arise from the current regulatory debate.

Mercury as a health hazard.

Pink disease has virtually disappeared since teething powders were withdrawn. We describe a case in a boy who was exposed to metallic mercury vapour. We discuss the potential health hazard of spilled elemental mercury in the house and the difficulties of removing it from the environment.