Determination of Nicotine Content and Delivery in Disposable Electronic Cigarettes Available in the United States by Gas Chromatography-Mass Spectrometry.

INTRODUCTION: Electronic cigarettes (E-Cigs) are popular alternatives to conventional tobacco cigarettes. Disposable E-Cigs are single-use devices that emit aerosols from a nicotine-containing solution (e-liquid) by activating a heating coil during puffing. However, due to lack of regulations and standards, it is unclear how product claims are aligning with actual content and performance. Some analytical methods for characterizing E-Cigs are still in an exploratory phase. METHODS: Five products of disposable E-Cigs (purchased March-April, 2014 from a local smoke shop and an on-line US distributor) were studied for nicotine content, number of puffs obtained before depletion, portion of nicotine delivered via aerosolization, and e-liquid pH. Protocols were developed to consistently extract e-liquid from puffed and unpuffed E-Cigs. An in-house mechanical puffing machine was used to consistently puff E-Cig aerosols onto filter pads. A gas chromatography-mass spectrometry method was developed that produced sensitive and repeatable nicotine determinations. RESULTS: Under our experimental parameters, results showed a disparity between nicotine content and number of puffs achieved relative to what was claimed on product packaging. The portion of nicotine delivered to filter pads was often less than half that which was available, indicating much of the nicotine may be left in the E-Cig upon depletion. CONCLUSIONS: Analyses of unpuffed E-Cigs by gas chromatography-mass spectrometry indicate the nicotine content of these products can be considerably different from manufacture's labeling. Furthermore, a large portion of the nicotine in E-Cigs may not be transferred to the user, and that which is transferred, may often be in the less bioavailable form.

Does Exurban Housing Development Affect the Physiological Condition of Forest-Breeding Songbirds? A Case Study of Ovenbirds (Seiurus aurocapillus) in the Largest Protected Area in the Contiguous United States.

Exurban development (low-density development in rural areas) can significantly alter wildlife community composition, but it is largely unknown whether it also affects wildlife at the individual level. We investigated individual-level impacts of exurban development in New York State's Adirondack Park by comparing the physiological condition of 62 male ovenbirds (Seiurus aurocapillus) breeding in forests with low-density housing development with those in contiguous forests. We used hematocrit (HCT) volume and plasma triglyceride (TRIG) levels to compare energetic condition, plasma uric acid (UA) and total plasma protein (TPP) levels to compare diet quality, and heterophil∶lymphocyte ratios (H∶L) to compare chronic stress. HCT was the only parameter to differ, with birds near houses exhibiting lower values. The comparable TRIG, UA, and TPP that we found between treatment types suggest that ovenbird food quality and availability are unaffected by exurban development in our study area. Similar H∶L suggests that homeowner activities do not significantly change chronic stressors faced by breeding male ovenbirds. We also found no difference in body mass, body size, or age ratio to indicate that habitats in either treatment type were in higher demand or more difficult to acquire. Although our results suggest that exurban development does not reduce habitat quality for male ovenbirds in a way that affects their condition, we caution that it may still ultimately reduce fitness by attracting synanthropic predators. Further work is needed to better understand the impacts of exurban development on wildlife at all levels and provide science-based information needed to meet conservation challenges in rapidly developing exurban areas.

Local site variation in stopover physiology of migrating songbirds near the south shore of Lake Ontario is linked to fruit availability and quality.

Birds that migrate long distances between breeding and wintering grounds are challenged to find adequate stopover sites that can provide a high-quality source of nutrition in order to refuel quickly and continue on their migratory journeys. Wild fruits are a well-documented component in the diets of many passerines during autumn migration. Thus, fruit availability and the proliferation of shrubs that bear low-quality fruits at important stopover sites may dictate the quality of food resources available for refuelling birds and present a conservation concern. We profiled plasma metabolites of two migratory passerine species at two different stopover sites near the south shore of Lake Ontario during the peak of autumn migration. We also measured diversity, availability and nutritional quality of fruits present at these sites. Site explained most of the variation in plasma triglyceride for both bird species, but was less important than other confounding variables for explaining concentrations of plasma ß-hydroxybutyrate and plasma uric acid concentrations. Site differences in fat deposition, as indicated by plasma triglyceride, may in part be explained by the large differences in diversity and availability of high-quality fruits between the two sites. Our results suggest that abundant, lipid-rich native fruits with high-energy density are associated with increased fat deposition during autumn stopovers for some species, although other factors, such as proximity to the Lake Ontario shoreline and the opportunities to refuel in the surrounding landscape, are likely to play a role in stopover site use by birds. It is possible that local site characteristics that influence growing conditions may impact the quality of fruits produced by a plant species, altering the availability of critical nutrients for avian consumers.

Achieving standardized medication data in clinical research studies: two approaches and applications for implementing RxNorm.

The National Institutes of Health has proposed a roadmap for clinical research. Test projects of this roadmap include centralized data management for distributed research, the harmonization of clinical and research data, and the use of data standards throughout the research process. In 2003, RxNorm was named as a standard for codifying clinical drugs. Clinical researchers looking to implement RxNorm have few template implementation plans. Epidemiological studies and clinical trials (types of clinical research) have different requirements for model standards and best implementation tools. This paper highlights two different (epidemiological and intervention) clinical research projects, their unique requirements for a medication standard, the suitability of RxNorm as a standard for each, and application and process requirements for implementation. It is hoped that our experience of selecting and implementing the RxNorm standard to address varying study requirements in both domestic and international settings will be of value to other efforts.

Dietary macronutrients affect lipid metabolites and body composition of a migratory passerine, the white-throated sparrow (Zonotrichia albicollis).

Plasma lipid metabolites can provide information about fat metabolism and storage in migrating birds, yet little is known about the influence of diet and nutrition or how they relate to intraindividual differences in body composition of songbirds. We investigated how dietary macronutrient composition affects plasma lipid concentrations and subsequent changes in fat accumulation in white-throated sparrows (Zonotrichia albicollis). Birds fed a low-protein diet with more glucose had higher plasma triglyceride levels and higher average fat mass compared with levels and mass in birds fed diets with less glucose, and birds fed diets with less glucose and more fat had the highest plasma B-hydroxybutyrate concentrations, regardless of protein content. Birds fed the low-protein, high-fat diet also had the highest plasma nonesterified fatty acids. Diet-related changes in plasma triglyceride and B-hydroxybutyrate were more strongly related to fat mass than to lean mass of birds. Nevertheless, diet-related changes in lipid metabolites were more strongly influenced by the intake of certain macronutrients than by body fatness. Thus, plasma lipid metabolites may reliably indicate fat mass and fattening rates of birds, although our results suggest that diet composition must be considered given that certain macronutrients, namely, dietary glucose, may enhance fat deposition in songbirds.

Phytic acid mobilization is an early response to chilling of the embryonic axes from dormant oilseed of hazel (Corylus avellana).

Dormancy of hazel (Corylus avellana L.) seeds is alleviated by a chilling treatment during which cytological, hormonal, and biochemical changes occur. Phytic acid and phosphate mobilization have been examined during this treatment. Phytic acid accounted for 0.7% and up to 3.2% of dry weight in axiferous and cotyledonary tissue, respectively. Phytic acid levels in embryonic axes were reduced by 60% within the first 3 weeks of chilling, with little subsequent change, in contrast to warm-imbibed tissue where levels did not change significantly. In cotyledons, phytic acid was mobilized to a lesser extent. Phosphate levels expressed on a fresh weight basis remained almost unaltered suggesting either the operation of a homeostatic mechanism for intracellular concentration or rapid utilization due to active metabolism. Phytase activity increased during stratification in both axiferous and cotyledonary tissue. The initial rise observed was associated with dormancy alleviation, since it occurred before the realization of full germination potential by the seeds and not in warm-imbibed tissue. Protein bodies were isolated from hazel seeds by non-aqueous density gradients. Phytase activity was closely associated with the purified organelles, where phytic acid was located by light microscopy. Overall, these findings suggest that phytic acid mobilization by phytase and previously described processes associated with protein bodies, such as considerable proteolysis, are early participants in the plethora of events leading to seed dormancy relief and germination in hazel.

Calcium oxalate crystal localization and osteopontin immunostaining in genetic hypercalciuric stone-forming rats.

BACKGROUND: The inbred genetic hypercalciuric stone-forming (GHS) rats develop calcium phosphate (apatite) stones when fed a normal 1.2% calcium diet. The addition of 1% hydroxyproline to this diet does not alter the type of stone formed, while rats fed this diet with 3% hydroxyproline form mixed apatite and calcium oxalate stones and those with 5% hydroxyproline added form only calcium oxalate stones. The present study was designed to determine the localization of stone formation and if this solid phase resulted in pathologic changes to the kidneys. METHODS: GHS rats were fed 15 g of the standard diet or the diet supplemented with 1%, 3%, or 5% hydroxyproline for 18 weeks. A separate group of Sprague-Dawley rats (the parental strain of the GHS rats), fed the standard diet for a similar duration, served as an additional control. At 18 weeks, all kidneys were perfusion-fixed for structural analysis, detection of crystal deposits using the Yasue silver substitution method, and osteopontin immunostaining. RESULTS: There were no crystal deposits found in the kidneys of Sprague-Dawley rats. Crystal deposits were found in the kidneys of all GHS rats and this Yasue-stained material was detected only in the urinary space. No crystal deposits were noted within the cortical or medullary segments of the nephron and there was no evidence for tubular damage in any group. The only pathologic changes occurred in 3% and 5% hydroxyproline groups with the 5% group showing the most severe changes. In these rats, which form only calcium oxalate stones, focal sites along the urothelial lining of the papilla and fornix of the urinary space demonstrated a proliferative response characterized by increased density of urothelial cells that surrounded the crystal deposits. At the fornix, some crystals were lodged within the interstitium, deep to the proliferative urothelium. There was increased osteopontin immunostaining in the proliferating urothelium. CONCLUSION: Thus in the GHS rat, the initial stone formation occurred solely in the urinary space. Tubular damage was not observed with either apatite or calcium oxalate stones. The apatite stones do not appear to cause any pathological change while those rats forming calcium oxalate stones have a proliferative response of the urothelium, with increased osteopontin immunostaining, around the crystal deposits in the fornix.

Visual art and breast health promotion: artists' perspectives.

Unique methodologies to promote health are important to meet the needs of various populations. This paper presents a collaborative approach among nursing, visual arts, and women's studies to promote breast health using visual art. The purpose of this paper is to describe the project from the perspectives of the artists, gain insight into breast health, and understand the use of visual art as a health promotion tool. A structured interview format was employed and data were thematically analyzed. The three main themes that emerged were a strong personal connection to and fear of breast cancer, the need and desire to promote health within the community, and the uni-dimensional nature of breast cancer and breast health. The interviews demonstrated that visual art is an innovative and adaptive methodology to promote breast health.

Chronic acidosis-induced alteration in bone bicarbonate and phosphate.

Chronic metabolic acidosis increases urinary calcium excretion without altering intestinal calcium absorption, suggesting that bone mineral is the source of the additional urinary calcium. In vivo and in vitro studies have shown that metabolic acidosis causes a loss of mineral calcium while buffering the additional hydrogen ions. Previously, we studied changes in femoral, midcortical ion concentrations after 7 days of in vivo metabolic acidosis induced by oral ammonium chloride. We found that, compared with mice drinking only distilled water, ammonium chloride induced a loss of bone sodium and potassium and a depletion of mineral HCO3(-) and phosphate. There is more phosphate than carbonate in neonatal mouse bone. In the present in vitro study, we utilized a high-resolution scanning ion microprobe with secondary ion mass spectroscopy to test the hypothesis that chronic acidosis would decrease bulk (cross-sectional) bone phosphate to a greater extent than HCO3(-) by localizing and comparing changes in bone HCO3(-) and phosphate after chronic incubation of neonatal mouse calvariae in acidic medium. Calvariae were cultured for a total of 51 h in medium acidified by a reduction in HCO3(-) concentration ([HCO(-)]; pH approximately 7.14, [HCO3(-)] approximately 13) or in control medium (pH approximately 7.45, HCO3(-) approximately 26). Compared with incubation in control medium, incubation in acidic medium caused no change in surface total phosphate but a significant fall in cross-sectional phosphate, with respect to the carbon-carbon bond (C2) and the carbon-nitrogen bond (CN). Compared with incubation in control medium, incubation in acidic medium caused no change in surface HCO3(-) but a significant fall in cross-sectional HCO3(-) with respect to C2 and CN. The fall in cross-sectional phosphate was significantly greater than the fall in cross-sectional HCO3(-). The fall in phosphate indicates release of mineral phosphates, and the fall in HCO3(-) indicates release of mineral HCO3(-), both of which would be expected to buffer the additional protons and help restore the pH toward normal. Thus a model of chronic acidosis depletes bulk bone proton buffers, with phosphate depletion exceeding that of HCO3(-).

Acute acidosis-induced alteration in bone bicarbonate and phosphate.

During an acute fall in systemic pH due to a decrease in the concentration of serum bicarbonate ([HCO(3)(-)]), metabolic acidosis, there is an influx of hydrogen ions into the mineral phase of bone, buffering the decrement in pH. When bone is cultured in medium modeling acute metabolic acidosis, the influx of hydrogen ions is coupled to an efflux of sodium and potassium and a depletion of mineral carbonate. These ionic fluxes would be expected to neutralize some of the excess hydrogen ions and restore the pH toward normal. Approximately one-third of bone carbonate is located on the hydration shell of apatite, where it is readily accessible to the systemic circulation, whereas the remainder is located in less accessible areas. We hypothesize that the surface of bone would respond to acidosis in a different manner than the interior of bone, with depletion of carbonate preferentially occurring on the bone surface. We utilized a high-resolution scanning ion microprobe with secondary ion mass spectroscopy to localize the changes in bone carbonate, as measured by HCO(3)(-), and phosphate and determine their relative contribution to the buffering of hydrogen ions during acute metabolic acidosis. Neonatal mouse calvariae were incubated in control medium (pH approximately 7.44, [HCO(3)(-)] approximately 27 mM) or in medium acidified by a reduction in [HCO(3)(-)] (pH approximately 7.14, [HCO(3)(-)] approximately 13). Compared with control, after a 3-h incubation in acidic medium there is a fivefold decrease in surface HCO(3)(-) with respect to the carbon-carbon bond (C(2)) and a threefold decrease in surface HCO(3)(-) with respect to the carbon-nitrogen bond (CN) with no change in cross-sectional HCO(3)(-). Compared with control, after a 3-h incubation in acidic medium there is a 10-fold decrease in cross-sectional phosphate with respect to C(2) and a 10-fold decrease in cross-sectional phosphate with respect to CN, with no change in surface phosphate. On the bone surface, there is a fourfold depletion of HCO(3)(-) in relation to phosphate, and, in cross section, a sevenfold depletion of phosphate in relation to HCO(3)(-). Thus acute hydrogen ion buffering by bone involves preferential dissolution of surface HCO(3)(-) and of cross-sectional phosphate.

The impact of asthma risk factors on home management of childhood asthma.

There have been few studies of childhood asthma among families who live in nonmetropolitan settings. This work is part of the baseline assessment conducted before implementing a health education program to study the impact of asthma risk factors (gender, ethnicity, socioeconomic status, asthma severity) on home asthma management. Data analysis yielded no significant differences in home asthma management performed by parents or children with asthma based on the child's gender, ethnicity, asthma severity, or family socioeconomic status. Factors that define the child's experienced asthma pattern, such as activity limitations, number of allergens, and school absenteeism, were associated with the parent's work of asthma management. Trends in the data for the different ethnic and gender subgroups that have implications for clinical practice were identified. Future directions for research to address questions that emerged in this analysis are discussed.