Fast formation of supergene Mn oxides/hydroxides under acidic conditions in the oxic/anoxic transition zone of a shallow aquifer.

Extensive uranium mining in the former German Democratic Republic (GDR) in eastern Thuringia and Saxony took place during the period of 1946-1990. During mining activities, pelitic sediments rich in organic carbon and uranium were processed and exposed to oxygen. Subsequent pyrite oxidation and acidic leaching lead to partial contamination of the area with heavy metals and acid mine drainage (AMD) even few years after completion of remediation. One of those areas is the former heap Gessen (Ronneburg, Germany) were the residual contamination can be found 10 m under the base of the former heap containing partly permeable drainage channels. Actually, in such a system, a rapid but locally restricted mineralization of Mn oxides takes place under acidic conditions. This formation can be classified as a natural attenuation process as certain heavy metals, e.g., Cd (up to 6 µg/g), Ni (up to 311 µg/g), Co (up to 133 µg/g), and Zn (up to 104 µg/g) are bound to this phases. The secondary minerals occur as colored layers close to the shallow aquifer in glacial sediments and could be identified as birnessite and todorokite as Mn phase. The thermodynamic model shows that even small changes in the system are sufficient to shift either the pH or the Eh in the direction of stable Mn oxide phases in this acidic system. As a consequence of 9-15-year-long formation process (or even less), the supergene mineralization provides a cost-efficient contribution for remediation (natural attenuation) strategies of residual with heavy metals (e.g., Cd, Co, Ni, Zn) contaminated substrates.

In situ soil water extraction: a review.

The knowledge of the composition and fluxes of vadose zone water is essential for a wide range of scientific and practical fields, including water-use management, pesticide registration, fate of xenobiotics, monitoring of disposal from mining and industries, nutrient management of agricultural and forest ecosystems, ecology, and environmental protection. Nowadays, water and solute flow can be monitored using either in situ methods or minimally invasive geophysical measurements. In situ information, however, is necessary to interpret most geophysical data sets and to determine the chemical composition of seepage water. Therefore, we present a comprehensive review of in situ soil water extraction methods to monitor solute concentration, solute transport, and to calculate mass balances in natural soils. We distinguished six different sampling devices: porous cups, porous plates, capillary wicks, pan lysimeters, resin boxes, and lysimeters. For each of the six sampling devices we discuss the basic principles, the advantages and disadvantages, and limits of data acquisition. We also give decision guidance for the selection of the appropriate sampling system. The choice of material is addressed in terms of potential contamination, filtering, and sorption of the target substances. The information provided in this review will support scientists and professionals in optimizing their experimental set-up for meeting their specific goals.

Clinical outcomes of educating nurses about pediatric pain management.

This pilot study examined the influence of a mandatory hospital in-service pediatric pain management program on nurses' administration of analgesics. Chart audits were conducted using a convenience sample of all children who had undergone tonsillectomies during a 2-week period before and after the in-service. In contrast to what was expected, after the educational program, there was an increased length of time before the first dose of analgesic was given and between doses of analgesics given to patients.

Development of a consumer satisfaction survey tool for a nurse-managed community health center.

The authors describe a group project in a graduate nursing course in which the students developed a consumer satisfaction survey tool for use in an academic nursing center. Included in this article are a description of the project inception, course objectives, group collaboration, review of the literature, and tool development. The completed tool and recommendations are included.

Ocular sequelae of multimodal therapy of hematologic malignancies in children.

We retrospectively analyzed the ocular findings after polychemotherapy including intrathecal methotrexate, systemic corticosteroids, and prophylactic cranial irradiation in children with acute lymphoblastic leukemia (n = 16) and non-Hodgkin's lymphoma (n = 2). After a median surveillance time of 4.1 years, asymptomatic ocular abnormalities were observed in 83% of the patients: 7/18 had a decreased tear formation, 5/17 had an opacity of the vitreous body, and 13/18 had an opacity of the lens. It was not possible to determine retrospectively which therapy caused a particular effect. A comparison of the 2 irradiation techniques (with and without blocking of the lacrimal glands) showed that in 5/7 children who developed a reduced eye secretion, the lacrimal glands are within the treatment volume. Therefore, the reduced eye secretion is most likely radiation-induced. Whereas the opacities of the vitreous body were caused by thrombopenia and bleeding during the course of disease, corticoid therapy might have contributed to the lens opacities.

[The concept of ergotherapy: joint protection and remedial device]. / Konzept der Ergotherapie: Gelenkschutz und Hilfsmittel.

Joint protection is an important, unfortunately often neglected method of treatment for various rheumatological conditions. With theoretical and practical working methods, the occupational therapist conveys valuable information regarding the successful treatment of threatening joint deformity and efficient pain reduction.

[Endocrinologic function following cranial irradiation in acute lymphoblastic leukemia in childhood]. / Endokrinologische Funktion nach Schädelbestrahlung bei akuter lymphoblastischer Leukämie im Kindesalter.

Endocrinological function was evaluated in 31 children after successful treatment of acute lymphoblastic leukaemia. All patients had received combination chemotherapy and 12-24Gy of cranial irradiation according to the German therapy protocols BFM-81, BFM-83 and BFM-86. Height, weight, bone age and pubertal development, as well as hypothalamic-pituitary function were measured. Long-term linear growth was unaffected in all patients. However, 9 patients showed subnormal serum growth hormone levels in response to pharmacological stimulation of the pituitary. All patients had normal levels of T3 and T4, but one patient showed an increased response of thyrotropin to thyrotropin releasing hormone. All prepubertal and postpubertal children demonstrated appropriate secretion of follicle-stimulation hormone (FSH) and luteinizing hormone (LH) after stimulation with LH-releasing hormone (LH-RH). 3 pubertal girls showed adequate oestradiol levels, but abnormally high levels of gonadotropins in response to LH-RH. Sexual development was normal in two of them, but the third had a late menarche and irregular menses. The significance of these findings is discussed in the context of recommendations possibly to further reduce or completely delete prophylactic cranial irradiation.