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This research continues a 7‐year study of oxygen‐containing organic compounds present in groundwater at gasoline and diesel fuel release sites that are quantified as diesel‐range “total petroleum hydrocarbons” when measured by methods utilizing solvent extraction and gas chromatography. Two‐dimensional gas chromatography with time‐of‐flight mass spectrometry was used to tentatively identify 1162 compounds (TICs) in 113 groundwater samples from 22 sites. Samples were collected from wells either upgradient of the release, within the source zone, or downgradient of the source but still within the plume of dissolved organics associated with release. The names and formulas of all TICs found in samples from each well type are presented and the results from upgradient and downgradient locations are compared in detail. About 60% of the most frequently detected TICs in downgradient wells were also detected in upgradient wells. A majority of these were saturated straight chain alkyl acids, commonly called fatty acids, or fatty acid esters. Of TICs frequently detected in downgradient wells but not upgradient wells, over half were branched alkyl alcohols. Hierarchical cluster analysis results suggest about 80% of the chemical composition of downgradient samples is more similar to upgradient samples than to source area samples. This similarity is due to the presence of the same types of fatty acids and esters. Principal component analysis indicates a continuum of biodegradation between the source area and downgradient samples with the latter becoming more consistent with upgradient samples. Results suggest some TICs may not be petroleum degradation intermediates but compounds synthesized by microorganisms through secondary production and carbon cycling.

This paper summarizes the results of a 5-y research study of the nature and toxicity of petroleum biodegradation metabolites in groundwater at fuel release sites that are quantified as diesel-range "Total Petroleum Hydrocarbons" (TPH; also known as TPHd, diesel-range organics (DRO), etc.), unless a silica gel cleanup (SGC) step is used on the sample extract prior to the TPH analysis. This issue is important for site risk management in regulatory jurisdictions that use TPH as a metric; the presence of these metabolites may preclude site closure even if all other factors can be considered "low-risk." Previous work has shown that up to 100% of the extractable organics in groundwater at petroleum release sites can be biodegradation metabolites. The metabolites can be separated from the hydrocarbons by incorporating an SGC step; however, regulatory agency acceptance of SGC has been inconsistent because of questions about the nature and toxicity of the metabolites. The present study was conducted to answer these specific questions. Groundwater samples collected from source and downgradient wells at fuel release sites were extracted and subjected to targeted gas chromatography-mass spectrometry (GC-MS) and nontargeted two-dimensional gas chromatography with time-of-flight mass spectrometry (GC×GC-MS) analyses, and the metabolites identified in each sample were classified according to molecular structural classes and assigned an oral reference dose (RfD)-based toxicity ranking. Our work demonstrates that the metabolites identified in groundwater at biodegrading fuel release sites are in classes ranked as low toxicity to humans and are not expected to pose significant risk to human health. The identified metabolites naturally attenuate in a predictable manner, with an overall trend to an increasingly higher proportion of organic acids and esters, and a lower human toxicity profile, and a life cycle that is consistent with the low-risk natural attenuation paradigm adopted by many regulatory agencies for petroleum release sites. Integr Environ Assess Manag 2017;13:714-727. © 2016 The Authors. Integrated Environmental Assessment and Management Published by Wiley Periodicals, Inc. on behalf of Society of Environmental Toxicology & Chemistry (SETAC).

Since the 1990s, questions have arisen as to whether the release of ethanol-blended fuel will inhibit natural attenuation of other gasoline constituents in groundwater. This study evaluated the hypothesis that ethanol affects hydrocarbon attenuation and whether the use of ethanol-blended fuel alters the applicability of monitored natural attenuation (MNA) as an approach for managing risks at fuel-release sites. Groundwater data from California's GeoTracker database were used to compare attenuation of benzene, toluene, methyl tert-butyl ether (MTBE), and tert-butyl alcohol (TBA) at sites with and without detections of ethanol. Excel-based tools were developed to conduct attenuation evaluations on thousands of wells simultaneously. Ethanol was detected at least once in 4.5% of the wells and 0.6% of the samples of which it was analyzed. The distribution of Mann-Kendall concentration trend analysis results and first-order attenuation rates were essentially the same at sites with or without ethanol detections. Median plume lengths were shorter at sites where ethanol had not been detected compared to sites where ethanol was detected (36 vs. 43 m for benzene; 36 vs. 42 m for toluene; 43 vs. 52 m for MTBE; and 44 vs. 59 m for TBA). However, the distribution of plume lengths was similar irrespective of ethanol concentrations, suggesting other factors may influence plume elongation. Finally, while anaerobic ethanol degradation can result in methane generation, the distributions of methane concentrations were the same at sites with and without ethanol detections. These results suggest that the use of ethanol-blended fuel should not limit the application of MNA at most biodegrading fuel-release sites.

Executive Summary: 1) We recommend that ultrasound should be used to guide thoracentesis to reduce the risk of complications, the most common being pneumothorax. 2) We recommend that ultrasound guidance should be used to increase the success rate of thoracentesis. 3) We recommend that ultrasound-guided thoracentesis should be performed or closely supervised by experienced operators. 4) We suggest that ultrasound guidance be used to reduce the risk of complications from thoracentesis in mechanically ventilated patients. 5) We recommend that ultrasound should be used to identify the chest wall, pleura, diaphragm, lung, and subdiaphragmatic organs throughout the respiratory cycle before selecting a needle insertion site. 6) We recommend that ultrasound should be used to detect the presence or absence of an effusion and approximate the volume of pleural fluid to guide clinical decision-making. 7) We recommend that ultrasound should be used to detect complex sonographic features, such as septations, to guide clinical decision-making regarding the timing and method of pleural drainage. 8) We suggest that ultrasound be used to measure the depth from the skin surface to the parietal pleura to help select an appropriate length needle and determine the maximum needle insertion depth. 9) We suggest that ultrasound be used to evaluate normal lung sliding pre- and postprocedure to rule out pneumothorax. 10) We suggest avoiding delay or interval change in patient position from the time of marking the needle insertion site to performing the thoracentesis. 11) We recommend against performing routine postprocedure chest radiographs in patients who have undergone thoracentesis successfully with ultrasound guidance and are asymptomatic with normal lung sliding postprocedure. 12) We recommend that novices who use ultrasound guidance for thoracentesis should receive focused training in lung and pleural ultrasonography and hands-on practice in procedural technique. 13) We suggest that novices undergo simulation-based training prior to performing ultrasound-guided thoracentesis on patients. 14) Learning curves for novices to become competent in lung ultrasound and ultrasound-guided thoracentesis are not completely understood, and we recommend that training should be tailored to the skill acquisition of the learner and the resources of the institution.

Human HepG2 cells were exposed to six TiO2 nanomaterials (with dry primary particle sizes ranging from 22 to 214 nm, either 0.3, 3, or 30 μg/mL) for 3 days. Some of these canonical pathways changed by nano-TiO2 in vitro treatments have been already reported in the literature, such as NRF2-mediated stress response, fatty acid metabolism, cell cycle and apoptosis, immune response, cholesterol biosynthesis, and glycolysis. But this genomic study also revealed some novel effects such as protein synthesis, protein ubiquitination, hepatic fibrosis, and cancer-related signaling pathways. More importantly, this genomic analysis of nano-TiO2 treated HepG2 cells linked some of the in vitro canonical pathways to in vivo adverse outcomes: NRF2-mediated response pathways to oxidative stress, acute phase response to inflammation, cholesterol biosynthesis to steroid hormones alteration, fatty acid metabolism changes to lipid homeostasis alteration, G2/M cell checkpoint regulation to apoptosis, and hepatic fibrosis/stellate cell activation to liver fibrosis.

In an effort to understand the nature and toxicity of petroleum hydrocarbon degradation metabolites, 2-dimensional gas chromatography linked to a time-of-flight mass spectrometer (GC×GC-TOFMS) was used to conduct nontargeted analysis of the extracts of 61 groundwater samples collected from 10 fuel release sites. An unexpected result was the tentative identification of 197 unique esters. Although esters are known to be part of specific hydrocarbon degradative pathways, they are not commonly considered or evaluated in field studies of petroleum biodegradation. In addition to describing the compounds identified, the present study discusses the role for nontargeted analysis in environmental studies. Overall, the low toxicological profile of the identified esters, along with the limited potential for exposure, renders them unlikely to pose any significant health risk.

A realistic understanding of contaminant sources is required to set appropriate control policy. Forensic chemical methods can be powerful tools in source characterization and identification, but they require a multiple-lines-of-evidence approach. Atmospheric receptor models, such as the US Environmental Protection Agency (USEPA)'s chemical mass balance (CMB), are increasingly being used to evaluate sources of pyrogenic polycyclic aromatic hydrocarbons (PAHs) in sediments. This paper describes the assumptions underlying receptor models and discusses challenges in complying with these assumptions in practice. Given the variability within, and the similarity among, pyrogenic PAH source types, model outputs are sensitive to specific inputs, and parsing among some source types may not be possible. Although still useful for identifying potential sources, the technical specialist applying these methods must describe both the results and their inherent uncertainties in a way that is understandable to nontechnical policy makers. The authors present an example case study concerning an investigation of a class of parking-lot sealers as a significant source of PAHs in urban sediment. Principal component analysis is used to evaluate published CMB model inputs and outputs. Targeted analyses of 2 areas where bans have been implemented are included. The results do not support the claim that parking-lot sealers are a significant source of PAHs in urban sediments. Integr Environ Assess Manag 2014;10:279–285. © 2013 SETAC

Polar metabolites resulting from petroleum biodegradation are measured in groundwater samples as TPHd unless a silica gel cleanup (SGC) is used on the sample extract to isolate hydrocarbons. Even though the metabolites can be the vast majority of the dissolved organics present in groundwater, SGC has been inconsistently applied because of regulatory concern about the nature and toxicity of the metabolites. A two-step approach was used to identify polar compounds that were measured as TPHd in groundwater extracts at five sites with biodegrading fuel sources. First, gas chromatography with mass spectrometry (GC-MS) was used to identify and quantify 57 individual target polar metabolites. Only one of these compounds—dodecanoic acid, which has low potential human toxicity—was detected. Second, nontargeted analysis was used to identify as many polar metabolites as possible using both GC-MS and GC×GC-MS. The nontargeted analysis revealed that the mixture of polar metabolites identified in groundwater source areas at these five sites is composed of approximately equal average percentages of organic acids, alcohols and ketones, with few phenols and aldehydes. The mixture identified in downgradient areas at these five sites is dominated by acids, with fewer alcohols, far fewer ketones, and very few aldehydes and phenols. A ranking system consistent with systems used by USEPA and the United Nations was developed for evaluating the potential chronic oral toxicity to humans of the different classes of identified polar metabolites. The vast majority of the identified polar metabolites have a “Low” toxicity profile, and the mixture of identified polar metabolites present in groundwater extracts at these five sites is unlikely to present a significant risk to human health.

Soils release more carbon, primarily as carbon dioxide (CO2), per annum than current global anthropogenic emissions. Soils emit CO2 through mineralization and decomposition of organic matter and respiration of roots and soil organisms. Given this, the evaluation of the effects of abiotic factors on microbial activity is of major importance when considering the mitigation of greenhouse gases emissions. Previous studies demonstrate that soil CO2 emission is significantly affected by temperature and soil water content. A limited number of studies have illustrated the importance of bulk density and soil surface characteristics as a result of exposure to rain on CO2 emission, however, none examine their relative importance. Therefore, this study investigated the effects of soil compaction and exposure of the soil surface to rainfall and their interaction on CO2 release. We conducted a factorial laboratory experiment with three soil types after sieving (clay, silt and sand soil), three different bulk densities (1.1?g cm3, 1.3?g cm3, 1.5?g cm3) and three different exposures to rainfall (no rain, 30 minutes and 90 minutes of rainfall). The results demonstrated CO2 release varied significantly with bulk density, exposure to rain and time. The relationship between rain exposure and CO2 is positive: CO2 emission was 53% and 42% greater for the 90 minutes and 30 minutes rainfall exposure, respectively, compared to those not exposed to rain. Bulk density exhibited a negative relationship with CO2 emission: soil compacted to a bulk density of 1.1?g cm3 emitted 32% more CO2 than soil compacted to 1.5?g cm3. Furthermore we found that the magnitude of CO2 effluxes depended on the interaction of these two abiotic factors. Given these results, understanding the influence of soil compaction and raindrop impact on CO2 emission could lead to modified soil management practices which promote carbon sequestration. Copyright (C) 2012 John Wiley & Sons, Ltd.

We utilized radioactive 73As-labeled arsenite and vacuum filtration methodology to determine the binding affinity of arsenite to eight synthetic peptides ranging from 13 to 24 amino acids long and containing one or two cysteines separated by 0-17 intervening amino acids. Six of the eight peptides were highly similar in amino acid sequence and were based on cysteine containing regions of the hormone-binding site of the human estrogen receptor-alpha (e.g., the sequence of peptide 28 is LEGAWCGKGVEGTEHLYSMKCKNV). The peptides with 0-14 intervening amino acids between two cysteines bound arsenite with Kd values of 2.7-20.1 uM and with Bmax values from 36 to 103 nmol/mg protein (from 0.083 to 0.19 nmol/nmol of protein). Thus, increasing the number of intervening amino acids from 0 to 14 made very little difference in the observed Kd values for arsenite, a surprising finding. Therefore, these peptides are flexible in solution and effectively contain a dithiol high affinity binding site for arsenite. Peptide 17 with two C separated by 19 amino acids bound arsenite with a Kd of 123 uM and a Bmax of 41.8 nmol/mg. The monothiol peptide 19 bound arsenite with a Kd of 124 uM and a Bmax of 26 nmol/mg protein. All experimental binding curves fit well to a one site binding model.

Soils contaminated with organic chemicals are now widespread in industrialized and developing countries, and the risk assessment and remediation of such contaminated sites is a priority. However, containment and remediation strategies are complicated in many cases by the range of contaminants present and the historical nature of the contamination. Research has increased our understanding of the behaviour of organic contaminants in soil and the factors that control their behaviour. There is a fundamental need to understand and, where possible, quantify the bioavailable fraction as well as the total concentration of contaminant present in soil: the bioavailable fraction is key to toxicity or biodegradation. To quantify these fractions, a large number of techniques have been employed, ranging from organic and aqueous based solvent extractions to the use of biota. Many studies have been carried out investigating the use of chemical techniques to describe bioavailability, which could be used in the assessment and remediation of contaminated land. The aim of this review is to consider the behaviour of organic contaminants in soil, highlighting issues of bioavailability, and then to discuss the relevance of the various methods for assessing risk and potential remediation of organic contaminants in soil.

Chemical analysis alone is inadequate for comprehensively assessing the impact of soil pollution on biota. The term bioavailability can only be applied in a context specific to a target biological receptor or a proven chemical surrogate. Integration of biological and chemical data can often yield significant advances in hazard assessment and act as a suitable baseline for making site-specific risk assessments. Here, the value of biological techniques is discussed and their application described. The relative merit of test selection is considered and the new direction being developed in sublethal assessments. Currently, however, one of the major limitations is the seeming lack of flexibility of many assays in that they are either applicable to agricultural systems or industrial scenarios, but rarely to both. As a consequence, few assays have internationally adopted protocols. The introduction of new methods and the continued improvement and refinement of assays make this area of soil science dynamic and responsive.

Background The objective of this study was to measure changes in injury claim rates after a premium discount program was implemented in the Finnish farmers' workers' compensation insurance. We focused on measures that could indicate whether the changes occurred in the true underlying injury rate, or only in claims reporting. Methods Monthly injury claim rates were constructed at seven disability duration levels from January 1990 to December 2003. We conducted interrupted time series analyses to measure changes in the injury claim rates after the premium discount was implemented on July 1, 1997. Three additional policy change indicators were included in the analyses. Results The overall injury claim rate decreased 10.2%. Decreases occurred at four severity levels (measured by compensated disability days): 0 days (16.3%), 1–6 days (14.1%), 7–13 days (19.5%), and 14–29 days (8.4%). No changes were observed at higher severity levels. Minor injuries had a seasonal pattern with higher rates in summer months while severe injuries did not have a seasonal pattern. Conclusions The premium discount decreased the overall claim rate. Decreases were observed in all categories up to 29 disability days. This pattern suggests that under-reporting contributes to the decrease but may not be the only factor. The value of the premium discount is lower than the value of a lost-time claim, so there was no financial reason to under-report lost-time injuries. Under-reporting would be expected to be greatest in the 0 day category, but that was not the case. These observations suggest that in addition to under-reporting, the premium discount may also have some preventive effect. Am. J. Ind. Med. 48:100–109, 2005. © 2005 Wiley-Liss, Inc.

Soils represent a major sink for organic xenobiotic contaminants in the environment. The degree to which organic chemicals are retained within the soil is controlled by soil properties, such as organic matter, and the physico-chemical properties of the contaminant. Chemicals which display hydrophobic and lipophilic characteristics, as well as a recalcitrant chemical structure, will be retained within the soil, and depending on the `strength' of the association may persist for long periods of time. This review describes the behaviour of hydrophobic organic contaminants in soils, focusing on the mechanisms controlling interactions between soil and contaminants. The bioavailability of contaminants in soil is also discussed, particularly in relation to contact time with the soil. It considers the degradation of organic contaminants in soil and the mechanisms microbes use to access contaminants. Finally, the review discusses the `pros' and `cons' of chemical and biological techniques available for assessing bioavailability of hydrophobic organic chemicals in soils, highlighting the need to quantify bioavailability by chemical techniques. It concludes by highlighting the need for understanding the interactions between the soil, contaminants and biota which is crucial to understanding the bioavailability of contaminants in soils.

Acoustic quantification (AQ) and color kinesis (CK) are techniques that involve automated detection and tracking of endocardial borders. These methods are useful for the evaluation of global and regional left ventricular (LV) systolic function and more recently have been applied to evaluating LV diastolic performance. Assessment of diastolic dysfunction in hypertensive heart disease is a relevant clinical issue in which these techniques have proven useful. The diastolic portion of left atrium and LV AQ area waveforms are frequently abnormal in patients with left ventricular hypertrophy (LVH). Left ventricular AQ curves consistently demonstrate reduced rapid filling fraction (RFF) and peak rapid filling rate (PRFR), elevated atrial filling fraction (AFF), peak atrial filling rate (PAFR), and reductions in the ratio PRFR/PAFR. Acoustic quantification complements traditional Doppler echocardiographic evaluation of global diastolic function. Many patients with significant LVH and normal Doppler diastolic parameters can be identified as having diastolic dysfunction with AQ. In addition, CK has allowed the evaluation of regional diastolic performance in hypertensive patients. Regional filling curves obtained from CK have demonstrated that endocardial diastolic motion is commonly delayed and heterogeneous in patients with LVH. (ECHOCARDIOGRAPHY, Volume 20, October 2003)

Two species of earthworm, Lumbricus rubellus Hoffmeister and Dendrodrilus rubidus (Savigny) collected from an arsenic-contaminated mine spoil site and an uncontaminated site were investigated for total tissue arsenic concentrations and for arsenic compounds by liquid chromatography-mass spectrometry (LC-MS) and liquid chromatography-inductively coupled plasma-mass spectrometry (HPLC-ICP-MS). For L. rubellus, whole-body total tissue arsenic concentrations were 7.0 to 17.0 mg arsenic/kg dry weight in uncontaminated soil and 162 to 566 mg arsenic/kg dry weight in contaminated soil. For D. rubidus, whole-body tissue concentrations were 2.0 to 5.0 mg arsenic/kg dry weight and 97 to 321 mg arsenic/kg dry weight, respectively. Arsenobetaine was the only organic arsenic species detected in both species of earthworms, with the remainder of the extractable arsenic being arsenate and arsenite. There was an increase in the proportion of arsenic present as arsenobetaine in the total arsenic burden. Lumbricus rubellus and D. rubidus have similar life styles, both being surface living and litter feeding. Arsenic speciation was found to be similar in both species for both uncontaminated and contaminated sites, with dose-dependent formation of arsenobetaine. When L. rubellus and D. rubidus from contaminated sites were incubated in arsenic-free soils, the total tissue burden of arsenic diminished. Initially, L. rubellus from the tolerant populations (from the contaminated site) eliminated arsenic in the first 7 d of exposure before accumulating arsenic in tissues, whereas nontolerant populations (from the uncontaminated site) accumulated arsenic linearly. The tolerant and nontolerant L. rubellus eliminated tissue arsenic linearly over 21 d when incubated in uncontaminated soil.

Background: Prior studies have reconstructed mitral regurgitant flow in three dimensions displaying gray scale renditions of the jets, which were difficult to differentiate from surrounding cardiac structures. Recently, a color-coded display of three-dimensional (3D) regurgitant flow has been developed. However, this display was unable to integrate cardiac anatomy, thereby losing spatial information, which made it difficult to determine the jet origin and its spatial trajectory. To overcome this limitation, an improved method of 3D color reconstruction of regurgitant jets obtained from color flow Doppler using a transesophageal approach was developed to allow the combined display of both color flow and gray scale information. Objectives: To demonstrate the feasibility of 3D reconstruction of regurgitant mitral flow jets using an improved method of color encoding digital data acquired by transesophageal echocardiography (TEE). Methods: We studied 46 patients undergoing a clinically indicated TEE study. All subjects had mitral regurgitation detected on a previous transthoracic study. Atrial fibrillation or poor image quality were not used as exclusion criteria. The 3D study was performed using a commercial ultrasound imaging system with a TEE probe (Sonos 5500, Agilent Technologies). A rotational mode of acquisition was used to collect two-dimensional (2D) color flow images at 3-degree intervals over 180 degrees. Images were processed off line using the Echo-View Software (TomTec Imaging Systems). Volume-rendered 3D color flow jets were displayed along with gray scale information of the adjacent cardiac structures. Results: Mitral regurgitant flow, displayed in left atrial and two longitudinal orientations, was successfully reconstructed in all patients. The time for acquisition, post-processing, and rendering ranged between 10 and 15 minutes. There were 28 centrally directed jets and 15 eccentric lesions. Eight patients in the study had periprosthetic mitral regurgitant flow. Conclusions: Three-dimensional imaging of mitral regurgitant jets is feasible in the majority of patients. This improved technique provides additional information to that obtained from the 2D examination. Particularly, in patients with paravalvular leaks 3D color flow Doppler provides information on the origin and the extent of the dehiscence, as well as insight into the jet direction. In addition, in patients with eccentric mitral regurgitation, this new modality overcomes the inherent limitations of 2D echo Doppler by depicting the full extent of the jet trajectory. (ECHOCARDIOGRAPHY, Volume 20, April 2003)

Two arsenic and heavy metal–contaminated mine spoil sites, at Carrock Fell, Cumbria, United Kingdom, and Devon Great Consols Mine, Devon, United Kingdom, have been found to support populations of the earthworms Lumbricus rubellus Hoffmeister and Dendrodrilus rubidus (Savigny). Lumbricus rubellus and D. rubidus collected from the Devon site and an uncontaminated site were kept for 28 d in uncontaminated soil and in soil containing 750 mg/kg CuCl2, the state of the specimens being recorded using a semiquantitative assessment of earthworm health (condition index). The condition index remained high for all specimens except those of L. rubellus and D. rubidus from uncontaminated sites, which displayed 100% mortality. Bioavailability of Cu in the soils from one uncontaminated and two contaminated sites and in the uncontaminated soil treated with CuCl2 was determined using sequential extraction. Soils from Devon Great Consols had the greatest availability of Cu, Carrock Fell the lowest. Total tissue Cu for L. rubellus and D. rubidus from the contaminated sites did not change significantly for each species during the experiment. Total tissue concentrations of Cu for L. rubellus and D. rubidus from uncontaminated sites increased significantly during the first 7 d, after which mortality was 90%, making it impossible to continue the analysis.

Background: Fenoldopam is a novel dopamine-1 receptor selective agonist that can be used as a vasodilator perioperatively to treat hypertension and to produce induced hypotension. We were interested to find out whether there were any differences between fenoldopam (FM) and sodium nitroprusside (SNP), one of the most popular vasodilators, in their effects on hemodynamics and sympathetic outflow using not only neuraxis intact but also baro-denervated animal models. Methods: A total of 60 New Zealand white rabbits were divided into two groups of 30 each: the neuraxis-intact group and the totally baro-denervated group. Each group was further divided into three groups of 10 each to receive SNP 10 μg · kg−1, FM 10 μg · kg−1 or FM 20 μg · kg−1, respectively. Mean arterial pressure (MAP), heart rate (HR) and renal sympathetic nerve activity (RSNA) were recorded before and after intravenous (i.v.) administration of each agent. In addition, cardiac and sympathetic baroreflex sensitivity were assessed in the neuraxis-intact animals. Results: In the neuraxis-intact groups, although RSNA was increased to a similar extent in all three groups (P

Transesophageal echocardiography (TEE) is an invaluable diagnostic tool, particularly in patients with inadequate transthoracic echocardiographic examinations. In addition, continuous TEE has been used to monitor ventricular and valvular performance in the intensive care unit and the operating room. However, current generation transesophageal probes have limitations in the critical care setting due to their size. Recently, a prototype miniaturized transesophageal probe was developed to overcome these limitations. This probe was used by five medical centers for 194 examinations. A large proportion of these patients were in the intensive care unit (43%), as well as mechanically ventilated (39%). Seventy percent (70%) of the subjects in this study were intubated nasally with the prototype probe, with a success rate of 88.5%. Oral intubation was successful in every case. Subject tolerance was good, and 25% of the patients were intubated for > 1 h. Nasal intubation with the probe was more likely in intensive care patients, ventilated subjects, and patients who were intubated for > 1 hour. TEE with this miniaturized probe is feasible and safe even in multi-instrumented critical care patients. This probe provides adequate diagnostic imaging capabilities and may allow imaging over prolonged periods of time, making it suitable for the serial monitoring of ventricular performance.

Noninvasive assessment of right ventricular (RV) function is important clinically, but current techniques have limitations. Acoustic quantification (AQ) is an automated endocardial border detection technique that allows continuous determination of RV and right atrial (RA) area waveforms and may be useful for the assessment of RA and RV systolic and diastolic performance. Fifty patients (10 normal, 40 with RV pathology) were studied. Signal-averaged RA and RV AQ area waveforms were obtained and analyzed to compute parameters of diastolic and systolic function. All groups demonstrated significant diastolic dysfunction on the RA AQ waveform as manifested by a reduced percentage of passive atrial emptying and increased dependence on active atrial emptying. Abnormalities of diastolic performance were noted in all subgroups on RV AQ analysis as evidenced by a reduction in the percentage of ventricular filling occurring during early diastole and an increased contribution from active atrial contraction. This study demonstrates the feasibility of using automated analysis of signal-averaged RA and RV area waveforms for the evaluation of RV systolic and diastolic performance. This technique identified significant systolic and diastolic dysfunction in four groups of commonly seen right heart pathologies including biventricular heart failure, pulmonary hypertension, pressure and volume overloaded RVs, and biventricular hypertrophy.

Quantitative evaluation of right ventricular (RV) function remains challenging due to the complex geometry of this chamber, which precludes the use of simple geometric assumptions. Automated border detection (ABD) techniques, which provide online changes in cardiac chamber dimensions, have been predominantly used for quantitative assessment of global as well as regional left ventricular function. Recently, acoustic quantification has been validated for quantitative evaluation of global RV function, and color kinesis has been used to objectively assess systolic and diastolic regional RV function. In this article, the main studies validating ABD for the objective assessment of global RV function and the current clinical uses of this technique are reviewed. In addition, technical guidelines and limitations of ABD techniques are described, and potential applications of color kinesis for quantitative assessment of regional systolic and diastolic RV performance are detailed. ABD techniques provide new insights into right atrial and RV systolic and diastolic properties. The clinical value of these techniques in the diagnosis, prognosis, and potential guidance of therapeutic management of RV dysfunction remains to be determined.

Rat heme oxygenase (HO) activity was used as a specific (among forms of arsenic) and sensitive biomarker of effect for orally administered sodium arsenite in rats. Time course studies showed that HO was induced in rat liver from 2 to 48 h in both rat liver and kidney. Hepatic and renal inorganic arsenic (iAs) concentrations were high at times preceding a high degree of HO induction. At times following pronounced HO induction, tissue dimethylarsinic acid concentrations were high. Dose-response studies of arsenite showed substantial HO induction in liver at doses of 30 micromol/kg and higher and in the kidney at doses of 100 micromol/kg and higher. Doses of 10 (in liver) and of 30 micromol/kg (in kidney) sodium arsenite given by gavage did not significantly induce rat HO activity. Speciation of tissue total arsenic into iAs, methylarsonic acid (MMA), and dimethylarsinic acid (DMA) permits us to link tissue iAs and HO enzyme induction. There was a linear relationship between tissue inorganic arsenic (iAs) concentration and tissue HO in individual rats (r(2) = 0.780 in liver and r(2) = 0.797 in kidney). Nonlinear relationships were observed between administered arsenite dose and either liver or kidney iAs concentration. Overall, there was a sublinear relationship between administered arsenite and biological effect in rats. Teratogenesis Carcinog. Mutagen. 19:385-402, 1999. Published 1999 Wiley-Liss, Inc.

An extensive series of single-well, push-pull tests was performed to quantify horizontal and vertical spatial variability in aerobic respiration and denitrification rates in a petroleum-contaminated aquifer. The results indicated rapid consumption of injected O2 or NO3− in shallow and deep test intervals across a large portion of the site. Computed first-order rate coefficients for aerobic respiration ranged from 0.15 to 1.69 h−1 in the shallow test interval, and from 0.08 to 0.83 h−1 in the deep test interval. The largest aerobic respiration rates occurred on the upgradient edge of the contaminant plume where concentrations of petroleum hydrocarbons and dissolved O2 were relatively high. Computed first-order rate coefficients for denitrification ranged from 0.09 to 0.42 h−1 in the shallow test interval, and from 0.11 to 0.28 h−1 in the deep test interval. The largest denitrification rates occurred on the downgradient edge of the plume where hydrocarbon concentrations were relatively high but dissolved oxygen concentrations were small. The rates reported here represent maximal rates of aerobic respiration and denitrification, as supported by high concentrations of electron acceptors in the injected test solutions. Production of dissolved CO2 during aerobic respiration and denitrification tests provided evidence that O2 and NO3− consumption was largely due to microbial activity. Additional evidence for microbial NO3− consumption was provided by reduced rates of NO3−consumption when dissolved O2 was injected with NO3−, and by increased N2O production when C2H2 was injected with NO3−.

Exercise echocardiography is a widely used modality for the noninvasive assessment of coronary artery disease. However, limitations exist inherent to the acquisition of transthoracic echocardiographic images. Although transesophageal echocardiography has been used during pacing or pharmacological stress, its use during exercise stress testing has not been clinically feasible due to the large probe size. Recently, a miniaturized transesophageal probe was developed, and we sought to test the feasibility of using this probe during graded treadmill exercise testing. Normal subjects were studied with transnasal echocardiography during upright treadmill exercise testing. The transnasal probe was passed in 13 of the 15 subjects. Excellent-quality monoplane two-dimensional echocardiographic images were obtained in all patients in the upright position. During exercise treadmill testing, high quality clinically useful echocardiographic images of the left ventricular short axis could be maintained. We conclude that transnasal transesophageal stress echocardiography may offer a new modality for the exercise assessment of ischemic heart disease.

Quantitative information on dissolved gas transport in ground water aquifers is needed for a variety of site characterization and remedial design applications. The objective of this study was to gain further understanding of dissolved gas transport in the presence of trapped gas in the pore space of an otherwise water saturated porous medium, using a combination of laboratory experiments and numerical modeling. Transport experiments were conducted in a large-scale laboratory physical aquifer model containing a homogeneous sandpack. Tracer (Br{sup {minus}}) and dissolved gas (O{sub 2} or H{sub 2}) plumes were created using a two-well injection/extraction scheme and then were allowed to drift in a uniform flow field. Plume locations and shapes were monitored by measuring tracer and dissolved gas concentrations as a function of position within the sandpack and time. In all experiments, partitioning of the dissolved gases between the mobile ground water and stationary trapped gas phases resulted in substantial retardation and tailing of the dissolved O{sub 2} and H{sub 2} plumes relative to the Br{sup {minus}} plumes. Most observed plume features could be reproduced in simulations performed with a numerical model that combined the advection-dispersion equation with diffusion controlled mass transfer of dissolved gas between the mobile aqueousmore » and stationary trapped gas phases. Fitted values of the volumetric trapped gas content and mass transfer coefficient ranged from 0.04 to 0.08 and from 10{sup {minus}6} to 10{sup {minus}5} sec{sup {minus}1}, respectively. Sensitivity analyses were used to examine how systematic variations in these parameters would be expected to affect dissolved gas transport under a range of potential field conditions. The experimental and modeling results indicate that diffusion controlled mass transfer should be considered when predicting dissolved gas transport in ground water aquifers in the presence of trapped gas.« less

A single-well, “push-pull” test method is proposed for the in situ determination of microbial metabolic activities in ground-water aquifers. The method consists of the pulse-type injection (“push”) of a test solution into the saturated zone of an aquifer through the screen of an existing monitoring well followed by the extraction (“pull”) of the test solution/ground-water mixture from the same well. The test solution contains a tracer and one or more reactive solutes selected to investigate specific microbial activities. During the injection phase, the test solution flows radially away from the monitoring well into the aquifer. Within the aquifer, biologically reactive components of the test solution are converted to various products by the indigenous microbial community. During the extraction phase, flow is reversed and solute concentrations are measured to obtain breakthrough curves, which are used to compute the quantities of reactant(s) consumed and/or product(s) formed during the test and reaction rates. Tests were performed to determine rates of aerobic respiration, denitrification, sulfate reduction, and methanogenesis in a petroleum contaminated aquifer in western Oregon. High rates of oxygen, nitrate, nitrite, and hydrogen utilization and nitrite, and carbon dioxide production support the hypothesis that petroleum contamination has resulted in an increase in microbial activity in the anaerobic portion of the site. The results suggest that the push-pull test method should be useful for obtaining quantitative information on a wide range of in situ microbial processes.

The ability to predict the transport of dissolved gases in the presence of small amounts of trapped gas in an otherwise water-saturated porous medium is needed for a variety of applications. However, an existing model based on equilibrium partitioning of dissolved gas between aqueous and trapped gas phases does not accurately predict the shape of experimentally observed breakthrough and elution curves in column experiments. The objective of this study was to develop and test a kinetic model for dissolved gas transport that combines the advection-dispersion equation with diffusion controlled mass transfer of dissolved gas between the aqueous and trapped gas phases. The model assumes one-dimensional, steady-state ground-water flow, a single dissolved gas component, and a stationary trapped gas phase with constant volume. The model contains three independent parameters: the Peclet number, P, retardation factor, R, and dimensionless mass transfer parameter, ω. The model accurately described the shape of breakthrough and elution curves for dissolved oxygen in column experiments performed with a poorly graded sand and varying amount and composition of trapped gas. Estimated values of P for the bromide tracer increased from 5.92 to 174, corresponding to a decrease in dispersivity from 5.02 to 0.17 cm, as the trapped gas volume increased from 0 to 30% of the pore space. It is speculated that this effect is due to a narrower pore size distribution (and hence more uniform pore scale velocity distribution) caused by trapped gas bubbles selectively occupying the largest pores. Estimated values of R increased from 1 to 13.6 as the trapped gas volume increased and confirmed earlier observations that even small amounts of trapped gas can significantly reduce rates of dissolved oxygen transport. Estimated values of ω ranged from 0.3 to 12.1. Although it was not possible to independently measure mass transfer coefficients or interfacial areas, values computed from flow rates and estimated w values are consistent with values computed by assuming (1) that interfacial area is proportional to trapped gas volume, (2) that trapped gas bubbles are spheres with diameters the same size as soil particles, and (3) that mass transfer is limited by diffusion of dissolved oxygen through water films surrounding trapped gas bubbles.

In a previous study, we found that sodium arsenite increased hepatic ornithine decarboxylase (ODC) activity and hepatic heme oxygenase (HO) activity, but did not cause any DNA damage in adult female rat liver or lung, suggesting that arsenite may be a promoter of carcinogenesis. In this study sodium arsenate, monomethylarsonic acid (MMA) and dimethylarsinic acid (DMA) were administered orally in equitoxic doses to adult female rats at 21 and 4 h prior to sacrifice. DNA damage (DD), cytochrome P450 content (P450), glutathione content (GSH), ODC, serum alanine aminotransferase (ALT) and HO were measured in liver and/or lung tissue. At 60 mg/kg in rat liver, sodium arsenate increased hepatic HO fivefold. MMA decreased ALT at 226 mg/kg, decreased ALT and GSH at 679 mg/kg and also increased P450 at 679 mg/kg in rat liver. DMA decreased ALT and hepatic GSH and increased hepatic HO at 387 mg/kg. In the lung, DMA decreased ODC at both 129 and 387 mg/kg. DD in lung tissue was significantly higher at 387 mg/kg DMA, demonstrating organ specific DNA damage. The biochemical effects and the inferred oncologic potential of the four major forms of arsenic (arsenate, arsenite, MMA and DMA) differ dramatically. The inorganic forms (arsenate and arsenite) are similar to each other (both good HO inducers); the methylated organic forms of arsenic (MMA and DMA) also share a similar pattern of biochemical effects (decreased GSH and ALT, increased P450). All six of the biochemical parameters studied were altered by DMA in either rat liver or lung.

In situ bioremediation of organic compounds in contaminated aquifers is often limited by the concentration of dissolved oxygen in the ground water. Various methods have been used to increase dissolved oxygen concentrations in ground water, but the effect of a trapped gas phase on the distribution and transport of dissolved oxygen needs to be understood. The two-dimensional transport of dissolved oxygen is investigated in experiments conducted in a large-scale physical aquifer model (2 m x 4 m x 0.2 m) where a gas phase is trapped in the pore spaces of an otherwise-saturated porous medium. The transport of dissolved oxygen is shown to be retarded up to 11.2 times the transport of the bulk water due to the mass transfer of oxygen between the aqueous phase and the trapped gas phase. The theoretical model for dissolved gas transport in the presence of a trapped gas phase is evaluated in a two-dimensional ground-water flow field using the U.S.G.S. numerical model MOC. The results show that dissolved oxygen transport can be modeled with the advection-dispersion equation with linear equilibrium mass transfer but only when the longitudinal dispersion is increased compared to the value determined using a bromide tracer of the water flow.more » Increased longitudinal dispersion of the dissolved oxygen plume may be due to a temporally or spatially varying retardation factor or rate-limited mass transfer. The presence of even a small amount of a trapped gas phase in an aquifer will significantly affect the distribution and transport of dissolved oxygen (trapped gas filling only 5% of the pore space will cause a retardation factor for oxygen of 2.6 at T = 15 C) and thus should be considered when designing ways to increase the dissolved oxygen concentration in ground water for in situ bioremediation.« less

Information on the transport of dissolved gases in ground water is needed to design ways to increase dissolved gas concentrations in ground water for use in in situ bioremediation (e.g., O{sub 2} and CH{sub 4}) and to determine if dissolved gases are conservative tracers of ground-water flow (e.g., He). A theoretical model was developed to describe the effect of small quantities of trapped gas bubbles on the transport of dissolved gases in otherwise saturated porous media. Dissolved gas transport in porous media can be retarded by gas partitioning between the mobile aqueous phase and a stationary trapped gas phase. The model assumes equilibrium partitioning where the retardation factor is defined as R = 1 + H{prime} (V{sub g}/V{sub w}) where H{prime} is the dimensionless Henry`s Law constant for the dissolved gas, and V{sub g} and V{sub w} are the volumes of the trapped gas and water phases, respectively. At 15 C and with V{sub g}/V{sub w} = 0.05, the predicted retardation factors for He, O{sub 2}, and CH{sub 4} are 5.8, 2.4, and 2.3, respectively. The validity of the model was tested for dissolved oxygen in small-scale column experiments over a range of trapped gas volumes. Retardation factors of dissolvedmore » oxygen increased from 1 to 6.6 as V{sub g}/V{sub w} increased from 0 to 0.123 and are in general agreement with model predictions except for the larger values of V{sub g}/V{sub w}. The theoretical and experimental results suggest that gas partitioning between the aqueous phase and a trapped gas phase can greatly influence rates of dissolved gas transport in ground water.« less