Potential microbial impact on transuranic wastes under conditions expected in the Waste Isolation Pilot Plant (WIPP). Annual report, October 1, 1978-September 30, 1979

Previous results were confirmed showing elevated frequencies of radiation-resistant bacteria in microorganisms isolated from shallow transuranic (TRU) burial soil that exhibits nanocurie levels of beta and gamma radioactivity. Research to determine whether plutonium could be methylated by the microbially produced methyl donor, methylcobalamine, was terminated when literature and consulting radiochemists confirmed that other alkylated transuranic elements are extremely short-lived in the presence of oxygen. Emphasis was placed on investigation of the dissolution of plutonium dioxide by complex formation between plutonium and a polyhydroxamate chelate similar to that produced by microorganisms. New chromatographic and spectrophotometric evidence supports previous results showing enhanced dissolution of alpha radioactivity when /sup 239/Pu dioxide was mixed with the chelate Desferol. Microbial degradation studies of citrate, ethylenediamine tetraacetate (EDTA), and nitrilo triacetate (NTA) chelates of europium are in progress. Current results are summarized. All of the chelates were found to degrade. The average half-life for citrate, NTA, and EDTA was 3.2, 8.0, and 28 years, respectively. Microbial CO/sub 2/ generation is also in progress in 72 tests on several waste matrices under potential WIPP isolation conditions. The mean rate of gas generation was 5.97 ..mu..g CO/sub 2//g waste/day. Increasing temperature increased rates of microbial gas generation across treatments of brine, varying water content, nutrient additions, and anaerobic conditions. No microbial growth was detected in experiments to enumerate and identify the microorganisms in rocksalt cores from the proposed WIPP site. This report contains the year's research results and recommendations derived for the design of safe storage of TRU wastes under geologic repository conditions

EMS Treatment Guidelines in Major Traumatic Brain Injury With Positive Pressure Ventilation

IMPORTANCE The Excellence in Prehospital Injury Care (EPIC) study demonstrated improved survival in patients with severe traumatic brain injury (TBI) following implementation of the prehospital treatment guidelines. The impact of implementing these guidelines in the subgroup of patients who received positive pressure ventilation (PPV) is unknown. OBJECTIVE To evaluate the association of implementation of prehospital TBI evidence-based guidelines with survival among patients with prehospital PPV. DESIGN, SETTING, AND PARTICIPANTS The EPIC study was a multisystem, intention-to-treat study using a before/after controlled design. Evidence-based guidelines were implemented by emergency medical service agencies across Arizona. This subanalysis was planned a priori and included participants who received prehospital PPV. Outcomes were compared between the preimplementation and postimplementation cohorts using logistic regression, stratified by predetermined TBI severity categories (moderate, severe, or critical). Data were collected from January 2007 to June 2017, and data were analyzed from January to February 2023. EXPOSURE Implementation of the evidence-based guidelines for the prehospital care of patient with TBI. MAIN OUTCOMES AND MEASURES The primary outcome was survival to hospital discharge, and the secondary outcome was survival to admission. RESULTS Among the 21 852 participants in the main study, 5022 received prehospital PPV (preimplementation, 3531 participants; postimplementation, 1491 participants). Of 5022 included participants, 3720 (74.1%) were male, and the median (IQR) age was 36 (22-54) years. Across all severities combined, survival to admission improved (adjusted odds ratio [aOR], 1.59; 95% CI, 1.28-1.97), while survival to discharge did not (aOR, 0.94; 95% CI, 0.78-1.13). Within the cohort with severe TBI but not in the moderate or critical subgroups, survival to hospital admission increased (aOR, 6.44; 95% CI, 2.39-22.00), as did survival to discharge (aOR, 3.52; 95% CI, 1.96-6.34). CONCLUSIONS AND RELEVANCE Among patients with severe TBI who received active airway interventions in the field, guideline implementation was independently associated with improved survival to hospital admission and discharge. This was true whether they received basic airway interventions or advanced airways. These findings support the current guideline recommendations for aggressive prevention/correction of hypoxia and hyperventilation in patients with severe TBI, regardless of which airway type is used. © 2024 American Medical Association. All rights reserved.12 month embargo; first published 24 January 2024This item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at [email protected]

Advances in Water Quality Improvement: Water Resources Symposium, Number One

Center for Water and the Environmen