High-Density Use of Septic Systems, Avon Lake, Iowa

Avon Lake, a rural-residential subdivision located southeast of Des Moines, has mostly summer cabins around a remnant gravel quarry. Surface material in the area is sand. Each of the homes has a shallow sand-point well for a water supply and a septic system for sewage treatment. Septic systems were examined for evidence of failure, house-to-house surveys were performed, and well water samples were taken. Fifty percent of the septic systems have been operating satisfactorily for more than 20 years. Only one of 68 well water samples contained fecal coliform bacteria. Thirty-six samples exceeded the nitrate standard, the highest being 25.6mg/1 N. Nitrate concentration seemed to change in space but not with well age. Nitrogen loadings from cropland, septic systems, and animals were also estimated; they ranged from 40-120 lb/acre (45-135 kg/ha) for cropland, 35 lb/acre (39 kg/ha) for septic systems, and 13 lb/acre (15 kg/ha) for dogs. All three of these could be important sources of nitrogen to the groundwater

Yield Reduction from Controlle Flooding of Corn

This ISU study was designed to provide more accuracy in estimating flood damages for those concerned with watershed development. But it also reveals just what foes on when a corn field suffers from excess water

What Can You Do About a Wet Basement?

The main solution to the wet basement problem is to provide efficient drainage to remove excess water from the soil around basement walls to relieve the water from the soil around basement walls and to relieve the water pressure that builds up under the basement floor

Prolonged Refractory Hypotension following Combined Amlodipine and Losartan Ingestion Responsive to Metaraminol

Introduction. Overdose with the calcium channel blocker amlodipine can cause profound hypotension that may be exacerbated by the concurrent ingestion of an angiotensin II receptor antagonist. Best management of such overdoses is uncertain although the use of hyperinsulinaemia-euglycaemia (HIE) has been recommended. Case report. We report a case of mixed amlodipine and losartan overdose in a 50-year-old lady. Severe hypotension was resistant to conventional vasopressors and high-dose insulin/euglycaemia, but did respond to a metaraminol infusion. Conclusion. A trial of metaraminol early in severe cases of calcium channel blocker and angiotensin II receptor antagonist toxicity may be of benefit, especially when conventional ionotropic treatment measures are failing

Study to assess the effect of a structured communication approach on quality of life in secure mental health settings (Comquol): study protocol for a pilot cluster randomized trial

Background Forensic mental health services have largely ignored examining patients’ views on the nature of the service offered to them. A structured communication approach (DIALOG) has been developed with the aim of placing the patient’s perspective of their care at the heart of the discussions between patients and clinicians. The effectiveness of the structured communication approach in community mental health services has been demonstrated but no trial taken place in a secure psychiatric setting. This pilot study is evaluating a six-month intervention combining DIALOG with principles of Solution Focused Therapy (SFT) on quality of life in medium secure settings. Methods/design A cluster randomized controlled trial design is being employed to conduct a 36 months pilot study. Participants are recruited from six medium secure in–patient services with 48 patients in the intervention group and 48 in the control group. The intervention uses a structured communication approach. It comprises of six meetings between patient and nurse over held once a month a six month period. During each meeting patients rate their satisfaction with a range of life and treatment domains with responses displayed on a tablet. The rating is followed by a discussion on how to improve the current situation in those domains identified by the patient. Assessments take place prior to the intervention (baseline), at 6 months (post intervention) and at 12 months (follow-up). The primary outcome is self reported Quality of Life. Discussion: The study aims to a) establish the feasibility of the trial design as the basis for determining the viability of a large full-scale trial, b) determine the variability of the outcomes of interest (quality of life, levels of satisfaction, disturbance, ward climate, and engagement with services) c) estimate the costs of the intervention and d) refine the intervention following the outcome of the study based upon the experiences of the nurses and patients. The intervention allows patients to have a greater say in how they are treated and targets care on areas that patients identify as important to them. It is intended to establish systems that support meaningful patient (and carer) involvement and participation. Trial registration: Current Controlled Trials ISRCTN34145189 Keywords: Comquol, DIALOG, Forensic, Mental Health, Quality of Life, Solution Focused Brief Therapy

Neuroanatomical substrates for the volitional regulation of heart rate

The control of physiological arousal can assist in the regulation of emotional state. A subset cortical and subcortical brain regions are implicated in autonomic control of bodily arousal during emotional behaviors. Here, we combined human functional neuroimaging with autonomic monitoring to identify neural mechanisms that support the volitional regulation of heart rate, a process that may be assisted by visual feedback. During functional magnetic resonance imaging (fMRI), 15 healthy adults performed an experimental task in which they were prompted voluntarily to increase or decrease cardiovascular arousal (heart rate) during true, false, or absent visual feedback. Participants achieved appropriate changes in heart rate, without significant modulation of respiratory rate, and were overall not influenced by the presence of visual feedback. Increased activity in right amygdala, striatum and brainstem occurred when participants attempted to increase heart rate. In contrast, activation of ventrolateral prefrontal and parietal cortices occurred when attempting to decrease heart rate. Biofeedback enhanced activity within occipito-temporal cortices, but there was no significant interaction with task conditions. Activity in regions including pregenual anterior cingulate and ventral striatum reflected the magnitude of successful task performance, which was negatively related to subclinical anxiety symptoms. Measured changes in respiration correlated with posterior insula activation and heart rate, at a more lenient threshold, change correlated with insula, caudate, and midbrain activity. Our findings highlight a set of brain regions, notably ventrolateral prefrontal cortex, supporting volitional control of cardiovascular arousal. These data are relevant to understanding neural substrates supporting interaction between intentional and interoceptive states related to anxiety, with implications for biofeedback interventions, e.g., real-time fMRI, that target emotional regulation

Evapotranspiration and water use efficiency in relation to climate and canopy nitrogen in U.S. forests

Understanding relations among forest carbon (C) uptake and water use is critical for predicting forest-climate interactions. Although the basic properties of tree-water relations have long been known, our understanding of broader-scale patterns is limited by several factors including (1) incomplete understanding of drivers of change in coupled C and water fluxes and water use efficiency (WUE), (2) difficulty in reconciling WUE estimates obtained at different scales, and (3) uncertainty in how evapotranspiration (ET) and WUE vary with other important resources such as nitrogen (N). To address these issues, we examined ET, gross primary production (GPP), and WUE at 11 AmeriFlux sites across North America. Our analysis spanned leaf and ecosystem scales and included foliar δ13C, δ18O, and %N measurements; eddy covariance estimates of GPP and ET; and remotely sensed estimates of canopy %N. We used flux data to derive ecosystem WUE (WUEe) and foliar δ13C to infer intrinsic WUE. We found that GPP, ET, and WUEe scaled with canopy %N, even when environmental variables were considered, and discuss the implications of these relationships for forest-atmosphere-climate interactions. We observed opposing patterns of WUE at leaf and ecosystem scales and examined uncertainties to help explain these opposing patterns. Nevertheless, significant relationship between C isotope-derived ci/ca and GPP indicates that δ13C can be an effective predictor of forest GPP. Finally, we show that incorporating species functional traits—wood anatomy, hydraulic strategy, and foliar %N—into a conceptual model improved the interpretation of Δ13C and δ18O vis-à-vis leaf to canopy water-carbon fluxes

Modern Modal Testing: A Cautionary Tale

Over the past 50 years, great advances have been achieved in both analytical modal analysis (i.e. finite element models and analysis) and experimental modal analysis (i.e. modal testing) in aerospace and other fields. With the advent of more powerful computers, higher performance instrumentation and data acquisition systems, and powerful linear modal extraction tools, analysts and test engineers have a breadth and depth of technical resources only dreamed of by our predecessors. However, some observed recent trends indicate that hard lessons learned are being forgotten or ignored, and possibly fundamental concepts are not being understood. These trends have the potential of leading to the degradation of the quality of and confidence in both analytical and test results. These trends are a making of our own doing, and directly related to having ever more powerful computers, programmatic budgetary pressures to limit analysis and testing, and technical capital loss due to the retirement of the senior component of a bimodal workforce. This paper endeavors to highlight some of the most important lessons learned, common pitfalls to hopefully avoid, and potential steps that may be taken to help reverse this trend