One Size Does Not Fit All: Meeting the Health Care Needs of Diverse Populations

Proposes a framework for meeting patients' cultural and linguistic needs: policies and procedures that support cultural competence, data collection, population-tailored services, and internal and external collaborations. Includes a self-assessment tool

Redox capacity of rocks and sediments by high temperature chalcometric titration

We present an analytical method to quantify the absolute redox capacity, ΔO2, of geological materials. The protocol consists in a high temperature chalcometric titration by which a known amount of oxygen gas is exchanged between a solid state oxygen donor, CuO, and an oxygen acceptor, the sample, at elevated temper- ature. Calibration of the method using elemental C, native S and magnetite demonstrates that it effectively oxidizes C, S and Fe to their terminal oxidation state, C4+, S6+ and Fe3+, respectively. Because the metric is independent of processes of internal equilibration within the system, it can be used for quantitative assessments of redox fluxes in open geological systems, in the surface or deep Earth. Preliminary results suggest that the mass specific redox capacity, dO2, of geological materials span many orders of magnitude, ranging from less than 500 μmol O2/g for ultramafic rocks and lower crustal amphibolites, to more than 30000 μmol O2/g for black shales. This highlights a counterintuitive yet fundamental characteristic of our planet. Rocks characterized by elevated dO2 values are ubiquitous in the oxic Earth’s surface, while the upper mantle and lower crust are typically composed of rocks with much lower dO2. This work will contribute to provide a more nuanced and complete perspective on the sedimentary and geodynamic processes that have shaped the redox structure of the Earth

Gas sensor array system inspired on the sensory diversity and redundancy of the olfactory epithelium

AbstractThis paper presents a chemical sensing system that takes inspiration from the combination of sensory diversity and redundancy at the olfactory epithelium to enhance the chemical information obtained from the odorants. The system is based on commercial MOS sensors and achieves, first, diversity trough different types of MOS along with modulation of their temperatures, and second redundancy including 12 MOS sensors for each type (12×8) combined with a high-speed multiplexing system that allows connecting 16 load resistors with each and every one of the 96 sensors in about two seconds. Exposition of the system to ethanol, ammonia, and acetone at different concentrations shows how the system is able to capture a large amount of information of the identity and the concentration of the odorant

Dispersal by cattle of salt-marsh and dune species into salt-marsh and dune communities

Seed dispersal via ingestion and defecation by large herbivores (endozoochory) plays a potentially important role in structuring plant communities. In the present study we tested whether cattle disperse seeds between different plant communities in a heterogeneous coastal habitat. We surveyed the seed contents of cattle dung collected from two habitat types within a grazing system, one in dunes and the other in salt-marsh. The dunes are characterized by sandy soil, and infrequent inundation by the sea, whereas the salt-marsh features clay deposited during inundations. Seeds of both salt-marsh and dune species were dispersed into salt-marsh and dune habitats. The seed content of cattle dung collected in salt-marsh and dunes was similar with respect to species composition and seed density. However, dispersal of dune species into salt-marsh and vice-versa did not result in establishment in those communities. Seed traits per se did not differ between dune species and salt-marsh species. Species abundance in the established vegetation and seed density in dung were positively correlated. Seed abundance for most species found in dung was consistent with the availability of viable seeds during the growing season. Seed mass, seed 'roundness' and seed release height were all negatively correlated with seed numbers in dung. An indirect factor, namely, forage quality of the plant, and hence attractiveness for herbivores, could explain the higher likelihood of seed dispersal of salt-marsh species than of dune species. The salt-marsh harbours species with higher forage quality than the dune species, as derived from Ellenberg nitrogen indicator values

Salinity- and population-dependent genome regulatory response during osmotic acclimation in the killifish (Fundulus heteroclitus) gill

The killifish Fundulus heteroclitus is abundant in osmotically dynamic estuaries and it can quickly adjust to extremes in environmental salinity. We performed a comparative osmotic challenge experiment to track the transcriptomic and physiological responses to two salinities throughout a time course of acclimation, and to explore the genome regulatory mechanisms that enable extreme osmotic acclimation. One southern and one northern coastal population, known to differ in their tolerance to hypo-osmotic exposure, were used as our comparative model. Both populations could maintain osmotic homeostasis when transferred from 32 to 0.4 p.p.t., but diverged in their compensatory abilities when challenged down to 0.1 p.p.t., in parallel with divergent transformation of gill morphology. Genes involved in cell volume regulation, nucleosome maintenance, ion transport, energetics, mitochondrion function, transcriptional regulation and apoptosis showed population- and salinity-dependent patterns of expression during acclimation. Network analysis confirmed the role of cytokine and kinase signaling pathways in coordinating the genome regulatory response to osmotic challenge, and also posited the importance of signaling coordinated through the transcription factor HNF-4 . These genome responses support hypotheses of which regulatory mechanisms are particularly relevant for enabling extreme physiological flexibility. © 2012. Published by The Company of Biologists Ltd

Cinétiques de biodégradation par boues activées de la matière organique soluble d'un effluent synthétique

L'approche expérimentale choisie pour cette étude a eu pour objet de mesurer en conditions batch, les cinétiques d'élimination de la demande chimique en oxygène soluble d'un effluent synthétique mis en contact avec des boues activées d'origine différente. Les essais conduits en laboratoire ont été réalisés en faisant varier le rapport So/Xo (mg de DCO initiale par mg de matières volatiles initiales) telles que les concentrations en So et en Xo correspondent aux concentrations en DCO soluble (DCOs) et en matières volatiles (MV) rencontrées sur les stations d'épuration. Les essais ont été effectués sous aération continue à 20 °C en mettant en contact l'effluent synthétique et de la boue activée prélevée depuis 24 h et stockée à 4 °C dans l'attente de l'essai. De ce fait, la valeur de So mesurée au début de l'essai représente la concentration en DCO amenée par l'effluent synthétique (Seff) et celle amenée par l'inoculum de boue activée (Sb) représentant selon les essais de 5 à 70 % de la DCO de l'essai. Les profils de cinétique d'élimination de la DCO soluble obtenus pour différentes conditions d'essai s'ajustent, selon les valeurs de So/Xo (So/Xo variant de 0,15 à 2,17 ) à une fonction du premier ordre par rapport au substrat ou à une fonction sigmoïde. Le type de fonction cinétique d'élimination est également contrôlé par la proportion de la DCO amenée par l'inoculum.The conventional activated sludge process used for wastewater treatment removes from 80 to 95% of the total organic matter. However, a quantity of "not well identified" (particular, colloidal and soluble) organic matter is always present in the treated effluent. Reducing this residual (and improving the treatment efficiency) requires knowledge of the origin of that organic matter and especially to determine the fraction originating from the influent and the fraction generated by the biomass.This research has been conducted in batch conditions and studies the soluble COD (CODs) removal kinetics of a synthetic effluent (casein + starch + acetate + mineral salts), in contact with different activated sludge originating from six different wastewater treatment plants (loads varying from 0.06 to 1.14 kg BOD[inf]5/kg VSS. d).Experiments have been conducted with different So/Xo values (ratio between CODs initial concentration and VSS initial concentration) in order that these values correspond to the CODs and VSS values found in the plants.In accordance with GRAU et al. (1975), CECH and CHUDOBA (1983), PITTER and CHUDOBA (1990), CHUDOBA et al (1992), the So/Xo ratio is a fundamental parameter governing the kinetics reactions.Experiments have been conducted under continuous aeration at 20°C where the synthetic wastewater (500 ml) is in contact with activated sludge (200 ml) collected 24 h before and stored at 4°C until the batch is started. In this manner, the initial So is due to the CODs of the synthetic effluent (So eff=197 mg/l) and to the CODs originating from the sludge (5 to 70% of the initial CODs). The initial VSS concentration (Xo) is between 0.6 and 2.5 g/l. Kinetics of CODs removal are simulated by two functions: the first order function, where the initial rate is the maximal, and the sigmoidal function where the maximal rate is reached after a lag time (3 to 8 h).Concerning the first order functions, the degradation rate is faster when the ratio is low (So/Xo lower than 0.44). This is not the case for the sigmoidal functions. In the results of this study, the residual of COD is always lower when the degradation kinetic follows the exponential model.Our experiments show that the type of degradation kinetics (first order or sigmoidal) is not only controlled by the So/Xo parameter but also by the proportion of CODs brought by the sludge and that parameter can play a determinant role.When the proportion of CODs brought by the sludge is very large (between 41% to 46%) the degradation reactions follow the sigmoidal type. These results can possibly be explained by the low biodegradability of the polymers or molecules originating from the inoculum which has been stored during 24 h, or by the low activity of the biomass after 24 h of storage on the biodegradation of the soluble organic matte

An Exploratory Study of the Level of Reflection Attained by Preservice Teachers

This exploratory study investigated the levels of reflection achieved over three quarters by graduate level preservice teachers. Levels of reflection were determined through analysis of their reflective journal entries on readings and field experiences. A repeated measures two factor ANOVA completely within design was used to systematically analyze changes in the level of reflection. Even without specific training in reflection and reflective thinking, some significant growth occurred in the levels of reflection as a result of asking preservice teachers simply to reflect. However, only one participant achieved the highest level of reflection

Mise au point de techniques analytiques pour la spéciation du sélénium dans les boues de stations d'épuration d'eaux résiduaires urbaines

Les stations d'épuration d'eaux résiduaires sont une des étapes du cycle du sélénium dans l'environnement et contribuent à sa redistribution dans le milieu naturel. Très peu étudié jusqu'à présent dans ces milieux, le sélénium n'en est pas moins un élément très important du point de vue écotoxicologique, sa teneur dans les boues de stations d'épuration destinées à l'épandage agricole faisant par ailleurs l'objet d'une norme.Nous avons mis au point des techniques permettant la détermination spécifique de l'élément total dans ce type d'échantillon, par minéralisation classique ou assistée par micro-ondes et dosage par Voltamétrie de Redissolution Cathodique Différentielle Pulsée (DPCSV) et Spectrométrie d'Absorption Atomique ElectroThermique (ETAAS). Le contrôle qualité a été effectué sur deux échantillons certifiés fournis par le Bureau Communautaire de Référence (BCR) : la boue CRM 145 R et la boue CRM 007.Cependant, lorsqu'on parle de risque toxicologique, il est important de s'intéresser à la détermination des différentes formes sous lesquelles cet élément peut être présent. Nous avons pour cela réalisé des extractions parallèles (spéciation de phases) du sélénium contenu dans les boues afin de déterminer quel pourcentage du sélénium total est réellement et potentiellement disponible pour les végétaux lors d'un épandage sur sol agricole. La spéciation d'espèces a été brièvement abordée dans le but de déterminer les teneurs en Se(IV) et Se(VI), espèces les plus toxiques.The great effort undertaken for about twenty years to improve the quality of surface waters has led to the construction of numerous waste water treatment plants, generating an increasing amount of sludge. Waste water and sludge treatment processes represent an important point in the hydrological cycle at which the disposal of substantial quantities of trace elements to the environment may be regulated. From the law on waste recovery and disposal in 1975 to the European guideline about wastes in 1991, the priority has been given to waste recovery and recycling. With increasing pressure to ban all sludge dumping at sea, and considering the prohibitive costs of land-filling and incineration, there is a great tendency to dispose of sludge on land (40% in 1988 to 60% in 1992).Although numerous studies have demonstrated the intrinsic value of sludge for soil amendment, given its nitrogen, phosphorus and homogeneous organic matter content, evidence has accumulated in recent years that numerous environmental problems can arise because of the presence in sludges of high amounts of certain trace elements (potentially toxic to plants and to human beings and liable to be concentrated along the food chain), among which selenium is particularly interesting.Selenium presents a complex case, as it is also an essential element for living organisms (including humans). The amendment with sewage sludge is sometimes used to increase the selenium content in crops, and afterwards in cattle, when there is a proven lack of this element in a given place. Nevertheless the boundary between essentiality and toxicity is relatively narrow and is expressed at trace levels. It is thus particularly important to survey the selenium concentrations encountered in sewage sludge, especially as guidelines and regulations concerning these data will probably be strengthened. Presently, in France, sludge must not contain more than 200 mg Se·kg-1 dry weight and must not be used on soils containing more than 10 mg Se·kg-1 dry weight (AFNOR U 44-041 norm). This norm concerns only the total amount of selenium contained in sludge and does not take into account the different species (organic and inorganic Se(-II), Se(0), Se(IV) and Se(VI)) that could be present.First of all we had to develop methods for the classical and microwave-assisted wet digestion of sewage sludge, and the determination of their total selenium concentration by Differential Pulse Cathodic Stripping Voltammetry (DPCSV) and ElectroThermal Atomic Absorption Spectrometry (ETAAS). Quality assurance involved the analysis of two BCR (Community Bureau of Reference) certified sewage sludge reference materials (CRM 145 R and CRM 007) and the different techniques were then applied to natural samples from a representative French sewage treatment plant located in the city of Tarbes (South-West of France). The mixture HNO3-H2O2-H2O led to the best results for the digestion and analysis of certified samples, caused few problems for the analysis by DPCSV and ETAAS, and was therefore retained. The decrease of the digestion duration obtained by the use of microwaves was particularly interesting (from one to three days on a hot plate to less than one hour by the Microdigest 301 (PROLABO, France)), and reproducibility was also acceptable (between 3 and 10%). Concentrations obtained for the sewage sludge from the Tarbes treatment plant were very much lower than those for NF U 44-041: 1.08±0.11 mg Se·kg-1 dry weight.However knowledge of speciation, that is to say the determination of the different physicochemical forms of selenium present in a given medium, is necessary when speaking of the toxicological risk represented by an element. The mobility of selenium and its toxicity to the biosphere are related to its association with various sludge or soil constituents as well as to its total concentration. "Soft" or partial extraction techniques are necessary when the aim of the study to determine trace element speciation. The extractants used must separate selenium from the matrix without inducing any loss or change in the partitioning of individual chemical species. In parallel extractions the mechanisms involved for each extractant must correspond to processes occurring in nature and are then associated with special fractions of selenium: soluble, exchangeable, "oxidizable", and "mineral" fractions .Parallel extractions with three types of extractants were chosen for this study and applied first to CRM 007: warm water (soluble fraction), ammonium phosphate-citric acid (soluble + exchangeable fraction) and sodium hydroxide (soluble + exchangeable + "oxidizable" fraction). The soluble, exchangeable, "oxidizable" and "mineral" fractions represent respectively : 11%, 14%, 39% and 36%. The same procedure was then applied to natural samples from Tarbes giving the following results: 36% soluble, 22% exchangeable, 42% "oxidizable". The sodium hydroxide extraction procedure allowed us to extract the entire Se content of this sludge (1.07±0.03 mg Se·kg-1 dry weight), showing that all the selenium present is potentially available after agricultural land application. It was then possible in this fraction to deal with the species speciation of selenium by the mean of a separation of inorganic and organic species on an Amberlite CG-400 resin and a specific analysis by DPCSV. Se(IV) and Se(VI) represent respectively between 30 and 40% and between 2 and 20% of total selenium in the sludges from Tarbes