An Assessment of Disinfection-Related Water Chemistry at Public Pools and Spas in Louisville, Kentucky

The growth in the number of pools to more than 7.4 million in the U.S. has been accompanied by a rise in recreational water illnesses (RWIs). Effective pool management, though, can mitigate RWI risks. Inadequate management presumably occurs more frequently where training is less formalized and/or pool operation is a minor aspect of the job of the responsible pool manager(s). During summer 2018, weekly evaluations were performed at public venues in Louisville, Kentucky. Disinfectant levels and other items were monitored and compared with venue-specific (pool or spa) criteria. Among 1,312 venue surveys, 1,173 (89.4%) met criteria and 139 (10.6%) did not meet criteria. Overall, multivariable logistic regression showed a significant association between the likelihood of a venue meeting criteria and setting type. Specifically, hotels had 120% increased odds of not meeting criteria (adjusted odds ratio = 2.2; 95% confidence interval [1.3, 3.8]) compared with other settings. Despite spas having an 80% elevated odds of not meeting criteria compared with pools in a univariate analysis, upon adjusting for setting, spas were not associated with an increased risk of not meeting criteria. Research identifying reasons for these differences in meeting criteria between settings would be beneficial for informing public health interventions for aquatic environments

A Study of Compositional Techniques Used in the Fusion of Art Music with Jazz and Popular Music

An analysis of the author’s composition portfolio is presented with reference to selected compositions by relevant contemporary composers interviewed in this study: Australian composers Judy Bailey, Stuart Greenbaum, Mark Isaacs, Andrea Keller, and South African composer Stefans Grové. The aim is to identify the existence of fusion in the art music composed by the above mentioned composers and to determine the kind of fusion. Enquiries are being conducted into a composer’s body of work, whether or not there is a specialization in a fusion of genres or whether only certain compositions feature this phenomenon. Further reference is made to the influence of American composers Pat Metheny, Lyle Mays, Maria Schneider, and Australian composers Paul Grabowsky and Carl Vine upon the accompanying composition portfolio. Composers have to employ certain compositional techniques in order to overcome difficulties in practice. Presenting classical or jazz performers with musical genres they do not normally perform can be confronting. This thesis is an evaluation of compositions, as well as innovations by composers used to overcome difficulties in fusion

Efficacy of bezlotoxumab in participants receiving metronidazole, vancomycin, or fidaxomicin for treatment of Clostridioides (Clostridium) difficile infection

Background: In phase 3 MODIFY I/II trials, bezlotoxumab significantly reduced recurrence of Methods: In MODIFY I/II (NCT01241552/NCT01513239), participants received a single infusion of bezlotoxumab (10 mg/kg) or placebo during anti-CDI treatment. Using pooled data from MODIFY I/II, initial clinical cure (ICC) and rCDI were assessed in metronidazole-, vancomycin-, and fidaxomicin-treated subgroups. Results: Of 1554 participants in MODIFY I/II, 753 (48.5%) received metronidazole, 745 (47.9%) vancomycin, and 56 (3.6%) fidaxomicin. Fewer participants receiving metronidazole had a prior CDI episode in the previous 6 months (12.9%) or ≥1 risk factor for rCDI (66.0%) vs participants receiving vancomycin (41.2% and 83.6%, respectively) and fidaxomicin (55.4% and 89.3%, respectively). ICC rates were similar in the bezlotoxumab (metronidazole, 81.0%; vancomycin, 78.5%; fidaxomicin, 86.7%) and placebo groups (metronidazole, 81.3%; vancomycin, 79.6%; fidaxomicin, 76.9%). In placebo-treated participants, the rCDI was lower in the metronidazole subgroup vs the vancomycin and fidaxomicin subgroups (metronidazole, 28.0%; vancomycin, 38.4%; fidaxomicin, 35.0%). When analyzed by subsets based on history of CDI, rCDI rates were similar in the metronidazole and vancomycin groups. rCDI rates were lower in all antibiotic subgroups for bezlotoxumab vs placebo (metronidazole: rate difference [RD], -9.7%; 95% confidence interval [CI], -16.4% to -3.1%; vancomycin: RD, -15.4%; 95% CI, -22.7% to -8.0%; fidaxomicin: RD, -11.9%; 95% CI, -38.1% to 14.3%). Conclusion: Bezlotoxumab reduces rCDI vs placebo in participants receiving metronidazole and vancomycin, with a similar effect size in participants receiving fidaxomicin

Meteor-ablated Aluminum in the Mesosphere-Lower Thermosphere

The first global atmospheric model (WACCM-Al) of meteor-ablated aluminum was constructed from three components: The Whole Atmospheric Community Climate Model (WACCM6); a meteoric input function for Al derived by coupling an astronomical model of dust sources in the solar system with a chemical meteoric ablation model; and a comprehensive set of neutral, ion-molecule and photochemical reactions relevant to the chemistry of Al in the upper atmosphere. The reaction kinetics of two important reactions that control the rate at which Al+ ions are neutralized were first studied using a fast flow tube with pulsed laser ablation of an Al target, yielding k(AlO+ + CO) = (3.7 ± 1.1) × 10−10 and k(AlO+ + O) = (1.7 ± 0.7) × 10−10 cm3 molecule−1 s−1 at 294 K. The first attempt to observe AlO by lidar was made by probing the bandhead of the B2Σ+(v′ = 0) ← X2Σ+(v″ = 0) transition at λair = 484.23 nm. An upper limit for AlO of 60 cm−3 was determined, which is consistent with a night-time concentration of ∼5 cm−3 estimated from the decay of AlO following rocket-borne grenade releases. WACCM-Al predicts the following: AlO, AlOH and Al+ are the three major species above 80 km; the AlO layer at mid-latitudes peaks at 89 km with a half-width of ∼5 km, and a peak density which increases from a night-time minimum of ∼10 cm−3 to a daytime maximum of ∼60 cm−3; and that the best opportunity for observing AlO is at high latitudes during equinoctial twilight

Chemical Engineering Division waste management programs. Quarterly report, January--March 1975

Development work on the study of consolidation techniques for Zircaloy fuel-cladding hulls included scouting tests on volatility schemes for separating the zirconium as the volatile tetrachloride and ignition tests on several Zircaloy materials to further characterize the pyrophoric behavior of Zircaloy. All tests were with nonirradiated metal pending acquisition of irradiated samples. Installation is nearly complete of a glovebox facility for studies on the salvage of alpha-contaminated metals by pyrochemical methods. Disposal of a major portion of fission product tritium formed in light water reactor fuels by deep- well injection of the low-level aqueous waste from plants reprocessing such fuels is being evaluated. The question of siting is a very important factor in determining the feasibility of this particular disposal option. A review is given of the status of information for U. S. sedimentary basins, the areas most likely to be generally suitable for siting of waste wells. Work on the reliability of high-level-waste canisters included an examination of creep, shot- peening, and subcooling of the filler canister below storage temperatures, as methods of relieving stresses induced in canisters due to differential contraction of canister and glass during cooling. A method was investigated for relieving stresses in calcine-filled canisters. Properties of fission product oxides were examined to elucidate possible adverse corrosive effects at the canister-waste interface. (LK

Individualized Ranibizumab Regimen Driven by Stabilization Criteria for Central Retinal Vein Occlusion

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The noctilucent cloud (NLC) display during the ECOMA/MASS sounding rocket flights on 3 August 2007: morphology on global to local scales

During the ECOMA/MASS rocket campaign large scale NLC/PMC was observed by satellite, lidar and camera from polar to mid latitudes. We examine the observations from different instruments to investigate the morphology of the cloud. Satellite observations show a planetary wave 2 structure. Lidar observations from Kühlungsborn (54° N), Esrange (68° N) and ALOMAR (69° N) show a highly dynamic NLC layer. Under favorable solar illumination the cloud is also observable by ground-based cameras. The cloud was detected by cameras from Trondheim (63° N), Juliusruh (55° N) and Kühlungsborn. We investigate planetary scale morphology and local scale gravity wave structures, important for the interpretation of the small scale rocket soundings. We compare in detail the lidar observations with the NLC structure observed by the camera in Trondheim. The ALOMAR RMR-lidar observed only a faint NLC during the ECOMA launch window, while the camera in Trondheim showed a strong NLC display in the direction of ALOMAR. Using the high resolution camera observations (t~30 s, Δx\u3c5 \u3ekm) and the wind information from the meteor radar at ALOMAR we investigate the formation and destruction of NLC structures. We observe that the NLC brightness is reduced by a factor of 20–40 within 100 s which can be caused by a temperature about 15 K above the frostpoint temperature. A horizontal temperature gradient of more than 3 K/km is estimated

Short-term protein restriction at advanced age stimulates FGF21 signalling, energy expenditure and browning of white adipose tissue

Dietary protein restriction has been demonstrated to improve metabolic health under various conditions. However, the relevance of ageing and age-related decline in metabolic flexibility on the effects of dietary protein restriction has not been addressed. Therefore, we investigated the effect of short-term dietary protein restriction on metabolic health in young and aged mice. Young adult (3 months old) and aged (18 months old) C57Bl/6J mice were subjected to a 3-month dietary protein restriction. Outcome parameters included fibroblast growth factor 21 (FGF21) levels, muscle strength, glucose tolerance, energy expenditure (EE) and transcriptomics of brown and white adipose tissue (WAT). Here, we report that a low-protein diet had beneficial effects in aged mice by reducing some aspects of age-related metabolic decline. These effects were characterized by increased plasma levels of FGF21, browning of subcutaneous WAT, increased body temperature and EE, while no changes were observed in glucose homeostasis and insulin sensitivity. Moreover, the low-protein diet used in this study was well-tolerated in aged mice indicated by the absence of adverse effects on body weight, locomotor activity and muscle performance. In conclusion, our study demonstrates that a short-term reduction in dietary protein intake can impact age-related metabolic health alongside increased FGF21 signalling, without negatively affecting muscle function. These findings highlight the potential of protein restriction as a strategy to induce EE and browning of WAT in aged individuals