Partial anomalous pulmonary venous return mimics arterial positioning after central line placement for plasmapheresis

Case: A 61-year-old male who was status post right single lung transplant complicated by grade three primary graft dysfunction was admitted and mechanically ventilated for hypoxic respiratory failure. Donor specific antibody testing to human leukocyte antigens was positive. The protocol for antibody-mediated transplant rejection was initiated. One aspect of the protocol was a series of plasmapheresis procedures. In advance of the first plasmapheresis, central line placement was attempted via the left internal jugular vein. A chest x-ray showed a line that terminated to the left of the midline and raised concern for arterial placement (Figure 1). Blood gases from the line were: pH 7.72, pCO2 21 mmHg, pO2 369 mmHg, bicarbonate 28.4 mmol/L.Alex J. Griffith (Department of Pathology and Laboratory Medicine, University of Wisconsin Hospital), Victoria Ray (MD, Department of Anesthesiology, University of Wisconsin Hospital), William N. Rose (MD, Department of Emergency Medicine, University of Wisconsin Hospital)Includes bibliographical reference

Evaluation of Extent and Bioavailability of Chromium Contamination Near an Abandoned Strip Mine

Chromium is a potentially toxic element to plants and animals commonly associated with serpentine and anthropogenic sources. An abandoned Cr strip-mine at US National Guard Camp SLO, CA containing serpentinitic parent material was tested for total and bioavailable Cr in the soil and overlying vegetation via US EPA Methods 3050a (Total Cr) and 1311 (Total Characteristic Leaching Procedure, TCLP) (US EPA, 1995), respectively. The analysis of total and bioavailable Cr was used to assess the risk of nearby surface and groundwater contamination and to evaluate the site’s need for remediation. In addition, trends in soil Cr levels with respect to slope position and sampling transect were identified. Total and most bioavailable Cr concentrations in plants were below the method detection limits (TotalMDL = 0.12 mg L-1; TCLPMDL = 0.04 mg L-1), suggesting the Cr was immobile and not bioavailable. The average total Cr level was 403.5 +/- 177.6 mg kg-1, significantly below the background total Cr level of 829.4 +/- 213.6 mg kg-1. Based on Chromium’s immobility, and its low levels in the site relative to background concentrations, remediation practices were not recommended. No significant trends were observed in total soil Cr levels along any transect or between sampled slope positions. The information gained from this was used by Camp SLO officers to assess the threat of Cr mobility and bioavailability in the soils at this site, as well as in nearby waterways and ground water

Failure properties and microstructure of healthy and aneurysmatic human thoracic aortas subjected to uniaxial extension with a focus on the media

Current clinical practice for aneurysmatic interventions is often based on the maximum diameter of the vessel and/or on the growth rate, although rupture can occur at any diameter and growth rate, leading to fatality. For 27 medial samples obtained from 12 non-aneurysmatic (control) and 9 aneurysmatic human descending thoracic aortas we examined: the mechanical responses up to rupture using uniaxial extension tests of circumferential and longitudinal specimens; the structure of these tissues using second-harmonic imaging and histology, in particular, the content proportions of collagen, elastic fibers and smooth muscle cells in the media. It was found that the mean failure stresses were higher in the circumferential directions (Control-C 1474 kPa; Aneurysmatic-C 1446 kPa), than in the longitudinal directions (Aneurysmatic-L 735kPa; Control-L 579 kPa). This trend was the opposite to that observed for the mean collagen fiber directions measured from the loading axis (Control-L > Aneurysmatic-L > Aneurysmatic-C > Control-C), thus suggesting that the trend in the failure stress can in part be attributed to the collagen architecture. The difference in the mean values of the out-of-plane dispersion in the radial/longitudinal plane between the control and aneurysmatic groups was significant. The difference in the mean values of the mean fiber angle from the circumferential direction was also significantly different between the two groups. Most specimens showed delamination zones near the ruptured region in addition to ruptured collagen and elastic fibers. This study provides a basis for further studies on the microstructure and the uniaxial failure properties of (aneurysmatic) arterial walls towards realistic modeling and prediction of tissue failure

Avalanches in Breakdown and Fracture Processes

We investigate the breakdown of disordered networks under the action of an increasing external---mechanical or electrical---force. We perform a mean-field analysis and estimate scaling exponents for the approach to the instability. By simulating two-dimensional models of electric breakdown and fracture we observe that the breakdown is preceded by avalanche events. The avalanches can be described by scaling laws, and the estimated values of the exponents are consistent with those found in mean-field theory. The breakdown point is characterized by a discontinuity in the macroscopic properties of the material, such as conductivity or elasticity, indicative of a first order transition. The scaling laws suggest an analogy with the behavior expected in spinodal nucleation.Comment: 15 pages, 12 figures, submitted to Phys. Rev. E, corrected typo in authors name, no changes to the pape

Generation Y in the Workplace

The recruitment and retention of Generation Y, individuals born between 1977 and 2002, concern the federal government and the Congressional Research Service particularly, as the retirement rate among Baby Boomers increases. A clear understanding of this generation's perceptions and expectations about work and career-related issues will assist the federal government in formulating its recruitment and retention strategies. Thus, this study identified and examined career choice factors and public service perceptions among members of Generation Y

Report and recommendations of salmon anchor habitat strategy work group

The 2003 Oregon Legislature directed the Oregon Department of Forestry (ODF) to convene a citizen work group to review and evaluate the ODF Salmon Anchor Habitat Strategy for state forests in northwest Oregon. In November, 2003 ODF contracted with the Institute for Natural Resources (INR) to support the SAH Work Group. INR designed and oversaw a process for the SAH Work Group that facilitated dialogue among interested parties, scientists, land management professionals, and policy makers. The goal was to illuminate the SAH policy, identify issues and develop recommendations while respecting the perspectives held by all parties.KEYWORDS: Pacific northwest, Trees, Tillamook, Environment and Conservation, Watersheds, Fishing, Salmon anchor habitat, Clatsop, Endangered species act, Salmon, Fish, Forest, Oregon plan, Old growth, Lumber, Native Americans, Oregon Department of Forestry, Timber, HB3632, Fir

Hail Suppression: Impacts and Issues: Final Report Technology Assessment of the Suppression of Hail

published or submitted for publicationis peer reviewedOpe

Visible and Invisible Trends in Black Men's Health: Pitfalls and Promises for Addressing Racial, Ethnic, and Gender Inequities in Health

Over the past two decades, there has been growing interest in improving black men's health and the health disparities affecting them. Yet, the health of black men consistently ranks lowest across nearly all groups in the United States. Evidence on the health and social causes of morbidity and mortality among black men has been narrowly concentrated on public health problems (e.g., violence, prostate cancer, and HIV/AIDS) and determinants of health (e.g., education and male gender socialization). This limited focus omits age-specific leading causes of death and other social determinants of health, such as discrimination, segregation, access to health care, employment, and income. This review discusses the leading causes of death for black men and the associated risk factors, as well as identifies gaps in the literature and presents a racialized and gendered framework to guide efforts to address the persistent inequities in health affecting black men