146 research outputs found

    Analyses of Water Samples From the Deepwater Horizon Oil Spill: Documentation of the Subsurface Plume

    Get PDF
    Surface and subsurface water samples were collected in the vicinity of the Deepwater Horizon (DWH) wellhead in the Gulf of Mexico. Samples were extracted with dichloromethane and analyzed for a toxic component, polycyclic aromatic hydrocarbons (PAHs), using total scanning fluorescence (TSF) and by gas chromatography/mass spectrometry (GC/MS). An aliquot of fresh, floating oil from a surface sample was used as a DWH oil reference standard. Twelve of 19 samples collected from 24 May 2010 to 6 June 2010 on the R/V Walton Smith cruise contained TSF maximum intensities above background (0.7 ”g L À1 based on 1 L sample size). These 12 samples had total petroleum hydrocarbon (TPH) concentrations as measured by quantitative gas chromatography flame ionization detector (FID) ranging from 2 to 442 ”g L À1 . Quantitative GC/MS analysis of these 12 samples resulted in total PAH concentrations ranging from 0.01 to 59 ”g L À1 . Low molecular weight, more water-soluble naphthalene and alkylated naphthalene dominated the PAH composition patterns for 11 of the 12 water samples. Sample 12 exhibited substantially reduced concentrations of naphthalenes relative to other PAH compounds. The total PAH concentrations were positively correlated (R 2 = 0.80) with the TSF maximum intensity (MI). TSF is a simple, rapid technique providing an accurate prediction of the amount of PAH present in a sample. TSFderived estimates of the relative contribution of PAH present in the oil provided evidence that PAH represented~10% of the higher molecular weight TPH. The subsurface oil plume was confirmed by the analyses of discrete water samples for TSF, TPH, and PAH

    Construction, Concentration, and (Dis)Continuities in Social Valuations

    Get PDF
    I review and integrate recent sociological research that makes progress on three interrelated questions pertaining to social valuation: (a) the degree of social construction relative to objective constraints; (b) the degree of concentration in social valuations at a single point in time; and (c) the conditions that govern two broad forms of temporal discontinuity—(i) fashion cycles, especially in cultural expression and in managerial practices, and (ii) bubble/crash dynamics, as witnessed in such domains as authoritarian regimes and financial markets. In the course of the review, I argue for the importance of identifying how objective conditions constrain social construction and suggest two contrarian mechanisms by which this is accomplished—valuation opportunism and valuation entrepreneurship—and the conditions under which they are more or less effective

    The Ontario printed educational message (OPEM) trial to narrow the evidence-practice gap with respect to prescribing practices of general and family physicians: a cluster randomized controlled trial, targeting the care of individuals with diabetes and hypertension in Ontario, Canada

    Get PDF
    <p>Abstract</p> <p>Background</p> <p>There are gaps between what family practitioners do in clinical practice and the evidence-based ideal. The most commonly used strategy to narrow these gaps is the printed educational message (PEM); however, the attributes of successful printed educational messages and their overall effectiveness in changing physician practice are not clear. The current endeavor aims to determine whether such messages change prescribing quality in primary care practice, and whether these effects differ with the format of the message.</p> <p>Methods/design</p> <p>The design is a large, simple, factorial, unblinded cluster-randomized controlled trial. PEMs will be distributed with <b><it>informed</it></b>, a quarterly evidence-based synopsis of current clinical information produced by the Institute for Clinical Evaluative Sciences, Toronto, Canada, and will be sent to all eligible general and family practitioners in Ontario. There will be three replicates of the trial, with three different educational messages, each aimed at narrowing a specific evidence-practice gap as follows: 1) angiotensin-converting enzyme inhibitors, hypertension treatment, and cholesterol lowering agents for diabetes; 2) retinal screening for diabetes; and 3) diuretics for hypertension.</p> <p>For each of the three replicates there will be three intervention groups. The first group will receive <b><it>informed </it></b>with an attached postcard-sized, short, directive "outsert." The second intervention group will receive <b><it>informed </it></b>with a two-page explanatory "insert" on the same topic. The third intervention group will receive <b><it>informed</it></b>, with both the above-mentioned outsert and insert. The control group will receive <b><it>informed </it></b>only, without either an outsert or insert.</p> <p>Routinely collected physician billing, prescription, and hospital data found in Ontario's administrative databases will be used to monitor pre-defined prescribing changes relevant and specific to each replicate, following delivery of the educational messages. Multi-level modeling will be used to study patterns in physician-prescribing quality over four quarters, before and after each of the three interventions. Subgroup analyses will be performed to assess the association between the characteristics of the physician's place of practice and target behaviours.</p> <p>A further analysis of the immediate and delayed impacts of the PEMs will be performed using time-series analysis and interventional, auto-regressive, integrated moving average modeling.</p> <p>Trial registration number</p> <p>Current controlled trial ISRCTN72772651.</p

    A Reflection on Economic Uncertainty and Fertility in Europe: The Narrative Framework

    Get PDF
    none5openVignoli, Daniele; Guetto, Raffaele; Bazzani, Giacomo; Pirani, Elena; Minello, AlessandraVignoli, Daniele; Guetto, Raffaele; Bazzani, Giacomo; Pirani, Elena; Minello, Alessandr
    • 

    corecore