Impairment Rating Ambiguity in the United States: The Utah Impairment Guides for Calculating Workers' Compensation Impairments

Since the implementation of workers' compensation, accurately and consistently rating impairment has been a concern for the employee and employer, as well as rating physicians. In an attempt to standardize and classify impairments, the American Medical Association (AMA) publishes the AMA Guides ("Guides"), and recently published its 6th edition of the AMA Guides. Common critiques of the AMA Guides 6th edition are that they are too complex, lacking in evidence-based methods, and rarely yield consistent ratings. Many states mandate use of some edition of the AMA Guides, but few states are adopting the current edition due to the increasing difficulty and frustration with their implementation. A clearer, simpler approach is needed. Some states have begun to develop their own supplemental guides to combat problems in complexity and validity. Likewise studies in Korea show that past methods for rating impairment are outdated and inconsistent, and call for measures to adapt current methods to Korea's specific needs. The Utah Supplemental Guides to the AMA Guides have been effective in increasing consistency in rating impairment. It is estimated that litigation of permanent impairment has fallen below 1% and Utah is now one of the least costly states for obtaining workers' compensation insurance, while maintaining a medical fee schedule above the national average. Utah's guides serve as a model for national or international impairment guides

The effect of tryptophan analogs on the induced synthesis of maltase and protein synthesis in yeast

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/32528/1/0000628.pd

Concurrent Exposure of Bottlenose Dolphins (Tursiops truncatus) to Multiple Algal Toxins in Sarasota Bay, Florida, USA

Sentinel species such as bottlenose dolphins (Tursiops truncatus) can be impacted by large-scale mortality events due to exposure to marine algal toxins. In the Sarasota Bay region (Gulf of Mexico, Florida, USA), the bottlenose dolphin population is frequently exposed to harmful algal blooms (HABs) of Karenia brevis and the neurotoxic brevetoxins (PbTx; BTX) produced by this dinoflagellate. Live dolphins sampled during capture-release health assessments performed in this region tested positive for two HAB toxins; brevetoxin and domoic acid (DA). Over a ten-year study period (2000–2009) we have determined that bottlenose dolphins are exposed to brevetoxin and/or DA on a nearly annual basis (i.e., DA: 2004, 2005, 2006, 2008, 2009; brevetoxin: 2000, 2004, 2005, 2008, 2009) with 36% of all animals testing positive for brevetoxin (n = 118) and 53% positive for DA (n = 83) with several individuals (14%) testing positive for both neurotoxins in at least one tissue/fluid. To date there have been no previously published reports of DA in southwestern Florida marine mammals, however the May 2008 health assessment coincided with a Pseudo-nitzschia pseudodelicatissima bloom that was the likely source of DA observed in seawater and live dolphin samples. Concurrently, both DA and brevetoxin were observed in common prey fish. Although no Pseudo-nitzschia bloom was identified the following year, DA was identified in seawater, fish, sediment, snails, and dolphins. DA concentrations in feces were positively correlated with hematologic parameters including an increase in total white blood cell (p = 0.001) and eosinophil (p<0.001) counts. Our findings demonstrate that dolphins within Sarasota Bay are commonly exposed to two algal toxins, and provide the impetus to further explore the potential long-term impacts on bottlenose dolphin health

Non-destructive assessment of the oxidative stability of intact macadamia nuts during the drying process by near-infrared spectroscopy

We have developed a rapid non-destructive method to assess the oxidative stability of intact macadamia nuts using near-infrared spectroscopy (NIRS). Intact macadamia nuts of the cultivars HAES 344 ‘Kau’, HAES 660 ‘Keaau’, IAC 4–12 B, and IAC Campinas B were harvested and immediately oven-dried for 4 days at 30 °C, 2 days at 40 °C, and 1 day at 60 °C to achieve 1.5% kernel moisture content. At each drying step nuts were withdrawn and their moisture content, peroxide value (PV), and acidity index (AI) determined. The best partial least square model for PV prediction was obtained using the Savitzky-Golay (SG) second derivative resulting in a standard error of prediction (SEP) of 0.55 meq·kg−1 and a coefficient of determination (R2C) of 0.57. The best AI prediction-model result was obtained using the SG second derivative (SEP = 0.14%, R2C = 0.29). Based on the maximum quality limits of 3 meq·kg−1 for PV and 0.5% for AI, the SEP values represented 18% and 28%, respectively. Therefore, the prediction method can be considered useful since the errors are lower than the quality limits. Thus, NIRS can be used to assess the oxidative stability of intact macadamia kernels

Fish Poisoning: A Problem in Food Toxication

Interest in poisonous fishes has intensified greatly in recent years. World Wat II brought many Americans and Europeans to tropical areas of the world where fish poisoning is common. Also, interest in the welfare of native populations of the Pacific islands has developed widely, and there is an impression that fish poisoning is increasing. In spite of an extensive literature, there is considerable confusion on the subject

Ohio Curriculum of the Sixth Grade: Creation and Historical Analysis

A mixture of curricular strategies and historical analysis of the sixth grade Ohio Social Studies curriculum