Workplace secondhand smoke exposure in the U.S. trucking industry.

BackgroundAlthough the smoking rate in the United States is declining because of an increase of smoke-free laws, among blue-collar workers it remains higher than that among many other occupational groups.ObjectivesWe evaluated the factors influencing workplace secondhand smoke (SHS) exposures in the U.S. unionized trucking industry.MethodsFrom 2003 through 2005, we measured workplace SHS exposure among 203 nonsmoking and 61 smoking workers in 25 trucking terminals. Workers in several job groups wore personal vapor-phase nicotine samplers on their lapels for two consecutive work shifts and completed a workplace SHS exposure questionnaire at the end of the personal sampling.ResultsMedian nicotine level was 0.87 microg/m3 for nonsmokers and 5.96 microg/m3 for smokers. As expected, smokers experienced higher SHS exposure duration and intensity than did nonsmokers. For nonsmokers, multiple regression analyses indicated that self-reported exposure duration combined with intensity, lack of a smoking policy as reported by workers, having a nondriver job, and lower educational level were independently associated with elevated personal nicotine levels (model R2 = 0.52). Nondriver job and amount of active smoking were associated with elevated personal nicotine level in smokers, but self-reported exposure, lack of a smoking policy, and lower educational level were not.ConclusionsDespite movements toward smoke-free laws, this population of blue-collar workers was still exposed to workplace SHS as recently as 2005. The perceived (reported by the workers), rather than the official (reported by the terminal managers), smoking policy was associated with measured SHS exposure levels among the nonsmokers. Job duties and educational level might also be important predictors of workplace SHS exposure

Secondhand smoke exposure and inflammatory markers in nonsmokers in the trucking industry.

BackgroundFew studies have directly assessed the association of secondhand smoke (SHS) with cardiovascular disease-related inflammatory markers, and the findings are inconsistent.ObjectivesWe assessed the association between SHS exposure and the inflammatory markers high-sensitivity C-reactive protein (hs-CRP), interleukin-6 (IL-6), and soluble intercellular adhesion molecule-1 (sICAM-1) in 199 nonsmoking U.S. trucking industry workers.MethodsParticipants provided blood samples either by mail (blood drawn at local health care provider near home) or at the work site (blood drawn by research staff on-site) and completed a health and work history questionnaire at the time of blood draw. Exposure to SHS was measured by plasma cotinine concentrations. We used multivariate regression analyses to assess the associations between levels of cotinine and inflammatory markers.ResultsThe median cotinine level was 0.10 ng/mL (interquartile range, 0.04-0.23 ng/mL). The odds ratios of elevated hs-CRP (above highest CRP tertile, 1.5 mg/L) were 2.85 [95% confidence interval (CI), 1.03-7.89] for the high-cotinine group (> 0.215 ng/mL) and 2.80 (95% CI, 1.11-7.10) for the moderate-cotinine group (0.05-0.215 ng/mL), compared with the low-cotinine group (< 0.05 ng/mL), adjusting for age, sex, race, educational level, obesity, previous smoking history, job title, and medical history. Plasma cotinine levels were not associated with IL-6 or sICAM-1.ConclusionsSHS exposure, as assessed by plasma cotinine, was positively associated with hs-CRP in this group of blue-collar workers. The strength of the association with hs-CRP depended on the cut points selected for analysis

Formation mechanisms of carbonate concretions of the Monterey Formation: Analyses of clumped isotopes, iron, sulfur and carbon

Carbonate concretions can form as a result of organic matter degradation within sediments. However, the ability to determine specific processes and formation temperatures of particular concretions has remained elusive. Here, we employ concentrations of carbonate-associated sulfate (CAS), δ^(34)S_(CAS) and clumped isotopes (along with more traditional approaches) to characterize the nature of concretion authigenesis within the Miocene Monterey Formation

A First Look at Dissolved Ge Isotopes in Marine Sediments

The removal of chemical species from seawater during the precipitation of authigenic minerals is difficult to constrain but may play a major role in the global biogeochemical cycles of some elements, including silicon (Si) and germanium (Ge). Here, we present Ge/Si, δ^(74)Ge, and supporting chemical data of pore waters and core incubations at three continental margin sites in California and the Gulf of Mexico. We used these data to partition Ge release and uptake by the various allogenic (delivered via sedimentation) and authigenic (formed in situ) phases in these sediments. About half of the pore water Ge (δ^(74)Ge_(pw) = 1.3–2.4‰) is supplied by biogenic silica dissolution (δ^(74)Ge ~ 3‰), with the other half contributed by lithogenic particulates (δ^(74)Ge ~ 0.6‰). The highest Ge/Si (~3μmol/mol) and lowest δ^(74)Ge (1.3–1.9‰) are observed at the Fe redox horizon, suggesting a supply from detrital Ge-rich Fe oxides. The precipitation of authigenic phases (most likely aluminosilicate clays) in deeper sediments preferentially incorporates Ge over Si, resulting in low pore water Ge/Si (~0.3μmol/mol). The lack of corresponding δ^(74)Ge_(pw) trend indicates negligible Ge isotope fractionation during this process. Ge fluxes measured via core incubations were variable and appeared strongly controlled by Fe redox behavior near the sediment-water interface. In some cases, reductive Fe oxide dissolution appeared to enhance the benthic Ge flux by over 100% and released fractionated low δ74Ge of ~−0.7‰, resulting in overall benthic δ^(74)Ge_(inc) between –0.2 and 3.6‰, depending on Fe oxide contribution to Ge flux. We estimate that detrital inputs supply 12–31% of total dissolved Ge to continental margin pore fluids globally, resulting in an average pore water and benthic flux δ^(74)Ge between 2.2 and 2.7‰. Assuming 10-60% of pore water Ge is captured by the authigenic aluminosilicate sink, the dissolved Ge flux to the ocean derived from terrigenous inputs should be roughly 2.5–6.6 Mmol/y, much higher than previously estimated. Our results imply that authigenic Si burial in continental margins should be in the range of 1–8 Tmol/y (best estimate 3.1 Tmol/y), sufficient to close the global marine Si budget

Barium cycling in the North Pacific: Implications for the utility of Ba as a paleoproductivity and paleoalkalinity proxy

Benthic incubation chambers have been deployed in a variety of geochemical environments that provide a comprehensive geochemical framework from which to address issues related to Ba geochemistry and the use of Ba as a paleoproxy. First order budgets for barium show that in the equatorial Pacific, present rates of Ba rain and benthic remobilization are nearly in balance, indicating that the rate of net accumulation is negligible and is clearly much less than the average for the Holocene; thus any paleoproxy algorithms built on the assumption of steady state are questionable. In contrast, budgets for sediments in the southern California Borderland indicate much higher burial efficiencies, in the range of 50–80%. The Ba:alkalinity (Alk) flux ratio is found to be remarkably constant throughout the environments studied and is indistinguishable from the deep water ratio used for paleoceanographic reconstructions. However, the Ba:organic carbon remobilization ratio is not constant. Combined, these results do not indicate a simple, first‐order direct link between Ba and alkalinity remobilization via organic carbon oxidation; however, the similarities in the Ba and alkalinity source functions conspire to maintain the Ba:Alk ratio near the global water column average. This latter observation provides promise for the use of the Ba:Ca ratio in benthic foraminifera as a paleocirculation tracer

A First Look at Dissolved Ge Isotopes in Marine Sediments

The removal of chemical species from seawater during the precipitation of authigenic minerals is difficult to constrain but may play a major role in the global biogeochemical cycles of some elements, including silicon (Si) and germanium (Ge). Here, we present Ge/Si, δ74Ge, and supporting chemical data of pore waters and core incubations at three continental margin sites in California and the Gulf of Mexico. We used these data to partition Ge release and uptake by the various allogenic (delivered via sedimentation) and authigenic (formed in situ) phases in these sediments. About half of the pore water Ge (δ74Gepw = 1.3–2.4‰) is supplied by biogenic silica dissolution (δ74Ge ~ 3‰), with the other half contributed by lithogenic particulates (δ74Ge ~ 0.6‰). The highest Ge/Si (~3μmol/mol) and lowest δ74Ge (1.3–1.9‰) are observed at the Fe redox horizon, suggesting a supply from detrital Ge-rich Fe oxides. The precipitation of authigenic phases (most likely aluminosilicate clays) in deeper sediments preferentially incorporates Ge over Si, resulting in low pore water Ge/Si (~0.3μmol/mol). The lack of corresponding δ74Gepw trend indicates negligible Ge isotope fractionation during this process. Ge fluxes measured via core incubations were variable and appeared strongly controlled by Fe redox behavior near the sediment-water interface. In some cases, reductive Fe oxide dissolution appeared to enhance the benthic Ge flux by over 100% and released fractionated low δ74Ge of ~−0.7‰, resulting in overall benthic δ74Geinc between –0.2 and 3.6‰, depending on Fe oxide contribution to Ge flux. We estimate that detrital inputs supply 12–31% of total dissolved Ge to continental margin pore fluids globally, resulting in an average pore water and benthic flux δ74Ge between 2.2 and 2.7‰. Assuming 10-60% of pore water Ge is captured by the authigenic aluminosilicate sink, the dissolved Ge flux to the ocean derived from terrigenous inputs should be roughly 2.5–6.6 Mmol/y, much higher than previously estimated. Our results imply that authigenic Si burial in continental margins should be in the range of 1–8 Tmol/y (best estimate 3.1 Tmol/y), sufficient to close the global marine Si budget

Late Holocene lake level dynamics inferred from magnetic susceptibility and stable oxygen isotope data: Lake Elsinore, southern California (USA)

Southern California faces an imminent freshwater shortage. To better assess the future impact of this water crisis, it is essential that we develop continental archives of past hydrological variability. Using four sediment cores from Lake Elsinore in Southern California, we reconstruct late Holocene (∼3800 calendar years B.P.) hydrological change using a twentieth-century calibrated, proxy methodology. We compared magnetic susceptibility from Lake Elsinore deep basin sediments, lake level from Lake Elsinore, and regional winter precipitation data over the twentieth century to calibrate the late Holocene lake sediment record. The comparison revealed a strong positive, first-order relationship between the three variables. As a working hypothesis, we suggest that periods of greater precipitation produce higher lake levels. Greater precipitation also increases the supply of detritus (i.e., magnetic-rich minerals) from the lake's surrounding drainage basin into the lake environment. As a result, magnetic susceptibility values increase during periods of high lake level. We apply this modern calibration to late Holocene sediments from the lake's littoral zone. As an independent verification of this hypothesis, we analyzed δ 18 O (calcite) , interpreted as a proxy for variations in the precipitation:evaporation ratio, which reflect first order hydrological variability. The results of this verification support our hypothesis that magnetic susceptibility records regional hydrological change as related to precipitation and lake level. Using both proxy data, we analyzed the past 3800 calendar years of hydrological variability. Our analyses indicate a long period of dry, less variable climate between 3800 and 2000 calendar years B.P. followed by a wet, more variable climate to the present. These results suggest that droughts of greater magnitude and duration than those observed in the modern record have occurred in the recent geological past. This conclusion presents insight to the potential impact of future droughts on the over-populated, water-poor region of Southern California.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/43089/1/10933_2004_Article_5147767.pd

Oceanic molybdenum isotope fractionation: Diagenesis and hydrothermal ridge-flank alteration

Isotopic analyses of dissolved molybdenum are presented for sediment pore waters from a reducing sedimentary basin and for fluids from a low-temperature ridge flank hydrothermal system. δ⁹⁸/⁹⁵Mo in these fluids range from 0.8 to 3.5%₀ (relative to a laboratory standard), demonstrating that marine sedimentary reactions significantly fractionate Mo isotopes. Within the upper 3 cm of sediment, manganese oxide dissolution produces an isotopically light fluid relative to seawater (mean of four analyses = 2.1 ± 0.1%₀ versus seawater = 2.3 ± 0.1%₀). Below 6 cm depth, authigenic Mo uptake results in an isotopically heavier fluid (up to 3.5%₀) indicating that reducing sediments are likely to be a net sink for isotopically light dissolved Mo. In contrast, fluid circulation within a low-temperature ridge-flank hydrothermal system is a source of isotopically light Mo to the ocean having an end-member fluid of ~0.8%₀.Keywords: molybdenum isotopes, molybdenum, isotope geochemistry, sediment diagenesisKeywords: molybdenum isotopes, molybdenum, isotope geochemistry, sediment diagenesi

Vancomycin Dosing Practices among Critical Care Pharmacists: A Survey of Society of Critical Care Medicine Pharmacists

Introduction: Critically ill patients and their pharmacokinetics present complexities often not considered by consensus guidelines from the American Society of Health-System Pharmacists, the Infectious Diseases Society of America, and the Society of Infectious Diseases Pharmacists. Prior surveys have suggested discordance between certain guideline recommendations and reported infectious disease pharmacist practice. Vancomycin dosing practices, including institutional considerations, have not previously been well described in the critically ill patient population. Objectives: To evaluate critical care pharmacists\u27 self-reported vancomycin practices in comparison to the 2009 guideline recommendations and other best practices identified by the study investigators. Methods: An online survey developed by the Research and Scholarship Committee of the Clinical Pharmacy and Pharmacology (CPP) Section of the Society of Critical Care Medicine (SCCM) was sent to pharmacist members of the SCCM CPP Section practicing in adult intensive care units in the spring of 2017. This survey queried pharmacists\u27 self-reported practices regarding vancomycin dosing and monitoring in critically ill adults. Results: Three-hundred and sixty-four responses were received for an estimated response rate of 26%. Critical care pharmacists self-reported largely following the 2009 vancomycin dosing and monitoring guidelines. The largest deviations in guideline recommendation compliance involve consistent use of a loading dose, dosing weight in obese patients, and quality improvement efforts related to systematically monitoring vancomycin-associated nephrotoxicity. Variation exists regarding pharmacist protocols and other practices of vancomycin use in critically ill patients. Conclusion: Among critical care pharmacists, reported vancomycin practices are largely consistent with the 2009 guideline recommendations. Variations in vancomycin dosing and monitoring protocols are identified, and rationale for guideline non-adherence with loading doses elucidated