Selective Ingestion and Egestion of Plastic Particles by the Blue Mussel (Mytilus edulis) and Eastern Oyster (Crassostrea virginica): Implications for Using Bivalves as Bioindicators of Microplastic Pollution.

Microplastics (MP; 1 µm to 1 mm) of various shapes and compositions are ingested by numerous marine animals. Recently, proposals have been made to adopt bivalve molluscs as bioindicators of MP pollution. To serve as indicators of MP pollution, however, the proposed organisms should ingest, without bias, the majority of plastic particles to which they are exposed. To test this premise, eastern oysters, Crassostrea virginica, and blue mussels, Mytilus edulis, were offered variously sized polystyrene microspheres (diameters 19-1000 µm) and nylon microfibers (lengths 75-1075 × diameter 30 µm), and the proportion of each rejected in pseudofeces and egested in feces was determined. For both species, the proportion of microspheres rejected increased from ca. 10-30% for the smallest spheres to 98% for the largest spheres. A higher proportion of the largest microsphere was rejected compared with the longest microfiber, but similar proportions of microfibers were ingested regardless of length. Differential egestion of MP also occurred. As a result of particle selection, the number and types of MP found in the bivalve gut will depend upon the physical characteristics of the particles. Thus, bivalves will be poor bioindicators of MP pollution in the environment, and it is advised that other marine species be explored.

Medication management in Minnesota schools: The need for school nurse-pharmacist partnerships.

BACKGROUND: Pharmacist participation in school medication management (MM) is minimal. School nurses are responsible for increasingly complex medication administration and management in schools. OBJECTIVES: The purpose of this study was to 1) assess the MM needs of school nurses in Minnesota, and 2) determine if and how interprofessional partnerships between nurses and pharmacists might optimize MM for students. METHODS: Researchers from the University of Minnesota College of Pharmacy, School Nurse Organization of Minnesota, and Minnesota Department of Health conducted a 32-item online survey of school nurses. RESULTS: Nurses administered the majority of medications at their school (69.9%) compared with unlicensed assistive personnel (29%). Stimulants (37.7%), asthma medications (25.7%), over-the-counter analgesics (17.8%), and insulin (6.6%) were the most commonly administered drug therapies. A clear majority of school nurses were interested in partnering with pharmacists: 90.3% thought that a pharmacist could assist with MM, 80% would consult with a pharmacist, and 12.3% reported that they already have informal access to a pharmacist. Topics that nurses would discuss with a pharmacist included new medications (71.6%), drug-drug interactions (67.1%), proper administration (52%), and storage (39.4%). The top MM concerns included 1) availability of students' medications and required documentation, 2) health literacy, 3) pharmacist consultations, 4) lack of time available for nurses to follow up with and evaluate students, 5) family-centered care, 6) delegation, 7) communication, and 8) professional development. CONCLUSION: Although the majority of school nurses surveyed indicated that partnerships with pharmacists would improve school MM, few had a formal relationship. Interprofessional partnerships focused on MM and education are high on the list of services that school nurses would request of a consultant pharmacist. Study results suggest that there are opportunities for pharmacists to collaborate with school nurses; further study is necessary to advance high-quality MM for students in Minnesota schools.