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1.
Mar Pollut Bull ; 194(Pt B): 115397, 2023 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-37573669

RESUMEN

Canadian oil spill response regulations require collection of all liquids from a response operation, this involves many vessels and frequent trips to shore to dispose of collected liquids, which mainly comprise of water. Onsite treatment of decanted oily seawater would benefit operations by addressing vessel storage and trip frequency issues. Membrane technology has proven effective at treating oily wastewater from various industries; therefore, is a good candidate for onsite treatment of wastewater generated from response operations. In this study, oily seawater treatment efficiency of a pilot-scale physical membrane filtration and a bench-scale membrane bioreactor (MBR) were compared. Three main parameters were considered, total petroleum hydrocarbon, petroleum hydrocarbon fractions, and polycyclic aromatic hydrocarbons. 99.1 % and 98.2 % TPH removal efficiency were achieved by MBR (93.1 ppm initial oil concentration) and membrane filtration (28.3 ppm initial oil concentration), respectively. The MBR showed more promise than membrane filtration for onsite treatment of decanted wastewater.


Asunto(s)
Contaminación por Petróleo , Petróleo , Aguas Residuales , Eliminación de Residuos Líquidos , Canadá , Aceites , Petróleo/análisis , Hidrocarburos , Reactores Biológicos
2.
BMJ Open ; 13(7): e074118, 2023 07 12.
Artículo en Inglés | MEDLINE | ID: mdl-37438073

RESUMEN

INTRODUCTION: Diversity in the physician workforce improves patient-centred outcomes. Patients are more likely to trust in and comply with care when seeing gender/racially concordant providers. A current emphasis on standardised metrics in academic achievement often serves as a barrier to the recruitment and retention of gender and racial minorities in medicine. Holistic review of residency applicants has been supported as a means of encouraging diversification but is not yet standardised. The current body of evidence examining the effects of holistic review on the recruitment of racial and gender minorities in surgical residencies is small. We therefore propose a systematic review to summarise the state of holistic review in graduate medical education in the USA and its impact on diversification. METHODS AND ANALYSIS: Our systematic review protocol has been designed with plans to report our review findings in accordance with the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols guidelines. PubMed and Embase will be searched with the assistance of a health sciences librarian with expertise in systematic review. We will include studies of graduate medical education programmes that describe the implementation of holistic review, outline the components of their holistic review process and compare proportions of under-represented minorities (URM) and women interviewed and matriculating before and after holistic review implementation. We will first report a summary of the findings regarding the operationalisation of holistic review as described by studies included. We will then pool the percentages of URM and women for interviewee and matriculant populations from each study and report the collective odds ratios of each for holistic review compared with traditional review as our primary outcome. ETHICS AND DISSEMINATION: This study is a protocol for systematic review, and therefore does not involve any human subjects. Findings will be published in the form of a manuscript submitted to a peer-reviewed journal. PROSPERO REGISTRATION NUMBER: CRD42023401389.


Asunto(s)
Éxito Académico , Internado y Residencia , Femenino , Humanos , Benchmarking , Educación de Postgrado en Medicina , Escolaridad , Revisiones Sistemáticas como Asunto
3.
Environ Res ; 233: 116421, 2023 09 15.
Artículo en Inglés | MEDLINE | ID: mdl-37327845

RESUMEN

With an on-going disproportional warming of the Arctic Ocean and the reduction of the sea ice cover, the risk of an accidental oil spill from ships or future oil exploration is increasing. It is hence important to know how crude oil weathers in this environment and what factors affect oil biodegradation in the Arctic. However, this topic is currently poorly studied. In the 1980s, the Baffin Island Oil Spill (BIOS) project carried out a series of simulated oil spills in the backshore zone of beaches located on Baffin Island in the Canadian High Arctic. In this study two BIOS sites were re-visited, offering the unique opportunity to study the long-term weathering of crude oil under Arctic conditions. Here we show that residual oil remains present at these sites even after almost four decades since the original oiling. Oil at both BIOS sites appears to have attenuated very slowly with estimated loss rates of 1.8-2.7% per year. The presence of residual oil continues to significantly affect sediment microbial communities at the sites as manifested by a significantly decreased diversity, differences in the abundance of microorganisms and an enrichment of putative oil-degrading bacteria in oiled sediments. Reconstructed genomes of putative oil degraders suggest that only a subset is specifically adapted for growth under psychrothermic conditions, further reducing the time for biodegradation during the already short Arctic summers. Altogether, this study shows that crude oil spilled in the Arctic can persist and significantly affect the Arctic ecosystem for a long time, in the order of several decades.


Asunto(s)
Contaminación por Petróleo , Petróleo , Petróleo/metabolismo , Ecosistema , Canadá , Regiones Árticas , Biodegradación Ambiental
4.
Aquat Toxicol ; 261: 106581, 2023 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-37285785

RESUMEN

The Chemical Response to Oil Spills: Ecological Effects Research Forum created a standardized protocol for comparing the in vivo toxicity of physically dispersed oil to chemically dispersed oil to support science-based decision making on the use of dispersants in the early 2000s. Since then, the protocol has been frequently modified to incorporate advances in technology; enable the study of unconventional and heavier oils; and provide data for use in a more diverse manner to cover the growing needs of the oil spill science community. Unfortunately, for many of these lab-based oil toxicity studies consideration was not given to the influence of modifications to the protocol on media chemistry, resulting toxicity and limitations for the use of resulting data in other contexts (e.g., risk assessments, models). To address these issues, a working group of international oil spill experts from academia, industry, government, and private organizations was convened under the Multi-Partner Research Initiative of Canada's Oceans Protection Plan to review publications using the CROSERF protocol since its inception to support their goal of coming to consensus on the key elements required within a "modernized CROSERF protocol".


Asunto(s)
Contaminación por Petróleo , Petróleo , Contaminantes Químicos del Agua , Alimentos , Aceites , Petróleo/toxicidad , Contaminación por Petróleo/análisis , Medición de Riesgo , Contaminantes Químicos del Agua/toxicidad
5.
Mar Pollut Bull ; 192: 115143, 2023 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-37295253

RESUMEN

Oil dispersion by the application of chemical dispersants is an important tool in oil spill response, but it is difficult to quantify in the field in a timely fashion that is useful for coordinators and decision-makers. One option is the use of rugged portable field fluorometers that can deliver essentially instantaneous results if access is attainable. The United States Coast Guard has suggested, in their Special Monitoring of Applied Response Technologies (SMART) protocols, that successful oil dispersion can be identified by a five-fold increase in oil fluorescence. Here we test three commercial fluorometers with different excitation/emission windows (SeaOWL, Cyclops 7FO, and Cyclops 7F-G) that might prove useful for such applications. Results show that they have significantly different dynamic ranges for detecting oil and that using them (or similar instruments) in combination is probably the best option for successfully assessing the effectiveness of oil dispersion operations. Nevertheless, the rapid dilution of dispersed oil means that measurements must be made within an hour or two of dispersion, suggesting that one feasible scenario would be monitoring ship-applied dispersants by vessels following close behind the dispersant application vessel. Alternatively, autonomous submersibles might be pre-deployed to monitor aerial dispersant application, although the logistical challenges in a real spill would be substantial.


Asunto(s)
Personal Militar , Contaminación por Petróleo , Petróleo , Contaminantes Químicos del Agua , Humanos , Minociclina , Contaminantes Químicos del Agua/análisis , Petróleo/análisis , Contaminación por Petróleo/análisis
6.
Aquat Toxicol ; 260: 106580, 2023 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-37244122

RESUMEN

The Chemical Response to Oil Spills: Ecological Effects Research Forum (CROSERF) created a standardized protocol for comparing the toxicity of physically dispersed oil versus chemically dispersed oil to address environmental concerns related to the proposed use of dispersants in the early 2000s. Since then, many revisions have been made to the original protocol to diversify the intended use of the data generated, incorporate emerging technologies, and to examine a wider range of oil types including non-conventional oils and fuels. Under the Multi-Partner Research Initiative (MPRI) for oil spill research under Canada's Oceans Protection Plan (OPP), a network of 45 participants from seven countries representing government, industry, non-profit, private, and academic sectors was established to identify the current state of the science and formulate a series of recommendations to modernize the oil toxicity testing framework. The participants formed a series of working groups, targeting specific aspects of oil toxicity testing, including: experimental conduct; media preparation; phototoxicity; analytical chemistry; reporting and communicating results; interpreting toxicity data; and appropriate integration of toxicity data to improve oil spill effects models. The network participants reached a consensus that a modernized protocol to assess the aquatic toxicity of oil should be sufficiently flexible to address a broad range of research questions in a 'fit-for-purpose' manner, where methods and approaches are driven by the need to generate scientifically-defensible data to address specific study objectives. Considering the many needs and varied objectives of aquatic toxicity tests currently being conducted to support and inform oil spill response decision making, it was also concluded that the development of a one size fits all approach would not be feasible.


Asunto(s)
Contaminación por Petróleo , Petróleo , Contaminantes Químicos del Agua , Humanos , Contaminación por Petróleo/efectos adversos , Contaminación por Petróleo/análisis , Contaminantes Químicos del Agua/toxicidad , Aceites , Pruebas de Toxicidad , Toma de Decisiones , Petróleo/toxicidad
7.
Environ Sci Technol ; 57(14): 5633-5645, 2023 04 11.
Artículo en Inglés | MEDLINE | ID: mdl-36972473

RESUMEN

Microplastics (MPs) and oil pollution are major concerns in oceans. Although their coexistence in oceans and the associated MP-oil-dispersant agglomerates (MODAs) have been reported, limited attention is given to the behavior of the co-contaminants. This study investigated MODA transport in a simulated ocean system and explored related mechanisms under various oil types, salinities, and mineral concentrations. We found that more than 90% of the heavy oil-formed MODAs stayed at the seawater surface, while the light oil-formed MODAs were widely distributed throughout the seawater column. The increased salinity promoted MODAs formed by 7 and 90 µm MPs to transport from the seawater surface to the column. This was elucidated by the Derjaguin-Landau-Verwey-Overbeek theory as more MODAs formed under higher salinities and dispersants kept them stable in the seawater column. Minerals facilitated the sinking of large MP-formed MODAs (e.g., 40 µm) as minerals were adsorbed on the MODA surface, but their impact on small MP-formed MODAs (e.g., 7 µm) was negligible. A MODA-mineral system was proposed to explain their interaction. Rubey's equation was recommended to predict the sinking velocity of MODAs. This study is the first attempt to reveal MODA transport. Findings will contribute to the model development to facilitate their environmental risk evaluation in oceans.


Asunto(s)
Contaminación por Petróleo , Petróleo , Contaminantes Químicos del Agua , Plásticos , Microplásticos , Contaminantes Químicos del Agua/análisis , Tensoactivos , Agua de Mar , Minerales
8.
Int J Clin Pharm ; 45(3): 712-721, 2023 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-36932315

RESUMEN

BACKGROUND: Comprehensive medication management reviews are an established intervention to identify medication-related problems, such as the prescribing of potentially inappropriate medications, and under- and over-prescribing. However, the types of information included in written reports of comprehensive medication management reviews, beyond types of medication-related problems, are unknown. AIM: This study aimed to explore the types of information Australian pharmacists include in their written reports following comprehensive medication management reviews. METHOD: Australian consultant pharmacists were invited to upload their 10 most recent written reports of their domiciliary-based comprehensive medication management reviews. A random selection of the reports, stratified by each pharmacist, were included for qualitative content analysis. RESULTS: Seventy-two de-identified reports from eight consultant pharmacists located in five of the eight Australian States and Territories were included for analysis. From the evaluated reports, four major categories of information were identified: (1) patient details such as date of interview (n = 72, 100%) and medicine history (n = 70, 97%); (2) pharmacist assessment including assessment of the patient (n = 70, 97%), medicines management (n = 68, 94%) and medicine-related issues (n = 60, 83%); (3) pharmacist recommendations, specifically pharmacological recommendations (n = 67, 93%); and (4) patient-centred experiences such as perspectives on medicines (n = 56, 78%). Reporting of patient-centred experiences appeared most variably in the included reports, including patient concerns (n = 38, 53%), willingness for change (n = 27, 38%), patient preferences (n = 13, 18%), and patient goals (n = 7, 10%). CONCLUSION: Pharmacists within our study included a wide variety of information in their comprehensive medication management review reports. Aside from medication-related problems, pharmacists commonly provided a holistic assessment of the patients they care for. However, variability across reports has the potential to impact consistent service delivery.


Asunto(s)
Administración del Tratamiento Farmacológico , Farmacéuticos , Humanos , Australia/epidemiología , Prescripción Inadecuada , Lista de Medicamentos Potencialmente Inapropiados
9.
Artículo en Inglés | MEDLINE | ID: mdl-36803402

RESUMEN

This research aims to evaluate the effect of ultrasonic processing parameters (power and sonication time), emulsion characteristics (water salinity and pH) and their interaction on oil-in-water emulsion stability for Cold Lake Blend (CLB) crude oil. Response surface methodology was used to design experimental runs, in which the parameters were investigated at five levels. Emulsion stability was evaluated by measuring creaming index, emulsion turbidity and microscopic image analysis. The effect of crude oil condition (fresh and weathered) on the emulsion stability was also investigated at the optimum sonication parameters and emulsion characteristics. The optimum condition was found at a power level of 76-80 W, sonication time of 16 mins, water salinity of 15 g/L NaCl, and pH of 8.3. Increasing sonication time beyond the optimum value had adverse effect on the emulsion stability. High water salinity (> 20 g/L NaCl) and pH (> 9) decreased the emulsion stability. These adverse effects intensified at higher power levels (> 80-87 W) and longer sonication times (> 16 mins). Interaction of parameters showed that the required energy to generate stable emulsion was within 60 - 70 kJ. Emulsion with fresh crude oil was more stable than those generated with the weathered oil.


Asunto(s)
Petróleo , Emulsiones/química , Agua/química , Ultrasonido , Cloruro de Sodio
10.
Environ Sci Technol ; 57(6): 2341-2350, 2023 02 14.
Artículo en Inglés | MEDLINE | ID: mdl-36723450

RESUMEN

Spilled oil slicks are likely to break into droplets in the subtidal and intertidal zones of seashores due to wave energy. The nonliving suspended fine particles in coastal ecosystems can interact with the dispersed oil droplets, resulting in the formation of Oil Particle Aggregates (OPAs). Many investigations assumed that these aggregates will settle due to the particles' high density. Recent studies, however, reported that some particles penetrate the oil droplets, which results in further breakup while forming smaller OPAs that remain suspended in the water column. Here, we investigated the interaction of crude oil droplets with intertidal and subtidal sediments, as well as artificial pure kaolinite, in natural seawater. Results showed that the interaction between oil droplets and intertidal sediments was not particularly stable, with an Oil Trapping Efficiency (OTE) < 25%. When using subtidal sediments, OTE reached 56%. With artificial kaolinite, OPA formation and breakup were more significant (OTE reaching up to 67%) and occurred faster (within 12 h). Oil chemistry analysis showed that the biodegradation of oil in seawater (half-life of 485 h) was significantly enhanced with the addition of sediments, with half-lives of 305, 265, and 150 h when adding intertidal sediments, subtidal sediments, and pure kaolinite, respectively. Such results reveal how the sediments' shape and size affect the various oil-sediment interaction mechanisms, and the subsequent impact on the microbial degradation of petroleum hydrocarbons. Future studies should consider investigating the application of fine (several microns) and sharp (elongated-sheeted) sediments as a nondestructive and nontoxic technique for dispersing marine oil spills.


Asunto(s)
Contaminación por Petróleo , Petróleo , Contaminantes Químicos del Agua , Sedimentos Geológicos , Ecosistema , Caolín , Contaminantes Químicos del Agua/análisis , Agua de Mar , Biodegradación Ambiental
11.
Aquat Toxicol ; 255: 106392, 2023 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-36638632

RESUMEN

The lack of a conceptual understanding and unifying quantitative framework to guide conduct and interpretation of laboratory oil toxicity tests, has led investigators to divergent conclusions that can confuse stakeholders and impede sound decision-making. While a plethora of oil toxicity studies are available and continue to be published, due to differences in experimental design, results between studies often cannot be compared. Furthermore, much resulting data fails to advance quantitative effect models that are critically needed for oil spill risk and impact assessments. This paper discusses the challenges posed when evaluating oil toxicity test data based on traditional, total concentration-based exposure metrics and offers solutions for improving the state of practice by adopting a unifying toxic unit (TU) model framework. Key advantages of a TU framework is that differences in test oil composition, sensitivity of the test organism/endpoint, and toxicity test design (i.e., type of test) can be taken into quantitative account in predicting aquatic toxicity. This paradigm shift is intended to bridge the utility of laboratory oil toxicity tests with improved assessment of effects in the field. To illustrate these advantages, results from literature studies are reassessed and contrasted with conclusions obtained based on past practice. Using instructive examples, model results are presented to explain how dissolved oil composition and concentrations and resulting TUs vary in WAFs prepared using variable loading or dilution test designs and the important role that unmeasured oil components contribute to predicted oil toxicity. Model results are used to highlight how the TU framework can serve as a valuable aid in designing and interpreting empirical toxicity tests and provide the data required to validate/refine predictive toxicity models. To further promote consistent exposure and hazard assessment of physically and chemically dispersed oil toxicity tests recommendations for advancing the TU framework are presented.


Asunto(s)
Contaminación por Petróleo , Petróleo , Contaminantes Químicos del Agua , Petróleo/toxicidad , Petróleo/análisis , Contaminantes Químicos del Agua/toxicidad , Pruebas de Toxicidad , Contaminación por Petróleo/análisis
12.
Environ Res ; 216(Pt 1): 114456, 2023 01 01.
Artículo en Inglés | MEDLINE | ID: mdl-36181891

RESUMEN

In 1999, a tidal wetland located along the St. Lawrence River close to Ste. Croix de Lotbinière (Quebec, Eastern Canada) was the site of an experimental oil spill. Test plots were established and subjected to an experimental crude oil spill to evaluate natural attenuation, nutrient amendment and vegetation cropping as countermeasures. In 2020, this study re-visited the test plots to investigate residual oil and habitat recovery. Only concentrations of mid-chain length n-alkanes (C10-C36), but not of polycyclic aromatic hydrocarbons (PAHs), were significantly above detection limit, and were detected in both test plot and control sediments. Hydrocarbon, total organic carbon, nitrogen and phosphate contents did not differ significantly between test plot and control sediments. Microbial analyses did not detect significant differences in microbial load, microbial diversity or microbial community composition between test plot and control sediments. Key genes for the aerobic and anaerobic degradation of n-alkanes as well as for the aerobic degradation of PAHs were detected in all sediment samples. Associated gene abundances did not differ significantly between test plot and control sediments. This study shows that oil-exposed test plot sediments of the Ste. Croix wetland can be considered completely recovered after 21 years irrespective of the performed countermeasure.


Asunto(s)
Microbiota , Contaminación por Petróleo , Petróleo , Hidrocarburos Policíclicos Aromáticos , Contaminantes Químicos del Agua , Contaminación por Petróleo/análisis , Ríos , Humedales , Petróleo/análisis , Sedimentos Geológicos/análisis , Contaminantes Químicos del Agua/análisis , Hidrocarburos Policíclicos Aromáticos/análisis , Alcanos/análisis , Monitoreo del Ambiente
13.
Environ Technol ; 44(12): 1772-1781, 2023 May.
Artículo en Inglés | MEDLINE | ID: mdl-34842051

RESUMEN

Recovery of oil spilled on surface waters by the use of sorbents remains one of the primary oil spill response options available. To improve on this response measure, we have successfully fabricated an activated char (AC) sorbent material by pyrolysis of sewage sludge (SS), a readily available waste product generated across the world from wastewater treatment plants. The inherent Fe-minerals in SS texture were converted to magnetic Fe3O4 particles during the pyrolysis reaction. The AC provided a unique means to recover the sorbent after the oil sorption process with a magnetic field. Meanwhile, a superhydrophobic sorbent material with a water contact angle of 152.2° was created by the treatment of AC with myristic acid which could float on the water surface. Feasibility studies at the laboratory-scale were conducted with motor oil and light crude oil to evaluate its potential use in spill response operations. Results showed a sorption capacity of about 8.5 and 10.7 g/g for motor oil and light crude oil, respectively. Following the recovery of the test oils by ethanol stripping, the material could be recycled up to 5 times with trivial loss in sorption capacity. This research proposes a framework for the development of a highly efficient sorbent material for oil spill response operations from SS waste.


Asunto(s)
Contaminación por Petróleo , Petróleo , Aguas del Alcantarillado , Aceites , Petróleo/análisis , Agua/química , Interacciones Hidrofóbicas e Hidrofílicas
14.
Med Sci Educ ; 33(1): 49-62, 2023 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-36467743

RESUMEN

Introduction: Project-based learning is currently the status quo for research training for health professional students; however, it alone is not sufficient for holistic development of research skills. One promising style of intervention that can complement project-based research training is a centralised hub of e-learning resources. Therefore, we explored the perception of health professionals in tertiary education, towards the E-learning hub named 'Health and Medical Sciences Research Modules'. Specifically, we explored (1) the role the Modules can play in supporting students in their research training courses, (2) the perception of the selection of topics and content quality and (3) student engagement with content. Methods: Semi-structured interviews were conducted via the online platform Zoom for University of Western Australia 3rd- and 4th-year Dental doctoral students, and 2nd-year Master of Pharmacy students. Interview transcripts were analysed using the framework method, to identify manifest and latent level themes. Results: Eleven participants completed the interview, including five dentistry and six pharmacy students. The analysis yielded numerous manifest level themes including selection and depth of topics, and four latent level themes: content volume and balance, relevance of content to project, alignment and sequencing, and interactivity. Discussion: The present study suggests the Modules content and the online platform were well received as a complementary intervention to project-based learning. However, issues such as content oversaturation emerged as topics which can be addressed to improve the learning experience. These topics should be considered when considering further implementation of e-learning hubs to complement project-based learning, across Australia and worldwide.

15.
J Hazard Mater ; 445: 130439, 2023 03 05.
Artículo en Inglés | MEDLINE | ID: mdl-36437193

RESUMEN

The biodegradability of residues derived from in-situ burning, an oil spill response strategy which involves burning an oil slick on the sea surface, has not yet been fully studied. With a growing risk of oil spills, the fate of the persistent burn residue containing potentially toxic substances must be better understood. Microcosms were used to study the microbial community response and potential biodegradability of in-situ burn residues generated from Ultra Low Sulphur (ULS) marine diesel. Microcosm studies were conducted using residues originating from the burning of unweathered and weathered diesel, with the addition of a fertilizer and a dispersant. Burn residues were incubated for 6 weeks at 7 °C in natural seawater with continual agitation in the dark. Samples were subsequently sacrificed for chemistry as well as 16S rRNA gene amplicon and shotgun metagenomic sequencing. Chemistry analyses revealed a reduction in hydrocarbon concentrations. Medium chain-length n-alkanes (nC16-nC24) decreased by 8% in unweathered burn residue microcosms and up to 26% in weathered burn residue microcosms. A significant decrease in polycyclic aromatic hydrocarbon (PAH) concentrations was observed only for naphthalene, fluorene and their alkylated homologs, in the microcosms amended with residue produced from burning weathered diesel. Decreases of 2-24%, were identified depending on the compound. Microcosms amended with burn residues had distinct microbial communities marked by an increase in relative abundance of putative hydrocarbon degraders as well as an increase of known hydrocarbon-degradation genes. These novel results suggest that if in-situ burning is performed on ULS marine diesel, some of the indigenous bacteria would respond to the newly available carbon source and some of the residual compounds would be biodegraded. Future studies involving longer incubation periods could give a better understanding of the fate of burn residues by shedding light on the potential biodegradability of the more recalcitrant residual compounds.


Asunto(s)
Contaminación por Petróleo , Petróleo , Hidrocarburos Policíclicos Aromáticos , ARN Ribosómico 16S/genética , Hidrocarburos/metabolismo , Agua de Mar/microbiología , Hidrocarburos Policíclicos Aromáticos/análisis , Contaminación por Petróleo/análisis , Biodegradación Ambiental , Petróleo/metabolismo
16.
J Surg Educ ; 79(6): 1342-1352, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35842403

RESUMEN

OBJECTIVE: Holistic review, which emphasizes qualitative attributes over objective measures, has been proposed as a method for selecting candidates for surgical residency in order to improve diversity in graduate medical education, and, ultimately, the field of surgery. This study seeks to articulate desirable traits of applicants as a first-step in standardizing the holistic review process. DESIGN: Using Group Concept Mapping, a web-based mixed-methods participatory research methodology, residency selection committee members were asked to 1) list desirable characteristics of applicants, 2) group these into categories, 3) rate their importance to academic/clinical success on a 5-point Likert scale (1 = not at all important, 5 = extremely important), and 4) rate the degree to which each characteristic is feasible to assess on a 3-point Likert scale (1 = not at all feasible, 3 = very feasible). Grouped characteristics submitted to hierarchical cluster analysis depicted committee's consensus about desirable qualities/criteria for applicants. Bivariate scatter-plots and pattern-matching graphics demonstrated which of these criteria were most important and reliably assessed. SETTING: A single academic general surgery residency training program in Western Pennsylvania. PARTICIPANTS: Members of the selection committee for the UPMC General Surgery Residency program who had participated in at least 1 prior cycle of applicant selection. RESULTS: Desirable characteristics of highly qualified applicants into an academic general surgery residency were clustered into domains of 1) scholarly work and research, 2) grades/formal assessments, 3) program fit, 4) behavioral assets, and 5) aspiration. Behavioral assets, which was felt to be the most important to clinical and academic success were considered to be the least feasible to reliably assess. Within this domain, initiative, being self-motivated, intellectual curiosity, work ethic, communication skills, maturity and self-awareness, and thoughtfulness were viewed as most frequently reliably assessed from the application and interview process. CONCLUSIONS: High quality applicants possess several behavioral assets that faculty deem are important to academic and clinical success. Adapting validated metrics for assessing these assets, may provide a solution for addressing subjectivity and other challenges scrutinized by critics of holistic review.


Asunto(s)
Éxito Académico , Cirugía General , Internado y Residencia , Humanos , Selección de Personal/métodos , Educación de Postgrado en Medicina , Aptitud , Cirugía General/educación
17.
J Hazard Mater ; 437: 129341, 2022 09 05.
Artículo en Inglés | MEDLINE | ID: mdl-35738169

RESUMEN

Mineral fines act a pivotal part in determining the fate and behavior of oil. In this study, the infiltrations of oil emulsion in simulated sediments and natural shoreline sediments were investigated using a fixed bed experiment. Oil infiltration process was simulated based on fixed-bed dispersion model. The role of mineral fines in oil release was explored using simulated and natural sediments. Although mineral fines exhibited a higher affinity for oil, it was found that increasing fines fractions decreased the flow rate of oil emulsion, thereby decreasing the oil retention in the sediment column. In terms of oil release from the sediment, the highest level of oil mass was observed in the oil-mineral flocculation phase compared to the water column and the water surface compartments. Compared to light crude oil, the release of engine oil from sediment was less. The effects of mineral fines on oil infiltration and release were also confirmed by using natural shoreline sediments. Results of our detailed field studies also showed that current shoreline classification datasets do not characterize the presence and fraction of mineral fines at a level of detail required to accurately predict the significance of oil translocation following spill incidents.


Asunto(s)
Contaminación por Petróleo , Petróleo , Contaminantes Químicos del Agua , Emulsiones , Sedimentos Geológicos/química , Minerales/química , Petróleo/análisis , Contaminación por Petróleo/análisis , Agua/análisis , Contaminantes Químicos del Agua/química
18.
J Hazard Mater ; 436: 129211, 2022 08 15.
Artículo en Inglés | MEDLINE | ID: mdl-35739733

RESUMEN

Oil spills have been recognized as among the worst kinds of environmental disasters, causing severe coastal ecological and economic damages. Although benthic flow and solute fluxes are known to have strong impacts on fate and transport of oil deposited within marine sediments, their endogenous mechanisms still remain to be uncovered. In this paper, simulations of flow and solute transport processes along with hydrocarbon biodegradation were conducted in a cylindrical benthic chamber system to investigate influences of benthic hydrodynamics on oil biodegradation in permeable marine sediments. Results show that ripple-flow interactions create subsurface recirculation cells whereby seawater infiltrates into the benthic sediments at ripple troughs while groundwater discharges near the crests. It results in a spatially varied oil biodegradation rate in marine sediments. Significant oil biodegradation occurs near sediment ripple troughs due to direct oxygen recharge, while biodegradation of oil deposited uphill becomes slow due to limited oxygen replenishment. Oil biodegradation decreases subsurface oxygen content, and consequently impedes discharge of oxygen from benthic sediments. Our results reveal a dynamic interaction between oil biodegradation and benthic flow and solute transport processes, which has strong implications for predicting oil persistence and biodegradation within marine sediments and its associated impacts on benthic biogeochemical processes.


Asunto(s)
Contaminación por Petróleo , Petróleo , Contaminantes Químicos del Agua , Biodegradación Ambiental , Sedimentos Geológicos/química , Oxígeno , Contaminación por Petróleo/análisis , Agua , Contaminantes Químicos del Agua/análisis
19.
J Hazard Mater ; 436: 129260, 2022 08 15.
Artículo en Inglés | MEDLINE | ID: mdl-35739779

RESUMEN

Growing concerns over the risk of accidental releases of oil into the marine environment have emphasized our need to improve both oil spill preparedness and response strategies. Among the available spill response options, dispersants offer the advantages of breaking oil slicks into small oil droplets and promoting their dilution, dissolution, and biodegradation within the water column. Thus dispersants can reduce the probability of oil slicks at sea from reaching coastal regions and reduce their direct impact on mammals, sea birds and shoreline ecosystems. To facilitate marine oil spill response operations, especially addressing spill incidents in remote/Arctic offshore regions, an in-depth understanding of the transportation, fate and effects of naturally/chemically dispersed oil is of great importance. This review provides a synthesis of recent research results studies related to the application of dispersants at the surface and in the deep sea, the fate and transportation of naturally and chemically dispersed oil, and dispersant application in the Arctic and ice-covered waters. Future perspectives have been provided to identify the research gaps and help industries and spill response organizations develop science-based guidelines and protocols for the application of dispersants application.


Asunto(s)
Contaminación por Petróleo , Petróleo , Contaminantes Químicos del Agua , Animales , Biodegradación Ambiental , Ecosistema , Mamíferos/metabolismo , Petróleo/metabolismo , Contaminación por Petróleo/análisis , Contaminación por Petróleo/prevención & control , Agua , Contaminantes Químicos del Agua/análisis
20.
Environ Sci Technol ; 56(12): 8124-8131, 2022 06 21.
Artículo en Inglés | MEDLINE | ID: mdl-35580303

RESUMEN

The biodegradation of dispersed crude oil in the ocean is relatively rapid (a half-life of a few weeks). However, it is often much slower on shorelines, usually attributed to low moisture content, nutrient limitation, and higher oil concentrations in beaches than in dispersed plumes. Another factor may be the increased salinity of the upper intertidal and supratidal zones because these parts of the beach are potentially subject to prolonged evaporation and only intermittent inundation. We have investigated whether such an increase in salinity has inhibitory effects on oil biodegradation in seashores. Lightly weathered Hibernia crude oil was added to beach sand at 1 or 10 mL/kg, and fresh seawater, at salinities of 30, 90, and 160 g/L, was added to 20% saturation. The biodegradation of oil was slower at higher salinities, where the half-life increased from 40 days at 30 g/L salts to 58 and 76 days at 90 and 160 g/L salts, respectively, and adding fertilizers somewhat enhanced oil biodegradation. Increased oil concentration in the sand, from 1 to 10 mL/kg, slowed the half-life by about 10-fold. Consequently, occasional irrigation with fertilization could be a suitable bioremediation strategy for the upper parts of contaminated beaches. However, dispersing oil at sea is probably the most suitable option for the optimal removal of spilled crude oil from the marine environment.


Asunto(s)
Contaminación por Petróleo , Petróleo , Biodegradación Ambiental , Hidrocarburos/metabolismo , Petróleo/metabolismo , Sales (Química) , Arena
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