State legislative trends related to biomarker testing.

Comprehensive biomarker testing has become the standard of care for informing the choice of the most appropriate targeted therapy for many patients with advanced cancer. Despite evidence demonstrating the need for comprehensive biomarker testing to enable the selection of appropriate targeted therapies and immunotherapy, the incorporation of biomarker testing into clinical practice lags behind recommendations in National Comprehensive Cancer Network guidelines. Coverage policy differences across insurance health plans have limited the accessibility of comprehensive biomarker testing largely to patients whose insurance covers the recommended testing or those who can pay for the testing, and this has contributed to health disparities. Furthermore, even when insurance coverage exists for recommended biomarker testing, patients may incur burdensome out-of-pocket costs depending on their insurance plan benefits, which may also create barriers to testing. Prior authorization for biomarker testing for some patients can add an administrative burden and may delay testing and thus treatment if it is not done in a timely manner. Recently, three states (Illinois, Louisiana, and California) passed laws designed to improve access to biomarker testing at the state level. However, there is variability among these laws in terms of the population affected, the stage of cancer, and whether the coverage of testing is mandated, or the legislation addresses only prior authorization. Advocacy efforts by patient advocates, health care professionals, and professional societies are imperative at the state level to further improve coverage for and access to appropriate biomarker testing.

Multi-stressor Effects of Ultraviolet Light, Temperature, and Salinity on Louisiana Sweet Crude Oil Toxicity in Larval Estuarine Organisms.

When oil is spilled into the environment its toxicity is affected by abiotic conditions. The cumulative and interactive stressors of chemical contaminants and environmental factors are especially relevant in estuaries where tidal fluctuations cause wide variability in salinity, temperature, and ultraviolet (UV) light penetration, which is an important modifying factor for polycyclic aromatic hydrocarbon (PAH) toxicity. Characterizing the interactions of multiple stressors on oil toxicity will improve prediction of environmental impacts under various spill scenarios. This study examined changes in crude oil toxicity with temperature, salinity, and UV light. Oil exposures included high-energy, water-accommodated fractions (HEWAFs) and thin oil sheens. Larval (24-48 h post hatch) estuarine species representing different trophic levels and habitats were evaluated. Mean 96 h LC50 values for oil prepared as a HEWAF and tested under standard conditions (20 ppt, 25 °C, No-UV) were 62.5 µg/L tPAH50 (mud snails), 198.5 µg/L (grass shrimp), and 774.5 µg/L (sheepshead minnows). Thin oil sheen 96 h LC50 values were 5.3 µg/L tPAH50 (mud snails), 14.7 µg/L (grass shrimp), and 22.0 µg/L (sheepshead minnows) under standard conditions. UV light significantly increased the toxicity of oil in all species tested. Oil toxicity also was greater under elevated temperature and lower salinity. Multi-stressor (oil combined with either increased temperature, decreased salinity, or both) LC50 values were reduced to 3 µg/L tPAH50 for HEWAFs and < 1.0 µg/L tPAH50 for thin oil sheens. Environmental conditions at the time of an oil spill will significantly influence oil toxicity and organismal response and should be taken into consideration in toxicity testing and oil spill damage assessments.

Relationship between mercury and selenium concentrations in tissues from stranded odontocetes in the northern Gulf of Mexico.

Odontocetes are apex predators that, despite accumulating mercury (Hg) to high concentrations in their tissues, show few signs of Hg toxicity. One method of Hg detoxification in odontocetes includes the sequestering of Hg in toxicologically inert mercury selenide (HgSe) compounds. To explore the tissue-specific accumulation of Hg and Se and the potential protective role of Se against Hg toxicity, we measured the concentrations of total mercury (THg) and selenium (Se) in multiple tissues from 11 species of odontocetes that stranded along the northern Gulf of Mexico coast [Florida (FL) and Louisiana (LA)]. Tissues were collected primarily from bottlenose dolphins (Tursiops truncatus; n = 93); however, individuals from species in the following 8 genera were also sampled: Feresa (n = 1), Globicephala (n = 1), Grampus (n = 2), Kogia (n = 5), Mesoplodon (n = 1), Peponocephala (n = 4), Stenella (n = 9), and Steno (n = 1). In all species, mean THg concentrations were greatest in the liver and lowest in the blubber, lung, or skin. In contrast, in most species, mean Se concentrations were greatest in the liver, lung, or skin, and lowest in the blubber. For all species combined, Se:Hg molar ratios decreased with increasing THg concentration in the blubber, kidney, liver, lung, and skin following an exponential decay relationship. In bottlenose dolphins, THg concentrations in the kidney, liver, and lung were significantly greater in FL dolphins compared to LA dolphins. On average, in bottlenose dolphins, Se:Hg molar ratios were approximately 1:1 in the liver and >1:1 in blubber, kidney, lung, and skin, suggesting that Se likely protects against Hg toxicity. However, more research is necessary to understand the variation in Hg accumulation within and among species and to assess how Hg, in combination with other environmental stressors, influences odontocete population health.

Incidence of Hypocalcemia and Role of Calcium Replacement in Major Trauma Patients Requiring Operative Intervention.

Traumatic injury is a major cause of morbidity and mortality, and hemorrhage is a primary factor. Evidence exists that major trauma patients are at high risk of hypocalcemia. The purpose of this study was to determine the incidence and rate of calcium replacement in major trauma patients requiring operative intervention, and to investigate the impact of hypocalcemia on rate of transfusion and mortality. A retrospective analysis was conducted of all top-tier trauma activations presenting to our institution during a 12-month period. A total of 638 activations were identified; 441 were excluded, primarily because of lack of operative intervention. Patients were predominantly male following blunt trauma. The mean initial calcium level was 8.11 mg/dL and 8.64 mg/dL, correcting for albumin levels. An acute decline was noted when initial serum calcium levels and intraoperative calcium levels were compared (7.51 mg/dL). Intraoperative ionized calcium levels were on the low end of the normal range, and 28.42% received supplemental calcium. Patients in our cohort arrived hypocalcemic, which has been previously associated with increased mortality. Patients requiring operative intervention are at increased risk of hypocalcemia. Recognition of this potential is key for improved outcomes.

The expanded footprint of the Deepwater Horizon oil spill in the Gulf of Mexico deep-sea benthos.

The 2010 Deepwater Horizon blowout off the coast of Louisiana caused the largest marine oil spill on record. Samples were collected 2-3 months after the Macondo well was capped to assess damage to macrofauna and meiofauna communities. An earlier analysis of 58 stations demonstrated severe and moderate damage to an area of 148 km2. An additional 58 archived stations have been analyzed to enhance the resolution of that assessment and determine if impacts occurred further afield. Impacts included high levels of total petroleum hydrocarbons (TPH) and polycyclic aromatic hydrocarbons (PAH) in the sediment, low diversity, low evenness, and low taxonomic richness of the infauna communities. High nematode to copepod ratios corroborated the severe disturbance of meiofauna communities. Additionally, barium levels near the wellhead were very high because of drilling activities prior to the accident. A principal component analysis (PCA) was used to summarize oil spill impacts at stations near the Macondo well, and the benthic footprint of the DWH oil spill was estimated using Empirical Bayesian Kriging (EBK) interpolation. An area of approximately 263 km2 around the wellhead was affected, which is 78% higher than the original estimate. Particularly severe damages to benthic communities were found in an area of 58 km2, which is 142% higher than the original estimate. The addition of the new stations extended the area of the benthic footprint map to about twice as large as originally thought and improved the resolution of the spatial interpolation. In the future, increasing the spatial extent of sampling should be a top priority for designing assessment studies.

Potential use of biochar and rhamnolipid biosurfactant for remediation of crude oil-contaminated coastal wetland soil: Ecotoxicity assessment.

Remediation of wetland soils contaminated with petroleum hydrocarbons is a challenging task. Biosurfactant and biochar have been used in oil remediation. However, little is known about the ecotoxicity of these materials when applied in wetland ecosystems. In this study, the ecotoxicity of biochar and rhamnolipid (RL) biosurfactant as crude oil remediation strategies in a Louisiana wetland soil was investigated. A pot experiment was set up with wetland soil treated with/without crude oil followed by subjecting to application of 1% biochar and various levels of RL ranging from 0.1% to 1.4%. The ecotoxicity was evaluated regarding to high plant (S. Alterniflora), algae, and soil microbes. Specifically, after a 30-day growth in a controlled chamber, plant biomass change as well as shoot/root ratio was measured. Algae growth was estimated by quantifying chlorophyll by spectrometry following separation, and soil microbial community was characterized by phospholipid fatty acids analysis. Results showed that plant can tolerate RL level up to 0.8%, while algae growth was strongly inhibited at RL > 0.1%. Algal biomass was significantly increased by biochar, which offset the negative impact of oil and RL. Additionally, soil microbial community shift caused by crude oil and RL was alleviated by biochar with promoting Gram-positive bacteria, actinomycetes, and arbuscular mycorrhizal fungi. Overall, this study shows that integrated treatment of biochar and RL has the lowest ecotoxicity to plant and algae when used in oil remediation of contaminated wetland soils.

Muddling through troubled water: resilient performance of incident management teams during Hurricane Harvey.

Modern communities face escalating threats from natural disasters. Thus, the resilience of incident management teams (IMTs) during adverse events becomes crucial to protect lives and physical systems. However, prior studies have only partially highlighted factors related to IMT resilience. To provide a holistic understanding of the resilience of the IMTs, this study conducted semi-structured interviews with 10 experienced IMT personnel during Hurricane Harvey. Thematic analysis revealed six characteristics of resilient IMTs during a hurricane event: (i) establishing a common operating picture, (ii) adopting and adapting plans and protocols, (iii) proactive, re-prioritizing, and unconventional decision-making, (iv) enhancing resourcefulness and redundancy, (v) learning for improved anticipation and response readiness, and (vi) inter-organisational relationship to promote IMT functions. As an empirical investigation of the resilience of the IMTs, the findings inform future endeavours for developing incident information technologies and strategies to harmonise pre-established plans with adaptive actions in the field and fostering capabilities to learn from incidents. Practitioner summary: Resilient incident management teams establish a common operating picture; effectively adopt and adapt plans and protocols; make decisions in an unconventional and anticipatory fashion; constantly re-prioritize goals and tasks; enhance resourcefulness and redundancy; continuously learn skills for improved anticipation and response readiness; and exhibit good inter-organisational coordination and planning skills.

Long-Term Ecological Impacts from Oil Spills: Comparison of Exxon Valdez, Hebei Spirit, and Deepwater Horizon.

The long-term ecological impacts of the Exxon Valdez oil spill (EVOS) are compared to two extensively studied and more recent large spills: Deepwater Horizon (DWH) and the Hebei Spirit oil spill (HSOS). Each of the three spills differed in magnitude and duration of oil released, environmental conditions, ecological communities, response and clean up measures, and ecological recovery. The EVOS began on March 24, 1989, and released 40.8 million liters of Alaska North Slope crude oil into the cold, nearly pristine environment of Prince William Sound, Alaska. EVOS oiled wildlife and rocky intertidal shorelines and exposed early life stages of fish to embryotoxic levels of polycyclic aromatic hydrocarbons (PAH). Long-term impacts following EVOS were observed on seabirds, sea otters, killer whales, and subtidal communities. The DWH spill began on April 20, 2010, and released 507 million liters of light Louisiana crude oil from 1600 m on the ocean floor into the Gulf of Mexico over an 87-day period. The DWH spill exposed a diversity of complex aquatic communities in the deep ocean, offshore pelagic areas, and coastal environments to petroleum hydrocarbons. Large-scale persistent ecological effects included impacts to deep ocean corals, failed recruitment of oysters over multiple years, damage to coastal wetlands, and reduced dolphin, sea turtle, and seabird populations. The HSOS began on December 7, 2007, and released approximately 13 million liters of Middle East crude oils into ecologically sensitive areas of the Taean area of western Korea. Environmental conditions and the extensive initial cleanup of HSOS oil stranded on shorelines limited the long-term impacts to changes in composition and abundance of intertidal benthic communities. Comparisons of EVOS, DWH, and HSOS show the importance and complexity of the interactions among the environment, oil spill dynamics, affected ecological systems, and response actions.

Effectiveness of sodium-glucose co-transporter-2 inhibitors on ischaemic heart disease.

AIM: To compare the cardiovascular risks between users and non-users of sodium-glucose co-transporter-2 (SGLT2) inhibitors based on electronic medical record data from a large integrated healthcare system in South Louisiana. MATERIALS AND METHODS: Demographic, anthropometric, laboratory and medication prescription information for patients with type 2 diabetes who were new users of SGLT2 inhibitors, either as initial treatments or as add-on treatments, were obtained from electronic health records. Mediation analysis was performed to evaluate the association of use of SGLT2 inhibitors and changes of metabolic risk factors with the risk of incident ischaemic heart disease. RESULTS: A total of 5338 new users of SGLT2 inhibitors were matched with 13 821 non-users. During a mean follow-up of 3.26 years, 2302 incident cases of ischaemic heart disease were defined. After adjusting for multiple confounding factors, patients using SGLT2 inhibitors had a lower risk of incident ischaemic heart disease compared to patients not using SGLT2 inhibitors (hazard ratio [HR] 0.63, 95% confidence interval [CI] 0.54-0.73). Patients using SGLT2 inhibitors also had a lower risk of incident ischaemic heart disease within 6 months (HR 0.36, 95% CI 0.25-0.44), 12 months (HR 0.40, 95% CI 0.32-0.49), 24 months (HR 0.53, 95% CI 0.43-0.60) and 36 months (HR 0.65, 95% CI 0.54-0.73), respectively. Reductions in systolic blood pressure partly mediated lowering risk of ischaemic heart disease among patients using SGLT2 inhibitors. CONCLUSIONS: The real-world data in the present study show the contribution of SGLT2 inhibitors to reducing risk of ischaemic heart disease, and their benefits beyond glucose-lowering.

Effect of Louisiana sweet crude oil on a Pacific coral, Pocillopora damicornis.

Recent oil spill responses such as the Deepwater Horizon event have underscored the need for crude oil ecotoxicological threshold data for shallow water corals to assist in natural resource damage assessments. We determined the toxicity of a mechanically agitated oil-seawater mixture (high-energy water-accommodated fraction, HEWAF) of a sweet crude oil on a branched stony coral, Pocillopora damicornis. We report the results of two experiments: a 96 h static renewal exposure experiment and a "pulse-chase" experiment of three short-term exposure durations followed by a recovery period in artificial seawater. Five endpoints were used to determine ecotoxicological values: 1) algal symbiont chlorophyll fluorescence, 2) a tissue regeneration assay and a visual health metric with three endpoints: 3) tissue integrity, 4) tissue color, and 5) polyp behavior. The sum of 50 entrained polycyclic aromatic hydrocarbons (tPAH50) was used as a proxy for oil exposure. For the 96 h exposure dose response experiment, dark-adapted maximum quantum yield (Fv/Fm) of the dinoflagellate symbionts was least affected by crude oil (EC50 = 913 µg/L tPAH50); light-adapted effective quantum yield (EQY) was more sensitive (EC50 =  428 µg/L tPAH50). In the health assessment, polyp behavior (EC50 = 27 µg/L tPAH50) was more sensitive than tissue integrity (EC50 = 806 µg/L tPAH50) or tissue color (EC50 = 926 µg/L tPAH50). Tissue regeneration proved to be a particularly sensitive measurement for toxicity effects (EC50 = 10 µg/L tPAH50). Short duration (6-24 h) exposures using 503 µg/L tPAH50 (average concentration) resulted in negative impacts to P. damicornis and its symbionts. Recovery of chlorophyll a fluorescence levels for 6-24 h oil exposures was observed in a few hours (Fv/Fm) to several days (EQY) following recovery in fresh seawater. The coral health assessments for tissue integrity and tissue color were not affected following short-term oil exposure durations, but the 96 h treatment duration resulted in significant decreases for both. A reduction in polyp behavior (extension) was observed for all treatment durations, with recovery observed for the short-term (6-24 h) exposures within 1-2 days following placement in fresh seawater. Wounded and intact fragments exposed to oil treatments were particularly sensitive, with significant delays observed in tissue regeneration. Estimating ecotoxicological values for P. damicornis exposed to crude oil HEWAFs provides a basis for natural resource damage assessments for oil spills in reef ecosystems. These data, when combined with ecotoxicological values for other coral reef species, will contribute to the development of species sensitivity models.

Clinical Effectiveness of Decision Support for Prescribing Opioids for Chronic Noncancer Pain: A Prospective Cohort Study.

OBJECTIVES: This prospective cohort study examines the clinical effectiveness of electronic medical record clinical decision support (EMR CDS) for opioid prescribing. METHODS: Data analysis included primary care patients with chronic opioid therapy for noncancer pain seen within an integrated health delivery system in Louisiana between January 2017 and October 2018. EMR CDS incorporated an opioid health maintenance tool to display the status of risk mitigation, and the medication order embedded the morphine equivalent daily dose (MEDD) calculator and a hyperlink to the Louisiana pharmacy drug monitoring program. Outcome measures included change in the average MEDD and rates of opioid risk mitigation, hospitalization, and emergency department use. RESULTS: Among 14 221 patients, 9% had prescriptions with an average MEDD ≥90 mg. There were no significant changes in MEDD after EMR CDS implementation. Increasing age, Charlson Comorbidity Index score, female sex, black non-Hispanic race, non-opioid pain medication co-prescriptions, and specialty referrals were associated with a lower odds of MEDD ≥90 (high-dose threshold). Medicare or self-pay, substance abuse history, and pain agreements were associated with increased odds of prescribing above this high-dose threshold. After incorporation of EMR CDS, patients had higher rates of urine drug screens (17% vs 7%) and naloxone prescriptions (3% vs 1%, all P < .001). In addition, specialty referrals to physical or occupational therapy, orthopedics, neurology, and psychiatry or psychology increased in the postintervention period. Although emergency department use decreased (rate ratio 0.92; 95% confidence interval 0.89-0.95), hospitalization rates did not change. CONCLUSIONS: EMR CDS improved adherence to opioid risk mitigation strategies. Further research examining which practice redesign interventions effectively reduce high-dose opioid prescribing is needed.

Succession of microbial populations and nitrogen-fixation associated with the biodegradation of sediment-oil-agglomerates buried in a Florida sandy beach.

The Deepwater Horizon (DWH) oil spill contaminated coastlines from Louisiana to Florida, burying oil up to 70 cm depth in sandy beaches, posing a potential threat to environmental and human health. The dry and nutrient-poor beach sand presents a taxing environment for microbial growth, raising the question how the biodegradation of the buried oil would proceed. Here we report the results of an in-situ experiment that (i) characterized the dominant microbial communities contained in sediment oil agglomerates (SOAs) of DWH oil buried in a North Florida sandy beach, (ii) elucidated the long-term succession of the microbial populations that developed in the SOAs, and (iii) revealed the coupling of SOA degradation to nitrogen fixation. Orders of magnitude higher bacterial abundances in SOAs compared to surrounding sands distinguished SOAs as hotspots of microbial growth. Blooms of bacterial taxa with a demonstrated potential for hydrocarbon degradation (Gammaproteobacteria, Alphaproteobacteria, Actinobacteria) developed in the SOAs, initiating a succession of microbial populations that mirrored the evolution of the petroleum hydrocarbons. Growth of nitrogen-fixing prokaryotes or diazotrophs (Rhizobiales and Frankiales), reflected in increased abundances of nitrogenase genes (nifH), catalyzed biodegradation of the nitrogen-poor petroleum hydrocarbons, emphasizing nitrogen fixation as a central mechanism facilitating the recovery of sandy beaches after oil contamination.

Applying community resilience theory to engagement with residents facing cumulative environmental exposure risks: lessons from Louisiana's industrial corridor.

The presence of legacy pollutants, on-going chemical manufacturing activities, and population shifts have introduced complex, cumulative exposure risks to residents of many highly industrialized communities. These "industrial corridors" present unique challenges to environmental health science professionals, public and private sector decision makers, and residents seeking to make their communities safer and healthier. Social-ecological resilience theory offers a useful framework for the design and implementation of community engagement efforts to help stakeholders take action to reduce their exposure risks. A resilience framework views the human community as a coupled social-ecological system, wherein disturbances to the equilibrium of the system - acute and/or chronic - are common rather than rare events. It recognizes three key capacities of more resilient communities. These are the abilities of community members to self-organize to address changing threat levels, to hold scientifically sound understandings of the risks, and to learn from past experiences and take action - individually or collectively - to adapt to or mitigate the hazards in their local environment. We apply this resilience theory framework to a case study from Camp Minden, Louisiana, conducted through the Louisiana State University (LSU) Superfund Research Center's Community Engagement program and supported by the National Institute of Environmental Health Sciences (NIEHS). The case illuminates a critical path by which resilience theory can be applied to guide bi-directional communication and information-gathering, and co-development of risk-reducing strategies at the community level. These are central elements of community engagement within a contentious, real-world setting. The three components of the resilience framework were supported by specific program mechanisms and activities. The capacity for self-organization among community stakeholders was furthered through the convening of a Dialogue Committee which brought together representatives of concerned residents, regulatory agencies, research scientists, and others. This collaborative problem-solving approach supported a more holistic and scientifically sound understanding of the problem through a series of interactive meetings in which members discussed site-remediation options with thermal-treatment experts and regulators, and shared how recent explosions and concerns about air quality affected them. The members co-developed selection criteria and reached consensus on two types of disposal methods that would best reduce the significant threats to public health and the local environment. We also include a brief summary of our recent randomized survey of over 550 residents of Louisiana's industrialized communities to determine the influences on household-level adaptive behaviors to reduce acute and chronic environmental exposure risks. The results of the logistic regression analysis indicate that residents with more concern and knowledge about environmental hazards, along with confidence in their ability to implement risk-reduction measures - such as checking air-quality forecasts and then limiting outside activities - were much more likely to adopt the exposure-reducing behaviors, even when controlling for socioeconomic and demographic differences among respondents. These findings shed light on the conditions under which residents of these types of communities may be more likely to take action to reduce potential environmental exposure risks, and may help in the design of public education efforts. These "lessons learned" from Louisiana communities facing cumulative environmental exposure risks suggest that application of resilience theory to the design and implementation of community engagement programs may support the longer-term effectiveness of the efforts and enhance overall environmental health resilience. In addition, they provide practical insights about how to operationalize and apply these theoretical concepts to real-world environmental health challenges faced by residents of industrialized communities throughout the world.

Removal of crude oil from highly contaminated natural surfaces with corexit dispersants.

Dispersants are used to reduce the impact of oil spills in marine environment. Experiments were conducted with natural materials which were contaminated by direct application of fresh Louisiana crude oil. The natural materials evaluated included sea sand (South Beach in Miami, Florida), red mangrove leaves (Rhizophora mangle), and sea shells (Donax variabili). Salt water at two different salinities (17 and 34 ppt) was used with two types of Corexit dispersant solutions (9500A and 9527A) in concentrations ranging from 100 to 3500 mg/L. Washing of the contaminated samples was conducted by a three-step mixing procedure (salt water only, then with the addition of the dispersant solution to the salt water, and salt water) to simulate oil-saltwater-dispersant interactions. In general, increasing dispersant concentration increased the percentage of oil dispersed into the aqueous phase up to dispersant solutions containing 400 mg/L for Corexit 9500A and 300 mg/L Corexit 9527A. Increasing the dispersant concentration above these levels also decreased the dispersion of oil from the surfaces. At very high concentrations of dispersant solutions (above 1500 mg/L), the percentage of oil dispersed into the solution from the contaminated surfaces was about one half what was observed at 400 mg/L with Corexit 9500A and 300 mg/L Corexit 9527A. Although dispersants were most effective for removing the fresh Louisiana crude oil from sand particles and dispersing into the solution due to large surface area of the particles per unit weight; the residual oil remaining on the sand particles was relatively high in comparison to mangrove leaves and sea shells due to clustering of sand particle with oil. There was some oil penetration into the porous structure of the sea shells (at the microscopic level) which could not be removed.

Oiling of the continental shelf and coastal marshes over eight years after the 2010 Deepwater Horizon oil spill.

We measured the temporal and spatial trajectory of oiling from the April, 2010, Deepwater Horizon oil spill in water from Louisiana's continental shelf, the estuarine waters of Barataria Bay, and in coastal marsh sediments. The concentrations of 28 target alkanes and 43 target polycyclic aromatic hydrocarbons were determined in water samples collected on 10 offshore cruises, in 19 water samples collected monthly one km offshore at 13 inshore stations in 2010 and 2013, and in 16-60 surficial marsh sediment samples collected on each of 26 trips. The concentration of total aromatics in offshore waters peaked in late summer, 2010, at 100 times above the May, 2010 values, which were already slightly contaminated. There were no differences in surface or bottom water samples. The concentration of total aromatics declined at a rate of 73% y-1 to 1/1000th of the May 2010 values by summer 2016. The concentrations inside the estuary were proportional to those one km offshore, but were 10-30% lower. The oil concentrations in sediments were initially different at 1 and 10 m distance into the marsh, but became equal after 2 years. Thus, the distinction between oiled and unoiled sites became blurred, if not non-existent then, and oiling had spread over an area wider than was visible initially. The concentrations of oil in sediments were 100-1000 times above the May 2010 values, and dropped to 10 times higher after 8 years, thereafter, demonstrating a long-term contamination by oil or oil residues that will remain for decades. The chemical signature of the oil residues offshore compared to in the marsh reflects the more aerobic offshore conditions and water-soluble tendencies of the dissolved components, whereas the anaerobic marsh sediments will retain the heavier molecular components for a long time, and have a consequential effect on the ecosystems.

Occurrence of putative endornaviruses in non-cultivated plant species in South Louisiana.

Extraction and electrophoretic analysis of viral dsRNA from plants has been used successfully to detect infections by RNA viruses. We used this approach as an initial tool to test non-cultivated plant species for the presence of endornaviruses. Foliar samples were collected from symptomless plants in various locations within East Baton Rouge Parish, Louisiana, USA, and tested for viral dsRNA. After testing 208 plant species belonging to 74 families, five (Geranium carolinianum, Hydrocotyle umbellata, H. prolifera, Sorghum halepense, and Sisyrinchium atlanticum) yielded dsRNAs similar in size to the dsRNAs of members of the family Endornaviridae. The endornavirus nature of the dsRNAs was confirmed by reverse-transcription PCR (RT-PCR) and sequencing the RT-PCR products. Sequence data were used to determine relationships of the putative endornaviruses to members of the family Endornaviridae. The putative endornaviruses were detected in both native and introduced plants species. This is the first survey on the occurrence of endornaviruses in non-cultivated plant species.

Phototoxicity Assessments of Field Sites in Barataria Bay, Louisiana, USA, and Heavily Weathered Macondo Crude Oil: 4 Years after the Deepwater Horizon Oil Spill.

The Deepwater Horizon oil spill resulted in the release of large amounts of crude oil into waters of the Gulf of Mexico (USA). A significant portion of the oil reached coastal waters and shorelines where aquatic organisms reside. Four years after the spill, oil remains in small quantities along the coast. Given the high volume of oil coupled with the high ultraviolet light intensities of the Gulf of Mexico, continued polycyclic aromatic hydrocarbon phototoxicity may be occurring in the Gulf region. The objective of the present study was to determine the potential for phototoxicity at 5 field sites (oiled, remediated, and unoiled) in Barataria Bay (LA, USA) to caged mysid shrimp and sheepshead minnows and to evaluate the phototoxic potential of field-collected oil water accommodated fractions (WAFs). Water chemistries were similar between field-collected oil WAFs and ambient waters, excluding the most oiled field site. Field bioassays indicated no phototoxic risk of heavily weathered crude oil under the highly turbid conditions present during the study. Laboratory WAFs of field-collected oil resulted in phototoxicity to mysid shrimp, suggesting a potential for phototoxicity of heavily weathered crude oil remaining in the Gulf of Mexico. Environ Toxicol Chem 2019;38:1811-1819. © 2019 SETAC.

Implementation of a Socio-structural Demonstration Project to Improve HIV Outcomes Among Young Black Men in the Deep South.

BACKGROUND: We describe the background, rationale, intervention components, and formative results of a demonstration project aimed to ameliorate five socio-structural barriers to HIV services for young Black men aged 18-29 living with and at risk for HIV in Louisiana. METHODS: The interventions and activities consisted of (1) five person-centered approaches to enhance linkage to HIV services and improve socio-economic outcomes; (2) the implementation of systematic mystery shopping tests to document instances of housing discrimination; (3) the development and implementation of a multi-prong communications campaign to increase knowledge about the signs of housing discrimination and community resources among young Black men who have sex with men (YBMSM); (4) the integration of HIV/STI services and lesbian, gay, bisexual, and trans (LGBT)-inclusive events on Historically Black Colleges and Universities (HBCUs); and (5) the development of a safe space for YBMSM. A multi-method approach was used to evaluate the outcomes of the different interventions. RESULTS: The majority (62%) of participants living with HIV were linked to HIV care and 49% had achieved viral suppression. More than 40% of participants were employed during the project. Thirty-seven percent (37%) of the mystery shopping tests showed definite or possible signs of housing discrimination. The housing campaign's duration was limited with unknown long-term impact among YBMSM. Fifteen cases of syphilis were identified during two HBCU events. A safe space was specifically created for YBMSM at a community-based organization. CONCLUSION: Multi-component holistic health interventions are needed to improve HIV outcomes and curb the high HIV rates among young Black men, particularly YBMSM in the United States and the Deep South.

Mercury and selenium levels, and Se:Hg molar ratios in freshwater fish from South Louisiana.

Ample historical evidence has demonstrated the neurotoxicity of organic Hg. However, several studies have suggested that Se effectively sequesters MeHg. The affinity of Hg is up to ≈106 times higher for Se molecules than for comparable sulfur molecules, most of which are components of brain enzymes. The neurotoxicity of MeHg is associated with its binding to Se and the resultant interference with selenoenzymes (Ralston & Raymond, Global Advances in Selenium Research from Theory to Application, 2016). Therefore, having ample Se reserves is an effective way to mitigate MeHg's toxicity. When the molar ratios of Se to Hg in fish exceed 1.0, ingestion of the fish is unlikely to deplete Se reserves. The goal of this study was to determine the Hg and Se levels, and the Se:Hg molar ratios in freshwater fish from south Louisiana and the implications of those ratios with respect to fish consumption and Hg advisories. Five waterbodies were surveyed (University lake, Calcasieu lake, Toledo Bend, the Atchafalaya River and Henderson Lake). The sampled species included black drum (Pogonias cromis), catfish sp., largemouth bass (Micropterus salmoides) and bluegill (Eupomotis macrochirus). All fish were assayed for total Hg and Se. The average Hg concentration was 0.001 µmol g-1 (0.21 ppm), and all concentrations were below the 1 ppm US FDA action level (from 3.1 × 10-5 to 0.003 µmol g-1). Se concentrations exceeded Hg concentrations in most cases. The average Se concentration was 0.003 µmol g-1 (0.27 ppm), all concentrations were around or less than 1.0 ppm (from 3.7 × 10-4 to 0.017 µmol g-1). Hence, the Se:Hg molar ratios were >1 in all fish except largemouth bass from Henderson Lake. In general, Se was detected in sufficient amounts to sequester Hg, but consumption of largemouth bass from Henderson Lake would pose no risk only if anglers followed the posted Hg advisory. For advisory purposes, perhaps, both Hg and Se levels and Se:Hg molar ratios should be considered. In general, the results indicated that risk assessment will require consideration of both the fish species and body of water, because both can influence Se and Hg concentrations and Se:Hg molar ratios.

Microbial mediated sedimentary phosphorus mobilization in emerging and eroding wetlands of coastal Louisiana.

The interactions between the microbial reduction of Fe (III) oxides and sediment geochemistry are poorly understood and mostly unknown for the Louisiana deltaic plain. This study evaluates the potential of P mobilization for this region during bacterially mediated redox reactions. Samples were collected from two wetland habitats (forested wetland ridge, and marsh) characterized by variations in vegetation structure and elevation in the currently prograding Wax Lake Delta (WLD) and two habitats (wetland marsh, and benthic channel) in degrading Barataria Bay in Lake Cataouatche (BLC). Our results show that PO43- mobilization from WLD and BLC habitats were negligible under aerobic condition. Under anaerobic condition, there is a potential for significant release of PO43- from sediment and wetland soils. PO43- release in sediments spiked with Fe reducing bacteria Shewanella putrefaciens (Sp-CN32) were significantly higher in all cases with respect to a control treatment. In Wax Lake delta, PO43- release from sediment spiked with Sp-CN32 increased significantly from 0.064±0.001 to 1.460±0.005µmolg-1 in the ridge and from 0.079±0.007 to 2.407±0.001µmolg-1 in the marsh substrates. In Barataria bay, PO43- release increased from 0.103±0.006µmolg-1 to 0.601±0.008µmolg-1 in the channel and 0.050±0.000 to 0.618±0.026µmolg-1 in marsh substrates. The PO43- release from sediment slurries spiked with Sp-CN32 was higher in the WLD habitats (marsh 30-fold, ridge 22-fold) compared to the BLC habitats (marsh 12-fold, channel 6-fold). The increase in PO43- release was significantly correlated with the Fe bound PO43- in sediments from different habitats but not with their organic matter content. This study contributes to our understanding of the release mechanism of PO43- during bacterial mediated redox reaction in wetland soils undergoing pulsing sediment deposition and loss.