Parsing the toxicity paradox: Composition and duration of exposure alter predicted oil spill effects by orders of magnitude.

Oil spilled into an aquatic environment produces oil droplet and dissolved component concentrations and compositions that are highly variable in space and time. Toxic effects on aquatic biota vary with sensitivity of the organism, concentration, composition, environmental conditions, and frequency and duration of exposure to the mixture of oil-derived dissolved compounds. For a range of spill (surface, subsea, blowout) and oil types under different environmental conditions, modeling of oil transport, fate, and organism behavior was used to quantify expected exposures over time for planktonic, motile, and stationary organisms. Different toxicity models were applied to these exposure time histories to characterize the influential roles of composition, concentration, and duration of exposure on aquatic toxicity. Misrepresenting these roles and exposures can affect results by orders of magnitude. Well-characterized laboratory studies for <24-hour exposures are needed to improve toxicity predictions of the typically short-term exposures that characterize spills.

Counter-historical study of alternative dispersant use in the Deepwater Horizon oil spill response.

Recent completion of oil fate modeling and a mass budget of the Deepwater Horizon (DWH) oil spill allows for a counter-historical study using quantitative Comparative Risk Assessment (CRA) methodology. Novel application of subsea dispersant injection (SSDI) during the response reduced surfacing oil, volatile organic carbon emissions, and oil on shorelines. The effectiveness of that application, and potential alternatives had dispersant not been used or been used more aggressively, were evaluated by modifying and comparing the validated oil fate model under different SSDI strategies. A comparison of mass balance results, exposure metrics, and CRA scoring for Valued Ecological Components (VECs) shows the value of SSDI in achieving risk reduction and tradeoffs that were made. Actual SSDI applied during the DWH oil spill reduced exposures to varying degrees for different VECs. Exposures and relative risks across the ecosystem would have been substantially reduced with more effective SSDI.

Validation of oil fate and mass balance for the Deepwater Horizon oil spill: Evaluation of water column partitioning.

Model predictions of oil transport and fate for the 2010 Deepwater Horizon oil spill (Gulf of Mexico) were compared to field observations and absolute and relative concentrations of oil compounds in samples from 900 to 1400 m depth <11 km from the well. Chemical partitioning analyses using quantitative indices support a bimodal droplet size distribution model for oil released during subsea dispersant applications in June with 74% of the mass in >1 mm droplets that surfaced near the spill site within a few hours, and 1-8% as <0.13 mm microdroplets that remained below 900 m. Analyses focused on 900-1400 m depth <11 km from the well indicate there was substantial biodegradation of dissolved components, some biodegradation in microdroplets, recirculation of weathered microdroplets into the wellhead area, and marine oil snow settling from above 900 m carrying more-weathered particulate oil into the deep plume.

Effectiveness of neurodisability simulation training for NHS staff working in brain injury rehabilitation.

PURPOSE: Members of a regional inter-disciplinary neuro-rehabilitation service took part in simulation exercises aimed at providing insights into the lived experience of those with a neurodisability. The purpose of the study was to evaluate the impact of training on reflective clinical practice. METHOD: A sample of 78 professionals working within a U.K. regional neuro-rehabilitation service took part in neurodisability simulation exercises. Participants were drawn from all healthcare professions represented within the neuro-rehabilitation team. Quantitative and qualitative feedback was collected pre- and post-study and 3 months later. Length of working experience was examined as a possible mediating factor influencing attitudes towards and outcome of simulation training. RESULTS: Results suggest that participants found the simulation exercise experience insightful and increased their self-reported empathy and concern for those they care for. It also helped inform practical ways of working with patients. Length of staff experience was not found to be a significant factor in attitudes towards or outcome of the training. CONCLUSIONS: Simulation exercises, when organised with the aim of developing insight and empathy can result in positive outcomes for those who take part. Simulation exercises as an integrated learning tool for staff within healthcare settings should be provided.

Current practices and knowledge supporting oil spill risk assessment in the Arctic.

Oil spill response (OSR) in the Arctic marine environment conducted as part of operational planning and preparedness supporting exploration and development is most successful when knowledge of the ecosystem is readily available and applicable in an oil spill risk assessment framework. OSR strategies supporting decision-making during the critical period after a spill event should be explicit about the environmental resources potentially at risk and the efficacy of OSR countermeasures that best protect sensitive and valued resources. At present, there are 6 prominent methods for spill impact mitigation assessment (SIMA) in the Arctic aimed at supporting OSR and operational planning and preparedness; each method examines spill scenarios and identifies response strategies best suited to overcome the unique challenges posed by polar ecosystems and to minimize potential long-term environmental consequences. The different methods are grounded in classical environmental risk assessment and the net environmental benefit analysis (NEBA) approach that emerged in the 1990s after the Exxon Valdez oil spill. The different approaches share 5 primary assessment elements (oil physical and chemical properties, fate and transport, exposure, effects and consequence analysis). This paper highlights how the different Arctic methods reflect this common risk assessment framework and share a common need for oil spill science relevant to Arctic ecosystems. An online literature navigation portal, developed as part of the 5-year Arctic Oil Spill Response Technologies Joint Industry Programme, complements the different approaches currently used in the Arctic by capturing the rapidly expanding body of scientific knowledge useful to evaluating exposure, vulnerability and recovery of the Arctic ecosystem after an oil spill.

Comparative risk assessment of oil spill response options for a deepwater oil well blowout: Part II. Relative risk methodology.

Subsea dispersant injection (SSDI) was a new oil spill response (OSR) technology deployed during the Deepwater Horizon accident. To integrate SSDI into future OSR decisions, a hypothetical deepwater oil spill to the Gulf of Mexico was simulated and a comparative risk assessment (CRA) tool applied to contrast three response strategies: (1) no intervention; (2) mechanical recovery, in-situ burning, and surface dispersants; and, (3) SSDI in addition to responses in (2). A comparative ecological risk assessment (CRA) was applied to multiple valued ecosystem components (VECs) inhabiting different environmental compartments (ECs) using EC-specific exposure and relative VEC population density and recovery time indices. Results demonstrated the added benefit of SSDI since relative risks to shoreline, surface wildlife and most aquatic life VECs were reduced. Sensitivity of results to different assumptions was also tested to illustrate flexibility of the CRA tool in addressing different stakeholder priorities for mitigating the impacts of a deepwater blowout.

Comparative risk assessment of spill response options for a deepwater oil well blowout: Part III. Stakeholder engagement.

This paper describes oil spill stakeholder engagement in a recent comparative risk assessment (CRA) project that examined the tradeoffs associated with a hypothetical offshore well blowout in the Gulf of Mexico, with a specific focus on subsea dispersant injection (SSDI) at the wellhead. SSDI is a new technology deployed during the Deepwater Horizon (DWH) oil spill response. Oil spill stakeholders include decision makers, who will consider whether to integrate SSDI into future tradeoff decisions. This CRA considered the tradeoffs associated with three sets of response strategies: (1) no intervention; (2) mechanical recovery, in-situ burning, and surface dispersants; and, (3) SSDI in addition to responses in (2). For context, the paper begins with a historical review of U.S. policy and engagement with oil spill stakeholders regarding dispersants. Stakeholder activities throughout the project involved decision-maker representatives and their advisors to inform the approach and consider CRA utility in future oil spill preparedness.

Comparative Risk Assessment of spill response options for a deepwater oil well blowout: Part 1. Oil spill modeling.

Oil spill model simulations of a deepwater blowout in the Gulf of Mexico De Soto Canyon, assuming no intervention and various response options (i.e., subsea dispersant injection SSDI, in addition to mechanical recovery, in-situ burning, and surface dispersant application) were compared. Predicted oil fate, amount and area of surfaced oil, and exposure concentrations in the water column above potential effects thresholds were used as inputs to a Comparative Risk Assessment to identify response strategies that minimize long-term impacts. SSDI reduced human and wildlife exposure to volatile organic compounds; dispersed oil into a large water volume at depth; enhanced biodegradation; and reduced surface water, nearshore and shoreline exposure to floating oil and entrained/dissolved oil in the upper water column. Tradeoffs included increased oil exposures at depth. However, since organisms are less abundant below 200 m, results indicate that overall exposure of valued ecosystem components was minimized by use of SSDI.

A bacterial glutathione transporter (Escherichia coli CydDC) exports reductant to the periplasm.

Glutathione (GSH), a major biological antioxidant, maintains redox balance in prokaryotes and eukaryotic cells and forms exportable conjugates with compounds of pharmacological and agronomic importance. However, no GSH transporter has been characterized in a prokaryote. We show here that a heterodimeric ATP-binding cassette-type transporter, CydDC, mediates GSH transport across the Escherichia coli cytoplasmic membrane. In everted membrane vesicles, GSH is imported via an ATP-driven, protonophore-insensitive, orthovanadate-sensitive mechanism, equating with export to the periplasm in intact cells. GSH transport and cytochrome bd quinol oxidase assembly are abolished in the cydD1 mutant. Glutathione disulfide (GSSG) was not transported in either Cyd(+) or Cyd(-) strains. Exogenous GSH restores defective swarming motility and benzylpenicillin sensitivity in a cydD mutant and also benzylpenicillin sensitivity in a gshA mutant defective in GSH synthesis. Overexpression of the cydDC operon in dsbD mutants defective in disulfide bond formation restores dithiothreitol tolerance and periplasmic cytochrome b assembly, revealing redundant pathways for reductant export to the periplasm. These results identify the first prokaryotic GSH transporter and indicate a key role for GSH in periplasmic redox homeostasis.

Impact of a high-dependency care area on the nutritional management of patients with acute uremia.

At this institution, all non-intensive care unit (ICU)-based patients with acute uremia were previously managed on the general nephrology ward, and there were concerns that these patients may not have been benefiting from optimal management, particularly with regard to nutrition. In 1998, a renal high-dependency care (RHDC) unit was established within the ward, providing opportunity to compare the clinical management and outcomes of acutely uremic patients in 2 annual cohorts that were admitted both before and after implementation of the RHDC unit. Retrospective case reviews complemented data collected prospectively on the unit since 1995. There were 108 patients included from 1995 to 1996 and 86 patients included from 1998 to 1999; no patients were excluded, but a few case records were unobtainable. Both patient groups were demographically similar (median age, 68 years pre-RHDC, 62.5 years with the RHDC unit), and initial illness severity/comorbidity showed no significant differences. Nutritional support increased significantly (P <.05) from 22.4% in 1995 to 1996 to 38.4% of patients in 1998 to 1999, reflecting increased oral supplementation. Dialysis requirements were similar (60.2% v 63.5%). The proportion of patients requiring admission to the ICU (17.6% v 8.1%) and the total number of ICU bed days used (195 v 86) was reduced in 1998 to 1999. Cost analysis showed little overall difference between the 2 cohorts; the actual cost of improved nutritional management was negligible. The RHDC area and its nurse-based protocols have increased nutritional support for acutely uremic patients, allowing a reduction in ICU usage without any worsening in outcomes.

Global governance of technology. Meeting the needs of developing countries. Synthesis Report

This report is a synthesis of a series of seminars, workshops and conferences organized by the Belfer Center for Science and International Affairs at Harvard University and the Center for International Development at Harvard University from 1999 to 2001. The events outlined the key research and policy aspects of the role of science and technology in economic growth in developing countries.