Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 20 de 47
Filter
1.
Conserv Physiol ; 11(1): coad081, 2023.
Article in English | MEDLINE | ID: mdl-38026807

ABSTRACT

We describe a non-invasive method for profiling selected hormones, pharmaceuticals and personal care products (PPCPs) in killer whales (Orcinus orca) based on analysis of faecal samples by liquid chromatography tandem mass spectrometry (LC-MS/MS). The method targets 21 compounds of interest including glucocorticoids, mineralocorticoids, androgens, estrogens, progestogens, selective serotonin uptake inhibitors and an antibacterial/antifungal agent. This method is suitable for routine simultaneous determination of target compounds in killer whale faecal samples as well as validation of immunoassays for the detection and measurement of steroid hormones in faeces. The optimized method involves extraction of freeze-dried faecal material with reagent alcohol and water followed by isolation of the analytes using solid phase extraction with hydrophilic-lipophilic balance cartridges and liquid-liquid extraction with methyl tertiary-butyl ether. Reconstituted extracts were analysed by LC-MS/MS using an electrospray ionization interface. Method limit of quantification ranged from 0.06 to 45.2 ng/g in freeze-dried faecal samples. Except for sertraline, triclosan and estradiol (which was not recovered at the lowest spiked concentration), average intra- and inter-day precisions were within 10%, and average recoveries were between 89.3% and 129.3%, for faecal samples spiked with 5.3, 26.7 or 133 ng/g of each analyte. The method was applied successfully to the analysis of hormones and PPCPs in whale faeces during which 17α-hydroxyprogesterone, a common intermediate in steroid biosynthesis that cross-reacts with precursors and sulphated conjugates in immunoassays, was identified and quantified in all samples.

2.
Sci Rep ; 13(1): 14056, 2023 08 28.
Article in English | MEDLINE | ID: mdl-37640733

ABSTRACT

Environmental change in the Arctic has impacted the composition and structure of marine food webs. Tracking feeding ecology changes of culturally-valued Arctic char (Salvelinus alpinus) and ringed seals (Pusa hispida) can provide an indication of the ecological significance of climate change in a vulnerable region. We characterized how changes in sea ice conditions, sea surface temperature (SST), and primary productivity affected the feeding ecology of these two keystone species over a 13- and 18-year period, respectively, in northern Labrador, Canada. Arctic char fed consistently on pelagic resources (δ13C) but shifted over time to feeding at a higher trophic level (δ15N) and on more marine/offshore resources (δ34S), which correlated with decreases in chlorophyll a concentration. A reduction in Arctic char condition factor and lipid content was associated with higher trophic position. Ringed seals also shifted to feeding at a higher trophic level, but on more pelagic resources, which was associated with lower SST and higher chlorophyll a concentrations. Years with abnormally high SSTs and reduced sea ice concentrations resulted in large isotopic niche sizes for both species, suggesting abrupt change can result in more variable feeding. Changes in abundance and distribution of species long valued by the Inuit of Labrador could diminish food security.


Subject(s)
Caniformia , Seals, Earless , Animals , Chlorophyll A , Canada , Climate Change , Food Chain
3.
Arch Environ Contam Toxicol ; 85(1): 73-91, 2023 Jul.
Article in English | MEDLINE | ID: mdl-37452195

ABSTRACT

At-risk resident killer whale (Orcinus orca) populations of the northeastern Pacific, Canada, and their main prey, Chinook Salmon (Oncorhynchus tshawytscha), are exposed to a variety of contaminants including chemical elements from both natural and anthropogenic sources, which may be constraining their recovery. Concentrations of 36 chemical elements in subtidal surface sediments (1-435 m depth) collected from 98 sites along the British Columbia coast were used to characterize coast-wide patterns, and a subset of metals (mercury (Hg), cadmium (Cd), arsenic (As), nickel (Ni), copper (Cu), and lead (Pb)) were selected to assess Chinook Salmon and resident killer whale marine habitat quality. Principal component analysis (PCA) showed a dominance of Hg, antimony (Sb), Pb, Cu, and zinc (Zn) for Prince Rupert Harbour, Victoria Harbour, and Burrard Inlet, suggesting local sources. Based on the PCA, geochemical properties such as total organic carbon (TOC), acid volatile sulfide (AVS), and pH explained the spatial distribution of all elements in sediment (p < 0.001). Mercury, Cd, As, Ni, Cu, and Pb hotspots were identified along the coast of Vancouver Island, the central and north coast, in the Strait of Georgia, and Haida Gwaii. Bischof Island of Haida Gwaii and Ardmillan Bay on the central coast were most contaminated and enriched by Cd, determined by geoaccumulation index (Igeo) and enrichment factor (EF), respectively. Marine habitat quality was assessed by comparing metal concentrations to Canadian Sediment Quality Guidelines (SQGs). Chinook Salmon populations may be indirectly affected by metal toxicity (As > Cd and Cu > Ni > Hg > Pb) to lower trophic level prey species. Toxicity related impacts to benthic organisms as a result of exposure to elevated Cd and As concentrations in Northern Resident Killer Whale critical habitat and to Hg, Cd, As, Ni, Cu, and Pb concentrations in Southern Resident Killer Whale critical habitat may indirectly pose a threat to resident killer whale populations, highlighting a need for management actions to reduce risks associated with these metals.


Subject(s)
Arsenic , Mercury , Metals, Heavy , Water Pollutants, Chemical , Whale, Killer , Animals , British Columbia , Cadmium/analysis , Salmon , Lead/analysis , Mercury/analysis , Arsenic/analysis , Nickel , Ecosystem , Metals, Heavy/analysis , Geologic Sediments/analysis , Environmental Monitoring , Water Pollutants, Chemical/analysis
4.
J Pediatr Hematol Oncol Nurs ; 40(3): 195-202, 2023.
Article in English | MEDLINE | ID: mdl-36775936

ABSTRACT

Background: Many health care organizations offer pediatric infusions in outpatient infusion centers or, as in our organization, in a hospital-based outpatient Pediatric Infusion Therapy Center (PITC). When restrictions related to the COVID-19 pandemic decreased our PITC appointment capacity by 40%, other patient and family satisfaction issues were exacerbated. We implemented a new approach to pediatric infusions with the aim of improving patient and family satisfaction and reducing the amount of time in an appointment itinerary without negatively affecting patient safety. Methods: Our team used a phased approach to pilot the administration of short chemotherapy infusions in the same outpatient clinic examination rooms where consultation and routine office visits were conducted. Patients saw their specialist for an examination and, if clinically indicated, their infusion was administered in the same room. Appointment itineraries were then completed. The team tracked efficiency, satisfaction, and safety metrics related to the new process. Results: All efficiency metrics improved. No harm came to the 49 unique patients who received a total of 184 infusions. Patient appointment itineraries were shortened by an average of 1.03 hr. Satisfaction survey responses indicated a clear preference (93%) for the new process. Discussion: The novel approach of offering short infusions in outpatient clinic examination rooms provides an opportunity to ease capacity constraints and further increase patient and family satisfaction. This method may be especially helpful for health care organizations when external influences (e.g., lack of physical space, challenging patient volumes, and pandemics) necessitate a change.


Subject(s)
COVID-19 , Outpatients , Humans , Child , Pandemics , Ambulatory Care Facilities , Ambulatory Care
5.
Environ Toxicol Chem ; 42(4): 815-822, 2023 04.
Article in English | MEDLINE | ID: mdl-36692118

ABSTRACT

The breakdown product of the rubber tire antioxidant N-(1,3-dimethylbutyl)-N'-phenyl-p-phenylenediamine-quinone (6PPD)-6-PPD-quinone has been strongly implicated in toxic injury and death in coho salmon (Oncorhynchus kisutch) in urban waterways. Whereas recent studies have reported a wide range of sensitivity to 6PPD-quinone in several fish species, little is known about the risks to Chinook salmon (Oncorhynchus tshawytscha), the primary prey of endangered Southern Resident killer whales (Orcinus orca) and the subject of much concern. Chinook face numerous conservation threats in Canada and the United States, with many populations assessed as either endangered or threatened. We evaluated the acute toxicity of 6PPD-quinone to newly feeding (~3 weeks post swim-up) juvenile Chinook and coho. Juvenile Chinook and coho were exposed for 24 h under static conditions to five concentrations of 6PPD-quinone. Juvenile coho were 3 orders of magnitude more sensitive to 6PPD-quinone compared with juvenile Chinook, with 24-h median lethal concentration (LC50) estimates of 41.0 and more than 67 307 ng/L, respectively. The coho LC50 was 2.3-fold lower than what was previously reported for 1+-year-old coho (95 ng/L), highlighting the value of evaluating age-related differences in sensitivity to this toxic tire-related chemical. Both fish species exhibited typical 6PPD-quinone symptomology (gasping, increased ventilation, loss of equilibrium, erratic swimming), with fish that were symptomatic generally exhibiting mortality. The LC50 values derived from our study for coho are below concentrations that have been measured in salmon-bearing waterways, suggesting the potential for population-level consequences in urban waters. The higher relative LC50 values for Chinook compared with coho merits further investigation, including for the potential for population-relevant sublethal effects. Environ Toxicol Chem 2023;42:815-822. © 2023 His Majesty the King in Right of Canada and The Authors. Environmental Toxicology and Chemistry published by Wiley Periodicals LLC on behalf of SETAC. Reproduced with the permission of the Minister of Fisheries and Oceans Canada.


Subject(s)
Benzoquinones , Life Cycle Stages , Phenylenediamines , Salmon , Animals , Canada , Oncorhynchus kisutch/growth & development , Oncorhynchus kisutch/physiology , Salmon/growth & development , Salmon/physiology , Life Cycle Stages/drug effects , Phenylenediamines/toxicity , Benzoquinones/toxicity , Lethal Dose 50
6.
Sci Total Environ ; 868: 161488, 2023 Apr 10.
Article in English | MEDLINE | ID: mdl-36626992

ABSTRACT

Very high levels of industrial contaminants in St. Lawrence Estuary (SLE) beluga whales represent one of the major threats to this population classified as endangered under the Species at Risk Act in Canada. Elevated concentrations of short-chained chlorinated paraffins (SCCPs) were recently reported in blubber of adult male SLE belugas. Recent regulations for SCCPs in North America, combined with their replacement by medium- (MCCPs) and long-chained chlorinated paraffins (LCCPs), highlight the importance of tracking this toxic chemical class. The objectives of this study were to evaluate (1) levels and profiles of chlorinated paraffins (CPs) in samples obtained from carcasses of adult male, adult female, juvenile, newborn, and fetus beluga, and (2) trends in adult male belugas between 1997 and 2018. Factors potentially influencing CP temporal trends such as age, feeding ecology and sampling year were also explored. SCCPs dominated (64 to 100%) total CP concentrations across all age and sex classes, MCCPs accounted for the remaining proportion of total CPs, and LCCPs were not detected in any sample. The chlorinated paraffin homolog that dominated the most in beluga blubber was C12Cl8. Adult male SCCP concentrations from this study were considerably lower (> 2000-fold) than those recently reported in Simond et al. (2020), likely reflecting a previously erroneous overestimate due to the lack of a suitable analytical method for SCCPs at the time. Both SCCPs and total CPs declined over time in adult males in our study (rate of 1.67 and 1.33% per year, respectively), presumably due in part to the implementation of regulations in 2012. However, there is a need to better understand the possible contribution of a changing diet to contaminant exposure, as stable isotopic ratios of carbon also changed over time.


Subject(s)
Beluga Whale , Hydrocarbons, Chlorinated , Water Pollutants, Chemical , Animals , Female , Male , China , Diet , Environmental Monitoring/methods , Estuaries , Hydrocarbons, Chlorinated/analysis , Paraffin/analysis , Water Pollutants, Chemical/analysis
7.
ACS ES T Water ; 3(10): 3293-3304, 2023 Oct 13.
Article in English | MEDLINE | ID: mdl-38455156

ABSTRACT

The tire-derived contaminant N-(1,3-dimethylbutyl)-N'-phenyl-p-phenylenediamine quinone (6-PPDQ) was recently identified as a potent toxin to coho salmon (Oncorhynchus kisutch). Studies investigating 6-PPDQ have employed solid-phase extraction (SPE) or liquid-liquid extraction (LLE) with liquid chromatography-mass spectrometry (LC-MS), providing excellent sensitivity and selectivity. However, cleanup and pre-enrichment steps (SPE/LLE) followed by chromatographic separation can be time- and cost-intensive, limiting sample throughput. The ubiquitous distribution of 6-PPDQ necessitates numerous measurements to identify hotspots for targeted mitigation. We recently developed condensed phase membrane introduction mass spectrometry (CP-MIMS) for rapid 6-PPDQ analysis (2.5 min/sample), with a simple workflow and low limit of detection (8 ng/L). Here, we describe improved quantitation using isotopically labeled internal standards and inclusion of a suite of PPDQ analogues. A low-cost autosampler and data processing software were developed from a three-dimensional (3D) printer and Matlab to fully realize the high-throughput capabilities of CP-MIMS. Cross-validation with a commercial LC-MS method for 10 surface waters provides excellent agreement (slope: 1.01; R2 = 0.992). We employ this analytical approach to probe fundamental questions regarding sample stability and sorption of 6-PPDQ under lab-controlled conditions. Further, the results for 192 surface water samples provide the first spatiotemporal characterization of PPDQs on Vancouver Island and the lower mainland of British Columbia.

8.
Metabolites ; 12(9)2022 Aug 30.
Article in English | MEDLINE | ID: mdl-36144217

ABSTRACT

As a high trophic-level species, ringed seals (Pusa hispida) and beluga whales (Delphinapterus leucas) are particularly vulnerable to elevated concentrations of biomagnifying contaminants, such as polychlorinated biphenyls (PCBs), polybrominated diphenyl ethers (PBDEs) and mercury (Hg). These species also face climate-change-related impacts which are leading to alterations in their diet and associated contaminant exposure. The metabolomic profile of marine mammal tissues and how it changes to environmental stressors is poorly understood. This study characterizes the profiles of 235 metabolites across plasma, liver, and inner and outer blubber in adult ringed seals and beluga whales and assesses how these profiles change as a consequence of contaminants and dietary changes. In both species, inner and outer blubber were characterized by a greater proportion of lipid classes, whereas the dominant metabolites in liver and plasma were amino acids, carbohydrates, biogenic amines and lysophosphatidylcholines. Several metabolite profiles in ringed seal plasma correlated with δ13C, while metabolite profiles in blubber were affected by hexabromobenzene in ringed seals and PBDEs and Hg in belugas. This study provides insight into inter-matrix similarities and differences across tissues and suggests that plasma and liver are more suitable for studying changes in diet, whereas liver and blubber are more suitable for studying the impacts of contaminants.

9.
Environ Toxicol Chem ; 41(9): 2139-2151, 2022 09.
Article in English | MEDLINE | ID: mdl-35698926

ABSTRACT

The northeastern Pacific northern and southern resident killer whale (Orcinus orca) populations are listed as threatened and endangered in Canada, respectively, with persistent, bioaccumulative contaminants, such as polychlorinated biphenyls (PCBs) and polybrominated diphenyl ethers (PBDEs), posing threats to their recovery. Concentrations of PCBs and PBDEs in subtidal surface sediments collected from 97 sites along the British Columbia (BC) coast were used to identify their distribution and profiles, and to assess killer whale habitat quality. Victoria Harbour (VH3(site ID: 1) ) sediments exhibited the highest PCB and PBDE concentrations. For PCBs, PCB-138 was found at the highest concentration, followed by PCB-153, PCB-110, PCB-149, PCB-101, and PCB-118. For PBDEs, individual congeners were ranked as follows: BDE-209 > BDE-207 > BDE-206 > BDE-208 > BDE-47 > BDE-99. Principal component analyses (PCA) illustrated the variations in contaminant profiles, with PC1 for PCBs and PBDEs correlated with the octanol-water partition coefficient (log KOW , p < 0.003). Based on the PCA, sediment particle size, total organic carbon (TOC), and water depth at collection were other factors associated with the distribution of PBDEs, while PCB profiles were associated with TOC. Total PCB and PBDE concentrations at 100% and 34% of the sites, respectively, exceeded the recently adopted British Columbia's Ministry of Environment and Climate Change Strategy Working Sediment Quality Guidelines (PCBs 3.7 pg/g dry wt and PBDEs 1000 pg/g dry wt), considered protective of killer whales. Our findings suggest that the legacy of banned PCBs and PBDEs has the potential to constrain the recovery of killer whales as a result of their mobilization from sediments and consequent uptake by marine food webs. Environ Toxicol Chem 2022;41:2139-2151. © 2022 SETAC.


Subject(s)
Polybrominated Biphenyls , Polychlorinated Biphenyls , Water Pollutants, Chemical , Whale, Killer , Animals , British Columbia , Ecosystem , Environmental Monitoring , Geologic Sediments/analysis , Halogenated Diphenyl Ethers/analysis , Polybrominated Biphenyls/analysis , Polychlorinated Biphenyls/analysis , Water/metabolism , Water Pollutants, Chemical/analysis , Whale, Killer/metabolism
10.
Sci Total Environ ; 841: 156566, 2022 Oct 01.
Article in English | MEDLINE | ID: mdl-35697218

ABSTRACT

Arctic Indigenous Peoples are among the most exposed humans when it comes to foodborne mercury (Hg). In response, Hg monitoring and research have been on-going in the circumpolar Arctic since about 1991; this work has been mainly possible through the involvement of Arctic Indigenous Peoples. The present overview was initially conducted in the context of a broader assessment of Hg research organized by the Arctic Monitoring and Assessment Programme. This article provides examples of Indigenous Peoples' contributions to Hg monitoring and research in the Arctic, and discusses approaches that could be used, and improved upon, when carrying out future activities. Over 40 mercury projects conducted with/by Indigenous Peoples are identified for different circumpolar regions including the U.S., Canada, Greenland, Sweden, Finland, and Russia as well as instances where Indigenous Knowledge contributed to the understanding of Hg contamination in the Arctic. Perspectives and visions of future Hg research as well as recommendations are presented. The establishment of collaborative processes and partnership/co-production approaches with scientists and Indigenous Peoples, using good communication practices and transparency in research activities, are key to the success of research and monitoring activities in the Arctic. Sustainable funding for community-driven monitoring and research programs in Arctic countries would be beneficial and assist in developing more research/monitoring capacity and would promote a more holistic approach to understanding Hg in the Arctic. These activities should be well connected to circumpolar/international initiatives to ensure broader availability of the information and uptake in policy development.


Subject(s)
Mercury , Arctic Regions , Canada , Greenland , Humans , Indigenous Peoples
11.
J Cogn Neurosci ; 32(4): 734-745, 2020 04.
Article in English | MEDLINE | ID: mdl-31820677

ABSTRACT

Understanding how the human brain integrates information from the environment with intrinsic brain signals to produce individual perspectives is an essential element of understanding the human mind. Brain signal complexity, measured with multiscale entropy, has been employed as a measure of information processing in the brain, and we propose that it can also be used to measure the information available from a stimulus. We can directly assess the correspondence between brain signal complexity and stimulus complexity as an indication of how well the brain reflects the content of the environment in an analysis that we term "complexity matching." Music is an ideal stimulus because it is a multidimensional signal with a rich temporal evolution and because of its emotion- and reward-inducing potential. When participants focused on acoustic features of music, we found that EEG complexity was lower and more closely resembled the musical complexity compared to an emotional task that asked them to monitor how the music made them feel. Music-derived reward scores on the Barcelona Music Reward Questionnaire correlated with less complexity matching but higher EEG complexity. Compared with perceptual-level processing, emotional and reward responses are associated with additional internal information processes above and beyond those linked to the external stimulus. In other words, the brain adds something when judging the emotional valence of music.


Subject(s)
Auditory Perception/physiology , Brain/physiology , Emotions/physiology , Music , Reward , Acoustic Stimulation , Adult , Data Interpretation, Statistical , Electroencephalography , Female , Humans , Male , Young Adult
12.
Ecotoxicology ; 29(8): 1117-1127, 2020 Oct.
Article in English | MEDLINE | ID: mdl-31352572

ABSTRACT

Methylmercury (MeHg) is a global environmental contaminant that bioaccumulates and has multiple toxic modes of action. Aquatic species have traditionally been the focus of wildlife toxicological research on mercury, but terrestrial organisms, including passerine birds, can be exposed to similarly elevated levels of MeHg. In this study we exposed a model passerine, the zebra finch (Taeniopygia guttata), to MeHg in ovo, as chicks only, or with a combined 'in ovo + chick' treatment. We isolated exposure to specific developmental stages through the use of egg injections (3.2 µg Hg/g egg) and controlled oral dosing of chicks (0.24 µg Hg/g bw/day from day 1 to day 30). In ovo exposure to MeHg reduced hatching success, but there was no effect of MeHg on chick growth. We found that in ovo only or chick only exposure did not have long-term effects, but there was some evidence for longer-term effects of combined 'in ovo + chick' exposure on post-fledging survival and potentially sex-biased survival which resulted in very few 'in ovo + chick' exposed females surviving to breed. These females also had lower overall breeding productivity that was mainly due to lower hatching success of their offspring, not lower chick-rearing success. We found no effect of treatment on clutch size or latency to laying among females that did lay eggs. Our study suggests that combined embryonic and nestling MeHg exposure has compounding latent effects on productivity, likely through a mechanism that influences the ability of females to lay fertile eggs that hatch.


Subject(s)
Environmental Pollutants/toxicity , Finches/physiology , Mercury/toxicity , Animals , Embryonic Development , Environmental Exposure , Female , Pregnancy , Prenatal Exposure Delayed Effects , Toxicity Tests, Chronic
13.
Chemosphere ; 202: 438-445, 2018 Jul.
Article in English | MEDLINE | ID: mdl-29579678

ABSTRACT

We examined the influence of biological and geographical factors on the levels and patterns of organohalogen contaminants in blood of adult common loons (Gavia immer) collected from 20 lakes in Alberta, Canada. The loons were captured in the 2006 and 2007 breeding seasons over a 900 m elevation gradient across the eastern slope of the Canadian Rocky Mountains. While PCBs dominated the composition of these contaminants in loons at all sites (∑PCBs > p,p'-DDE > ∑PBDEs > ∑Chlordanes > HCB), p,p'-DDE and ∑PBDEs were also important, averaging approximately 50% and 20% of total PCB concentrations, respectively. ∑PCBs and ∑PBDEs were higher in males than in females. Inter-lake variation was apparent for contaminant concentrations and patterns and were largely explained by dietary signatures (δ15N and δ13C) and proximity to a large hydroelectric dam. Mean ∑PCB (19.6 ng/g wet weight (ww)) and organochlorine pesticide (OCP) (p,p'-DDE: 11.8 ng/g, cis-nonachlor: 0.10 ng/g, trans-nonachlor: 0.32 ng/g, HCB: 0.34 ng/g ww) concentrations in loons were approximately 4- to 17-fold lower than average concentrations reported in common loons from Atlantic Canada and were well below concentrations which have been associated with impaired reproductive success and eggshell thinning in other piscivorous birds. Dominant PBDE congeners were BDE47, BDE99, and BDE100. The regional mean for ∑PBDEs (4.04 ng/g ww) in loons from the present study was within the range reported for ∑PBDEs in nestling bald eagle plasma from British Columbia. This is the first report of PBDEs in loons and the first report of PCBs and OCPs in common loons from Western North America.


Subject(s)
Birds/metabolism , Environmental Monitoring , Alberta , Animals , Breeding , British Columbia , Canada , Dichlorodiphenyl Dichloroethylene/analysis , Female , Halogenated Diphenyl Ethers/analysis , Hydrocarbons, Chlorinated/analysis , Lakes/chemistry , Male , North America , Pesticides/analysis , Polychlorinated Biphenyls/analysis
14.
J Head Trauma Rehabil ; 33(3): 158-166, 2018.
Article in English | MEDLINE | ID: mdl-28731871

ABSTRACT

OBJECTIVE: To examine the moderating effects of parent marital status and participation on efficacy of an online family problem-solving intervention for pediatric traumatic brain injury (TBI). METHODS: Participants were 132 adolescents (12-17 years) who had sustained a recent (<6 months) TBI and their parents. Participants were randomly assigned to the intervention (Counselor-Assisted Problem Solving, CAPS) or an Internet resource comparison (IRC) condition. CAPS was designed to support families in the initial phase following TBI, by teaching problem-solving skills and addressing common challenges. To examine the moderating effect of parent marital status, participants were divided into 4 groups (ie, CAPS married household, CAPS unmarried household, IRC married household, and IRC unmarried household). Family income and caregiver education were controlled in analyses. RESULTS: Parent marital status moderated treatment effects on adolescent externalizing behavior problems. Adolescents from married households in CAPS displayed fewer behavior problems at 6 and 18 months postbaseline compared with adolescents from unmarried households in CAPS. Among married CAPS families, there were no differences in outcomes among families where 1 or 2 parents actively participated. CONCLUSIONS: Web-based interventions for pediatric TBI, such as CAPS, are a viable option for some although not all families. Further research is needed to investigate factors that influence efficacy to match families to the most beneficial treatments.


Subject(s)
Brain Injuries, Traumatic/diagnosis , Brain Injuries, Traumatic/therapy , Internet , Marital Status , Problem Solving , Adolescent , Analysis of Variance , Brain Injuries, Traumatic/psychology , Child , Counseling/methods , Family Relations , Female , Follow-Up Studies , Glasgow Coma Scale , Humans , Injury Severity Score , Male , Parents/psychology , Pilot Projects , Problem Behavior , Risk Assessment , Socioeconomic Factors , Treatment Outcome , United States
15.
PM R ; 10(5): 462-471, 2018 05.
Article in English | MEDLINE | ID: mdl-29097272

ABSTRACT

BACKGROUND: Mental health problems are common after pediatric traumatic brain injury (TBI). Many patients in need of mental health services do not receive them, but studies have not consistently used prospective and objective methods or followed samples for more than 1 year. OBJECTIVE: To examine adolescents' use of mental health services after TBI. DESIGN: Secondary analysis from multicenter prospective randomized controlled trial. SETTING: Five level 1 U.S. trauma centers. PARTICIPANTS: Adolescents aged 12-17 years with moderate-to-severe TBI were recruited for a randomized clinical trial (n = 132 at baseline, 124 at 6 months, 113 at 12 months, and 101 at 18 months). METHODS: Participants were randomly assigned to counselor-assisted problem-solving or Internet resource comparison. Follow-up assessments were completed at 6, 12, and 18 months after baseline. Generalized estimating equations with a logit link were used to examine use of mental health services. Treatment group and participant impairment were examined as predictors of use. MAIN OUTCOME MEASUREMENTS: Mental health care use was measured with the Service Assessment for Children and Adolescents; daily functioning and clinical outcome with the Child and Adolescent Functional Assessment Scale; behavioral and emotional functioning with the Child Behavior Checklist; and executive dysfunction with the Behavior Rating Inventory of Executive Function. RESULTS: Use of mental health services ranged from 22% to 31% in the 2 years post-TBI. Participants with impairments were about 3 times more likely than those without impairments to receive services (odds ratio 4.61; 95% confidence interval 2.61-8.14; P < .001). However, 50%-68% of patients identified as impaired had unmet mental health care needs. CONCLUSIONS: Less than one half of adolescents with behavioral health needs after TBI received mental health services. Future studies are needed to examine barriers associated with seeking services after TBI and psychoeducation as preventive care for this population. LEVEL OF EVIDENCE: II.


Subject(s)
Adolescent Health Services/statistics & numerical data , Brain Injuries, Traumatic/rehabilitation , Child Health Services/statistics & numerical data , Health Services Needs and Demand/statistics & numerical data , Mental Health Services/statistics & numerical data , Mental Health , Physical Therapy Modalities , Adolescent , Brain Injuries, Traumatic/physiopathology , Child , Executive Function/physiology , Female , Follow-Up Studies , Humans , Male , Prospective Studies , Quality of Life , Time Factors
16.
Sci Total Environ ; 618: 500-517, 2018 Mar 15.
Article in English | MEDLINE | ID: mdl-29145101

ABSTRACT

Arctic contaminant research in the marine environment has focused on organohalogen compounds and mercury mainly because they are bioaccumulative, persistent and toxic. This review summarizes and discusses the patterns and trends of persistent organic pollutants (POPs) and mercury in ringed seals (Pusa hispida) and polar bears (Ursus maritimus) in the Eastern Canadian Arctic relative to the rest of the Canadian Arctic. The review provides explanations for these trends and looks at the implications of climate-related changes on contaminants in these marine mammals in a region that has been reviewed little. Presently, the highest levels of total mercury (THg) and the legacy pesticide HCH in ringed seals and polar bears are found in the Western Canadian Arctic relative to other locations. Whereas, highest levels of some legacy contaminants, including ∑PCBs, PCB 153, ∑DDTs, p,p'-DDE, ∑CHLs, ClBz are found in the east (i.e., Ungava Bay and Labrador) and in the Beaufort Sea relative to other locations. The highest levels of recent contaminants, including PBDEs and PFOS are found at lower latitudes. Feeding ecology (e.g., feeding at a higher trophic position) is shaping the elevated levels of THg and some legacy contaminants in the west compared to the east. Spatial and temporal trends for POPs and THg are underpinned by historical loadings of surface ocean reservoirs including the Western Arctic Ocean and the North Atlantic Ocean. Trends set up by the distribution of water masses across the Canadian Arctic Archipelago are then acted upon locally by on-going atmospheric deposition, which is the dominant contributor for more recent contaminants. Warming and continued decline in sea ice are likely to result in further shifts in food web structure, which are likely to increase contaminant burdens in marine mammals. Monitoring of seawater and a range of trophic levels would provide a better basis to inform communities about contaminants in traditionally harvested foods, allow us to understand the causes of contaminant trends in marine ecosystems, and to track environmental response to source controls instituted under international conventions.


Subject(s)
Environmental Monitoring , Environmental Pollutants/analysis , Mercury/analysis , Seals, Earless , Ursidae , Animals , Aquatic Organisms , Arctic Regions , Atlantic Ocean , DDT/analysis , Dichlorodiphenyl Dichloroethylene/analysis , Food Chain , Halogenated Diphenyl Ethers/analysis , Newfoundland and Labrador , Pesticides/analysis , Polychlorinated Biphenyls/analysis
17.
Arch Environ Contam Toxicol ; 73(2): 171-175, 2017 Aug.
Article in English | MEDLINE | ID: mdl-28710502

ABSTRACT

The complex nature of ocean pollution underscores the utility in identifying and characterizing a limited number of "indicators" that enables scientists and managers to track trends over space and time. This paper introduces a special issue on indicators of marine pollution in the North Pacific Ocean and builds on a scientific session that was held at the North Pacific Marine Science Organization. The special issue highlights studies using a variety of indicators to provide insight into the identification of legacy and emerging contaminants, the ranking of priority pollutants from various sources, and the effects of contaminants on ecosystem health in the North Pacific Ocean. Examples include the use of mussels to illustrate spatial and temporal trends of a number of contaminants following the 2011 tsunami in Japan, the use of molecular marker (linear alkylbenzenes, hopanes, and polycyclic aromatic hydrocarbons) profiles to identify pollution sources, and the use of plastic resin pellets to illustrate spatial trends of petroleum pollution around the world. Stable isotopes were used to strengthen the utility of the Glaucous-winged gull (Larus glaucescens) as an indicator of marine pollution. Examples also demonstrate the development and application of biomarker approaches, including gene transcripts, oxidative stress, estradiol, hatchability, and respiration and swimming behavior abnormalities, as a function of exposure to polychlorinated biphenyls, sulfur-diesel, Pinghu crude oil, galaxolide and antifouling biocides. We provide a brief review of indicators of marine pollution, identify research gaps, and summarize key findings from the articles published within the issue. This special issue represents the first compilation of research pertaining to marine pollution indicators in the North Pacific Ocean and provides guidance to inform mitigation and monitoring efforts of contaminants in the region.


Subject(s)
Environmental Monitoring , Water Pollutants, Chemical/analysis , Water Pollution/statistics & numerical data , Animals , Bivalvia , Charadriiformes , Ecosystem , Japan , Pacific Ocean , Petroleum Pollution , Plastics , Polychlorinated Biphenyls
18.
Aquat Toxicol ; 185: 48-57, 2017 Apr.
Article in English | MEDLINE | ID: mdl-28187360

ABSTRACT

The ringed seal, Pusa hispida, is a keystone species in the Arctic marine ecosystem, and is proving a useful marine mammal for linking polychlorinated biphenyl (PCB) exposure to toxic injury. We report here the first de novo assembled transcriptome for the ringed seal (342,863 transcripts, of which 53% were annotated), which we then applied to a population of ringed seals exposed to a local PCB source in Arctic Labrador, Canada. We found an indication of energy metabolism imbalance in local ringed seals (n=4), and identified five significant gene transcript targets: plasminogen receptor (Plg-R(KT)), solute carrier family 25 member 43 receptor (Slc25a43), ankyrin repeat domain-containing protein 26-like receptor (Ankrd26), HIS30 (not yet annotated) and HIS16 (not yet annotated) that may represent indicators of PCB exposure and effects in marine mammals. The abundance profiles of these five gene targets were validated in blubber samples collected from 43 ringed seals using a qPCR assay. The mRNA transcript levels for all five gene targets, (Plg-R(KT), r2=0.43), (Slc25a43, r2=0.51), (Ankrd26, r2=0.43), (HIS30, r2=0.39) and (HIS16, r2=0.31) correlated with increasing levels of blubber PCBs. Results from the present study contribute to our understanding of PCB associated effects in marine mammals, and provide new tools for future molecular and toxicology work in pinnipeds.


Subject(s)
Animal Structures/metabolism , Environmental Exposure/analysis , Health Status Indicators , Polychlorinated Biphenyls/toxicity , Seals, Earless/genetics , Transcriptome/genetics , Animals , Gene Expression Profiling , Gene Ontology , Molecular Sequence Annotation , Polymerase Chain Reaction , RNA, Messenger/genetics , RNA, Messenger/metabolism , Reproducibility of Results , Sequence Analysis, RNA , Water Pollutants, Chemical/toxicity
19.
Rehabil Psychol ; 61(4): 347-357, 2016 11.
Article in English | MEDLINE | ID: mdl-27831729

ABSTRACT

PURPOSE/OBJECTIVE: Traumatic brain injury (TBI) in adolescence has well documented effects on social competence. Few studies have examined the effects of behavioral interventions on social competence or identified factors associated with changes in social competence after injury. Research Method/Design: Adolescents with moderate to severe TBI ages 12-17 years were randomized within 6 months of injury to either a problem solving and communication (CAPS) group that received online counseling (n = 65) or an Internet resources comparison (IRC) group (n = 67) for a comparative effectiveness trial. Parent-report measures of social competence (Child Behavior Checklist, CBCL; Home and Community Social Behavior Scales, HCSBS; Behavioral and Emotional Rating Scale, BERS-2) were administered at baseline (preintervention) and approximately 6 months later. Analyses examined these measures in relation to treatment group, TBI severity, and age. Regression analyses were also conducted to examine baseline measures of cognition as predictors of social competence after TBI. RESULTS: CAPS had a more positive effect than the comparison condition on the HCSBS and BERS-2 for younger teens with moderate TBI and older teens with severe TBI. More parent-rated executive dysfunction at baseline was related to both lower concurrent levels of social competence and less positive gains in competence over time, whereas higher baseline IQ predicted greater gains in competence. CONCLUSIONS/IMPLICATIONS: CAPS may be effective for improving social competence for teens after TBI, with benefits dependent on the teen's age and injury severity. Parent-rated executive dysfunction, moreover, has utility in predicting both lower concurrent levels of social competence and subsequent postinjury gains in competence. (PsycINFO Database Record


Subject(s)
Brain Injuries, Traumatic/psychology , Brain Injuries, Traumatic/rehabilitation , Problem Solving , Social Skills , Adolescent , Checklist , Communication , Comparative Effectiveness Research , Executive Function , Female , Follow-Up Studies , Humans , Male , Personality Assessment , Therapy, Computer-Assisted , Wechsler Scales
20.
Ecol Evol ; 6(6): 1666-78, 2016 Mar.
Article in English | MEDLINE | ID: mdl-26909143

ABSTRACT

Individual specialization (IS), where individuals within populations irrespective of age, sex, and body size are either specialized or generalized in terms of resource use, has implications on ecological niches and food web structure. Niche size and degree of IS of near-top trophic-level marine predators have been little studied in polar regions or with latitude. We quantified the large-scale latitudinal variation of population- and individual-level niche size and IS in ringed seals (Pusa hispida) and beluga whales (Delphinapterus leucas) using stable carbon and nitrogen isotope analysis on 379 paired ringed seal liver and muscle samples and 124 paired beluga skin and muscle samples from eight locations ranging from the low to high Arctic. We characterized both within- and between-individual variation in predator niche size at each location as well as accounting for spatial differences in the isotopic ranges of potential prey. Total isotopic niche width (TINW) for populations of ringed seals and beluga decreased with increasing latitude. Higher TINW values were associated with greater ecological opportunity (i.e., prey diversity) in the prey fish community which mainly consists of Capelin (Mallotus villosus) and Sand lance (Ammodytes sp.) at lower latitudes and Arctic cod (Boreogadus saida) at high latitudes. In beluga, their dietary consistency between tissues also known as the within-individual component (WIC) increased in a near 1:1 ratio with TINW (slope = 0.84), suggesting dietary generalization, whereas the slope (0.18) of WIC relative to TINW in ringed seals indicated a high degree of individual specialization in ringed seal populations with higher TINWs. Our findings highlight the differences in TINW and level of IS for ringed seals and beluga relative to latitude as a likely response to large-scale spatial variation in ecological opportunity, suggesting species-specific variation in dietary plasticity to spatial differences in prey resources and environmental conditions in a rapidly changing ecosystem.

SELECTION OF CITATIONS
SEARCH DETAIL
...