Predicting the modifying effect of soils on arsenic phytotoxicity and phytoaccumulation using soil properties or soil extraction methods.

Soils have the ability to modify contaminant bioavailability and toxicity. Prediction the modifying effect of soil on arsenic phytoaccumulation and phytoavailability using either soil property data or soil chemical extraction data in risk assessment of contaminated soil is highly desirable. In this study, plant bioassays important to ecological receptors, were conducted with 20 soils with a wide range in chemical and physical soil properties to determine the relationships between As measured by soil chemical extraction (soil pore water, Bray-1, sodium phosphate solution, hydroxylamine hydrochloride, and acid ammonium oxalate) or soil physico/chemical properties on arsenic phytotoxicity and phytoaccumulation. Soil pore water As and Bray-1 extracted As were significantly (P < 0.01) correlated with lettuce tissue As and those extractants and sodium phosphate were correlated with ryegrass tissue As. Hydroxylamine and acid ammonium oxalate extractions did not correlate with plant bioassay endpoints. Simple regression results showed that lettuce tissue relative dry matter growth (RDMG) was inversely related to tissue As concentration (r2 = 0.85, P < 0.01), with no significant relationship for ryegrass. Soil clay exhibited strong adsorption for As and significantly reduce tissue As for lettuce and ryegrass. In addition to clay content, reactive aluminum oxide (AlOx), reactive Fe oxide (FeOx) and eCEC was inversely related to ryegrass tissue As. Multiple regression equation was strongly predictive (r2 = 0.83) for ryegrass tissue As (log transformed) using soil AlOx, organic matter, pH, and eCEC as variables. Soil properties can greatly reduce contaminant phytoavailability, plant exposure and risk, which should be considered when assessing contaminant exposure and site-specific risk in As-contaminated soils.

Cropping Practices and Soil Properties Associated with Plant-Parasitic Nematodes in Corn Fields in Ohio.

Ten morphological groups of plant-parasitic nematodes (spiral, lesion, lance, dagger, stunt, pin, ring, stubby-root, cyst, and miscellaneous tylenchids) were detected in corn fields in Ohio, but the presence and population density of these groups varied among fields. Binary and ordinal logistic regression models were fitted to the data to estimate the odds of each group being present, and the lesion, lance, spiral, and pin nematode population densities being at moderate-high risk levels based on soil region, cropping sequence, tillage, and soil pH, silt content, and electrical conductivity. All covariates were associated with at least one nematode group, but soil region had the greatest and most consistent effect. Dagger and ring nematodes were more likely to be present in region 6 than in any of the other regions, whereas lance, stunt, pin, stubby-root, and spiral nematodes were more likely to be present in regions 1 to 5 than 6. Spiral, lance, and pin nematode population densities were more likely to be at moderate-high risk levels in regions 3 and 4 than in region 6. Fields under conservation tillage were two times more likely to have moderate-high risk lance nematode population densities than fields under conventional tillage. Similarly, pin nematode population densities were two times more likely to be at moderate-high risk levels in fields under rotation than in continuous corn. For every unit increase in soil pH, the odds of the spiral nematode population density being at moderate-high risk levels increased by 43%, but the odds of the lesion and pin nematode population densities being at the same risk level decreased by 63 and 29%, respectively. The predicted probability of lesion and lance population densities being at moderate-high risk levels decreased as the silt content of the soil increased. These finding will be useful for developing future nematode sampling protocols and for assessing the risk associated with nematodes in corn fields in Ohio.

Serial alternative response training as intervention for target response resurgence.

Failure to reinforce appropriate behavior could result in resurgence of previously extinguished problem behavior and degradation of previously effective treatments such as differential reinforcement of alternative behavior (DRA). We analyzed arbitrary responses (i.e., switch flipping) exhibited by 3 adults with developmental disabilities to compare the effect of a traditional DRA intervention against the effect of a serial DRA intervention on the magnitude of target response resurgence using a 2-component multiple schedule. The target response served as an analogue to problem behavior, and alternative responses served as analogues to socially appropriate alternative responses. In all cases, the percentage of total responding allocated toward target response resurgence was less in the serial DRA component than in the traditional DRA component. Furthermore, we observed both reversion and recency for 2 of 3 subjects. Our data provide preliminary evidence suggesting that serial DRA may produce more durable and desirable outcomes than traditional DRA.

Teacher-conducted trial-based functional analyses as the basis for intervention.

Previous studies have focused on whether a trial-based functional analysis (FA) yields the same outcomes as more traditional FAs, and whether interventions based on trial-based FAs can reduce socially maintained problem behavior. We included a full range of behavior functions and taught 3 teachers to conduct a trial-based FA with 3 boys with developmental and intellectual disabilities who engaged in problem behavior. Based on the results of the trial-based FAs, we developed and conducted 5 function-based interventions, using differential reinforcement of an alternative behavior and extinction in all but 1 case. In the remaining case, we used noncontingent reinforcement. All interventions led to reductions in problem behavior and increases in alternative behavior.

Evaluation of some components of choice making.

Providing access to choice-making opportunities is a useful addition to behavioral interventions, although the critical features of choice making may differ greatly across individuals. In this study, results of an initial 3-choice concurrent-operants preference assessment with 4 subjects with autism spectrum disorder suggested that 2 subjects preferred the choice-making condition and participated in subsequent assessments to examine the potential influences of reinforcer variability and differential access to high-preference reinforcers on their preferences for choice making. Two other subjects did not prefer the choice-making condition and participated in subsequent assessments to explore conditions under which they might prefer choice-making opportunities. Results suggested that a wide range of variables influenced preference for choice-making conditions.

Training teachers to conduct trial-based functional analyses.

The trial-based functional analysis (FA) is a promising approach to identification of behavioral function and is especially suited for use in educational settings. Not all studies on trial-based FA have included teachers as therapists, and those studies that have, included minimal information on teacher training. The purpose of this study was to determine whether teachers trained via an in-service training would be able to conduct trial-based FAs with high procedural integrity. We trained four teachers to conduct trial-based FAs using a combination of didactic teaching and practice with feedback. All four teachers improved performance following training. Performance remained above baseline levels during an in situ maintenance condition, but for three of four teachers, additional feedback was required to recapture performance observed immediately following training.

Bioaccessible and non-bioaccessible fractions of soil arsenic.

In order for in vitro methods to become widely accepted as tools that accurately assess soil arsenic (As) exposure through the oral ingestion pathway, a better understanding is needed regarding which fractions of soil As are being measured in the in vitro extraction. The objective of the current study is to (1) identify in vitro bioaccessible (IVBA) and non-IVBA fractions of soil As using sequential extraction; and (2) determine the sorptive phases of soil in non-IVBA As soil fractions. Nineteen soils with a range of soil properties were spiked with 250 mg/kg of sodium arsenate and aged. In vitro bioaccessible As (IVBA As) was then determined using The Ohio State University in vitro gastrointestinal method (OSU-IVG), and soil As was fractionated using sequential extraction into: (F1) non-specifically sorbed; (F2) specifically sorbed; (F3) amorphous and poorly crystalline oxides of Fe and Al; (F4) well-crystallized oxides of Fe and Al and residual As phases. The IVBA As across the 19 soil ranged from 0.36 to 2.75 mmol/kg (12 to 86%) with a mean of 1.26 mmol/kg (42%) in the gastric phase and from 0.39 to 2.80 mmol/kg (13 to 87%) in the intestinal phase with a mean of 1.32 mmol/kg (43%). The results of the sequential extraction showed that IVBA As extracted by the OSU-IVG is the As present in the first two fraction (F1 and F2) of the sequential extraction. In the non-IVBA fractions, highly significant relationships (P < 0.01) exist between F3 As and log transformed F3 Fe (r (2) = 0.74), but not F3 Al. In addition, the gastric extraction dissolves a significant fraction of soil Al, but not soil Fe, therefore As sorbed to Al oxides likely contributed to IVBA As and is accounted for in the F2 fraction of the sequential extraction. In vitro methods that demonstrate the ability to extract the similar soil fractions that occur in vivo across a wide range of soil types and As-contaminant sources is an important criteria for in vitro method validation. Further research that includes soils with multiple As-contaminant sources (mining, pesticide, etc.), soil As fractionation, and in vivo bioavailability is needed in order to determine if F1+F2 are the bioavailable As fractions in soils that vary in total As content and sorbed As species.

Preliminary investigation of a video-based stimulus preference assessment.

Video clips may be an effective format for presenting complex stimuli in preference assessments. In this preliminary study, we evaluated the correspondence between preference hierarchies generated from preference assessments that included either toys or videos of the toys. The top-ranked item corresponded in both assessments for 5 of the 6 participants, and the top- and bottom-ranked items corresponded for 4 participants. The implications of these results for future research on video preference assessments are discussed.

Arsenic metabolism by human gut microbiota upon in vitro digestion of contaminated soils.

BACKGROUND: Speciation analysis is essential when evaluating risks from arsenic (As) exposure. In an oral exposure scenario, the importance of presystemic metabolism by gut microorganisms has been evidenced with in vivo animal models and in vitro experiments with animal microbiota. However, it is unclear whether human microbiota display similar As metabolism, especially when present in a contaminated matrix. OBJECTIVES: We evaluated the metabolic potency of in vitro cultured human colon microbiota toward inorganic As (iAs) and As-contaminated soils. METHODS: A colon microbial community was cultured in a dynamic model of the human gut. These colon microbiota were incubated with iAs and with As-contaminated urban soils. We determined As speciation analysis using high-performance liquid chromatography coupled with inductively coupled plasma mass spectrometry. RESULTS: We found a high degree of methylation for colon digests both of iAs (10 microg methylarsenical/g biomass/hr) and of As-contaminated soils (up to 28 microg/g biomass/hr). Besides the formation of monomethylarsonic acid (MMA(V)), we detected the highly toxic monomethylarsonous acid (MMA(III)). Moreover, this is the first description of microbial thiolation leading to monomethylmonothioarsonic acid (MMMTA(V)). MMMTA(V), the toxicokinetic properties of which are not well known, was in many cases a major metabolite. CONCLUSIONS: Presystemic As metabolism is a significant process in the human body. Toxicokinetic studies aiming to completely elucidate the As metabolic pathway would therefore benefit from incorporating the metabolic potency of human gut microbiota. This will result in more accurate risk characterization associated with As exposures.

Impact of grassed waterways and compost filter socks on the quality of surface runoff from corn fields.

Surface runoff from cropland frequently has high concentrations of nutrients and herbicides, particularly in the first few events after application. Grassed waterways can control erosion while transmitting this runoff offsite, but are generally ineffective in removing dissolved agrochemicals. In this study, we routed runoff from one tilled (0.67 ha) and one no-till watershed (0.79 ha) planted to corn (Zea mays L.) into parallel, 30-m-long grassed waterways. Two 46-cm-diam. filter socks filled with composted bark and wood chips were placed 7.5 m apart in the upper half of one waterway and in the lower half of the other waterway to determine if they decreased concentrations of sediment and dissolved chemicals. Automated samplers were used to obtain samples above and below the treated segments of the waterways for two crop years. The filter socks had no significant effect (P

Communication failure: basic components, contributing factors, and the call for structure.

BACKGROUND: Communication is a taken-for-granted human activity that is recognized as important once it has failed. Communication failures are a major contributor to adverse events in health care. BASIC COMMUNICATION COMPONENTS AND PROCESSES: The components and processes of communication converge in an intricate manner, creating opportunities for misunderstanding along the way. When a patient's safety is at risk, providers should speak up (that is, initiate a message) to draw attention to the situation before harm is caused. They should also clearly explain (encode) and understand (decode) each other's diagnosis and recommendations to ensure well coordinated delivery of care. INDIVIDUAL, GROUP, AND ORGANIZATIONAL FACTORS: Beyond basic dyadic communication exchanges, an intricate web of individual, group, and organizational factors--more specifically, cognitive workload, implicit assumptions, authority gradients, diffusion of responsibility, and transitions of care--complicate communication. THE CALL FOR STRUCTURE: More structured and explicitly designed forms of communication have been recommended to reduce ambiguity, enhance clarity, and send an unequivocal signal, when needed, that a different action is required. Read-backs, Situation-Background-Assessment-Recommendation, critical assertions, briefings, and debriefings are seeing increasing use in health care. CODA: Although structured forms of communication have good potential to enhance clarity, they are not fail-safe. Providers need to be sensitive to unexpected consequences regarding their use.

Organizational silence and hidden threats to patient safety.

Organizational silence refers to a collective-level phenomenon of saying or doing very little in response to significant problems that face an organization. The paper focuses on some of the less obvious factors contributing to organizational silence that can serve as threats to patient safety. Converging areas of research from the cognitive, social, and organizational sciences and the study of sociotechnical systems help to identify some of the underlying factors that serve to shape and sustain organizational silence. These factors have been organized under three levels of analysis: (1) individual factors, including the availability heuristic, self-serving bias, and the status quo trap; (2) social factors, including conformity, diffusion of responsibility, and microclimates of distrust; and (3) organizational factors, including unchallenged beliefs, the good provider fallacy, and neglect of the interdependencies. Finally, a new role for health care leaders and managers is envisioned. It is one that places high value on understanding system complexity and does not take comfort in organizational silence.

National data for monitoring and evaluating racial and ethnic health inequities: where do we go from here?

The elimination of racial and ethnic health inequities has become a central focus of health education and the national health agenda. The documentation of an increasing gap in life expectancy and other health outcomes suggests the need for more effective strategies to eliminate health inequities, which can be informed by better monitoring and evaluation data. Although the sophistication and volume of health data available have increased dramatically in recent years, this article examines the quality of the current data collected to achieve the goal of eliminating racial and ethnic health inequities. This article explores several key aspects of data to inform addressing inequities including terminology, the role of data, and explanations of the problem. The authors conclude with recommendations for refining data collection to facilitate the elimination of racial and ethnic health inequities and suggest how the Society for Public Health Education can become a more central figure in our national efforts.

Evaluating the contribution of soil properties to modifying lead phytoavailability and phytotoxicity.

Soil properties affect Pb bioavailability to human and ecological receptors and should be considered during ecological risk assessment of contaminated soil. We used path analysis (PA) to determine the relative contribution of soil properties (pH, organic C [OC], amorphous Fe and Al oxides [FEAL], and cation-exchange capacity [CEC]) in modifying Pb bioavailability. The response of biological endpoints (bioaccumulation and dry matter growth [DMG]) of lettuce (Lactuca sativa) grown on 21 Pb-spiked (2,000 mg/kg) soils were determined. Lettuce tissue Pb ranged from 3.22 to 233 mg/kg, and relative DMG ranged from 2.5 to 88.5% of their respective controls. Simple correlation showed strong relationships between CEC and OC (p < 0.01) and weaker relationships between pH and FEAL (p < 0.05) and Pb bioaccumulation. Results of PA suggest that soil pH increased the negative surface charge of organic matter and clay, thereby increasing CEC and decreasing Pb bioaccumulation. Also, the direct effect of OC on tissue Pb can be attributed to formation of surface Pb complexes by organic matter functional group ligands. Increased OC and/or CEC reduced Pb solubility and bioavailability in the 21 soils in the present study. The relative importance of soil properties likely will vary between studies employing different soils. Soil properties should be considered during the ecological risk assessment of metal in contaminated soils. Path analysis is useful for ecological studies involving soils with a wide range of physicochemical properties and can assist in site risk assessment of metals and remediation decisions on contaminated sites.

Racial and ethnic differences in patient assessments of interactions with providers: disparities or measurement biases?

Patient assessment surveys have established a primary role in health care quality measurement as evidence has shown that information from patients can affect quality improvement for practitioners and lead to positive marketwide changes. This article presents findings from the recently released National Healthcare Disparities Report revealing that although most clinical quality and access indicators show superior health care for non-Hispanic whites compared with blacks and Hispanics, blacks and Hispanics assess their interactions with providers more positively than non-Hispanic whites do. The article explores possible explanations for these racial/ethnic differences, including potential pitfalls in survey design that draw biased responses by race/ethnicity. The article then suggests strategies for refining future research on racial/ethnic disparities based on patient assessment of health care.

Effect of soil properties on lead bioavailability and toxicity to earthworms.

Soil properties are important factors modifying metal bioavailability to ecological receptors. Twenty-one soils with a wide range of soil properties (USA; http://soils.usda.gov/technical/classification/taxonomy/) were amended with a single concentration of Pb (2,000 mg/kg) to determine the effects of soil properties on Pb bioavailability and toxicity to earthworms. Earthworm mortality ranged from 0 to 100% acute mortality following exposure to the same total concentration of Pb (2,000 mg/kg) in amended field soils. Internal Pb concentrations in earthworms ranged from 28.7 to 782 mg/kg, with a mean of 271 mg/kg. Path analysis was used to partition correlations in an attempt to discern the relative contribution of each soil property. Results of path analysis indicated that pH was the most important soil property affecting earthworm mortality (p < 0.01) and internal Pb (p < 0.05). Soil pH was related inversely to mortality and internal Pb, soil solution Pb, and Pb bioavailability. The most important soil property modifying reproduction was amorphous iron and aluminum oxides (FEAL). Because FEAL is rich in pH-dependent cation-exchange sites, several soil properties, including pH, FEAL, and cation-exchange capacity, have a causal effect on Pb adsorption and soluble Pb. Path analysis is useful for assessing contaminated soils with a wide range of soil properties and can assist in ecological risk assessment and remediation decisions for contaminated sites. Soil properties are important factors modifying metal bioavailability and toxicity and should be considered during the ecological risk assessment of metals in contaminated soils.

Compiling the evidence: the National Healthcare Disparities Reports.

Disparities in health care have been described extensively in the literature. The next step in resolving this national problem is to develop the necessary infrastructure for monitoring and tracking disparities. The congressionally mandated National Healthcare Disparities Report begins to build this infrastructure. The 2003 report addressed many of the methodological challenges inherent in measuring disparities. The recently released 2004 report continues the process by summarizing the status of U.S. health care disparities and beginning to track changes over time. Both reports emphasize the need to integrate activities to reduce disparities and to improve the quality of health care.