Effects of intense storm events on dolphin occurrence and foraging behavior.

As storms become increasingly intense and frequent due to climate change, we must better understand how they alter environmental conditions and impact species. However, storms are ephemeral and provide logistical challenges that prevent visual surveys commonly used to understand marine mammal ecology. Thus, relatively little is known about top predators' responses to such environmental disturbances. In this study, we utilized passive acoustic monitoring to characterize the response of bottlenose dolphins to intense storms offshore Maryland, USA between 2015 and 2017. During and following four autumnal storms, dolphins were detected less frequently and for shorter periods of time. However, dolphins spent a significantly higher percentage of their encounters feeding after the storm than they did before or during. This change in foraging may have resulted from altered distributions and behavior of their prey species, which are prone to responding to environmental changes, such as varied sea surface temperatures caused by storms. It is increasingly vital to determine how these intense storms alter oceanography, prey movements, and the behavior of top predators.

Empirical evidence that large marine predator foraging behavior is consistent with area-restricted search theory.

When prey is patchily distributed, predators are expected to spend more time searching for food in proximity of recent prey captures before searching in other areas. This behavior, known as area-restricted search, results in predators remaining localized in areas where prey had been detected previously because of the higher probability of encountering additional prey. However, few studies have tested these predictions on marine species because of the difficulties of observing feeding behavior. In this study, we utilized passive acoustic detections of echolocating dolphins to identify foraging behavior. C-PODs (click train detectors) were deployed for two years with an acoustic recorder attached to the same mooring during the second year. The time series of feeding buzzes, indicative of foraging behavior, revealed that both bottlenose (Tursiops truncatus) and common dolphins (Delphinus delphis) were more likely to stay in the area longer when foraging activity was high at the beginning of the encounter. The probability of foraging was also higher following previous foraging activity. This suggests that dolphins were feeding on spatially patchy prey and previous foraging experience influenced their movement behavior. This is consistent with the predictions of area-restricted search behavior, a nonrandom foraging strategy.

Duration and method of tissue storage alters placental morphology - implications for clinical and research practice.

We assessed whether placental morphology is affected by placental storage before fixation. Fresh tissue from uncomplicated pregnancies (n = 10) was fixed immediately and further samples were stored dry, in PBS or culture medium for 24, 48 or 72 h at 4 °C. Placental morphology quantified using image analysis software found no difference in syncytial nuclear aggregates, cytokeratin 7, CD45 or Ki67 immunostaining irrespective of duration or mode of storage. The number of blood vessels per villus (CD31) was reduced in all conditions after 72 h (p < 0.05). Distal villous hypoplasia increased after 72 h (p < 0.05). Ideally, storage time should be minimised to ≤48 h prior to morphological or qualitative analysis.

Placental expression of anti-angiogenic proteins in mirror syndrome: a case report.

Mirror syndrome is a rare disorder in which fetal hydrops is associated with maternal oedema, proteinuria and hypertension. The aetiology of the maternal condition is unknown, but it is thought to be related to preeclampsia. Few descriptions exist of placental morphology in mirror syndrome, but placentomegaly is consistently observed. In this case placental morphology showed villous oedema and syncytial nuclear aggregates where villi were in direct contact. Immunoperoxidase staining for VEGFR1 and Endoglin was more intense in mirror syndrome compared to gestational-age matched controls,and at a similar level to a case of preeclampsia. Placentally-derived anti-angiogenic factors may be involved in the pathogenesis of mirror syndrome.

Risk management measures for chemicals: the "COSHH essentials" approach.

"COSHH essentials" was developed in Great Britain to help duty holders comply with the Control of Substances Hazardous to Health (COSHH) Regulations. It uses a similar approach to that described in the new European "REACH" Regulation (Registration, Evaluation, Authorisation and Restriction of Chemicals; EC No. 1907/2006 of the European Parliament), insofar as it identifies measures for managing the risk for specified exposure scenarios. It can therefore assist REACH duty holders with the identification and communication of appropriate risk-management measures. The technical basis for COSHH essentials is explained in the original papers published in the Annals of Occupational Hygiene. Its details will, therefore, not be described here; rather, its ability to provide a suitable means for communicating risk-management measures will be explored. COSHH essentials is a simple tool based on an empirical approach to risk assessment and risk management. The output is a "Control Guidance Sheet" that lists the "dos" and "don'ts" for control in a specific task scenario. The guidance in COSHH essentials recognises that exposure in the workplace will depend not just on mechanical controls, but also on a number of other factors, including administrative and behavioural controls, such as systems of work, supervision and training. In 2002, COSHH essentials was made freely available via the internet (http://www.coshh-essentials.org.uk/). This electronic delivery enabled links to be made between product series that share tasks, such as drum filling, and with ancillary guidance, such as setting up health surveillance for work with a respiratory sensitiser. COSHH essentials has proved to be a popular tool for communicating good control practice. It has attracted over 1 million visits to its site since its launch. It offers a common benchmark of good practice for chemical users, manufacturers, suppliers and importers, as well as regulators and health professionals.

Biomonitoring for chromium and arsenic in timber treatment plant workers exposed to CCA wood Preservatives.

This study reports a survey of occupational exposure to copper chrome arsenic (CCA) based wood preservatives during vacuum pressure timber impregnation. The survey involved biological monitoring based on analysis of chromium and arsenic in urine samples collected from UK workers. The aim of the study was to determine the extent of occupational exposure to arsenic and chromium in the UK timber treatment industry. The objectives were to collect and analyse urine samples from as many workers as possible, where CCA wood preservatives might be used, at 6 monthly intervals for 2 years. In addition, to investigate day-to-day variations in urinary excretion of chrome and arsenic by collecting and analysing three samples a week for 3 weeks in subsets of workers and controls (people not occupationally exposed). All urine samples were analysed for chromium and inorganic arsenic. To investigate any residual interference every sample was accompanied by a short questionnaire about recent consumption of seafood and smoking. The analytical methods for arsenic used a hydride generation technique to reduce interference from dietary sources of arsenic and also a technique that would measure total arsenic concentration in urine. The main findings show that workers exposed to CCA wood preservatives have concentrations of inorganic arsenic and chromium in urine that are significantly higher than those from non-occupationally exposed people but below biological monitoring guidance values that would indicate inhalation exposure at UK occupational exposure limits for chromium and arsenic. The effects of consumption of seafood on urinary arsenic were not significant using the hydride generation method for inorganic arsenic but were significant if 'total' arsenic was measured. The 'total' arsenic method could not distinguish CCA workers from controls and is clearly unsuitable for assessment of occupational exposure to arsenic. There was a significant increase in the urinary concentration of chromium in workers over the four sample collection rounds indicating increasing exposure to chromium during the 2 years of the study. This unexpected finding may be worth further investigation. Overall, the study demonstrated the utility of biological monitoring for assessment of occupational exposure to chromium and arsenic.

Enzyme exposure in the British baking industry.

OBJECTIVES: Enzymes are commonly used in the baking industry, as they can improve dough quality and texture and lengthen the shelf life of the final product. There is little published information highlighting exposure to enzymes (other than fungal alpha-amylase) in the baking industry, therefore the purpose of this study was to identify antibodies and develop assays for the measurement of a variety of such enzymes in samples of airborne flour dust. METHODS: Polyclonal antibodies to bacterial amylase, glucose oxidase and amyloglucosidase were identified and developed into ELISA assays. The assays showed limited cross-reactivity with other enzymes commonly used in the baking industry. RESULTS: We measured levels of airborne enzymes in 195 personal air samples taken from a sample of 55 craft baking establishments. We were able to detect amyloglucosidase in 9% (16/184) of the samples, fungal alpha-amylase in 6% (11/171), bacterial alpha-amylase in 7% (13/195). However, we were unable to detect glucose oxidase in any of the samples. Measurements for protease enzymes were not carried out. Median levels in detectable samples of amyloglucosidase, fungal alpha-amylase and bacterial amylase were similar at 10.3, 5.3 and 5.9 ng/m(3), respectively. These figures represent the total enzyme protein (active and inactive) measured. CONCLUSIONS: There are few data in the literature regarding sensitization and exposure-response relationships to these enzymes, and indeed there is often a lack of information within the industry as to the precise enzyme content of particular baking ingredients. As a precautionary measure, all enzymes are regarded as having the potential to cause respiratory sensitization. Consequently, exposures need to be controlled to as low a level as reasonably practicable, and future investigation may highlight the importance of measuring a variety of enzyme exposures and standardizing these methodologies to inform approaches to adequate control.

Exposure to flour dust in UK bakeries: current use of control measures.

OBJECTIVES: In May 2001, a maximum exposure limit (MEL) for flour dust was set in the UK at 10 mg/m(3) [8 h time-weighted average (TWA)] with a short-term exposure limit (STEL) of 30 mg/m(3) (15 min reference period). The purpose of this study was to produce a benchmarking baseline of current control measures and exposure levels, in addition to assessing the provision of training and the knowledge of the UK regulations amongst the bakeries. METHODS: A total of 208 long-term personal inhalable dust samples (8 h TWA) were collected from workers in 55 bakeries (covering a wide range of industry types and sizes) between October 2002 and December 2003 in England, Wales and Scotland. Standardized occupational hygiene reports were produced for each establishment to provide information about the site (such as the size of the bakery) and the control measures employed (including ventilation, good working practices, knowledge of UK regulations and the extent of training provided). RESULTS: Median inhalable dust exposure (8 h TWA) for the bakery workers was 3.7 mg/m(3) (75th percentile at 7.7 mg/m(3)) and 17% of the dust results exceeded the MEL. Although information about the MEL has been available in the trade press and through recognised trade associations, only 27% of the bakeries were aware of the MEL and STEL. Mixed model regression analysis suggested that determinants of higher exposure included the job category (particularly weighing/sieving or mixing), medium to large bakery size (50 or more employees) and bakeries being located in Scotland. However, having an appointed safety representative was associated with lower exposure. CONCLUSIONS: The conclusions derived here are based upon the use of a statistical model, but clearly, if bakeries and individuals employ good working practices, with correct use of local exhaust ventilation, they should be able to comply with the MEL.

Operator exposure when applying amenity herbicides by all-terrain vehicles and controlled droplet applicators.

A total of 33 surveys of amenity herbicides took place during 1998-1999. These surveys concentrated on two application methods: all-terrain vehicles (ATVs) and controlled droplet applicators (CDAs). The purpose of these surveys was to measure surface deposition and potential inhalation exposure of the operators to the spray fluid used. This paper recommends that the following indicative values should inform risk assessments for these types of application. ATV: The potential dermal exposure (PDE) to spray fluid (21 sample sets) ranged between 0.7 and 6.8 ml/h of spray fluid, median 2.0 ml/h based on patch samplers. Exposure to the hands, as collected on cotton gloves, ranged between 0.6 and 13.6 ml/h, median 3.0 ml/h. Potential exposure to spray fluid by inhalation was found in 85% of the samples, range 7-37 mg/m(3), median of non-zero values at 16 mg/m(3). CDA: The PDE to spray fluid (12 sample sets) ranged between 0.003 and 0.826 ml/h of fluid, median 0.133 ml/h, based on patch samplers. Exposure to the hands, as collected on cotton gloves inside protective gloves, ranged up to 0.06 ml/h, median 0.004 ml/h, and on socks ranged up to 0.05 ml/h, median 0.001 ml/h. Potential exposure by inhalation was low: detected in just 33% of the samples, range 0.02-0.61 mg/m(3), median 0.12 mg/m(3).

Developing COSHH Essentials: dermal exposure, personal protective equipment and first aid.

The 'control banding' approach in COSHH Essentials combines the potential for harm with the potential for exposure by inhalation to band measures to control exposure at source, as generic strategies. These are simply adapted to specific tasks and circumstances to produce specific control advice. Where it is not possible or practical to use this control advice, the control bands can suggest adequate respiratory protective equipment using 'protection factors'. Proposals in the paper enable the user to identify the right level of respiratory protective equipment (RPE), and to begin selecting suitable RPE. Selection is made through a formatted questionnaire, enabling the user to give the right facts to the supplier. COSHH Essentials applies mainly to exposure by inhalation. However, skin exposure is very common and uptake via the skin can be an important contributor to body dose. This paper examines the factors concerning skin exposure, and the options for banding the potential for harm to the skin or via the skin. Proposals have then been made for dermal exposure control. Planning for emergencies is an important facet of risk control. Proposals are outlined to band chemical hazards for emergency planning according to a minimum of information, i.e. the danger symbol on a product label.

Determining access to assisted reproductive technology: reactions of clinic directors to ethically complex case scenarios.

BACKGROUND: Our aim was to increase understanding of how patient selection is handled by assisted reproductive technology (ART) clinicians. METHODS: Ethically complex case scenarios were evaluated by the directors of USA ART clinics. Scenarios included using a son as sperm donor for his father, sex selection without associated disease, treatment of morally irresponsible couples, and a dispute over embryo disposition. Respondents reviewed eight scenarios and gave their opinions on whether to offer treatment. Reasons given for these decisions were placed into one of 13 categories. RESULTS: Survey response rate was 57%. Between 3 and 50% of respondents would treat in each case. Of reasons given, 'conditional' responses (requiring counselling, blood tests or agreement to other 'conditions') were common (31.4%). Non-maleficence (risk) accounted for 29.4% of responses, philosophy of medicine 18.9%, respect for patient autonomy 5.9% and legal concerns 4.6%. Discrimination and threats were each significant in one case. Reasons evoking absolutist beliefs, personal discomfort, commitment to justice, religion and ethical relativism were rare. CONCLUSIONS: Clinicians felt conflict between a desire to respect patient autonomy and their discomfort over the risk associated with the procedure. They raised concerns about misuse of medical technology. Attempts to resolve complex issues through negotiation and compromise were common.

Access to services at assisted reproductive technology clinics: a survey of policies and practices.

OBJECTIVE: Our goal was to investigate policy on patient access to services at assisted reproductive technology clinics in the United States. STUDY DESIGN: Surveys asked about a variety of ethically and socially challenging cases and were mailed to directors of all Society for Assisted Reproductive Technology-associated assisted reproductive technology clinics. RESULTS: Written policies on access to services are present at 40% of assisted reproductive technology clinics. Universal agreement was not found on any issue; 79% of clinics treat single women, 27% treat patients with a history of schizophrenia, 10% treat patients who use alcohol excessively, 7% treat human immunodeficiency virus-positive women, and 2% would treat patients previously convicted of child abuse. A breakdown of the responses indicated that some clinics are more permissive in terms of access to services than others, whereas some are more restrictive. CONCLUSIONS: The data demonstrate considerable variability in policy among clinics on most access-to-services questions. The results highlight the importance of ongoing discussion of the ethical and legal issues related to access and the need to develop consistent methods to deal with complex cases.

Assessment of dermal exposure--empirical models and indicative distributions.

The Health and Safety Executive embarked upon a program of work to address the issue of exposure to nonagricultural pesticides in the United Kingdom. Early on it became clear that the primary route of exposure was via the skin. Empirical dermal exposure models have been developed which allow estimates of potential dermal exposure to be derived from distributions of rate of contamination with in-use formulations during typical use conditions in the workplace. Estimates of actual dermal exposure (what gets onto the skin) may also be anticipated and used in quantitative risk assessment to inform product registration. The key interpreted data from the empirical models are presented. Data are presented for six models. Separate summary data are presented for exposure to the body, hands, and feet. In the case of hand exposure, data are presented, in some cases, for contamination arising from wearing used (previously worn, of unknown history) and clean protective gloves. This article proposes a mechanism for addressing exposure assessment where little or no direct dermal exposure data are available--the indicative distribution approach. The empirical distributions of rate of contamination have been studied to seek commonalities which may allow the construction of a universal tool for use in screening level risk assessment. A simple 12-box matrix is proposed.

Potential exposure of hands inside protective gloves-a summary of data from non-agricultural pesticide surveys.

The results of individual surveys are compared and general observations are made about the protective nature of protective gloves. A total of 190 measurements of contamination by involatile components of pesticide products were made inside the gloves. Protective gloves were nearly always found to be contaminated inside, except for public hygiene insecticide uses. Disposable gloves were sometimes used when applying public hygiene insecticides, while gloves worn for other applications were normally re-used. The data suggest that when expressing inner glove exposure as 'amount of product per unit time', the data distributions of the non-zero results appeared similar for all activities except for the application of antifoulings. A median value for all non-zero data was indicated at 1.36mg product per minute; a 75th percentile at 4.21mg min(-1) and a 95th percentile at 71.9mg min(-1), assuming product densities of 1.0g ml(-1). In default of better information, these indicators can be used in health-based risk assessment. A further 47 data related to exposure inside new gloves, and 21 data to deposition on outer gloves. These indicate that in general, gloves provide a reasonable degree of protection to non-agricultural pesticides. Due regard should be paid to 'human factors' when considering contamination inside gloves. When people take off dirty gloves, it is difficult to avoid touching the glove exterior. With gloves off, the subject can touch contaminated surfaces. Donning dirty gloves furnishes an inevitable contact with contamination on the outside of the gloves, and can introduce that contamination inside. A common mode of contamination could contribute to the similar distributions for hand contamination inside gloves, from very different uses.

Potential exposure of amateurs (consumers) through painting wood preservative and antifoulant preparations.

Data are presented for work patterns, inhalation and potential dermal exposure for amateurs painting wood preservatives to garden structures, and antifoulants to leisure boats. The results are quoted as rates of in-use product deposition or time-weighted inhaled product concentrations. Quoting data in this general and normalized form enables predictive risk assessment. The product densities were assumed to be 1.0 gml(-1). Inhalation exposure was detected in about 40% of the surveys, being about 100 times higher for wood preservatives than for antifoulants. The maximum airborne wood preservative concentration was 8.03 mg m(-3), measured over the period of painting (that is not an 8h time-weighted average value). Regarding potential dermal exposure, the processes are only broadly comparable. Most of the data appear to fall into relatively narrow distributions, with median values around 5 mg min(-1) (for preservatives) and around 16 mg min(-1) (for antifoulants). About half of the deposit on clothing was found to occur below the waist. The data comparing gloved and bare hand working indicate that even simple gloves offer a degree of protection for skin.

Exposure to preservatives used in the industrial pre-treatment of timber.

OBJECTIVE: The research was to survey potential dermal exposure and inhalation exposure of operators to preservative fluids used in industrial timber pre-treatment. RESULTS: Surveys in 1996-98 produced 64 data points. These were taken from 54 sites, and involved 57 timber pre-treatment process operators. Of the data, 38 related to copper chromium arsenic preservative used in vacuum-pressure processes, 19 to solvent-based preservative in double vacuum processes and 7 to water-based preservative in double vacuum processes. Treatment cycle times, preservative concentrations, treatment load sizes and quantities of preservative used per cubic metre of timber are reported. Preservative deposition patterns were similar for all treatments, with about 90% on the legs, and most of the remainder on the arms and chest. The results are quoted as mg preservative preparation (as opposed to active substance), expressed as mg per treatment cycle and mg per minute. Water-based products in vacuum-pressure processes (38 data) showed potential dermal exposure in the range 547-132,000 mg per cycle with a median value 3960 mg per cycle (median cycle time 3 h). Water-based products in double vacuum processes (7 data) showed a range 59-8750 mg per cycle with a median value 4260 mg per cycle; and solvent-based products in double vacuum processes (19 data) showed a range 7.5-449 mg per cycle with a median value 119 mg per cycle (median cycle time 1 h for double-vacuum processes). Contamination of work clothing occurred in nearly all surveys, with around 10% penetration of the preservative as estimated by a sampling patch mounted inside the operator's coveralls. Contamination was measured inside the operator's gloves in nearly all surveys. Wearing fresh gloves was found to reduce exposure to arsenic by 71% and to permethrin by 37%. Contamination on socks was measured and found to be less frequent for double vacuum than for vacuum-pressure processes. Exposure by inhalation for vacuum-pressure processes expressed as preservative, showed a range of 0.06-7.96 mg/m3, with a median value of 1.07 mg/m3, time-weighted average exposure over one or two treatment cycles. Exposure was detected in 68% of the vacuum-pressure process surveys. There was evidence for aerosol generation on transporting timber treated with water-based preservative. For double vacuum processes, two non-zero results only were found, both for water-based preservatives. Aerosols within treatment vessels were found to have dispersed 2.5 min after opening the door. Pilotstudy biological monitoring data for urinary chromium, arsenic, and permethrin metabolites are quoted with reference to creatinine. There are tentative conclusions relating to up take via the skin.

Cognitive therapy for premenstrual syndrome: a controlled trial.

The aim of this study was to evaluate the effectiveness of cognitive therapy (CT) as a psychological treatment for premenstrual syndrome (PMS), by comparison with a waitlist control group. Women meeting selection criteria for PMS were randomly allocated to one of two treatment groups: (i) an immediate treatment group, who received 12 weekly sessions of individual CT; or (ii) a waiting list group who recorded symptoms of PMS for a length of time equivalent to the duration of an individual treatment in the immediate treatment group. General practitioners and gynecologists referred women who were complaining of distressing and disabling emotional and physical symptoms in the second half of the menstrual cycle, as verified by 2 months of prospective diary recording. Assessments of the women's psychological and social functioning were made on entry to the study, 2 months later, and at the end of the treatment period. This design allows evaluation of the efficacy of CT relative to any spontaneous remission that may have occurred as a consequence of the passage of time, the keeping of menstrual diaries, interview, and self-rated assessments. Results indicated that CT was significantly more effective than assignment to the waitlist group. Diary measures and self-report questionnaires indicated an almost complete remission of psychological and somatic symptoms and of impairment of functioning. It is concluded that CT for PMS is associated with substantial improvements that cannot be attributed to the passage of time or the completion of the diary and other assessments.

Occupational exposure through spraying remedial pesticides.

A total of 20 surveys at 15 sites of remedial in-situ timber and masonry treatment took place in the latter half of 1996. Two of these surveys concerned wall washes (biocides), the remainder were non-agricultural pesticides. The purpose was to measure the surface deposition and inhalation exposure of the operatives to the pesticide spray fluids used. The diluted spray fluids were found to have significantly different concentrations from those intended by the sprayer. The pesticides were applied at pressures between 320 and 1050 kPa. Deposition rates for spray fluid on coveralls covered a wide range, with more than 30 fold difference between the median and the highest results (median 209 mg/minute; range 27.4 to 6550 mg/min). Contamination of coveralls occurred in all surveys, with the pesticide getting beneath the coveralls in 95% of surveys, with a median 5% contamination beneath the overall. The averaged and normalised deposition pattern was 75% legs, 11% arms, 12% torso and 2% head. Exposure of hands to pesticide (expressed as spray fluid) beneath protective gloves occurred in 89% of surveys (median 5.78 mg/minute; range 0.23 to 358 mg/min) and contamination of socks by spray fluid in 78% of surveys (median 2.08 mg/minute; range 0.12 to 260 mg/min). Exposure by inhalation to spray fluid was measurable in 72% of surveys (median 53.5 mg/m3 TWA; range 4.33 to 1320 mg/m3; 2 data excluded). Inhalation exposure and deposition on coveralls rose markedly at spray pressures above 700 kPa (100 psi).

Hysterectomy and psychiatric disorder: are the levels of psychiatric morbidity falling?

This paper compares the findings of three studies carried out at intervals over the years 1975-1990. The three studies were concerned with different issues, but each study examined psychiatric morbidity among women undergoing hysterectomy for menorrhagia of benign origin. In all three studies levels of psychiatric morbidity were measured before the operation and 6 months after the operation. Psychiatric morbidity was measured with the Present State Examination (PSE) (Wing et al. 1974), and with established self-report questionnaires. Levels of psychiatric morbidity fell significantly across the three studies. In Study 1, the proportions of psychiatric cases were 58% before hysterectomy and 26% after; in Study 2, 28% before and 7% after; and in Study 3, 9% before and 4% after. The decline in psychiatric morbidity was not associated with demographic and social characteristics, previous psychiatric history, family psychiatric history, the nature of the women's menstrual complaints, or the women's understanding and expectations of the operation. In Study 3 anti-menorrhagic drugs were prescribed twice as frequently as in the two previous studies; while the prescribing of psychotropic medication was significantly higher in Study 1 than in Study 2 or Study 3. The implications of these findings are discussed.