Feathers as bioindicators of PCB exposure in clapper rails.

In this study we used feathers to biomonitor exposure to the polychlorinated biphenyl (PCB) Aroclor 1268 congener mixture in clapper rails (Rallus longirostris). This species has been used as an indicator species of environmental damage for the LCP superfund site located in Brunswick, GA, USA which is contaminated with Aroclor 1268, a congener mixture that has been used in limited amounts elsewhere and therefore can be used as a contaminant marker. The Aroclor 1268 congener mixture, including congener profiles, were quantified in feathers using gas chromatography (GC). Concurrently, each sample was quantified for the total Aroclor 1268 congener mixture using an enzyme-linked immunosorbant assay (ELISA) and compared to the GC results to determine if ELISA was an efficient method for quantifying or qualifying PCBs in feathers. ELISA consistently quantified PCB loads over an order of magnitude lower than the GC. Based on sample replication, extraction recovery, and sample spike, it appears that GC is the more reliable method of detection and that ELISA methods may be more suitable for qualitative exposure assessment for this particular Aroclor. Moreover, since all clapper rails from the LCP site had the Aroclor 1268 congener mixture in their feathers, this experiment showed that birds were returning to the site to breed despite the adverse effects experienced by this population from the contamination revealed in previous studies. This study also supports the utility of feathers as a non-lethal mechanism by which to biomonitor PCBs in the environment.

Clapper rails as indicators of mercury and PCB bioavailability in a Georgia saltmarsh system.

Clapper rails (Rallus longirostris) were used as an indicator species of estuarine marsh habitat quality because of their strong site fidelity and predictable diet consisting of mostly benthic organisms. Mercury (Hg) and the polychlorinated biphenyl (PCB) Aroclor 1268 concentrations were determined for sediments, crabs, as well as clapper rail adults and chicks collected from salt marshes associated with the LCP Superfund site in Brunswick, Georgia. Home ranges were established for adult rails, and sediment and crab samples were taken from each individual's range. The study was designed to minimize the spatial variability associated with trophic transfer studies by choosing an endpoint species with a potentially small home range and specifically sampling its foraging range. The mean home range for clapper rails was 1.2 ha with a median of 0.28 ha. Concentrations of Hg and Aroclor 1268 were shown to increase with each trophic level. Transfer factors between media followed the same pattern for both contaminants with the highest between fiddler crabs and clapper rail liver. Hg and PCB transfer factors were similar between sediment to fiddler crab and fiddler crab to muscle, however the PCB transfer factor from fiddler crabs to liver was over twice as large as for Hg. PCB congener profiles did not significantly differ between media types.

Effects of cooking on radiocesium in fish from the Savannah River: exposure differences for the public.

Understanding the factors that contribute to the risk from fish consumption is an important public health concern because of potential adverse effects of radionuclides, organochlorines, other pesticides, and mercury. Risk from consumption is normally computed on the basis of contaminant levels in fish, meal frequency, and meal size, yet cooking practices may also affect risk. This study examines the effect of deep-frying on radiocesium (137Cs) levels and risk to people fishing along the Savannah River. South Carolina and Georgia have issued consumption advisories for the Savannah River, based partly on 137Cs. 137Cs levels were significantly higher in the cooked fish compared to the raw fish on a wet weight basis. Mean 137Cs levels were 0.61 pCi/g (wet weight basis) in raw fish, 0.81 pCi/g in cooked-breaded, and 0.99 pCi/g in cooked-unbreaded fish. Deep-frying with and without breading resulted in a weight loss of 25 and 39%, while 137Cs levels increased by 32 and 62%, respectively. Therefore, the differences were due mainly to weight loss during cooking. However, the data suggest that risk assessments should be based on cooked portion size for contaminant analysis, or the risk from 137Cs in fish will be underestimated. People are likely to estimate the amounts of fish they eat based on a meal size of the cooked portion, while risk assessors determine 137Cs levels in raw fish. A conversion factor of at least two for 137Cs increase during cooking is reasonable and conservative, given the variability in 137Cs levels. The data also suggest that surveys determining consumption should specifically ask about portion size before or after cooking and state which was used in their methods.

Mercury and selenium in fish from the Savannah river: species, trophic level, and locational differences.

Levels of contaminants in fish are of considerable interest because of potential effects on the fish themselves, as well as on other organisms that consume them. In this article we compare the mercury levels in muscle tissue of 11 fish species from the Savannah River, as well as selenium levels because of its known protective effect against mercury toxicity. We sampled fish from three stretches of the river: upstream, along, and downstream the Department of Energy's Savannah River Site, a former nuclear material production facility. We test the null hypothesis that there were no differences in mercury and selenium levels in fish tissue as a function of species, trophic level, and location along the river. There were significant interspecific differences in mercury levels, with bowfin (Amia calva) having the highest levels, followed by largemouth bass (Micropterus salmoides) and pickerel (Esox niger). Sunfish (Lepomis spp.) had the lowest levels of mercury. As expected, these differences generally reflected trophic levels. There were few significant locational differences in mercury levels, and existing differences were not great, presumably reflecting local movements of fish between the sites examined. Selenium and mercury concentrations were positively correlated only for bass, perch (Perca flavescens), and red-breasted sunfish (Lepomis auritus). Mercury levels were positively correlated with body mass of the fish for all species except American eel (Anguilla rostrata) and bluegill sunfish (L. macrochirus). The mercury and selenium levels in fish tissue from the Savannah River are similar to or lower than those reported in many other studies, and in most cases pose little risk to the fish themselves or to other aquatic consumers, although levels in bowfin and bass are sufficiently high to pose a potential threat to high-level consumers.

Radiocesium in fish from the Savannah River and Steel Creek: potential food chain exposure to the public.

This study examined radiocesium (137Cs) levels in fish from the vicinity of the Department of Energy's Savannah River Site (SRS), a former nuclear weapons production facility in South Carolina. Fish from the Savannah River were sampled above (upstream), along, and below (downstream) the SRS, and from Steel Creek, a tributary that runs through the SRS. There was some off-site contamination of 137Cs in the Savannah River watershed due to low-level releases from past nuclear production on the SRS. The null hypotheses tested were that there would be no differences in 137Cs levels as a function of location along the river, and between species collected from the river and from Steel Creek on the SRS. For six of eight species of fish collected from the Savannah River, there were no differences in 137Cs levels in muscle from fish collected above, along, or below the SRS; exceptions were bowfin and shellcracker. Fish collected from Steel Creek had significantly higher levels (by about an order of magnitude) of 137Cs in muscle tissue than fish collected in the Savannah River. However, no fish from either Steel Creek or the Savannah River had 137Cs levels above the European Economic Community limit for fresh meat of 0.6 Bq/g. Lifetime cancer risk was calculated using the cancer slope factor of 3.2 x 10(-11)/pCi, and various fish consumption scenarios reflecting actual data from Savannah River fishermen. Using mean 137Cs concentrations and median fish consumption for 70 years for Black males-the group with the highest consumption-the excess lifetime risk associated with the eight species of fish in the Savannah River ranged from 9.0 x 10(-7) to 1.0 x 10(-5). The same calculation for fish from Steel Creek gave risk estimates from 1.4 to 8.0 x 10(-5). The 95% level for consumption by Blacks, however, was about 70 kg/year. Black fishermen consuming that amount of bass from Steel Creek would sustain a lifetime risk of 3.1 x 10(-4), whereas the same consumption of Savannah River bass would yield a risk estimate of 1.5 x 10(-5).

Factors in exposure assessment: ethnic and socioeconomic differences in fishing and consumption of fish caught along the Savannah River.

South Carolina has issued fish consumption advisories for the Savannah River based on mercury and radionuclide levels. We examine differences in fishing rates and fish consumption of 258 people interviewed while fishing along the Savannah River, as a function of age, education, ethnicity, employment history, and income, and test the assumption that the average consumption of fish is less than the recreational value of 19 kg/year assumed by risk assessors. Ethnicity and education contributed significantly to explaining variations in number of fish meals per month, serving size, and total quantity of fish consumed per year. Blacks fished more often, ate more fish meals of slightly larger serving sizes, and consumed more fish per year than did Whites. Although education and income were correlated, education contributed most significantly to behavior; people who did not graduate from high school ate fish more often, ate more fish per year, and ate more whole fish than people who graduated from high school. Computing consumption of fish for each person individually indicates that (1) people who eat fish more often also eat larger portions, (2) a substantial number of people consume more than the amount of fish used to compute risk to recreational fishermen, (3) some people consume more than the subsistence level default assumption (50 kg/year) and (4) Blacks consume more fish per year than Whites, putting them at greater risk from contaminants in fish. Overall, ethnicity, age, and education contributed to variations in fishing behavior and consumption.

Addressing the National League for Nursing critical-thinking outcome.

The National League for Nursing outcome-oriented accreditation process challenges nursing faculty to think about teaching and evaluating critical thinking. In a survey of schools of nursing, the authors found that programs are using standardized measures and individualized assessments to address the criterion. Their greatest difficulty involves decisions about measuring critical thinking. School administrators identified a variety of approaches effective for helping faculty. The authors provide insight and ideas for nursing faculty involved with critical thinking in the curricula.

Reconstruction of the severely atrophic edentulous maxilla using Le Fort I osteotomy with simultaneous bone graft and implant placement.

PURPOSE: This study evaluated the outcome of patients who underwent simultaneous Le Fort I osteotomy, an interpositional bone graft, and implant placement for reconstruction of the severely atrophic edentulous maxilla. PATIENTS AND METHODS: Twenty patients operated by the same surgeon were included in the study. Patients were followed annually with clinical and radiographic examinations for an average of 33 months. RESULTS: One hundred thirty-nine implants were initially inserted in the bone grafts at the time of Le Fort I osteotomy. Twenty-five implants (18%) failed to osseointegrate. Seventeen of the 25 implants lost were from three patients. The most significant prognostic factor appeared to be the thickness of the atrophic maxillary ridge. Twelve of the 20 patients completed prosthetic restoration, with an average follow-up of 21 months after loading. No implants were lost after loading, and all prostheses have remained stable. CONCLUSIONS: This method of reconstruction of the severely atrophic maxilla achieves an implant survival rate of 82% while correcting the unfavorable maxillomandibular relationship commonly seen in these patients.