Resourcing global health: a conference of the Global Network of WHO Collaborating Centres for Nursing and Midwifery Development, Glasgow, Scotland, June 2006.
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Biomedical subjects
Publications and source records attributed to Elizabeth Duff.
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Soil concentrations of dioctyl phthalate (DOP) and the alkyl phenols, octyl phenol (OP) and nonyl phenol (NP), after repeated surface applications of sewage sludge to pastures, were investigated. Liquid sludge was applied at a rate of 2.25 tonnes dry matter (DM) per hectare to each of three treated (T) plots on three occasions during the summer and two occasions in the early spring over a period of 2.5 years. Control (C) plots were treated with inorganic fertiliser containing amounts of nitrogen equivalent to those applied to the treated plots. At between 69 and 81 days after the application of sludge, 15 separate soil samples were collected from one half of each of the plots (Experiment 1). Concentrations (microg g(-1)) of DOP were higher (P < 0.001) than those of NP, while those of OP were generally below detectable levels. Mean soil concentrations of DOP were not significantly different in T and C plots [0.233 vs. 0.155 microg g(-1); standard error of the difference (SED) = 0.046; not significant (NS)], partly because there was already a relatively large amount of DOP present. NP concentrations were, however, significantly higher in T than in C plots (0.021 vs. 0.013 microg g(-1) SED = 0.002; P < 0.05). There was no consistent change over time in the mean soil concentrations of these compounds when sampled at intervals of 3-6 months. Concentrations in soil samples collected at monthly intervals following sludge application indicated that the variation in concentrations of these endocrine-disrupting compounds (EDC) was unrelated to time since sludge application. Rates of soil ingestion, expressed as the percentage of DM intake represented by soil, were higher during the winter than the summer (5.40 vs. 1.17; SED = 0.360; P < 0.001) and estimated daily intakes of DOP and NP were up to 150 microg and 8 microg, respectively. It is concluded that the application of sewage sludge to pasture does not increase soil concentrations of phthalate (as DOP) or alkyl phenols. Thus, the risk of increased exposure to these EDC as a result of sludge application is small. However, the small effect of sludge application on soil concentrations may be largely a reflection of the relatively high concentrations of DOP already present in the soil, which may be biologically significant.
This article is designed to help school nurses plan a children's summer camp. In many ways, it is like a recipe, filled with tried experiences leading to success. Many of the ideas in this article may help others to brainstorm about implementing a camp. The idea for this summer camp originated from an obesity study conducted during the school year. In that study, it was found a large number of students were obese, and the majority of them spent a considerable amount of time in sedentary activities. In addition, the study questionnaire findings indicated that the children were not eating enough fruits or vegetables and had diets with high carbohydrate and fat content. Therefore, the major objective for the summer camp was to introduce the children to structured exercise and nutrition classes. Evaluation indicated the children profited socially, physically, and intellectually from the camp's activities.
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