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Measurement of PCBs, DDE, and hexachlorobenzene in cord blood from infants born in towns adjacent to a PCB-contaminated waste site.

There are limited data on the concentrations of common contaminants--polychlorinated biphenyls (PCBs), dichlorodiphenyl dichloroethene (pp'-DDE) and hexachlorobenzene (HCB)--in umbilical cord blood. Cord blood provides the primary direct measure of prenatal exposure to these contaminants, the key determinant of PCBs' neurodevelopmental toxicities. The objective of this study was to characterize cord blood levels of PCBs, pp'-DDE, and HCB among 751 infants who were born between 1993 and 1998 to mothers residing adjacent to a PCB-contaminated harbor in New Bedford, Massachusetts, and for whom the neurodevelopmental toxicities of these compounds are being studied. We refined standard analytic methods to optimize the sensitivity and precision of trace-level PCB, p,p'-DDE, and HCB measurements in blood. Using these methods, we measured the concentrations of 51 individual PCBs, their sum (sum(PCB)), p,p'-DDE, and HCB in cord serum. With correction for background contamination, the respective mean+/-SD cord serum concentrations of sum(PCB), p,p'-DDE, and HCB were 0.54+/-0.83, 0.48+/-0.94, and 0.03+/-0.04 ng/g serum. These concentrations were generally lower than those in most of the few published studies with congener-specific measures of PCBs in cord blood. However, for less-chlorinated PCB congeners (e.g., congeners 99 and 118), study samples had concentrations comparable to those in other populations, including groups at risk for high dietary PCB exposure. Of note, the contaminated harbor sediment has a relatively high proportion of less-chlorinated PCB congeners. Thus, although the sum(PCB) in study infants was not higher than concentrations in infants studied elsewhere, the relative predominance of less-chlorinated congeners was generally consistent with the characteristics of the contaminated site.

Dichlorodiphenyl Dichloroethylene↗

Maternal contamination with PCBs and reproductive outcomes in an Australian population.

Polychlorinated biphenyls used previously in industry are widespread environmental contaminants under scrutiny for their possible reproductive effects in humans. In this study, 200 breast milk samples from eligible Victorian mothers were used for measuring maternal contamination and their possible effect on the offspring was investigated. No significant association was found between maternal PCB contamination and low birth weight, small for gestational age and previous miscarriage or stillbirth. The elevated odd ratios of prematurity, increased with increase in contamination level but were nonsignificant. Higher PCB contamination was not in favor of any gender in the offspring. Our results suggest that chronic, low contamination with PCBs does not pose a reproduction threat in humans.

Adult↗

Transplantation of syngenic bone marrow contaminated with NGFr-marked WEHI-3B cells: an improved model of leukemia relapse in mice.

With the aim of developing a model mimicking the relapse of patients transplanted with leukemia-contaminated grafts, myelomonocytic leukemia WEHI-3B D+ cells were first transduced with a retroviral vector encoding the low-affinity human nerve growth factor receptor (NGFr). Clones with a stable and homogeneous expression of the transgene and with a similar in vitro behavior to the parental cell line were selected for further experiments. The analysis of bone marrow (BM) contaminated with WEHI-3B/NGFr cells revealed a linear correlation (r2 = 0.999) between the actual values of BM contamination and the experimental data determined by flow cytometry. Balb/c mice were myeloablated and transplanted with syngenic BM contaminated with graded numbers of leukemic cells; dose-dependent survival curves were obtained, regardless of whether parental or WEHI-3B/NGFr cells were infused. The leukemia dissemination in recipients transplanted with WEHI-3B/NGFr contaminated grafts was easily determined by means of simple flow cytometry analysis of the NGFr marker. A leukemia dose-dependent increase in the number of PB leukocytes was observed in transplanted recipients at 20 days post-transplantation with no changes in myelomonocytic cells. As deduced from our observations, the transplantation of syngenic BM contaminated with WEHI-3B/NGFr cells constitutes an improved model of autograft-mediated leukemia relapse and a good tool for studies of leukemia cell purging.

Animals↗

Establishment of a sampling strategy for the use of blue mussels as an indicator of organotin contamination in the coastal environment.

The application of the Mussel Watch concept to the assessment of chemical contamination in the coastal environment is still premature, since the relationship between the physiological and ecological aspects of blue mussels and the accumulation of contaminants in their soft tissues remains unclear. We cannot yet directly estimate with known confidence the degree of chemical contamination from the levels of contaminants in the soft tissues of mussels. An understanding of the source and range of variability in the tissue concentrations of contaminants is essential, and the establishment of a biomonitoring sampling strategy to minimize the effect of identified sources of variability is required. The present study was conducted to clarify the characteristics of organotin accumulation in blue mussels under various conditions in Tokyo Bay, and to establish an optimized sampling strategy of mussels as exposure indicators of organotin contamination in Japan. It was clear that the sample number, individual size, spawning activity and vertical habitat were factors causing a variation of tissue concentration. Based on a quantitative estimation of the variability of organotin concentration in mussel tissues under various physiological and natural conditions, we suggest that a composite sample of 30 mussels (3-5 cm in shell length), collected from the infralittoral zone prior to their spawning season, is essential to reduce the variability between individuals and to obtain reproducible analytical values at a sampling site. For monitoring sites where natural blue mussels cannot be collected, an alternative method of transplanting blue mussels from a relatively clean area would be required.

Animals↗

Comparison of field-observed and model-predicted plume trends at fuel-contaminated sites: implications for natural attenuation rates.

Subsequent to modeling of natural attenuation processes to predict contaminant trends and plume dynamics, monitoring data were used to evaluate the effectiveness of natural attenuation at reducing contaminant concentrations in groundwater at seven fuel-contaminated sites. Predicted and observed contaminant trends at seven sites were compared in order to empirically assess the accuracy of some fundamental model input parameters and assumptions. Most of the models developed for the study sites tended to overestimate plume migration distance, source persistence, and/or the time required for the benzene, toluene, ethyl benzene, and xylenes (BTEX) plumes to attenuate. Discrepancies between observed and predicted contaminant trends and plume behavior suggested that the influence of natural attenuation process may not have been accurately simulated. The conservatism of model simulations may be attributed to underestimation of natural source weathering rates, overestimation of the mass of contaminant present in the source area, and/or use of overly conservative first-order solute decay rates.

Benzene Derivatives↗

Effect of contamination and etching on enamel bond strength of new light-cured glass ionomer cements.

The effect of water and saliva contamination on the bond strength of metal orthodontic brackets cemented to etched (10% polyacrylic acid) and unetched human premolar enamel was investigated. Two bonding agents were used: one commercially available product (LC) and one experimental (EX) light-cured glass ionomer. Shear bond strength was measured after aging for 5 minutes, 15 minutes, and 24 hours. The results were compared by ANOVA and Scheffe's tests at p = 0.05. For LC, the bond strength of brackets bonded to etched enamel, with and without contamination, was statistically higher than that of brackets bonded to unetched enamel for all aging times. An exception was the bond strength to unetched enamel with saliva contamination after 24 hours; for EX, this value was statistically higher than that measured on unetched enamel with water contamination. Contamination by saliva did not reduce bond strength to unetched enamel. For both etched and unetched enamel, there was no significant difference between LC and EX after 24 hours for all contamination conditions.

Acid Etching, Dental↗

Domestic transmission routes of pathogens: the problem of in-house contamination of drinking water during storage in developing countries.

Even if drinking water of poor rural communities is obtained from a 'safe' source, it can become contaminated during storage in the house. To investigate the relative importance of this domestic domain contamination, a 5-week intervention study was conducted. Sixty-seven households in Punjab, Pakistan, were provided with new water storage containers (pitchers): 33 received a traditional wide-necked pitcher normally used in the area and the remaining 34 households received a narrow-necked water storage pitcher, preventing direct hand contact with the water. Results showed that the domestic domain contamination with indicator bacteria is important only when the water source is relatively clean, i.e. contains less than 100 Escherichia coli per 100 ml of water. When the number of E. coli in the water source is above this value, interventions to prevent the domestic contamination would have a minor impact on water quality compared with public domain interventions. Although the bacteriological water quality improved, elimination of direct hand contact with the stored water inside the household could not prevent the occasional occurrence of extreme pollution of the drinking water at its source. This shows that extreme contamination values that are often thought to originate within the domestic domain have to be attributed to the public domain transmission, i.e. filling and washing of the water pitchers. This finding has implications for interventions that aim at the elimination of these extreme contaminations.

Bacterial Infections↗

Impact of donor arm skin disinfection on the bacterial contamination rate of platelet concentrates.

BACKGROUND AND OBJECTIVES: Despite improved methods for detecting bacterial contamination of blood products, bacterial sepsis remains a significant risk in blood transfusion. This study was undertaken to investigate whether adopting a different skin disinfection protocol could reduce the rate of bacterial contamination of platelet concentrates. MATERIALS AND METHODS: Two skin disinfection protocols were consecutively used in the routine blood collection setting during two 10-month periods: 0.5% cetrimide/0.05% chlorhexidine solution followed by 70% isopropyl alcohol (first 10-month time-period); and 10% povidone-iodine followed by 70% isopropyl alcohol (second 10-month time-period). The rates of bacterial contamination of platelet concentrates were monitored by using a surveillance programme described previously. RESULTS: The overall bacterial contamination rate in the first time-period was 0.072%. After introduction of the povidone-iodine and isopropyl alcohol protocol, the bacterial contamination rate decreased to 0.042% (relative risk reduction: -0.42; 95% confidence interval, -0.12 to -0.61, P= 0.009). There were no differences in the types of micro-organisms identified (P = 0.7). CONCLUSIONS: Skin disinfection by povidone-iodine and isopropyl alcohol is more effective than that by cetrimide/chorhexidine and isopropyl alcohol in reducing venepuncture-associated contamination of platelet concentrates by skin flora. Our data indicate that the disinfection protocol should be used on a routine basis and such implementation should translate into a significant improvement in blood safety to patients receiving platelet transfusion.

2-Propanol↗

Platelet bacterial contamination and the use of a chemiluminescence-linked universal bacterial ribosomal RNA gene probe.

BACKGROUND: Currently, the maximum outdate for platelets is 5 days, because of the increasing chance of bacterial growth over time. Various methods for rapid detection of bacterial contamination of blood components have been described, with mixed results and no general acceptance. A recently described, molecular biologic approach for the detection of bacterial contamination involves a chemiluminescence-linked universal DNA bacterial probe to a highly conserved bacterial region of ribosomal RNA (rRNA). STUDY DESIGN AND METHODS: A multicenter trial of a chemiluminescence-linked universal bacterial rRNA probe for the detection of bacterial contamination in platelet concentrates is described. At each of five sites, platelet concentrates (no older than 1 day from date of phlebotomy) were inoculated in triplicate with isolates of four bacterial species (Pseudomonas aeruginosa, Bacillus cereus, Staphylococcus epidermidis, and Staphylococcus aureus) to a final concentration of 10 to 50 colony-forming units (CFUs) per mL and in triplicate to a final concentration of 1000 CFUs per mL. At one site, an additional 6 platelet concentrates were inoculated with sterile saline to serve as controls. Inoculated units were then subjected periodically to quantitative cultures and probe analyses. A total of 126 platelet concentrates were studied over a period of 7 days (120 inoculated with bacteria and 6 with sterile saline). RESULTS: This assay was, in some cases, able to detect S. aureus bacterial contamination in the range of 100 to 1000 CFUs per mL; the majority of samples (B. cereus, P. aeruginosa, S. aureus, and S. epidermidis) with contamination exceeding 10(4) CFUs per mL; and all samples with contamination of 2.1 x 10(5) CFUs per mL or greater. Increasing the sample size from the recommended 0.4 mL to 1.0 mL resulted in an unacceptable loss of specificity (83.3%). CONCLUSION: The routine use of this assay would be expected to result in a decreased risk of septic platelet transfusion reactions and could lead to a lengthening of the current 5 day storage period for platelets. Further, the pooling of random-donor platelet concentrates before storage instead of immediately before transfusion may be possible if this rRNA probe is employed to detect bacteria in the pool.

Bacillus cereus↗

Efficacy of a new collection procedure for preventing bacterial contamination of whole-blood donations.

BACKGROUND: Transfusion-related bacterial contamination is a serious problem. The introduction of bacteria into donations at the collection stage seems frequent, despite well-conducted phlebotomy site preparation. Additional preventive measures are required. STUDY DESIGN AND METHODS: The aim of this study was to assess the potential efficacy of excluding the first 15 mL of blood to reduce the bacterial contamination of donations. A special device allowed the aseptic collection of two samples at the beginning of donation: S1 (first 15 mL) and S2 (next 15 mL). Bacteriologic cultures of S1 and S2 were performed by using an automated system. The procedure's efficacy was measured by the proportion of positive donations in S1 that were then negative in S2. RESULTS: S1 and/or S2 were positive in 76 (2.2%) of 3385 donations. In about three-fourths of the culture-positive donations, contamination was detected in the first 15-mL sample only. Gram-positive cocci accounted for 81 percent of species, gram-positive bacilli for 14 percent, and gram-negative bacilli for 5 percent. The new procedure would have prevented the introduction of bacteria in 55 donations, reducing to 0.6 percent the risk of contamination from the first 15 mL collected. CONCLUSION: Although the final effect on blood component bacterial contamination rates cannot be derived from the study, excluding the first 15 mL of blood may reduce the rate of bacterial contamination in donations.

Adult↗

Patient colonization and environmental contamination by vancomycin-resistant enterococci in a rehabilitation facility.

OBJECTIVES: To determine the frequency of environmental contamination in patient and common-use rooms and patient colonization by vancomycin-resistant enterococci (VRE). DESIGN: Cross-sectional study. SETTING: A 146-bed rehabilitation facility. PARTICIPANTS: Rectal cultures were collected from 74 (80%) of 93 patients. Environmental cultures were obtained from surfaces in 15 patient rooms (5 floors) and common-use areas on 8 floors. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Gastrointestinal colonization of patients and environmental contamination of surfaces by VRE. RESULTS: VRE was detected from 13 (18%) of 74 patients and 32 (10%) of 319 surfaces. The frequency of positive environmental cultures varied by location; cultures were more likely to be positive in patient rooms (15%), followed by common areas on patient floors (9%) and common areas separate from patient floors (1.3%). Surfaces were more likely to be positive in rooms with a VRE-colonized patient (24%), compared with rooms in which patient colonization status was unknown (13%, P=.13) or the patient was not colonized (0%, P=.002). Surfaces were more likely to be contaminated in a room that housed an incontinent compared with continent patients (22% vs 7%, P=.01). CONCLUSIONS: Although environmental contamination by VRE was common in patient rooms, contamination of common-use areas separate from patient floors was infrequent. Despite use of common-use areas by colonized patients, isolation practices at this facility appear to have minimized environmental surface contamination in these areas.

Cross-Sectional Studies↗

Relationship between environmental fungal contamination and the incidence of invasive aspergillosis in haematology patients.

Invasive aspergillosis (IA) is a major opportunistic infection in haematology patients. Spore inhalation is the usual route of Aspergillus infection, suggesting a determining role of environmental contamination by spores in the epidemiology of IA. We prospectively examined the relationship between environmental contamination by Aspergillus and other fungal species and the incidence of invasive nosocomial aspergillosis (INA) in a bone marrow transplantation unit and two haematology wards. During a four-year period, levels of air and surface fungal contamination were determined bi-monthly in patients' rooms (some equipped with HEPA filters and LAF systems), and various common sites in each ward (corridors, nursing stations, etc.). Results were compared to the incidence of INA. A total of 3100 air and 9800 surface samples were collected, and 79 cases of IA were diagnosed, of which 64 were probably or possibly INA. Patterns of fungal contamination were comparable in the three wards, with a gradient ranging from high levels in common sites to a virtual absence in rooms equipped with HEPA filters and LAF systems. Using a regression model, a significant relationship was found between the incidence of INA and the degree of fungal contamination of air and surfaces in conventional patient rooms (not equipped with HEPA) and common sites. This study shows that in a non-epidemic setting, there is a significant relationship between environmental fungal contamination in haematology wards and the incidence of INA. Our findings underline the importance of environmental surveillance and strict application of preventive measures.

Aspergillosis↗

Prenatal HLA genotyping of uncultured amniotic fluid samples contaminated with maternal blood.

OBJECTIVE: Allogenic transplantation of umbilical cord blood (UCB) from HLA-identical siblings is a therapeutic concept of increasing importance. Prenatal HLA typing results can provide important information as to whether the UCB should be collected. Therefore, we tested the suitability of two methods based on polymerase chain reaction (PCR) for low-resolution HLA genotyping of uncultured amniocytes contaminated with maternal blood. STUDY DESIGN: Amniotic fluid samples (~10 mL, n = 4) were collected and divided into 5 equal sized portions. Subsequently, maternal blood was added to produce a series of varying degrees of artificial contamination ranging from 0% to 5% (vol/vol). Corresponding maternal blood and cord blood samples were collected and served as reference material. After DNA preparation, all samples were subjected to both PCR-SSP (sequence-specific primers) and PCR-SSO (sequence-specific oligonucleotides) typing procedures, designed for low-resolution typing of the highly polymorphic HLA-B locus. RESULTS: Both PCR tests were able to accurately predict the fetal HLA-B type when pure amniotic fluid was used in all cases. The PCR-SSP method could still determine the fetal HLA type at 0.1% contamination but not at levels above this; in contrast, PCR-SSO failed if any degree of contamination was present. CONCLUSION: Fetal cells from amniotic fluid represent a reasonable source for prenatal testing of the fetal HLA genotype with either the PCR-SSP or the PCR-SSO method. Low levels of contamination with maternal blood in the amniotic fluid are tolerated by the more robust PCR-SSP method. In contrast, the PCR-SSO procedure is more sensitive to any degree of contamination, but it is the method of choice if the amount of DNA is limited because of the very low volume of specimens of amniotic fluid available.

Amniotic Fluid↗

Practical methods of reducing airborne contaminants in interior spaces.

Prediction of airborne concentrations of enviornmentally important contaminants is supported by field test data on tobacco smoke. The analysis discussed herein is completely general in nature, and the contaminants can be gases, vapors, liquid droplets, and solid particulates, including microorganisms and pollens. Several engineering controls can be applied to practical environnmental systems to reduce and control undesirable contaminants in normally occupied structures. The use of the method is an important research tool to more accurately quantify airborne contaminant levels in enviornmental medicine experiments with animals or human subjects. It is difficult and expensive to control inside environmental contaminant levels at values less than 20% to 25% of those occurring outside. The same is true for internally generated contaminants.

Air Pollutants↗

Faecal excretion of Salmonella hadar from calves grazed on pastures fertilised with S. hadar-contaminated broiler litter.

The risk of Salmonella hadar infection in weaned calves grazed on pasture artificially contaminated with the organism via broiler litter applied at commercial dressing rates was assessed. A group of four calves was grazed on artificially contaminated pasture and a control group was grazed on an adjacent identical paddock. A ninth calf was given S. hadar together with an anthelmintic drench, and a tenth was fed on a mixture of contaminated broiler litter and hay for 36 hours. Rectal swabs were collected from the calves at weekly intervals and examined for the presence of salmonellae. Two of the calves in the group on contaminated pasture and both the control positive calves shed S. hadar in their faeces on at least one occasion. The S. hadar contamination was detectable on the pasture for at least 42 days after application of the contaminated litter.

Journal Article↗

Contaminated Department of Energy facilities and ecosystems: weighing the ecological risks.

With the ending of the Cold War, the United States and other industrialized nations are faced with the monumental task of cleaning up hazardous waste sites that were created over a 50-year period. While many factors enter into the cleanup decisions of managers of hazardous waste facilities, such as at Department of Energy sites, risk assessment plays a central role in evaluating the hazards to ecosystems and humans. Often risk from hazardous facilities is determined by identifying the risks to people, or immediate ecosystems, without regard to the size or magnitude of the surrounding ecological system or of the receptors within that system. Identifying the types of systems for contaminated systems would add immeasurably to evaluating the risks from those hazards. Using the Department of Energy (DOE) facilities as examples, it is suggested that there are three major types of systems that should be considered: (1) contaminated buildings and other facilities, (2) buffer zones that immediately surround contaminated facilities, and (3) relatively pristine or uncontaminated ecosystems that surround or are adjacent to the contaminated facilities. The relative ecological risks from remediation and restoration on these three different types of systems vary markedly, in terms of immediate effects, long-term effects, and the potential for complete recovery. Remediation on most systems containing predominately buildings and other facilities entails very little ecological risk, except for disruption of nearby ecosystems from construction and transport of materials offsite. Remediation on buffer zones, however, might cause considerable ecological damage if these systems have already undergone partial recovery, are large, and will experience physical disruption during remediation. Remediation that impacts relatively pristine or uncontaminated sites can cause major disruptions to ecosystems well beyond the value, in terms of reduced human health risk, of the restoration itself, and recovery may never be complete. Although this analysis does not consider the risks to workers from remediation, such risks should be added to the potential harm to functioning ecosystems from remediation at nearby contaminated sites. The effects of remediation on all three types of systems should be balanced when making remediation decisions. The newly proposed integrator operable unit, which surrounds the contaminated sites (operable units), and includes all other areas, provides an additional framework for considering risk, remediation, and long-term stewardship on Department of Energy lands.

Ecology↗

Elevated ovarian and thymic cell apoptosis in wild cotton rats inhabiting petrochemical-contaminated terrestrial ecosystems.

The objective of this study was to determine the rates of apoptotic cell death in ovary and thymus collected from wild female cotton rats (Sigmodon hispidus) inhabiting five petrochemical-contaminated and five ecologically matched reference sites in Oklahoma. Overall comparison of reference and contaminated sites, using individual sites as replicates, revealed a significantly increased rate of ovarian cell apoptosis in cotton rats inhabiting contaminated sites. In comparison to rats from reference sites, the number of uterine scars was lower in rats collected from the contaminated sites. There were no significant differences in the percentage of atretic follicles among animals collected from reference and contaminated sites. The rate of thymocyte apoptosis was elevated at one of five contaminated sites, although the overall rate of thymocyte apoptosis was not significantly different when comparing all sites. To our knowledge, this is the first study documenting elevated rates of ovarian and thymic cell apoptosis in wild mammals exposed chronically to environmental toxicants.

Animals↗

Cuff-compression of the proximal calf to reduce venous contamination in contrast-enhanced stepping-table magnetic Resonance angiography.

PURPOSE: To minimize venous overlay at the calf station in contrast-enhanced three-dimensional (3D) stepping-table magnetic resonance angiography (MRA) using a continuous cuff-compression technique during MR data acquisition. MATERIAL AND METHODS: Within 14 months, 32 patients suffering from symptomatic peripheral arterial occlusive disease (PAOD) with a bilateral ankle-brachial index (ABI) of 0.8 or below were consecutively enrolled in this study. Unilateral cuff-compression of the proximal calf was applied in the study group (n = 14). The control group (n = 18) underwent no compression. All patients underwent three-step 3D contrast-enhanced magnetic resonance angiography (3D CE-MRA) according to the institute's protocol. Venous contamination scores (vcs) at the calf station were blindly ranked by a 1 to 3 rating score (3 = major venous contamination). The vcs values of the control group were regarded as standard. Statistical significance between both groups was evaluated with a paired t test. RESULTS: Symmetric venous contamination was observed within the control group with a mean vcs of 2.2+/-0.6 on the left side and 2.2+/-0.7 on the right side with deltavcsleft-right of 0.1+/-0.2 (P>0.1). In the study group, asymmetric venous contamination was determined with vcsmean = 2.3+/-0.6 for the uncompressed side and vcsmean =1.4+/-0.5 for the compressed side and a deltavcsuncomp-comp of 0.9+/-0.5 (P<0.00005). The control group and the uncompressed side of the study group showed no significant difference in venous contamination (P > 0.1). CONCLUSION: Subdiastolic cuff-compression of the proximal calf is an easily applicable and inexpensive technique by which to reduce venous contamination of the calf station in stepping-table MR angiography and to improve evaluation of the infrapopliteal arteries.

Aged↗