Analysis of Salmonella serotypes from selected carcasses and raw ground products sampled prior to implementation of the Pathogen Reduction; Hazard Analysis and Critical Control Point Final Rule in the US

In July 1996, the US Department of Agriculture (USDA), Food Safety and Inspection Service (FSIS), published the Pathogen Reduction; Hazard Analysis and Critical Control Point (HACCP) Systems final rule to improve food safety of meat and poultry products. The final rule established, among other requirements, pathogen reduction performance standards for Salmonella for food animal carcasses and raw ground products. The final rule is to be fully implemented in three stages in successively smaller federally inspected meat and poultry slaughter and processing establishments. Implementation began in January 1998 and was completed in January 2000. Samples of carcasses of four species of food animals (cattle, swine, chickens, turkeys), and raw ground product from each of these species, were collected by FSIS from establishments prior to implementation of the final rule and cultured for Salmonella. This paper reports Salmonella serotype results of samples collected from June 1997 through August 1998. These results represent a baseline for future comparisons.     

An Ultrasonic Evaluation and Quality Control Tool for Adhesive Bonds

The problem of predicting adhesive bond performance for both surface preparation and undercure defects has been studied using an ultrasonic, experimental test bed system. This experimental test bed incorporates the ultrasonic and computer equipment necessary to acquire and process data from various types of adhesively bonded test specimens. The computer hardware and software has been developed to allow the design of reliable pattern recognition algorithms for the evaluation of surface preparation and bond cure. The specific problem studied is the inspection of the adhesive bond in an aluminum to aluminum step-lap joint whose strength could be affected by improper surface preparation or undercure. A set of 154 bond specimens was used to design an algorithm that is 91% reliable for separating the specimens into a good class, those bonds with no defects, or a weak class, bonds with poor surface preparation or undercured adhesive layer. A Fisher Linear Discriminant function was selected by the test bed as the best pattern recognition routine for this classification problem.     

Failure Analysis and Robust Optimization of an Exhaust Manifold Diffuser Plate

Diffuser plates in exhaust system manifolds are designed to provide uniform flow pattern within the manifold for maximum utilization of the catalytic converter substrate during high-temperature applications. In this paper, failure analysis of a diffuser which survived only 20% duration of a manifold crack test and various design optimization studies of the diffuser plate using computer-aided engineering (CAE) analyses are presented. During the manifold crack test, the failure occurred at the inner and outer periphery of the diffuser. Metallurgical failure analysis coupled with CAE thermal fatigue analysis of the component concluded that thermal fatigue was the root cause of the failure. The new recommended robust design showed considerable improvement in the thermal durability of the diffuser plate assembly.     

Access to Pediatric Neurologists - Will Telemedicine Close the Gap?

Many times both physicians and patients take for granted that they are qualified to treat certain ages and certain conditions. Neurological conditions are diagnosed and treated by neurologists, pediatric neurologists, and neurosurgeons. What is the difference and why does it matter? It is a balancing act of risk and benefit and the physician’s obligation to know her/his limitations. Telemedicine may play a key role in enabling a greater access to pediatric neurologists. If telemedicine becomes more available, then access even in more remote areas without child neurologists may be possible. As this article discusses, there may be certain limitations to using telemedicine, which is distinguishable from telehealth, in relation to pediatric neurology. This article examines the type of neurological physician that is the most appropriate; the availability of and access to pediatric neurologists; and the applicability of telemedicine to the diagnosis and treatment of pediatric neurological conditions.     

A fracture criterion for nuclear graphite

Measurements of tensile and flexural strength of a nuclear graphite using small bar specimens are reported. A theoretical model of failure is described in which critical defects are assumed to be associated with cleaved large coke particles. It is further assumed that these subcritical cracks can only extend by the cleavage of small particles which surround them. The size of the critical flaws is defined on the basis of linear elastic fracture mechanics. The model predicts the observed variation in flexural strength in three- and four-point bending as the knife edge spacings are varied. It slightly overestimates the observed ratio of tensile-to-bend strength, and this is thought to be due to some of the simplifying assumptions made in the models formulation. The potential of the model for use in engineering applications is discussed.     

Radon and moisture impacts from interventions integrated with housing energy retrofits

Energy retrofits can reduce air exchange, raising the concern of whether indoor radon and moisture levels could increase. This pre/post-intervention study explored whether simple radon interventions implemented in conjunction with energy retrofits can prevent increases in radon and moisture levels. Treatment homes (n = 98) were matched with control (no energy retrofits or radon intervention) homes (n = 12). Control homes were matched by geographic location and foundation type. t-tests were used to determine whether post-energy retrofit radon and moisture level changes in treatment homes significantly differed from those in control homes. The radon interventions succeeded in preventing statistically significant increases in first floor radon using arithmetic (p = 0.749) and geometric means (p = 0.120). In basements, arithmetic (p = 0.060) and geometric (p = 0.092) mean radon levels statistically significantly increased, consistent with previous studies which found that basement radon levels may increase even if first floor levels remain unchanged. Changes in infiltration were related to changes in radon (p = 0.057 in basements; p = 0.066 on first floors). Only 58% of the change in infiltration was due to air sealing, with the rest due to weather changes. There was no statistically significant association between air sealing itself and radon levels on the first floor (p = 0.664). Moisture levels also did not significantly increase.     

Making the invisible visible: Fear and disclosure of sexual orientation at work.

Stigma theory was used to examine the fears underlying the disclosure of a gay identity at work. Using a national sample of 534 gay, lesbian, and bisexual employees, this study examined the antecedents that affect the degree of disclosure of a gay identity at work and, for those who had not disclosed, the factors that influence their fears about full disclosure. Employees reported less fear and more disclosure when they worked in a group that was perceived as supportive and sharing their stigma. Perceptions of past experience with sexual orientation discrimination were related to increased fears but to greater disclosure. For those who had not fully disclosed their stigma, the fears associated with disclosure predicted job attitudes, psychological strain, work environment, and career outcomes. However, actual disclosure was unrelated to these variables. The utility of fear of disclosure for understanding processes underlying the disclosure of gay and other invisible stigmatized identities in the workplace is discussed. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Environmental tobacco smoke exposure and health effects in children: results from the 1991 National Health Interview Survey

PURPOSE: There is no consensus in the literature regarding the role of lymphangiography in promoting hypothyroidism in individuals with Hodgkin's disease irradiated with a mantle field. We sought to analyze the onset and rate of developing clinical or chemical hypothyroidism as well as possible factors related to its development in patients who received irradiation to the thyroid gland during treatment of Hodgkin's disease. METHODS AND MATERIALS: One hundred and forty-two patients with Hodgkin's disease were treated at the Fox Chase Cancer Center between June 1967 and October 1993. All patients were treated with curative intent with radiation therapy using a mantle field. After exclusion of patients without available thyroid function tests, < 200 days of follow-up, or no radiation to the thyroid, 104 patients were eligible for analysis. Follow-up ranged from 7-170 months (median: 43 months). Sixty-seven patients had a lymphangiogram. Seventy-three patients were treated with radiation alone and 31 with radiation plus chemotherapy. RESULTS: The actuarial 2-, and 5-year rates of biochemical hypothyroidism for all 104 patients were 18 and 37%, respectively. Forty patients developed hypothyroidism: 9 (23%) at < or = 1 year, 18 (45%) at < or = 2 years, and 33 (83%) at < or = 5 years. The actuarial 2-, and 5-year rates of biochemical hypothyroidism for patients who underwent a lymphangiogram were 23 and 42%, respectively, compared to 9 and 28%, respectively, for patients who received mantle irradiation without a lymphangiogram (p = 0.05). The effects of lymphangiogram, total thyroid dose, stage, chemotherapy, dose per fraction, energy, and age were evaluated for all patients by Cox proportional hazards regression analysis. The use of a lymphangiogram (p = 0.05) was the only variable that significantly influenced hypothyroidism. CONCLUSIONS: This paper demonstrates in a multivariate analysis accounting for other potentially important variables the significant effect of lymphangiography and subsequent radiation therapy on the development of hypothyroidism. This information must be balanced with the fact that lymphangiograms remain a useful aid in assessing lymph node involvement, staging patients, and planning treatment fields.     

Management of bronchobiliary fistula as a late complication of hepatic resection

Bronchobiliary fistula is an uncommon but remarkable complication after hepatic resection. The case reported illustrates the clinical presentation and preferred initial management of these fistulae. A 61-year-old white male underwent two wedge resections for colorectal metastases to the liver with removal of a portion of the right diaphragm. Four years later, he developed obstructive jaundice secondary to tumor recurrence in the porta hepatis, which required endoscopic stent placement, radiation, and chemotherapy. Almost 2 years later, he developed frank biliptysis. Percutaneous transhepatic cholangiography (PTC) revealed occlusion of the common hepatic duct stent and a bronchobiliary fistula. With adequate reestablishment of common duct drainage, the patient rapidly improved and was discharged free of symptoms. Bronchobiliary fistulae are rare complications of hepatic resection that can present from days to years after operation. Endoscopic retrograde cholangiopancreatography and PTC are the diagnostic studies of choice and offer the possibility of therapeutic intervention. Although large series in the literature emphasize the surgical management of bronchobiliary fistulae, the reoperative procedures tend to be complicated, with a significant morbidity and mortality. Nonsurgical interventions via endoscopic retrograde cholangiopancreatography or PTC are more recently notably successful when resolution of a distal biliary obstruction is accomplished. Only after aggressive attempts at nonoperative, interventional techniques have failed should operative approaches be entertained.