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Estimating frequency of disease findings from combined hospital databases: a UMLS project.

Merging data from the Salt Lake VA hospital database and the LDS hospital HELP system into a UMLS sponsored unified patient database has demonstrated that distribution of variables within a disease is hospital independent. Although disease prevalence is clearly not the same among hospitals, analysis of data within a disease group across hospitals can be done using such a merged database. This unified patient database would allow study of unusual diseases not possible using data from a single institution.

Databases, Factual↗

Continuous analysis of dissolved gaseous mercury (DGM) and mercury flux in two freshwater lakes in Kejimkujik Park, Nova Scotia: evaluating mercury flux models with quantitative data.

Diurnal patterns for dissolved gaseous mercury (DGM) concentration, mercury flux, several water variables (pH, oxidation reduction potential (ORP), water temperature), and meteorological variables (wind speed, air temperature, % relative humidity, solar radiation) were measured in two lakes with contrasting dissolved organic carbon (DOC) concentrations in Kejimkujik Park, Nova Scotia. A continuous analysis system made it possible to measure quick changes in DGM over time. Consistently higher DGM concentrations were found in the high DOC lake as compared to the low DOC lake. An examination of current mercury flux models using this quantitative data indicated some good correlations between the date and predicted flux (r ranging from 0.27 to 0.83) but generally poor fit (standard deviation of residuals ranging from 0.97 to 3.39). Cross-correlation analysis indicated that DGM dynamics changed in response to solar radiation with lag-times of 65 and 90 min. This relationship with solar radiation was used to develop new predictive models of DGM and mercury flux dynamics for each lake. We suggest that a generalized approach using time-shifted solar radiation date to predict DGM can be incorporated into existing mercury flux models. It is clear from the work presented that DOC and wind speed may also play important roles in DGM and mercury flux dynamics, and these roles have not been adequately accounted for in current predictive models.

Air Pollutants↗

Microsystems in health care: Part 2. Creating a rich information environment.

BACKGROUND: A rich information environment supports the functioning of the small, functional, frontline units--the microsystems--that provide most health care to most people. Three settings represent case examples of how clinical microsystems use data in everyday practice to provide high-quality and cost-effective care. CASES: At The Spine Center at Dartmouth, Lebanon, New Hampshire, a patient value compass, a one-page health status report, is used to determine if the provided care and services are meeting the patient's needs. In Summit, New Jersey, Overlook Hospital's emergency department (ED) uses uses real-time process monitoring on patient care cycle times, quality and productivity indicator tracking, and patient and customer satisfaction tracking. These data streams create an information pool that is actively used in this ED icrosystem--minute by minute, hourly, daily, weekly, and annually--to analyze performance patterns and spot flaws that require action. The Shock Trauma Intensive Care Unit (STRICU), Intermountain Health Care, Salt Lake City, uses a data system to monitor the "wired" patient remotely and share information at any time in real time. Staff can complete shift reports in 10 minutes. DISCUSSION: Information exchange is the interface that connects staff to patients and staff to staff within the microsystem; microsystem to microsystem; and microsystem to macro-organization.

Database Management Systems↗

A comparative study on the parasite fauna of perch, Perca fluviatilis L., collected from a freshwater coastal lake, brackish-water Baltic Sea, and the interconnecting canal.

BACKGROUND: Parasitological surveys of freshwater fishes rarely include comparisons between two ecologically different bodies of water. Such studies might help to understand processes of establishment of parasite faunas in estuary areas. The results obtained could also provide useful tools for discriminating various fish populations based on the composition of their parasite faunas. The present authors attempted to study such data from Resko Lake-a freshwater coastal lagoon (6 km2 surface area), and the adjacent areas of the Baltic Sea. Resko Lake, located 12 km west of the city of Kołobrzeg, is shallow (1.5 m) and is connected to the sea through a small canal (1.3 km long, 30 m wide). MATERIAL AND METHODS: The material was collected from April 1969 and July 1970. A total of 159 perch were collected, in this number 104 fish from the lake, 43 from the sea, and 12 from the canal. RESULTS: A total of 32 parasite species were recovered from the fish necropsied. The parasites represented 7 higher taxa: Protozoa (3 species), Cestoda (4), Digenea (13), Nematoda (5), Acanthocephala (3), Mollusca (1), and Crustacea (3). The parasite fauna of perch from the sea was definitely more abundant (31 species) compared to that of the lake (21), and the canal (12 species). Infection parameters of 13 parasite species demonstrated significant differences between the locations studied. The infection level of 6 parasite species was significantly higher in perch from the sea: Bothriocephalus scorpii, Ligula sp., Brachyphallus crenatus, Camallanus truncatus, Hysterothylacium aduncum, and Echinorhynchus gadi. On the other hand, infection levels of 7 other species were higher at the lake: Triaenophorus nodulosus, Bucephalus polymorphus, Azygia lucii, Tylodelphys clavata, Camallanus lacustris, Acanthocephalus lucii, and Achtheres percarum. The infection parameters of the fish from canal were similar to those from the lake. Interesting observations were made on the seasonality of certain parasites of both lake- and Baltic perch. The presently observed differences between parasite faunas of the fish from ecologically different adjacent estuarine locations are certainly caused by diversified environmental conditions that affected the processes of formation of the parasite communities there. Among important factors that could affect compositions of the parasite faunas could have been: availability of the intermediate hosts, exchange of waters (Baltic water influxes to the lake), fish migrations (spawning), and finally the separate identity of the two fish stocks studied.

Animals↗

Decreased Carbon and Nutrient Input to Boreal Lakes from Particulate Organic Matter Following Riparian Clear-Cutting

The plankton communities of oligotrophic Canadian Shield lakes are strongly regulated by the allochthonous supply of total phosphorus (TP) and dissolved organic carbon (DOC), a proportion of both of which originate from particulate organic matter. Although decreased inputs of allochthonous leaf litter have been documented for small streams whose riparian forests have been removed, no such data exist for boreal lakes. Through estimates of airborne litter input from forested and clear-cut shorelines and laboratory measurements of concentrations released from leaf leachate, we determined that riparian deforestation resulted in reductions of DOC from 17.8 to 0.4 g/m shoreline/yr and of TP from 2.9 to 0.3 g/m shoreline/yr. Previous predictive models indicate that such reductions may be substantial enough to decrease basic metabolic processes of lake plankton communities by as much as 9% in primary production and 17% in respiration.

Journal Article↗

Winter transport of Chernobyl radionuclides from a montane catchment to an ice-covered lake.

The amounts of 137Cs and 90Sr have been determined in the inflows and outflows of the Norwegian sub-alpine lake, Ovre Heimdalsvatn, in March/April during the period of ice-cover, when discharge is extremely stable. The lake is situated in an area contaminated by Chernobyl fallout. The transported course particulate plant material has been collected in traps; the particles and colloids have been removed from water samples by cross-flow ultrafiltration. On the basis of radionuclide inputs and outputs, lake budget calculations have been made for 137Cs and 90Sr during the period of ice-cover. Daily transport of radionuclides is considerably less than that observed during the spring snowmelt period when discharges are high. Size distribution patterns of Cs and Sr observed during winter are compared with previously published data from the same lake during the spring spate. The retention of 137Cs is similar in winter and spring, but retention of 90Sr is greater in winter.

Accidents↗

Increased wheeze but not bronchial hyperreactivity near power stations.

STUDY OBJECTIVE: In a previous study a higher than expected prevalence of asthma was found in Lake Munmorah, a coastal town near two power stations, compared with another coastal control town. This study aimed to compare atopy, bronchial hyperreactivity, and reported symptoms of asthma in the power station town and a second control area with greater socioeconomic similarity. DESIGN: A cross sectional survey was undertaken. SETTINGS: Lake Munmorah, a coastal town near two power stations, and Dungog, a country town in the Hunter Valley, NSW, Australia. PARTICIPANTS: All children attending kindergarten to year 6 at all schools in the two towns were invited to participate in 1990. The response rates for the questionnaire for reported symptoms and associated demographic data were 92% in Lake Munmorah and 93% in Dungog, with 84% and 90% of children respectively being measured for lung function, atopy, and bronchial reactivity. There were 419 boys and 432 girls aged 5 to 12 years. MEASUREMENTS AND MAIN RESULTS: Main outcome measures were current wheeze and bronchial hyper-reactivity, defined as a fall in forced expiratory volume in 1 second (FEV1) or peak expiratory flow (PEF) of 20% or more. Current wheeze was reported in 24.8% of the Lake Munmorah children compared with 14.6% of the Dungog children. Bronchial hyper-reactivity was similar for both groups--25.2% in Lake Munmorah and 22.3% in Dungog. The mean baseline FEV1 was lower in Lake Munmorah than in Dungog (p < 0.001). Dungog children were more likely to have positive skin test to house dust mite (Dungog 27.0%, Lake Munmorah 20.2%, p = 0.028) but there were no other differences in skin test atopy in the two towns. After adjusting for age, gender, any smoker in the house, and positive dust mite skin test, the odds of current wheeze in Lake Munmorah compared with Dungog was 2.16 (95% confidence interval 1.45, 3.15). CONCLUSIONS: Baseline lung function was lower and reported symptoms of asthma were higher in the power station town, but bronchial hyper-reactivity and skin test defined atopy were similar in the two communities. These results are consistent with the previous study and confirm the increased presence of reported symptomatic illness in the town near power stations.

Asthma↗

[An experimental rationale for the use of sulfide sludge in adjuvant arthritis].

The experiments on 176 Wistar rats were performed for the first time to clarify mechanisms underlying anti-inflammatory action of the Deshembinskoe Lake mud in experimental arthritis. The new data obtained gave evidence supporting application of Deshembinskoe Lake mud in inflammatory diseases of the joints.

Analysis of Variance↗

Trends of chlorinated organic contaminants in great lakes trout and walleye from 1970 to 1998.

Levels of chlorinated organic contaminants in predator fish have been monitored annually in each of the Great Lakes since the 1970s. This article updates earlier reports with data from 1991 to 1998 for lake trout (Salvelinus namaycush) and (Lake Erie only) walleye (Sander vitreus) to provide a record that now extends nearly 30 years. Whole fish were analyzed for a number of industrial contaminants and pesticides, including polychlorinated biphenyls (PCBs), dichloro-diphenyl-trichloroethane (DDT), dieldrin, toxaphene, and mirex, and contaminant trends were quantified using multicompartment models. As in the past, fish from Lakes Michigan, Ontario, and Huron have the highest levels of PCBs, DDT, and dieldrin; Superior has the highest levels of toxaphene; and Ontario has the highest levels of mirex. In the period after curtailment of chemical use, concentrations rapidly decreased, represented by relatively short half-lives from approximately 1 to 9 years. Although trends depend on both the contaminant and the lake, in many cases the rate of decline has been decreasing, and concentrations are gradually approaching an irreducible concentration. For dioxin-like PCBs, levels have not been decreasing during the most recent 5-year period (1994 to 1998). In some cases, the year-to-year variation in contaminant levels is large, mainly because of food-web dynamics. Although this variation sometimes obscures long-term trends, the general pattern of a rapid decrease followed by slowing or leveling-off of the downward trend seems consistent across the Great Lakes, and future improvements of the magnitude seen in the 1970s and early 1980s likely will take much longer.

Animals↗

Dermal exposure to environmental contaminants in the Great Lakes.

This paper reviews the literature to determine the importance of the dermal route of exposure for swimmers and bathers using Great Lakes waters and summarizes the chemical water contaminants of concern in the Great Lakes along with relevant dermal absorption data. We detail in vivo and in vitro methods of quantifying the degree of dermal absorption and discuss a preference for infinite dose data as opposed to finite dose data. The basic mechanisms of the dermal absorption process, routes of chemical entry, and the environmental and physiological factors affecting this process are also reviewed, and we discuss the concepts of surface slick exposure to lipophilic compounds and the adsorption of contaminants to water sediment. After presenting mathematical constructs for calculating the degree of exposure, we present in vitro data concerning skin absorption of polyaromatic hydrocarbons adsorbed to Great Lakes water sediment to show that in a worst-case scenario exposure via the dermal route can be equally important to the oral route. We have concluded that prolonged exposure of the skin, especially under conditions that may enhance dermal absorption (e.g., sunburn) may result in toxicologically significant amounts of certain water contaminants being absorbed. It is recommended that swimming should be confined to public beaches, people should refrain from swimming if they are sunburned, and skin should be washed with soap as soon as possible following exposure. Future studies should be conducted to investigate the importance of the dermal exposure route to swimmers and bathers.

Environmental Exposure↗

Polychlorinated biphenyls (PCBs) and organochlorine pesticides (OCPs) in the sediments of an Italian drinking water reservoir.

The concentration of 9 polychlorinated biphenyls (PCB 28, 52, 101, 151, 153, 170, 180, 183 and 194) and of 6 micropollutants commonly classified as organochlorine pesticides, or OCPs (alpha-HCH, beta-HCH, gamma-HCH, p,p'-DDT, p,p'-DDE and p,p'-DDD), was determined in 22 sediment samples of lake Simbirizzi, an artificial reservoir supplying drinking water to the city of Cagliari (Sardinia, Italy). The quantification was performed by analysing purified sediment extract with HRGC-ECD. The average concentrations proved to be relatively low. In the case of p,p'-DDE, the contaminant with the highest concentration, a mean value of 0.84 ppb (micrograms/kg d.m.) was found. These relatively low concentrations and the comparison with data relating to other lakes suggest that, as far as PCBs and the majority of OCPs are considered, atmospheric inputs are likely to be the main source of contamination. Only for lindane (gamma-HCH) it is possible to assume a contribution from agricultural activities. The presence of its isomers (alpha-HCH and beta-HCH) was attributed to natural occurring reactions of the gamma-form.

Agriculture↗

The PCB pollution of Lake Iseo (N. Italy) and the role of biomagnification in the pelagic food web.

Several models of varying complexity have been used to predict pollutant concentrations in the higher levels of the food web from those in lower levels, but the role of the biomagnification process in aquatic food chains is still controversial. We used the fugacity-based approach to verify the transfer of PCBs through the pelagic food chain of Lake Iseo (N. Italy), sampling several zebra mussel specimens and some fish belonging of different trophic levels. The zebra mussel seems to be a suitable starting species for modelling the bioaccumulation process through the trophic web, not only because its physiological characteristics and population size do not change much with time (as do algae and zooplankton) but also because it takes up toxicants exclusively from the water, as shown by the application of two predictive trophic models commonly used. The data provided by one of those models were in good agreement with our experimental data on fish in Lake Iseo, that show a not negligible uptake from food for the top predator species (pike and perch) with an increase of about three times in comparison with the PCB levels measured in the zebra mussel specimens.

Animals↗

A potentiometric and 51V NMR study of the aqueous H+/H2VO4-/H2O2/L-alpha-alanyl-L-histidine system.

The speciation in the quaternary aqueous H+/H2VO4-/H2O2/L-alpha-alanyl-L-histidine (Ah) system has been determined from quantitative 51V NMR measurements and potentiometric data (glass electrode). The study was performed in 0.150 M Na(Cl) medium at 25 degrees C. Data were evaluated with the computer program LAKE, which is able to treat combined EMF and NMR data. The pKa values for Ah were determined as 8.06, 6.72 and 2.64. In the ternary H+/H2VO4-/Ah system, two complexes, (H+)p(H2VO4-)q(Ah)r, for which (p, q, r) values of (0, 1, 1) and (1, 1, 1) with log beta(0,1,1) = 2.52 +/- 0.03 and log beta(1,1,1) = 9.40 +/- 0.05 (pKa = 6.88), respectively, explain all data. The errors given are 3sigma. In the quaternary H+/H2VO4-/H2O2/Ah system, eight complexes were determined in addition to all binary and ternary complexes, four with a V/X/Ah ratio 1:1:1 and four with a ratio 1:2:1 (X = peroxo ligand). VX2Ah2- and VX2Ah- (pKa = 8.19) are the main complexes and predominate in the pH range 5 to 9. Three additional minor species have also been found but their compositions could not be determined owing to their small amounts. Equilibria are slow, significant decomposition of peroxide occurs only in acidic solutions. Data in the pH range 5 to 10 have been used for the LAKE calculations. Chemical shifts, compositions, and formation constants for the eight quaternary complexes are given, and equilibrium conditions are illustrated in distribution diagrams. Structural proposals for VX2Ah2- and VX2Ah- are made from 1H and 13C NMR measurements.

Dipeptides↗

[Microbiological characteristics of the lakes in the Yaroslavl region].

The paper presents data concerning the activity of microflora in water and ooze deposits of lakes of the Yaroslavl Region. Microbiological processes in water depend mainly on the rate of production or organic substance at the account of phytoplankton photosynthesis, which varies from 0.18 to 6.3 gC/m2. Destruction of organic substance in water of most lakes exceeded production. Production of bacterial biomass was within limits of 0.2--5.8 gC/m2/day and lower, as a rule, than production of phytoplankton. The number of bacteria in different lakes varied from 1.7 to 35 X 10(6) per 1 ml. Heterotrophic assimilation of carbon dioxide was rather high and reached 34 mcgC/litre/day, its ratio to biomass being ca. 6.8%. The total number of bacteria in ooze deposits of lakes varied from 0.6 to 2.7 X 10(9) g/m2. Aerobic destruction varied from 0.03 to 0.78 gC/m2.

Bacteria↗

[The use of an enzyme-kinetic-method for bacteriological examinations of heavy polluted surface waters (author's transl)].

The greatest fraction of nutrients dissolved in water are organic substances which are decomposed, transformed and mineralized by heterotrophic microorganisms. For this reason, investigations concerning energy transfer in an aquatic ecosystem, or practical examinations of the pollution load of surface waters, cannot be set up when based exclusively on more or less good counts of microorganisms of the production or destruction group. Above all, it is important for heterotrophic bacteria that productivity parameters for these numerical estimations are also provided. PARSON and STRICKLAND were successful in measuring the uptake of organic material in waters with uptake-kinetic methods; HOBBIE and WRIGHT developed a method for measuring the uptake of marked test-substrates in certain concentration ranges. As a result, for these substrates it was possible to measure the turnover in natural populations. Consequently, after frequent improvement of the technique in determining the decomposition rates of individual organic substrates, a way was found not only to determine static descriptions of an aquatic biotope, but also to make possible a dynamic description of nutrient transfers. The kinetic parameters computed from these measurements are: the maximum uptake velocity (Vmax), the turnover velocity (Tt) and the transport constant (Kt) (Michaelis Constant). The maximum uptake velocity of a substrate can be regarded as the "heterotrophic capacity" of the biotope for this substrate. One restriction is, however, that only quickly assimilatable substrates can be used, as for example hexoses, organic acids, amino acids, etc. Since this technique was tested practically only in oligotrophic waters, this study undertakes to investigate its applicability in polluted biotopes and to answer the question whether a decomposition gradient is reflected in the kinetic data. A small eutrophic lake in the eastern section of the Holstein Lake District (350 ha, 9.5 m mean water depth) was chosen as the test biotope. Emptying into the lake was the runoff of a biological water treatment plant with 12,000 population equivalents and without notable business and industry. In a rectangular investigation area at first with 30 sampling stations positioned close to the outlet of the water treatment plant into the lake, kinetic tests were carried out in 48 hour intervals and then compared with bacteriological, chemical and meteorological sample results taken at the same time. Two typical result-blocks are illustrated (Fig. 1-4, 5-8). The first shows four successive test days with periodically strong wind and light to fairly strong but short periods of precipitation. The second block illustrates conditions during a following period of fair weather with only very light wind intensities. The corresponding conditions of the stratification of the drainage water in the investigation area are illustrated by the distribution of coliform organisms. In two other tables the kinetic parameters and individual, dominant data are contrasted numerically...

Bacteria↗

Relative toxicity of beta blockers in overdose.

OBJECTIVE: To compare the toxicity of beta blockers in overdose and to identify clinical features predictive of serious toxicity. DESIGN: Comparison of clinical data collected prospectively on a relational database of subjects presenting to hospital with self-poisoning, coroner's data and prescription data. SETTING: Newcastle and Lake Macquarie, Australia, 1987-1995. MAIN OUTCOME MEASURES: Death, seizure, cardiovascular collapse, hypoglycemia, coma and respiratory depression. SUBJECTS: Fifty-eight self-poisonings with beta blockers and two deaths investigated by the coroner with evidence of propranolol poisoning. RESULTS: All patients who developed toxicity did so within six hours of ingestion. The use of ipecac was temporally associated with cardiorespiratory arrest in one patient. Propranolol was the only beta blocker associated with seizure; of those who ingested more than 2 g of propranolol, two thirds had a seizure. There was a significant association between a QRS duration of > 100 ms and risk of seizures. Propranolol was over represented in beta blocker poisoning when prescription data were also examined. Propranolol was the only beta blocker associated with death. Propranolol was taken by a younger age group. CONCLUSIONS: Propranolol should be avoided in patients at risk of self-poisoning. Propranolol poisonings should be observed closely for the first six hours post ingestion. Syrup of ipecac should not be used to decontaminate the gastrointestinal tract after beta blocker overdose.

Adolescent↗

Replacement of isoleucine-397 by threonine in the clotting proteinase factor IXa (Los Angeles and Long Beach variants) affects macromolecular catalysis but not L-tosylarginine methyl ester hydrolysis. Lack of correlation between the ox brain prothrombin time and the mutation site in the variant proteins.

Previously, from the plasma of unrelated haemophilia-B patients, we isolated two non-functional Factor IX variants, namely Los Angeles (IXLA) and Long Beach (IXLB). Both variants could be cleaved to yield Factor IXa-like molecules, but were defective in catalysing the cleavage of Factor X (macromolecular substrate) and in binding to antithrombin III (macromolecular inhibitor). In the present study we have identified the mutation of IXLA by amplifying the exons (including flanking regions) as well as the 5' end of the gene by polymerase-chain-reaction (PCR) method and sequencing the amplified DNA by the dideoxy chain-termination method. Comparison of the normal IX and IXLA sequences revealed only one base substitution (T----C) in exon VIII of IXLA, with a predicted replacement of Ile-397 to Thr in the mature protein. This mutation is the same as found recently for IXLB. The observation that IXLB and IXLA have the same mutation is an unexpected finding, since, on the basis of their ox brain prothrombin time (PT, a test that measures the ability of the variant Factor IX molecules to inhibit the activation of Factor X by Factor VIIa-tissue factor complex), these variants have been classified into two different groups and were thought to be genetically different. Our observation thus suggests that the ox brain PT does not reflect the locus of mutation in the coding region of the variant molecules. However, our analysis suggests that the ox brain PT is related to Factor IX antigen concentration in the patient's plasma. Importantly, although the mutation in IXLA or IXLB protein is in the catalytic domain, purified IXaLA and IXaLB hydrolyse L-tosylarginine methyl ester at rates very similar to that of normal IXa. These data, in conjunction with our recent data on Factor IXBm Lake Elsinore (Ala-390----Val mutant), strengthen a conclusion that the peptide region containing residues 390-397 of normal Factor IXa plays an essential role in macromolecular substrate catalysis and inhibitor binding. However, the two mutations noted thus far in this region do not distort S1 binding site in the Factor IXa enzyme.

Animals↗

Toxaphene deposition to Lake Ontario via precipitation, 1994-1998.

Precipitation samples collected continuously at Point Petre on Lake Ontario from November 1994 through December 1998 were analyzed for total toxaphene (=sum of hexa-, hepta-, octa-, and nonachloro bornanes) and chlorobornane congeners (1997-98 only). Composite triplicate samples were collected during 4-week intervals throughoutthe 4-year study using heated wet-only samplers. These results represent the first detailed data for toxaphene in Great Lakes precipitation. Seasonal volume-weighted mean concentrations for total toxaphene in precipitation ranged from 0.25 to 1.5 ng/L. Highest concentrations were found during the four spring (March-May) periods at roughly twice the annual means. The pattern for hexathrough nona-homologues over the 4 years did not vary appreciably with average ratios (relative to hepta-) of 0.08: 1.0:1.3:0.2. The volume-weighted mean concentrations for individual chlorobornane congeners were consistent in their season pattern with maximums seen in the spring. The major chlorobornane in precipitation, B8-2229 (Parlar 44), which was present at concentrations ranging from 0.016 to 0.079 ng/L, constituted 28 and 29% of the congener sum for 1997 and 1998, respectively. Lakewide loadings of toxaphene for Lake Ontario via precipitation were estimated to be 12, 17, 12, and 13 kg/year for 1995-1998, respectively. Previous toxaphene loading estimates were calculated for the individual Great Lakes on the basis of the only concentration data available, a single precipitation estimate of 0.2 ng/L from early work in northwestern Ontario. The loading estimates in this study indicate that precipitation inputs of toxaphene are 3-4 times higher than previously reported for Lake Ontario. The 1998 estimates of Lake Ontario wet deposition flux are 50% of the estimated gas deposition flux. However, wet flux values from this study exceed the net gas-phase mass transfer of toxaphene across the air-water interface.

Air↗