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Determination of DDT and its metabolites in cattle dip soil available in aqueous phase after remediation.

Soil taken from a former cattle tick dip site in NSW Australia, was remediated with a chemical leaching technology. The pre- and post-remediated soil (20g) was dispersed in water (100mL) and subjected to passive diffusion using polymeric membranes. The remediation reduced tDDT from 1174.3 microg/g to 102.9 microg/g (ash weight basis), which was further reduced to 43.2 microg/g with composting. The membranes accumulated 41.3 microg tDDT/g from the dip soil, 49.2 microg tDDT/g from the chemically leached soil and 3.1 microg tDDT/g from the leached composted soil. The chemical leaching removed over 90% of the tDDT, but released soil bound DDT, which was converted to DDE, while 2.99 microg/g was accumulated by the membranes from dip soil, 37.52 microg/g was accumulated from remediated soil. Composting, however, almost eliminated the availability for passive diffusion by the membranes from 50-60 microg/g in remediated soil to 3 -3.5 microg/g in composted soil. Variability studies of the membranes using eight replicates demonstrated that the accumulation by the membranes was reproducible with an average relative error of 20.3% for p,p'-DDT in soil type two, whilst the lowest average relative error for p,p'-DDE was 4.3%, suggesting that triplicate analyses will achieve acceptable accuracy.

DDT↗

"Torque-like" action of remedies and diseases on the vital force and their consequences for homeopathic treatment.

INTRODUCTION: Within the developing theoretical context of quantum macroentanglement, a mathematical model of the Vital Force (Vf) has recently been formulated. It describes the Vf in terms of a hypothetical gyroscope with quantized angular momentum. This enables the Vf's state of health to be represented in terms of a "wave function" derived solely from secondary symptom observables produced in response to disease or homeopathic remedies. So far, this approach has illustrated the biphasal action of remedies, resonance phenomena arising out of homeopathic provings, and aspects of the therapeutic encounter. METHOD: In this paper, the effects of a therapeutic remedy and disease states on the gyroscopic angular momentum characteristics of the Vf were investigated by mathematical manipulation the Vf "wave function." RESULTS: The formulation of the Vf in terms of a quantized gyroscope permits disease to be represented as a braking "torque" decreasing the Vf's angular momentum, causing it to "precess" (i.e., express symptoms). The therapeutic remedy, however, provides an accelerating "torque," increasing the Vf's angular momentum and decreasing precession (i.e., reducing symptom expression). CONCLUSIONS: According to this model, symptom expression corresponds to precession of the Vf "gyroscope." Conversely, complete removal of symptoms is equivalent to cessation of Vf "precession." However, if overprescribed or given in unsuitable potency, the curative remedy (which may also be formulated as a wave function but this time derived solely from changes in Vf secondary symptom observables) may cause the Vf to express proving symptoms. Thus, with only observation of symptoms and changes in them to indicate, indirectly, the state of a patient's Vf, the safest treatment strategy might be for the practitioner to proceed via gradual removal of the symptoms. This is congruent with Hahnemann's later development and use of the LM potencies, as described in his final 6th edition of The organon.

Empiricism↗

What predicts a good response to cognitive remediation interventions?

Cognitive remediation is a behavioral intervention designed to improve cognition in people who have suffered a decline in neuropsychological functioning. The application of cognitive remediation for people with schizophrenia has become increasingly popular. In this article we attempt to determine what factors moderate outcome in cognitive remediation. This issue is of primary concern, as the efficacy of treatments largely depends on the appropriate selection of individuals and treatment methodologies that are most likely to yield gains. Three databases were examined, dividing the samples into participants who showed or did not show a marked improvement from baseline to posttest. We examined patient, illness, and treatment factors that might affect treatment response. Whereas certain patient and treatment variables did differentiate "Improvers" from "Nonimprovers," illness factors were the least likely to influence treatment outcome. Treatment intensity, type of cognitive remediation program, and therapist qualifications were identified as key treatment variables. Patient levels of motivation for treatment and baseline sets of work habits were also important moderators. While the issue of treatment intensity appears to be especially salient, there is evidence that to some extent patient and treatment variables intertwine to produce a positive response to cognitive remediation.

Cognition Disorders↗

Remedial program for diagnostic radiology residents.

OBJECTIVES: We describe a 1-year remedial program for radiology residents with deficiencies in basic medical sciences that cause difficulty in the understanding and application of basic radiologic principles. METHODS: Six of 107 residents participated in the remedial program at separate times during an 8-year period. The design of the remedial program was based on the following: 1) reassignment to first year basic radiology rotations with 1-year delayed advancement to the subspecialty rotations; 2) comprehensive radiology texts that contain a detailed review of related embryology, anatomy, physiology and pathology; 3) instruction in the study of the texts; and 4) repetitive learning accomplished by intermittent reassignment of rotations in which difficulty was demonstrated. Resident performance was evaluated by correlation of monthly written faculty evaluations, the results of the American College of Radiology Intraining Examination, and the American Board of Radiology (ABR) written and oral examinations. RESULTS: During the period of remediation, faculty evaluation revealed improved performance in all six residents from below-average ratings (mean = 2.3) to above-average and superior ratings (mean = 8.3). These results were correlated with the American College of Radiology Intraining Examination scores, which improved from the lowest quartile (range 0% to 28%) to the highest (range 78% to 99%). Each resident successfully passed the ABR written and oral boards on the first attempt. Two additional residents who were offered but did not accept remediation eventually dropped out of the program or repeatedly failed the written ABR examination. CONCLUSIONS: Ultimately, strengthening basic medical science knowledge facilitated interpretation of radiographs by enabling the integration of basic radiologic and scientific principles and understanding the underlying basic medical, radiologic, and clinical significance.

Female↗

Estimated risk of occupational fatalities associated with hazardous waste site remediation.

This study presents a method to assess short term traumatic fatality risks for workers involved in hazardous waste site remediation to provide a quantitative, rather than qualitative, basis for evaluating occupational exposures in remediation feasibility studies. Occupational employment and fatality data for the years 1979-1981 and 1983 were compiled from Bureau of Labor Statistics data for 11 states. These data were analyzed for 17 occupations associated with three common remediation alternatives: excavation and landfill, capping, and capping plus slurry wall. The two occupations with the highest death rates, truck driver and laborer, contributed most to total exposure hours in each alternative. Weighted average death rates were produced for each alternative and multiplied by respective total person-years of exposure. The resultant expected number of fatalities was converted, using the Poisson distribution, to the risk of experiencing at least one fatality, as follows: 0.149 for excavation and landfill, 0.012 for capping, and 0.014 for capping plus slurry wall. These risks were discussed in light of the need to obtain more reliable and comprehensive data than are currently available on the occupational safety and health risks associated with hazardous waste site remediation and the need for a more scientific, quantitative approach to remediation decisions involving risks to workers.

Accidents, Occupational↗

A program for evaluating dual-equilibrium desorption effects on remediation.

Desorption is one of the most critical processes affecting the effectiveness of soil and ground water remediation. None of the currently adopted desorption models can accurately quantify desorption of low-hydrophobicity organic chemicals, and thus could potentially mislead remediation design and decision-making. A recently developed dual-equilibrium desorption (DED) model was found to be much more accurate in quantifying desorption. A screening-level transport model, DED-Transport, was developed to simulate the DED effect on behaviors of organic contaminant plumes during remediation. DED-Transport requires only simple parameters, but is applicable to many remediation scenarios. DED-Transport can be used as a decision-support tool in site remediation to more precisely predict the time required for cleanup.

Adsorption↗

Herbal remedies in a Nicaraguan barrio.

To become more culturally competent, nurses need to increase their knowledge of the health practices of their immigrant clients. With the growing Latino immigrant community, it is imperative that nurses learn more about the cultures from which the immigrants come. This article examines the use of herbal remedies in treating common illnesses in a barrio in Managua, Nicaragua. Data were collected in a random sample of households in an impoverished community of more than 1,600 persons. The use of herbal remedies occurred in 78% of the households. Herbal remedies were used for a variety of symptoms. There was no difference in herbal remedy use based on age or education. The discussion focuses on the availability and functionality of these herbal remedies for this vulnerable population. Implications are addressed for incorporating this information into nursing practice with Central American immigrants, thereby increasing cultural competence.

Adult↗

Reduction in asthma morbidity in children as a result of home remediation aimed at moisture sources.

OBJECTIVE: Home dampness and the presence of mold and allergens have been associated with asthma morbidity. We examined changes in asthma morbidity in children as a result of home remediation aimed at moisture sources. DESIGN: In this prospective, randomized controlled trial, symptomatic, asthmatic children (n = 62), 2-17 years of age, living in a home with indoor mold, received an asthma intervention including an action plan, education, and individualized problem solving. The remediation group also received household repairs, including reduction of water infiltration, removal of water-damaged building materials, and heating/ventilation/air-conditioning alterations. The control group received only home cleaning information. We measured children's total and allergen-specific serum immuno-globulin E, peripheral blood eosinophil counts, and urinary cotinine. Environmental dust samples were analyzed for dust mite, cockroach, rodent urinary protein, endotoxin, and fungi. The follow-up period was 1 year. RESULTS: Children in both groups showed improvement in asthma symptomatic days during the preremediation portion of the study. The remediation group had a significant decrease in symptom days (p = 0.003, as randomized; p = 0.004, intent to treat) after remodeling, whereas these parameters in the control group did not significantly change. In the postremediation period, the remediation group had a lower rate of exacerbations compared with control asthmatics (as treated: 1 of 29 vs. 11 of 33, respectively, p = 0. 003; intent to treat: 28.1% and 10.0%, respectively, p = 0.11). CONCLUSION: Construction remediation aimed at the root cause of moisture sources and combined with a medical/behavioral intervention significantly reduces symptom days and health care use for asthmatic children who live in homes with a documented mold problem.

Adolescent↗

Integrated healthcare: herbal remedies for menopausal symptoms.

Women approaching the menopause frequently resort to complementary therapies and natural remedies, especially herbal medicines. Nurses working with mature women, both in the community and in hospital, may find themselves drawn into a debate about these remedies, yet may feel unable to answer women's questions, or be unsure where to find information. However, with the increased use of complementary therapies generally, it is imperative that nurses recognize the parameters of their personal practice and appreciate the possible problems which may arise from ill-informed use of natural remedies, such as herb-drug interactions. This article provides an overview of herbal remedies popularly self-administered by women in the peri-menopausal period. The effects and safety of several remedies are explored to facilitate nurses to offer accurate, comprehensive and evidence-based information to patients. The issue of integration of herbal medicine into mainstream management of menopausal symptoms is also debated as a means of providing optimum and safe care to women at this time.

Attitude to Health↗

Residential lead-based-paint hazard remediation and soil lead abatement: their impact among children with mildly elevated blood lead levels.

OBJECTIVES: This prospective study describes the impact of residential lead-based-paint hazard remediations on children with mildly elevated blood lead levels. METHODS: Changes in blood lead levels were observed following paint hazard remediation alone and in combination with soil abatement. RESULTS: After adjustment for the confounding variables paint hazard remediation alone was associated with a blood lead increase of 6.5 micrograms/dL (P = 0.5), and paint hazard remediation combined with soil abatement was associated with an increase of 0.9 microgram/dL (P = 36). CONCLUSIONS: Lead-based-paint hazard remediation as performed in this study, is not an effective secondary prevention strategy among children with mildly elevated blood lead levels.

Boston↗

'Natural remedies' in the treatment of osteoarthritis.

Osteoarthritis (OA) is a common, chronic and painful condition. It is the most common of all rheumatic disorders and is destined to become one of the most prevalent and costly diseases in our society. The conventional therapeutic options employed in the management of OA are simple analgesics and NSAIDs, but these options frequently produce sub-optimal benefit and are associated with an adverse-safety profile. Unsurprisingly patients are looking to alternative and complementary medicine. The aim of this article was to review the available literature on the effectiveness and safety of 'natural remedies' for the treatment of OA. Computerised literature searches were carried out for systematic reviews and randomised controlled trials examining the role of 'natural remedies' in the treatment of OA. There have been few randomised controlled trials of 'natural remedies' that have satisfied the internationally agreed standards. There was, however, evidence of efficacy for glucosamine, chondroitin sulfate and possibly avocado/soybean unsaponifiables for the symptomatic relief of OA. To date, it is not established whether any of the 'natural remedies' are capable of chondroprotection. Even if 'natural remedies' are only modestly effective, they are widely available and well tolerated, suggesting that they may play a significant role in the management of OA in the elderly.

Clinical Trials as Topic↗

Remedial therapy and functional recovery in a total population of first-stroke patients.

A consecutive series of 155 patients with a first-ever stroke and who were registered with the Oxfordshire Community Stroke Project (OCSP) were followed up. Their receipt of remedial therapy was recorded and their functional recovery was measured using the Barthel index of activities of daily living. Only a minority of patients received remedial therapy during the first 6 months after stroke. Those who were admitted to hospital during the first month following their stroke, or who were severely dependent, were significantly more likely to receive remedial therapy than those who remained in the community or were less dependent. A comparison of functional recovery amongst a matched subsample of patients who received remedial therapy and those who did not showed that there was comparable recovery amongst patients who did not receive remedial therapy.

Activities of Daily Living↗

The persisting communicative difficulties of 'remediated' language-impaired children.

This study addresses the effiacy of dismissal criteria used by speech and language pathologists by investigating communicative functioning in children declared 'remediated'. A battery of measures comprising the Language Assessment and Remediation Procedure (LARSP); the Behavioural inventory of Speech Act Performances (BISAP); the BISAP Addendum and the Devereux School Behaviour Rating Scale (DESB) was conducted on five children with language impairment who had been declared 'remediated'. Findings for certain 'remediated' subjects revealed persisting problems. The results suggest that decisions about dismissal from therapy may, in some cases, be premature and point to the need for a broad-based perspective concerning remediation dismissal decisions. An additional study on larger populations and the use of designs which investigate long term outcomes would further inform clinical decision-making concerning dismissal from therapy.

Child↗

Choosing remedies after accidents: counterfactual thoughts and the focus on fixing "human error".

The present research is motivated by an interest in why organizational decision makers so often respond to accidents with remedy plans that focus narrowly on correcting human error rather than more environment-focused plans or more encompassing plans. We investigated the role of counterfactual thinking in the decision-making tendency toward human-focused plans. Our experiments indicated that even in a domain where human-focused remedies were not otherwise appealing, many participants decided on human-focused remedies after they had generated an "if only" conjecture about the accident. This reflects that human actions are often selected as the focus of "if only" conjectures and, importantly, that this focus "locks in" and carries through to subsequent remedy decisions. Our hypothesis that remedy plans are produced from "if only" thoughts was supported over several alternative interpretations. We discuss implications for research on the relation between counterfactual thinking and adaptive learning.

Accident Prevention↗

Ethnic differences in elders' home remedy use: sociostructural explanations.

OBJECTIVE: To determine if ethnic differences in elders' use of home remedies are explained by structured inequalities. METHOD: Dichotomous indicators of "food" and "other" home remedies were obtained from a randomly selected cohort of older adults with diabetes (N=701). Analyses evaluated if differences in availability of care, economic hardship, and health status explained ethnic differences in home remedy use. RESULTS: Differences in residential location, discretionary money, and health partially explained greater home remedy use among Black and Native American elders relative to whites. CONCLUSIONS: Ethnic differences in elders' use of home remedies are not largely attributed to socially structured inequalities.

Black or African American↗

[The consumption of drugs and natural remedies in the older population of a rural area].

OBJECTIVES: To evaluate the knowledge about medical treatment on people with more than 70 years old, specifically, the understanding, reason for prescription and dosage. To describe the use of natural remedies in the rural environment. To correlate the medication and the natural remedies consumption with health's self-perception. DESIGN: Cross-sectional study. SETTING: Health Center of Santa Eugènia de Berga. Barcelona. PATIENTS: Covered people aged 70 or more, not in an institution, selected by systematic sampling obtained from an updated age and sex register. MEASUREMENTS: A standard questionnaire was used, gathering aspects about medicine and natural remedies consumption and health's self-perception. RESULTS: The average of medicines was 3.08 (SD 2.5) for person. Therapeutics groups most prevalent were cardiovascular and nervous system drugs. The patients remembered correctly the reason of the prescription of the 77% of the medicines and the dosage of the 85%. The 25% of patients needed assistance of some family for to take the medication. We have found statistical significance between health's self-perception and the number of consumed drugs. The 47% of aged population used natural remedies. CONCLUSIONS: The knowledge of medical treatment of our elderly people is satisfactory. We detect in our study a high rate of polymedication. It is necessary, if possible, to rationalize and to reduce the number of drugs. It is useful to revise and to update periodically the elderly people medication. The natural remedies is included on the people's pharmacology and its use is important.

Aged↗

Remedies used in Hellenic history.

A large number of remedies known as "pharmaca" in Greek used for treating a disease or for other problems in medical practice have been traced back to the Hellenic period of history. Archeological data as well as literary and scientific texts suggest that the ancient Greek physicians knew how to use many remedies from herbs and plants, metals and minerals, and animals. These remedies were given per os, in liquid form (katapotia in Greek), in poultice form, or in the form of ointments and eye-drops (collyria). The main problem of ancient pharmacology was that chemistry had not yet become a science to help physicians individually distinguish each of the substances used as remedies and to estimate the exact effect they could cause to the human organism. However, especially during the classical period (Sth-4th century BC) and from the end of the Hellenic period and thereafter, remedies would be the combinations of substances presented clearly and in detail in prescriptions, giving medicine a more scientific profile of their workings.

Greece, Ancient↗

Failure to exhaust administrative remedies. Ravencraft v. UNUM Life Insurance Company of America.

Ravencraft v. UNUM Life Insurance Company of America, 212 F.3d 341 (6th Cir. 2000): Although ERISA does not explicitly require it, the Sixth Circuit and most of the others require that a participant pursue all plan remedies before bringing suit. An action against a plan or plan fiduciary will be dismissed if the participant fails to exhaust the administrative remedies available to it under the plan unless he or she can show that pursuing those remedies would be futile, such as where the available remedies are inadequate or unfair. If a participant's case is dismissed solely because of the failure to follow the procedural steps for review under the plan, the dismissal should be without prejudice so that the participant can file suit again, if necessary, after he or she goes back to pursue the remedies available under the plan.

Employee Retirement Income Security Act↗