COVID-19 and Persons With Intellectual and Developmental Disabilities: Implications for Future Policy, Practice, and Research.

The COVID-19 pandemic has been hard for everyone. For the estimated seven and a half million people in the United States who live with intellectual disability (Residential Information Systems Project, 2020), it has been very hard. Lives have been disrupted by lost jobs, lack of access to friends/family, and challenges finding enough staff to provide supports and needed healthcare.

Global hemostatic status in patients with acute-on-chronic liver failure and septics without underlying liver disease.

Essentials Liver diseases are associated with profound hemostatic changes proportional to severity of illness. Hemostatic changes in acute-on-chronic liver failure (ACLF) may in part reflect critical illness. Hemostatic changes in ACLF partly overlap with those in sepsis, with rebalanced hemostasis in both.

Comparing Trace Element Bioaccumulation and Depuration in Snails and Mayfly Nymphs at a Coal Ash-Contaminated Site.

We examined the bioaccumulation of essential (Cu, Fe, Se, and Zn) and nonessential (As and Hg) trace elements in 2 aquatic invertebrate species (adult snails and mayfly nymphs) with different feeding habits at the site of a coal ash spill. Differences in food web pathway, exposure concentrations, and biological processing affected bioaccumulation patterns in these species. Mayflies had higher body burdens, but snails had higher retention of most elements studied.

Identifying non-reference sites to guide stream restoration and long-term monitoring.

The reference condition paradigm has served as the standard for assessing the outcomes of restoration projects, particularly their success in meeting project objectives. One limitation of relying solely on the reference condition in designing and monitoring restoration projects is that reference conditions do not necessarily elucidate impairments to effective restoration, especially diagnosing the causal mechanisms behind unsuccessful outcomes. We provide a spatial framework to select both reference and non-reference streams to guide restoration planning and long-term monitoring through reliance on anthropogenically altered ecosystems to understand processes that govern ecosystem biophysical properties and ecosystem responses to restoration practices.

Spatial and temporal trends in contaminant concentrations in Hexagenia nymphs following a coal ash spill at the Tennessee Valley Authority's Kingston Fossil Plant.

A dike failure at the Tennessee Valley Authority Kingston Fossil Plant in East Tennessee, United States, in December 2008, released approximately 4.1 million m(3) of coal ash into the Emory River. From 2009 through 2012, samples of mayfly nymphs (Hexagenia bilineata) were collected each spring from sites in the Emory, Clinch, and Tennessee Rivers upstream and downstream of the spill.

The effects of a stannous chloride-based water treatment system in a mercury contaminated stream.

We assessed the impacts of an innovative Hg water treatment system on a small, industrially-contaminated stream in the southeastern United States. The treatment system, installed in 2007, removes Hg from wastewater using tin (Sn) (II) chloride followed by air stripping. Mercury concentrations in the receiving stream, Tims Branch, decreased from >100 to ∼10 ng/L in the four years following treatment, and Hg body burdens in redfin pickerel (Esox americanus) decreased by 70% at the most contaminated site.

A brief Patient-Reported Outcomes Quality of Life (PROQOL) instrument to improve patient care.

Jeff Sloan and colleagues describe the development of the Patient-Reported Outcomes Quality of Life (PROQOL) instrument, which captures and stores patient-recorded outcomes in the medical record for patients with diabetes. Please see later in the article for the Editors' Summary.

Role of a comprehensive toxicity assessment and monitoring program in the management and ecological recovery of a wastewater receiving stream.

National Pollution Discharge Elimination Permit (NPDES)-driven effluent toxicity tests using Ceriodaphnia dubia and fathead minnows were conducted for more than 20 years to assess and monitor the effects of wastewaters at the United States (U.S.) Department of Energy Y-12 National Security Complex (Y-12 Complex) in Oak Ridge, Tennessee.

Twenty-five years of ecological recovery of East Fork Poplar Creek: review of environmental problems and remedial actions.

In May 1985, a National Pollutant Discharge Elimination System permit was issued for the Department of Energy's Y-12 National Security Complex (Y-12 Complex) in Oak Ridge, Tennessee, USA, allowing discharge of effluents to East Fork Poplar Creek (EFPC). The effluents ranged from large volumes of chlorinated once-through cooling water and cooling tower blow-down to smaller discharges of treated and untreated process wastewaters, which contained a mixture of heavy metals, organics, and nutrients, especially nitrates. As a condition of the permit, a Biological Monitoring and Abatement Program (BMAP) was developed to meet two major objectives: demonstrate that the established effluent limitations were protecting the classified uses of EFPC, and document the ecological effects resulting from implementing a Water Pollution Control Program at the Y-12 Complex.

Long-term water-quality changes in East Fork Poplar Creek, Tennessee: background, trends, and potential biological consequences.

We review long-term changes that have occurred in factors affecting water quality in East Fork Poplar Creek (EFPC; in East Tennessee) over a nearly 25-year monitoring period. Historically, the stream has received wastewaters and pollutants from a major United States Department of Energy (DOE) facility on the headwaters of the stream. Early in the monitoring program, EFPC was perturbed chemically, especially within its headwaters; evidence of this perturbation extended downstream for many kilometers.

Long-term benthic macroinvertebrate community monitoring to assess pollution abatement effectiveness.

The benthic macroinvertebrate community of East Fork Poplar Creek (EFPC) in East Tennessee was monitored for 18 years to evaluate the effectiveness of a water pollution control program implemented at a major United States (U.S.) Department of Energy facility.

Light, nutrients, and herbivore growth in oligotrophic streams.

The light : nutrient hypothesis posits that herbivore growth is increasingly constrained by low food quality as the ratio of light to nutrients increases in aquatic ecosystems. We tested predictions of this hypothesis by examining the effects of large seasonal cycles in light and nutrients on the mineral content of periphyton and the growth rate of a dominant herbivore (the snail Elimia clavaeformis) in two oligotrophic streams. Streambed irradiances in White Oak Creek and Walker Branch (eastern Tennessee, USA) varied dramatically on a seasonal basis due to leaf phenology in the surrounding deciduous forests and seasonal changes in sun angle.

The role of periphyton in mediating the effects of pollution in a stream ecosystem.

The effects of pollutants on primary producers ramify through ecosystems because primary producers provide food and structure for higher trophic levels and they mediate the biogeochemical cycling of nutrients and contaminants. Periphyton (attached algae) were studied as part of a long-term biological monitoring program designed to guide remediation efforts by the Department of Energy's Y-12 National Security Complex on East Fork Poplar Creek (EFPC) in Oak Ridge, Tennessee. High concentrations of nutrients entering EFPC were responsible for elevated periphyton production and placed the stream in a state of eutrophy.

The classic: Pathological appearances of seven cases of injury of the shoulder-joint: with remarks. 1834.

This Classic Article is a reprint of the original work by John Gregory Smith, Pathological Appearances of Seven Cases of Injury of the Shoulder-Joint: With Remarks. An accompanying biographical sketch of John Gregory Smith, FRCS is available at DOI 10.1007/s11999-010-1232-9.

Investigating habitat value to inform contaminant remediation options: case study.

Habitat valuation methods were implemented to support remedial decisions for aquatic and terrestrial contaminated sites at the East Tennessee Technology Park (ETTP) on the US Department of Energy (DOE) Oak Ridge Reservation in Oak Ridge, TN, USA. The habitat valuation was undertaken for six contaminated sites: Contractor's Spoil Area, K-901-N Disposal Area, K-770 Scrapyard, K-1007-P1 pond, K-901 pond, and the Mitchell Branch stream. Four of these sites are within the industrial use area of ETTP and two are in the Black Oak Ridge Conservation Easement.

Investigating habitat value to inform contaminant remediation options: approach.

Habitat valuation methods are most often developed and used to prioritize candidate lands for conservation. In this study the intent of habitat valuation was to inform the decision-making process for remediation of chemical contaminants on specific lands or surface water bodies. Methods were developed to summarize dimensions of habitat value for six representative aquatic and terrestrial contaminated sites at the East Tennessee Technology Park (ETTP) on the US Department of Energy Oak Ridge Reservation in Oak Ridge, TN, USA.

Recovery of the benthic macroinvertebrate community in a small stream after long-term discharges of fly ash.

Recovery of the benthic macroinvertebrate community in a small east Tennessee stream impacted by fly ash discharges from a power plant was investigated over a period of 6.5 years. The rate of recovery was greatest in the first 2 years after an initial 75% reduction in coal use led to a similar reduction in ash discharges and associated contaminants; further recovery followed after all fly ash discharges ceased.

An investigation of the effects of the MEK inhibitor U0126 on apoptosis in acute leukemia.

Blockade of mitogen-activated protein kinase kinase (MEK1/2), part of the extracellular signal-regulated kinase (ERK) or p44/42 mitogen-activated protein kinase (MAPK) pathway has been shown, in some instances, to cause apoptosis in leukemic blast cells. However, studies are contradictory and have often been based mainly on inhibition of cell growth in a limited number of cell lines. This investigation examined the effect of the potent MEK inhibitor U0126 alone and in combination with Ara-C on apoptosis in acute myeloblastic leukemia (AML) cell lines, patient acute leukemic and nonleukemic samples.