Michigan's Gelman Site 1,4-Dioxane Groundwater Contamination: Still Spreading Decades after Detection.

Disposal practices of industrial wastewater by Gelman Sciences led to high concentrations of 1,4-dioxane in groundwater in Michigan, USA. Since discovery of off-site pollution in 1984, the contaminated groundwater prompted closure of over 124 private wells, closure of one municipal well, and prohibition of most groundwater uses in a large section of the city of Ann Arbor. Recent 1,4-dioxane detections in shallow groundwater in Ann Arbor and in township residential wells pose new exposure threats.

Randomized Trial of Miniaturized Versus Standard Extracorporeal Circulation in Aortic Valve Surgery.

Background: Complications related to extracorporeal circulation remain serious. Although a minimal invasive extra corporeal circulation (MiECC) system was developed to cope with these complications, its effectivity on patient-related outcomes such as blood loss remain uncertain. Therefore, the aim of this study is to compare MiECC to an advanced standard system with respect to blood loss.

New insights into the second generation antihistamines.

Second generation antihistamines are recognised as being highly effective treatments for allergy-based disease and are among the most frequently prescribed and safest drugs in the world. However, consideration of the therapeutic index or the benefit/risk ratio of the H1 receptor antagonists is of paramount importance when prescribing this class of compounds as they are used to treat non-life threatening conditions. There are many second generation antihistamines available and at first examination these appear to be comparable in terms of safety and efficacy.