Development and characterization of a portable electrochemical aptasensor for IsdA protein and Staphylococcus aureus detection.

Staphylococcus aureus (S. aureus) is recognized as one of the most common causes of gastroenteritis worldwide. This pathogen is a major foodborne pathogen that can cause many different types of various infections, from minor skin infections to lethal blood infectious diseases.

Salty chemical cocktails as water quality signatures: Longitudinal trends and breakpoints along different U.S. streams.

Along urban streams and rivers, various processes, including road salt application, sewage leaks, and weathering of the built environment, contribute to novel chemical cocktails made up of metals, salts, nutrients, and organic matter. In order to track the impacts of urbanization and management strategies on water quality, we conducted longitudinal stream synoptic (LSS) monitoring in nine watersheds in five major metropolitan areas of the U.S.

Longitudinal stream synoptic (LSS) monitoring to evaluate water quality in restored streams.

Impervious surface cover increases peak flows and degrades stream health, contributing to a variety of hydrologic, water quality, and ecological symptoms, collectively known as the urban stream syndrome. Strategies to combat the urban stream syndrome often employ engineering approaches to enhance stream-floodplain reconnection, dissipate erosive forces from urban runoff, and enhance contaminant retention, but it is not always clear how effective such practices are or how to monitor for their effectiveness. In this study, we explore applications of longitudinal stream synoptic (LSS) monitoring (an approach where multiple samples are collected along stream flowpaths across both space and time) to narrow this knowledge gap.

The Anthropogenic Salt Cycle.

Increasing salt production and use is shifting the natural balances of salt ions across Earth systems, causing interrelated effects across biophysical systems collectively known as freshwater salinization syndrome. In this Review, we conceptualize the natural salt cycle and synthesize increasing global trends of salt production and riverine salt concentrations and fluxes. The natural salt cycle is primarily driven by relatively slow geologic and hydrologic processes that bring different salts to the surface of the Earth.

Freshwater salinization syndrome limits management efforts to improve water quality.

Freshwater Salinization Syndrome (FSS) refers to groups of biological, physical, and chemical impacts which commonly occur together in response to salinization. FSS can be assessed by the mobilization of chemical mixtures, termed "chemical cocktails", in watersheds. Currently, we do not know if salinization and mobilization of chemical cocktails along streams can be mitigated or reversed using restoration and conservation strategies.

Analysis of fibrinolytic shutdown in trauma patients with traumatic brain injury.

Background: Coagulation profiles following major trauma vary depending on injury pattern and degree of shock. The physiologic mechanisms involved in coagulation function at any given time are varied and remain poorly understood. Thromboelastography (TEG) has been used evaluate coagulation profiles in the trauma population with some reports demonstrating a spectrum of fibrinolysis to fibrinolytic shutdown on initial presentation.

Retrieval of Chronically Implanted Dual-chamber Leadless Pacemakers in an Ovine Model.

Background: The clinical utilization of leadless pacemakers (LPs) as an alternative to traditional transvenous pacemakers is likely to increase with the advent of dual-chamber LP systems. Since device retrieval to allow LP upgrade or replacement will become an important capability, the first such dual-chamber, helix-fixation LP system (Aveir DR; Abbott, Abbott Park, IL) was specifically designed to allow catheter-based retrieval. In this study, the preclinical performance and safety of retrieving chronically implanted dual-chamber LPs was evaluated.

Longitudinal stream synoptic monitoring tracks chemicals along watershed continuums: a typology of trends.

There are challenges in monitoring and managing water quality due to spatial and temporal heterogeneity in contaminant sources, transport, and transformations. We demonstrate the importance of longitudinal stream synoptic (LSS) monitoring, which can track combinations of water quality parameters along flowpaths across space and time. Specifically, we analyze longitudinal patterns of chemical mixtures of carbon, nutrients, greenhouse gasses, salts, and metals concentrations along 10 flowpaths draining 1,765 km of the Chesapeake Bay region.

Can Common Pool Resource Theory Catalyze Stakeholder-Driven Solutions to the Freshwater Salinization Syndrome?

Freshwater salinity is rising across many regions of the United States as well as globally, a phenomenon called the freshwater salinization syndrome (FSS). The FSS mobilizes organic carbon, nutrients, heavy metals, and other contaminants sequestered in soils and freshwater sediments, alters the structures and functions of soils, streams, and riparian ecosystems, threatens drinking water supplies, and undermines progress toward many of the United Nations Sustainable Development Goals. There is an urgent need to leverage the current understanding of salinization's causes and consequences─in partnership with engineers, social scientists, policymakers, and other stakeholders─into locally tailored approaches for balancing our nation's salt budget.

Analysis of Admission Thromboelastogram Profiles in 1369 Male and Female Trauma Patients.

Introduction: Recent studies have demonstrated a hypercoagulable thromboelastrogram (TEG) in female trauma patients compared with males, conferring a possible survival advantage. We hypothesized that TEG profiles would reveal a relative hypercoagulable state in female compared with male trauma patients.

Methods: A prospective review was conducted on all adult trauma patients admitted to the trauma service at an American College of Surgeons-verified level I trauma center from December 2019 to June 2021 who, per our institutional protocol, received a thrombelastotgraphy on their initial arrival to the trauma center if classified as a level I or II trauma activation.

Preclinical safety and electrical performance of novel atrial leadless pacemaker with dual-helix fixation.

Background: Complications associated with transvenous pacemakers, specifically those involving the lead or subcutaneous pocket, may be avoided with leadless pacemakers (LPs). The safety and efficacy of single-chamber right ventricular LPs have been demonstrated, but their right atrium (RA) use poses new design constraints.

Objectives: The purpose of this study was to evaluate the implant success, electrical performance, and safety of a novel RA LP design in benchtop and preclinical studies.

University Stormwater Management within Urban Environmental Regulatory Regimes: Barriers to Progressivity or Opportunities to Innovate?

U.S. public university campuses are held directly responsible for compliance with many of the same federal- and state-level environmental regulations as cities, including stormwater management.

A novel suprachoroidal microinvasive glaucoma implant: in vivo biocompatibility and biointegration.

Background: A major challenge for any glaucoma implant is their ability to provide long-term intraocular pressure lowering efficacy. The formation of a low-permeability fibrous capsule around the device often leads to obstructed drainage channels, which may impair the drainage function of devices. These foreign body-related limitations point to the need to develop biologically inert biomaterials to improve performance in reaching long-term intraocular pressure reduction.

Pathology Approaches to Determine Safety and Efficacy of Cardiac Ablation Catheters.

Cardiac electrophysiology utilizes nonimplantable, catheter-based devices for diagnosis and treatment of arrhythmias as well as electroanatomical mapping of cardiac chambers. Gross pathology and histopathological assessments in preclinical studies play critical roles in determining the safety and efficacy of cardiac ablation systems used to treat tachyarrhythmias. The pathologist must assess ablation sites, adjacent structures and organs, and downstream organs to characterize the effects of the ablation treatment and determine whether adverse local reactions, collateral injury, or downstream thromboembolism are present.

Balloons and Stents and Scaffolds: Preclinical Evaluation of Interventional Devices for Occlusive Arterial Disease.

Atherosclerosis places a significant burden on humankind; it is the leading cause of mortality globally, and for those living with atherosclerosis, it can significantly impact quality of life. Fortunately, treatment advances have effectively reduced the morbidity and mortality related to atherosclerosis, with one such modality being percutaneous intervention (PCI) to open occluded arteries. Over the 40-year history of PCI, preclinical models have played a critical role in demonstrating proof of concept, characterizing the in vivo behavior (pharmacokinetics, degradation) and providing a reasonable assurance of biologic safety of interventional devices before entering into clinical trials.

Evaluation of absorbable PLA nasal implants in an ovine model.

Objective: To examine biocompatibility and absorption profile of a poly (L-lactide-co-D,L-lactide) 70:30 nasal implant.

Methods: In an ovine model, 66 rod-shaped absorbable implants were placed in 11 nasal dorsa. The sheep were sacrificed at 1.

Factoring stream turbulence into global assessments of nitrogen pollution.

The discharge of excess nitrogen to streams and rivers poses an existential threat to both humans and ecosystems. A seminal study of headwater streams across the United States concluded that in-stream removal of nitrate is controlled primarily by stream chemistry and biology. Reanalysis of these data reveals that stream turbulence (in particular, turbulent mass transfer across the concentration boundary layer) imposes a previously unrecognized upper limit on the rate at which nitrate is removed from streams.

Shifts in dissolved organic matter and microbial community composition are associated with enhanced removal of fecal pollutants in urban stormwater wetlands.

Constructed stormwater wetlands provide a host of ecosystem services, including potentially pathogen removal. We present results from a multi-wetland study that integrates across weather, chemical, microbiological and engineering design variables in order to identify patterns of microbial contaminant removal from inlet to outlet within wetlands and key drivers of those patterns. One or more microbial contaminants were detected at the inlet of each stormwater wetland (Escherichia coli and Enterococcus > Bacteroides HF183 > adenovirus).

Predictive Power of Clean Bed Filtration Theory for Fecal Indicator Bacteria Removal in Stormwater Biofilters.

Green infrastructure (also referred to as low impact development, or LID) has the potential to transform urban stormwater runoff from an environmental threat to a valuable water resource. In this paper we focus on the removal of fecal indicator bacteria (FIB, a pollutant responsible for runoff-associated inland and coastal beach closures) in stormwater biofilters (a common type of green infrastructure). Drawing on a combination of previously published and new laboratory studies of FIB removal in biofilters, we find that 66% of the variance in FIB removal rates can be explained by clean bed filtration theory (CBFT, 31%), antecedent dry period (14%), study effect (8%), biofilter age (7%), and the presence or absence of shrubs (6%).

Pesticide occurrence and spatio-temporal variability in urban run-off across Australia.

Stormwater is a major driving factor of aquatic ecosystem degradation as well as one of the largest untapped urban freshwater resources. We present results from a long-term, multi-catchment study of urban stormwater pesticides across Australia that addresses this dichotomous identity (threat and resource), as well as dominant spatial and temporal patterns in stormwater pesticide composition. Of the 27 pesticides monitored, only 19 were detected in Australian stormwater, five of which (diuron, MCPA, 2,4-D, simazine, and triclopyr) were found in >50% of samples.

Deconstructing Demand: The Anthropogenic and Climatic Drivers of Urban Water Consumption.

Cities in drought prone regions of the world such as South East Australia are faced with escalating water scarcity and security challenges. Here we use 72 years of urban water consumption data from Melbourne, Australia, a city that recently overcame a 12 year "Millennium Drought", to evaluate (1) the relative importance of climatic and anthropogenic drivers of urban water demand (using wavelet-based approaches) and (2) the relative contribution of various water saving strategies to demand reduction during the Millennium Drought. Our analysis points to conservation as a dominant driver of urban water savings (69%), followed by nonrevenue water reduction (e.