Between July 9-12, 1997, at least 400 tonnes of polyvinyl chloride (PVC) were consumed in a fire at the Plastimet Inc. plastics recycling facility in Hamilton, Ontario, Canada. This led to the release of contaminants, including highly toxic polychlorinated dibenzo-p-dioxins (PCDD) and dibenzofurans (PCDF). This study re-examines a composite soil sample collected shortly after the fire using state-of-the-art FT-ICR (Fourier transform ion cyclotron resonance) and GC × GC-TOF (comprehensive two-dimensional gas chromatography-time-of-flight) mass spectrometry. The FT-ICR experiments led to the identification of approximately 150 molecular formulas, corresponding to chlorinated and mixed chloro/bromo compounds. The majority of these are halogenated polycyclic aromatic hydrocarbons (halo-PAHs), including highly substituted (e.g., C14HCl9 and C16HCl9) and high molecular weight (e.g., C28H12Cl4) Cl-PAHs that have not been reported previously in environmental samples. Complementary GC × GC-TOF experiments resolved individual halo-PAHs, some of which were confirmed with available standards. The concentrations of the most abundant halo-PAH groups, C14H8Cl2 (22 μg/g) and C16H8Cl2 (20 μg/g) are much higher than reported dioxin values and comparable to the corresponding PAH groups C14H10 (12 μg/g) and C16H10 (19 μg/g). The high abundance of the halo-PAHs identified in this study highlights the need for further investigation into their environmental occurrence and risk.
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http://dx.doi.org/10.1021/es503428j | DOI Listing |
Endocr Pract
December 2024
Department of Medicine, McMaster University, 1280 Main St W, Hamilton, Ontario L8S 4L8, Canada; Department of Health Research Methods, Evidence, and Impact, McMaster University, 1280 Main St W, Hamilton, Ontario L8S 4L8, Canada. Electronic address:
Objective: Dysglycemia has deleterious outcomes on critically ill patients with diabetes mellitus (DM). Insulin degludec, an ultra-long-acting insulin, is associated with lower rates of hypoglycemia and blood glucose (BG) variability in non-critically ill patients. The experience with insulin degludec in the intensive care units is lacking.
View Article and Find Full Text PDFJ Clin Epidemiol
December 2024
Department of Epidemiology and Biostatistics, University of Arizona, Tucson, AZ, USA.
Objective: We sought to empirically evaluate whether the width of confidence interval (CI) of the relative risk (RR) and odds ratio (OR) can obviate the need for calculating the optimal information size (OIS) when making GRADE imprecision judgments.
Study Design And Setting: We analyzed a convenience sample of meta-analyses extracted from the Cochrane Database of Systematic Reviews. From each meta-analysis, we calculated OIS based on relative risk reductions (RRR) of 15%-50% and evaluated the ratio of upper to lower 95% CI boundaries of RR (RR CI ratio) and OR (OR CI ratio).
Alcohol Alcohol
November 2024
Peter Boris Centre for Addictions Research, St Joseph's Healthcare Hamilton and McMaster University, 100 West 5th Street, Hamilton, Ontario L8N 3K7, Canada.
Aims: Structured clinical interviewing is considered the gold standard in psychiatric diagnosis. The Diagnostic Assessment Research Tool (DART) is a novel modularized, non-copywritten, semi-structured interview; however, no studies have examined the psychometric properties of its alcohol use disorder (AUD) module. The primary aims of this study were to: (i) validate the factor structure of the DART AUD module and (ii) examine measurement invariance across several key demographic and subgroup factors.
View Article and Find Full Text PDFJAMA Netw Open
December 2024
Pediatric Oncology Group of Ontario, Toronto, Ontario, Canada.
Importance: Pediatric cancer care services in high-income nations are mainly centralized in metropolitan cities. To allow treatments closer to home, patients across Ontario, Canada, a geographically large province, are offered decentralized care via satellite clinics; however, it is unclear whether the utilization of these pediatric oncology satellite clinics differs by area-level sociodemographic factors.
Objective: To examine whether sociodemographic factors, such as area-level income and rurality, are independently associated with the odds of satellite clinic visit and the hazards of time to first visit among pediatric oncology patients receiving cancer treatment.
JAMA Otolaryngol Head Neck Surg
December 2024
Department of Health Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada.
Importance: Intraoperative parathyroid hormone (IOPTH) monitoring is recommended by the American Association of Endocrine Surgeons for use during parathyroidectomy for patients with primary hyperparathyroidism (PHPT), but there is no clinician consensus regarding the IOPTH monitoring criteria that optimize diagnostic accuracy.
Objective: To evaluate and rank the diagnostic properties of IOPTH monitoring criteria used during surgery for patients with PHPT.
Data Sources: A bayesian diagnostic test accuracy network meta-analysis (DTA-NMA) was performed, in which peer-reviewed citations from January 1, 1990, to July 22, 2023, were searched for in MEDLINE, Embase, Web of Science, CENTRAL, and CINAHL.
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