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Significance Pre-participation physical evaluation and its vision screenings have been the mainstay of medical clearance for competitive play for decades. The ability of screening to address athlete's sports-specific vision needs is unknown. Methods Fifty-eight intercollegiate football players consented to participate in a comprehensive, sports-specific eye examination in addition to the standard pre-participation vision screening. Sensitivity, specificity, and positive and negative predictive values were determined for screening's ability to detect athletes whose vision might improve with correction, athletes who had significant ocular findings that impact safety, and either of the two conditions together. The effect no recent eye examination added to pre-participation vision screening results was evaluated for change in screening yield. Descriptive statistics of the cohort and associations with no recent comprehensive eye examination were generated. Results The pre-participation vision screening was able to identify three athletes not meeting visual acuity requirements for medical clearance to play without a comprehensive assessment. A failed screening was poorly able to identify athletes who might benefit from improved acuity (sensitivity, 9.1%; specificity, 100%), have sports-specific significant ocular findings (sensitivity, 10.5%; specificity, 97.3%), or have either together (sensitivity, 7.5%; specificity, 100%). Sixty percent (33/55) of athletes reported never having a comprehensive examination or one within the last 10 years. Fifty-eight percent (34/58) had improved best-corrected visual acuity after comprehensive examination, and 81% (47/58) had improved acuity or a sports-specific significant finding. Conclusions The pre-participation vision screening was largely able to identify athletes meeting the minimum visual acuity requirement for athlete clearance. It poorly identified those who might benefit from improved vision with refractive correction and those in whom sport-specific significant eye findings were noted. Comprehensive eye care had a clear benefit for the majority of athletes tested. This benefit needs to be balanced with the potential added costs and time constraints to players and athletic department staff.

Both aberrant vascular reactivity to acute cardiovascular stress and epigenetic mechanisms such as microRNA (miR) may underlie the increased propensity for African Americans (AA) to develop cardiovascular disease. This study assessed racial differences in acute induced endothelial inflammation and related miRs. Cultured human umbilical vein endothelial cells (HUVECs) derived from AA and Caucasian Americans (CA) were exposed to influenza vaccine to determine changes in inflammatory markers, endothelial nitric oxide synthase (eNOS), and miR expression/release. Endothelial function [flow-mediated dilation (FMD)], circulating IL-6, and circulating miR were also measured in young, healthy AA and CA individuals before and after receiving the influenza vaccine. There were no significant racial differences in any parameters at baseline. The vaccine induced increases in IL-6 release (24%

The Las Vegas Formation (LVF) is a well-characterized sequence of groundwater discharge (GWD) deposits exposed in and around the Las Vegas Valley in southern Nevada. Nearly monolithologic bedrock surrounds the valley, which provides an excellent opportunity to test the hypothesis that GWD deposits include an aeolian component. Mineralogical data indicate that the LVF sediments are dominated by carbonate minerals, similar to the local bedrock, but silicate minerals are also present. The median particle size is ~35 μm, consistent with modern dust in the region, and magnetic properties contrast strongly with local bedrock, implying an extralocal origin. By combining geochemical data from the LVF sediments and modern dust, we found that an average of ~25% of the LVF deposits were introduced by aeolian processes. The remainder consists primarily of authigenic groundwater carbonate as well as minor amounts of alluvial material and soil carbonate. Our data also show that the aeolian sediments accumulated in spring ecosystems in the Las Vegas Valley in a manner that was independent of both time and the specific hydrologic environment. These results have broad implications for investigations of GWD deposits located elsewhere in the southwestern U.S. and worldwide.

Recent studies have shown the oxygen isotopic composition (δ18O) of modern terrestrial gastropod shells is determined largely by the δ18O of precipitation. This implies that fossil shells could be used to reconstruct the δ18O of paleo-precipitation as long as the isotopic system, including the hydrologic pathways of the local watershed and the gastropod systematics, is well understood. In this study, we measured the δ18O values of 456 individual gastropod shells collected from paleowetland deposits in the San Pedro Valley, Arizona that range in age from ca. 29.1 to 9.8 ka. Isotopic differences of up to 2‰ were identified among the four taxa analyzed (Succineidae, Pupilla hebes, Gastrocopta tappaniana, and Vallonia gracilicosta), with Succineidae shells yielding the highest values and V. gracilicosta shells exhibiting the lowest values. We used these data to construct a composite isotopic record that incorporates these taxonomic offsets, and found shell δ18O values increased by ~4‰ between the last glacial maximum and early Holocene, which is similar to the magnitude, direction, and rate of isotopic change recorded by speleothems in the region. These results suggest the terrestrial gastropods analyzed here may be used as a proxy for past climate in a manner that is complementary to speleothems, but potentially with much greater spatial coverage.

The Younger Dryas (YD) climate event is the preeminent example of abrupt climate change in the recent geologic past. Climate conditions during the YD were spatially complex, and high-resolution sediment cores in the North Atlantic, western Europe, and East Asia have revealed it unfolded in two distinct stages, including an initial stable climatic period between ~ 12.9 and 12.2 ka associated with a weakened Atlantic Meridional Overturning Circulation (AMOC) and a second phase characterized by variable conditions until 11.7 ka as the AMOC recovered. Decades of investigations into the climate of western North America during the YD have failed to identify this stepped phenomenon. Here we present hydroclimate data from paleospring deposits in Death Valley National Park (California, USA) that demonstrate unequivocal evidence of two-stage partitioning within the YD event. High groundwater levels supported persistent and long-lived spring ecosystems between ~ 13.0 and 12.2 ka, which were immediately replaced by alternating wet and dry environments until ~ 11.8 ka. These results establish the mid-YD climate transition extended into western North America at approximately the same time it was recorded by hydrologic systems elsewhere in the Northern Hemisphere and show that even short-lived changes in the AMOC can have profound consequences for ecosystems worldwide.

The Eglington fault is one of several intrabasinal faults in the Las Vegas Valley, Nevada, USA, and is the only one recognized as a source for significant earthquakes. Its broad warp displaces Late Pleistocene spring deposits of the Las Vegas Formation, which record hydrologic fluctuations that occurred in response to millennial- and submillennial-scale climate oscillations throughout the late Quaternary. The sediments allow us to constrain the timing of displacement on the Eglington fault and identify hydrologic changes that are temporally coincident with that event. The fault deforms deposits that represent widespread marshes that filled the valley between ca. 31.7 and 27.6 ka. These marshes desiccated abruptly in response to warming and groundwater lowering during Dansgaard-Oeschger (D-O) events 4 and 3, resulting in the formation of a pervasive, hard carbonate cap by 27.0 ka. Vertical offset by as much as 4.2 m occurred after the cap hardened, and most likely after younger marshes desiccated irreversibly due to a sudden depression of the water table during D-O event 2, beginning at 23.3 ka. The timing of displacement is further constrained to before 19.5 ka as evidenced by undeformed spring deposits that are inset into the incised topography of the warp. Coulomb stress calculations validate the hypothesis that the substantial groundwater decline during D-O event 2 unclamped the fault through unloading of vertical stress of the water column. The synchroneity of this abrupt hydrologic change and displacement of the Eglington fault suggests that climatically modulated tectonics operated in the Las Vegas Valley during the late Quaternary.

Madsen et al . question the reliability of calibrated radiocarbon ages associated with human footprints discovered recently in White Sands National Park, New Mexico, USA. On the basis of the geologic, hydrologic, stratigraphic, and chronologic evidence, we maintain that the ages are robust and conclude that the footprints date to between ~23,000 and 21,000 years ago. Madsen et al . ( 1 ) question the veracity of calibrated radiocarbon ages used to constrain the antiquity of human trackways discovered recently at White Sands National Park (WHSA) Locality 2, New Mexico, USA ( 2 ). The ages were derived from seeds of the aquatic plant Ruppia cirrhosa , which they suggest may suffer from hard-water (or reservoir) effects, making them too old, potentially by thousands of years. We were well aware of this possibility, investigated it, and presented several lines of evidence that argued against such a problem. Here we respond to each of their four primary points.

The Younger Dryas (YD) climate event is the preeminent example of abrupt climate change in the recent geologic past. Climate conditions during the YD were spatially complex, and high-resolution sediment cores in the North Atlantic, western Europe, and East Asia have revealed it unfolded in two distinct stages, including an initial stable climatic period between ~ 12.9 and 12.2 ka associated with a weakened Atlantic Meridional Overturning Circulation (AMOC) and a second phase characterized by variable conditions until 11.7 ka as the AMOC recovered. Decades of investigations into the climate of western North America during the YD have failed to identify this stepped phenomenon. Here we present hydroclimate data from paleospring deposits in Death Valley National Park (California, USA) that demonstrate unequivocal evidence of two-stage partitioning within the YD event. High groundwater levels supported persistent and long-lived spring ecosystems between ~ 13.0 and 12.2 ka, which were immediately replaced by alternating wet and dry environments until ~ 11.8 ka. These results establish the mid-YD climate transition extended into western North America at approximately the same time it was recorded by hydrologic systems elsewhere in the Northern Hemisphere and show that even short-lived changes in the AMOC can have profound consequences for ecosystems worldwide.

Pre-participation physical evaluation and its vision screenings have been the mainstay of medical clearance for competitive play for decades. The ability of screening to address athlete's sports-specific vision needs is unknown.Fifty-eight intercollegiate football players consented to participate in a comprehensive, sports-specific eye examination in addition to the standard pre-participation vision screening. Sensitivity, specificity, and positive and negative predictive values were determined for screening's ability to detect athletes whose vision might improve with correction, athletes who had significant ocular findings that impact safety, and either of the two conditions together. The effect no recent eye examination added to pre-participation vision screening results was evaluated for change in screening yield. Descriptive statistics of the cohort and associations with no recent comprehensive eye examination were generated.The pre-participation vision screening was able to identify three athletes not meeting visual acuity requirements for medical clearance to play without a comprehensive assessment. A failed screening was poorly able to identify athletes who might benefit from improved acuity (sensitivity, 9.1%; specificity, 100%), have sports-specific significant ocular findings (sensitivity, 10.5%; specificity, 97.3%), or have either together (sensitivity, 7.5%; specificity, 100%). Sixty percent (33/55) of athletes reported never having a comprehensive examination or one within the last 10 years. Fifty-eight percent (34/58) had improved best-corrected visual acuity after comprehensive examination, and 81% (47/58) had improved acuity or a sports-specific significant finding.The pre-participation vision screening was largely able to identify athletes meeting the minimum visual acuity requirement for athlete clearance. It poorly identified those who might benefit from improved vision with refractive correction and those in whom sport-specific significant eye findings were noted. Comprehensive eye care had a clear benefit for the majority of athletes tested. This benefit needs to be balanced with the potential added costs and time constraints to players and athletic department staff.

New photochemically removable protecting groups have been developed based on classical nitrobenzyl compounds modified by the inclusion of a pentadienyl group. It serves to trap through an internal Diels-Alder reaction the nitroso group produced as part of the photochemical deprotection process, preventing its further photochemistry or chemical reactions with nucleophiles.

Repeated exposure to a high-fat meal triggers inflammation and oxidative stress, contributing to the onset of cardiometabolic diseases. Regular exercise prevents cardiometabolic diseases and a prior bout of acute endurance exercise can counteract the detrimental cardiovascular effects of a subsequent high-fat meal. Circulating microRNAs (ci-miRs) are potential mediators of these vascular effects through regulation of gene expression at the posttranscriptional level. Therefore, we investigated the expression of ci-miRs related to vascular function (miR-21, miR-92a, miR-126, miR-146a, miR-150, miR-155, miR-181b, miR-221, miR-222) in plasma from healthy, recreationally to highly active, Caucasian adult men after a high-fat meal with (EX) and without (CON) a preceding bout of cycling exercise. Ci-miR-155 was the only ci-miR for which there was a significant interaction effect of high-fat meal and exercise (p=0.050). Ci-miR-155 significantly increased in the CON group at two (p=0.007) and four hours (p=0.010) after the high-fat meal test, whereas it significantly increased in the EX group only four hours after the meal (p=0.0004). There were significant main effects of the high-fat meal on ci-miR-21 (p=0.01), ci-miR-126 (p=0.02), ci-miR-146a (p=0.02), ci-miR-181b (p=0.02), and ci-miR-221 (p=0.008). Collectively, our results suggest that prior exercise does not prevent high-fat meal-induced increases in vascular-related ci-miRs.

Background Skeletal muscle atrophy, whether caused by chronic disease, acute critical illness, disuse or aging, is characterized by tissue-specific decrease in oxidative capacity and broad alterations in metabolism that contribute to functional decline. However, the underlying mechanisms responsible for these metabolic changes are largely unknown. One of the most highly upregulated genes in atrophic muscle is AMP deaminase 3 (AMPD3: AMP → IMP + NH3), which controls the content of intracellular adenine nucleotides (AdN; ATP + ADP + AMP). Given the central role of AdN in signaling mitochondrial gene expression and directly regulating metabolism, we hypothesized that overexpressing AMPD3 in muscle cells would be sufficient to alter their metabolic phenotype similar to that of atrophic muscle. Methods AMPD3 and GFP (control) were overexpressed in mouse tibialis anterior (TA) muscles via plasmid electroporation and in C2C12 myotubes using adenovirus vectors. TA muscles were excised one week later, and AdN were quantified by UPLC. In myotubes, targeted measures of AdN, AMPK/PGC-1α/mitochondrial protein synthesis rates, unbiased metabolomics, and transcriptomics by RNA sequencing were measured after 24 h of AMPD3 overexpression. Media metabolites were measured as an indicator of net metabolic flux. At 48 h, the AMPK/PGC-1α/mitochondrial protein synthesis rates, and myotube respiratory function/capacity were measured. Results TA muscles overexpressing AMPD3 had significantly less ATP than contralateral controls (−25%). In myotubes, increasing AMPD3 expression for 24 h was sufficient to significantly decrease ATP concentrations (−16%), increase IMP, and increase efflux of IMP catabolites into the culture media, without decreasing the ATP/ADP or ATP/AMP ratios. When myotubes were treated with dinitrophenol (mitochondrial uncoupler), AMPD3 overexpression blunted decreases in ATP/ADP and ATP/AMP ratios but exacerbated AdN degradation. As such, pAMPK/AMPK, pACC/ACC, and phosphorylation of AMPK substrates, were unchanged by AMPD3 at this timepoint. AMPD3 significantly altered 191 out of 639 detected intracellular metabolites, but only 30 transcripts, none of which encoded metabolic enzymes. The most altered metabolites were those within purine nucleotide, BCAA, glycolysis, and ceramide metabolic pathways. After 48 h, AMPD3 overexpression significantly reduced pAMPK/AMPK (−24%), phosphorylation of AMPK substrates (−14%), and PGC-1α protein (−22%). Moreover, AMPD3 significantly reduced myotube mitochondrial protein synthesis rates (−55%), basal ATP synthase-dependent (−13%), and maximal uncoupled oxygen consumption (−15%). Conclusions Increased expression of AMPD3 significantly decreased mitochondrial protein synthesis rates and broadly altered cellular metabolites in a manner similar to that of atrophic muscle. Importantly, the changes in metabolites occurred prior to reductions in AMPK signaling, gene expression, and mitochondrial protein synthesis, suggesting metabolism is not dependent on reductions in oxidative capacity, but may be consequence of increased AMP deamination. Therefore, AMP deamination in skeletal muscle may be a mechanism that alters the metabolic phenotype of skeletal muscle during atrophy and could be a target to improve muscle function during muscle wasting.

Portable luminescence readers are exciting new tools that have the potential to rapidly determine the age structure of late Quaternary stratigraphic columns. This is important because high-resolution age profiling can reveal details about the temporal dynamics of climate cause and ecosystem effect, often while researchers are still in the field. In this paper, we compare new portable luminescence reader measurements of total photon counts with a suite of robust, highly resolved ages from middle to late Pleistocene-age paleowetland deposits in the Las Vegas Valley of southern Nevada. Our results show that total photon counts correlate with age, with a quadratic equation providing the best fit to the data. Significant scatter is present in the data, which is likely the result of dose rate variations, multiple sediment sources, and transport mechanisms that include both eolian and fluvial processes. The observed scatter can be reduced significantly using a simple pretreatment procedure involving a 250 μm sieve and neodymium hand magnet to normalize particle sizes and remove magnetic grains. Following this treatment, age estimates based on the reader measurements have an average error of 30 ± 18% when compared against known ages. These findings confirm that portable reader measurements scale with age in paleowetland deposits, allowing its use in establishing rapid, albeit approximate, chronologies for these deposits throughout the American Southwest.

One of the enduring questions in the field of paleohydrology is how quickly desert wetland ecosystems responded to past episodes of abrupt climate change. Recent investigations in the Las Vegas Valley of southern Nevada have revealed that wetlands expanded and contracted on millennial and sub-millennial timescales in response to changes in climate during the late Quaternary. Here, we evaluate geologic evidence from multiple localities in the Mojave Desert and southern Great Basin that suggests the response of wetland systems to climate change is even faster, occurring at centennial, and possibly decadal, timescales. Paleowetland deposits at Dove Springs Wash, Mesquite Springs, and Little Dixie Wash, California, contain evidence of multiple wet and dry cycles in the form of organic-rich black mats, representing periods of past groundwater discharge and wet conditions, interbedded with colluvial, alluvial, and aeolian sediments, each representing dry conditions. Many of these wet-dry cycles date to within the Younger Dryas (YD) chronozone (12.9–11.7 ka), marking the first timeintra-YD hydrologic variability has been documented in paleowetland deposits. Our results illustrate that desert wetland ecosystems are exceptionally sensitive to climate change and respond to climatic perturbations on timescales that are relevant to human society.

A middle to late Pleistocene sedimentary sequence in the upper Las Vegas Wash, north of Las Vegas, Nevada, has yielded the largest open-site Rancholabrean vertebrate fossil assemblage in the southern Great Basin and Mojave Deserts. Recent paleontologic field studies have led to the discovery of hundreds of fossil localities and specimens, greatly extending the geographic and temporal footprint of original investigations in the early 1960s. The significance of the deposits and their entombed fossils led to the preservation of 22,650 acres of the upper Las Vegas Wash as Tule Springs Fossil Beds National Monument. These discoveries also warrant designation of the assemblage as a local fauna, named for the site of the original paleontologic studies at Tule Springs. The large mammal component of the Tule Springs local fauna is dominated by remains of Mammuthus columbi as well as Camelops hesternus , along with less common remains of Equus (including E. scotti ) and Bison . Large carnivorans including Canis dirus , Smilodon fatalis , and Panthera atrox are also recorded. Micromammals, amphibians, lizards, snakes, birds, invertebrates, plant macrofossils, and pollen also occur in the deposits and provide important and complementary paleoenvironmental information. The fauna occurs within the Las Vegas Formation, an extensive and stratigraphically complex sequence of groundwater discharge deposits that represent a mosaic of desert wetland environments. Radiometric and luminescence dating indicates the sequence spans the last ∼570 ka, and records hydrologic changes in a dynamic and temporally congruent response to northern hemispheric abrupt climatic oscillations. The vertebrate fauna occurs in multiple stratigraphic horizons in this sequence, with ages of the fossils spanning from ∼100 to ∼12.5 ka.

Tule Springs Fossil Beds National Monument (TUSK) preserves 22,650 acres of the upper Las Vegas Wash in the northern Las Vegas Valley (Nevada, USA). TUSK is home to extensive and stratigraphically complex groundwater discharge (GWD) deposits, called the Las Vegas Formation, which represent springs and desert wetlands that covered much of the valley during the late Quaternary. The GWD deposits record hydrologic changes that occurred here in a dynamic and temporally congruent response to abrupt climatic oscillations over the last ~300 ka (thousands of years). The deposits also entomb the Tule Springs Local Fauna (TSLF), one of the most significant late Pleistocene (Rancholabrean) vertebrate assemblages in the American Southwest. The TSLF is both prolific and diverse, and includes a large mammal assemblage dominated by Mammuthus columbi and Camelops hesternus . Two (and possibly three) distinct species of Equus , two species of Bison , Panthera atrox , Smilodon fatalis , Canis dirus , Megalonyx jeffersonii , and Nothrotheriops shastensis are also present, and newly recognized faunal components include micromammals, amphibians, snakes, and birds. Invertebrates, plant macrofossils, and pollen also occur in the deposits and provide important and complementary paleoenvironmental information. This field compendium highlights the faunal assemblage in the classic stratigraphic sequences of the Las Vegas Formation within TUSK, emphasizes the significant hydrologic changes that occurred in the area during the recent geologic past, and examines the subsequent and repeated effect of rapid climate change on the local desert wetland ecosystem.

Post-traumatic stress disorder (PTSD) and traumatic brain injury (TBI) remain central topics in institutions’ efforts to address student veteran needs. From the authors’ experiences with student veterans, they present the five principles of effective instructional practice identified by the National Research Council (NRC) within the context of college teaching. The purpose of this article is to inform faculty of the benefits of implementing these principles, thereby increasing the likelihood of academic success for all students, especially student veterans.

The prodrugs cyclophosphamide (CP) and ifosfamide (IF) each metabolize to an active alkylating agent through a cytochrome P450-mediated oxidation at the C-4 position. Competing with this activation pathway are enzymatic oxidations at the exocyclic α and α' carbons, which result in dechloroethylation of CP and IF. The incidence of oxidation at one position relative to another is believed to be at least one factor underlying the high degree of interpatient variability in both CP and IF pharmacokinetics. As standards for the mass spectrometry quantification of dechloroethylation, the following were synthesized: (1) [4,4,5,5-(2) H4 ]-2-dechloroethylcyclophosphamide (equivalent to [4,4,5,5-(2) H4 ]-3-dechloroethylifosfamide); (2) [α,α,4,4,5,5-(2) H6 ]-2-dechloroethylcyclophosphamide (equivalent to [α,α,4,4,5,5-(2) H6 ]-3-dechloroethylifosfamide); and (3) [α,α,4,4,5,5-(2) H6 ]-2-dechloroethylifosfamide. The common precursor to all of the target compounds was [2,2,3,3-(2) H4 ]-3-aminopropanol. A one-pot reaction of this compound with POCl3 and unlabeled or labeled 2-chloroethylamine hydrochloride gave the d4 and d6 labeled 2-dechloroethylcyclophosphamides. The construction of the 2-dechloroethylifosfamide from the aminopropanol required five discreet steps. Optimization of the synthetic pathways and stability studies are discussed.

Late Pleistocene groundwater discharge deposits (paleowetlands) in the upper Las Vegas Wash north of Las Vegas, Nevada, have yielded an abundant and diverse vertebrate fossil assemblage, the Tule Springs local fauna (TSLF). The TSLF is the largest open-site vertebrate fossil assemblage dating to the Rancholabrean North American Land Mammal Age in the southern Great Basin and Mojave Desert. Over 600 discrete body fossil localities have been recorded from the wash, including an area that now encompasses Tule Springs Fossil Beds National Monument (TUSK). Paleowetland sediments exposed in TUSK named the Las Vegas Formation span the last 250 ka, with fossiliferous sediments spanning ∼100–13 ka. The recovered fauna is dominated by remains ofCamelopsandMammuthus, and also includes relatively common remains of extinctEquusandBisonas well as abundant vertebrate microfaunal fossils. Large carnivorans are rare, with onlyPuma concolorandPanthera atroxdocumented previously. Postcranial remains assigned to the speciesCanis dirus(dire wolf) andSmilodon fatalis(sabre-toothed cat) represent the first confirmed records of these species from the TSLF, as well as the first documentation ofCanis dirusin Nevada and the only known occurrence ofSmilodonin southern Nevada. The size of the recovered canid fossil precludes assignment to other Pleistocene species ofCanis. The morphology of the felid elements differentiates them from other large predators such asPanthera,Homotherium, andXenosmilus, and the size of the fossils prevents assignment to other species ofSmilodon. The confirmed presence ofS. fatalisin the TSLF is of particular interest, indicating that this species inhabited open habitats. In turn, this suggests that the presumed preference ofS. fatalisfor closed-habitat environments hunting requires further elucidation.

Effects of neurodegeneration have been linked to inefficient detoxification of free radicals due to lowered concentrations of antioxidants, especially glutathione, in the brain. In the biosynthesis of glutathione, cysteine concentration is generally the limiting factor. Glutathione and cysteine administrations are not effective treatments for neurodegeneration because glutathione inefficiently crosses cell membranes and cysteine is neurotoxic at high concentrations. Prodrugs of glutathione and cysteine may have more favorable uptake and/or toxicity profiles. Three such prodrugs were synthesized with a 13C-label such that in vivo uptake of each and conversion to glutathione in the brain could be monitored by magnetic resonance imaging. L-[3-13C]-Cysteine was treated with sodium acetate trihydrate and acetic anhydride to give 2(R)-N-acetyl-[3-13C]-cysteine ([13C]-NAC; 96%). Addition of triphosgene to L-[3-13C]-cysteine provided 4(R)-[5-13C]-2-oxothiazolidine-4-carboxylic acid ([13C]-OTZ; 65%). A four-step pathway was used to synthesize ethyl γ-L-glutamyl-[3-13C]-L-cysteinate ([13C]-GCEE). L-[3-13C]-Cysteine was esterified (100% yield) and then cyclized with acetaldehyde to give ethyl 2(R,S)-methyl-[5-13C]-thiazolidine-4(R)-carboxylate (73%) as a mixture of two diastereomers (65:35). The thiazolidine was silylated (bis(trimethylsilyl)trifluoroacetamide) and reacted with N-phthaloyl-L-glutamic anhydride. Treatment with hydrazine afforded ethyl N-[γ-4′(S)-glutamyl]-2(R,S)-methyl-[5-13C]-thiazolidine-4(R)-carboxylate (48%; 73:27 mixture of diastereomers). This was converted to the desired product, [13C]-GCEE (49%), using mercury (II) acetate and hydrogen sulfide.

An outbreak of norovirus GGII.4 2006b affected an Austrian 600-bed healthcare facility from 15 to 27 March 2009. A total of 204 patients, residents and staff fitted the outbreak case definition; 17 (8.3%) were laboratory-confirmed. Foodborne origin was suspected in the 114 patient and resident cases with onset 15-18 March. A case-cohort study was performed to test the hypothesis that consumption of dishes offered on 14, 15 and 16 March (risk days) was associated with increased risk of infection. Data on food exposure of 62% (317/510) of the patient and resident cohort were available for a simultaneous retrospective cohort study. The case-cohort analysis revealed that consumption of sliced cold sausage offered on 15 March [odds ratio (OR): 3.98; 95% confidence interval (CI): 1.18-14.1], a meat dish with salad (adjusted OR: 2.2; 95% CI: 1.19-4.08) and a rolled spinach pancake (adjusted OR: 2.17; 95% CI: 1.27-3.71) on 16 March were independent risk factors. It is likely that one of the five asymptomatic excretors among the kitchen staff on duty on the risk days was the source of food contamination. The case-cohort study design was found to be a valid alternative to the retrospective cohort study design for the investigation of a suspected foodborne outbreak in a large cohort.

The Diamond Valley Lake local fauna from southwestern Riverside County, California is characterized by a classic suite of well-preserved late Pleistocene (Rancholabrean NALMA) vertebrates, including over 100,000 identifiable fossils representing more than 105 vertebrate, invertebrate and plant taxa from 2646 localities. The fauna is the largest open-environment, non-asphaltic late Pleistocene assemblage known from the American southwest. Located within the northern Peninsular Range physiographic province of southern California, the Diamond and Domenigoni Valleys contain bedded silts and clays intercalated with coarse-grained channel fill representing a braided stream environment. These fluvial sediments, yielding AMS dates from ∼19 ka to ∼13 ka, unconformably truncate older silts, clays and an organic black clay at depth. The clay is lacustrine in origin, with AMS dates from ∼46 ka to ∼41 ka. Numerous diagnostic vertebrate remains occur in both of these sediment packages. The Diamond Valley Lake local fauna constitutes a valuable source of new data on the relative density and diversity of late Pleistocene species from a geographic area where such data are largely absent. The assemblage differs dramatically in preservation and composition from other late Pleistocene coastal and desert localities in southern California.

The purpose of this study was to explore the rationale provided by program directors and general managers of health/fitness facilities for low adherence to nationally accepted standards related to pre-activity cardiovascular screening procedures (PACSPs) for members and clients of personal trainers. Qualitative interviews were conducted with the directors/managers in a Midwest region representing 76 facilities who indicated they did not conduct PACSPs for members and clients of personal trainers. Analysis of the rationale provided revealed 6 major clusters: (1) Purpose or need for screening; (2) time and staffing; (3) barrier to participation; (4) personal responsibility for health and actions; (5) legal issues; and (6) company or franchise policy that categorized the reasons for low adherence to PACSPs. These findings highlight the need to increase awareness of the relevance of PACSPs among health/fitness managers, staff members, and current exercise science students as well as engage those in risk management for informed dialogue for consistent application of the standard of care.

This investigation determined the number of health/fitness facilities within a Midwestern region conducting pre-activity cardiovascular screening procedures (PACSPs) consistent with American Heart Association/American College of Sports Medicine (AHA/ACSM) standards. Interviews were conducted with 123 commercial, community, corporate, and academic settings (84% response rate), with 40 (33%) facilities requiring members to complete a pre-activity screening device. Of those, 20 (50%) required physician clearance for "at-risk" members prior to physical activity participation. Personal training clients completed a pre-activity screening device at 50 (61%) facilities, with 32 (64%) requiring physician clearance for at-risk clients. The data were analyzed by setting, with corporate facilities having a significantly higher (P=.0049) adherence rate with AHA/ACSM standards than other facilities. Data were compared with previous studies and indicated a decrease in the number of facilities conducting PACSPs. Findings indicate that health/fitness personnel need to become aware of the relevance of conducting PACSPs.