Neuropathologic and neuroimaging studies have suggested that frontal lobes are affected in Huntington's disease (HD), and that atrophy in this region may be associated with some of the cognitive impairment and clinical decline observed in patients with HD. We measured gray and white matter volumes within the frontal lobes on MRI for 20 patients with HD (10 mildly affected and 10 moderately affected) and 20 age- and sex-matched control subjects. We also correlated frontal lobe measurements with measures of symptom severity and cognitive function. Patients who were mildly affected had frontal lobe volumes (both gray and white matter) essentially identical to those of control subjects, despite clearly abnormal basal ganglia. Patients who were moderately affected demonstrated significant reductions in total frontal lobe volume (17%) and frontal white matter volume (28%). Frontal lobe white matter volume reductions, but not total frontal lobe volume reductions, were disproportionately greater than overall brain volume reductions (17%). Frontal lobe volume correlated with symptom severity and general cognitive function, but these correlations did not remain significant after taking into account total brain volume. We conclude that cognitive impairment and symptom severity are associated with frontal lobe atrophy, but this association is not specific to the frontal lobes. Frontal lobe atrophy (like total brain atrophy) occurs in later stages of increasing HD symptom severity and this atrophy primarily involves white matter.

Emergency Medical Service (EMS) responders deliver patient care in high-risk, high-stress, and highly variable scenarios. This unpredictable work environment exposes EMS responders to many risks, one of which is violence. The primary goals of this systematic literature review were to (1) define the issue of violence experienced by EMS responders and (2) identify the risk factors of violence associated with the EMS profession. An innovative inclusion of industrial literature with traditional peer-reviewed literature was performed. Of 387 articles retrieved, 104 articles were assessed and reviewed. Career exposure for EMS responders to at least one instance of verbal and/or physical violence was between 57 and 93 percent. There is a great need for rigorously designed, nationally representative examinations of occupational exposures in order to better understand the temporal associations of violence, cumulative occupational stressors, and the outcomes of physical and psychosocial injuries that are occurring as a result of exposures to violence.

BackgroundStruck by injuries experienced by females were observed to be higher compared to males in an urban fire department. The disparity was investigated while gaining a grounded understanding of EMS responder experiences from patient‐initiated violence.MethodsA convergent parallel mixed methods design was employed. Using a linked injury dataset, patient‐initiated violence estimates were calculated comparing genders. Semi‐structured interviews and a focus group were conducted with injured EMS responders.ResultsParamedics had significantly higher odds for patient‐initiated violence injuries than firefighters (OR 14.4, 95%CI: 9.2–22.2, P < 0.001). Females reported increased odds of patient‐initiated violence injuries compared to males (OR = 6.25, 95%CI 3.8–10.2), but this relationship was entirely mediated through occupation (AOR = 1.64, 95%CI 0.94–2.85). Qualitative data illuminated the impact of patient‐initiated violence and highlighted important organizational opportunities for intervention.ConclusionsMixed methods greatly enhanced the assessment of EMS responder patient‐initiated violence prevention. Am. J. Ind. Med. 59:150–163, 2016. © 2016 The Authors. American Journal of Industrial Medicine Published by Wiley Periodicals, Inc.

A 2-year trial was established in Oct. 2016 in western Oregon to evaluate the effects of various in-row mulch treatments on the establishment of northern highbush blueberry (Vaccinium corymbosum L. ‘Duke’). The treatments included douglas fir [Pseudotsuga menziesii (Mirb.) Franco] sawdust, black weed mat (woven polypropylene groundcover), green weed mat, and sawdust covered with black or green weed mat. Soil temperature was unaffected by the color of the weed mat, but it was often higher during the day in beds with weed mat mulch than in those with sawdust alone or sawdust covered with weed mat. Black or green weed mat also resulted in higher canopy temperatures, particularly when sawdust was underneath the weed mat. Plant growth was mainly unaffected by the color of the weed mat, and the maximum depth of the root system was similar among the mulch treatments. However, plants grown with sawdust mulch, with or without weed mat, had a greater canopy width and volume in year 2, a wider root system in both years, and more dry weight (DW) in the crown in year 1 and in the whips in year 2 than those with weed mat alone. Furthermore, plants with weed mat over sawdust were taller in year 1 and had greater canopy cover and more DW in new wood in year 2 than those with sawdust alone, and they had a larger canopy, more root development, and greater DW in the crown, new and old wood, fruit, and pruning wood in one or both years than those with weed mat alone. Over the course of the 2 years of the study, the net gain in total plant DW was lowest when the plants were grown with black weed mat and highest when they were grown with black weed mat over sawdust. Although it was more expensive initially, the use of weed mat over sawdust resulted in more plant growth than weed mat alone due to the insulating properties of the sawdust, and it was more effective for weed control than using sawdust alone.

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