Otoliths taken from fish in the vicinity of rare element pegmatites in eastern Manitoba, Canada, were analyzed using laser ablation inductively coupled plasma mass spectrometry (LA-ICP-MS) and found to contain lithium, sodium, rubidium, cesium, and strontium at levels ranging from a few ppm to a few 10s of ppm. In some otoliths, the concentrations varied in correspondence to the annular structure of the otoliths, suggesting a periodicity to their incorporation. This is the first reported detection and resolution of periodic signals of Rb and Cs in otoliths. The correspondence between the elements in the otoliths and surrounding rocks suggests there can be a strong link between the microchemistry of a fish's otoliths and its environment particularly where there are distinctive rock types. These elements may serve as natural markers in certain environments and may be used to characterize and monitor lacustrine environments over a period of time.

Seasoned nurses enjoy, and engage in, nursing and derive benefits from continued practice. Further research is needed to determine the relative importance of the factors identified as important to nurses as they anticipate, and experience, retirement. IMPLICATION FOR NURSE MANAGERS: An understanding of these factors can be used to aid nursing leaders to retain seasoned nurses in practice beyond retirement age.

Otoliths, the earbones of teleost (bony) fish, are constructed from alternating layers of aragonite and protein. Laser ablation inductively coupled plasma mass spectrometry and proton-induced X-ray emission are used to obtain spatially well-resolved trace element line-scans that show trace-element concentrations are correlated with the annular structure. Zoned Sr and Zn signatures are common whereas other elements such as Cu, Pb, Li and Cs can be related to the proximity of mineral deposits. Aragonite in otoliths can incorporate a wide range of trace elements at the low-ppm level including alkali- and alkaline-earth elements and base metals; Se has also been detected in proximity to coal mines. These trace elements, in combination with the annular structures, are an important archive for recording information on environments occupied by fish, environmental change and exposure to pollutants.

Approximately one quarter of all hospitalized patients over age 75 years have a secondary diagnosis of dementia. A unique hospital-wide program to encourage appropriate communication techniques with patients who have dementia was provided to all departments of a hospital. Evaluation indicated improvement in some communication techniques. Additional education is needed to disperse the information to as many staff as possible and to sustain the change.