Fluoroquinolone antibiotics have been known to cause severe, multisystem adverse side effects, termed fluoroquinolone toxicity (FQT). This toxicity syndrome can present with adverse effects that vary from individual to individual, including effects on the musculoskeletal and nervous systems, among others. The mechanism behind FQT in mammals is not known, although various possibilities have been investigated. Among the hypothesized FQT mechanisms, those that could potentially explain multisystem toxicity include off-target mammalian topoisomerase interactions, increased production of reactive oxygen species, oxidative stress, and oxidative damage, as well as metal chelating properties of FQs. This review presents relevant information on fluoroquinolone antibiotics and FQT and explores the mechanisms that have been proposed. A fluoroquinolone-induced increase in reactive oxygen species and subsequent oxidative stress and damage presents the strongest evidence to explain this multisystem toxicity syndrome. Understanding the mechanism of FQT in mammals is important to aid in the prevention and treatment of this condition.
With the advent of sustainable building ordinances in the United States and internationally, contractors are required to deliver sustainable projects but have historically not been considered partners in developing the sustainability goals and objectives for projects. Additionally, as alternative project delivery methods gain popularity, contractors have an opportunity and—in an increasing number of cases—a requirement, to take a larger role in sustainability efforts beyond the design phase. Understanding the contractor’s self-perceived role in this industry is imperative to informing their future role in the sustainable construction industry. This paper presents data and analysis of a survey of general contractors in the Phoenix, Arizona market that asked for their opinions and viewpoints regarding sustainable construction. Respondents provided feedback about corporate profitability, growth forecast, and the perceived efficiency of the U.S Green Building Council’s LEED rating system. The survey also queried contractors about current and future work breakdown structures for sustainable project delivery as well as their underlying motives for involvement in these projects.
Academics from Arizona State University worked with local industry to develop the survey in 2012 and the survey was deployed in 2013. We sent the survey to 76 contractors and received responses from 21, representing a 27.6% response rate. Respondents include representatives from general contractors, mechanical contractors, and electrical contractors, among others. This paper presents the responses from general contractors as they typically have most contact with the owner and design teams.