WorldWideScience

Sample records for accidental intake

  1. Accidental hypothermia

    Ivo Casagranda

    2006-02-01

    Full Text Available Hypothermia is defined as an unintentional decrease of core body temperature below 35 °C. In this article we discuss pathophysiology, clinical aspects and treatment of hypothermic patients. The most important treatment of hypothermia is the identification of the most appropriate method of rewarming. We report a case of cardiac arrest secondary to severe accidental hypothermia, that occured in a young man, do to prolonged exposure to low temperature in river water, successfully treated with extracorporeal blood warming.

  2. Accidental Innovation

    Austin, Robert D.; Devin, Lee; Sullivan, Erin E.

    2012-01-01

    Historical accounts of human achievement suggest that accidents can play an important role in innovation. In this paper, we seek to contribute to an understanding of how digital systems might support valuable unpredictability in innovation processes by examining how innovators who obtain value from...... they incorporate accidents into their deliberate processes and arranged surroundings. By comparing makers working in varied conditions, we identify specific factors (e.g., technologies, characteristics of technologies) that appear to support accidental innovation. We show that makers in certain specified...... conditions not only remain open to accident but also intentionally design their processes and surroundings to invite and exploit valuable accidents. Based on these findings, we offer advice for the design of digital systems to support innovation processes that can access valuable unpredictability....

  3. Accidentes laborales viales

    Corzo Suárez, Susana

    2012-01-01

    El objetivo principal de este proyecto es dar a conocer la problemática de la aplicación del de la ley 31/1995, de 8 de noviembre, de Prevención de Riesgos Laborales, en la evaluación y prevención de los riesgos de los accidentes laborales viales. Para poder llegar a este objetivo se han utilizado diversas vías de estudio: Intentar aclarar qué son accidentes de tráfico y qué son accidentes laborales viales; Cuáles son los diferentes tipos de accidentes laborales viales y sus principales ca...

  4. Accidental Bowel Leakage

    ... I do to help treat accidental bowel leakage? Kegel exercises strengthen the muscles that surround the openings ... bowels that may cause cramping, diarrhea, or constipation. Kegel Exercises: Pelvic muscle exercises that assist in bladder ...

  5. Radiative accidental matter

    Sierra, D Aristizabal; Wegman, D

    2016-01-01

    Accidental matter models are scenarios where the beyond-the-standard model physics preserves all the standard model accidental and approximate symmetries up to a cutoff scale related with lepton number violation. We study such scenarios assuming that the new physics plays an active role in neutrino mass generation, and show that this unavoidably leads to radiatively induced neutrino masses. We systematically classify all possible models and determine their viability by studying electroweak precision data, big bang nucleosynthesis and electroweak perturbativity, finding that the latter places the most stringent constraints on the mass spectra. These results allow the identification of minimal radiative accidental matter models for which perturbativity is lost at high scales. We calculate radiative charged-lepton flavor violating processes in these setups, and show that $\\mu\\to e \\gamma$ has a rate well within MEG sensitivity provided the lepton-number violating scale is at or below $10^6\\,$ GeV, a value (natur...

  6. Flavour from accidental symmetries

    Ferretti, Luca [SISSA/ISAS and INFN, I-34013 Trieste (Italy); King, Stephen F. [School of Physics and Astronomy, University of Southampton, Southampton, SO17 1BJ (United Kingdom); Romanino, Andrea [SISSA/ISAS and INFN, I-34013 Trieste (Italy)

    2006-11-15

    We consider a new approach to fermion masses and mixings in which no special 'horizontal' dynamics is invoked to account for the hierarchical pattern of charged fermion masses and for the peculiar features of neutrino masses. The hierarchy follows from the vertical, family-independent structure of the model, in particular from the breaking pattern of the Pati-Salam group. The lightness of the first two fermion families can be related to two family symmetries emerging in this context as accidental symmetries.

  7. Accidental dapsone poisoning in children.

    Nair, P M; Philip, E

    1984-12-01

    Accidental poisoning in children shows a trend towards poisoning with various newer drugs and chemicals used in the household. Sixty-one cases of accidental poisoning in children were seen in Sree Avittam Thirunal Hospital, (S.A.T.H.), Trivandrum, South India during the year 1982, constituting 0.61% of the total pediatric admissions. Dapsone poisoning constituted 9.8% of the total accidental poisonings, emphasising the need for safe storage of drugs out of the reach of young children. Dapsone poisoning with resultant methaemoglobinaemia responded well to intravenous ascorbic acid and other supportive measures.

  8. Quick management of accidental tritium exposure cases.

    Singh, Vishwanath P; Badiger, N M; Managanvi, S S; Bhat, H R

    2012-07-01

    Removal half-life (RHL) of tritium is one of the best means for optimising medical treatment, reduction of committed effective dose (CED) and quick/easy handling of a large group of workers for medical treatment reference. The removal of tritium from the body depends on age, temperature, relative humidity and daily rainfall; so tritium removal rate, its follow-up and proper data analysis and recording are the best techniques for management of accidental acute tritium exposed cases. The decision of referring for medical treatment or medical intervention (MI) would be based on workers' tritium RHL history taken from their bodies at the facilities. The workers with tritium intake up to 1 ALI shall not be considered for medical treatment as it is a derived limit of annual total effective dose. The short-term MI may be considered for tritium intake of 1-10 ALI; however, if the results show intake ≥100 ALI, extended strong medical/therapeutic intervention may be recommended based on the severity of exposure for maximum CED reduction requirements and annual total effective dose limit. The methodology is very useful for pressurized heavy water reactors (PHWRs) which are mainly operated by Canada and India and future fusion reactor technologies. Proper management will optimise the cases for medical treatment and enhance public acceptance of nuclear fission and fusion reactor technologies.

  9. Allegheny County Fatal Accidental Overdoses

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — Fatal accidental overdose incidents in Allegheny County, denoting age, gender, race, drugs present, zip code of incident and zip code of residence. Zip code of...

  10. Accidental hypothermia-an update

    Paal, Peter; Gordon, Les; Strapazzon, Giacomo

    2016-01-01

    BACKGROUND: This paper provides an up-to-date review of the management and outcome of accidental hypothermia patients with and without cardiac arrest. METHODS: The authors reviewed the relevant literature in their specialist field. Summaries were merged, discussed and approved to produce this nar...

  11. Accidente de Trabajo y Recargo

    Pérez Alonso, María Antonia

    2015-01-01

    En la actualidad existen diferentes formas de Accidente de Trabajo. En el presente trabajo se da a conocer las distintas formas y la doctrina de los tribunales. Se aborda el recargo de prestaciones de Seguridad Social y el deber del empresario en cumplir la normativa de Seguridad Social

  12. "Dead in hot bathtub" phenomenon: accidental drowning or natural disease?

    Satoh, Fumiko; Osawa, Motoki; Hasegawa, Iwao; Seto, Yoshihisa; Tsuboi, Akio

    2013-06-01

    Sudden death in a hot bathtub occurs frequently in Japan, particularly among elderly people. This retrospective report describes the epidemiologic circumstances and physical findings at autopsy. In total, 268 victims were found unconscious or dead during tub bathing. After postmortem examination, the manner of death was judged as natural cause in 191 (71.2%) and accidental drowning in 63 (23.5%) cases. Mean age (SD) was 72.1 (15.2) years with no significant difference between males and females. A seasonal difference was evident: the winter displayed the highest frequency. Drowning water inhalation, which was confirmed in 72% of victims, was absent in the others. The most common observations on postmortem examination were cardiac ischemic changes and cardiomegaly. Water inhalation signs were evident in a significantly fewer victims exhibiting these factors. In contrast, inhalational findings were observed more frequently in victims with other backgrounds such as alcohol intake, mobility disturbance, and history of epilepsy. Annual mortality in Japan from accidental drowning in persons aged older than 75 years is 33 deaths per 100,000 population. However, this number may be considerably underestimated as pathologists tend to regard lack of water inhalation as indicating a natural cause of death. Confusion in diagnosis remains consequent to the accidental and natural aspects of "dead in hot bathtub" phenomenon.

  13. Accidental haloperidol poisoning in children

    Mona P Gajre

    2012-01-01

    Full Text Available Haloperidol, a butyrophenone neuroleptic drug, is an antipsychotic used in the treatment of adult schizophrenia and mania. It is used in children with neurological disorders like chorea and developmental disorders such as hyperactivity. With the advent of newer selective neuroleptics use of haloperidol is now on decline. However, in adults it is still the preferred drug especially in resource challenged settings. Extrapyramidal reactions occur frequently with haloperidol predominantly as parkinsonian symptoms. There are few case reports of accidental haloperidol poisoning in children and this one of them.

  14. Accidental endoscopic finding of Anisakis simplex in human colon

    Aurelia Aloia

    2011-09-01

    Full Text Available Anisakidosis is a zoonotic disease caused by the ingestion of nematodes belonging to the family of Anisakidae. Human infection is caused by intake of raw or undercooked sea fish and cephalopods infested by Anisakis larvae. We present a case of accidental endoscopic finding of an alive nematode adhering to distal ascending colon in a 32 years old man, submitted to colonoscopy owing to recent onsets of rectal bleeding of likely hemorrhoidal origin. The nematode, removed from colon by means of biopsy forceps, has been identified as L3 larvae of A. simplex by a light microscope. Histological examination of intestinal mucosa showed a mild fibrosis of lamina propria, characterized by focal lymphocytic inflammation and scattered infiltration of eosinophils. The patient reported the intake of marinated anchovies 3 days before endoscopic examination.

  15. Accidental inflation in the landscape

    Blanco-Pillado, Jose J.; Metallinos, Konstantinos [Institute of Cosmology, Department of Physics and Astronomy, Tufts University, Medford, MA (United States); Gomez-Reino, Marta, E-mail: jose@cosmos.phy.tufts.edu, E-mail: marta.gomez-reino.perez@cern.ch, E-mail: Konstantinos.Metallinos@tufts.edu [Department of Physics, University of Oviedo, Oviedo (Spain)

    2013-02-01

    We study some aspects of fine tuning in inflationary scenarios within string theory flux compactifications and, in particular, in models of accidental inflation. We investigate the possibility that the apparent fine-tuning of the low energy parameters of the theory needed to have inflation can be generically obtained by scanning the values of the fluxes over the landscape. Furthermore, we find that the existence of a landscape of eternal inflation in this model provides us with a natural theory of initial conditions for the inflationary period in our vacuum. We demonstrate how these two effects work in a small corner of the landscape associated with the complex structure of the Calabi-Yau manifold P{sup 4}{sub [1,1,1,6,9]} by numerically investigating the flux vacua of a reduced moduli space. This allows us to obtain the distribution of observable parameters for inflation in this mini-landscape directly from the fluxes.

  16. Accidental Inflation in the Landscape

    Blanco-Pillado, Jose J; Metallinos, Konstantinos

    2012-01-01

    We study some aspects of fine tuning in inflationary scenarios within string theory flux compactifications and, in particular, in models of accidental inflation. We investigate the possibility that the apparent fine-tuning of the low energy parameters of the theory needed to have inflation can be generically obtained by scanning the values of the fluxes over the landscape. Furthermore, we find that the existence of a landscape of eternal inflation in this model provides us with a natural theory of initial conditions for the inflationary period in our vacuum. We demonstrate how these two effects work in a small corner of the landscape associated with the complex structure of the Calabi-Yau manifold P^4_[1,1,1,6,9] by numerically investigating the flux vacua of a reduced moduli space. This allows us to obtain the distribution of observable parameters for inflation in this mini-landscape directly from the fluxes.

  17. Accidental methanol ingestion: Case report

    Bakker Jan

    2010-02-01

    Full Text Available Abstract Background The incidence of methanol (CH3OH intoxication differs enormously from country to country. Methanol intoxication is extremely rare in the Dutch population. Even a low dose can already be potentially lethal. Patients are conventionally treated with hemodialysis. Therefore we'd like to present a report of a foreign sailor in Rotterdam who accidentally caused himself severe methanol intoxication, with a maximum measured concentration of 4.4 g/L. Case presentation The patient presented with hemodynamic instability and severe metabolic acidosis with pH 6.69. The anion gap was 39 mmol/L and the osmol gap 73 mosmol/kg. Treatment with ethanol and continuous venovenous hemodiafiltration (CVVH-DF was initiated. Despite the hemodynamic instability it is was possible to achieve rapid correction of pH and methanol concentration with CVVH-DF while maintaining a stable and therapeutic ethanol serum concentration. Despite hemodynamic and acid-base improvement, our patient developed massive cerebral edema leading to brain death. Permission for organ donation was unfortunately not ascertained. Conclusions We conclude that in a hemodynamic instable situation high methanol concentrations and methanol-induced derangements of homeostasis are safely and effectively treated with CVVH-DF and that severe cerebral edema is another possible cause of death rather than the classical bleeding in the putamen area.

  18. Mortalidad intrahospitalaria por accidente cerebrovascular

    Federico Rodríguez Lucci

    2013-08-01

    Full Text Available La mortalidad global por accidente cerebrovascular (ACV ha disminuido en las últimas tres décadas, probablemente debido a un mejor control de los factores de riesgo vascular. La mortalidad hospitalaria por ACV ha sido tradicionalmente estimada entre 6 y 14% en la mayoría de las series comunicadas. Sin embargo, los datos de ensayos clínicos recientes sugieren que esta cifra sería sustancialmente menor. Se revisaron datos de pacientes internados con diagnóstico de ACV del Banco de Datos de Stroke de FLENI y los registros institucionales de mortalidad entre los años 2000 y 2010. Los subtipos de ACV isquémicos se clasificaron según criterios TOAST y los ACV hemorrágicos en hematomas intrapanquimatosos, hemorragias subaracnoideas aneurismáticas, malformaciones arteriovenosas y otros hematomas intraparenquimatosos. Se analizaron 1514 pacientes, 1079 (71% con ACV isquémico (grandes vasos 39%, cardioembólicos 27%, lacunares 9%, etiología indeterminada 14%, otras etiologías 11% y 435 (29% con ACV hemorrágico (intraparenquimatosos 27%, hemorragia subaracnoidea 30%, malformaciones arteriovenosas 25% y otros hematomas espontáneos 18%. Se registraron 38 muertes intrahospitalarias (17 ACV isquémicos y 21 ACV hemorrágicos, representando una mortalidad global del 2.5% (1.7% en ACV isquémicos y 4.8% en ACV hemorrágicos. No se registraron muertes asociadas al uso de fibrinolíticos endovenosos. La mortalidad intrahospitalaria en pacientes con ACV isquémico y hemorrágico en nuestro centro fue baja. El manejo en un centro dedicado a las enfermedades neurológicas y el enfoque multidisciplinario por personal médico y no médico entrenado en el cuidado de la enfermedad cerebrovascular podrían explicar, al menos en parte, estos resultados.

  19. Accidental fire in the West Hall

    1977-01-01

    On January 7 an accidental fire due to the failure of standard circuit-breakers, destroyed the coils of two spectrometer magnets and severely damaged the apparatus of two experiments. See also photos 7701582X, 7701581X, 7701580X. (Annual Report 1977, pg. 127-128)

  20. 5 CFR 870.206 - Accidental death and dismemberment.

    2010-01-01

    ... REGULATIONS (CONTINUED) FEDERAL EMPLOYEES' GROUP LIFE INSURANCE PROGRAM Types and Amount of Insurance § 870..., accidental death benefits are equal to the amount of Option A. (c)(1) Under Basic insurance, accidental... automatic part of Basic and Option A insurance for employees. (2) There is no accidental death...

  1. Accidental ingestion of Ecstasy in a toddler.

    Chang, Yi-Jung; Lai, Ming-Wei; Kong, Man-Shan; Chao, Hsun-Chin

    2005-12-01

    Toddlers who ingest the drug of abuse 3,4-methylenedioxymethamphetamine (MDMA; 'Ecstasy') are at particularly high risk of serious neurological and cardiovascular side effects. We report of a 20-month-old male toddler who accidentally ingested Ecstasy. He presented with fever and seizures, tachycardia, hypertension, and hyperthermia. Urine amphetamine level was 2111 ng/mL. Treatment included rapid cooling, hydration, and support measures. Vital signs were regularly monitored. His condition became stable on day 2 and urine amphetamine level returned to normal on day 3 of hospitalization. His behavior, activity, and appetite had returned to their usual levels upon follow-up at our outpatient clinic. The incidence of drug abuse with MDMA has increased dramatically over the last decade in developed countries. It can be expected that accidental Ecstasy poisoning in children will increase as well. This case illustrates the need to consider the possibility of accidental Ecstasy ingestion in the differential diagnosis of a child suffering from convulsions with fever.

  2. Accidental K\\"ahler Moduli Inflation

    Maharana, Anshuman; Sumitomo, Yoske

    2015-01-01

    We study a model of accidental inflation in type IIB string theory where inflation occurs near the inflection point of a small K\\"ahler modulus. A racetrack structure helps to alleviate the known concern that string-loop corrections may spoil K\\"ahler Moduli Inflation unless having a significant suppression via the string coupling or a special brane setup. Also, the hierarchy of gauge group ranks required for the separation between moduli stabilization and inflationary dynamics is relaxed. The relaxation becomes more significant when we use the recently proposed D-term generated racetrack model.

  3. Accidental Kähler moduli inflation

    Maharana, Anshuman [Harish Chandra Research Institute,Chhatnag Road, Jhunsi, Allahabad, UP 211019 (India); Rummel, Markus [Rudolph Peierls Centre for Theoretical Physics, University of Oxford,1 Keble Road, Oxford, OX1 3NP (United Kingdom); Sumitomo, Yoske [High Energy Accelerator Research Organization, KEK,1-1 Oho, Tsukuba, Ibaraki 305-0801 (Japan)

    2015-09-14

    We study a model of accidental inflation in type IIB string theory where inflation occurs near the inflection point of a small Kähler modulus. A racetrack structure helps to alleviate the known concern that string-loop corrections may spoil Kähler Moduli Inflation unless having a significant suppression via the string coupling or a special brane setup. Also, the hierarchy of gauge group ranks required for the separation between moduli stabilization and inflationary dynamics is relaxed. The relaxation becomes more significant when we use the recently proposed D-term generated racetrack model.

  4. Anaphylaxis after accidental ingestion of kiwi fruit.

    Gawrońska-Ukleja, Ewa; Różalska, Anna; Ukleja-Sokołowska, Natalia; Zbikowska-Gotz, Magdalena; Bartuzi, Zbigniew

    2013-06-01

    Numerous cases of anaphylaxis after ingestion of kiwi fruit, after the skin tests and during oral immunotherapy were described. The article describes the case of severe anaphylactic reaction that occurred in a 55-year-old patient after accidental ingestion of kiwi. Allergy to kiwi fruit was confirmed by a native test with fresh kiwi fruit. After the test, the patient experienced generalized organ response in the form of headache, general weakness and rashes on the neck and breast, and dyspnea. The patient had significantly elevated levels of total IgE and IgE specific to kiwi fruit.

  5. Tratamiento del virus de hepatitis B en el accidente laboral

    Henry Zamora-Barquero

    2008-11-01

    Full Text Available La exposición accidental al virus B entraña alto riesgo de contagio de la enfermedad. Su manejo incluye: medidas preventivas en el manejo de los pacientes, vacunar y confirmar inmunidad de los trabajadores, uso de inmunoglobulinas y vacunación posterior al accidente y disponer de protocolos de reporte precoz y clínicas en el manejo de los accidentes.

  6. Ramjet Intakes

    2010-09-01

    Propulsion a vitesse elevee : Conception du moteur - integration et gestion thermique ) 14. ABSTRACT Intake design for supersonic engines, in common...straightener. The annular gap at the inner diameter of the straightener feeds air to a centrally located pilot flame and the proportion that passes to...integrated with the missile forebody. A central air transfer duct feeds the Odin engine at the rear. The central schematic in figure 10 shows the

  7. Outcome of accidental hypothermia with or without circulatory arrest

    Wanscher, Michael; Agersnap, Lisbeth; Ravn, Jesper;

    2012-01-01

    Resuscitation guidelines for the treatment of accidental hypothermia are based primarily on isolated cases. Mortality rates are high despite aggressive treatment aimed at restoring spontaneous circulation and normothermia....

  8. El accidente de trabajo "in itinere": concepto legal y jurisprudencial

    López Mejías, Ana

    2016-01-01

    El trabajo que voy a llevar a cabo trata sobre el accidente de trabajo, más en concreto el accidente de trabajo "in itinere", ya que es un hecho protegido que la ley general de la seguridad social le da una gran importancia. Trataré los requisitos necesarios para que se dé un accidente de trabajo "in itinere", basándome siempre en sentencias ya que es un trabajo básicamente jurisprudencial. En el trabajo también trato el accidente de trabajo in mision. A modo de conclusión expresaré mi opinió...

  9. Accidentes de tránsito terrestre

    José Enrique Ramírez Muñoz

    2013-09-01

    Full Text Available Los accidentes de tránsito terrestres en Costa Rica se han convertido en un serio problema de salud pública, que derivan ya sea en lesiones graves o bien en muertes de personas de todas las edades. Estos eventos incluyen el atropellamiento, las colisiones y choques, y producen cuadros lesionológicos muy diversos de acuerdo a la participación de las personas, el tipo de vehículo y la forma en la que se produce el traumatismo. Así mismo, se debe tener en cuenta la participación de factores coadyuvantes como el uso del casco y el cinturón de seguridad, o bien el consumo de alcohol y el uso del teléfono móvil. La valoración médico legal de las víctimas, vivas o muertas de accidentes de tránsito, está a cargo del Departamento de Medicina Legal del Organismo de Investigación Judicial, y se hace por solicitud de una Autoridad Judicial competente.

  10. 21 CFR 1002.20 - Reporting of accidental radiation occurrences.

    2010-04-01

    ... Occurrences § 1002.20 Reporting of accidental radiation occurrences. (a) Manufacturers of electronic products... the Director, Center for Devices and Radiological Health, all accidental radiation occurrences... radiation occurrence occurred; (3) The manufacturer, type, and model number of the electronic product...

  11. Course Management Systems for Learning: Beyond Accidental Pedagogy

    McGee, Patricia; Carmean, Colleen; Jafari, Ali

    2005-01-01

    "Course Management Systems for Learning: Beyond Accidental Pedagogy" is a comprehensive overview of standards, practices and possibilities of course management systems in higher education. "Course Management Systems for Learning: Beyond Accidental Pedagogy" focuses on what the current knowledge is (in best practices, research, standards and…

  12. Tension pneumothorax following an accidental kerosene poisoning: A case report

    G M Ashir

    2009-01-01

    Full Text Available Tension pneumothorax is a rare complication following an accidental kerosene poisoning. In such situation, a bed-side needle thoracocentesis is performed because of its potential of becoming fatal; hence its clinical importance. A case of 15 month old boy with tension pneumothorax following accidental kerosene poisioning that responded to needle thoracocentesis is presented.

  13. Tension pneumothorax following an accidental kerosene poisoning: A case report

    2009-01-01

    Tension pneumothorax is a rare complication following an accidental kerosene poisoning. In such situation, a bed-side needle thoracocentesis is performed because of its potential of becoming fatal; hence its clinical importance. A case of 15 month old boy with tension pneumothorax following accidental kerosene poisioning that responded to needle thoracocentesis is presented.

  14. Preventing and controlling accidental gas releases

    Moskowitz, P. D.; Fthenakis, V. M.; Kalb, P. D.

    1988-07-01

    Toxic, flammable, and explosive gases may be used in photovoltaic cell research laboratories and in commercial manufacturing facilities. Accidental release of these materials can present hazards to life and property. Accidents can arise from a variety of mechanical and human related failures. These can occur from the time materials are received at the loading dock of the facility to the time treated gases are discharged to the atmosphere through a stack. Each type of initiating event may require a different control approach. These may range from the training and certification of plant workers charged with the handling of gas cylinder hookups to installation of emergency pollution control systems. Since engineering options for controlling released materials are limited, emphasis should be placed on administrative and engineering approaches for preventing such accidents. These are likely to be the most effective approaches for protecting life and property.

  15. Research progress in study of accidental hypothermia

    Rui YUAN

    2016-04-01

    Full Text Available Accidental hypothermia refers to a state of lowering of core body temperature down to 35 ℃induced by drowning, burial in snow and prolonged exposure to cold environment, etc. Hypothermia may affect the cardiovascular system, respiratory system, digestive system, etc. The triad consisting "hypothermia, acidosis and coagulopathy" is an important factor accelerating the death of patients. Early, timely application of rewarming measures is regarded as the basic principle in treatment of hypothermia. A series of rewarming measures, such as infusion of warm fluids, inspiration of warm air, abdominal infusion of warm fluid, instruction of warm fluid into pleural cavity, intravenous infusion of warm fluid, rewarming through ECMO, etc. have been used recently. Advance in research on the classification of hypothermia, its impact to the body and the treatment methods are reviewed in present paper. DOI: 10.11855/j.issn.0577-7402.2016.04.15

  16. Accidental Contamination with Oil during Endodontic Surgery

    Plascencia, Hugo; Díaz, Mariana; Cholico, Patricia; del Real, Monserrat; Márquez-de Alba, Salvador

    2016-01-01

    The modern surgical endodontic treatment is a safe and predictable procedure with high success rate. However, several factors can retard or impede the proper healing process. Use of a high speed handpiece during hard tissues management (osteotomy and apical resection) can potentially be one of these factors. Formation of metallic debris from the surgical diamond burs, production of necrotic local tissue due to overheating and the direct liberation of air from conventional handpiece into the working area are potential irritants able to delay the tissue healing. The aim of the present article is to report the histopathological findings of the trans-operational accidental contamination with oil in the surgical area during an endodontic surgery. PMID:27790269

  17. Accidental injuries in agriculture in the UK.

    Solomon, C

    2002-12-01

    The rate of occupational accidents in British agriculture is higher than in most other industries. The most common fatal accidents are those involving vehicles and machinery, falls from a height and electrocution. A substantial proportion of reported non-fatal injuries in agricultural employees is attributable to manual handling, but among self-employed farmers the contribution is much smaller. Few data are available on longer-term determinants of risk, but accidental deaths are most frequent in July, August and September. The main approaches to preventing agricultural accidents are through engineering improvements, and education and training of the workforce. The introduction of roll-over protection structures for tractors has been an important development in recent decades. Other engineering controls include guards for power take off shafts, guard rails to prevent falls, better handling facilities for animals and closed transfer systems for pesticides. Training on safety is available from several sources, but its effectiveness in reducing accidents is uncertain.

  18. Rickettsial infection caused by accidental conjunctival inoculation

    Brissos, Joao; de Sousa, Rita; Santos, Ana Sofia; Gouveia, Catarina

    2015-01-01

    The most common transmission route of tick-borne Rickettsia is through tick bite; nevertheless, other transmission routes should also be considered. We report a case of rickettsial infection in a 15-year-old boy caused by accidental contamination of the conjunctiva through the infected fluid of a crushed engorged tick removed from a dog. Right eye pain, conjunctival hyperaemia with mucopurulent exudate, chemosis and eyelid oedema were the first signs and symptoms. Two days later, the boy developed fever, myalgia, headache, abdominal pain and was vomiting; physical examination showed multiple cervical adenopathies but no rash. He was treated with doxycycline (200 mg/day) for 7 days with progressive resolution of clinical signs. Rickettsial infection was confirmed by immunofluorescence assay with serological seroconversion in two consecutive samples. Rickettsia conorii or Rickettsia massiliae were the possible causal agents since they are the Rickettsia spp found in the Rhipicephalus sanguineus dog tick in Portugal. PMID:25568272

  19. Causes of accidental childhood deaths in China in 2010

    Chan, Kit Yee; Yu, Xin-Wei; Lu, Jia-Peng

    2015-01-01

    BACKGROUND: Infectious causes of childhood deaths in the world have decreased substantially in the 21st century. This trend has exposed accidental deaths as an increasingly important future challenge. Presently, little is known about the cause structure of accidental childhood deaths in low......- and middle-income country (LMIC) settings. In this paper, we aim to establish cause structure for accidental deaths in children aged 0-4 years in China in the year 2010. METHODS: In this paper, we explored the database of 208 multi-cause child mortality studies in Chinese that formed a basis for the first...... published estimate of the causes of child deaths in China (for the year 2008). Only five of those studies identified specific causes of accidental deaths. Because of this, we searched the Chinese medical literature databases CNKI and WanFang for single-cause mortality studies that were focused on accidental...

  20. Hipotermia accidental secundaria a brote de psoriasis generalizada Accidental hypothermia due to generalized psoriasis

    O. Agudo

    2004-04-01

    Full Text Available La hipotermia accidental es una alteración de la termorregulación corporal, definida como una temperatura central igual o inferior a 35ºC. Según la intensidad se puede clasificar en ligera (35-32,2ºC, moderada (32,2-28ºC y grave (The accidental hypothermia is a disorder of corporal termoregulation, defined as a central temperature below 35ºC. According to the intensity may be classified in mild (35-32.2 ºC, moderate (32.2-28ºC and severe (below 28ºC. The most frequent causes are the exposure to cold, use of depressant drugs of central nervous system and hypoglycemia, although there are other less frequent. We present a case of moderate hypothermia due to generalized psoriasis which required admission in the Intensive Care Unit of Hospital García Orcoyen. The termoregulation, pathogenesis, pathophysiology, diagnosis and management of accidental hypothermia are reviewed.

  1. El accidente de trabajo. Concepto legal y jurisprudencia

    García Romero, José Daniel

    2015-01-01

    El trabajo final de grado versa sobre el concepto de accidente de trabajo que da la jurisprudencia a través de las diferentes sentencias del Tribunal Supremo en la Sala de lo Social, y de los diferentes Tribunales Superiores de Justicia. Analizaremos en profundidad que características tienen que concurrir para que sea considerado como tal, analizando los diferentes supuestos de accidente de trabajo como el accidente in itinere, en misión, etc. También hemos tratado las diferentes contingencia...

  2. The Artificial, the Accidental, the Aesthetic…

    Nicole Koltick

    2015-11-01

    Full Text Available How do we define, discuss or assess aesthetics within a contemporary philosophical framework? The indefiniteness that accompanies attempts to formalize a definition of the aesthetic is a primary focus of this paper. This lack of a definition has occupied philosophers for hundreds of years in attempts to delineate the boundaries of an elusively formless concept. This formlessness speaks to the incredibly evasive character of such a pervasive feature recognized in both natural and artificial systems, agents and artefacts. With the rapid growth of artificially intelligent systems and an astounding diversity in computational creativity, in what ways may we approach aesthetics? How is the aesthetic recognized, determined and produced? This paper seeks to critically engage issues of non-human agency, inter-object relations, and aesthetic theory in relation to computational entities and autonomous systems. The ability of these systems to operate outside of human cognitive limitations including thought patterns and constructions which may preclude alternative aesthetic outcomes, afford them in some ways limitless potential in relation to aesthetics. The designation of the accidental or provisional is utilized as an alternative approach to the production and assessment of aesthetic occurrences of the non-human.

  3. Presentismo: potencialidad en accidentes de salud

    Grettchen Flores-Sandí

    2006-03-01

    Full Text Available El concepto de salud ha sobrepasado el entorno propiamente sanitario y cada vez más, tiene otras implicaciones sociales, la institución de salud es hoy en día una actividad compleja donde no solamente se gestiona la prevención y tratamiento de las enfermedades de los usuarios sino al recurso humano encargado de su atención. Asimismo en la actualidad se reconoce la importancia del recurso humano para la organización y surge el concepto de "presentismo", referido a aquellos trabajadores que sufren enfermedades que los obligarían a ausentarse del trabajo pero que se presentan a trabajar sin cumplir eficazmente sus funciones. Al respecto y en relación con el presentismo, se debe tomar en cuenta que los efectos adversos o accidentes durante la atención de servicios de salud se encuentran asociados a factores fisiológicos, psicológicos y ambientales e implican desde el punto de vista administrativo, una falla en la productividad, que afecta tanto al usuario del servicio como al trabajador. Se debe considerar que este grupo profesional se ubica entre los grupos de riesgo del presentismo y que con el fin de administrar y reducir el presentismo se requieren estrategias preventivas por parte de la gerencia de salud.

  4. Tuberculosis cutánea por inoculación accidental Cutaneous tuberculosis accidental inoculation

    María Ascensión Maestre Naranjo

    2009-09-01

    Full Text Available Caso clínico de una microbióloga con amplia experiencia, que sufre una inoculación accidental al manipular una cepa pura de Mycobacterium tuberculosis. Se pincha en la cara lateral externa de la falange distal del dedo índice, atravesando el guante con la aguja contaminada. (Imagen 1. La trabajadora procede de forma inmediata a la limpieza de la herida. El Servicio de Prevención, registra la inoculación como accidente de trabajo. A las tres semanas del accidente, aparece en el lugar de la inoculación una pápula eritematosa levemente dolorosa a la presión que va creciendo hasta alcanzar un tamaño de 1,5-2 cm., sin adenopatías axilares, ni clínica general. (Imagen 2 Se procede a la exéresis y biopsia de la lesión. Informe anatomopatológico: Inflamación crónica granulomatosa tuberculoide muy sugestiva de tuberculosis cutánea. Microbiología: dudosos bacilos ácido alcohol resistentes (BAAR Cultivo: positivo a Mycobacterium tuberculosis. Ambas cepas presentan la misma identidad. Diagnóstico: tuberculosis cutánea. El SPRL realiza la comunicación de Enfermedad Profesional según el RD 1299/2006, de 10 de diciembre. Se realiza valoración y seguimiento en el Servicio de Medicina Interna, iniciando tratamiento de tuberculosis.Clinical case of a microbiologist with wide experience, which is inoculated accidental when Mycobacterium's pure strain manipulates tuberculosis; it (she pricks itself in the lateral external face of the phalanx distal of the forefinger, crossing the glove with the contaminated needle. Immediate treatment of the wound. The Service of Prevention, he registers the inoculation as accident of work. To three weeks a slightly painful pápula eritematosa appears in the place of the inoculation to the pressure that is growing until a size reaches 1,5-2 cm., without adenopatías axyllaris, not general clinic. Exéresis and biopsy of the same one, pathological anatomy: chronic inflammation very suggestive granulomatosa

  5. Transient pseudo-precocious puberty by probable oestrogen intake in 3 girls

    Pasquino, A M; Balducci, R; Bitti, M L Manca; Spadoni, G L; Boscherini, B

    1982-01-01

    We report the clinical and laboratory findings in 3 prepubertal girls with transient signs of sexual precocity. Accidental oestrogen intake from contaminated food was the most likely cause, the luteinsing hormone—releasing hormone test showing suppressed secretion of follicle-stimulating hormone and luteinsing hormone at the time of maximal oestrogenisation. PMID:6758707

  6. Epidemiology of Munchausen syndrome by proxy, non-accidental poisoning, and non-accidental suffocation.

    McClure, R J; Davis, P M; Meadow, S R; Sibert, J R

    1996-07-01

    A two year prospective study was performed to determine the epidemiology of Munchausen syndrome by proxy, non-accidental poisoning, and non-accidental suffocation in the UK and the Republic of Ireland. Cases were notified to the British Paediatric Association Surveillance Unit from September 1992 to August 1994 if a formal case conference had been held for the first time during that period to discuss any of the above conditions. A total of 128 cases were identified: 55 suffered Munchausen syndrome by proxy alone, 15 poisoning, and 15 suffocation; 43 suffered more than one type of abuse. The majority of children were aged under 5 years, the median age being 20 months. On 85% of occasions the perpetrator was the child's mother. In 42% of families with more than one child, a sibling had previously suffered some form of abuse. Eighty five per cent of notifying paediatricians considered the probability of their diagnosis as virtually certain before a case conference was convened. The commonest drugs used to poison were anticonvulsants; opiates were the second commonest. Sixty eight children suffered severe illness of whom eight died. The combined annual incidence of these conditions in children aged under 16 years is at least 0.5/100,000, and for children aged under 1, at least 2.8/100,000.

  7. Non-accidental collision followed by dental trauma: associated factors.

    Ramos-Jorge, Maria Letícia; Tataounoff, Juliana; Corrêa-Faria, Patrícia; Alcântara, Carlos Eduardo Pinto; Ramos-Jorge, Joana; Marques, Leandro Silva

    2011-12-01

    The aim of the present cross-sectional survey was to assess factors associated with non-accidental collision followed by dental trauma among adolescents in the city of Diamantina, Brazil. A total of 387 students from 12 to 15 years of age (mean = 14 SD = 0.9) were randomly selected. The study was carried out in two stages. Firstly, data were collected through dental examinations of permanent incisors. Secondly, a thorough interview was held with 85 adolescents who exhibited dental trauma in the dental examinations. The interview consisted of a detailed description of the incident and physical environment in which it occurred. Descriptive analysis and the chi-square test (P 3 mm (P = 0.007) and inadequate lip coverage (P = 0.013). Analysis of the event revealed that 22.3% of the cases of dental trauma occurred because of non-accidental collision. Non-accidental collision followed by injury occurred mainly at school (P concrete, tiled or ceramic floor (P = 0.001). No statistically significant associations were found between non-accidental collision and gender, age or mother's schooling. It was concluded that the non-accidental collisions happened especially at school and in indoor environments with a concrete, tiled or ceramic floor.

  8. Correcting for accidental correlations in saturated avalanche photodiodes

    Grieve, James A; Tang, Zhongkan; Ling, Alexander

    2015-01-01

    In this paper we present a high-level numerical model for estimating rates of accidental correlations between a pair of passively quenched Geiger mode avalanche photodiodes operating in the saturated regime. By considering the recovery time of both the diodes and the detection circuit we introduce the concept of an "effective duty cycle" and show that it may be estimated by numeric simulation. The impact of effective duty cycle on the observed accidental rate is examined and we demonstrate that the updated model leads to an improved correction factor in actual experiments. This will improve the signal-to-noise ratio in applications depending on correlation measurements.

  9. Perfil del trauma maxilofacial en accidentes de bicicleta

    Guadalupe Asunción Ramírez Roa; María Guadalupe Suárez-Moreno; Florentino Puerto-Álvarez; Heber Félix Quiroga-Vía; Jesús Arenas-Osuna; Bertha Vivanco-Cedeño

    2005-01-01

    Objetivo: conocer el perfil traumatológico maxilofacial, concomitante y manejo, de las personas que sufrieron accidentes de bicicleta. Se identificaron variables como edad, sexo, mecanismo, lugar, mes, patrones de lesiones, sintomatología, lapso de atención, turno, especialidad y tratamientos. Diseño: exploratorio, descriptivo, analítico, retrospectivo. Material y métodos: se censaron todos los pacientes con lesiones maxilofaciales por accidentes de bicicleta, de las notas médicas del Servici...

  10. ACCIDENTAL DEATHS DUE TO ELECTROCUTION DURING AMATEUR ELECTRO - FISHING

    Ajay

    2013-11-01

    Full Text Available ABSTRACT: Electro - fishing (passing electricity through water to catch fish requires sophisticated equipment. While this method is commonly employed b y scientists for survey and fisheries management, a crude and illegal form electro - fishing is employed in Kerala for catching fish from water bodies. This can result in accidental electrocution and even fatalities. Even though they are rare, forensic patho logists in Kerala do come across such deaths from time to time. 8 cases of accidental death which occurred during electro - fishing are discussed here.

  11. Accidentes laborales, medicamentos y hábitos de salud

    Esteban Martín, María Ángeles

    2015-01-01

    El presente estudio está dirigido a analizar la posible asociación con el accidente de trabajo del tipo y cantidad de medicamentos que consumen los trabajadores de forma crónica y/o aguda antes de acudir a nuestra consulta, de las enfermedades crónicas y/o agudas que padecen y de otros hábitos de consumo (alcohol y drogas). La salud laboral es un problema prioritario. El objetivo será promover la salud de los trabajadores y tratar de disminuir la incidencia de accidentes laborales. E...

  12. Agricultural Drainage Well Intakes

    Iowa State University GIS Support and Research Facility — Locations of surface intakes for registered agriculture drainage wells according to the database maintained by IDALS. Surface intakes were located from their...

  13. Development of management tools for accidental radiological contamination of the French coastal areas - Development of management tools for accidental radiological contamination in the French marine coastal areas

    Duffa, C.; Charmasson, S. [IRSN/PRP-ENV/SESURE/LERCM - Antenne de Radioecologie Marine, Centre Ifremer, Zone portuaire de Bregaillon, 13507 La Seyne sur Mer (France); Bailly du Bois, P.; Fievet, B. [IRSN/PRP-ENV/SERIS/LRC (France); Couvez, C.; Renaud, P. [IRSN/PRP-ENV/SESURE/DIR (France); Didier, D. [IRSN/PRP-CRI/SESUC/BMTA (France)

    2014-07-01

    The Fukushima nuclear accident led to the most important accidental release of artificial radionuclides into the sea. This accident has underlined the importance of being able to adequately reproduce the fate of radioactive releases and to estimate their consequences for the marine environment. For its Crisis Centre, the French Institute for Radioprotection and Nuclear Safety (IRSN) has operational tools, in order to help experts and decision makers in case of any atmospheric accidental release and terrestrial environment contamination. The on-going project aims to develop tools to manage any marine contamination of the French coastal areas. We should be able to evaluate and anticipate the marine post-accidental situation: contaminated areas localization and contamination levels, and possible consequences. Many sites has be considered as potential source terms into the sea: the Coastal Nuclear Power Plants, the La Hague reprocessing Plant, the Brest and Toulon Military Harbours as home-ports of nuclear powered vessels, and different river mouths (Rhone River, Gironde, Loire, Seine) that could be contaminated by upstream accidental release. To achieve this goal, two complementary approaches are developed: Marine sheets and a dedicated modelling tool (STERNE). - Marine sheets aim to summarize marine environment characteristics for the different sites, identify potential stakes for human protection such as aquaculture areas, beaches, or industrial water intakes, and ecological stakes. Whenever possible, a local climatology (main currents depending on meteorological or tide conditions) that could be a support to first environmental measurement strategy is proposed. A list of available local contacts for any operational management is also provided. - The modelling tool, STERNE (Simulation du Transport et du transfert d'Elements Radioactifs dans l'environNEment marin), must predict radionuclide dispersion and contamination of water, marine species and sediments

  14. The Accidental Transgressor: Morally-Relevant Theory of Mind

    Killen, Melanie; Mulvey, Kelly Lynn; Richardson, Cameron; Jampol, Noah; Woodward, Amanda

    2011-01-01

    To test young children's false belief theory of mind in a morally relevant context, two experiments were conducted. In Experiment 1, children (N=162) at 3.5, 5.5, and 7.5 years of age were administered three tasks: prototypic moral transgression task, false belief theory of mind task (ToM), and an "accidental transgressor" task, which measured a…

  15. 49 CFR 192.751 - Prevention of accidental ignition.

    2010-10-01

    ... 49 Transportation 3 2010-10-01 2010-10-01 false Prevention of accidental ignition. 192.751 Section 192.751 Transportation Other Regulations Relating to Transportation (Continued) PIPELINE AND HAZARDOUS... NATURAL AND OTHER GAS BY PIPELINE: MINIMUM FEDERAL SAFETY STANDARDS Maintenance § 192.751 Prevention...

  16. An accidental sect: how war made belief in Sierra Leone

    Richards, P.

    2006-01-01

    Idealists consider beliefs cause wars. Realists consider wars cause beliefs. The war in Sierra Leone offers some scope to test between these two views. The main rebel faction, the Revolutionary United Front (RUF) was, sociologically speaking, an accidental sect. It lost its original ideologues at an

  17. Quality control for handling of accidental blood exposures.

    Wijk, P.T. van; Pelk-Jongen, M.; Wijkmans, C.; Voss, A.; Schneeberger, P.M.

    2006-01-01

    A regional counselling service was established to handle all accidental blood exposures using a standardized protocol. Levels of risk were assessed using an algorithm. Accidents that posed a risk for the transmission of hepatitis B (HBV), hepatitis C (HCV) and human immunodeficiency virus (HIV) were

  18. Responsabilidad del empleador por accidentes de trabajo y enfermedades profesionales

    Cristina Mangarelli

    2014-01-01

    Full Text Available Introducción. 1. Responsabilidad del “empleador” por accidentes de trabajo y enfermedades profesionales. Noción. 2. La indemnización “tarifada”. Fundamento de su procedencia 3. Responsabilidad del empleador por accidentes de trabajo o enfermedades profesionales en la ley uruguaya (ley Nº 16.074. 4. La “ampliación” de la responsabilidad del empleador por el derecho común en el derecho uruguayo (artículo 7 ley Nº 16.074. 5. Requisitos para la ampliación de la responsabilidad patronal: culpa grave en el incumplimientode normas de seguridad y prevención. 6. La culpa grave. Concepto. 7. El modelo del hombre a tener en cuenta en la “culpa grave” no es el del buen padre de familia. 8. El grado de la culpa no puede ser medido por el resultado del accidente. 9. Se aplican las eximentes de la responsabilidad civil. 10. Distintos ámbitos de la responsabilidad patronal por accidentes de trabajo o enfermedades profesionales: A ante la víctima o los derecho-habientes; B ante el Banco de Seguros del Estado; C ante el Ministerio de Trabajo ySeguridad Social. 11. Recupero del BSE en caso de culpa grave en el incumplimiento de normas de seguridad y prevención. Requisitos 12. Responsabilidad del empleador en caso de accidente de trabajo o enfermedad profesional sufrido por un adolescente. Conclusiones.

  19. El accidente de trabajo "in itinere" = Working in the accident "itinere"

    Pinillas Carro, Pedro

    2015-01-01

    El trabajo aqu?? presentado aborda el estudio de los accidentes de trabajo, regulado al art??culo 115 Ley General de Seguridad Social, y m??s concretamente el accidente in itinere, claro est??, sin olvidar tampoco el accidente en misi??n. En la primera parte del trabajo, y una vez desarrollado el concepto de accidente de trabajo, el presente trabajo se centra en el estudio pormenorizado del accidente in itinere y sus requisitos (teleol??gico, topogr??fico, cronol??gico y mec??nico). Por otro ...

  20. Accidental Electric Shock during Pregnancy: Reflection on a Case

    Johnny Awwad

    2013-10-01

    Full Text Available Objectives - Data on fetal effects following accidental electric shock during pregnancy are scarce. We report on a case of accidental maternal electric shock associated with benign fetal arrhythmia in a woman at 28 weeks' gestation. Study Design - Case report. Results - Although electrocution involving low-voltage, low-frequency current has been associated with fatal cardiac arrhythmias and conduction abnormalities, two protective parameters in the present case likely reduced the fetal injury: the dry skin at the site of current entry and the hand-to-hand pathway of current flow. Conclusion - Because the pathophysiology of electric injury is altered during pregnancy, assessment of fetal well-being should be prompted no matter how trivial an incident may appear.

  1. Accidental Electric Shock during Pregnancy: Reflection on a Case.

    Awwad, Johnny; Hannoun, Antoine; Fares, Farah; Ghazeeri, Ghina

    2013-10-01

    Objectives Data on fetal effects following accidental electric shock during pregnancy are scarce. We report on a case of accidental maternal electric shock associated with benign fetal arrhythmia in a woman at 28 weeks' gestation. Study Design Case report. Results Although electrocution involving low-voltage, low-frequency current has been associated with fatal cardiac arrhythmias and conduction abnormalities, two protective parameters in the present case likely reduced the fetal injury: the dry skin at the site of current entry and the hand-to-hand pathway of current flow. Conclusion Because the pathophysiology of electric injury is altered during pregnancy, assessment of fetal well-being should be prompted no matter how trivial an incident may appear.

  2. Accidental degeneracy of double Dirac cones in a phononic crystal

    Chen, Ze-Guo

    2014-04-09

    Artificial honeycomb lattices with Dirac cone dispersion provide a macroscopic platform to study the massless Dirac quasiparticles and their novel geometric phases. In this paper, a quadruple-degenerate state is achieved at the center of the Brillouin zone in a two-dimensional honeycomb lattice phononic crystal, which is a result of accidental degeneracy of two double-degenerate states. In the vicinity of the quadruple-degenerate state, the dispersion relation is linear. Such quadruple degeneracy is analyzed by rigorous representation theory of groups. Using method, a reduced Hamiltonian is obtained to describe the linear Dirac dispersion relations of this quadruple-degenerate state, which is well consistent with the simulation results. Near such accidental degeneracy, we observe some unique properties in wave propagating, such as defect-insensitive propagating character and the Talbot effect.

  3. Leading global projects for professional and accidental project leaders

    Moran, Robert T

    2008-01-01

    This book is a must-read for anyone responsible for projects and initiatives that span functional and geographical divides. Authors Moran and Youngdahl bring extensive experience and learning from industry practice to present a clear and straightforward treatment of the leadership skills and knowledge required to lead projects that are global in nature. They have written the first book of its kind to address the three essential skills of global project leaders - strategic project management, project leadership, and cross-cultural leadership. The authors argue that global project leadership is an essential skill in our project-based world and that we are all either intentional or accidental project leaders. Intentional project leaders pursue formal project management education and even certification whereas accidental project leaders find themselves leading global projects and initiatives as a result of a special assignment or promotion. Moran and Youndahl have found that the vast majority of global projects ...

  4. D-transallethrin: An unusual agent for accidental poisoning

    Vinod Kedari; Rajesh Kulkarni; Chhaya Valvi; Aarti Kinikar; Sandhya Khadse

    2016-01-01

    D-trans allethrin, a pyrethroid, is commonly used as a coil mosquito repellant. There are very few reports of human toxicity due to D-trans allethrin. We present the case of an 11-month-old boy who presented to us with excessive salivation, altered sensorium and convulsions following alleged accidental ingestion of a coil containing D-transallethrin. He required mechanical ventilation for a brief period and made a full recovery. Although rare, the possibility of pyrethroid poisoning should be...

  5. Accidental surface contamination - The effect on trace element analysis

    Franklyn, C.B. E-mail: franklyn@aec.co.za; Ueckermann, H.; Merkle, R.K.W

    2001-07-01

    We discuss the accidental contamination of samples during a micro-PIXE study of Rh, Pd and Pt partition coefficients in the Fe-S and Ni-S systems. Trace amounts of Ni and Cu, mounted separately in epoxy as markers, were found to be present in various phases in the sections, sometimes selectively in specific mineral phases. This contamination is believed to result from polishing during preparation. Further surface contamination from conductive Ag paste was also observed.

  6. Accidental IV administration of epinephrine instead of midazolam at colonoscopy

    Ahmed Gado

    2016-03-01

    Full Text Available Drug administration errors appear to be a major source of iatrogenic harm to hospitalized patients. They often, particularly in the case of epinephrine, have catastrophic consequences both for the patient and the well-meaning provider. The following incident is a medication error case report which illustrates one way that incorrect medication may be administered. IV epinephrine was accidentally administered instead of midazolam at colonoscopy.

  7. La prevención de accidentes (3

    Chinchilla, M.

    1966-04-01

    Full Text Available The financial loss due to working accidents is very substantial, quite apart from the actual loss of human lives. Hence avoiding these accidents is a most important matter. The accident index in the various industries shows a rate of increase that is larger than should be the case in proportion to the development of the industries concerned, and the larger number of employees. The fact that these indexes are smaller in many countries, however, shows that these accidents can be considerably reduced if suitable measures are taken to avoid them. In chapter 2 of our magazine, issue no. 178, a variety of reasons were discussed that may originate accidents, although these causes are not directly linked to the accident itself. In this article mention is made of some of the measures that can be taken in the handling of cutting and welding equipment, and also of inflammable liquids, to prevent possible accidents.El peso de los accidentes de trabajo sobre la economía supone cantidades muy grandes que, independientemente del inestimable valor de una vida humana, realzan la importancia de la prevención de accidentes. Los índices de accidentes muestran en diferentes industrias un crecimiento mayor de lo que debería corresponder proporcionalmente, habida cuenta del crecimiento laboral. El hecho de que en distintos países los índices sean inferiores, demuestra que se pueden conseguir buenos frutos si se concede primordial importancia a que los trabajos se realicen con las debidas medidas de seguridad. En el Capítulo 2, número 178 de esta Revista, se detallaron diversas causas que pueden originar un accidente sin estar ligadas en forma directa con una tarea determinada. En el presente trabajo se indican algunas de las medidas que deben observarse en el manejo de los equipos de soldadura y corte, así como en el transvase de líquidos inflamables.

  8. Accidental falls involving medical implant re-operation.

    Ong, Kevin L; Lau, Edmund; Moore, Tara; Heller, Michelle F

    2009-10-01

    Implantation of medical devices is becoming more prevalent, and as a result, a greater number of patients who fall accidentally are expected to have a medical implant. The Nationwide Inpatient Sample (NIS) was used to evaluate hospital admissions following accidental falls involving re-operation of existing medical implants (hip, knee, spine, and fracture fixation) from 1990 to 2005. From 1990 to 2005, hospitalisations due to accidental falls on level surfaces increased by 306%, and hospitalisations due to falls from stairs increased by 310%. Falls involving orthopaedic revision surgery (re-operation) are relatively rare, but the incidence has increased by approximately 35%. Hospital stays after falls on level surfaces involving re-operation were 1.0 day (median) longer and cost 50% (median) more than those that did not involve re-operation in 2005. After staircase falls, hospital stays for patients undergoing re-operations were 2.0 days (median) longer and cost 108% (median) more. The greater hospital costs and hospital stay for patients needing re-operations indicate that additional medical treatment was required.

  9. Dietary intake of phytoestrogens

    Bakker MI; SIR

    2004-01-01

    The dietary intake of phytoestrogens supposedly influences a variety of diseases, both in terms of beneficial and adverse effects. This report describes current knowledge on dietary intakes of phytoestrogens in Western countries, and briefly summarizes the evidence for health effects. The predominan

  10. Numerical simulation of industrial and accidental release formation and transport

    Piskunov, V.N.; Aloyan, A.A.; Gerasimov, V.M.; Pinaev, V.S.; Golubev, A.I.; Yanilkin, Yu.V.; Ivanov, N.V.; Nikonov, S.N.; Kharchenko, A.I. [and others

    1995-05-01

    Statement of work for contract 006 {open_quotes}Mathematical simulation of industrial and accidental release formation and transport{close_quotes} implies that the final result of the activity within this task will be VNIIEF developed techniques which will provide for the prediction of the post-accidental environment. Report [1] presents the description of physical models and calculation techniques which were chosen by VNIIEF to accomplish this task. These techniques were analysed for their capabilities, the areas of their application were defined, modifications within contract 006 were described, the results of test and methodical calculations were presented. Moreover, the experimental data were analysed over the source parameters and contamination measurements which can be used in the comparison with the calculation results. Based an these data this report compares the calculation results obtained with VNIIEF calculation techniques with the LANL-presented experimental results. The calculations which statements and results are given in section 1, included the following processes: explosion cloud ascent dynamics and jet release origin; aerosols kinetics in the release source including composite particle origin in the explosion cloud caused by radioactive substance sorption an the soil particles; contaminant transport in atmosphere and their in-site fallout due to the accidental explosions and fires; atmospheric flow dynamics and industrial contamination transfer over the complicated terrain. The calculated results were compared with the experimental data. Section 2 presents the parameters for a typical source in the explosion accidents based an the experimental results and calculated data from Section 1, as well as contamination patterns were calculated with basic technique {open_quotes}Prognosis{close_quotes}.

  11. Accidental Degeneracy and Berry Phase of Resonant States

    Mondragón, A

    1997-01-01

    We study the complex geometric phase acquired by the resonant states of an open quantum system which evolves irreversibly in a slowly time dependent environment. In analogy with the case of bound states, the Berry phase factors of resonant states are holonomy group elements of a complex line bundle with structure group C*. In sharp contrast with bound states, accidental degeneracies of resonances produce a continuous closed line of singularities formally equivalent to a continuous distribution of "magnetic" charge on a "diabolical" circle, in consequence, we find different classes of topologically inequivalent non-trivial closed paths in parameter space.

  12. D-transallethrin: An unusual agent for accidental poisoning

    Vinod Kedari

    2016-01-01

    Full Text Available D-trans allethrin, a pyrethroid, is commonly used as a coil mosquito repellant. There are very few reports of human toxicity due to D-trans allethrin. We present the case of an 11-month-old boy who presented to us with excessive salivation, altered sensorium and convulsions following alleged accidental ingestion of a coil containing D-transallethrin. He required mechanical ventilation for a brief period and made a full recovery. Although rare, the possibility of pyrethroid poisoning should be kept in mind in children who present with sudden onset unconsciousness or convulsions.

  13. ECMO for Cardiac Rescue after Accidental Intravenous Mepivacaine Application

    Michael Froehle

    2012-01-01

    Full Text Available Mepivacaine is a potent local anaesthetic and used for infiltration and regional anaesthesia in adults and pediatric patients. Intoxications with mepivacaine affect mainly the CNS and the cardiovascular system. We present a case of accidental intravenous mepivacaine application and intoxication of an infant resulting in seizure, broad complex bradyarrhythmia, arterial hypotension and finally cardiac arrest. The patient could be rescued by prolonged resuscitations and a rapid initiation of ECMO and survived without neurological damage. The management strategies of this rare complication including promising other treatment options with lipid emulsions are discussed.

  14. Accidente Isquémico Transitorio: la gran oportunidad

    Mª Dolores Fernández Couto

    2013-09-01

    Full Text Available El ictus constituye la primera causa de muerte en mujeres y la segunda causa de muerte global en España1, así como la primera causa de discapacidad adquirida en la edad adulta y la segunda causa de demencia por detrás de la enfermedad de Alzheimer. El accidente isquémico transitorio (AIT precede al ictus isquémico en un 23% de los casos2. Esta señal de alarma, lejos de poder considerarse banal, constituye una gran oportunidad para la prevención.

  15. Tratamiento de Terapia Ocupacional en el accidente cerebrovascular

    Domingo García, AM

    2006-01-01

    RESUMENEntre los muchos pacientes que necesitan tratamiento rehabilitador en Terapia Ocupacional están los que en la edad adulta han sufrido un accidente cerebrovascular.Uno de los factores de riesgo asociados con más frecuencia a las alteraciones del sistema nervioso central es el progresivo envejecimiento de la población, debido a esto orientaré el siguiente artículo hacia la intervención sobre la población geriátrica.La Terapia Ocupacional ofrece un tratamiento global que abarca las áreas ...

  16. Clinical perspectives on osteogenesis imperfecta versus non-accidental injury.

    Pereira, Elaine Maria

    2015-12-01

    Although non-accidental injuries (NAI) are more common in cases of unexplained fractures than rare disorders such as osteogenesis imperfecta (OI), ruling out OI and other medical causes of fracture is always indicated. The majority of OI patients can be diagnosed with the help of family history, physical examination, and radiographic findings. In particular, there are a few radiological findings which are seen more commonly in NAI than in OI which may help guide clinician considerations regarding the probability of either of these diagnoses. At the same time, molecular testing still merits careful consideration in cases with unexplained fractures without obvious additional signs of abuse.

  17. Measurement of accidental coincidences for higher activity sources

    Yull Hwang, H; Jae-Oh, P; Man-Lee, J; Kie-Lee, M

    1999-01-01

    The multi-channel time-scaling (MCTS) technique has been applied for the measurement of accidental coincidences for the cases of higher activity samples in beta-gamma coincidence counting. Two beta samples of sup 1 sup 3 sup 4 Cs were prepared and the nominal activities observed in the beta counter were about 7000 and 11000 s sup - sup 1 , respectively. The obtained true coincidence rates are independent of resolving times and dead times. They are compared with those calculated from the mathematical model derived by Cox and Isham.

  18. Accidentes de trabajo en un hospital de agudos

    Pérez Bermúdez B.

    1998-01-01

    Full Text Available FUNDAMENTO: El mejor conocimiento de los determinantes y circunstancias de producción de los accidentes laborales, favorecerá la implantación de medidas correctoras. El objetivo de este trabajo es describir la evolución temporal de los accidentes de trabajo (AT y determinar los factores de riesgo de baja médica en el Hospital Dr. Peset de Valencia. MÉTODOS: Descripción y análisis retrospectivo de los accidentes de trabajo producidos en el Hospital Dr. Peset de Valencia durante los años 1992 a 1995. Se estimó por métodos deterministas la tendencia y estacionalidad de las series (índices estacionales, IE. Se aplicó un modelo de regresión logística para identificar los factores pronósticos de baja médica y determinar su probabilidad de ocurrencia . RESULTADOS: Las tasas más elevadas de AT se produjeron entre los trabajadores de cocina y lavandería (10,00 AT por 100 trabajadores-año. Los AT con baja médica mantienen una tendencia cercana a cero siendo febrero el mes con I.E más elevado (IE=139,8. Los que cursan sin baja médica tienen una tendencia positiva (r²=0,23, p<0,0001, siendo mayo el mes de mayor siniestralidad (IE=134,2. La probabilidad de que el accidente curse con baja médica aumenta significativamente con la edad, cuando se produce por la tarde, si ha tenido lugar en cocina/lavandería, y si se trata de un esguince o tendinitis. CONCLUSIONES: la actuación sobre la siniestralidad en los AT que cursen con IT, debería centrarse sobre los trabajos menos cualificados y en las áreas de cocina y lavandería.

  19. Costes e Investigación de Accidentes Laborales

    Gonzalez Quintana, Jon Ander

    2013-01-01

    En España en el año 2011, según datos del Instituto Nacional de Estadística (INE), se registraron 581.150 accidentes con baja laboral de los cuales el 88% sucedieron dentro de jornada laboral. Observando estas cifras, es obvio que hay una carencia en el sistema preventivo y, por los tanto, es necesario buscar una solución. Son tres los factores de la baja inversión en prevención: la falta de concienciación de las empresas, la falta del conocimiento de las consecuencias de un...

  20. Accidental Chemical Burns of Oral Mucosa by Herbicide

    S P Deo

    2012-03-01

    Full Text Available Glyphosate (GlySH is a broad spectrum, nonselective herbicide, widely used in agriculture. This case report describes a 25-year-old man presenting with extensive chemical burns and ulceration of the oral cavity as a result of accidental exposure to GlySH. This paper aims to illustrate the typical appearance of GlySH related chemical mucosal burn and to demonstrate the severity of the corrosive effect of GlySH which need team approach to prevent unfavorable sequelae such as microstomia. Keywords: Chemical burns, corrosive injury, glyphosate poisoning, herbicide, microstomia, oral mucosal burn.

  1. [Phosphorus intake and osteoporosis].

    Omi, N; Ezawa, I

    2001-10-01

    Phosphorus (P) is one of the most important nutrients for bone metabolism, such as calcium. In general, P intake is usually adequate in our daily diet, and there is a risk of over-consumption from processed food. On the other hand, Ca intake is not always adequate from the Japanese daily diet. When Ca/P is taken from the daily diet at a level of 0.5 - 2.0, the P intake level dose not affect intestinal Ca absorption. Therefore, it is important not only to pay attention to preventing the over-consumption of P, but also to obtain a sufficient intake of Ca. For the prevention of osteoporosis, it is important to consume sufficient Ca and to maintain and appropriate Ca/P balance from diet.

  2. Multidisciplinary approach to "accidental" falls in the elderly: a case report.

    Galizia, Gianluigi; Testa, Gianluca; Mazzella, Francesca; Cacciatore, Francesco; Ungar, Andrea; Masotti, Giulio; Rengo, Franco; Abete, Pasquale

    2008-06-01

    Falls in the elderly are commonly and often wrongly identified as "accidental". We report a case of an elderly woman admitted to first aid for a trauma due to an accidental fall. Geriatric multidisciplinary evaluation revealed mild cognitive impairment associated with depressive symptoms; both findings made the anamnesis uncertain. Syncope algorithm was applied and "tachy-brady form of sick sinus syndrome" was diagnosed. Differential diagnosis between "accidental" and "apparently accidental" falls in elderly patients is very difficult but a multidisciplinary geriatric evaluation can clarify the correct diagnosis.

  3. Pathological Findings in Accidental Electrocution in a Horse (Case Report

    Adrian Florin Gal

    2016-11-01

    Full Text Available Recently, the veterinarians are dealing with a number of cases that require forensic expertise. Such a circumstance could be the accidental electrocution in animals, one of the causes of unnatural death. There is a scarcity with reference to the pathological findings in veterinary forensic medicine. In this paper, we present the main lesions that occurred in a horse with accidental electrocution that was presented for complete necropsy survey. A horse corpse was sent to the Pathology Department (Faculty of Veterinary Medicine, Cluj-Napoca, Romania for a full medical survey. Preliminary results and external examination: the body was in rigor mortis; from the nasal cavities drained out reddish foam and in the mouth was observed the presence of ingested feed (straw that was not chewed, suggesting a quick death. The findings detected after internal examination of the carcass were poor blood coagulability, haemorrhagic diathesis throughout the body, with haemorrhages of various sizes in different body regions (e.g., muscles of the withers, in the gluteal muscle, the mucosa of epiglottis, larynx, trachea, in the interstitium of the lung, and ecchymosis in the left kidney. Some other lesions detected were infarcts and haemorrhages in the fundic region of the stomach’s mucosa. In electrocution, haemorrhages are most often located in the respiratory tract, aspect observed in our case too. However, the diagnosis of electrocution has to corroborate the necropsy findings (which are not specific, with some other data such as the fulminant death and inspection of power source.

  4. Accidental childhood death and the role of the pathologist.

    Byard, R W

    2000-01-01

    The following study provides an overview of accidental childhood death. This study is based on a review of 369 cases of fatal childhood accidents taken from the records of the Department of Histopathology, Women's and Children's Hospital, Adelaide, Australia, over a 34-year period from 1963 to 1996. Data provide information on deaths due to motor vehicle accidents, drownings, accidental asphyxia, burns, poisonings, electrocution, and miscellaneous trauma. In addition, certain categories have undergone further examination, including asphyxial deaths due to unsafe sleeping environments and unsafe eating practices, drowning deaths, and deaths on farms, following identification of significant child safety problems in these areas as part of the "Keeping Your Baby and Child Safe" program. Previously unrecognized dangers to children detected through this program include mesh-sided cots, V-shaped pillows, and certain types of stroller-prams. The production of information pamphlets and packages for parents and the recall of certain dangerous products following recommendations made by pathologists demonstrate that pediatric and forensic pathologists have an important role to play in preventive medicine issues and in formulating public health strategies.

  5. accidentes y otras causas violentas en la sierra de Sonora

    Héctor Eloy Rivas Sánchez

    2005-01-01

    Full Text Available Este artículo presenta los resultados de una investigación sociológica cuyo objeto fue explorar el papel que ha jugado el modelo hegemónico de masculinidad en la ocurrencia de muertes derivadas de accidentes y varias formas de ejercicio de la violencia en una comunidad rural de la sierra de Sonora. Estos resultados difieren de aquellos que tradicionalmente los estudios de las masculinidades han mostrado para México y América Latina. El modelo dominante de masculinidad en las comunidades estudiadas no ha condicionado significativamente la ocurrencia de las muertes por accidentes y otras causas violentas. La responsabilidad, la disciplina y el respeto hacia las personas consideradas socialmente débiles (mujeres, ancianos y niños, principalmente son características que debe poseer un hombre de verdad en las comunidades estudiadas. El apego de los hombres a estas formas de comportamiento y su temor a perder honorabilidad como hombre de verdad si se desvían de estas normas de conducta los ha llevado a evitar una serie de prácticas temerarias que pudieron poner en riesgo su vida y la de otras personas.

  6. Caffeine intake and fecundability

    Jensen, Tina Kold; Henriksen, T B; Hjollund, N H

    1998-01-01

    the effect of caffeine from different sources (coffee, tea, cola, and chocolate). Clearly, the relationship between caffeine and fecundability needs further research, given the high prevalence of caffeine intake among women of childbearing age. We examined the independent and combined effects of smoking....... At enrollment and in six cycles of follow-up, both partners filled out a questionnaire on different factors including smoking habits and their intake of coffee, tea, chocolate, cola beverages, and chocolate bars. In all, 1596 cycles and 423 couples were included in the analyses. The cycle-specific association...

  7. [Accidental hypothermia in adults: taking charge by the SAMU of Paris].

    Deny, N; Bresard, D; Bertrand, J; Poisvert, M

    1990-02-01

    Thirty one cases of accidental hypothermia have been taken in care by the SAMU de Paris during the year of 1987. The accidental hypothermias happening in the cities are, most of the time, moderated and not very serious. The search for a cause is a prime necessity. The prognosis is based on that search to guide and advise the patients.

  8. Accidental Perforation of Endotracheal Tube during Orthognathic Surgery for Maxillary Prognathism - a Case Report

    Manish Jain

    2008-01-01

    Full Text Available Maxillary prognathism(excess is a congenital anomaly characterized by facial disfigurement. Accidental perforation of endotracheal tube during corrective surgery is not an uncommon complication. A case of accidental perforation of endotracheal tube during surgery and its management is presented here.

  9. A novel method to detect accidental oesophageal intubation based on ventilation pressure waveforms

    Kalmar, Alain F.; Absalom, Anthony; Monsieurs, Koenraad G.

    2012-01-01

    Background: Emergency endotracheal intubation results in accidental oesophageal intubation in up to 17% of patients. This is frequently undetected thereby adding to the morbidity and mortality. No current method to detect accidental oesophageal intubation in an emergency setting is both highly sensi

  10. Two Cases of Accidental Injection of Epinephrine into a Digit Treated with Subcutaneous Phentolamine Injections

    Ryan P. Bodkin

    2013-01-01

    Full Text Available Accidental injection into the digit from an epinephrine autoinjection device can cause discoloration, pain, and paresthesias. Although loss of digit is rare, treatment in the emergency department is commonly aimed at vasodilation of the affected tissue. We report two cases of accidental injection of epinephrine into the digits that were successfully treated with subcutaneous phentolamine injection with no adverse events.

  11. 76 FR 73021 - Agency Information Collection (Report of Accidental Injury in Support of Claim for Compensation...

    2011-11-28

    ... Injury in Support of Claim for Compensation or Pension/Statement of Witness to Accident, VA Form 21- 4176...: VA Form 21-4176 is used to support a claim for disability benefits based on an accidental injury that... AFFAIRS Agency Information Collection (Report of Accidental Injury in Support of Claim for Compensation...

  12. Accidental intraoral formalin injection: a rare case report

    Ramakant Dandriyal

    2014-12-01

    Full Text Available Formalin is a hazardous chemical that needs cautious handling and special storage. Owing to its disinfectant and fixative (i.e. for preserving pathologic tissue specimens in histopathology properties, it is widely used in dentistry. Although, the terms formaldehyde and formalin are often confused as being identical, these are different as to the concentrations of the primary component i.e. formaldehyde. In fact, the common fixative available as 10% neutral buffered formalin is actually a 4% solution of formaldehyde (i.e., a 10% solution made from a 37-40% commercially pure formaldehyde solution. This case report describes an unfortunate case of accidental injection instead of local anesthetic, of formalin into the pterygomandibular space in a 35-year old woman during inferior alveolar nerve block for surgical removal of impacted lower right third molar and its successful management by cautious debridement (under both local and general anesthesia and empirical drug therapy (utilizing analgesics and antibiotics.

  13. Accidental intraoral formalin injection: a rare case report.

    Dandriyal, Ramakant; Giri, Kolly Yada; Alam, Sarwar; Singh, Aishwarya Pratap

    2014-10-30

    Formalin is a hazardous chemical that needs cautious handling and special storage. Owing to its disinfectant and fixative (i.e. for preserving pathologic tissue specimens in histopathology) properties, it is widely used in dentistry. Although, the terms formaldehyde and formalin are often confused as being identical, these are different as to the concentrations of the primary component i.e. formaldehyde. In fact, the common fixative available as 10% neutral buffered formalin is actually a 4% solution of formaldehyde (i.e., a 10% solution made from a 37-40% commercially pure formaldehyde solution). This case report describes an unfortunate case of accidental injection instead of local anesthetic, of formalin into the pterygomandibular space in a 35-year old woman during inferior alveolar nerve block for surgical removal of impacted lower right third molar and its successful management by cautious debridement (under both local and general anesthesia) and empirical drug therapy (utilizing analgesics and antibiotics).

  14. Dose assessment of an accidental exposure at the IPNS

    Campos Torres, M.M.

    1995-02-01

    Seven different methods were used to estimate the dose rate to a female worker who was accidentally exposed in the neutron PHOENIX beamline at the IPNS. Theoretical and measured entrance dose ranged from 550 mrem/min to 2850 mrem/min. Theoretical estimates were based on a Monte Carlo simulation of a spectrum provided by IPNS (Crawford Spectrum). Dose measurements were made with TLDs on phantoms and with ionization chambers in a water phantom. Estimates of the whole body total effective dose equivalent (TEDE) rate ranged from 5.2 mrem/min to 840 mrem/min. Assumed and measured quality factors ranged from 2.6 to 11.8. Cytogenetic analyses of blood samples detected no positive exposure. The recommended TEDE rate was 158 mrem/min. The TEDE was 750 mrem.

  15. Dose assessment of an accidental exposure at IPNS

    Torres, M.M.C.

    1996-05-01

    Seven different methods were used to estimate the dose rate to a female worker who was accidentally exposed in the neutron PHOENIX beamline at the IPNS. Theoretical and measured entrance dose rates ranged from 550 mrem/min to 2,850 mrem/min. Theoretical estimates were based on a Monte Carlo simulation of a spectrum provided by IPNS (Crawford Spectrum). Dose measurements were made with TLDs on phantoms and with ionization chambers in a water phantom. Estimates of the whole body total effective dose equivalent (TEDE) rate ranged from 5.2 mrem/min to 840 mrem/min. Assumed and measured quality factors ranged from 2.6 to 11.8. Cytogenic analyses of blood samples detected no positive exposure. The recommended TEDE rate was 158 mrem/min. The TEDE was 750 mrem.

  16. Nodular goiter after occupational accidental exposure to radiation

    Pisarev, M.A. [Radiobiology, National Atomic Energy Commission, Buenos Aires (Argentina); Human Biochemistry, Uninversity of Buenos Aires, School of Medicine, Buenos Aires (Argentina); Schnitman, M. [Center of Endocrinology and Metabolism, French Hospital C.Milstein, Buenos Aires (Argentina)

    2012-07-01

    In the present paper we present the consequences of an accidental occupational radiation exposure at a local hospital in Buenos Aires. Control at a local radiology service showed the lack of correct shielding in the X-ray equipment. The physicians and technicians (14 persons) exposed to radiation during 12 months were examined. The survey shows that: a) In 11 out of 14 radiation-exposed patients nodular goiter developed and an additional patient had diffuse goiter which means a goiter incidence of 85.7%; b) In 5 of the nodular goiter patients an increase in the size or the appearance of new nodules was observed along the follow-up period. No cancer was detected by FNA; c) Hypothyroidism was observed in 3/14 patients, and an additional patient had an abnormal TRH-TSH test, suggesting subclinical hypothyroidism; and d) Increased circulating antithyroid antibodies were found in one of the hypothyroid patients

  17. Application of biological dosimetry in accidental radiation exposure

    Nosal, M.; Batora, I.; Kolesar, D.; Stojkovic, J. (Komenskeho Univ., Bratislava (Czechoslovakia). Lekarska Fakulta); Gaal, P.; Sklovsky, A. (Krajska Hygienicka Stanica, Bratislava (Czechoslovakia)); Cizova, O. (Sexuologicka Ambulancia KUNZ, Bratislava (Czechoslovakia))

    1982-03-01

    The case is described of accidental irradiation of a male person with /sup 137/Cs of an activity of 24.71 GBq. The first estimate induced a reasonable suspicion that the absorbed dose could be very high and life-threatening. On the other hand the clinical picture, usual laboratory examinations, findings in the fluorescent blood count, the analysis of chromosomal count of lymphocytes in the peripheral blood, the spermiogram, and the negative post-irradiation porphyrinuria suggested that the absorbed dose could be much lower than the original estimate. The results of dosimetry obtained after the reconstruction of the accident by measuring on a phantom revealed that the actual dose was very close to that presumed from the results of biological dosimetry during the first days of examination of the patient.

  18. Siquieros accidental painting technique: a fluid mechanics point of view

    Zetina, Sandra

    2012-01-01

    This is an entry for the Gallery of Fluid Motion of the 65th Annual Meeting of the APS-DFD (fluid dynamics video). This video shows an analysis of the 'accidental painting' technique developed by D.A. Siqueiros, a famous Mexican muralist. We reproduced the technique that he used: pouring layers of paint of different colors on top of each other. We found that the layers mix, creating aesthetically pleasing patterns, as a result of a Rayleigh-Taylor instability. Due to the pigments used to give paints their color, they can have different densities. When poured on top of each other, if the top layer is denser than the lower one, the viscous gravity current undergoes unstable as it spread radially. We photograph the process and produced slowed-down video to visualize the process.

  19. Subtraction of "accidentals" and the validity of Bell tests

    Thompson, C H

    1999-01-01

    In some key Bell experiments, including two of the well-known ones by Alain Aspect, 1981-2, it is only after the subtraction of ``accidentals'' from the coincidence counts that we get violations of Bell tests. The data adjustment, producing increases of up to 60% in the test statistics, has never been adequately justified. Few published experiments give sufficient information for the reader to make a fair assessment. There is a straightforward and well known realist model that fits the unadjusted data very well. In this paper, the logic of this realist model and the reasoning used by experimenters in justification of the data adjustment are discussed. It is concluded that the evidence from all Bell experiments is in urgent need of re-assessment, in the light of all the known ``loopholes''. Invalid Bell tests have frequently been used, neglecting an improved one derived by Clauser and Horne in 1974. ``Local causal'' explanations for the observations have been wrongfully neglected.

  20. Peptides and Food Intake

    Sobrino Crespo, Carmen; Perianes Cachero, Aránzazu; Puebla Jiménez, Lilian; Barrios, Vicente; Arilla Ferreiro, Eduardo

    2014-01-01

    The mechanisms for controlling food intake involve mainly an interplay between gut, brain, and adipose tissue (AT), among the major organs. Parasympathetic, sympathetic, and other systems are required for communication between the brain satiety center, gut, and AT. These neuronal circuits include a variety of peptides and hormones, being ghrelin the only orexigenic molecule known, whereas the plethora of other factors are inhibitors of appetite, suggesting its physiological relevance in the regulation of food intake and energy homeostasis. Nutrients generated by food digestion have been proposed to activate G-protein-coupled receptors on the luminal side of enteroendocrine cells, e.g., the L-cells. This stimulates the release of gut hormones into the circulation such as glucagon-like peptide-1 (GLP-1), oxyntomodulin, pancreatic polypeptides, peptide tyrosine tyrosine, and cholecystokinin, which inhibit appetite. Ghrelin is a peptide secreted from the stomach and, in contrast to other gut hormones, plasma levels decrease after a meal and potently stimulate food intake. Other circulating factors such as insulin and leptin relay information regarding long-term energy stores. Both hormones circulate at proportional levels to body fat content, enter the CNS proportionally to their plasma levels, and reduce food intake. Circulating hormones can influence the activity of the arcuate nucleus (ARC) neurons of the hypothalamus, after passing across the median eminence. Circulating factors such as gut hormones may also influence the nucleus of the tractus solitarius (NTS) through the adjacent circumventricular organ. On the other hand, gastrointestinal vagal afferents converge in the NTS of the brainstem. Neural projections from the NTS, in turn, carry signals to the hypothalamus. The ARC acts as an integrative center, with two major subpopulations of neurons influencing appetite, one of them coexpressing neuropeptide Y and agouti-related protein (AgRP) that increases food

  1. FACTORES DE RIESGO QUE OCASIONAN ACCIDENTES LABORALES EN EL PERSONAL DE ENFERMERÍA DE UNA CLÍNICA ACREDITADA DE LA CIUDAD DE AREQUIPA, 2007-2008

    GARCIA SUTTA, PATRICIA CONCEPCION

    2014-01-01

    FACTORES DE RIESGO CONCEPTUALIZACIÓN TIPOS RIESGOS NO MECÁNICOS RUIDOS RADIACIONES IONIZANTES ILUMINACIÓN CALOR FRÍO RIESGOS FÍSICOS MECÁNICOS RIESGOS QUÍMICOS RIESGOS ERGONÓMICOS POSTURA RIESGOS BIOLÓGICOS CARGA DE TRABAJO LABORAL DEFINICIÓN ACCIDENTES LABORALES ACCIDENTE CAUSAS BÁSICAS Y CAUSAS INMEDIATAS ACCIDENTES LABORALES CAUSAS DE LOS ACCIDENTES TIPOS DE ACCIDENTE TIPOS DE ACCIDENTES LABORALES

  2. Accidental Children Poisoning With Methadone: An Iranian Pediatric Sectional Study

    Sayena JABBEHDARI

    2013-11-01

    Full Text Available How to Cite This Article: Jabbehdari S, Farnaghi F, Shariatmadari SF, Jafari J, Mehregan FF, Karimzadeh P. Accidental Children Poisoning With Methadone: An Iranian Pediatric Sectional Study. Iran J Child Neurol. 2013 Autumn;7(7: 32-34.ObjectiveToxic poisoning with methadone is common in children in Iran. Our study was carried out due to the changing pattern of methadone poisoning in recent years and increasing methadone toxicity. Materials & MethodsIn this descriptive-sectional study, all of the methadone poisoned children younger than 12 years who were admitted to the Loghman Hakim Hospital in 2012, were assessed. Clinical symptoms and signs, para-clinical findings, and treatment were evaluated. ResultsIn this study, 16 boys and 15 girls who had been poisoned by methadone were enrolled. The mean age of patients was 55 months. All patients had been poisoned randomly or due to parent’s mistakes. The mean time of symptoms onset after methadone consumption was 1 hour and 30 Min, indicating a relatively long time after onset of symptoms.Clinical findings were drowsiness (75%, miotic pupil (68 %, vomiting (61%, rapid shallow breathing (57% and apnea (40%. In paraclinical tests, respiratory acidosis (69% and leukocytosis (55.2% were seen. The most important finding was increase in distance of QT in ECG (23.8%. The mean time of treatment with naloxone infusion was 51 hours. Three percent of patients had a return of symptoms after discontinuation of methadone. In patients with apnea, a longer course of treatment was required, and this difference was significant. Also, 17% of patients with apnea had aspiration pneumonia, which was statistically significant. ConclusionWe suggest long time treatment with naloxone and considering the probability of return of symptoms after discontinuation of methadone.ReferencesGoldfrank L, Flomenbaum N, Lewin N. Goldfrank’s Toxicologic Emergencies. 7th ed. McGraw–Hill 2002; p. 590-607.Schelble DT. Phosgene and

  3. The Frequency of the Accidental Contamination with Laboratory Samples in Yazd Clinical Laboratories’ personnel in 2011

    Jafari, AA. (PhD

    2014-05-01

    Full Text Available Background and Objective: laboratory personnel have always accidental exposure to clinical samples, which can cause the transmission of infection. This threat can be prevented and controlled by education for the use of safety instruments. The purpose was to determine the frequency of accidental exposure to laboratory samples among Yazd laboratory personnel in 2011. Material and Methods: This descriptive cross-sectional study was conducted on 100 of Yazd clinical laboratory personnel. The data was collected, using a valid and reliable questioner, via interview and analyzed by means of SPSS software. Results: Eighty-six percent of the subjects reported an experience of accidental exposure to clinical samples, such as blood, serum and urine. The causes were carelessness (41% and work overload (29%. Needle- stick was the most prevalent injury (52% particularly in sampler workers (51% and in their hands (69%. There wasn’t significant relationship between accidental exposure to laboratory samples and the variables such as private and governmental laboratories (p=0.517, kind of employment (p=0.411, record of services (p=0.439 and academic degree (p=0.454. The subjects aged 20-29 (p=0.034 and worked in sampling unit had the highest accidental exposure. Conclusion: based on the results, inexperience of the personnel especially in sampling room, overload at work and ignorance of applying safety instruments are known as the most important reasons for accidental exposure to clinical samples. Keywords: Contamination; accidental Exposure; Infectious agents; laboratory; personnel

  4. La prevención de accidentes (2

    Chinchilla, M.

    1966-03-01

    Full Text Available Everyone prefers to work in those organizations where their dignity of human beings is respected. One of the most efficient means at the disposal of any firm, to improve the morale of the individual employees, and to establish a spirit of cooperation between the individual and the firm, is to set up a program of accident benefit. It will avoid direct and indirect losses due to working accidents, as analyzed in a previous article, and it will make it possible to improve total performance of each worker, since he will work in a more favorable environment, free from worry about potential danger to his person. It is almost impossible to describe in detail all those items that should be taken into account in a safety program. None the less, and as an indication of their diversity, some sources of danger are mentioned in this chapter, which are closely connected with human safety, such as public curiosity, travelling from one place to another, cleanliness and order.Todas las personas prefieren desempeñar sus tareas en aquellas organizaciones que tienen hacia ellos las consideraciones correspondientes a un ser humano. Uno de los medios más eficaces a disposición de cualquier empresa para elevar la moral del individuo y para crear un lazo de cooperación común entre el individuo y la empresa, es la de llevar a cabo un programa de prevención de accidentes, programa que redundará en el doble fruto: evitar las pérdidas directas e indirectas causadas por los accidentes de trabajo que se detallaron en un trabajo anterior, y conseguir aumentar el rendimiento del operario al hacerle un ambiente más grato por la preocupación que se demuestra hacia su persona. Es casi imposible detallar todos aquellos puntos que se deben tener en cuenta en un programa de seguridad; sin embargo, y como exponente de su diversidad, se señalan en este capítulo algunas causas, que, sin estar ligadas directamente con el trabajo individual, no obstante se encuentran

  5. Peptides and Food Intake

    Carmen Sobrino Crespo; Aranzazu Perianes Cachero; Lilian Puebla Jiménez; Vicente eBarrios; Eduardo eArilla

    2014-01-01

    The mechanisms for controlling food intake involve mainly an interplay between gut, brain, and adipose tissue (AT), among the major organs. Parasympathetic, sympathetic, and other systems are required for communication between the brain satiety center, gut, and AT. These neuronal circuits include a variety of peptides and hormones, being ghrelin the only orexigenic molecule known, whereas the plethora of other factors are inhibitors of appetite, suggesting its physiological relevance in the r...

  6. Calidad de vida de cuidadores de adultos con accidente cerebrovascular

    INNA ELIDA FLÓREZ TORRES

    2010-10-01

    Full Text Available Objetivo: describir la calidad de vida de los cuidadores familiares de adultos con secuelas de accidente cerebrovascular, en Cartagena, Colombia. Método: estudio descriptivo cuantitativo realizado durante el segundo semestre de 2008. Muestra no probabilística por conveniencia de 97 cuidadores. Se empleó el instrumento propuesto por Ferrell et ál. Para valorar cada uno de los bienestares que integran la calidad de vida se utilizaron medidas de tendencia central y coeficiente de variación. Resultados: el grupo de cuidadores presentó en el bienestar físico un promedio de 11,1 con relación al máximo puntaje, lo que indica el peor estado de salud; los bienestares psicológico y social tuvieron promedios de 48,8 y 21,9, respectivamente, con menor afectación. El mejor estado se halló en el bienestar espiritual, con promedio de 22,6. Conclusiones: la experiencia de ser cuidador modifica de manera importante la calidad de vida de las personas; los cuidadores, como fuente importante de cuidado informal, requieren apoyo de los sistemas de salud y, como parte de este, de los profesionales de enfermería.

  7. [Gonococcal vulvovaginitis in prepubertal girls: sexual abuse or accidental transmission?].

    Daval-Cote, M; Liberas, S; Tristan, A; Vandenesch, F; Gillet, Y

    2013-01-01

    Vulvovaginitis is the most frequent gynecologic pathology among prepubertal females. An infectious cause is found in 30% of cases and is highly associated with the presence of vaginal discharge upon examination. Neisseria gonorrhoeae may be one of the causative agents. Since N. gonorrhoeae is a common sexually transmitted disease, sexual abuse should be considered in the pediatric setting. We report the case of a 5-year-old girl with N. gonorrhoeae vulvovaginitis. Her previous history, multiple interviews with the patient and her parents, and clinical examination showed no evidence or signs of sexual abuse. Both parents presented gonorrhea, urethritis for the father and vaginitis for the mother. The discrepancy between pediatric evaluation and the presence of a bacterium associated with sexually transmitted disease led us to consider other means of contamination. Previous studies have shown that other routes of transmission are possible but are often neglected. Hence, contamination can be transmitted by the hands or mostly through passive means (towels, rectal thermometer, etc.). Many epidemics have been noted in group settings with young girls with no evidence of sexual transmission. Therefore, we concluded that this patient's infection was likely an accidental transmission within her family. The acknowledgement of these transmission routes is very important in order to avoid misguided suspicion of sexual abuse and the possible traumatic family and psychosocial consequences.

  8. Lead excretion in milk of accidentally exposed dairy cattle.

    Bischoff, Karyn; Higgins, William; Thompson, Belinda; Ebel, Joseph G

    2014-01-01

    Lead (Pb) exposure in dairy cattle is associated with economic losses due to mortality and treatment costs, but with production animals there is also risk to the human food chain. The first objective of this study was to quantify the Pb concentration in milk from Pb-exposed cattle. The second objective was to correlate blood and milk Pb concentrations from individual cows. The third objective was long-term monitoring to determine the duration of milk contamination after exposure ceased. A dairy herd of more than 100 cows was accidentally exposed to Pb-contaminated feed. Milk and blood were collected for Pb analysis. Serial collection of milk samples continued for 2.5 years. The initial concentration of Pb in bulk tank milk was 0.0999 mg l⁻¹. The highest milk Pb concentration from an individual cow was 0.4657 mg l⁻¹ and the highest blood Pb concentration was 1.216 mg l⁻¹. One milk sample collected at the end of the study (day 922) contained 0.0117 mg Pb l⁻¹ of Pb. The calculated relationship between milk (y) and blood (x) Pb concentration was ln(y) = 3.4(x) - 2.21 (R² = 0.98).

  9. High mortality due to accidental salinomycin intoxication in sheep

    Ashrafihelan Javad

    2014-09-01

    Full Text Available In February 2012, 100% mortality was reported in a herd with 79 local sheep that were kept around of Abhar, Northwest of Iran. The ration for adult sheep was daily mixed (40 kg straw, 25 kg wheat and 2 kg Vit-C premix and accidentally 1 500 g of salinomycin (Salinomycin 12% Premix; Aras Bazar Laboratories, Iran had been added to the ration (22388 mg/kg = 22388 ppm and overnight was fed to herd. At the morning, 78 sheep were founded dead and one of them showed convulsive seizures. Postmortem examination revealed pulmonary congestion and edema, hemorrhages in abomasum, large pale kidney and white streak lines in myocardium. Main histopathologic lesions were extensive subepicardial and intercardiomyofibers hemorrhages, extensive cardiomyolysis and myocarditis in heart, severe hyperemia and extensive acute tubular necrosis (ATN in kidneys and focal necrosis and retention of bile cholangitis in the liver. In this study, on the basis of the history, observation of the ionophore remnant in the ration, clinical signs, gross and histopathological findings, acute salinomycin intoxication is definitely diagnosed.

  10. Accidental release of chlorine and its impact on urban areas

    El-Sheikh, H.A.; Badr, O.A.; El Kadi, H.M.; Hamoda, M.F. [United Arab Emirates Univ., Abu Dhabi (United Arab Emirates). Faculty of Engineering

    1995-12-31

    Among the possible scenarios of accidental releases of chlorine from high pressure cylinders, this paper considers a typical one for the analysis. The calculated transient mass flow rate of chlorine released from a one-tonne cylinder showed that such an accident takes about 10 minutes to evacuate the cylinder. However, the toxic effect in the surrounding atmosphere continues for a longer period (about 20 minutes). The size and location of the toxic cloud at ground level were predicted as functions of time using an EPA-based dispersion model. The results showed a growth of the toxic cloud for some time beyond which it started to decay. For the typical scenario considered in this study, the most dangerous situation generated a toxic cloud with dimensions of 4000 m and 600 m in the downwind and crosswind directions, respectively. A study of the effects of some meteorological parameters on the size and location of the toxic cloud at ground level was also conducted. In general, it was observed that enhancing atmospheric mixing produced larger toxic zones during the early stages of the release and caused an opposite effect during the later ones. This dynamic data was linked to a GIS environment and the time variant was represented using an animation technique for Al-Ain City, United Arab Emirates. Data base information related to physical urban characteristics and population was immediately obtained for the affected areas.

  11. Accidental intoxication with hydrochloric acid and hydrofluoric acid mixture.

    Smędra-Kaźmirska, A; Kędzierski, M; Barzdo, M; Jurczyk, Ap; Szram, S; Berent, J

    2014-01-01

    The paper describes a fatal case of accidental ingestion of a mixture of hydrochloric acid and hydrofluoric acid. The man was admitted to hospital, where appropriate treatment, adequate to his condition, was instituted. Numerous ventricular fibrillation episodes, for which the patient was defibrillated repeatedly, were observed during the period of hospitalization. The patient was in a critical condition, with progressive symptoms of hypovolemic shock and multiorgan failure. On the next day after admission, signs of electromechanical dissociation progressing to asystole were noted. The instituted resuscitation procedure proved ineffective and the patient died. Autopsy revealed brownish discoloration of the esophageal, gastric, and small intestinal mucous membranes. Numerous ulcerations without signs of perforation were found both in the esophagus and in the stomach. The mucous membrane of the small intestine demonstrated focal rubefactions, whereas no focal lesions of the large intestinal mucosa were seen. Microscopic investigation of the biopsy specimens collected from the stomach, duodenum and small intestine revealed mucous membrane necrosis foci, reaching the deeper layers of the wall of these organs. The mucous membrane of the large intestine was congested. Bioptates obtained from the lungs indicated the presence of hemorrhagic infarcts and focal extravasations. Poisoning with the aforementioned acids with consequent necrosis of the esophageal, gastric, duodenal and small intestinal walls with hemorrhages to the gastrointestinal tract, as well as extravasations and hemorrhagic infarcts in the lungs was considered to be the cause of death.

  12. Prolonged Toxic Encephalopathy following Accidental 4-Aminopyridine Overdose

    Maria Ballesta Méndez

    2014-01-01

    Full Text Available Background. 4-Aminopyridine (4-AP is a drug that is used to improve motor fatigue in patients suffering from multiple sclerosis (MS. Medication error can occur, as commercial preparation may not be available in some countries. Case Presentation. A 58-year-old woman with progressive MS presented with status epilepticus. She was receiving 4-AP for more than 3 years. The symptoms started soon after the ingestion of a single pill that was supposed to contain 10 mg 4-AP, but further investigations revealed that each pill had been inadvertently prepared with an 100 mg 4-AP concentration. The patient was admitted to the intensive care unit (ICU for appropriate management (orotracheal intubation, sedation, and antiepileptic drugs. The first electroencephalogram (EEG showed abundant irregular spike-waves on the left central regions. Neurological condition gradually improved from day 7, while the EEG did not reveal any more electrical seizures but was still consistent with toxic encephalopathy. The patient stayed in the ICU until day 13. At discharge from the rehabilitation ward (2.5 months later, the patient had not yet recovered her previous cognitive and functional condition. Conclusion. A single 100 mg 4-AP accidental overdose may cause serious immediate complications, with a slow and incomplete neurological recovery.

  13. ¿Accidente industrial o amputación deliberada?

    Ponce, Paola

    2005-01-01

    Full Text Available El objetivo de este trabajo es analizar los diferentes aspectos de la práctica de amputaciones durante el período victoriano de Inglaterra tales como: las causas que llevaron a tal práctica, los métodos y técnicas quirúrgicos usados durante el S. XIX así como la evidencia de atrofia y/o asimetría por causa del desuso. Tres casos de amputaciones fueron encontrados en una población industrial en el cementerio Victoriano de St. Pete s Collegiate Church en Wolverhampton (West Midlands, Inglaterra. Las amputaciones fueron realizadas en el miembro superior de una mujer (HB53 y los miembros inferiores de dos hombres (HB86 y (HB129. Se concluye que en los tres casos los individuos sobrevivieron a las amputaciones y que estas fueron realizadas mucho tiempo antes de la muerte. Dos de ellas fueron probablemente realizadas mediante cirugía (HB86 y HB129 mientras que la tercera (HB53 podría ser el resultado de un accidente industrial.

  14. Accidental Cutaneous Burns Secondary to Salbutamol Metered Dose Inhaler

    Ashutosh Kale

    2010-01-01

    Full Text Available We report a case of accidental cutaneous burns caused by salbutamol metered dose inhaler. A 9-year-old boy underwent dental extraction at a children's hospital and was incidentally noted to have burn injuries on dorsum of both hands. On questioning, the boy revealed that a few days ago his 14-year-old brother, who is an asthmatic, playfully sprayed his salbutamol metered dose inhaler on the back of both his hands with the inhaler's mouth piece being in direct contact with the patient's skin. On examination, there was a rectangular area of erythema with superficial peeling on the dorsum of both hands, the dimensions of which exactly matched those of the inhaler's mouthpiece. It is possible that the injury could have been a chemical burn from the pharmaceutical/preservative/propellant aerosol or due to the physical effect of severe cooling of the skin or mechanical abrasive effect of the aerosol blasts or a combination of some or all the above mechanisms. This case highlights the importance of informing children and parents of the potentially hazardous consequences of misusing a metered dose inhaler.

  15. Learning From Biomarkers in Victims Accidentally Exposed to Ionizing Radiation

    Yan Wang; Liqing Du; Chang Xu; Qin Wang; Zhiyi Song; Jianxiang Liu; Xu Su

    2016-01-01

    Biomarkers,such as chromosome aberration and micronuclei assays,prove to be reliable for facilitating clinical diagnosis in radiation accidents.In a radiation accident in India,chromosomal aberration,γ-H2AX,as well as other blood markers,were detected in accidentally exposed victims.This multi-parametric approach aided in confirming that individuals had been exposed by ionizing radiation.However,doses were impossible to estimate because of a 30-day delay in accident awareness.Exposure dose for victims was estimated using a dose-response curve previously established.Dose estimation,blood cell depletion kinetics,and no appearance of prodromal symptoms suggested that doses of exposure were low.Hematologic investigation,sampling time,and chromosome aberration scoring were all proposed according to data from the victims exposed to 60Co.Finally,knowledge regarding chromosome aberration analysis and the importance of international co-operation and assistance should be shared from this accident.

  16. Individual dose due to radioactivity accidental release from fusion reactor.

    Nie, Baojie; Ni, Muyi; Wei, Shiping

    2017-04-05

    As an important index shaping the design of fusion safety system, evaluation of public radiation consequences have risen as a hot topic on the way to develop fusion energy. In this work, the comprehensive public early dose was evaluated due to unit gram tritium (HT/HTO), activated dust, activated corrosion products (ACPs) and activated gases accidental release from ITER like fusion reactor. Meanwhile, considering that we cannot completely eliminate the occurrence likelihood of multi-failure of vacuum vessel and tokamak building, we conservatively evaluated the public radiation consequences and environment restoration after the worst hypothetical accident preliminarily. The comparison results show early dose of different unit radioactivity release under different conditions. After further performing the radiation consequences, we find it possible that the hypothetical accident for ITER like fusion reactor would result in a level 6 accident according to INES, not appear level 7 like Chernobyl or Fukushima accidents. And from the point of environment restoration, we need at least 69 years for case 1 (1kg HTO and 1000kg dust release) and 34-52years for case 2 (1kg HTO and 10kg-100kg dust release) to wait the contaminated zone drop below the general public safety limit (1mSv per year) before it is suitable for human habitation.

  17. Accidental deaths caused by electricity in Sweden, 1975-2000.

    Lindström, Richard; Bylund, Per-Olof; Eriksson, Anders

    2006-11-01

    This study analyzes accidental fatalities caused by electricity--at work and during leisure time--to evaluate risk factors, the role of alcohol, and to identify possible preventive strategies. In Sweden, data on fatalities by electrocution from 1975 through 2000 were collected from the National Cause-of-Death Register. Additional cases were found in the archives of The Swedish National Electrical Safety Board. Suicides and deaths by lightning were excluded. Two hundred and eighty-five deaths were found, including occupational (n=132), leisure time (n=151), and unknown (n=2). Most deaths were caused by aerial power lines, and the most common place for an electrical injury was a railway area or residential property. Postmortem blood from 20% (n=47) of the tested cases was found positive for alcohol, and these persons were killed mainly during leisure time. During the study period, the overall incidence of electricity-related fatalities has decreased, in spite of increased use of electricity. This indicates that safety improvements have been successful.

  18. Pre-accidental situations highlighted by RECUPERARE method and data

    Matahri, N. [Institut de Radioprotection et de Surete Nucleaire (IRSN), 92 - Fontenay-aux-Roses (France)

    2006-07-01

    RECUPERARE method has been developed for operating feedback analysis and built on the French Human Reliability Analysis (HRA) principles. It is used to study the causes of human errors or technical failures occurred in French PWRs and the recovery process of events. Based on an event classification (6 categories) model according to the nature of the link between failure and recovery, the identified and recorded data are: the causes of the defects (technical, human, organizational) and the context in which they appear; the factors of the recovery performance (depending on technical and organizational aspects); a chronological analysis, designed to collect delays between failures and their detection/recovery for each event. About 3600 events reported in French PWRs (1997-2003) had been reviewed through this model. Initially, the weight of factors and the most important factors, which influenced the detection and recovery delay, are defined. For this purpose, the regression Partial Least Square (PLS) is used. Then, to link RECUPERARE results with pre-accidental data, conditional probabilities of events linked between them by a cause and effect relationship are calculated. For this, the Bayesian method with the Bayesian network is built with the PLS obtained results and applied. This constitutes a first approach to take into account in HRA the human and organizational factors highlighted by operating feedback. (author)

  19. Funciones superiores en pacientes con accidente cerebro vascular.

    Felipe Rodríguez

    2009-07-01

    Full Text Available Los estudios realizados en Chile hasta la fecha no permiten detectar de manera significativa el deterioro neuropsicológico causado por el accidente cerebro vascular (ACV y el impacto que éste tiene en el paciente a nivel de su desenvolvimiento diario y familiar. Con base a esto el objetivo de esta investigación fue elaborar un perfil de deterioro neuropsicológico de las diversas funciones cerebrales superiores causado por un ACV, en un grupo de 50 pacientes de la Unidad de Medicina Física del Hospital San José al cuál se le administró un Protocolo de Evaluación Neuropsicológica, comparándose luego con un grupo control de 50 sujetos evaluados con el mismo protocolo. Se encuentra que sobre un 20% de la población con ACV evaluada presenta deterioro en al menos uno de los ítems evaluados, siendo las funciones ejecutivas, la memoria a largo plazo y la memoria a corto plazo las áreas mayoritariamente afectada en la población evaluada.

  20. Accidental intoxication with hydrochloric acid and hydrofluoric acid mixture

    Anna Smędra-Kaźmirska

    2014-08-01

    Full Text Available The paper describes a fatal case of accidental ingestion of a mixture of hydrochloric acid and hydrofluoric acid. The man was admitted to hospital, where appropriate treatment, adequate to his condition, was instituted. Numerous ventricular fibrillation episodes, for which the patient was defibrillated repeatedly, were observed during the period of hospitalization. The patient was in a critical condition, with progressive symptoms of hypovolemic shock and multiorgan failure. On the next day after admission, signs of electromechanical dissociation progressing to asystole were noted. The instituted resuscitation procedure proved ineffective and the patient died. Autopsy revealed brownish discoloration of the esophageal, gastric, and small intestinal mucous membranes. Numerous ulcerations without signs of perforation were found both in the esophagus and in the stomach. The mucous membrane of the small intestine demonstrated focal rubefactions, whereas no focal lesions of the large intestinal mucosa were seen. Microscopic investigation of the biopsy specimens collected from the stomach, duodenum and small intestine revealed mucous membrane necrosis foci, reaching the deeper layers of the wall of these organs. The mucous membrane of the large intestine was congested. Bioptates obtained from the lungs indicated the presence of hemorrhagic infarcts and focal extravasations. Poisoning with the aforementioned acids with consequent necrosis of the esophageal, gastric, duodenal and small intestinal walls with hemorrhages to the gastrointestinal tract, as well as extravasations and hemorrhagic infarcts in the lungs was considered to be the cause of death.

  1. Accidental blood exposures among medical residents in Paris, France.

    Mir, O; Adam, J; Veyrie, N; Chousterman, B; Gaillard, R; Gregory, T; Yordanov, Y; Berveiller, P; Loulergue, P

    2011-03-01

    Accidental blood exposure (ABE) exposes healthcare workers, including medical residents, to the risk of occupational infection. We aimed to determine the characteristics of ABEs in residents with an anonymous self-reporting electronic questionnaire. A total of 350 residents (33% from surgical disciplines) entered this survey. One hundred and eighty-five residents (52%) reported at least one ABE during their residency (median, 2; range, 1-25), 53% of which occurred in operating theatres. Sixty-nine per cent of residents followed the current procedures for local disinfection. ABEs were notified to the hospital administration by 62% of residents, but only 51% of residents were referred to the occupational medicine department. The most frequently reported concerns following ABEs were human immunodeficiency virus (52%) and hepatitis C virus infection (39%). In 74% of cases, the serological status of the index patient was investigated. Only 54% of residents were aware of their hepatitis B surface antibody titres. Medical residents behaved inappropriately in 33% of cases in this survey. Further educational programmes should include residents, and not only senior healthcare workers, in order to improve individual behaviours.

  2. Management options for accidental injection of epinephrine from an autoinjector: a case report

    Mathez Christian

    2009-06-01

    Full Text Available Abstract Introduction Epinephrine autoinjector devices are used with increasing frequency to treat severe anaphylactic reactions. Accidental injection, usually involving a finger, is a potential complication. Case presentation A physician in a Family Practice training program accidentally injected epinephrine into his left thumb while reading the operating instructions of an autoinjector (Epipen®. He developed swelling, pallor, and pain in the thumb. Treatment included topical nitroglycerin, oral vasodilators and warming of the thumb. As expected, none caused an immediate response; however, after 8 hours, the thumb was pink and warm. There was full recovery 2 months after the accident. We reviewed the treatment of accidental epinephrine injection, and found that the use of parenteral adrenergic alpha blocker phentolamine would have produced immediate recovery. Conclusions All health professionals concerned with the use of epinephrine autoinjectors should receive adequate instruction on their use. A regimen for management of accidental epinephrine injection, in particular the use of phentolamine, should be emphasized.

  3. Peptides and Food Intake

    Carmen Sobrino Crespo

    2014-04-01

    Full Text Available Nutrients created by the digestion of food are proposed to active G protein coupled receptors on the luminal side of enteroendocrine cells e.g. the L-cell. This stimulates the release of gut hormones. Hormones released from the gut and adipose tissue play an important rol in the regulation of food intake and energy expenditure (1.Many circulating signals, including gut hormones, can influence the activity of the arcuate nucleus (ARC neurons directly, after passing across the median eminence. The ARC is adjacent to the median eminence, a circumventricular organ with fenestrated capillaries and hence an incomplete blood-brain barrier (2. The ARC of the hypothalamus is believed to play a crucial role in the regulation of food intake and energy homeostasis. The ARC contains two populations of neurons with opposing effect on food intake (3. Medially located orexigenic neurons (i.e those stimulating appetite express neuropeptide Y (NPY and agouti-related protein (AgRP (4-5. Anorexigenic neurons (i.e. those inhibiting appetite in the lateral ARC express alpha-melanocyte stimulating hormone (α-MSH derived from pro-opiomelanocortin (POMC and cocaine and amphetamine-regulated transcript (CART (6. The balance between activities of these neuronal circuits is critical to body weight regulation.In contrast, other peripheral signals influence the hypothalamus indirectly via afferent neuronal pathway and brainstem circuits. In this context gastrointestinal’s vagal afferents are activated by mechanoreceptors and chemoreceptors, and converge in the nucleus of the tractus solitaries (NTS of the brainstem. Neuronal projections from the NTS, in turn, carry signals to the hypotalamus (1, 7. Gut hormones also alter the activity of the ascending vagal pathway from the gut to the brainstem. In the cases of ghrelin and Peptide tyrosine tyrosine (PYY, there are evidences for both to have a direct action on the arcuate nucleus and an action via the vagus nerve a

  4. Persistent Seroconversion after Accidental Eye Exposure to Calcifying Nanoparticles

    Ciftcioglu, Neva; Aho, Katja M.; McKay, David S.; Kajander, E. Olavi

    2007-01-01

    Biosafety of nanomaterials has attracted much attention recently. We report here a case where accidental human eye exposure to biogenic nanosized calcium phosphate in the form of calcifying nanoparticles (CNP) raised a strong IgG immune response against proteins carried by CNP. The antibody titer has persisted over ten years at the high level. The IgG was detected by ELISA using CNPs propagated in media containing bovine and human serum as antigen. The exposure incident occurred to a woman scientist (WS) at a research laboratory in Finland at 1993. CNP, also termed "nanobacteria", is a unique self-replicating agent that has not been fully characterized and no data on biohazards were available at that time. Before the accident, her serum samples were negative for both CNP antigen and anti-CNP antibody using specific ELISA tests (Nanobac Oy, Kuopio, Finland). The accident occurred while WS was harvesting CNP cultures. Due to a high pressure in pipetting, CNP pellet splashed into her right eye. Both eyes were immediately washed with water and saline. The following days there was irritation and redness in the right eye. These symptoms disappeared within two weeks without any treatment. Three months after the accident, blood and urine samples of WS were tested for CNP cultures (2), CNP-specific ELISA tests, and blood cell counts. Blood cell counts were normal, CNP antigen and culture tests were negative. A high IgG anti-CNP antibody titer was detected (see Figure). The antibodies of this person have been used thereafter as positive control and standard in ELISA manufacturing (Nano-Sero IgG ELISA, Nanobac Oy, Kuopio, Finland).

  5. [Dietary reference intakes of phosphorus].

    Uenishi, Kazuhiro

    2012-10-01

    Phosphorus (P) exists at the all organs and plays important physiological roles in the body. A wide range of food contains P, which is absorbed at a higher level (60-70%) and its insufficiency and deficiency are rarely found. P is used as food additives in many processed food, where risk of overconsumption could be an issue. P has less evidence in terms of nutrition. P has the adequate intake and the tolerable upper intake level, for risk reduction of health disorders associated with excess intake, at the Dietary Reference Intakes for Japanese (2010 edition).

  6. Análisis de accidentes severos en contenciones nucleares

    Goicolea Ruigómez, José María

    1992-04-01

    Full Text Available Analysis for severe accidents has recently been added to the long list of requisites imposed on nuclear power plants. In this work we study the rationale and justiflcation for this type of analysis. Calculations for the structural response of the containment buildings can be performed on the computer using advanced nonlinear Finite Element codes. A state of the art review of these methods is carried out, proposing a methodology based on analysis by numerical methods with experimental validation. Additionally we present some results obtained by the authors for the analysis of both reinforced concrete and steel containments. The concluding remarks show the validity of the proposed methodology, as well as the evidence of a large security margin in the containments, due mainly to the conservatisms in the design stage.

    El análisis frente a accidentes severos ha venido a añadirse recientemente a la larga lista de requisitos impuestos a las centrales nucleares. En este trabajo se pretende estudiar la problemática y justificación de este tipo de análisis. El cálculo de la respuesta de la contención se puede realizar en el ordenador mediante métodos avanzados de elementos finitos no lineales. Se hace una revisión del estado de la técnica en estos métodos, proponiendo una metodología basada en el análisis mediante modelos numéricos con validación experimental. Se presentan asimismo los resultados de análisis realizados, para contenciones tanto de hormigón armado como metálicas. Las conclusiones del trabajo establecen la validez de la metodología empleada, así como la constatación de un amplio margen de seguridad existente en las contenciones evaluadas, debido a los conservadurismos del proceso de diseño original.

  7. Accidentes de trabajo fatales y violencia interpersonal en Brasil, 2000-2010

    Vilma Sousa Santana

    2013-01-01

    Full Text Available En el presente estudio se estima la mortalidad proporcional por accidentes de trabajo provocados por violencia interpersonal en Brasil, entre 2000 y 2010. Se analizaron los datos del Sistema de Información sobre Mortalidad, basados en los informes estadísti- cos de defunción del Ministerio de Salud de Brasil, los cuales incluyen un campo para el registro de accidentes de trabajo que debe ser completado en toda defunción por causas externas. Se identificaron 1.368.732 casos de defunciones por causas externas, 31.576 (2,3% por accidentes de trabajo y solo 226 (0,02% por accidentes de trabajo con violen- cia interpersonal. Cerca del 80% de los informes estadísticos de defunción no tenían el campo “accidente de trabajo” completado. La mayor cantidad de casos ocurrió entre hom- bres (94,3% de 25-34 años, con nivel de escolaridad medio, ubicados en la región sudeste y noreste, que trabajan principalmente en la producción de bienes y servicios industriales y la actividad agropecuaria. La mayoría de los casos fueron causados por armas de fuego, seguidos por armas blancas, con un aumento relativo de estos últimos en el período estu- diado. Los resultados sugieren un gran subregistro de diagnósticos que reconocen la rela- ción con el trabajo. Se hace necesaria una mejor capacitación en el llenado de los informes estadísticos, así como estudios que cuantifiquen el subregistro de accidentes de trabajo y accidentes de trabajo con violencia interpersonal.

  8. Intake to Production Ratio

    Nazaroff, William; Weschler, Charles J.; Little, John C.

    2012-01-01

    population (inferred from urinary excretion data) divided by the rate that chemical is produced in or imported into that population's economy. We used biomonitoring data from the U.S. Centers for Disease Control and Prevention along with chemical manufacturing data reported by the U.S. Environmental...... to protect public health.OBJECTIVES: We introduce the intake-to-production ratio (IPR) as an economy-wide quantitative indicator of the extent to which chemical production results in human exposure.METHODS: The IPR was evaluated as the ratio of two terms: aggregate rate of chemical uptake in a human...... Protection Agency, as well as other published data, to estimate the IPR for nine chemicals in the United States. Results are reported in units of parts per million, where 1 ppm indicates 1 g of chemical uptake for every million grams of economy-wide use.RESULTS: Estimated IPR values for the studied compounds...

  9. Causes of accidental childhood deaths in China in 2010: A systematic review and analysis

    Kit Yee Chan

    2015-06-01

    Full Text Available Background Infectious causes of childhood deaths in the world have decreased substantially in the 21st century. This trend has exposed accidental deaths as an increasingly important future challenge. Presently, little is known about the cause structure of accidental childhood deaths in low– and middle–income country (LMIC settings In this paper, we aim to establish cause structure for accidental deaths in children aged 0–4 years in China in the year 2010. Methods In this paper, we explored the database of 208 multi–cause child mortality studies in Chinese that formed a basis for the first published estimate of the causes of child deaths in China (for the year 2008. Only five of those studies identified specific causes of accidental deaths. Because of this, we searched the Chinese medical literature databases CNKI and WanFang for single–cause mortality studies that were focused on accidental deaths. We identified 71 further studies that provided specific causes for accidental deaths. We used epidemiological modeling to estimate the number of accidental child deaths in China in 2010 and to assign those deaths to specific causes. Results In 2010, we estimated 314 581 deaths in children 0–4 years in China, of which 31 633 (10.1% were accidental. Accidental deaths contributed 7240 (4.0% of all deaths in neonatal period, 8838 (10.5% among all post–neonatal infant deaths, and 15 554 (31.7% among children with 1–4 years of age. Among four tested models, the most predictive was used to establish the likely cause structure of accidental deaths in China. We estimated that asphyxia caused 9490 (95% confidence interval (CI 8224–11 072, drowning 5694 (95% CI 5061–6327, traffic accidents 3796 (95% CI3163–4745, poisoning 3163 (95% CI 2531–3796 and falls 2531 (95% CI 2214–3163 deaths. Based on medians from a few rare studies, we also predict 633 (95% CI 316–1265 deaths to be due to burns and 316 (95% CI 0–633 due to falling objects

  10. Patterns and Trends in Accidental Poisoning Deaths: Pennsylvania's Experience 1979-2014.

    Lauren C Balmert

    Full Text Available The purpose of this study was to examine county and state-level accidental poisoning mortality trends in Pennsylvania from 1979 to 2014.Crude and age-adjusted death rates were formed for age group, race, sex, and county for accidental poisonings (ICD 10 codes X40-X49 from 1979 to 2014 for ages 15+ using the Mortality and Population Data System housed at the University of Pittsburgh. Rate ratios were calculated comparing rates from 1979 to 2014, overall and by sex, age group, and race. Joinpoint regression was used to detect statistically significant changes in trends of age-adjusted mortality rates.Rate ratios for accidental poisoning mortality in Pennsylvania increased more than 14-fold from 1979 to 2014. The largest rate ratios were among 35-44 year olds, females, and White adults. The highest accidental poisoning mortality rates were found in the counties of Southwestern Pennsylvania, those surrounding Philadelphia, and those in Northeast Pennsylvania near Scranton.The patterns and locations of accidental poisoning mortality by race, sex, and age group provide direction for interventions and policy makers. In particular, this study found the highest rate ratios in PA among females, whites, and the age group 35-44.

  11. Tratamiento de Terapia Ocupacional en el accidente cerebrovascular

    Domingo García, AM

    2006-02-01

    Full Text Available RESUMENEntre los muchos pacientes que necesitan tratamiento rehabilitador en Terapia Ocupacional están los que en la edad adulta han sufrido un accidente cerebrovascular.Uno de los factores de riesgo asociados con más frecuencia a las alteraciones del sistema nervioso central es el progresivo envejecimiento de la población, debido a esto orientaré el siguiente artículo hacia la intervención sobre la población geriátrica.La Terapia Ocupacional ofrece un tratamiento global que abarca las áreas funcional, motriz, sensorial, perceptivo y cognitiva. No debemos olvidar el asesoramiento realizado al paciente, a la familia y/ o cuidadores sobre el manejo de la persona que ha sufrido un ictus, la adaptación del entorno y la prescripción, uso y manejo de ayudas técnicas cuando sea necesario.Las propuestas terapéuticas que expondré a continuación, no son recetas únicas que se puedan emplear del mismo modo en todos las personas que hayan sufrido un ictus. Con cada paciente será necesario una evaluación individualizada de su situación y una adaptación de la terapia según sus déficit específicos.La meta final de la Terapia Ocupacional es la integración óptima del paciente dentro de su entorno familiar y social, con el mayor grado de autonomía posible.ABSTRACTAmong the patients who need Occupational Therapy’s rehabilitation treatment, there are those who have suffered a cerebrovascular damage when elderly.People’s gradual ageing is one of the risk factors in the nervous central system’s alterations and this is why I am going to write about intervention on geriatric population.The Occupational Therapy’s rehabilitation treatment works on the functional, motor, sensorial, perceptive and cognitive areas. Moreover, we should not forget to advise the patient and his/her family or caregivers about the way of treating ,the environment’s adaptation, the prescription and use of technical aids when needed.The following therapeutic

  12. Materiales didácticos para los contenidos de enfermedad y accidente en la etapa infantil

    Bocos Urdiales, Elías Javier

    2015-01-01

    Este trabajo, es una programación didáctica, que responde a la necesidad de crear materiales para la enseñanza dedicada a la actuación y prevención de accidentes y enfermedades tanto en lo personal, como en lo colectivo tanto en el aula como en los pasillos, patio y zonas comunes. En relación a los accidentes se realizaran materiales para la prevención de los accidentes en el ámbito del centro escolar; y además de la prevención daremos pautas de actuación a los alumnos de tal manera que se...

  13. Insomnia medication use and the probability of an accidental event in an older adult population

    Alon Y Avidan

    2010-11-01

    Full Text Available Alon Y Avidan1, Liisa A Palmer2, Justin F Doan3, Robert W Baran31UCLA Department of Neurology, Los Angeles, CA, USA; 2Thomson Reuters, Washington, DC, USA; 3Takeda Global Research and Development Center, Deerfield, IL, USAObjective: This study examined the risk of accidental events in older adults prescribed a sedating antidepressant, long-acting benzodiazepine, short-acting benzodiazepine, and nonbenzodiazepine, relative to a reference group (selective melatonin receptor agonist.Methods: This was a retrospective cohort analysis of older adults (≥65 years with newly initiated pharmacological treatment of insomnia. Data were collected from the Thomson MarketScan® Medicare Supplemental and Coordination of Benefits databases (January 1, 2000, through June 30, 2006. Probit models were used to evaluate the probability of an accidental event.Results: Data were analyzed for 445,329 patients. Patients taking a long-acting benzodiazepine (1.21 odds ratio [OR], short-acting benzodiazepine (1.16 OR, or nonbenzodiazepine (1.12 OR had a significantly higher probability of experiencing an accidental event during the first month following treatment initiation compared with patients taking the reference medication (P < 0.05 for all. A significantly higher probability of experiencing an accidental event was also observed during the 3-month period following the initiation of treatment (1.62 long-acting benzodiazepine, 1.60 short-acting benzodiazepine, 1.48 nonbenzodiazepine, and 1.56 sedating antidepressant; P < 0.05.Conclusions: Older adults taking an SAD or any of the benzodiazepine receptor agonists appear to have a greater risk of an accidental event compared with a reference group taking an MR.Keywords: insomnia, accidental events, benzodiazepine receptor agonist, melatonin receptor agonist, older adults

  14. Dietary polyphenol intake in Europe

    Zamora-Ros, Raul; Knaze, Viktoria; Rothwell, Joseph A

    2016-01-01

    BACKGROUND/OBJECTIVES: Polyphenols are plant secondary metabolites with a large variability in their chemical structure and dietary occurrence that have been associated with some protective effects against several chronic diseases. To date, limited data exist on intake of polyphenols in populations....... The current cross-sectional analysis aimed at estimating dietary intakes of all currently known individual polyphenols and total intake per class and subclass, and to identify their main food sources in the European Prospective Investigation into Cancer and Nutrition cohort. METHODS: Dietary data at baseline...

  15. El estudio del factor humano en accidentes de aviación

    Sánchez Rubio, Lina María

    2010-01-01

    El factor humano ha sido considerado causa o contribución del 70 al 80% de los accidentes de aviación en el mundo, y constituye una prioridad en investigación para la seguridad aérea. Las estadísticas muestran que los índices y causas de accidentes de aviación se mantienen constantes, e identifican una importante diferencia entre regiones. La investigación científica requiere de nuevas y complementarias aproximaciones para la explicación y comprensión del factor humano en aviación. Los médico...

  16. Inhaled Surfactant in the treatment of accidental Talc Powder inhalation: a new case report

    Lo Piparo Caterina

    2011-09-01

    Full Text Available Abstract The use of talcum powder is incorrectly part of the traditional care of infants. Its acute aspiration is a very dangerous condition in childhood. Although the use of baby powder has been discouraged from many authors and the reports of its accidental inhalation have been ever more rare, sometimes new cases with several fatalities have been reported. We report on a patient in which accidental inhalation of baby powder induced severe respiratory difficulties. We also point out the benefits of surfactant administration. Surfactant contributed to the rapid improvement of the medical and radiological condition, preventing severe early and late complications and avoiding invasive approaches.

  17. Power Plant Water Intake Assessment.

    Zeitoun, Ibrahim H.; And Others

    1980-01-01

    In order to adequately assess the impact of power plant cooling water intake on an aquatic ecosystem, total ecosystem effects must be considered, rather than merely numbers of impinged or entrained organisms. (Author/RE)

  18. Fiber Intake and Childhood Appendicitis.

    Brender, Jean D.; And Others

    1985-01-01

    Parents of 135 children with appendicitis and of 212 comparison children were interviewed about their children's diet. Results suggest that a liberal intake of whole-grain breads and cereals may decrease the risk of appendicitis during childhood. (KH)

  19. SEDIMENT CONTROL FOR IRRIGATION INTAKES

    2001-01-01

    The analysis of the sediment problems in irrigation engineeringwas carried out, and the layout, the method as well as the effect of sediment control for irrigation intake structures in China were briefly introduced.

  20. Accidentes ocupacionales y conocimiento sobre precauciones universales en internos universitarios costarricenses

    Álvaro Rivera-Valdivia

    2005-04-01

    Full Text Available Justificación y objetivo: los internos universitarios (estudiantes de medicina en su último año son vulnerables a accidentes ocupacionales con agujas y otros objetos cortantes, especialmente debido a su inexperiencia y falta de entrenamiento aunados a su deseo de realizar una serie de nuevas actividades y procedimientos. No existe información en nuestro país con respecto a la frecuencia de este tipo de accidentes en internos universitarios de la carrera de medicina. El objetivo del presente estudio fue estudiar la frecuencia y tipo de accidentes ocupacionales sufridos con mayor frecuencia por internos de medicina y evaluar su conocimiento sobre precauciones universales. Metodología: Se realizó un estudio descriptivo de corte transversal a través de una encuesta directa y anónima. De todos los internos de medicina que trabajaban en el Valle Central de octubre de 2001 a enero de 2002 se seleccionó una muestra aleatoria de 201 internos (poder 95%, error 5%. A la población seleccionada se le aplicó una encuesta precodificada, la cual consistía en 20 preguntas estructuradas, la mayoría cerradas y tres abiertas relacionadas con la ocurrencia de accidentes ocupacionales en los médicos internos, número, tipo, acciones tomadas tras el accidente y conocimientos sobre precauciones universales. Posteriormente se hizo un análisis descriptivo de los resultados obtenidos. Resultados: de todos los participantes, 90% habían trabajado más de 3 meses como médicos internos. Más de la mitad habían realizado al menos 3 meses de rotación en una área médica y 3 meses en una área quirúrgica. La muestra incluyó estudiantes de 5 universidades diferentes. Sólo un 37% de los internos encuestados habían recibido la vacunación contra virus de la hepatitis B. Del total de internos, 64% admitió haber sufrido al menos un accidente ocupacional con sangre de algún paciente, un 20% admitió haber sufrido 3 o 4 accidentes. De los internos que

  1. Protein leverage and energy intake.

    Gosby, A K; Conigrave, A D; Raubenheimer, D; Simpson, S J

    2014-03-01

    Increased energy intakes are contributing to overweight and obesity. Growing evidence supports the role of protein appetite in driving excess intake when dietary protein is diluted (the protein leverage hypothesis). Understanding the interactions between dietary macronutrient balance and nutrient-specific appetite systems will be required for designing dietary interventions that work with, rather than against, basic regulatory physiology. Data were collected from 38 published experimental trials measuring ad libitum intake in subjects confined to menus differing in macronutrient composition. Collectively, these trials encompassed considerable variation in percent protein (spanning 8-54% of total energy), carbohydrate (1.6-72%) and fat (11-66%). The data provide an opportunity to describe the individual and interactive effects of dietary protein, carbohydrate and fat on the control of total energy intake. Percent dietary protein was negatively associated with total energy intake (F = 6.9, P protein. The analysis strongly supports a role for protein leverage in lean, overweight and obese humans. A better appreciation of the targets and regulatory priorities for protein, carbohydrate and fat intake will inform the design of effective and health-promoting weight loss diets, food labelling policies, food production systems and regulatory frameworks.

  2. 36 CFR 1230.10 - Who is responsible for preventing the unlawful or accidental removal, defacing, alteration, or...

    2010-07-01

    ... MANAGEMENT UNLAWFUL OR ACCIDENTAL REMOVAL, DEFACING, ALTERATION, OR DESTRUCTION OF RECORDS § 1230.10 Who is... destruction, removal, alteration or defacement of records; (c) Implement and disseminate policies and... preventing the unlawful or accidental removal, defacing, alteration, or destruction of records?...

  3. Tratamiento de la hipertensión arterial en accidente cerebrovascular

    Luna Vela, Fredy Andrés

    2013-01-01

    Revisión sistemática de la literatura en la que se discuten las controversias del manejo de la presión arterial en las emergencias neurológicas agudas cerebrovasculares como accidente cerebrovascular isquémico, hemorrágico y hemorragia subaracnoidea.

  4. The accidental city : violence, economy and humanitarianism in Kakuma refugee camp Kenya

    Jansen, B.J.

    2011-01-01

    In this research I examine social ordering processes in Kakuma refugee camp in Kenya. I view the camp as an accidental city, by which I challenge the image of the camp as a temporary and artificial waiting space or a protracted refugee crisis per se. The reference to the city is both metaphorical

  5. Accidental Epipen injection into a digit - the value of a Google search.

    Turner, M J A; Purushotham, A D

    2004-05-01

    Despite the lack of awareness by the clinicians consulted of the most suitable treatment for accidentally injected epinephrine, this patient was successfully treated due mainly to the ability of clinicians on-site to access the Internet in the A&E department. A broad search engine such as Google can be an invaluable tool in finding important clinical information rapidly.

  6. [Accidental injection of adrenaline in a finger with EpiPen].

    Kaspersen, J; Vedsted, P

    1998-11-01

    We report a case of accidental injection of 0.3 mg epinephrine in the right pollux. The actual case was treated with systemic nitroglyceride and immersion of the finger in hot water. A review of the literature shows that the adequate treatment is local infiltration with Phentholamine Mesylate. There is a need to describe this treatment in conventional literature.

  7. Accidental Epipen injection into a digit - the value of a Google search.

    Turner, M. J. A.; Purushotham, A. D.

    2004-01-01

    Despite the lack of awareness by the clinicians consulted of the most suitable treatment for accidentally injected epinephrine, this patient was successfully treated due mainly to the ability of clinicians on-site to access the Internet in the A&E department. A broad search engine such as Google can be an invaluable tool in finding important clinical information rapidly. PMID:15140311

  8. Insertion of an intrathecal catheter following accidental dural puncture : a meta-analysis

    Heesen, M.; Kloehr, S.; Rossaint, R.; Walters, M.; Straube, S.; van de Velde, M.

    2013-01-01

    Background: Inserting an intrathecal catheter after accidental dural puncture in parturients to prevent postdural puncture headache is becoming increasingly popular. We aimed to identify relevant published articles investigating this intervention and subject data to a meta-analysis. Methods: A syste

  9. Multiple scattering and accidental coincidences in the J-PET detector simulated using GATE package

    Kowalski, P; Wiślicki, W; Raczyński, L; Bednarski, T; Białas, P; Bułka, J; Czerwiński, E; Gajos, A; Gruntowski, A; Kamińska, D; Kapłon, Ł; Kochanowski, A; Korcyl, G; Kowal, J; Kozik, T; Krzemień, W; Kubicz, E; Niedźwiecki, Sz; Pałka, M; Rudy, Z; Salabura, P; Sharma, N G; Silarski, M; Słomski, A; Smyrski, J; Strzelecki, A; Wieczorek, A; Wochlik, I; Zieliński, M; Zoń, N

    2015-01-01

    Novel Positron Emission Tomography system, based on plastic scintillators, is developed by the J-PET collaboration. In order to optimize geometrical configuration of built device, advanced computer simulations are performed. Detailed study is presented of background given by accidental coincidences and multiple scattering of gamma quanta.

  10. The Costs of Cultural Change: Accidental Injury and Modernization among the Papago Indians

    Hackenberg, Robert A.; Gallagher, Mary M.

    1972-01-01

    Several theories are examined suggesting that stress associated with modernization is responsible for excesses of accidental injuries among American Indians. A preliminary version of this paper was presented at the annual meetings of the American Anthropological Association, New York, 1971. (FF)

  11. INTERNAL BALLOON TAMPONADE - A NONSURGICAL METHOD FOR REMOVAL OF ACCIDENTALLY PLACED SHEATHS FROM THE SUBCLAVIAN ARTERY

    VANDIJK, RB; DENHEIJER, P; DEMUINCK, E; LIE, KI

    1993-01-01

    One of the possible complications of subclavian vein puncture is accidental puncture of the subclavian artery. If this is not noted immediately after the puncture, insertion of a large bore sheath in the subclavian artery is likely to follow. We describe our experience with a new method that enables

  12. Estrategia de Inversiones Basada en Accidentes Aéreos: ¿Hay Retornos Anormales?

    Marcos Rosa Costa

    2013-06-01

    Full Text Available El presente trabajo buscó investigar si una estrategia de inversiones basada en accidentes aéreos generaría retornos anormales. Fue efectuado un estudio de eventos considerándose todos los accidentes aéreos ocurridos en el período de 1998 a 2009 y los datos de las compañías aéreas y de los fabricantes de las respectivas aeronaves que poseían acciones negociadas en las bolsas de valores, cuando del acontecimiento del evento. Los tests realizados se basaron en el modelo de Campbel, Lo y Mackinlay (1997, para definición de retornos anormales, por medio de una regresión lineal entre el retorno de las acciones de esas empresas y el retorno del portafolio de mercado utilizado como benchmark. Así fue posible proyectar los retornos futuros esperados para las acciones de las compañías aéreas y fabricantes y compararlos a los resultados efectivamente obtenidos en el acontecimiento del evento. El resultado obtenido sugiere que una estrategia de inversiones basada en accidentes aéreos sería viable y que retornos anormales podrían ser obtenidos en el período inmediatamente posterior a un accidente aéreo.

  13. Management of accidental dural puncture and post-dural puncture headache after labour: a Nordic survey

    Darvish, B; Gupta, A; Alahuhta, S

    2011-01-01

    a major risk with epidural analgesia is accidental dural puncture (ADP), which may result in post-dural puncture headache (PDPH). This survey was conducted to explore the incidence of ADP, the policy for management of PDPH and the educational practices in epidural analgesia during labour in the N...

  14. Intraperitoneal granulomatous foreign body reaction after accidental perforation of the abdominal wall. Case report

    Lanng, C; Winther-Nielsen, H; Hougen, H P

    2013-01-01

    After an accidental perforation by a wooden stake of the abdominal wall and distal ileum a 28-year-old man developed an aggressive granulomatous foreign body reaction of the greater omentum with high fever and abdominal pain. The patient was cured by omental resection and prednisone treatment....

  15. [Risk of acute hepatic insufficiency in children due to chronic accidental overdose of paracetamol (acetaminophen)

    Hameleers-Snijders, P.; Hogeveen, M.; Smeitink, J.A.M.; Kramers, C.; Draaisma, J.M.T.

    2007-01-01

    Two girls aged 4 and 3 years, respectively, experienced acute liver failure due to accidental ingestion of supratherapeutic doses of paracetamol (90 mg/kg/day or more). Recognition of chronic paracetamol intoxication as a cause of acute hepatic failure is often delayed. It is important to consider t

  16. La configuraci??n jur??dica del accidente de trabajo

    S??nchez P??rez, Jos??

    2013-01-01

    Esta obra incorpora un an??lisis global del accidente de trabajo y su configuraci??n jur??dica. Analiza su evoluci??n hist??rica e incorpora una selecci??n de m??s de 300 sentencias del Tribunal Supremo que permiten identificar su contenido.

  17. [Factors associated with the danger of accidental falls among institutionalized elderly individuals: an integrative review].

    Gomes, Erika Carla Cavalcanti; Marques, Ana Paula de Oliveira; Leal, Márcia Carréra Campos; Barros, Benvinda Pereira de

    2014-08-01

    The scope of this research is to identify the major risk factors associated with accidental falls among the elderly. It involves an integrative review of the literature between 2002 and 2012 in English and Portuguese. The selection of articles was based on the following key words in the Lilacs, Medline and BDENF databases: accidental falls, homes for the elderly and health services. In the final sample 19 articles were selected, of which 11 were national and 8 were international. They indicate that the major factors related to the risk of accidental falls in Homes for the Elderly are: being female, being diagnosed with chronic disease, treatment with benzodiazepine, earlier cases of accident falls, and mobility restriction. The research reveals that architectonic and furniture inadequacies in Homes for the Elderly may be predisposing factors for accidental falls. Analysis of the articles reveals the need for further longitudinal studies and, consequently, enhanced monitoring of the conditions of the functional capacity of the elderly, especially the risks related to falls, considered one of the leading causes of death among institutionalized elderly individuals.

  18. Are Reductions in Population Sodium Intake Achievable?

    Levings, Jessica L.; Cogswell, Mary E.; Janelle Peralez Gunn

    2014-01-01

    The vast majority of Americans consume too much sodium, primarily from packaged and restaurant foods. The evidence linking sodium intake with direct health outcomes indicates a positive relationship between higher levels of sodium intake and cardiovascular disease risk, consistent with the relationship between sodium intake and blood pressure. Despite communication and educational efforts focused on lowering sodium intake over the last three decades data suggest average US sodium intake has r...

  19. Dietary Sodium Intake in Type 2 Diabetes.

    Provenzano, Laura Ferreira; Stark, Sue; Steenkiste, Ann; Piraino, Beth; Sevick, Mary Ann

    2014-07-01

    Patients with type 2 diabetes have an increased risk for cardiovascular and chronic kidney disease. Superimposed hypertension further increases the risk and is associated with increased dietary sodium intake. There are few data available on dietary sodium intake in type 2 diabetes. The aim of this study was to quantify dietary sodium intake in a cohort of self-referred patients with type 2 diabetes and to identify sociodemographic characteristics associated with it. Sodium intake in this cohort was far greater than current recommendations. Increased awareness of sodium intake in this population might lead to target interventions to reduce sodium intake and potentially improve long-term outcomes.

  20. Job strain and alcohol intake

    Heikkilä, Katriina; Nyberg, Solja T; Fransson, Eleonor I

    2012-01-01

    The relationship between work-related stress and alcohol intake is uncertain. In order to add to the thus far inconsistent evidence from relatively small studies, we conducted individual-participant meta-analyses of the association between work-related stress (operationalised as self-reported job...

  1. Multifocal inflammatory leukoencephalopathy induced by accidental consumption of levamisole: A case report.

    Sariaslani, Payam; Ghanbari, Ali; Ghanbari, Parvin

    2012-01-01

    Levamisole is an anthelmintic agent and also immunostimulant drug which is used to treat colorectal cancer. The present study aimed to show accidental consumption of levamisole alone induced multifocal inflammatory leukoencephalopathy. A 53-year-old male was admitted to the Neurology Department of Farabi Hospital (Kermanshah, Iran) with walking inability and recognition disorder. Following clinical examinations, the patient diagnosed as multifocal inflammatory leukoencephalopathy following levamisole consumption.The patient was treated with intravenous methylprednisolone followed by prednisolone. The magnetic resonance imaging (MRI) was done 1 month later and did not show a reduction or remission in the lesions. History of the patient showed that he had accidentally consumed levamisole 8 months ago. It seems that the consumption of levamisole can induce multifocal inflammatory leukoencephalopathy and delayed treatment of the patient with corticosteroid cannot diminish the neurotoxicity of levamisole. In addition, the cytotoxic dose of levamisole induces irreversible multifocal inflammatory leukoencephalopathy.

  2. Accidental Displacement of Third Molar into the Sublingual Space: a Case Report

    Rubens Jorge

    2014-10-01

    Full Text Available Background: Successful extraction of third molars depends on preoperative diagnosis and planning. Gold standard preoperative examinations are performed through computed tomography, decreasing risks and avoiding potential accidents. The present report highlights the value of preoperative examinations in face of accidentally displaced third molars. Methods: An 18-years-old female patient underwent a third mandibular molar extraction with a general dentist. Accidentally, the mandibular left third molar was displaced into the sublingual space, making necessary a second surgical step. The surgery was interrupted and the patient was referred to an expert in maxillofacial surgery. Results: After 21 days awaiting an asymptomatic health status, the second surgical step was successfully performed using multislice computed tomography as preoperative imaging guide. Conclusions: The present case report highlights the clinical usefulness of imaging planning and informed consents in face of legal and ethic potential complaints.

  3. Marine oil spill risk mapping for accidental pollution and its application in a coastal city.

    Lan, Dongdong; Liang, Bin; Bao, Chenguang; Ma, Minghui; Xu, Yan; Yu, Chunyan

    2015-07-15

    Accidental marine oil spill pollution can result in severe environmental, ecological, economic and other consequences. This paper discussed the model of Marine Oil Spill Risk Mapping (MOSRM), which was constructed as follows: (1) proposing a marine oil spill risk system based on the typical marine oil spill pollution accidents and prevailing risk theories; (2) identifying suitable indexes that are supported by quantitative sub-indexes; (3) constructing the risk measuring models according to the actual interactions between the factors in the risk system; and (4) assessing marine oil spill risk on coastal city scale with GIS to map the overall risk. The case study of accidental marine oil spill pollution in the coastal area of Dalian, China was used to demonstrate the effectiveness of the model. The coastal areas of Dalian were divided into three zones with risk degrees of high, medium, and low. And detailed countermeasures were proposed for specific risk zones.

  4. A Precise Analytic Delayed Coincidence Efficiency and Accidental Coincidence Rate Calculation

    Yu, Jingyi; Chen, Shaomin

    2013-01-01

    In a delayed coincidence experiment, for example, the recent reactor neutrino oscillation experiments, a precise analytic determination of the delayed coincidence signal efficiency and the accidental coincidence background rate is important for the high accuracy measurement of the oscillation parameters and to understand systematic uncertainties associated with fluctuations in muon rate and random background rate. In this work, a data model is proposed to describe the full time sequence of all possible events on the live time axis. The acceptance of delayed coincidence signals, the rate of accidental backgrounds and other coincidence possibilities are calculated by assuming that all of the `net muons' are uniformly distributed on the live time axis. The intrinsic relative uncertainties in the event rates are at the $10^{-5}$ level for all combinations. The model and predictions are verified with a high statistics Monte Carlo study with a set of realistic parameters.

  5. [The prevalence of accidental poisoning in a hospital pediatric unit of Latium].

    Faraoni, F; Protano, C; Bini, V; Lizzi, R

    2006-01-01

    The aim of this study was to investigate the trend of accidental poisoning among children, over a period of fifteen years, from 1990 to 2004, in the pediatric wards of a hospital in Latium (Italy). The prevalence of childhood poisoning was calculated based on the medical records of the pediatric unit of the hospital. The derived data was divided into different categories according to age, gender and types of poisoning. The results of this study show a decrease in accidental pediatric poisoning; according to the literature the frequency of poisoning was higher in males, under the age of 2 years, than females. Trends show an increase in pharmaceutical poisonings. The present study underlines the need for continuous information on prevention and educational programs organized by the Institutions, territorial sanitary services and GP with the aim of increasing the awareness of parents regarding the risk factors of poisoning.

  6. Accidental versus operational oil spills from shipping in the Baltic Sea: risk governance and management strategies.

    Hassler, Björn

    2011-03-01

    Marine governance of oil transportation is complex. Due to difficulties in effectively monitoring procedures on vessels en voyage, incentives to save costs by not following established regulations on issues such as cleaning of tanks, crew size, and safe navigation may be substantial. The issue of problem structure is placed in focus, that is, to what degree the specific characteristics and complexity of intentional versus accidental oil spill risks affect institutional responses. It is shown that whereas the risk of accidental oil spills primarily has been met by technical requirements on the vessels in combination with Port State control, attempts have been made to curb intentional pollution by for example increased surveillance and smart governance mechanisms such as the No-Special-Fee system. It is suggested that environmental safety could be improved by increased use of smart governance mechanisms tightly adapted to key actors' incentives to alter behavior in preferable directions.

  7. Multifocal Inflammatory Leukoencephalopathy Induced by Accidental Consumption of Levamisole: A Case Report

    Ali Ghanbari

    2012-01-01

    Full Text Available Levamisole is an anthelmintic agent and also immunostimulant drug which is used to treat colorectal cancer. The present study aimed to show accidental consumption of levamisole alone induced multifocalinflammatory leukoencephalopathy. A 53-year-old male was admitted to the Neurology Department of Farabi Hospital(Kermanshah, Iran with walking inability and recognition disorder. Following clinical examinations, the patient diagnosed as multifocal inflammatory leukoencephalopathy following levamisole consumption.The patient was treated with intravenous methylprednisolone followed by prednisolone. The magnetic resonance imaging (MRI was done 1 month later and did not show a reduction or remission in the lesions. History of the patient showed that he had accidentally consumed levamisole 8 months ago. It seems that the consumption of levamisole can induce multifocal inflammatory leukoencephalopathy and delayed treatment of the patient with corticosteroid cannot diminish the neurotoxicity of levamisole. In addition, the cytotoxic dose of levamisole induces irreversible multifocal inflammatory leukoencephalopathy.

  8. Multifocal inflammatory leukoencephalopathy induced by accidental consumption of levamisole: A case report

    Sariaslani, Payam; Ghanbari, Parvin

    2012-01-01

    Levamisole is an anthelmintic agent and also immunostimulant drug which is used to treat colorectal cancer. The present study aimed to show accidental consumption of levamisole alone induced multifocal inflammatory leukoencephalopathy. A 53-year-old male was admitted to the Neurology Department of Farabi Hospital (Kermanshah, Iran) with walking inability and recognition disorder. Following clinical examinations, the patient diagnosed as multifocal inflammatory leukoencephalopathy following levamisole consumption.The patient was treated with intravenous methylprednisolone followed by prednisolone. The magnetic resonance imaging (MRI) was done 1 month later and did not show a reduction or remission in the lesions. History of the patient showed that he had accidentally consumed levamisole 8 months ago. It seems that the consumption of levamisole can induce multifocal inflammatory leukoencephalopathy and delayed treatment of the patient with corticosteroid cannot diminish the neurotoxicity of levamisole. In addition, the cytotoxic dose of levamisole induces irreversible multifocal inflammatory leukoencephalopathy. PMID:24250864

  9. Salade malade: malignant ventricular arrhythmias due to an accidental intoxication with Aconitum napellus

    Weijters, B.J.; Verbunt, R.J.A.M.; Hoogsteen, J.; Visser, R.F.

    2008-01-01

    Intoxication with Aconitum napellus is rare in our regions. Aconite alkaloids can cause ventricular arrhythmia by a prolonged activation of sodium channels. Because the margin of safety is low between the analgesic and toxic dose, intoxication is not rare when Aconite is used in herbal medicine. We present a case in which a 39-year-old male was accidentally intoxicated with Aconite. Even though no antidote or adequate therapy is available he was successfully resuscitated. (Neth Heart J 2008;1...

  10. Current controversies in the interpretation of non-accidental head injury

    Jaspan, Tim [Imaging Centre, University Hospital, Nottingham (United Kingdom)

    2008-06-15

    The field of non-accidental injury (NAI) has been the subject of a number of theories and hypotheses of variable merit. Concerning injuries that occur within the intracranial compartment, much research has been undertaken to investigate the cause of SDH and parenchymal brain injury. Much, however, remains contentious, particularly regarding the medicolegal aspects of suspected child abuse. Issues that present the greatest challenges will be addressed. (orig.)

  11. Artritis tuberculosa - Autoinoculación en profesional sanitario por accidente laboral

    Sara Cardoso

    2012-12-01

    Los autores describen un caso de monoartritis tuberculosa en un médico traumatólogo previamente sano, por inoculación accidental durante el drenaje quirúrgico de una artritis séptica. El tratamiento oral con fármacos antituberculosos y el drenaje quirúrgico fueron suficientes, sin tener que recurrir a la sinovectomía.

  12. The Impacts of Air Temperature on Accidental Casualties in Beijing, China

    Ma, Pan; Wang, Shigong; Fan, Xingang; Li, Tanshi

    2016-01-01

    Emergency room (ER) visits for accidental casualties, according to the International Classification of Deceases 10th Revision Chapters 19 and 20, include injury, poisoning, and external causes (IPEC). Annual distribution of 187,008 ER visits that took place between 2009 and 2011 in Beijing, China displayed regularity rather than random characteristics. The annual cycle from the Fourier series fitting of the number of ER visits was found to explain 63.2% of its total variance. In this study, the possible effect and regulation of meteorological conditions on these ER visits are investigated through the use of correlation analysis, as well as statistical modeling by using the Distributed Lag Non-linear Model and Generalized Additive Model. Correlation analysis indicated that meteorological variables that positively correlated with temperature have a positive relationship with the number of ER visits, and vice versa. The temperature metrics of maximum, minimum, and mean temperatures were found to have similar overall impacts, including both the direct impact on human mental/physical conditions and indirect impact on human behavior. The lag analysis indicated that the overall impacts of temperatures higher than the 50th percentile on ER visits occur immediately, whereas low temperatures show protective effects in the first few days. Accidental casualties happen more frequently on warm days when the mean temperature is higher than 14 °C than on cold days. Mean temperatures of around 26 °C result in the greatest possibility of ER visits for accidental casualties. In addition, males were found to face a higher risk of accidental casualties than females at high temperatures. Therefore, the IPEC-classified ER visits are not pure accidents; instead, they are associated closely with meteorological conditions, especially temperature. PMID:27827842

  13. The Impacts of Air Temperature on Accidental Casualties in Beijing, China

    Pan Ma

    2016-11-01

    Full Text Available Emergency room (ER visits for accidental casualties, according to the International Classification of Deceases 10th Revision Chapters 19 and 20, include injury, poisoning, and external causes (IPEC. Annual distribution of 187,008 ER visits that took place between 2009 and 2011 in Beijing, China displayed regularity rather than random characteristics. The annual cycle from the Fourier series fitting of the number of ER visits was found to explain 63.2% of its total variance. In this study, the possible effect and regulation of meteorological conditions on these ER visits are investigated through the use of correlation analysis, as well as statistical modeling by using the Distributed Lag Non-linear Model and Generalized Additive Model. Correlation analysis indicated that meteorological variables that positively correlated with temperature have a positive relationship with the number of ER visits, and vice versa. The temperature metrics of maximum, minimum, and mean temperatures were found to have similar overall impacts, including both the direct impact on human mental/physical conditions and indirect impact on human behavior. The lag analysis indicated that the overall impacts of temperatures higher than the 50th percentile on ER visits occur immediately, whereas low temperatures show protective effects in the first few days. Accidental casualties happen more frequently on warm days when the mean temperature is higher than 14 °C than on cold days. Mean temperatures of around 26 °C result in the greatest possibility of ER visits for accidental casualties. In addition, males were found to face a higher risk of accidental casualties than females at high temperatures. Therefore, the IPEC-classified ER visits are not pure accidents; instead, they are associated closely with meteorological conditions, especially temperature.

  14. Analizan partículas calientes del accidente nuclear de Palomares

    2012-01-01

    Investigadores pertenecientes al Centro Nacional de Aceleradores, CNA, (Universidad de Sevilla-Junta de Andalucía-CSIC) en colaboración con la Organización Internacional de la Energía Atómica (IAEA), han llevado a cabo me didas de elementos transuránicos en partículas calientes procedentes de accidentes nucleares tales como el de Thule (Groenlandia) o Palomares (España).

  15. Cuidado popular de familias con un adulto mayor sobreviviente del primer accidente cerebrovascular

    Lucero López-Díaz; Fabiola Castellanos-Soriano; Esperanza Muñoz-Torres

    2016-01-01

    Introducción: el accidente cerebrovascular afecta a numerosas personas en el mundo y se constituye en la principal causa de muer- te. Los sobrevivientes pueden padecer discapacidad y sufrir modificaciones en las actividades cotidianas. La familia es el principal apoyo del sobreviviente y al ser parte de una misma cultura, construye acciones de cuidado en búsqueda del bienestar. Objetivo: describir las acciones del cuidado popular de las familias con un adulto mayor sobreviviente del prim...

  16. Los accidentes laborales, su impacto económico y social

    Miguel Antonio Cisneros-Prieto

    2015-01-01

    Full Text Available Este artículo investigativo aborda la problemática de los accidentes de trabajo en las empresas estatales en la provincia Holguín y la importancia de la determinación efectiva de las causas que los provocan, a partir del análisis del comportamiento de los indicadores emitidos por la Oficina Nacional de Estadística e Información (ONEI hasta el año 2014. Se analiza el comportamiento, en el período comprendido entre el 2011-2014, de las cifras de trabajadores lesionados y fallecidos, y se evalúa el impacto humano, económico y social de la accidentalidad en las empresas y la sociedad. Se demuestra un incremento en el indicador “Días perdidos por accidentados”, siendo la principal lectura de este comportamiento el aumento de la gravedad de los accidentes de trabajo, este es un elemento que generalmente las organizaciones no valoran en su verdadera magnitud como un significativo impacto negativo de su eficiencia económica y financiera. Se presenta un enfoque sobre las potencialidades de la comunicación en función de la solución o atenuación de la ocurrencia de los accidentes y en consecuencia ladisminución del costo financiero y social de esta compleja problemática.

  17. Decay Heat Removal and Transient Analysis in Accidental Conditions in the EFIT Reactor

    Giacomino Bandini

    2008-01-01

    Full Text Available The development of a conceptual design of an industrial-scale transmutation facility (EFIT of several 100 MW thermal power based on accelerator-driven system (ADS is addressed in the frame of the European EUROTRANS Integral Project. In normal operation, the core power of EFIT reactor is removed through steam generators by four secondary loops fed by water. A safety-related decay heat removal (DHR system provided with four independent inherently safe loops is installed in the primary vessel to remove the decay heat by natural convection circulation under accidental conditions which are caused by a loss-of-heat sink (LOHS. In order to confirm the adequacy of the adopted solution for decay heat removal in accidental conditions, some multi-D analyses have been carried out with the SIMMER-III code. The results of the SIMMER-III code have been then used to support the RELAP5 1D representation of the natural circulation flow paths in the reactor vessel. Finally, the thermal-hydraulic RELAP5 code has been employed for the analysis of LOHS accidental scenarios.

  18. Humeral fracture in non-ambulant infants - a possible accidental mechanism

    Somers, John M.; Halliday, Katharine E. [Nottingham University Hospitals, Radiology Department, Nottingham (United Kingdom); Chapman, Stephen [Birmingham Children' s Hospital, Birmingham (United Kingdom)

    2014-10-15

    Humeral fracture in a non-ambulant infant younger than 1 year is suspicious for a non-accidental injury unless there is a credible accidental explanation. A previously unrecognised accidental mechanism was described in 1996 whereby a 5-month-old infant was rolled by a 3-year-old sibling from a prone to a supine position. To investigate the widely accepted view that an infant with limited mobility cannot sustain a fracture of the humerus by his or her own actions in the absence of the intervention of an external party. We present seven cases of non-ambulant infants between 4 and 7 months of age in whom an isolated humeral fracture was the only injury present. In each case the caregiver described the fracture occurring when the child rolled over, trapping the dependent arm, without the intervention of another party. There is no proof for this mechanism in the form of an independent witness or video recording. However, we propose that this mechanism is worthy of further consideration as a rare and unusual cause for the injury. Further study is required. (orig.)

  19. Mortalidad por accidentes de tránsito en Bayamo, Cuba 2011

    Arlines Piña-Tornés

    Full Text Available Con el objetivo de describir la mortalidad por accidentes de tránsito en Bayamo, Cuba, en el año 2011 se realizó una revisión de los pacientes lesionados y fallecidos a causa de accidentes de tránsito, registrados en Hospital Carlos M. de Céspedes. Se atendieron en emergencias 1365 lesionados, predominando el grupo etario de 25 a 44 años con 372 pacientes (27,3%, y el sexo masculino con 1071 (78,5%. Fallecieron 46 personas, en su mayoría del mismo grupo de edad y de sexo masculino. Los traumatismos múltiples (52,6% y cráneofaciales (34,2% fueron las localizaciones predominantes. Se destacaron los atropellos por vehículo de motor con mortalidad del 26,3%. En conclusión, la mortalidad por accidentes de tránsito predomina en adultos jóvenes masculinos; cuyas consecuencias fatales son debido a traumatismos múltiples por atropellos.

  20. Study of TSL and OSL properties of dental ceramics for accidental dosimetry applications

    Veronese, Ivan, E-mail: ivan.veronese@unimi.i [Dipartimento di Fisica, Universita degli Studi di Milano and INFN Sezione di Milano, via Celoria 16, 20133 Milano (Italy); Galli, Anna [CNR-INFM, via Cozzi 53, 20125 Milano (Italy); Dipartimento di Scienza dei Materiali, Universita degli Studi di Milano Bicocca and INFN Sezione di Milano Bicocca, via Cozzi 53, 20125 Milano (Italy); Cantone, Marie Claire [Dipartimento di Fisica, Universita degli Studi di Milano and INFN Sezione di Milano, via Celoria 16, 20133 Milano (Italy); Martini, Marco [Dipartimento di Scienza dei Materiali, Universita degli Studi di Milano Bicocca and INFN Sezione di Milano Bicocca, via Cozzi 53, 20125 Milano (Italy); Vernizzi, Fabrizio; Guzzi, Gianpaolo [Italian Association for Metals and Biocompatibility Research - A.I.R.M.E.B., Milan (Italy)

    2010-01-15

    Interest is increasing in the development of new methodologies for accidental dose assessment, exploiting the luminescence and dosimetric properties of objects and materials which can be usually found directly on exposed subjects and/or in the contaminated area. In this work, several types of ceramics employed for dental prosthetics restoration, including both innovative materials used as sub-frames for the construction of the inner part of dental crowns (core), and conventional porcelains used for the fabrication of the external layer (veneer), were investigated with regard to their thermally and optically stimulated luminescence (TSL and OSL respectively) properties, in view of their potential application in accidental dosimetry. The sensitivity to ionizing radiation proved to strongly depend on the type and brand of ceramic, with minimum detectable dose ranging from few mGy up to several tens of mGy. A linear dose-response was observed for most of the samples. However, the luminescence signals were characterised by a significant fading, which has to be taken into account for a reliable accidental dose assessment after a radiation exposure event.

  1. Cuidado popular de familias con un adulto mayor sobreviviente del primer accidente cerebrovascular

    Lucero López-Díaz

    2016-01-01

    Full Text Available Introducción: el accidente cerebrovascular afecta a numerosas personas en el mundo y se constituye en la principal causa de muer- te. Los sobrevivientes pueden padecer discapacidad y sufrir modificaciones en las actividades cotidianas. La familia es el principal apoyo del sobreviviente y al ser parte de una misma cultura, construye acciones de cuidado en búsqueda del bienestar. Objetivo: describir las acciones del cuidado popular de las familias con un adulto mayor sobreviviente del primer accidente cerebrovascular. Método: estudio etnográfico, con observación participante y entrevistas en profundidad. Participaron siete familias bogotanas (siete adultos mayores entre los dos y diez meses posteriores al primer accidente cerebrovascular y los siete cuidadores principales respectivos. Resultados: cuidadores y adulto mayor comparten acciones de cuidado para la recuperación, relacionadas con la alimentación, el cuidado personal y la ingesta de medicamentos permeadas por la creencia religiosa, fuente de soporte y vínculo afectivo. Conclusión: conocer el cuidado popular de esta población posibilita proponer acciones culturalmente congruentes con sus valores y creencias para potencializar las ca- pacidades familiares e intermediar en los procesos de tratamiento.

  2. Mortalidad por accidentes de tránsito en Bayamo, Cuba 2011

    Arlines Piña-Tornés

    2014-10-01

    Full Text Available Con el objetivo de describir la mortalidad por accidentes de tránsito en Bayamo, Cuba, en el año 2011 se realizó una revisión de los pacientes lesionados y fallecidos a causa de accidentes de tránsito, registrados en Hospital Carlos M. de Céspedes. Se atendieron en emergencias 1365 lesionados, predominando el grupo etario de 25 a 44 años con 372 pacientes (27,3%, y el sexo masculino con 1071 (78,5%. Fallecieron 46 personas, en su mayoría del mismo grupo de edad y de sexo masculino. Los traumatismos múltiples (52,6% y cráneofaciales (34,2% fueron las localizaciones predominantes. Se destacaron los atropellos por vehículo de motor con mortalidad del 26,3%. En conclusión, la mortalidad por accidentes de tránsito predomina en adultos jóvenes masculinos; cuyas consecuencias fatales son debido a traumatismos múltiples por atropellos.

  3. Accidental Coverage of Both Renal Arteries during Infrarenal Aortic Stent-Graft Implantation: Cause and Treatment

    Umberto Marcello Bracale

    2014-01-01

    Full Text Available The purpose of this paper is to report a salvage maneuver for accidental coverage of both renal arteries during endovascular aneurysm repair (EVAR of an infrarenal abdominal aortic aneurysm (AAA. A 72-year-old female with a 6 cm infrarenal abdominal aortic aneurysm was treated by endovascular means with a standard bifurcated graft. Upon completing an angiogram, both renal arteries were found to be accidentally occluded. Through a left percutaneous brachial approach, the right renal artery was catheterized and a chimney stent was deployed; however this was not possible for the left renal artery. A retroperitoneal surgical approach was therefore carried out with a retrograde chimney stent implanted to restore blood flow. After three months, both renal arteries were patent and renal function was not different from the baseline. Both endovascular with percutaneous access via the brachial artery and open retroperitoneal approaches with retrograde catheterization are feasible rescue techniques to recanalize the accidentally occluded renal arteries during EVAR.

  4. Accidental hanging: a novel mobile suspension apparatus partially hidden inside the clothes.

    Kodikara, Sarathchandra

    2012-12-01

    Accidental hanging is uncommon. An immobile/fixed and exposed suspension apparatus is seen in almost all cases of hanging. A 50-year-old man, who was drunk, was trying to steal an iron rod by hiding it under his clothing. To secure hiding, he attached it to his body by a loose ligature around the neck, the waist belt of the sarong, and another band around the waist and by his underwear. Sometime later, because of ethanol intoxication, he fell asleep in the sitting position. While he was sitting on the floor, the iron rod was lifted up accidentally, and its upper end was wedged against the wall behind the victim, and the lower end was fixed against the floor. When he fell asleep, the weight of the tilted head acted as the constricting force compressing the neck by the ligature that was used to attach the iron rod to the neck. The cause of death was concluded as hanging in a man with ethanol intoxication. This case highlights a novel mobile suspension apparatus partially hidden inside the clothes, in a case of accidental hanging. A similar case has not been reported in the forensic literature.

  5. Avoidant/Restrictive Food Intake Disorder

    ... for the Professional Version Eating Disorders Definition of Eating Disorders Anorexia Nervosa Avoidant/Restrictive Food Intake Disorder Binge Eating ... about what they eat. Eating Disorders Definition of Eating Disorders Anorexia Nervosa Avoidant/Restrictive Food Intake Disorder Binge Eating ...

  6. Fallopian tube insertion into the uterine cavity discovered accidentally during laparoscopic retrieval of a misplaced coil from the pelvic cavity

    Panayotidis, Costas; Foidart, Jean-Michel; Nisolle, Michelle

    2008-01-01

    This article presents for the first time in the literature a case of fallopian tube insertion into the uterine cavity discovered accidentally during laparoscopic retrieval of a misplaced coil from the pelvic cavity. Peer reviewed

  7. An atypical case of successful resuscitation of an accidental profound hypothermia patient, occurring in a temperate climate.

    Coleman, E

    2010-03-01

    Cases of accidental profound hypothermia occur most frequently in cold, northern climates. We describe an atypical case, occurring in a temperate climate, where a hypothermic cardiac-arrested patient was successfully resuscitated using extracorporeal circulation (ECC).

  8. Dietary Sodium Intake in Type 2 Diabetes

    Provenzano, Laura Ferreira; Stark, Sue; Steenkiste, Ann; Piraino, Beth; Sevick, Mary Ann

    2014-01-01

    Patients with type 2 diabetes have an increased risk for cardiovascular and chronic kidney disease. Superimposed hypertension further increases the risk and is associated with increased dietary sodium intake. There are few data available on dietary sodium intake in type 2 diabetes. The aim of this study was to quantify dietary sodium intake in a cohort of self-referred patients with type 2 diabetes and to identify sociodemographic characteristics associated with it. Sodium intake in this coho...

  9. Worldwide trends in dietary sugars intake.

    Wittekind, Anna; Walton, Janette

    2014-12-01

    Estimating trends in dietary intake data is integral to informing national nutrition policy and monitoring progress towards dietary guidelines. Dietary intake of sugars is a controversial public health issue and guidance in relation to recommended intakes is particularly inconsistent. Published data relating to trends in sugars intake are relatively sparse. The purpose of the present review was to collate and review data from national nutrition surveys to examine changes and trends in dietary sugars intake. Only thirteen countries (all in the developed world) appear to report estimates of sugars intake from national nutrition surveys at more than one point in time. Definitions of dietary sugars that were used include 'total sugars', 'non-milk extrinsic sugars', 'added sugars', sucrose' and 'mono- and disaccharides'. This variability in terminology across countries meant that comparisons were limited to within countries. Hence trends in dietary sugars intake were examined by country for the whole population (where data permitted), and for specific or combined age and sex subpopulations. Findings indicate that in the majority of population comparisons, estimated dietary sugars intake is either stable or decreasing in both absolute (g/d) and relative (% energy) terms. An increase in sugars intake was observed in few countries and only in specific subpopulations. In conclusion, the findings from the present review suggest that, in the main, dietary sugars intake are decreasing or stable. A consistent approach to estimation of dietary sugars intake from national nutrition surveys is required if more valid estimates of changes in dietary sugars intakes are required in the future.

  10. El subregistro de accidentes de trabajo en una Unidad de Medicina Familiar del Instituto Mexicano del Seguro Social. Subregistro de accidentes de trabajo en asegurados

    Patricia Pérez Martínez

    2008-09-01

    Full Text Available Objetivo: Determinar el subregistro de los accidentes de trabajo en una Unidad de Medicina Familiar (UMFX escogida, inicialmente atendidos en el servicio de urgencias de un Hospital General de Zona (HGZ, del Instituto Mexicano del Seguro Social (IMSS en el año 2002. Material y métodos: Es un estudio transversal que utilizó información de la fuente original del HGZ que otorga la primera atención médica. Se elaboró una cédula de registro con las diversas fuentes de información, efectuando confrontación, seguimiento y análisis estadístico de las mismas. Resultados: De 6551 probables accidentes de trabajo atendidos en el HGZ, se seleccionaron 821 casos adscritos a la UMFX escogida. Se conformaron tres grupos de acuerdo con su dictamen: Grupo I= SÍ de trabajo, 35.4% (290; Grupo II=NO de trabajo, 4.6% (38, y el Grupo III= no calificados y atendidos en urgencias, 60%(493; este último representa el subregistro de los accidentes de trabajo. Conclusiones: El subregistro del 60% es de los más altos reportado en la literatura, lo cual representa para el IMSS, los trabajadores y el país graves repercusiones económicas y sociales no cuantificadas.Objective: To determine the Occupational Accidents Subregistry at a selected Family Medicine Unit (FMUX initially treated at a Mexican Institute of Social Security (IMSS General Zone Hospital (HGZ during the year 2002. Materials and Methods: This is a transversal study utilizing information from the original source, the HGZ primary-care hospital-facility. We elaborated a registry permit with diverse information sources, and conducted confrontation, followup, and statistical analysis of these sources. Results: Of 6,551 probable occupational accidents treated at the HGZ Emergency Room, we selected 821 cases ascribed to the selected FMUX. We made up three groups according these dictates: Group I = YES, occupational, 35.4% (290; Group II = NO, occupational, 4.6% (38, and Grupo III = not qualified and

  11. Metabolomics investigation of whey intake

    Stanstrup, Jan

    interest since it has been shown that it is possible to achieve greater weight loss on a high protein diet as oppose to a high carbohydrate diet. Furthermore, it has been demonstrated that specifically milk-derived whey proteins have certain biological properties that might be beneficial in the treatment...... and prevention of the metabolic syndrome related to obesity and diabetes. In this thesis the effects of whey intake on the human metabolome was investigated using a metabolomics approach. We demonstrated that intake of whey causes a decreased rate of gastric emptying compared to other protein sources....... This is in contrast to previous findings suggesting that whey is cleared faster than other proteins. Paradoxically, we also find disproportionately elevated levels of some amino acids (AAs) following the whey meal. This suggests that whey affects absorption of AAs in a way independent from, or at least not wholly...

  12. Cardiometabolic Effects of Cheese Intake

    Thorning, Tanja Kongerslev

    In several countries, the dietary guidelines for preventing CVD focus on reducing the intake of saturated fat. A high cheese intake in particular may however not be associated with CVD risk, despite a high content of saturated fat. This could be due to a reduced digestibility of fat in cheese...... of cheese-matrix may influence the HDL-cholesterol response, while the ripening duration may affect the level of free fatty acids and insulin in the blood. Furthermore the results showed that a diet with saturated fat in cheese or meat caused a higher HDL-cholesterol, but not LDL-cholesterol, compared....... The aim of this PhD thesis was to investigate how the fat content of the cheese-matrix and the cheese ripening duration affect cardiometabolic risk markers and fecal fat excretion. The thesis is based on three intervention studies, two in pigs and one in humans. The results suggested that fat content...

  13. Unraveling the association between SSRI use and falls: an experimental study of risk factors for accidental falls in long-term paroxetine users.

    Hegeman, Judith; van den Bemt, Bart; Weerdesteyn, Vivian; Nienhuis, Bart; van Limbeek, Jacques; Duysens, Jacques

    2011-01-01

    Selective serotonin reuptake inhibitors (SSRIs) are widely used to treat depression and are also associated with an increased falls risk. However, the biological mechanism underlying accidental falls with SSRI intake has yet to be elucidated. The present experimental study was designed to investigate whether obstacle avoidance skills in long-term (>90 days), senior paroxetine users (61 ± 5.8 years) are affected during gait, simple and challenging postural balance tasks, as well as during manual reaction time tasks. The performance of the paroxetine users was compared with healthy group-matched controls (60 ± 4.8 years). The results demonstrated impaired postural balance in the paroxetine users, especially during one-legged stance or under various dual-task conditions. Although the deficit in one-legged stance could indicate vestibular involvement, this was deemed unlikely because performance of standing on compliant surface with closed eyes remained unaffected. Paroxetine use also failed to affect manual reaction times or obstacle avoidance performance. It is suggested that paroxetine affects attentional capacities particularly in conjunction with balance control. Compared with healthy seniors, long-term senior users of paroxetine seem to be at an increased risk of falling due to impairments in balance control, especially when attention has to be divided between 2 concurrent activities.

  14. Saturated fats: what dietary intake?

    German, J Bruce; Dillard, Cora J

    2004-09-01

    Public health recommendations for the US population in 1977 were to reduce fat intake to as low as 30% of calories to lower the incidence of coronary artery disease. These recommendations resulted in a compositional shift in food materials throughout the agricultural industry, and the fractional content of fats was replaced principally with carbohydrates. Subsequently, high-carbohydrate diets were recognized as contributing to the lipoprotein pattern that characterizes atherogenic dyslipidemia and hypertriacylglycerolemia. The rising incidences of metabolic syndrome and obesity are becoming common themes in the literature. Current recommendations are to keep saturated fatty acid, trans fatty acid, and cholesterol intakes as low as possible while consuming a nutritionally adequate diet. In the face of such recommendations, the agricultural industry is shifting food composition toward lower proportions of all saturated fatty acids. To date, no lower safe limit of specific saturated fatty acid intakes has been identified. This review summarizes research findings and observations on the disparate functions of saturated fatty acids and seeks to bring a more quantitative balance to the debate on dietary saturated fat. Whether a finite quantity of specific dietary saturated fatty acids actually benefits health is not yet known. Because agricultural practices to reduce saturated fat will require a prolonged and concerted effort, and because the world is moving toward more individualized dietary recommendations, should the steps to decrease saturated fatty acids to as low as agriculturally possible not wait until evidence clearly indicates which amounts and types of saturated fatty acids are optimal?

  15. Are Reductions in Population Sodium Intake Achievable?

    Jessica L. Levings

    2014-10-01

    Full Text Available The vast majority of Americans consume too much sodium, primarily from packaged and restaurant foods. The evidence linking sodium intake with direct health outcomes indicates a positive relationship between higher levels of sodium intake and cardiovascular disease risk, consistent with the relationship between sodium intake and blood pressure. Despite communication and educational efforts focused on lowering sodium intake over the last three decades data suggest average US sodium intake has remained remarkably elevated, leading some to argue that current sodium guidelines are unattainable. The IOM in 2010 recommended gradual reductions in the sodium content of packaged and restaurant foods as a primary strategy to reduce US sodium intake, and research since that time suggests gradual, downward shifts in mean population sodium intake are achievable and can move the population toward current sodium intake guidelines. The current paper reviews recent evidence indicating: (1 significant reductions in mean population sodium intake can be achieved with gradual sodium reduction in the food supply, (2 gradual sodium reduction in certain cases can be achieved without a noticeable change in taste or consumption of specific products, and (3 lowering mean population sodium intake can move us toward meeting the current individual guidelines for sodium intake.

  16. Fish intake in pregnancy and child growth

    Stratakis, N.; Roumeliotaki, T.; Oken, E.

    2016-01-01

    IMPORTANCE Maternal fish intake in pregnancy has been shown to influence fetal growth. The extent to which fish intake affects childhood growth and obesity remains unclear. OBJECTIVE To examine whether fish intake in pregnancy is associated with offspring growth and the risk of childhood overweight...... through middle childhood compared with women with lower fish intake (3 times/week or less). High fish intake during pregnancy (>3 times/week) was associated with increased risk of rapid infant growth, with an adjusted odds ratio (aOR) of 1.22 (95%CI, 1.05-1.42) and increased risk of offspring overweight/obesity...... among boys (aOR, 1.11 [95%CI, 0.92-1.34]; P = .02 for interaction). CONCLUSIONS AND RELEVANCE High maternal fish intake during pregnancy was associated with increased risk of rapid growth in infancy and childhood obesity. Our findings are in line with the fish intake limit proposed by the US Food...

  17. 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: summary of main findings and risk factors.

    Pandit, J J; Andrade, J; Bogod, D G; Hitchman, J M; Jonker, W R; Lucas, N; Mackay, J H; Nimmo, A F; O'Connor, K; O'Sullivan, E P; Paul, R G; Palmer, J H M G; Plaat, F; Radcliffe, J J; Sury, M R J; Torevell, H E; Wang, M; Hainsworth, J; Cook, T M

    2014-10-01

    We present the main findings of the 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia (AAGA). Incidences were estimated using reports of accidental awareness as the numerator, and a parallel national anaesthetic activity survey to provide denominator data. The incidence of certain/probable and possible accidental awareness cases was ~1:19,600 anaesthetics (95% confidence interval 1:16,700-23,450). However, there was considerable variation across subtypes of techniques or subspecialities. The incidence with neuromuscular block (NMB) was ~1:8200 (1:7030-9700), and without, it was ~1:135,900 (1:78,600-299,000). The cases of AAGA reported to NAP5 were overwhelmingly cases of unintended awareness during NMB. The incidence of accidental awareness during Caesarean section was ~1:670 (1:380-1300). Two-thirds (82, 66%) of cases of accidental awareness experiences arose in the dynamic phases of anaesthesia, namely induction of and emergence from anaesthesia. During induction of anaesthesia, contributory factors included: use of thiopental, rapid sequence induction, obesity, difficult airway management, NMB, and interruptions of anaesthetic delivery during movement from anaesthetic room to theatre. During emergence from anaesthesia, residual paralysis was perceived by patients as accidental awareness, and commonly related to a failure to ensure full return of motor capacity. One-third (43, 33%) of accidental awareness events arose during the maintenance phase of anaesthesia, mostly due to problems at induction or towards the end of anaesthesia. Factors increasing the risk of accidental awareness included: female sex, age (younger adults, but not children), obesity, anaesthetist seniority (junior trainees), previous awareness, out-of-hours operating, emergencies, type of surgery (obstetric, cardiac, thoracic), and use of NMB. The following factors were not risk factors for accidental awareness: ASA physical status, race, and use or omission

  18. Accidental Hypothermia,

    1988-03-03

    the pulmonary , digestive, and endocrine systems.16� Cardiovascular Cardiovascular responses in hypothermia are vell described. Following an early...decline. Included in this group are patients with hypothalamic lesions and agenesis of the corpus callosum, termed the Shapiro Syndrome.46 1�...Hypothermia with agenesis of the corpus callosum has also been associated with hypercalcemia and status epilepticus.230 Since experimental sectioning of the

  19. Accidental goodness?

    Richter, Anne

    In postmodern capitalist market economies, management of the single organisation is bound to be guided by several rationales, which are in conflict with each other. For some writers this perception leads to the argument, that conceptions of management should strive towards goals beyond the present...

  20. [Accidental falls].

    Inokuchi, Koichi

    2013-06-01

    Falls are common cause of injuries among elderly people, and fractures are the most serious consequence of falls. For seniors, hip fractures are the second major cause of bedridden. The feature and acute care of head injury, spinal cord injury, vertebrae fracture, and hip fracture are described. Just had fracture fixation, the patient can not go back to the original ADL. In order not to become bedridden, both medication and physical examination are important based on the new disease concept of locomotive syndrome. To do so, requires hospital and clinic cooperation. Sufficient cooperation is not currently possible, and spread of liaison service is essential.

  1. Numerical research of a super-large cooling tower subjected to accidental loads

    Li, Yi; Lin, Feng [Department of Building Engineering, Tongji University, Shanghai 200092 (China); Gu, Xianglin, E-mail: gxl@tongji.edu.cn [Department of Building Engineering, Tongji University, Shanghai 200092 (China); Lu, Xiaoqin [Guangdong Electric Power Design Institute, Guangzhou 510660 (China)

    2014-04-01

    With the continued development of nuclear power plants, more and more super-large cooling towers are to be built in China and around the world. For the safe operation of nuclear power plants, research work has been done on the causes of collapse of cooling towers, collapse modes and the secondary disasters caused by the collapse of cooling towers. However, the collapse modes and the ground vibration induced by the collapse of cooling towers subjected to the accidental loads have not been fully understood. This paper has been focused on the modes and mechanisms behavior of the collapse of cooling towers subjected to accidental loads. Meanwhile, prediction of the ground vibration due to the collapse of the cooling towers has also been completed in a parallel project. Using dynamic finite element program LS-DYNA, a 3D finite element model for a super-large cooling tower was developed and the nonlinear material models were incorporated. In this paper, four types of accidental loads were considered to trigger the collapse or local failure of the tower, including vehicle collision, airplane impact, local explosion and missile attack. It was found that vehicle collision, missile attack and small TNT equivalent explosives (2 kg, 20 kg, 200 kg) might result in local failure of the cooling tower, however, the tower can still keep stable. On the other hand, large TNT equivalent explosives (2000 kg, 4500 kg) could cause severe damages in the inclined columns of the cooling tower, and lead to progressive collapse of the entire cooling tower. The two kinds of TNT equivalent explosives caused the same collapse mode while the collapsing duration was different. The airplane impacted at the throat of the cooling tower caused the local failure of shell structure of the tower, and then the progressive collapse of the cooling tower happened due to the gravitational action. The resulting collapse mode was different from that triggered by the local explosion.

  2. Menace of childhood non-accidental traumatic brain injuries: A single unit report

    Musa Ibrahim

    2015-01-01

    Full Text Available Background: Childhood traumatic brain injury (TBI has high rate of mortality and morbidity worldwide. There are dearths of reports from developing countries with large paediatric population on trauma; neurosurgery trauma of nonaccidental origin is not an exemption. This study analysed menace of non-accidental TBI in the paediatric population from our center. Materials and Methods: This is a single unit, retrospective study of the epidemiology of non-accidental TBI in children starting from September, 2008 to March, 2014. The management outcomes of the epidemiology of the non-accidental TBI were analysed. Results: Total of 109 children age range from 0 (intra-natal to 16 years with a mean of 5.8 ± 4.6 years (median, 5 years were enrolled into the study. 34 (31.2% were domestic violence, 26 (23.9% street assaults, 16 (14.7% were due to animal assaults and mishaps, 17 (15.6% fall from heights. Seven (6.4% cases of collapsed buildings were also seen during the period. Four (3.7% industrial accidents and two (1.8% were self-inflicted injuries. There were also three (2.8% cases of iatrogenic TBI out of which two infants (1.8% sustained TBI from cesarean section procedure while one patient (0.9% under general anaesthesia felt from the operation bed resulting to severe TBI. Conclusion: Child abuse, unprotected child labour, parental/care-givers negligence are the main cause of nonaccidental TBI. Human right activists and government agents should be incorporated in curtailing the menace.

  3. Salade malade: malignant ventricular arrhythmias due to an accidental intoxication with Aconitum napellus.

    Weijters, B J; Verbunt, R J A M; Hoogsteen, J; Visser, R F

    2008-01-01

    Intoxication with Aconitum napellus is rare in our regions. Aconite alkaloids can cause ventricular arrhythmia by a prolonged activation of sodium channels. Because the margin of safety is low between the analgesic and toxic dose, intoxication is not rare when Aconite is used in herbal medicine. We present a case in which a 39-year-old male was accidentally intoxicated with Aconite. Even though no antidote or adequate therapy is available he was successfully resuscitated. (Neth Heart J 2008;16:96-9.).

  4. Terapéuticas intervencionistas para el accidente cerebrovascular isquémico

    Rabadán, Alejandra T.; Luciano Sposato; Claudio Mazia

    2010-01-01

    En los últimos 20 años se han desarrollado nuevas opciones para el tratamiento y para la prevención del accidente cerebrovascular (ACV) isquémico, muchas de ellas de carácter intervencionista, tales como la endarterectomía carotídea y la trombolisis intravenosa con activador tisular del plasminógeno. La evidencia científica ha llevado a su difusión y utilización en países desarrollados mientras que en naciones emergentes se observa un retraso en su adopción. Otras modalidades terapéuticas que...

  5. Amputación corporal por accidente de trabajo en auxiliar de enfermería

    Alexander Finol Muñoz; Gloria Ortega Marín; Julián Domínguez Fernández; Johanna Rivero Colina; Manuel Usero Fernández; Miguel Espejo García

    2014-01-01

    Los auxiliares de enfermería son un rango profesional expuesto a múltiples riesgos por las actividades inherentes a su trabajo, expuestos constantemente a sustancias desinfectantes que sin el uso apropiado de equipos de protección individual, puede provocar efectos adversos y lesiones en el trabajador. Caso Clínico: Mujer de 51 años de edad, auxiliar de enfermería, con antecedentes de Diabetes Mellitus tipo I y Síndrome de Túnel Carpiano. Presenta derrame accidental de líquido mientras llenab...

  6. Accidentes de tránsito fatales en Costa Rica en el 2007

    Maikel Vargas Sanabria

    2008-09-01

    Full Text Available Los accidentes de tránsito en Costa Rica contribuyen significativamente con la tercera causa de muerte en el país en los últimos años: las causas externas, por ello resulta importante conocer el panorama más reciente de las fatalidades causadas por estos eventos. En el presente trabajo se analizarán desde el punto de vista médico legal los accidentes de tránsito fatales, cuyas víctimas fallecieron en el año 2007. Para ello se revisaron todas las autopsias efectuadas (un total de 3003 en el Departamento de Medicina Legal de Costa Rica para ese año. Se obtuvo que una cuarta parte de las mismas se originaron en accidentes de tránsito, lo cual generó una tasa de mortalidad de 16,58 por 100000 habitantes, considerada alta a nivel mundial. El perfil predominante de las víctimas fue: ser de género masculino, en edad económicamente productiva, con accidentes fatales de predominio en la noche, los fines de semana, en las provincias costeras, con fallecimiento en el sitio del hecho por trauma cráneo cervical en ocupantes de automotores o peatones, de los cuales un porcentaje significativo estaba bajo los efectos del alcohol y muy pocos bajo los efectos de otras drogas de abuso. Se insiste en la prevención como la herramienta fundamental para evitarlos.Traffic accidents in Costa Rica have been a contributing cause of death (the third cause of death over the last years; that ’s why its is a mayor issue to know the panorama of the latest fatalities caused by this events. In this article, it will be analyzed from the legal medicine point of view, the fatal transit accidents during the year 2007. For these reason all autopsies (a total of 3003 occurred during that year which were made by the Departamento de Medicina Legal de Costa Rica were reviewed. From these revision, it was obtained that one forth of these autopsies were transit accidents, which means that the mortality rate was 16,58 per 100000 habitants, that is consider high over the

  7. Acute ischaemia of the leg following accidental intra-arterial injection of dissolved flunitrazepam tablets.

    Leifert, J A; Bossaller, L; Uhl, M

    2008-11-01

    Accidental intra-arterial injection of drugs is a sporadic complication in i.v. drug addicts. A 22-year-old drug-abuser injected flunitrazepam tablets dissolved in tap water into her left femoral artery and presented with clinical signs of acute ischaemia of the left leg. Severe rhabdomyolysis developed within 5 hours after the injection. Selective arterial catheter angiography showed an acute occlusion of the posterior tibial artery. Combination therapy with i.a. urokinase, i.a. prostaglandines and i.v. anticoagulation resulted in re-opening of the obstructed distal artery and complete cessation of symptoms.

  8. Problems in experimental and mathematical investigations of the accidental thermalhydraulic processes in RBMK nuclear reactors

    Nigmatulin, B.I.; Tikhonenko, L.K. [Engineering Centre (EREC) for Nuclear Plants Safety, Electrogorsk (Russian Federation); Blinkov, V.N. [Aviation Institute, Kharkov (Ukraine)] [and others

    1995-09-01

    In this paper the thermalhydraulic scheme and peculiarities of the boiling water graphite-moderated channel-type reactor RBMK are presented and discussed shortly. The essential for RBMK transient regimes, accidental situations and accompanying thermalhydraulic phenomena and processes are formulated. These data are presented in the form of cross reference matrix (version 1) for system computer codes verification. The paper includes qualitative analysis of the computer codes and integral facilities which have been used or can be used for RBMK transients and accidents investigations. The stability margins for RBMK-1000 and RBMK-1500 are shown.

  9. Orofacial manifestations from accidental exposure to caesium 137 in Goiania, Brazil.

    Gomes, M A; Wascheck, C de C; Scully, C; Almeida, O de P; Bozzo, L

    1990-08-01

    The accidental close exposure of over 200 adults and children to a caesium-137 (137Cs) source in Goiania, Brazil in 1987 produced significant short-term morbidity in about 50 patients, and four deaths within a few weeks. Some 57% of those maximally exposed to radiation, developed orofacial lesions, notably purpura, spontaneous bleeding, ulcers and/or acute candidiasis. These lesions were probably mainly the consequences of depression of bone marrow elements by the radionuclide. Though the oral lesions that may follow iatrogenic exposure to ionizing radiation are well recognized this appears to be the first report on the oral sequelae of a serious radiation accident.

  10. The present status and recent applications of the accidental tritium assessment code UFOTRI

    Raskob, W. [Forschungszentrum Karlsruhe GmbH, Institut fuer Neutronenphysik und Reaktortechnik, Karlsruhe (Germany)

    1999-03-01

    The computer program UFOTRI can be used for assessing the impact of accidental released tritium in the two chemical forms tritiated water vapour and tritium gas. By applying UFOTRI to potential European sites for ITER, it could be demonstrated that the main goal, the nonevacuation criteria, is fulfilled for the present release limits. Contributions in international studies together with the re-evaluation of experimental data showed that the plant sub-model as well as the soil sub-model are areas for further improvement. (author)

  11. Accidental ingestion of a barbed wire broach and its endoscopic retrieval: Prevention better than cure

    Rajashekar Mohan

    2011-01-01

    Full Text Available Ingestion of instruments is a potential complication that can occur during dental procedures. We report a case of accidental ingestion of an endodontic barbed wire broach during root canal treatment and its subsequent retrieval by endoscopic methods. Although prevention is the best approach, proper management of such an event is also crucial. The objective of this report is to draw attention to the potentially serious complications that can occur if preventive techniques are not practised, and to discuss the accepted guidelines for management of such an event.

  12. Forecasting consequences of accidental release: how reliable are current assessment models

    Rohwer, P.S.; Hoffman, F.O.; Miller, C.W.

    1983-01-01

    This paper focuses on uncertainties in model output used to assess accidents. We begin by reviewing the historical development of assessment models and the associated interest in uncertainties as these evolutionary processes occurred in the United States. This is followed by a description of the sources of uncertainties in assessment calculations. Types of models appropriate for assessment of accidents are identified. A summary of results from our analysis of uncertainty is provided in results obtained with current methodology for assessing routine and accidental radionuclide releases to the environment. We conclude with discussion of preferred procedures and suggested future directions to improve the state-of-the-art of radiological assessments.

  13. Is Project Management Still an Accidental Profession? A Qualitative Study of Career Trajectory

    Tracey M. Richardson

    2015-02-01

    Full Text Available In this study, the authors used qualitative techniques to look for reoccurring themes related to 87 project managers’ responses to interview questions associated with entry into the field of project management and career progression. The study found that despite the efforts of higher education, professional associations, and their professional development and certifications, the project management remains a destination by accident. Professional project managers do not intend to be project managers but “fall into” the profession. This study provides a conceptual framework for project manager career trajectory that has implications for project management training and mentoring and contributes to the growing literature on the accidental profession.

  14. Patologías mentales derivadas de los accidentes de tránsito

    2008-01-01

    Toda persona que se expone a un hecho traumático puede reaccionar de diversas maneras. En este artículo se revisan los conceptos de algunas enfermedades mentales relacionadas con accidentes de tránsito basadas en las Clasificaciones Nosográfias Internacionales DSM-IV y CIE 10.Any person exposed to a traumatic event can react in different ways. This article checks the concepts of some mental illnesses related to traffic accidents based on the international classifications (DSM-IV and ICD 10).

  15. Patologías mentales derivadas de los accidentes de tránsito

    Ginette Campos Villalobos

    2008-09-01

    Full Text Available Toda persona que se expone a un hecho traumático puede reaccionar de diversas maneras. En este artículo se revisan los conceptos de algunas enfermedades mentales relacionadas con accidentes de tránsito basadas en las Clasificaciones Nosográfias Internacionales DSM-IV y CIE 10.Any person exposed to a traumatic event can react in different ways. This article checks the concepts of some mental illnesses related to traffic accidents based on the international classifications (DSM-IV and ICD 10.

  16. Measurement of accidental coincidences in beta-gamma coincidence counting using non-equal dead times

    Hwang, H Y; Cho, Y H; Byun, J I; Kim, T S; Park, T S; Lee, J M

    2002-01-01

    It is shown that the multi-channel time-scaling (MCTS) method is particularly suitable for the direct measurement of accidental coincidences even if the dead times of the two counting channels are of different length. We prepared five samples, with activities from 900 to 2100 s sup - sup 1. The dead time of the gamma channel was 12 mu s for all measurements, but for the beta channel it varied from 12 to 20 mu s. The true coincidence rates determined by the MCTS method are compared with those obtained by using conventional technique.

  17. Transferencia del aprendizaje motor en pacientes con antecedentes de accidente cerebrovascular: serie de casos

    Karen Castro-Medina; Mayra Pérez-Páez; Fabiola Moscoso-Alvarado; Clarice Tanaka

    2015-01-01

    Antecedentes. La rehabilitación es un proceso de reaprendizaje motor, que mejora el desempeño en términos de adquisición de nuevas habilidades y adaptación o refinamiento de habilidades aprendidas previamente. A pesar de este conocimiento, existen, considerablemente, pocos estudios que describan el aprendizaje motor después de un accidente cerebrovascular (ACV) y la relevancia del mismo en los procesos de rehabilitación y recuperación. Objetivo. Describir la transferencia del aprendizaje moto...

  18. Accidental swallowing of a gold cast crown during orthodontic tooth separation.

    Kharbanda, O P; Varshney, P; Dutta, U

    1995-01-01

    Accidental swallowing of a gold cast crown that became loose after separation with brass wire for orthodontic band placement, is reported. The intervention to remove the ingested crown subsequent to its location in the GI tract on immediate radiographic examination of chest and abdomen included endoscopic examination. Since the crown had past distal to the duodenum it was decided to keep a watch on its movement by daily radiographic examination. The crown passed with excreta on the 5th day uneventfully. Literature on ingestion of foreign bodies of dental origin is reviewed. Possible emergencies and their management is discussed.

  19. Muertes por enfermedades cardiacas y accidentes cerebrovasculares prevenibles - (Preventable Deaths from Heart Disease and Stroke)

    2013-09-03

    Este podcast se basa en la edición de septiembre del 2013 del informe Signos Vitales de los CDC. Más de 800,000 personas en los Estados Unidos mueren cada año a causa de enfermedades cardiacas y accidentes cerebrovasculares. Aprenda cómo controlar todos los principales factores de riesgo.  Created: 9/3/2013 by Centers for Disease Control and Prevention (CDC).   Date Released: 9/3/2013.

  20. A model of neutrino mass and dark matter with an accidental symmetry

    Amine Ahriche

    2015-06-01

    Full Text Available We present a model of radiative neutrino mass that automatically contains an accidental Z2 symmetry and thus provides a stable dark matter candidate. This allows a common framework for the origin of neutrino mass and dark matter without invoking any symmetries beyond those of the Standard Model. The model can be probed by direct-detection experiments and μ→e+γ searches, and predicts a charged scalar that can appear at the TeV scale, within reach of collider experiments.

  1. Comportamiento general de los accidentes provocados por animales venenosos en colombia, 2006-2010

    Rodríguez Vargas, Ariadna Lorena; Rodríguez Buitrago, Javier Roberto; Díaz González, Gonzalo Jair

    2013-01-01

    Objetivo El conocimiento parcial de estadísticas nacionales acerca de accidentalidad por animales venenosos, con distribución geográfica en Colombia, motiva el estudio de dichas circunstancias. El objetivo fue realizar una línea base de los accidentes por animales venenosos reportados de forma telefónica al Centro de Investigación, Gestión e Información Toxicológica de la Universidad Nacional de Colombia (CIGITOX), provenientes de todo el país, y cuyo registro se encontraba en bases de datos ...

  2. The accidental potential of diffractive thinking technologies. Mapping and colouring social differentiation in/of school

    Staunæs, Dorthe; Brown, Rikke; Bjerg, Helle

    This paper presents our joint work with using and developing Donna Haraways concept of thinking technologies for putting research into play in cooperation with practitioners within the field of education. First we shortly present the conceptualization of thinking technologies and why we have found...... this conceptualization useful in our work and cooperation with practitioners. Secondly we present the development of the ‘colour map’ as a specific example of a thinking technology and introduce what we shall coin as the accidental potential of working with research informed thinking technologies on the particular...

  3. Health care workers and AIDS: a differential study of beliefs and affects associated with accidental exposure to blood

    Maria Rosa Rodrigues Rissi

    Full Text Available This study aimed to analyze affective and cognitive determinants of the professional work of individuals caring for patients with HIV/AIDS, in view of the risk and/or experience of accidental exposure to blood. We drew on the theoretical-methodological references of Fishbein & Ajzen and Maslow's theory. Fifty health care workers were evaluated using an attitudes questionnaire and a needs and motivations instrument. The research verified differences between answers by health care workers who had never suffered accidents and those who had already experienced accidental exposure to blood. Health care workers did their work activities motivated by the need for self-fulfillment and valued their own performance when they were able to meet the patients' emotional needs. Among health professionals who had never experienced accidental exposure to blood, the predominant beliefs was that patients feel remorse over having expose themselves to HIV. Accidental exposure to blood raises difficulties in personal life. Technical aspects are also associated with the possibility of accidental exposure to blood.

  4. The long-term prediction of return to work following serious accidental injuries: A follow up study

    Sensky Tom

    2011-04-01

    Full Text Available Abstract Background Considerable indirect costs are incurred by time taken off work following accidental injuries. The aim of this study was to predict return to work following serious accidental injuries. Method 121 severely injured patients were included in the study. Complete follow-up data were available for 85 patients. Two weeks post trauma (T1, patients rated their appraisal of the injury severity and their ability to cope with the injury and its job-related consequences. Time off work was assessed at one (T2 and three years (T3 post accident. The main outcome was the number of days of sick leave taken due to the accidental injury. Results The patients' appraisals a of the injury severity and b of their coping abilities regarding the accidental injury and its job-related consequences were significant predictors of the number of sick-leave days taken. Injury severity (ISS, type of accident, age and gender did not contribute significantly to the prediction. Conclusions Return to work in the long term is best predicted by the patients' own appraisal of both their injury severity and the ability to cope with the accidental injury.

  5. Health care workers and AIDS: a differential study of beliefs and affects associated with accidental exposure to blood.

    Rissi, Maria Rosa Rodrigues; Machado, Alcyone Artioli; Figueiredo, Marco Antonio de Castro

    2005-01-01

    This study aimed to analyze affective and cognitive determinants of the professional work of individuals caring for patients with HIV/AIDS, in view of the risk and/or experience of accidental exposure to blood. We drew on the theoretical-methodological references of Fishbein & Ajzen and Maslow's theory. Fifty health care workers were evaluated using an attitudes questionnaire and a needs and motivations instrument. The research verified differences between answers by health care workers who had never suffered accidents and those who had already experienced accidental exposure to blood. Health care workers did their work activities motivated by the need for self-fulfillment and valued their own performance when they were able to meet the patients' emotional needs. Among health professionals who had never experienced accidental exposure to blood, the predominant beliefs was that patients feel remorse over having expose themselves to HIV. Accidental exposure to blood raises difficulties in personal life. Technical aspects are also associated with the possibility of accidental exposure to blood.

  6. Insufficient vitamin D intakes among pregnant women.

    McGowan, C A

    2011-09-01

    Vitamin D has an important role in pregnancy in promoting fetal skeletal health. Maternal dietary intake is a key factor influencing both maternal and fetal status. There are limited data available on food groups contributing to vitamin D intake in pregnancy. The aim of this study was to determine dietary intakes of vitamin D throughout pregnancy in 64 women and to determine the main food groups contributing to vitamin D intake. Results showed that median dietary intakes of vitamin D ranged from 1.9-2.1 μg\\/d during pregnancy, and were 80% below the current recommendation. The principal food groups contributing to vitamin D intake were meat, egg and breakfast cereal groups. Oily fish, the best dietary source of vitamin D, was consumed by <25% of women. These data call for more education; they question the role of vitamin D supplementation and highlight the contribution of other food groups more frequently consumed, namely, breakfast cereals, meat and eggs.

  7. The intake of carotenoids in Denmark

    Leth, Torben; Jakobsen, Jette; Andersen, N. L.

    2000-01-01

    To estimate the intake of carotenoids in the Danish population Danish fruits and vegetables were screened with an HPLC method consisting of extraction with ethanol:tetrahydrofuran, separation by reversed phase HPLC with the mobile phase acetonitril:methanol:dichlormethan, triethylamin, BHT...... in the foods the mean intake and intake distribution of the carotenoids were calculated. Carrots and tomatoes have both high contents of carotenoids (8,450 mu g/100 g alpha- + beta-carotene and 4,790 mu g/100 g lycopene, respectively) and high intakes (19 and 15 g/day, respectively) and were responsible for 47......% and 32%, respectively, of the mean intake of carotenoids of 4.8 mg/day A median value of 4.1 mg/day was found indicating skewed intake distributions. The difference between men and women was 0.4 mg/day (p carotenoids, alpha-carotene, beta-carotene, lutein and lycopene, contributed...

  8. Clinical effects of cesium intake.

    Melnikov, Petr; Zanoni, Lourdes Zélia

    2010-06-01

    The knowledge about cesium metabolism and toxicity is sparse. Oral intake of cesium chloride has been widely promoted on the basis of the hypothesis referred to as "high pH cancer therapy", a complimentary alternative medicine method for cancer treatment. However, no properly confirmed tumor regression was reported so far in all probability because of neither theoretical nor experimental grounds for this proposal. The aim of the present review was to resume and discuss the material currently available on cesium salts and their applications in medicine. The presence of cesium in the cell does not guarantee high pH of its content, and there is no clinical evidence to support the claims that cancer cells are vulnerable to cesium. Cesium is relatively safe; signs of its mild toxicity are gastrointestinal distress, hypotension, syncope, numbness, or tingling of the lips. Nevertheless, total cesium intakes of 6 g/day have been found to produce severe hypokalemia, hypomagnesemia, prolonged QTc interval, episodes of polymorphic ventricular tachycardia, with or without torsade de pointes, and even acute heart arrest. However, full information on its acute and chronic toxicity is not sufficiently known. Health care providers should be aware of the cardiac complications, as a result of careless cesium usage as alternative medicine.

  9. Symmetry-Guaranteed and Accidental Nodal-Line Semimetals in FCC Lattice

    Kawakami, Takuto

    2016-01-01

    We demonstrate theoretically that nodal-line semimetal (NLS) states can be realized in face-center-cubic (fcc) lattice with orbits belonging to one irreducible representation, such as [$p_x$, $p_y$, $p_z$] and/or [$d_{xy}$, $d_{xz}$, $d_{yz}$]. It is shown that the three orbits are subdivided with respect to the odd- and even-parity upon mirror reflection on high symmetry planes, which yields an analytic expression for the trajectory of NL in momentum space when a tight-binding (TB) model is adopted. It becomes clear that there are two kinds of NLs, a symmetry-guaranteed one around the surface of the first Brillouin zone (BZ), and an accidental one around the BZ center governed by the hopping integrals. As a realization of the idea, we analyze the fcc photonic crystal composed of dielectric spheres by solving the Maxwell's equations. Two symmetry-guaranteed and one accidental NLS photonic states are observed. This provides a good platform to confirm experimentally the existence of topological NLS state, and o...

  10. Outcome of Accidental Exposure Prone to Blood Borne Viral Infections in an Educational Hospital

    Shahnaz Sali

    2016-04-01

    Full Text Available Background: The risk for transmission of blood-borne viruses (BBVs such as Human immunodeficiency virus (HIV, hepatitis B virus (HBV and hepatitis C virus (HCV due to occupational exposure is a major concern in the health care setting.Materials and Methods: This study among 337 health care workers (HCWs accidentally exposed to BBVs was carried out from January 2009 to March 2015. The data were reviewed in labbafinejhad hospital, Tehran, Iran.Results: 4 HCWs had exposure to HBS Ag positive, which HBS antibody titer of them was higher than 10 mlu/ml, 6 HCWs were exposed to HCV seropositive patients underwent laboratory investigations for  HCV-antibody on 4,12, 24 weeks that results were negative. 3 cases had exposure to HIV seropositive patients which received standard antiretroviral post exposure prophylaxis.Conclusion: Timely performance for PEP (Post Exposure Prophylaxis reducing BBVs transmission among HCWs.prophylaxis. Conclusions: Timely performance for  PEP(Post Exposure Prophylaxis reducing BBVs transmission among HCWs.Key words: Outcome; Accidental Exposure; Blood Borne Viral Infections

  11. Cuidados de Enfermería en el Accidente Ofídico

    Lorenzo Hernández, María Piedad

    2013-04-01

    Full Text Available El accidente ofídico supone una emergencia médica que requiere atención médica inmediata, pudiendo provocar la muerte de no realizarse una actuación adecuada precoz. El tratamiento varía según la geografía y características de las serpientes autóctonas, existiendo múltiples protocolos, que en ocasiones resultan contradictorios. El objetivo de este trabajo es realizar el proceso de atención de enfermería en el accidente ofídico, siendo imprescindible poseer un conocimiento integral de las especies peligrosas en España, consecuencias de la mordedura y tratamiento específico. Para la elaboración de este artículo se revisó la bibliografía para poner de manifiesto el plan de actuación y cuidados enfermeros. Con la elaboración de un plan de atención de enfermería individualizado se disminuye el riesgo de secuelas y se proporciona un cuidado y una atención sanitaria de calidad.

  12. Triage and management of accidental laboratory exposures to biosafety level-3 and -4 agents.

    Jahrling, Peter; Rodak, Colleen; Bray, Mike; Davey, Richard T

    2009-06-01

    The recent expansion of biocontainment laboratory capacity in the United States has drawn attention to the possibility of occupational exposures to BSL-3 and -4 agents and has prompted a reassessment of medical management procedures and facilities to deal with these contingencies. A workshop hosted by the National Interagency Biodefense Campus was held in October 2007 and was attended by representatives of all existing and planned BSL-4 research facilities in the U.S. and Canada. This report summarizes important points of discussion and recommendations for future coordinated action, including guidelines for the engineering and operational controls appropriate for a hospital care and isolation unit. Recommendations pertained to initial management of exposures (ie, immediate treatment of penetrating injuries, reporting of exposures, initial evaluation, and triage). Isolation and medical care in a referral hospital (including minimum standards for isolation units), staff recruitment and training, and community outreach also were addressed. Workshop participants agreed that any unit designated for the isolation and treatment of laboratory employees accidentally infected with a BSL-3 or -4 pathogen should be designed to maximize the efficacy of patient care while minimizing the risk of transmission of infection. Further, participants concurred that there is no medically based rationale for building care and isolation units to standards approximating a BSL-4 laboratory. Instead, laboratory workers accidentally exposed to pathogens should be cared for in hospital isolation suites staffed by highly trained professionals following strict infection control procedures.

  13. Plutino 15810 (1994 JR1), an accidental quasi-satellite of Pluto

    Marcos, C de la Fuente

    2012-01-01

    In the solar system, quasi-satellites move in a 1:1 mean motion resonance going around their host body like a retrograde satellite but their mutual separation is well beyond the Hill radius and the trajectory is not closed as they orbit the Sun not the host body. So far, minor bodies temporarily trapped in the quasi-satellite dynamical state have been identified around Venus, Earth, the dwarf planet (1) Ceres, the large asteroid (4) Vesta, Jupiter, Saturn and Neptune. Using computer simulations, Tiscareno and Malhotra have predicted the existence of a small but significant population of minor bodies moving in a 1:1 mean motion resonance with Pluto. Here we show using N-body calculations that the Plutino 15810 (1994 JR1) is currently an accidental quasi-satellite of Pluto and it will remain as such for nearly 350,000 yr. By accidental we mean that the quasi-satellite phase is triggered (or terminated) not by a direct gravitational influence in the form of a discrete close encounter but as a result of a resonan...

  14. Implications for platform re-assessment based on in-service damage resulting from accidental loadings

    Sharp, J.V.; Stacey, A. [Health and Safety Executive, London (United Kingdom); Frieze, P.A.; Nichols, N.W.

    1996-12-01

    Current offshore design codes enable the capacity of structural components to be determined, but the equations apply only to the undamaged state. The ability to assess the performance of such components containing damage has only recently been developed and is important in the re-assessment of structures. In particular knowledge of the performance of members which are dented or bowed as a result of accidental damage is important in establishing the capacity of structures in-service, when for example using pushover analyses. Much research has been taken on the capacity of dented and bowed members. This paper reviews this data and establishes a database using screening criteria. This data is then compared with theoretical predictions from recently developed draft ISO equations. These show that dents and bows can significantly reduce the performance of members. A survey of offshore damage resulting in repairs has shown that 30% of this damage is the result of accidental events such as ship impact and dropped objects. Most damage found to members was in the form of dents, bows and cracks, with member severance in a few cases. The implications of this information for reassessment and offshore inspections are considered.

  15. Evaluation of patients who admitted to hospital due to accidentally falling objects on them

    Yahya Turan

    2015-03-01

    Full Text Available Objective: Accidents at home, office, or outdoor environment are one of the leading cause of injury and death, especially in children. The aim of this study is the evaluation of patients admitted to our hospital due to the falling on an object accidentally. Methods: This study retrospectively assessed the medical records of 135 patients who were accidentally injured by a heavy object that fell on them between 2012 and 2014. Age, sex, object type as the cause of incident, site and time of the incident, and the death cause were analyzed. Results: Eighty-two (60.7% patients were male and 53 (39.3% were female and the mean age of the study population was 18.8 (0-79 years. The patients were most commonly from the pediatric age group (0-18 years old (n=78, 57.8%. When falling objects types are evaluated respectively dropping on a television with 18.5% (25 patients, stone(s with 15.6% (21 patients and objects made of iron with 11.1% (15 patients shares first three places. The most common sites of the incident were home (n=85, 62.9%. The incidents most commonly occurred in summer months (n=93, 68.9%. Conclusion: In this study obtained data should be contributed to accident prevention programs especially for children.

  16. Accidental phosgene gas exposure: A review with background study of 10 cases

    Arvind Kumar Vaish

    2013-01-01

    Full Text Available Here, authors present a review on clinical presentation and management of exposure of phosgene gas after reviewing the literature by searching with keywords phosgene exposure on Google, Cochrane, Embase and PubMed with a background of experience gained from 10 patients who were admitted to our institute after an accidental phosgene exposure in February 2011 nearby a city in India. Phosgene is a highly toxic gas, occupational workers may have accidental exposure. The gas can also be generated inadvertently during fire involving plastics and other chemicals and solvents containing chlorine, which is of concern to emergency responders. Phosgene inhalation may cause initially symptoms of respiratory tract irritation, patients feel fine thereafter, and then die of choking a day later because of build up of fluid in the lungs (delayed onset non-cardiogenic pulmonary edema. Phosgene exposure is associated with significant morbidity and mortality. Patients with a history of exposure should be admitted to the hospital for a minimum of 24 h for observation because of the potential for delayed onset respiratory failure and acute respiratory distress syndrome.

  17. Accidental contamination of a German town's drinking water with sodium hydroxide.

    Lendowski, Luba; Färber, Harald; Holy, Andreas; Darius, Anke; Ehrich, Bernd; Wippermann, Christine; Küfner, Bernd; Exner, Martin

    2015-05-01

    Case report of a very serious drinking water incident putting up to 50,000 inhabitants of a town near Bonn in North Rhine-Westphalia, Germany at risk. A concentrated solution of highly alkaline water by sodium hydroxide was accidentally washed into the town's drinking water at a pumping station and increased the pH-value of the water to 12. Residents who came into contact with the contaminated water immediately had a toxic reaction. The incident was detected by complaints from customers and after that was stopped within several hours. The pipes were flushed and the customers were warned not to use the water till the all clear. After this immediate management there was an investigation and the cause of the incident was detected as an accidental release of accumulated sodium hydroxide (NaOH) solution. The lack of a network alarm system and the automatic cut-off mechanisms as deficiencies in the design of the station were rectified by the water company immediately after the incident.

  18. Accidental fatal poisoning of a dog by Dieffenbachia picta (dumb cane).

    Loretti, Alexandre Paulino; da Silva Ilha, Marcia Regina; Ribeiro, Rita Elaine Streda

    2003-10-01

    A single case of accidental fatal poisoning by Dieffenbachia picta, (dumb cane) (Araceae) in a 9-y-old female Poodle is described. Clinical signs included severe, locally extensive erosive/ulcerative glossitis accompanied by marked dyspnea of acute onset. The animal did not respond to emergency procedures to relieve severe respiratory distress; fatal asphyxiation ensued from edema of the glottis a few hours after the first clinical signs were observed. According to the owner, the dog had access to a tall, potted dumb cane plant and chewed the thick stem of the plant intensely. The owner did not authorize a necropsy of the animal. The diagnosis of Dieffenbachia picta poisoning was based on the history of accidental consumption of dumb cane and clinical signs. A comparison of this single case with other reports of dumb cane poisoning suggests that dogs poisoned by Dieffenbachia species usually recover uneventfully with conservative management and that death from asphyxiation is a rare but possible consequence of this intoxication. Severe edematous swelling of the glottis with occlusion of the larynx airway passage can occur in those cases in which large amounts of sap are quickly squeezed from the plant during intense chewing. Death would occur if owners do not seek veterinary care immediately and if emergency procedures are not instituted on time.

  19. Sodium chloride intake: is lower always better?

    Heerspink, Hiddo Lambers; Ritz, Eberhard

    2012-07-01

    Current treatment of kidney disease is not completely satisfactory, particularly when initiated in the late stages of renal progression. There is an urgent need for additional interventions, especially reduction of salt intake, which is rather high in the Western world. In this commentary we provide a critical assessment of post hoc analyses of recent interventional and observational studies on the effect of salt intake on renal and cardiovascular outcomes. To evaluate the mechanisms and safety of reduced salt intake, studies specifically designed to assess salt intake as an endpoint are needed. This approach will have implications for health care policies and labeling of the salt content of purchased foods.

  20. Caregivers' voices: The experiences of caregivers of children who sustained serious accidental and non-accidental head injury in early childhood.

    Wharewera-Mika, Julie; Cooper, Erana; Kool, Bridget; Pereira, Susana; Kelly, Patrick

    2016-04-01

    Head injury is a leading cause of mortality and acquired neurological impairment in children. Head-injured children may have neurobehavioural deficits that persist for years following injury. Head injury can result in significant and persistent caregiver burden, including mental health issues, family stress and disorganisation, and unmet social and healthcare service needs. Few studies have examined the healthcare and social service needs of children and their families following head injury sustained at an early age. This qualitative study aims to describe the experiences of caregivers of children who sustained a serious head injury (particularly non-accidental head injury) before the age of 2 years. Caregivers were interviewed up to 15 years following the initial injury. Semi-structured interviews with 21 caregivers of 15 children (aged 3-15 years at the time of interview) were completed. Thematic analysis of interview data generated three key themes: impact, support and information. The study's findings reveal the broad impact of serious childhood head injury on caregivers, specifically the significant distress and burden brought about through lack of information, challenges in accessing support and inconsistent care. Recommendations for developing a quality 'model of care' and improving ease of access to supports for caregivers are provided.

  1. Preprandial ghrelin is not affected by macronutrient intake, energy intake or energy expenditure

    Rumpler William V; Rhodes Donna G; Kramer Matthew; Paul David R

    2005-01-01

    Abstract Background Ghrelin, a peptide secreted by endocrine cells in the gastrointestinal tract, is a hormone purported to have a significant effect on food intake and energy balance in humans. The influence of factors related to energy balance on ghrelin, such as daily energy expenditure, energy intake, and macronutrient intake, have not been reported. Secondly, the effect of ghrelin on food intake has not been quantified under free-living conditions over a prolonged period of time. To inve...

  2. INCREASED FAT INTAKE MAY STABILIZED CKD PROGRESSION IN LOW-FAT INTAKE PATIENTS

    Min-Yu Chang

    2012-06-01

    Inadequate calories intake will induce excessive protein catabolism, which can cause accumulation of uremic toxins and acceleration of renal failure. Increasing fats intake is an easy way to achieve adequate calories acquirement and may stabilize the progression of CKD especially in low-fat intake patients.

  3. Prescripción facilitada de drogas antihipertensivas y disminución de la muerte prematura por accidente cerebrovascular

    Javier Mariani; Marina Ridao; Gabriel González; Mauricio Monsalvo; Alejandro Macchia

    2016-01-01

    Introducción: Desde 2003, el programa Remediar (+Redes) distribuye gratuitamente medicación antihipertensiva. Durante este período, la mortalidad por accidente cerebrovascular disminuyó, aunque con inequidades entre grupos socioeconómicos. Objetivos: Evaluar la asociación entre la mortalidad por accidente cerebrovascular y la provisión de fármacos antihipertensivos. Estudiar la posible interacción entre los efectos de los antihipertensivos sobre la mortalidad y el nivel socioeconómico. ...

  4. Los accidentes coronarios de la terapéutica electro-convulsivante. su patogenia y su prevención

    Jiménez Arango, Alejandro; Hakim Dow, Salomón

    2011-01-01

    a) Se plantea el problema de la aparición de accidentes coronarios en las aplicaciones de electro-choque y se hace un recuento de los casos referidos en la literatura.b) Se presentan las historias de dos casos clínicos: unos de insuficiencia coronaria aguda transitoria y otro de infarto del miocardio, consecutivos a aplicaciones de electro-choque.c) Se propone una explicación fisio-patológica de tales accidentes considerando: 1° La influencia de las lesiones coronarias antiguas. 2° La variabi...

  5. Muerte prematura por accidente cerebrovascular y condición socioeconómica en la Argentina

    Mauricio Monsalvo; Anabel Fernández Prieto; Alejandro Macchia

    2016-01-01

    Introducción: La asociación entre mortalidad por accidente cerebrovascular y el nivel socioeconómico está escasamente descripta en Argentina. Objetivos: Describir la evolución temporal de la mortalidad por accidente cerebrovascular y su asociación con el nivel socioeconómico en Argentina entre 2000 y 2011. Material y métodos: Se realizó un estudio ecológico longitudinal. La mortalidad se cuantificó mediante tasas estandarizadas por edad y sexo, y el nivel socioeconómico mediante quint...

  6. [Osteoporosis and intake of vitamins].

    Hirota, Takako; Hirota, Kenji

    2005-05-01

    Subclinical vitamins deficiency is common in the elderly, especially in osteoporotic patients. However, most physicians in this area are just focused on drugs for the treatment of osteoporosis. It is already established that several vitamins influence bone turnover, bone mineral density, or even the risk of hip fractures. Improving these vitamins status may help to treat and prevent osteoporosis in elderly people. Recently higher vitamin D intake is recognized to be needed to keep not only bone health but also muscle strength. More sun exposure might be needed for improved bone health in the elderly. Deficiency of Vitamin K, C, or B(12) may be also important modifiable risk factors for osteoporosis and bone fracture. Excessive retinal supplementation may become associated with higher bone loss. Thus such diet rich in fruit and vegetables together with fish and meat could fulfill a balance among these vitamins and should be recommended for prevention or treatment of osteoporosis.

  7. Vitamin Intake from Food Supplements in a German Cohort - Is there a Risk of Excessive Intake?

    Willers, Janina; Heinemann, Michaela; Bitterlich, Norman; Hahn, Andreas

    2014-01-01

    Food supplements, if not properly used, may lead to potentially harmful nutrient intake. The purpose of this survey was to examine vitamin intake from food supplements. Taking into account the intake from food, as obtained from the National Nutrition Survey, it was determined whether the tolerable upper intake levels (ULs) were exceeded via supplements alone, or in combination with food. Data from 1070 supplement users (18-93 years) was available. The dietary and supplemental vitamin intakes of three groups were analyzed: average intake (50th percentile food+50th percentile supplements), middle-high intake (50th+95th) and high intake (95th+95th). Vitamin C (53%), vitamin E (45%) and B vitamins (37-45%) were consumed most frequently. Few subjects (n=7) reached or exceeded the ULs through supplements alone. The UL for vitamin A and folate was reached by a few men in the middle-high group, and by a few men and women in the high intake group. Otherwise, even in the high intake group, the recommended vitamin D intake of 20 µg/day (in case of insufficient endogenous synthesis) could not be achieved. The use of food supplements was not associated with excessive vitamin intake in this survey, except in a small number of cases. Vitamin A intake above the UL was the result of high dietary intake which also included the intake of β-carotene, rather than the result of overconsumption of food supplements. Diets mainly included folate from natural sources, which has no associated risk.

  8. Breeding for feed intake capacity in pigs

    Eissen, J.J.

    2000-01-01

    This thesis deals with feed intake capacity of pigs. By selection, breeding organizations try to achieve genetic improvement in production and reproduction efficiency. Future genetic improvement may become constrained by a limited feed intake capacity of growing pigs and lactating sows, respectively

  9. Changing micronutrient intake through (voluntary) behaviour change

    Jensen, Birger Boutrup; Lähteenmäki, Liisa; Grunert, Klaus G

    2012-01-01

    the complexity of mechanisms influencing possible behavioural changes, even though this only targets the intake of a single micronutrient. When considering possible options to promote folate intake, the feasibility of producing the desired outcome should be related to the mechanisms of required changes...

  10. Urban "accidental" wetlands mediate water quality and heat exposure for homeless populations in a desert city

    Palta, M.

    2015-12-01

    In urban settings where humans interact in complex ways with ecosystems, there may be hidden or unanticipated benefits (services) or harm (disservices) conferred by the built environment. We examined interactions of a highly vulnerable population, the homeless, with urban waterways and wetlands in the desert city of Phoenix, Arizona, U.S.A. Climate change models project increases in heat, droughts, and extreme floods for the southwestern U.S. These projected changes pose a number of problems for sustainability and quality of future water supply, and the ability of human populations to mitigate heat stress and avoid fatalities. Urban wetlands that are created "accidentally" (by water pooling in abandoned areas of the landscape) have many structural (e.g., soils and hydrology) and functional (e.g., high denitrification) elements that mimic natural, unaltered aquatic systems. Accidental wetland systems in the dry bed of the Salt River, fed by storm and waste water from urban Phoenix, are located within economically depressed sections of the city, and show the potential for pollutant and heat mitigation. We used a mixed-method socio-ecological approach to examine wetland ecosystem functions and the ways in which homeless populations utilize Salt River wetlands for ecosystem services. Interviews and trash surveys indicated that homeless people are accessing and utilizing the wetlands as a source of running water, for sanitary and heat mitigation services, and for recreation and habitation. Environmental monitoring demonstrated that the wetlands can provide a reliable source of running water, nutrient and pathogen removal, heat mitigation, and privacy, but they may also pose a health risk to individuals coming in contact with the water through drinking or bathing. Whether wetlands provided a net benefit vs. harm varied according to site, season, and particular service, and several tradeoffs were identified. For example, heat is highest during the summer storm season

  11. Accidental Thawing of Embryos, Cryopreserved for Transfer. Two Italian cases, Milan and Rome.

    Busardò, Francesco P; Vergallo, Gianluca Montanari; Turillazzi, Emanuela; Bolino, Giorgio; Vullo, Annamaria; Frati, Paola

    2016-01-01

    The bioethical and juridical debate on the status of frozen embryos sometimes adds new issues arising from new scientific evidence or by accidental occurrences that bring to the attention of the scientific community the need for new practical solutions. Within this scenario, there have been, in recent years, episodes concerning the accidental thawing of embryos, which have been cryopreserved for transfer. Two Italian cases (the Milan and the Rome cases) are here reported: the Milan case involves a couple undergoing artificial insemination. Three eggs were collected for insemination and two of them had been fertilized. During the night of 8/9 May 2007 a short circuit occurred, resulting in an electricity blackout, which caused the loss of the embryos in culture, which should have been transferred to the woman's uterus on 9 May. The couple applied for damage compensation from the hospital following the loss of the embryos. The case went to Court and the result was a judgment issued by the Milan civil court, which recognized that the centre was to blame for irreparable damage to the embryos. The Rome case, involves two couples (A and B) affected by sterility who applied to an authorized public centre to undergo an ART program. Following the medical procedures, two of the embryos produced were transferred to the woman in couple A and five were frozen, whereas three embryos produced by couple B were transferred to the uterus of the woman and six eggs were cryopreserved in the centre. Two years after the procedure there was an electricity blackout, and the backup electricity generator failed to function, causing the loss of the gametes and the embryos cryopreserved in the centre. Legal proceedings begun by the couples to obtain compensation for damages are still underway. The above reported cases have significantly intensified the bioethical debate on the lawfulness of such practices and on the fate of the cryopreserved embryos, at the same time opening new frontiers in

  12. ACUTE ACCIDENTAL POISONING IN CHILDREN: A HOSPITAL-BASED RETROSPECTIVE STUDY

    Kameshore

    2014-10-01

    Full Text Available INTRODUCTION: Acute accidental poisoning in children is a big problem anywhere in the world. Studies done elsewhere in India showed a wide range of incidence of the problem. Hence, it was felt important to study its magnitude and associated characteristics as of now. OBJECTIVE: The current study was taken up to know the magnitude among children admitted in JNIMS, Imphal which is a newly established medical institute and also to study the characteristics like age, gender, type of poison, duration of hospital-stay and outcome of the cases. MATERIALS & METHODS: Retrospective data of all acute accidental poisoning cases among children admitted in the Pediatrics Ward, JNIMS, Imphal during the period July 2008 - December 2013 were analyzed by using descriptive statistics. RESULT: Of all the 13,663 children admitted, 148 cases were because of acute accidental poisoning giving an incidence rate of 1.08%. The male is to female ratio was 1.31:1. The last three years of the study period showed a slightly increasing trend in the incidence. Children aged 1-4 years were the most commonly affected (65.54%. Kerosene oil was by far the commonest (42% of all the poisonous substances consumed. Food poisoning, poisoning with organic compounds, poisoning with medicinal drugs and poisoning with corrosives comprised 21%, 12%, 9% and 8% respectively of all the cases. There was no mortality. DISCUSSION: The incidence rate of 1.08% as found out from the current study was on the lower side as compared to reports of previous studies done in other parts of the country. Yet, it was two-fold of the incidence reported from RIMS which is situated in the same State. Parental negligence in storing poisonous substances in the household was implicated. They need to be made aware for keeping harmful poisonous substances in safe places out of the reach of children. CONCLUSION: Community-based studies are recommended for estimating more accurately the magnitude of the problem in the

  13. The Chernobyl – Thirty Years After The Post – Accidental Radiological – Hygienic and Medical Consequences

    G. G. Onishchenko

    2016-01-01

    Full Text Available As the result of the Chernobyl NPP accident more than 200 thousand square kilometers of the European territories were contaminated by Cs-137 in the amount of above 37 kBq/m2 (1 Ci/km2 . Belorussia, Russia and Ukraine amount up to 70% of this entire affected area. More than 600 000 people were engaged in the accidental cleanup operations, 340000 were evacuated or relocated within 1986-1991. The early stage evacuation efficacy is confirmed by the absence of acute radiation syndrome among the population and by the prevented collective dose which amounts to no less than 10 000 man/Sv. The effective measure to reduce the internal radiation dose to the population at the early accidental stage was introduction of maximum tentative permissive levels of radionuclide content in the foodstuffs.Among the identified post -accident medical consequences of the Chernobyl is the radiation syndrome found in 134 emergency cleanup workers within the first 24 hours of the accident’s development. Out of that number, 28 people died within the first four months, 19 people died before 2006. The accident’s liquidators developed radiation -induced leukemia ( the attributive risk value is 45-60% . People exposed to high radiation doses display the statistically significant 18% morbidity increase of all types of solid cancers at the doses above 150 mSv. There is the statistically significant information indicating the increased amount of thyroid cancer morbidity among those who were just children and teenagers at the time of the accident. The adverse psychological consequences are accounted for not just the fear of overexposure but also for the disturbance of the habitual lifestyle especially mindful of the forced relocation.The longterm protection measures, radionuclide decay and selfcleaning of the contaminated areas resulted in the drastic reduction of the population dose in the radioactively contaminated territories. In 2015, only in some settlements of the Briansk

  14. NSAIDs and the risk of accidental falls in the elderly: a systematic review.

    Hegeman, Judith; van den Bemt, Bart J F; Duysens, Jacques; van Limbeek, Jacques

    2009-01-01

    Accidental falls, especially those occurring in the elderly, are a major health and research topic nowadays. Besides environmental hazards and the physiological changes associated with aging, medication use (e.g. benzodiazepines, vasodilators and antidepressants) and polypharmacy are significant risk factors for falling as well. Exposure to NSAIDs has been associated with accidental falls too, although information on this area is less consistent. Therefore, the main goal of this review is to provide an updated overview of all the evidence published on the risk of falling due to NSAID use thus far. A systematic literature search for material published between 1966 and March 2008 in PubMed, EMBASE, the Cochrane Database of Systematic Reviews, Exerpta Medica, Current Contents and Science Citation Index was combined with a check of the reference lists of all the retrieved articles. Validity and data extraction of the eligible articles was assessed by adapted criteria, based on checklists that were originally developed to assess case-control or cohort studies. From the 16 selected articles, two studies were rejected because of clustering of data and one article was excluded because it contained the same data as that in one of the included articles. None of the articles retrieved included a randomized controlled trial. The remaining 13 studies all showed some lack in completeness of their statistical methods, and much variation in reporting of effects. The overall mean age was high in the study populations, leaving the results to be poorly generalizable to a larger population and other age categories. Despite these imperfections, all studies showed an increased risk of falling due to NSAID use (four significant, nine non-significant), and a tendency towards an increased fall risk with NSAID exposure could be noted. The results shown in the present review suggest that an increased risk for accidental falls is probable when elderly individuals are exposed to NSAIDs. The

  15. Metabolomics to Explore Impact of Dairy Intake

    Hong Zheng

    2015-06-01

    Full Text Available Dairy products are an important component in the Western diet and represent a valuable source of nutrients for humans. However, a reliable dairy intake assessment in nutrition research is crucial to correctly elucidate the link between dairy intake and human health. Metabolomics is considered a potential tool for assessment of dietary intake instead of traditional methods, such as food frequency questionnaires, food records, and 24-h recalls. Metabolomics has been successfully applied to discriminate between consumption of different dairy products under different experimental conditions. Moreover, potential metabolites related to dairy intake were identified, although these metabolites need to be further validated in other intervention studies before they can be used as valid biomarkers of dairy consumption. Therefore, this review provides an overview of metabolomics for assessment of dairy intake in order to better clarify the role of dairy products in human nutrition and health.

  16. Flavonoids as fruit and vegetable intake biomarkers

    Krogholm, Kirstine Suszkiewicz

    correlation coefficients between total fruit, juice, tea and vegetable intake estimated by FFQ and each of the biomarkers. This finding, of a statistically significant correlation between the Inter99 FFQ and two independent biomarkers indicates that the Inter99 FFQ provides a useful estimate of the overall...... dietary intake of fruits, juices, tea and vegetables in the Inter99 cohort. VCs for the FFQ ranged from 0.43-0.68 using 24h urine and from 0.35-0.64 using morning spot urine, indicating that the intake of fruits, juice, tea and vegetables was reflected by flavonoids both in morning spot and 24h urine...... of fruit and vegetable intake (Nielsen et al. 2002). The overall aim of the present Ph.D. thesis was to further develop and validate this potentially new fruit and vegetable biomarker and furthermore use it for the validation of self-reported dietary intake of fruits and vegetables in intervention...

  17. Numerical Simulation of a Hypersonic Air Intake

    Soumyajit Saha

    2015-05-01

    Full Text Available Numerical simulations were carried out to study the unsteady flow in an intake of hypersonic air-breathing vehicle. Unsteady RANS simulations were performed to examine started flow of the intake when cowl surface is parallel to the ramp surface. Though started, the flow was unsteady due to flow separation bubbles inside intake. Intake with larger cowl opening at which intake unstarted was also simulated. Simulations indicated unstarted flow, with large pressure oscillations. The numerically simulation results match reasonably well with experimental data. Calculated unstarting Mach number was found to be 3.0-3.2 in comparison of wind tunnel data of 3.6 for the same cowl opening angle.Defence Science Journal, Vol. 65, No. 3, May 2015, pp.189-195, DOI: http://dx.doi.org/10.14429/dsj.65.8254

  18. Prevalencia de foramen oval permeable en pacientes con accidente cerebrovascular o accidente isquémico transitorio criptogénicos

    Alejandro E. Contreras

    2009-01-01

    Full Text Available RESUMENIntroducciónEl foramen oval permeable (FOP se encuentra en alrededor de la cuarta parte de la población general. Pese a que su hallazgo no tiene repercusiones clínicas y no requiere tratamiento,se reconoce como una posible causa de accidente cerebrovascular (ACV criptogénico.ObjetivoConocer la prevalencia de FOP en pacientes estudiados por ACV o crisis isquémicas transitorias(CIT criptogénicos.Material y métodosSe analizaron retrospectivamente los ecocardiogramas transesofágicos de pacientes con ACVo CIT criptogénicos derivados para la evaluación de fuentes embolígenas. Se definió FOP alpasaje de una o más burbujas dentro de los tres primeros latidos luego de la opacificación dela aurícula derecha. Se definió aneurisma del septum interauricular (ASA a la excursióndel septum hacia la aurícula derecha o izquierda de 10 mm o más.ResultadosSe evaluaron 43 pacientes, edad promedio 59,6 ± 16,9 años, 41,9% mujeres. Se halló FOPen 13 pacientes (30,2% - IC 95% 15% a 44%, de los cuales 7 (16,3% del total de la poblaciónpresentaban FOP grande. Hubo 6 casos de ASA (14%, todos asociados con FOP y en 4 deellos (66% el FOP era grande.ConclusionesLa prevalencia de FOP en pacientes con ACV o CIT criptogénicos es del 30% y en uno decada tres de ellos se asocia con aneurisma del septum interauricular.REV ARGENT CARDIOL 2009;77:493-495.

  19. Multiple simultaneous intracerebral hemorrhages following accidental massive lumbar cerebrospinal fluid drainage: Case report and literature review

    Ruiz-Sandoval Jose

    2006-01-01

    Full Text Available Multiple simultaneous intracerebral hemorrhages (ICH are uncommon. We report the case of an 80-year-old woman with previous diagnosis of normal pressure hydrocephalus and who was brought to our hospital with altered mental status and urinary incontinence. Medical history of hypertension, hematological disorders or severe head trauma was absent. Platelet count and coagulation profile were unremarkable. An initial head computed tomography (CT showed sulcal enlargement and ventricular dilatation, but no evidence of ICH. A tap test indicated as a guide to case selection for shunt surgery accidentally resulted in cerebrospinal fluid (CSF overdrainage. The patient presented sudden neurological deterioration, with sluggishly responsive pupils and generalized tonic-clonic seizures. A new head CT demonstrated multiple supra and infratentorial ICH. The patient became comatose and had a fatal course. Hence, CSF overdrainage may either cause or precipitate multiple simultaneous ICHs, affecting both the infratentorial and supratentorial regions.

  20. Accidental permutation symmetries as a test for Grand Unification: the supersymmetric $SU(5)$ case

    Fichet, Sylvain

    2016-01-01

    Unification of matter fields implies the existence of accidental permutation symmetries, which potentially remain immune to large quantum corrections up to the TeV scale. We investigate the case of a supersymmetric $SU(5)$ grand unified theory, where such a permutation symmetry is present in the up-type squark sector. We present a variety of tests allowing to challenge the $SU(5)$ hypothesis based on the observation of squarks at the LHC. These tests appear as relations among observables involving flavour-violating or chirality-flipping decays of squarks. Moreover, they rely on top-polarimetry and charm-tagging. As an example, we discuss the application to the scenario of Natural Supersymmetry, while more examples can be found in the related journal publications.

  1. 'Battered pets': features that raise suspicion of non-accidental injury.

    Munro, H M; Thrusfield, M V

    2001-05-01

    A study of veterinarians' perceptions, and experience, of non-accidental injury (NAI) to pets was undertaken using an anonymous questionnaire distributed to a random sample of 1000 small animal practitioners in the UK. NAI was acknowledged by 91.3 per cent (95 per cent confidence interval, 88.2 to 93.9 per cent) of the 404 respondents who returned questionnaires, of whom 48.3 per cent (95 per cent confidence interval, 43.4 to 53.1 per cent) had either suspected or seen NAI. Four hundred and forty-eight cases were documented, predominantly in dogs (243) and cats (182). Factors either raising suspicion, or facilitating recognition, of NAI included: implication of a particular person, features of the history, referral agency involvement, behaviour of the owner and/or the animal, nature of the injuries, and socioeconomic class of owners. Additionally, sexual abuse and suspected cases of Munchausen syndrome by proxy were recorded.

  2. Cardiac thrombus developing after an accidental high-voltage electric shock in a child.

    Akın, Alper; Bilici, Meki; Demir, Fikri; Gözü Pirinççioğlu, Ayfer; Yavuz, Celal

    2015-01-01

    Electric shock is a condition that may affect various organ systems and potentially cause death. Cardiac findings vary from asymptomatic mild injury to fatal myocardial involvement. Herein we present a five-year-old boy with a cardiac thrombus developing after an accidental electrical shock. Cardiac arrhythmias and evidence of ischemia have been reported after electric shock; we were, however, unable to identify an earlier case report of intracardiac thrombosis related to electric shock. Findings such as elevated cardiac enzymes and systolic dysfunction, which indicate myocardial damage following electric shock, were present in our patient. We think that the cardiac thrombus might have resulted from the myocardial damage and the slowed intracardiac blood flow related to systolic dysfunction. As the thrombus was thought to have been formed through known mechanisms, it was treated traditionally. However, further data regarding the etiology and management of such thrombi is needed.

  3. El seguro de accidentes personales en Colombia y su visión jurisprudencial.

    Fabio Bonilla

    2003-01-01

    Full Text Available Un recorrido a través de 25 años de jurisprudencia colombiana, permite al autor exponer y comentar la posición de la jurisprudencia nacional en torno a la definición de accidente y la distribución de la carga probatoria en las pólizas de seguro de riesgos accidentales. Se destaca este artículo por poner de presente el contraste existente entre el derecho colombiano y el de los países europeos en lo referido a la definición del riesgo en este tipo de pólizas, con base en requerimientos de intencionalidad por parte del tercero que con su intervención da lugar al siniestro.

  4. Complications following an accidental sodium hypochlorite extrusion: A report of two cases

    Bosch-Aranda, María L.; Canalda-Sahli, Carlos; Gay-Escoda, Cosme

    2012-01-01

    Sodium hypochlorite (NaOCl) is the most commonly used solution in root canal treatments, as it is a low-cost method that displays a very effective antimicrobial activity against microbiota of infected root canals. However, this solution can cause complications especially due to its cytotoxic features. When this solution is injected into the adjacent tissues, the patient usually experiences intense pain, and an urgent treatment should be implemented in order to prevent a long-term sequelae. This paper describes the clinical features of two patients that experienced an accidental extrusion of NaOCl after endodontic treatment of varying severity and with different treatments. Furthermore, it shows the long-term neurologic injuries that this type of accidents may cause and a treatment protocol for these situations will be suggested. Key words:Nerve damage, root canal irrigation, root canal treatment, sodium hypochlorite. PMID:24558554

  5. Accidental $\\xi$-scaling as a signature of nuclear effects at x $>$ 1

    Benhar, O

    1995-01-01

    We propose an interpretation of the \\xi-scaling behavior of nuclear structure functions observed at Bjorken x>1 and Q^2 \\lesssim 4 \\, {\\rm (GeV/c)^2}. We show that at \\xi \\gtrsim 1, \\xi-scaling might arise accidentally because of the approximate cancellation of two different Q^2-dependent effects, namely Final State Interactions and the effects implicit in the choice of the scaling variable \\xi. We provide a new convolution formula for the nuclear structure function in terms of \\xi and make predictions for the kinematical regions where Final State Interactions are expected to be small and the suggested balancing of scaling violations is expected to break down. Our analysis is aimed at the final goal of clarifying the range of applicability of local duality ideas in nuclei.

  6. Necrotizing fasciitis due to Streptococcus mitis caused by accidental human bite.

    Bastug, Aliye; Kislak, Sumeyye; Mutlu, Nevzat Mehmet; Akcaboy, Zeynep Nur; Koksal, Asude; Sertcelik, Ahmet; Ünlü, Ramazan Erkin; Akinci, Esragul; Bodur, Hurrem

    2016-01-31

    Human bite wounds are more prone to infection than animal bites, which may cause necrotizing soft tissue infections such as myositis, fasciitis. Both aerobic and anaerobic microorganisms may be responsible, including Streptococcus spp., Staphylococcus aureus, Peptostreptococcus spp. Necrotizing fasciitis is characterized by serious tissue destruction and systemic toxicity with high morbidity and mortality. We report a patient with Streptococcus mitis associated necrotizing fasciitis on the upper extremity resulting from an accidental human bite, which caused nearly fatal infection. Prophylactic antibiotic treatment should be given after a human bite to prevent infection. If the infection signs and symptoms develop, rapid diagnosis, appropriate antibiotic and surgical therapy should be administered immediately. Streptococcus mitis is a viridans streptococcus, usually known as a relatively benign oral streptococcus. To our knowledge, this is the first necrotizing fasciitis case due to Streptococcus mitis after human bite.

  7. Medical status of Marshallese accidentally exposed to 1954 Bravo fallout radiation, January 1983-December 1984

    Adams, W.H.; Engle, J.R.; Harper, J.A.; Heotis, P.M.; Scott, W.A.

    1986-01-01

    March 1, 1984, was the 30th anniversary of the Bravo thermonuclear test that resulted in the accidental exposure of the populations of Rongelap and Utirik atolls to radioactive fallout. The chronicling of the medical events resulting from that exposure is continued in this report, which covers the period from January 1983 through December 1984. An updated listing of all relevant publications from the Medical Department Brookhaven National Laboratory, is presented in the Reference Section. Thirty years of observation continue to show no detectable increase in mortality in the exposed population as a result of that exposure. The survival curves of the high-exposure Rongelap group, the low-exposure Utirik population, and an unexposed group of Rongelap people matched by age and sex to the exposed Rongelap group in 1957 continue to be similar. 89 refs., 2 figs., 6 tabs.

  8. Estimating accidental pollutant releases in the built environment from turbulent concentration signals

    Ben Salem, N.; Salizzoni, P.; Soulhac, L.

    2017-01-01

    We present an inverse atmospheric model to estimate the mass flow rate of an impulsive source of pollutant, whose position is known, from concentration signals registered at receptors placed downwind of the source. The originality of this study is twofold. Firstly, the inversion is performed using high-frequency fluctuating, i.e. turbulent, concentration signals. Secondly, the inverse algorithm is applied to a dispersion process within a dense urban canopy, at the district scale, and a street network model, SIRANERISK, is adopted. The model, which is tested against wind tunnel experiments, simulates the dispersion of short-duration releases of pollutant in different typologies of idealised urban geometries. Results allow us to discuss the reliability of the inverse model as an operational tool for crisis management and the risk assessments related to the accidental release of toxic and flammable substances.

  9. Accidental Continuous Releases from Coal Processing in Semi-Confined Environment

    Bruno Fabiano

    2013-09-01

    Full Text Available Notwithstanding the enforcement of ATEX EU Directives (94/9/EC of 23 March 1994 and safety management system application, explosions in the coal sector still claim lives and cause huge economic losses. Even a consolidated activity like coke dry distillation allows the opportunity of preventing explosion risk connected to fugitive emissions of coke oven gas. Considering accidental releases under semi-confined conditions, a simplified mathematical approach to the maximum allowed gaseous build-up is developed on the basis of the intrinsic hazards of the released compound. The results will help identifying and assessing low rate release consequences therefore to set-up appropriate prevention and control measures. The developed methodology was tested at the real-scale and validated by numerical computational fluid dynamics (CFD simulations showing the effectiveness of the methodology to evaluate and mitigate the risk connected to confined hazardous releases.

  10. Two viable large scalar multiplet models with an accidental Z2 symmetry

    Earl, Kevin; Logan, Heather E; Pilkington, Terry

    2013-01-01

    Models in which the Higgs sector is extended by a single scalar electroweak multiplet Z will possess an accidental global Z2 symmetry if Z has isospin T=5/2 (sextet) or 7/2 (octet) and carries the same hypercharge as the Standard Model Higgs doublet. This Z2 symmetry keeps the lightest (neutral) member of Z stable and has interesting implications for phenomenology. We determine the constraints on these models from precision electroweak measurements and Higgs boson decays to two photons. We compute the thermal relic density of the stable member of Z and show that, for masses below 1 TeV, it can make up at most 1% of the dark matter in the universe. We also show that current dark matter direct detection experiments do not constrain the models, but future ton-scale experiments will probe their parameter space.

  11. The accidental data scientist big data applications and opportunities for librarians and information professionals

    Affelt, Amy

    2015-01-01

    Harvard Business Review recently named the data scientist described as a high-ranking professional with the training and curiosity to make discoveries in the world of Big Data as "the sexiest job of the 21st century." Librarians and information professionals have always worked with data in order to meet the information needs of their constituents, thus "Big Data" is not a new concept for them though it is spawning new approaches along with a language all its own. InThe Accidental Data Scientist, Amy Affelt shows information professionals how to leverage their skills and training to master emerging tools, techniques, and vocabulary; create mission-critical Big Data research deliverables; and discover rewarding new career opportunities by embracing their inner Data Scientist.

  12. The radiological impact on the Greater London population of postulated accidental releases from the Sizewell PWR

    Kelly, G N; Charles, D; Hemming, C R

    1983-01-01

    This report contains an assessment of the radiological impact on the Greater London population of postulated accidental releases from the Sizewell PWR. Three of the degraded core accident releases postulated by the CEGB are analysed. The consequences, conditional upon each release, are evaluated in terms of the health impact on the exposed population and the impact of countermeasures taken to limit the exposure. Consideration is given to the risk to the Greater London population as a whole and to individuals within it. The consequences are evaluated using the NRPB code MARC (Methodology for Assessing Radiological Consequences). The results presented in this report are all conditional upon the occurrence of each release. In assessing the significance of the results, due account must be taken of the frequency with which such releases may be predicted to occur.

  13. Forensic aspects of paediatric fractures. Differentiating accidental trauma from child abuse

    Bilo, Rob A.C. [Netherlands Forensic Institute, The Hague (Netherlands). Department of Pathology and Toxicology; Rijn, Rick R. van [Emma Childrens' s Hospital/Academic, Medical Center Amsterdam (Netherlands). Department of Radiology; Robben, Simon G.F. [Maastricht University Medical Center, Maastricht (Netherlands)

    2010-07-01

    Fractures are a common finding in children and it is estimated that 2.1% of all children will suffer at least one fracture before the age of 16. With young children in particular, the question may arise if this is related to child abuse. The aim of this book is to help physicians involved in child abuse cases to interpret radiological findings in light of the forensic circumstances under which they occurred. The authors present up-to-date literature related to the mechanisms underlying non-accidental cases of trauma. In this book not only the radiological findings in child-abuse are discussed, but more importantly, these findings are analyzed from a forensic perspective. Careful attention is paid to evidence regarding reported trauma mechanisms and their clinical outcome; for example, can a fall from a couch result in a femoral fracture, and if not, where is the supporting evidence? (orig.)

  14. Urban Early Adolescent Narratives on Sexuality: Accidental and Intentional Influences of Family, Peers, and the Media.

    Charmaraman, Linda; McKamey, Corinne

    2011-01-01

    In this paper, we examine the ways that early adolescents talked, interacted, and made references to events in their individual and collective lives during photography-based focus groups about sexuality and relationships. Twenty-three participants (10 boys and 13 girls) were recruited from three urban schools participating in a comprehensive sex education impact evaluation in the Northeast. We analyzed conversational narratives that were elicited in a group process while sharing photos of important people, contexts, and situations, showcasing participants' exploration of sexuality and relationships. Our analysis revealed four main themes: (a) direct and indirect family communication about sexuality, (b) accidental and intentional Internet usage, (c) shared and contested peer knowledge, and (d) school as a direct and indirect learning context. Implications and future directions for practice, research, and policy are explored.

  15. Personal, Social and Environmental Factors regarding Fruit and Vegetable Intake among Schoolchildren in Nine European Countries

    Sandvik, Camilla; Bourdeaudhuij, Ilse De; Due, Pernille;

    2005-01-01

    European schoolchildren, psychosocial correlates, environmental correlates, fruit intake, vegetable intake, pro children study......European schoolchildren, psychosocial correlates, environmental correlates, fruit intake, vegetable intake, pro children study...

  16. El Cuerpo Militar de Sanidad en la Investigación de Accidentes Aéreos

    F. Rios Tejada

    2012-12-01

    Full Text Available La investigación de un accidente o incidente aéreo puede ser simple o enormemente compleja. El proceso de investigación puede conducir a la elaboración de un informe directo y conciso o lo más frecuente, significa un largo camino de recopilación, análisis, estudio y finalmente la elaboración de posibles conclusiones. En este proceso, los aspectos médicos, psicológicos, ambientales, psicosociales o ergonómicos englobados en el término genérico de factores humanos cobran una especial relevancia, atribuyéndose hasta un 60-80% de causas directas o coadyuvantes al mismo. En este trabajo se revisan los antecedentes jurídicos y base legal en la que se apoya la Comisión para la investigación técnica de accidentes de aeronaves militares (CITAAM, así como sus atribuciones, organización y composición, sus funciones generales y más concretamente las encomendadas al vocal médico de la misma. Desde su creación en 1994, la experiencia acumulada ha sido enorme, haciéndose mención de algunos datos de interés estadístico pero señalando también la labor de formación realizada y su proyección nacional e internacional, sobre todo en el marco de la OTAN.

  17. Circumstances and factors associated with accidental deaths among children, adolescents and young adults in Cuiaba, Brazil

    Christine Baccarat de Godoy Martins

    Full Text Available CONTEXT AND OBJECTIVE Analysis on accidents from the perspective of population segments shows there is higher incidence among children, adolescents and young adults. Since the characteristics and circunstances of the event are closely related to educational, economic, social and cultural issues, identifying them may contribute towards minimizing the causes, which are often fatal. The aim here was to identify the environmental, chemical, biological and cultural factors associated with deaths due to accidents among children, adolescents and young adults in Cuiabá, in 2009. DESIGN AND SETTING This was a descriptive cross-sectional study conducted in Cuiabá, Mato Grosso, Brazil. RESULTS Thirty-nine accidental deaths of individuals aged 0 to 24 years were examined: 56.4% due to traffic accidents; 25.6%, drowning; 10.3%, aspiration of milk; 5.1%, falls; and 2.6%, accidentally triggering a firearm. Male victims predominated (82.1%. The presence of chemical, environmental and biological risk factors was observed in almost all of the homes. Regarding cultural factors and habits, a large proportion of the families had no idea whether accidents were foreseeable events and others did not believe that the family's habits might favor their occurrence. Delegation of household chores or care of younger siblings to children under the age of 10 was common among the families studied. CONCLUSION The results point towards the need to have safe and healthy behavioral patterns and environments, and to monitor occurrences of accidents, thereby structuring and consolidating the attendance provided for victims.

  18. Observations on increased accidental asphyxia deaths in infancy while cosleeping in the state of Maryland.

    Li, Ling; Zhang, Yang; Zielke, Ron H; Ping, Yan; Fowler, David R

    2009-12-01

    The Office of the Chief Medical Examiner (OCME) has recorded a significant increase of accidental asphyxia deaths in infancy associated with cosleeping in the state of Maryland in 2003. A total of 102 infants died suddenly and unexpectedly during 2003 in the state of Maryland. Of the 102 infants, 46 (45%) were found cosleeping. The frequency of cosleeping among these 102 infants was 28% (29/102) for black infants and 15% (15/102) for white infants. Ten of the 46 cosleeping infant deaths (20%) were determined to be the result of accidental asphyxia, and 28 cosleeping infant deaths (59%) were classified as "undetermined" because the possibility of asphyxia due to overlay while cosleeping could not be ruled out. Only 21 cases were determined to be Sudden Infant Death Syndrome (SIDS), which is consistent with the continuous decline of SIDS death in Maryland since 1994. The age of asphyxiated cosleeping infants ranged from 15 days to 9 months. Nine out of the 10 asphyxia deaths were black infants. The most common sleeping location of the asphyxia infants was on a couch/sofa, followed by an adult bed. Crib availability was documented in all of the cosleeping cases. A majority (61%) of the cosleeping infants (28/46) had an available crib or bassinet at home and 9 out of 10 asphyxiated cosleeping infants had a crib at home at the time of the incident. This report focuses on the detailed scene investigation findings of infant victims who died of asphyxia while cosleeping. The shift of diagnosis in sudden infant death investigation is also addressed.

  19. The effectiveness of a multidisciplinary QI activity for accidental fall prevention: Staff compliance is critical

    Ohde Sachiko

    2012-07-01

    Full Text Available Abstract Background Accidental falls among inpatients are a substantial cause of hospital injury. A number of successful experimental studies on fall prevention have shown the importance and efficacy of multifactorial intervention, though success rates vary. However, the importance of staff compliance with these effective, but often time-consuming, multifactorial interventions has not been fully investigated in a routine clinical setting. The purpose of this observational study was to describe the effectiveness of a multidisciplinary quality improvement (QI activity for accidental fall prevention, with particular focus on staff compliance in a non-experimental clinical setting. Methods This observational study was conducted from July 2004 through December 2010 at St. Luke’s International Hospital in Tokyo, Japan. The QI activity for in-patient falls prevention consisted of: 1 the fall risk assessment tool, 2 an intervention protocol to prevent in-patient falls, 3 specific environmental safety interventions, 4 staff education, and 5 multidisciplinary healthcare staff compliance monitoring and feedback mechanisms. Results The overall fall rate was 2.13 falls per 1000 patient days (350/164331 in 2004 versus 1.53 falls per 1000 patient days (263/172325 in 2010, representing a significant decrease (p = 0.039. In the first 6 months, compliance with use of the falling risk assessment tool at admission was 91.5% in 2007 (3998/4368, increasing to 97.6% in 2010 (10564/10828. The staff compliance rate of implementing an appropriate intervention plan was 85.9% in 2007, increasing to 95.3% in 2010. Conclusion In our study we observed a substantial decrease in patient fall rates and an increase of staff compliance with a newly implemented falls prevention program. A systematized QI approach that closely involves, encourages, and educates healthcare staff at multiple levels is effective.

  20. ACCIDENTAL SUBCUTANEOUS INJECTION OF VECURONIUM BROMIDE IN A PATIENT WITH BURNS

    Usha Dev

    2014-10-01

    Full Text Available BACKGROUND AND OBJECTIVES: In patients with burn injury drug pharmacology will be altered and this poses special anaesthetic challenge when an subcutaneous injection of a non- depolarizing muscle relaxant occurs in such a patient. Small studies remain an important source of knowledge and hence this study aims to provide information on the anaesthetic management in a case of accidental subcutaneous injection of vecuronium bromide in a burns patient. PRESENTATION, DIAGNOSIS & MANAGEMENT: A 22 year young male with 4 days old hot water induced grade 1 burns involving 45% of body surface area was posted for burns dressing. Anaesthesia was induced with propofol and vecuronium bromide through an external jugular vein to aid tracheal intubation. As the patient was not anaesthetized even after 10 minutes routine check lead to the discovery of fullness at the tip of the intravenous catheter indicating an extravasation of the drugs. Hence the other external jugular vein was cannulated and the patient induced and intubated using propofol, sevoflurane, nitrous oxide and oxygen. The action of vecuronium outlasted the duration of surgery. So the patient continued to receive support of mechanical ventilation with nitrous oxide and oxygen. It took 130 minutes for the clinical signs of recovery from the muscle relaxant to manifest. He was then reversed & extubated with subsequent good recovery. CONCLUSION: Subcutaneous injection of these drugs poses problems of delayed onset of action and prolonged duration of action. In an inadvertent accidental subcutaneous 0.1 mg/kg vecuronium bromide injection in a patient with 4 day old 45% burns showed delayed onset action and prolonged neuromuscular blockade due to subcutaneous deposition of the drug which was managed with mechanical ventilation .The reported resistance to the action of NDMR drugs in patient with burns was not noticed here probably because of the age of the thermal injury.

  1. Imaging of accidental contamination with F-18-solution; a quick trouble-shooting procedure

    Kalevi Kairemo

    2016-01-01

    Full Text Available To the best of our knowledge, imaging of accidental exposure to radioactive fluorine-18 (F-18 due to liquid spill has not been described earlier in the scientific literature. The short half-life of F-18 (t½=110 min, current radiation safety requirements, and Good Manufacturing Practice (GMP regulations on radiopharmaceuticals have restrained the occurrence of these incidents. The possibility of investigating this type of incidents by gamma and positron imaging is also quite limited. Additionally, a quick and precise analysis of radiochemical contamination is cumbersome and sometimes challenging if the spills of radioactive materials are low in activity. Herein, we report a case of accidental F-18 contamination in a service person during a routine cyclotron maintenance procedure. During target replacement, liquid F-18 was spilled on the person responsible for the maintenance. The activities of spills were immediately measured using contamination detectors, and the photon spectrum of contaminated clothes was assessed through gamma spectroscopy. Despite protective clothing, some skin areas were contaminated, which were then thoroughly washed. Later on, these areas were imaged, using positron emission tomography (PET, and a gamma camera (including spectroscopy. Two contaminated skin areas were located on the hand (9.7 and 14.7 cm2, respectively, which showed very low activities (19.0 and 22.8 kBq respectively at the time of incident. Based on the photon spectra, F-18 was confirmed as the main present radionuclide. PET imaging demonstrated the shape of these contaminated hot spots. However, the measured activities were very low due to the use of protective clothing. With prompt action and use of proper equipments at the time of incident, minimal radionuclide activities and their locations could be thoroughly analyzed. The cumulative skin doses of the contaminated regions were calculated at 1.52 and 2.00 mSv, respectively. In the follow-up, no skin

  2. Study of the degradations caused by nuclear accidental conditions on a steel coating

    Ayrinhac, F.; Terriol, J.M. [EDF Ceidre TEGG (France)

    2011-07-01

    The coatings used in nuclear power plants have an interest to make surfaces easily decontaminated and to protect carbon steel (liner and steelworks) from the corrosion. However, in the event of accidental conditions, in particular combining radiation and fast increase of temperature and pressure, these paintings must not constitute an uncontrolled source of debris which may block the safety related functions of core cooling. This experimental study reports the influence of thickness and colour of the withstanding of a steel coating during accidental conditions. The steel coating chosen has been qualified for the liner containment of EDF new generation nuclear power plants (EPR). According to its data sheet, it is composed of an anti-corrosion primer (45 {mu}m), of an intermediate coat (same nature than the primer, 45 {mu}m) and a top coat (50 {mu}m). The system, applied using an conventional spray, was studied by optical and electronic microscopy. After gun airless application and drying, steel samples underwent an irradiation test, a LOCA test followed by a post-accident (100 C an d 100% HR during 10 days). Microscopic analysis by SEM and optical microscopy were carried out in order to evaluate and compare degradations of samples. In conclusion, whatever the color chosen or the thickness obtained, the primers and second coat ('internal layer') do not undergo significant evolution during the test. The greatest part of degradations is inflicted on the top coat. These degradations take the form of vacuums of two types, micro-porosity (few microns diameter) and surface blisters connected with internal spherical vacuums of size ranging between 8 and 50 {mu}m

  3. Amputación corporal por accidente de trabajo en auxiliar de enfermería

    Alexander Finol Muñoz

    2014-12-01

    Full Text Available Los auxiliares de enfermería son un rango profesional expuesto a múltiples riesgos por las actividades inherentes a su trabajo, expuestos constantemente a sustancias desinfectantes que sin el uso apropiado de equipos de protección individual, puede provocar efectos adversos y lesiones en el trabajador. Caso Clínico: Mujer de 51 años de edad, auxiliar de enfermería, con antecedentes de Diabetes Mellitus tipo I y Síndrome de Túnel Carpiano. Presenta derrame accidental de líquido mientras llenaba envase de Biguanid®, cayéndole en todo el cuerpo, por lo que decide cambiarse el uniforme entero, conservando calcetines y zapatos por el resto del turno. Posteriormente presenta lesiones en región dorsal de 4tº dedo de pie izquierdo, las cuales reciben tratamiento médico y seguimiento, con evolución tórpida, se evidencia edema y osteomielitis de la falange por lo que se decide amputar el dedo afectado. Una vez recuperada, fue estudiada con pruebas de provocación, evidenciando la susceptibilidad de la trabajadora a dicho desinfectante. Se propone al Instituto Nacional de Seguridad Social (INSS como accidente de trabajo y una indemnización por lesión permanente no invalidante, ambas peticiones con respuesta favorable para la trabajadora. Actualmente sigue desempeñando sus funciones como auxiliar en el hospital. El cumplimiento y vigilancia de las normas de prevención, basados en los riesgos laborales permitirá evitar este tipo de incidentes en la población laboral, evitando a largo plazo lesiones corporales, discapacidades y bajas laborales que alteran la calidad de vida del trabajador y de su entorno profesional.

  4. Estructuración del diplomado en investigación de accidentes aéreos de la Fuerza Aérea Colombiana

    Jean Paul Strong Flores

    2006-01-01

    Full Text Available Esta investigación tiene como objetivo la elaboración del diplomado en investigación de accidentes aéreos que suministrará las competencias necesarias para liderar las investigaciones de accidentes o incidentes aéreos. Esto en el marco de la educación continuada en investigación de accidentes aéreos permitirá a los oficiales de seguridad determinar con exactitud las causas de los accidentes, de tal forma que sea una medida correctiva para desarrollar destreza y habilidades en la investigación de accidentes.

  5. Health effects of protein intake in healthy adults

    Pedersen, Agnes N.; Kondrup, Jens; Børsheim, Elisabet

    2013-01-01

    between cardiovascular diseases and total protein intake; suggestive for an inverse relationship between blood pressure (BP) and vegetable protein; probable to convincing for an inverse relationship between soya protein intake and LDL cholesterol; inconclusive for a relationship between protein intake...

  6. Perfiles resilientes y calidad de vida en personas con discapacidad sobrevenida por accidentes de tráfico

    Raquel Suriá Martínez

    2015-09-01

    Conclusión: Esto sugiere la necesidad de profundizar en el conocimiento de la resiliencia y en el diseño de programas que incrementen la calidad de vida de las personas con discapacidad tras un accidente de tráfico.

  7. Accidental and deliberate microbiological contamination in the feed and food chains — How biotraceability may improve the response to bioterrorism

    Knutsson, Rickard; van Rotterdam, Bart; Fach, Patrick

    2011-01-01

    A next frontier of the global food safety agenda has to consider a broad spectrum of bio-risks, such as accidental and intentional contaminations in the food and feed chain. In this article, the background for the research needs related to biotraceability and response to bioterrorism incidents ar...

  8. Notificación de accidentes y enfermedades laborales al Ministerio de Trabajo. Perú 2010-2014

    Christian R Mejia

    Full Text Available Con el objetivo de determinar las tendencias de los accidentes y enfermedades laborales notificadas al Ministerio de Trabajo del Perú, se realizó un estudio descriptivo de datos secundarios, con los reportes extraídos de los boletines mensuales desde septiembre de 2010 a diciembre de 2014. Se notificaron a nivel nacional 54 596 accidentes laborales no mortales, las tasas de los accidentes laborales no mortales por millón de habitantes aumentaron en el período 2011- 2013 (296,5 el 2011, 955,9 el 2012 y 1176,3 el 2013, disminuyendo en el 2014 (878,9. Hubieron 674 accidentes mortales, cuyas tasas se incrementaron entre el 2011-2012 y se redujeron entre el 2013-2014. Se reportaron 346 enfermedades laborales, las más frecuentes fueron los casos de hipoacusia (77, enfermedades por posturas inadecuadas (57 y dermatitis alérgica (44; los reportes se redujeron de 6,9 en el 2011 a 2,3 en el 2014. Los reportes de enfermedades laborales fueron disminuyendo, lo que podría indicar una subnotificación importante

  9. Suboptimal Micronutrient Intake among Children in Europe

    Boris Kaganov

    2015-05-01

    Full Text Available Adequate dietary intake of micronutrients is not necessarily achieved even in resource-rich areas of the world wherein overeating is a public health concern. In Europe, population-based data suggests substantial variability in micronutrient intake among children. Two independent surveys of micronutrient consumption among European children were evaluated. Stratified by age, the data regarding micronutrient intake were evaluated in the context of daily requirements, which are typically estimated in the absence of reliable absolute values derived from prospective studies. The proportion of children living in Europe whose intake of at least some vitamins and trace elements are at or below the estimated average requirements is substantial. The most common deficiencies across age groups included vitamin D, vitamin E, and iodine. Specific deficiencies were not uniform across countries or by age or gender.  Micronutrient intake appears to be more strongly influenced by factors other than access to food. Substantial portions of European children may be at risk of reversible health risks from inadequate intake of micronutrients. Despite the growing health threat posed by excess intake of calories, adequate exposure to vitamins, trace elements, and other micronutrients may deserve attention in public health initiatives to optimize growth and development in the European pediatric population.

  10. Dietary intake and urinary excretion of lignans in Finnish men

    Nurmi, Tarja; Mursu, Jaakko; Peñalvo, José L;

    2010-01-01

    of plant lignans was explained 14 % by the intake of rye products and intake of coffee, and consequently 3-7 % by the intake of water-insoluble fibre. The urinary excretion of enterolactone was explained 11 % by the intake of vegetables and rye products, 14 % by the intake of water-soluble fibre and only 4....../d, of which lariciresinol and pinoresinol covered 78 %. Almost half (47 %) of the intake of lignans was explained by the intake of rye products, berries, coffee, tea and roots. The urinary excretion of plant lignans corresponded to 17 % and enterolignans to 92 % of the intake of lignans. The urinary excretion...

  11. Iodine intake in Denmark; Jodindtagelse i Danmark

    Pedersen, K.M.; Noehr, S.B.; Laurberg, P. [Aalborg Sygehus, Medicinsk Endokrinologisk Afd. og Gynaekologisk/Obstetrisk afd. (Denmark)

    1997-04-01

    Iodine deficiency with a high frequency of goitre and, in severely affected areas, cretinism is common in some areas of the world. In Denmark the iodine intake as evaluated by urinary iodine excretion has been at a stable low level for many years, except for the part of the population now taking iodine supplementation as part of vitamin/mineral preparations. The iodine intake is lowest in the western part to the country where an epidemiological study of elderly subjects has demonstrated a high frequency of goitre and hyperthyroidism in women. This supports the suggestion of a controlled moderate increase in iodine intake via an iodine supplementation program. (au) 40 refs.

  12. Food intake and nutritional status after gastrectomy

    Bisballe, S; Buus, S; Lund, B

    1986-01-01

    Food intake and nutritional status was studied in 67 patients, who had had a gastrectomy 2-30 years earlier, and in a randomly selected, matched group of healthy persons. The gastrectomized patients weighed less than the control persons (women 56.4 +/- 9.5 vs 61.4 +/- 6.9 kg; P less than 0.05; men.......01). The serum concentration of alkaline phosphatase was raised and the concentration of calcium, phosphorus and 25-hydroxycholecalciferol reduced in the gastrectomized group. None of these results could be explained from the nutritional study as both the intake of energy and protein and the intake of calcium...

  13. Mapping low intake of micronutrients across Europe

    Mensink, G. B. M.; Fletcher, R.; Gurinovic, M.

    2013-01-01

    Achieving an understanding of the extent of micronutrient adequacy across Europe is a major challenge. The main objective of the present study was to collect and evaluate the prevalence of low micronutrient intakes of different European countries by comparing recent nationally representative......, the study suggests that the risk of low intakes is likely to appear more often in specific age groups. In spite of the limitations of the data, the present study provides valuable new information about micronutrient intakes across Europe and the likelihood of inadequacy country by country....

  14. Detecting beer intake by unique metabolite patterns

    Gürdeniz, Gözde; Jensen, Morten Georg; Meier, Sebastian

    2016-01-01

    Evaluation of health related effects of beer intake is hampered by the lack of accurate tools for assessing intakes (biomarkers). Therefore, we identified plasma and urine metabolites associated with recent beer intake by untargeted metabolomics and established a characteristic metabolite pattern...... representing raw materials and beer production as a qualitative biomarker of beer intake. In a randomized, crossover, single-blinded meal study (MSt1) 18 participants were given one at a time four different test beverages: strong, regular and non-alcoholic beers and a soft drink. Four participants were...... assigned to have two additional beers (MSt2). In addition to plasma and urine samples, test beverages, wort and hops extract were analyzed by UPLC-QTOF. A unique metabolite pattern reflecting beer metabolome, including metabolites derived from beer raw material (i.e. N-methyl tyramine sulfate and the sum...

  15. Eliminate Sweetened Drinks, Cut Kids' Sugar Intake

    ... fullstory_161163.html Eliminate Sweetened Drinks, Cut Kids' Sugar Intake Average U.S. child consumes about 80 grams ... Looking for the quickest way to cut added sugar from your kid's diet? Eliminate sugar-sweetened drinks, ...

  16. Using metabolomics to evaluate food intake

    Manach, Claudine; Brennan, Lorraine; Dragsted, Lars Ove

    2015-01-01

    Improving dietary assessment is essential for modern nutritional epidemiology. This chapter discusses the potential of metabolomics for the identification of new biomarkers of intake and presents the first candidate biomarkers discovered using this approach. It then describes the challenges that ...

  17. Intake of calorically sweetened beverages and obesity

    Olsen, N J; Heitmann, B L

    2009-01-01

    The prevalence of obesity has increased in the past 30 years, and at the same time a steep increase in consumption of soft drinks has been seen. This paper reviews the literature for studies on associations between intake of calorically sweetened beverages and obesity, relative to adjustment...... studies were identified. The majority of the prospective studies found positive associations between intake of calorically sweetened beverages and obesity. Three experimental studies found positive effects of calorically sweetened beverages and subsequent changes in body fat. Two experimental studies did...... not find effects. Eight prospective studies adjusted for energy intake. Seven of these studies reported associations that were essentially similar before and after energy adjustment. In conclusion, a high intake of calorically sweetened beverages can be regarded as a determinant for obesity. However...

  18. Caffeine intake reduces sleep duration in adolescents.

    Lodato, Francesca; Araújo, Joana; Barros, Henrique; Lopes, Carla; Agodi, Antonella; Barchitta, Martina; Ramos, Elisabete

    2013-09-01

    In our study, we hypothesized that higher caffeine intake would be associated with lower sleep duration among 13-year-old adolescents. In addition, we aimed to identify food sources of caffeine intake in this sample. Eligible participants were adolescents who were born in 1990 and attended school in Porto, Portugal, in 2003/2004. Self-administered questionnaires were used, and diet was evaluated using a food frequency questionnaire. From the 2160 eligible participants, only 1522 with valid information regarding their diet were included in this study. In our sample, the median intake of caffeine was 23.1 mg/d, with soft drinks being the major source. Ice tea presented the highest median (25th-75th percentiles) contribution (33.1% [14.0-52.1]), followed by cola (21.1% [6.4-37.6]). Regarding cocoa products, chocolate bars presented a median contribution of 5.1% (1.0-14.0), and snacks containing chocolate had a contribution of 3.0% (0.5-7.2). Coffee and tea presented a negligible contribution. Adolescents who reported less sleep duration and those who spent more time watching TV during the weekend had a significantly higher caffeine intake. Overall, boys had higher intakes of caffeine from soft drinks, and private school attendees, those who had parents with more education, who reported less television viewing time and had lower body mass index presented higher intakes of caffeine from chocolate. Considering sleeping more than 9.5 hours as a reference class, for each increase of 10 mg/d in caffeine intake, we found that the odds ratio of sleeping 8.5 hours or less was 1.12 (95% confidence interval, 1.06-1.19). Our results support the hypothesis that caffeine intake was inversely associated with sleep duration in adolescents.

  19. Food intake in patients on hemodialysis

    Inaiana Marques Filizola Vaz

    2014-12-01

    Full Text Available Objective: To evaluate the intake of energy and nutrients by individuals on hemodialysis, following especific recommendations for this population and according to Food Guide for the Brazilian Population. Methods: A cross-sectional study, 118 adult patients, considered stable from, ten dialysis centers in Goiânia, Goiás. Dietary intake was estimated by six 24-hour recalls, and classified as adequate or inadequate, according to specific recommendations for individuals undergoing dialysis and that recommended for a healthy diet. A descriptive analysis was performed. Results: Average dietary intake of 2022.40 ± 283.70 kcal/day; 31.18 kcal/kg/day; 55.03 ± 4.20% carbohydrate; 30.23 ± 3.71% lipid, 1.18 ± 0.23 g protein/kg/day. Important prevalences of inadequacy were observed for the intake of calories (39.0%, protein (39.0% and other nutrients such as retinol (94.9%, saturated fat (87.3%, cholesterol (61,9%, iron (61.0%, potassium (60.2% and zinc (45.0%. Patients had a low intake of fruit food group (1.22 ± 0.89 servings and vegetables (1.76 ± 1.01 servings, dairy products (0.57 ± 0.43 servings and high intake of food group of oils and fats (3.45 ± 0.95 servings, sugars and sweets (1.55 ± 0.77 servings. Conclusion: Observed food consumption imbalance, characterized by excess of oils and fats, especially saturated oils and cholesterol, sugars and sweets, parallel to low intake of fruits and vegetables and dairy products. A considerable percentage of patients did not intake the minimum recommended of calories, protein, retinol, iron, zinc and potassium.

  20. Normal range of human dietary sodium intake

    McCarron, David A; Kazaks, Alexandra G; Geerling, Joel C

    2013-01-01

    The recommendation to restrict dietary sodium for management of hypertensive cardiovascular disease assumes that sodium intake exceeds physiologic need, that it can be significantly reduced, and that the reduction can be maintained over time. In contrast, neuroscientists have identified neural...... circuits in vertebrate animals that regulate sodium appetite within a narrow physiologic range. This study further validates our previous report that sodium intake, consistent with the neuroscience, tracks within a narrow range, consistent over time and across cultures....

  1. Potential Intake Of Intense Sweeteners In Brazil.

    Toledo, M C; Ioshi, S H

    2015-01-01

    A survey of intense sweetener intakes was carried out in the winter of 1990 and summer of 1991 in Brazil. Data on the potential intake of the intense sweeteners aspartame, cyclamate and saccharin were generated, based on a representative sample of 673 individuals who completed a questionnaire designed to collect information on demographic details and habitual usage of sweetener-containing food and drinks. The respondents were randomly chosen among intense sweetener consumers living the cities...

  2. Measuring food intake with digital photography.

    Martin, C K; Nicklas, T; Gunturk, B; Correa, J B; Allen, H R; Champagne, C

    2014-01-01

    The digital photography of foods method accurately estimates the food intake of adults and children in cafeterias. When using this method, images of food selection and leftovers are quickly captured in the cafeteria. These images are later compared with images of 'standard' portions of food using computer software. The amount of food selected and discarded is estimated based upon this comparison, and the application automatically calculates energy and nutrient intake. In the present review, we describe this method, as well as a related method called the Remote Food Photography Method (RFPM), which relies on smartphones to estimate food intake in near real-time in free-living conditions. When using the RFPM, participants capture images of food selection and leftovers using a smartphone and these images are wirelessly transmitted in near real-time to a server for analysis. Because data are transferred and analysed in near real-time, the RFPM provides a platform for participants to quickly receive feedback about their food intake behaviour and to receive dietary recommendations for achieving weight loss and health promotion goals. The reliability and validity of measuring food intake with the RFPM in adults and children is also reviewed. In sum, the body of research reviewed demonstrates that digital imaging accurately estimates food intake in many environments and it has many advantages over other methods, including reduced participant burden, elimination of the need for participants to estimate portion size, and the incorporation of computer automation to improve the accuracy, efficiency and cost-effectiveness of the method.

  3. Hypospadias and maternal intake of phytoestrogens.

    Carmichael, Suzan L; Cogswell, Mary E; Ma, Chen; Gonzalez-Feliciano, Amparo; Olney, Richard S; Correa, Adolfo; Shaw, Gary M

    2013-08-01

    Experimental data indicate that gestational exposures to estrogenic compounds impact risk of hypospadias. We examined whether risk of hypospadias (i.e., a congenital malformation in which the opening of the penile urethra occurs on the ventral side of the penis) was associated with maternal intake of phytoestrogens, given their potential impact on estrogen metabolism. The analysis included data on mothers of 1,250 hypospadias cases and 3,118 controls who delivered their infants from 1997 to 2005 and participated in the National Birth Defects Prevention Study, a multistate, population-based, case-control study. After adjustment for several covariates, high intakes of daidzein, genistein, glycetin, secoisolariciresinol, total isoflavones, total lignans, and total phytoestrogens were associated with reduced risks; odds ratios comparing intakes ≥90th percentile with intakes between the 11th and 89th percentiles ranged from 0.6 to 0.8. For example, the odds ratio for total phytoestrogen intake was 0.7 (95% confidence interval: 0.5, 1.0). This study represents the first large-scale analysis of phytoestrogen intake and hypospadias. The observed associations merit investigation in additional populations before firm conclusions can be reached.

  4. Dietary reference intakes for DHA and EPA.

    Kris-Etherton, Penny M; Grieger, Jessica A; Etherton, Terry D

    2009-01-01

    Various organizations worldwide have made dietary recommendations for eicosapentaenoic acid (EPA), docosahexaenoic acid (DHA), and fish intake that are primarily for coronary disease risk reduction and triglyceride (TG) lowering. Recommendations also have been made for DHA intake for pregnant women, infants, and vegetarians/vegans. A Dietary Reference Intake (DRI), specifically, an Adequate Intake (AI), has been set for alpha-linolenic acid (ALA) by the Institute of Medicine (IOM) of The National Academies. This amount is based on an intake that supports normal growth and neural development and results in no nutrient deficiency. Although there is no DRI for EPA and DHA, the National Academies have recommended that approximately 10% of the Acceptable Macronutrient Distribution Range (AMDR) for ALA can be consumed as EPA and/or DHA. This recommendation represents current mean intake for EPA and DHA in the United States ( approximately 100mg/day), which is much lower than what many groups worldwide are currently recommending. Global recommendations for long-chain omega-3 fatty acids underscore the pressing need to establish DRIs for DHA and EPA because DRIs are recognized as the "official" standard by which federal agencies issue dietary guidance or policy directives for the health and well-being of individuals in the United States and Canada. Because of the many health benefits of DHA and EPA, it is important and timely that the National Academies establish DRIs for the individual long-chain (20 carbons or greater) omega-3 fatty acids.

  5. Intake technologies: Research status: Final report

    McGroddy, P.M.; Matousek, J.A.

    1989-03-01

    This report summarizes recent research activities related to fish protection at water intake structures, with particular emphasis on research reported on or conducted at pumped cooling-water intakes. Information gathered from 51 organizations (33 utilities, seven equipment manufacturers, six research organizations, two private engineering firms, one steel mill, and two government agencies) is provided along with specific summaries of EPRI-sponsored research on behavioral barriers at pumped and hydroelectric facilities. The level of research activity indicted by utilities at pumped intakes has decreased recently, although the interest in potential plant operational impact mitigative techniques remains high. Two studies sponsored by EPRI at pumped cooling-water intake structures evaluated the individual and combined deterrent capabilities of three devices: an air bubble curtain, pneumatic guns, and underwater strobe lights. A study conducted during 1985 and 1986 at Ontario Hydro's nearshore test facility, located in Lake Ontario off the Pickering Nuclear Generating Station intake, indicated that all three devices and combinations of devices elicited an avoidance response in alewife. The pneumatic gun exhibited the highest deterrent capability and the air bubble curtain the lowest. Studies conducted using the same deterrent devices at the intake of Central Hudson Gas and Electric Corporation's Roseton Generating Station on the Hudson River did not indicate an overall avoidance response; some species-specific responses to the devices were noted. 22 refs., 9 tabs.

  6. Preprandial ghrelin is not affected by macronutrient intake, energy intake or energy expenditure

    Rumpler William V

    2005-03-01

    Full Text Available Abstract Background Ghrelin, a peptide secreted by endocrine cells in the gastrointestinal tract, is a hormone purported to have a significant effect on food intake and energy balance in humans. The influence of factors related to energy balance on ghrelin, such as daily energy expenditure, energy intake, and macronutrient intake, have not been reported. Secondly, the effect of ghrelin on food intake has not been quantified under free-living conditions over a prolonged period of time. To investigate these effects, 12 men were provided with an ad libitum cafeteria-style diet for 16 weeks. The macronutrient composition of the diets were covertly modified with drinks containing 2.1 MJ of predominantly carbohydrate (Hi-CHO, protein (Hi-PRO, or fat (Hi-FAT. Total energy expenditure was measured for seven days on two separate occasions (doubly labeled water and physical activity logs. Results Preprandial ghrelin concentrations were not affected by macronutrient intake, energy expenditure or energy intake (all P > 0.05. In turn, daily energy intake was significantly influenced by energy expenditure, but not ghrelin. Conclusion Preprandial ghrelin does not appear to be influenced by macronutrient composition, energy intake, or energy expenditure. Similarly, ghrelin does not appear to affect acute or chronic energy intake under free-living conditions.

  7. International Olympic Committee consensus statement: harassment and abuse (non-accidental violence) in sport.

    Mountjoy, Margo; Brackenridge, Celia; Arrington, Malia; Blauwet, Cheri; Carska-Sheppard, Andrea; Fasting, Kari; Kirby, Sandra; Leahy, Trisha; Marks, Saul; Martin, Kathy; Starr, Katherine; Tiivas, Anne; Budgett, Richard

    2016-09-01

    Despite the well-recognised benefits of sport, there are also negative influences on athlete health, well-being and integrity caused by non-accidental violence through harassment and abuse. All athletes have a right to engage in 'safe sport', defined as an athletic environment that is respectful, equitable and free from all forms of non-accidental violence to athletes. Yet, these issues represent a blind spot for many sport organisations through fear of reputational damage, ignorance, silence or collusion. This consensus statement extends the 2007 IOC Consensus Statement on Sexual Harassment and Abuse in Sport, presenting additional evidence of several other types of harassment and abuse-psychological, physical and neglect. All ages and types of athletes are susceptible to these problems but science confirms that elite, disabled, child and lesbian/gay/bisexual/trans-sexual (LGBT) athletes are at highest risk, that psychological abuse is at the core of all other forms and that athletes can also be perpetrators. Harassment and abuse arise from prejudices expressed through power differences. Perpetrators use a range of interpersonal mechanisms including contact, non-contact/verbal, cyber-based, negligence, bullying and hazing. Attention is paid to the particular risks facing child athletes, athletes with a disability and LGBT athletes. Impacts on the individual athlete and the organisation are discussed. Sport stakeholders are encouraged to consider the wider social parameters of these issues, including cultures of secrecy and deference that too often facilitate abuse, rather than focusing simply on psychopathological causes. The promotion of safe sport is an urgent task and part of the broader international imperative for good governance in sport. A systematic multiagency approach to prevention is most effective, involving athletes, entourage members, sport managers, medical and therapeutic practitioners, educators and criminal justice agencies. Structural and

  8. Attention Deficit Hyperactivity Disorder Symptoms, Sleepiness and Accidental Risk in 36140 Regularly Registered Highway Drivers

    Philip, Pierre; Micoulaud-Franchi, Jean-Arthur; Lagarde, Emmanuel; Taillard, Jacques; Canel, Annick; Sagaspe, Patricia; Bioulac, Stéphanie

    2015-01-01

    Background Attention Deficit Hyperactivity Disorder (ADHD) is a frequent neurodevelopmental disorder that increases accidental risk. Recent studies show that some patients with ADHD can also suffer from excessive daytime sleepiness but there are no data assessing the role of sleepiness in road safety in patients with ADHD. We conducted an epidemiological study to explore sleep complaints, inattention and driving risks among automobile drivers. Methods and Findings From August to September 2014, 491186 regular highway users were invited to participate in an Internet survey on driving habits. 36140 drivers answered a questionnaire exploring driving risks, sleep complaints, sleepiness at the wheel, ADHD symptoms (Adult ADHD Self-Report Scale) and distraction at the wheel. 1.7% of all drivers reported inattention-related driving accidents and 0.3% sleep-related driving accidents in the previous year. 1543 drivers (4.3%) reported ADHD symptoms and were more likely to report accidents than drivers without ADHD symptoms (adjusted OR = 1.24, [1.03–1.51], p 15) versus 3.2% of drivers without ADHD symptoms and 20.5% reported severe sleepiness at the wheel versus 7.3%. Drivers with ADHD symptoms reported significantly more sleep-related (adjusted OR = 1.4, [1.21–1.60], p < .0001) and inattention-related (adjusted OR = 1.9, [1.71–2.14], p<0001) near misses than drivers without ADHD symptoms. The fraction of near-misses attributable to severe sleepiness at the wheel was 4.24% for drivers without ADHD symptoms versus 10,35% for drivers with ADHD symptoms. Conclusion Our study shows that drivers with ADHD symptoms have more accidents and a higher level of sleepiness at the wheel than drivers without ADHD symptoms. Drivers with ADHD symptoms report more sleep-related and inattention-related near misses, thus confirming the clinical importance of exploring both attentional deficits and sleepiness at the wheel in these drivers. Road safety campaigns should be improved to

  9. Transferencia del aprendizaje motor en pacientes con antecedentes de accidente cerebrovascular: serie de casos

    Karen Castro-Medina

    2015-04-01

    Full Text Available Antecedentes. La rehabilitación es un proceso de reaprendizaje motor, que mejora el desempeño en términos de adquisición de nuevas habilidades y adaptación o refinamiento de habilidades aprendidas previamente. A pesar de este conocimiento, existen, considerablemente, pocos estudios que describan el aprendizaje motor después de un accidente cerebrovascular (ACV y la relevancia del mismo en los procesos de rehabilitación y recuperación. Objetivo. Describir la transferencia del aprendizaje motor en pacientes con antecedentes de accidente cerebrovascular después de un tratamiento con procedimientos de reeducación funcional. Materiales y métodos. Se realizó un estudio descriptivo de dos casos con pacientes que recibieron tratamiento fisioterapéutico ambulatorio con los principios de reeducación funcional desarrollados en el Hospital de las Clínicas de la Universidad de São Paulo (Brasil, entre los meses de agosto y octubre de 2013. La transferencia del aprendizaje motor se determinó según los resultados obtenidos en la evaluación de balance funcional (Mini-BESTest. Se evaluó el test antes y después del tratamiento y se compararon los resultados para determinar el porcentaje de mejora. Resultados. En los dos casos se observó mejora clínica en el desempeño de la evaluación de balance funcional Mini-BESTest con un porcentaje de mejora entre el 21% y el 41%. Conclusión. Existen pocos hallazgos literarios que describen el mantenimiento de la capacidad de aprendizaje motor en pacientes con antecedentes de ACV. Este estudio reportó la capacidad para transferir el aprendizaje motor a una habilidad motora no aprendida (balance en dos casos, con base en la mejoría clínica del desempeño motor en el test aplicado.

  10. Enfermedad preexistente, agravamiento y/o accidente de trabajo: análisis de 10 casos clínicos

    Ana M.ª González Onetti

    2014-01-01

    Full Text Available En nuestro centro asistencial se han atendido en el año 2012, 1.304 primeras asistencias, de las cuales 85 fueron consideradas no accidente de trabajo/enfermedad profesional. Hemos elegido al azar 10 casos clínicos donde existió discrepancia por parte del paciente cuando los servicios médicos determinaron que la patología que sufría el paciente no era accidente de trabajo y/o agravamiento por lo que se derivó a su médico de atención primaria quien emitió parte de baja por contingencias comunes y se inició determinación de contingencias ante el INSS por parte del Servicio Andaluz de Salud. En 7 de los casos existió discrepancia entre los inspectores médicos del INSS y los servicios médicos de la mutua, en 3 de ellos se consideraron enfermedad común al existir enfermedad preexistente. De los casos analizados comprobamos que no existían criterios unificados, claros y precisos entre enfermedad preexistente, agravamiento y/o accidente de trabajo dependiendo del médico evaluador y/o médico de la mutua determinar si era o no accidente de trabajo. Si no existían antecedentes médicos por el SAS y/o bajas previas por ITCC por la misma patología o similar el INSS determino siempre la contingencia como accidente de trabajo. El tiempo medio de los 10 casos analizados entre el inicio de la determinación de contingencias y la comunicación de la resolución por parte del INSS fue de 240 días. De los 7 casos que fueron accidente de trabajo, 6 seguían en situación de baja laboral y un caso se encontraba curado e incorporado a su puesto de trabajo.

  11. Efectividad a corto plazo de las intervenciones breves realizadas en pacientes lesionados por accidente de tráfico con alcoholemia positiva Short-term effectiveness of brief interventions in alcohol-positive traffic casualties

    Alicia Rodríguez-Martos

    2005-02-01

    Full Text Available Objetivos: Investigar la efectividad de las intervenciones breves para reducir el consumo de alcohol en los pacientes lesionados por accidente de tráfico con alcoholemia positiva. Métodos: Se cribó la presencia de alcohol en 948 lesionados en accidente de tráfico (el 97,6% de los elegibles de un universo de 1.106, con 126 (13,3% positivos. Se intervino en 85 individuos, aleatoriamente distribuidos en intervención mínima (consejo simple e intervención breve (intervención de tipo motivacional, y se programó un seguimiento telefónico a los 3, 6 y 12 meses. En este trabajo se presentan los resultados del seguimiento a los 3 meses. Resultados: A los 3 meses se ha seguido a 57 pacientes (67%. EL 73,7% ha reducido el consumo, porcentaje que fue mayor en el grupo intervención breve (p = 0,06; tamaño del efecto, 0,5 y en los incluidos en la categoría de los bebedores de riesgo (p Objectives: To investigate the effectiveness of brief interventions to reduce alcohol intake in traffic casualties with a positive blood alcohol concentration. Methods: Nine hundred forty-eight eligible casualties (97.6% of eligible casualties within a universe of 1106 were screened for alcohol and 126 (13.3% were identified as positive. Interventions were performed in 85, randomly allocated to a minimal intervention (simple advice or a brief intervention (motivational intervention. Telephone follow-up was scheduled for months 3, 6 and 12. The present study reports the results of follow-up at month 3. Results: Fifty-seven patients (67% were followed up at month 3. A total of 73.7% had reduced their alcohol intake and this percentage was greater in the group who underwent the brief intervention (p = 0.06; effect size 0.5 and among heavy drinkers (p < 0.05. Conclusions: The data indicate the effectiveness of the brief intervention, although the sample size does not allow definitive conclusions to be drawn.

  12. Accidental oropharyngeal impalement injury in children: A report of two cases

    Hayaki Uchino

    2015-01-01

    Full Text Available Impalement injuries in children may be deeper and more complicated than anticipated. We experienced two cases of accidental impalement injuries, one was through the oral cavity and the other was to the neck. We review these cases and the management of these types of injuries. Case series. In case 1, a 20-month-old girl fell from the table with a toothbrush in her mouth. She was conscious, without any apparent neurologic or vascular injuries. Examination revealed a 2 mm laceration with a small hematoma in the right posterior pharyngeal wall. Contrast-enhanced computed tomography (CECT revealed an air tract penetrating between the mandibular ramus and cervical vertebrae, passing by the carotid sheath, and reaching under the skin of the right posterior neck. Surgical emphysema was extended from the pharynx to the mediastinum. In case 2, a 3-year-old girl fell while holding a pencil. Physical examination revealed a 5 mm laceration in front of her right ear lobe accompanied by a small hematoma. Her facial movement was asymmetric, and she could not close her right eye. CECT showed swelling of the right parotid gland with heterogeneous enhancement and free air just in front of the right carotid sheath, which suggested the object penetrated through the parotid gland. A diagnosis of peripheral facial nerve injury was made. Physicians need to be aware of the potentially life-threatening complications of impalement injuries in children, as well as the specific complications related to proximity to specific anatomic structures.

  13. Neuroimaging for non-accidental head injury in childhood: A proposed protocol

    Jaspan, T.; Griffiths, P.D.; McConachie, N.S.; Punt, J.A.G

    2003-01-01

    Non-accidental head injury (NAHI) is a major cause of neurological disability and death during infancy. Radiological imaging plays a crucial role in evaluating craniospinal injury, both for guiding medical management and the forensic aspects of abusive trauma. The damage sustained is varied, complex and may be accompanied by an evolving pattern of brain injury secondary to a cascade of metabolic and physiological derangements. Regrettably, many cases are poorly or incompletely evaluated leading to diagnostic errors and difficulties in executing subsequent child care or criminal proceedings. It is evident, from cases referred to the authors, that imaging protocols for NAHI are lacking (or only loosely adhered to, if present) in many centres throughout the U.K. Future research in this field will also be hampered if there is a lack of consistent and reliable radiological data. There is no nationally agreed protocol for imaging NAHI. We propose such a protocol, based upon a wide experience in the medical management of child abuse and extensive involvement in the medicolegal aspects of NAHI. Jaspan, T., et al. (2003). Clinical Radiology58, 44--53.

  14. Accidental intoxication of the infant-juvenile population in households: profiles of emergency care

    Jackeline Gonçalves Brito

    2015-06-01

    Full Text Available OBJECTIVE Analyzing profiles of intoxication and accidental poisoning of infant-juvenile population (0-24 years in the household, treated at a reference facility for Emergency and Primary Care, during the year 2013. METHOD A descriptive, cross-sectional study. Data were analyzed using Epi-Info, by way of simple and bivariate analyzes. The project was approved by the Research Ethics Committee (protocol 405.578. RESULTS There were 45 intoxications, with a prevalence of males (60.0%, aged 1-4 years (71.1%. Among children under one, there was a higher frequency of pesticide poisoning (66.6%, between the ages of 1-4 by cleaning products (34.4%, and between 5-9 years of age by pharmacological substances (66.6%. The primary assistance was provided only at health institutions, with hospital admissions in 24.4% of the cases. CONCLUSION The importance of prevention through legislation is evident, in order to ensure greater safety in packaging of various products, and community awareness to eliminate risks in the household environment.

  15. Accidental bilateral Q-switched neodymium laser exposure: treatment and recovery of visual function

    Zwick, Harry; Stuck, Bruce E.; Dunlap, Weldon; Scales, David K.; Lund, David J.; Ness, James W.

    1998-05-01

    A 21 year old female was accidentally exposed in both eyes when she looked into the 10 cm exit aperture of a military laser designator emitting 1064 nm q-switched (30 ns) pulses at a 10 pulse per second rate. Steroid therapy (methylprednisolone sodium succinate) was initiated within 6 hours post exposure. Initial ophthalmoscopic observation revealed small contained macular hemorrhages in each eye. Fluorescein angiography (FA) showed minimal leakage. Visual acuity was 20/100 and 20/60 in OD and OS respectively. Contrast sensitivity in both eyes was depressed across all spatial frequencies by more than 1.5 log units. At four weeks post exposure, no significant macular scarring was apparent and visual acuity returned to 20/25 in both eyes. Contrast sensitivity had improved to normal levels with a peak at 3 cycles/degree. At one year post exposure, visual acuity was 20/13 in both eyes and measures of contrast sensitivity were within normal limits. During the course of recovery, the patient's fixation shifted from a slightly superior temporal site back to the central foveal region. The foveal lesion sites were still evident by ophthalmoscopy and Amsler grid measurements but were deemed functional when the patient placed small targets generated by the scanning laser ophthalmoscope in the lesion site for discrimination. This outcome indicates remarkable recovery of visual function and suggests that early administration of steroids may assist in preserving the natural neural recovery process of the photoreceptor matrix by minimizing intraretinal scar formation.

  16. Game theory of pre-emptive vaccination before bioterrorism or accidental release of smallpox.

    Molina, Chai; Earn, David J D

    2015-06-06

    Smallpox was eradicated in the 1970s, but new outbreaks could be seeded by bioterrorism or accidental release. Substantial vaccine-induced morbidity and mortality make pre-emptive mass vaccination controversial, and if vaccination is voluntary, then there is a conflict between self- and group interests. This conflict can be framed as a tragedy of the commons, in which herd immunity plays the role of the commons, and free-riding (i.e. not vaccinating pre-emptively) is analogous to exploiting the commons. This game has been analysed previously for a particular post-outbreak vaccination scenario. We consider several post-outbreak vaccination scenarios and compare the expected increase in mortality that results from voluntary versus imposed vaccination. Below a threshold level of post-outbreak vaccination effort, expected mortality is independent of the level of response effort. A lag between an outbreak starting and a response being initiated increases the post-outbreak vaccination effort necessary to reduce mortality. For some post-outbreak vaccination scenarios, even modest response lags make it impractical to reduce mortality by increasing post-outbreak vaccination effort. In such situations, if decreasing the response lag is impossible, the only practical way to reduce mortality is to make the vaccine safer (greater post-outbreak vaccination effort leads only to fewer people vaccinating pre-emptively).

  17. Failure Criteria for Evaluating Accidental Drops of Fuel Containers at INTEC

    Miller, G. K.

    1998-10-01

    This report presents a failure criterion that has been developed for use in evaluating fuel containers at the Idaho Nuclear Technology and Engineering Center (INTEC) for accidental drop events. The criterion would typically be used in dynamic finite element analyses using the ABA-QUS/Explicit program. The failure criterion used in the past is generally considered to substantially underestimate the strength and ductility of the materials involved. The new criterion is intended to be more realistic, allowing for more accurate impact analyses. The criterion is based on the distortion energy theory, which is considered to be appropriate for the ductile materials typically used in fuel containers. Also addressed in development of the criterion were the effects of strain rate and hydrostatic stress. The importance of these factors, however, is highly dependent on the material used. Three materials specifically addressed in this study were stainless steel, aluminum, and lead. The criterion is presented in the form of guidelines and recommendations that are based on material data obtained from the literature. The most significant difference between these and the previous criterion is that ductile materials are allowed to strain to much higher levels before they are considered to fail.

  18. Clinical and ethical orientations in case of accidental ingestion of foreign body during dental treatment

    Rhonan Ferreira da Silva

    2010-07-01

    Full Text Available Introduction:The passage of foreign bodies through the oropharynx during dental treatment is an accident that can be avoided in most cases,especially when the dentist adopts preventive measures such as using rubber dam or tying certain objects with dental floss. Objective:To emphasize the importance of avoiding the accident of ingesting foreign bodies during dental treatment and to guide the dentist on how to proceed,clinically and ethically, if the accident occurs.Case report:A minor female patient, unaccompanied,accidentally ingested a bur used for finishing a composite resin restoration during a dental treatment performed in the public service, due to a defect in the high-speed handpiece.The patient and their parents were informed of the accident,and the object was monitored radiographically until its elimination by natural means,with no reports of discomfort.Conclusion:It is the responsibility of the dentist to know and follow the necessary measures to avoid or solve complications from ingesting foreign bodies, since patient’s health and integrity must be protected. In addition, the dentist will also avoid possible ethical and legal demands when fulfilling his responsibilities as a health care professional.

  19. Biomechanical studies in an ovine model of non-accidental head injury.

    Anderson, R W G; Sandoz, B; Dutschke, J K; Finnie, J W; Turner, R J; Blumbergs, P C; Manavis, J; Vink, R

    2014-08-22

    This paper presents the head kinematics of a novel ovine model of non-accidental head injury (NAHI) that consists only of a naturalistic oscillating insult. Nine, 7-to-10-day-old anesthetized and ventilated lambs were subjected to manual shaking. Two six-axis motion sensors tracked the position of the head and torso, and a triaxial accelerometer measured head acceleration. Animals experienced 10 episodes of shaking over 30 min, and then remained under anesthesia for 6h until killed by perfusion fixation of the brain. Each shaking episode lasted for 20s resulting in about 40 cycles per episode. Each cycle typically consisted of three impulsive events that corresponded to specific phases of the head's motion; the most substantial of these were interactions typically with the lamb's own torso, and these generated accelerations of 30-70 g. Impulsive loading was not considered severe. Other kinematic parameters recorded included estimates of head power transfer, head-torso flexion, and rate of flexion. Several styles of shaking were also identified across episodes and subjects. Axonal injury, neuronal reaction and albumin extravasation were widely distributed in the hemispheric white matter, brainstem and at the craniocervical junction and to a much greater magnitude in lower body weight lambs that died. This is the first biomechanical description of a large animal model of NAHI in which repetitive naturalistic insults were applied, and that reproduced a spectrum of injury associated with NAHI.

  20. The review of autopsy cases of accidental childhood deaths in Istanbul.

    Yayci, Nesime; Pakis, Isil; Karapirli, Mustafa; Celik, Sefa; Uysal, Cem; Polat, Oguz

    2011-08-01

    Children are at increased risk for various causes of injury from accidents. Accidents are, by far, the leading cause of death among children and adolescents. The aim of this study is to evaluate the lethal childhood accidents in İstanbul by age groups. Reports of autopsies performed between 2001 and 2005 in the Morgue Department of the Council of Forensic. Medicine in Istanbul (n :16853) are examined retrospectively. 833 deaths from accidents in children aged 0-18 years are investigated into the study. The parameters of age, gender, types of accidents and causes of death are evaluated. The accidents account for 47.3% of the deaths among children aged 0-18 years. Of 833 cases, 601 (73%) are male and 232 (27%) are female. The female to male ratio is 1/2.6. The highest rate of death from accidents is at the group of 15-18 years. The primary causes of accidental childhood deaths are motor vehicle accidents (23.1%), followed by drowning (20,1%), poisoning (15.7%), and fall from height (15.5%). The incidence and types of trauma vary with socio-economic status and culture. İstanbul, where this study is conducted in, has approximately 3000 autopsy number annually. Therefore, it provides an important database.

  1. Multidetector Computed Tomography Imaging of Facial Trauma in Accidental Falls from Heights

    Salonen, E.M.; Koivikko, M.P.; Koskinen, S.K. [Helsinki Medical Imaging Center, Dept. of Radiology, Toeoeloe Trauma Center, Helsinki Univ. Hospital, Helsinki (Finland)

    2007-04-15

    Purpose: To assess multidetector computed tomography (MDCT) findings in facial trauma in adults who accidentally fall from heights. Material and Methods: Of the MDCT scans of 2413 cases requested by emergency-room physicians for suspected facial injury, 155 (age 15.3-76.7, mean 42.0 years; 134 male, 21 female) met the criteria of falling from heights. These were reviewed by two researchers by consensus. Results: Of these 155, 118 (104 male, 14 female) had 247 fractures, while 37 had no fracture. The fractures were classified into 13 categories, the zygomatic complex being the region most frequently involved. Mean falling height, known in 132 of 155 cases, was 5.7 m (range 0.4-25) in all, 6.0 m (0.4-25) in those suffering a fracture, and 5.0 m (range 0.4-13) in those without a fracture. Patients with Le Fort II, Le Fort III, or frontal bone fractures had fallen higher and frequently had associated skull base fractures, but with considerable overlap in falling heights. Zygomatic arch and nasal bone fractures rarely occurred solitarily. Conclusion: In a fall-from-height injury, nasal bone and zygomatic arch fractures indicate the presence of more severe fractures. Height cannot solely predict injury probability. Clear sinus sign is a valuable aid in assessing midface trauma in falls from heights. Keywords: CT; face; trauma.

  2. [Accidental intravenous injection of potassium chloride: analysis of contributing factors and barriers to risk reduction].

    Bonvin, A; Vantard, N; Charpiat, B; Pral, N; Leboucher, G; Philip-Girard, F; Viale, J-P

    2009-05-01

    Errors linked to injectable potassium chloride (KCl) have been the cause of deaths which have occurred for many years. Following an accidental direct intravenous injection of KCl of no clinical consequence for the patient, we have analyzed the contributive factors, established an action plan to prevent this risk and finally assessed its impact. Among the causes leading to medication errors, we have identified those linked to the handling of the drugs by nurses, the team, the work conditions, the organization, the institutional context and finally to the drug itself. The risk reduction procedure involved a withdrawal of injectable KCI ampoules from wards, possible in 52% of the care units, a reorganization of storage for the others. The subsequent monitoring of floorstocks revealed that these measures were insufficient and that the risks prevailed due to the presence of KCI ampoules in drawers assigned to other ionic solutions. A study carried out among the medical and nursing personnel revealed that 61.2% of the doctors thought that the risk existed in their ward and 68% of the nurses considered themselves to be exposed to the risk of a medication error. The drug supply chain of our institution, as in numerous others, is not safe. Hospitals are not yet organized adequately to prevent the occurrence of such an error. The comparison with foreign organizations of drug dispensation allows us to think that the improvement and professionalization of the drug supply chain will both be assets in the prevention of such medication errors.

  3. Modeling acute health risks associated with accidental releases of toxic gases

    Haskin, F.E.; Ding, C.; Summa, K.J. [Univ. of New Mexico, Albuquerque, NM (United States). Dept. of Chemical and Nuclear Engineering; Young, M. [Sandia National Labs., Albuquerque, NM (United States). Accident Analysis and Consequence Assessment Dept.

    1996-09-01

    CHEM{_}MACCS has been developed from the radiological accident consequence code, MACCS, to perform probabilistic calculations of potential off-site consequences of the accidental atmospheric release of hazardous chemicals. The principal phenomena considered in CHEM{_}MACCS are atmospheric transport, mitigative actions based on dose projection, dose accumulation by a number of pathways, and early and latent health effects. CHEM{_}MACCS provides the following capabilities: (1) statistical weather sampling data (8,760 hourly data points per year), (2) population dose and health effect risk calculations based on site-specific population data, (3) health effects calculations including the consideration of potential site specific mitigative actions (evacuation and shielding), and (4) modeling of multiple release segments. Three different sample problems are contained in this report to show how to use CHEM{_}MACCS. Three test problems are run to compare CHEM{_}MACCS and D2PC. The doses versus the downwind centerline distances from the source for the given doses are in very close agreement.

  4. Design of a monitoring network over France in case of a radiological accidental release

    Abida, Rachid; Bocquet, Marc; Vercauteren, Nikki; Isnard, Olivier

    The Institute of Radiation Protection and Nuclear Safety (France) is planning the set-up of an automatic nuclear aerosol monitoring network over the French territory. Each of the stations will be able to automatically sample the air aerosol content and provide activity concentration measurements on several radionuclides. This should help monitor the French and neighbouring countries nuclear power plants set. It would help evaluate the impact of a radiological incident occurring at one of these nuclear facilities. This paper is devoted to the spatial design of such a network. Here, any potential network is judged on its ability to extrapolate activity concentrations measured on the network stations over the whole domain. The performance of a network is quantitatively assessed through a cost function that measures the discrepancy between the extrapolation and the true concentration fields. These true fields are obtained through the computation of a database of dispersion accidents over one year of meteorology and originating from 20 French nuclear sites. A close to optimal network is then looked for using a simulated annealing optimisation. The results emphasise the importance of the cost function in the design of a network aimed at monitoring an accidental dispersion. Several choices of norm used in the cost function are studied and give way to different designs. The influence of the number of stations is discussed. A comparison with a purely geometric approach which does not involve simulations with a chemistry-transport model is performed.

  5. Ileum perforation due to accidental chicken bone ingestion a rare cause of the acute abdomen

    Doklestić Krstina S.

    2012-03-01

    Full Text Available Ingestion of foreign bodies is not an uncommon occurrence, but most of them will pass through the gastrointestinal tract without consequences. Complication such as perforation is rare. We present a case of small bowel perforation secondary to the accidental ingestion of a chicken bone. The patient presented with abdominal pain, constipation and vomiting. Clinical examination confirmed generalized abdominal tenderness and rebound tenderness. Abdominal radiography showed multiple dilated loops of small bowel, and abdominal ultrasound (US showed inflammatory changes on small bowel loops, with free fluid and fluid collection around intestinal loops. The patient underwent an emergency laparotomy. Intra operative findings revealed diffuse fibro purulent peritonitis with abscess between central small bowels loops. At about 60 cm from Bauchini valve we found a perforation of ileum at the anti-mesenteric site caused by a sharp chicken wishbone. The patient was treated with resection of the ileum segment (10 cm and primary end-to-end anastomosis. Even that intestinal perforation by a foreign body is rare, physicians should consider possibility of intestinal perforation by a foreign body in the differential diagnosis of acute abdomen in patients presenting with abdominal pain.

  6. Quantification of nerve agent VX-butyrylcholinesterase adduct biomarker from an accidental exposure.

    Solano, Maria I; Thomas, Jerry D; Taylor, James T; McGuire, Jeffrey M; Jakubowski, Edward M; Thomson, Sandra A; Maggio, Vincent L; Holland, Kerry E; Smith, J Richard; Capacio, Benedict; Woolfitt, Adrian R; Ashley, David L; Barr, John R

    2008-01-01

    The lack of data in the open literature on human exposure to the nerve agent O-ethyl-S-(2-diisopropylaminoethyl) methylphosphonothioate (VX) gives a special relevance to the data presented in this study in which we report the quantification of VX-butyrylcholinesterase adduct from a relatively low-level accidental human exposure. The samples were analyzed by gas chromatography-high resolution mass spectrometry using the fluoride ion regeneration method for the quantification of multiple nerve agents including VX. Six human plasma samples from the same individual were collected after the patient had been treated once with oxime immediately after exhibiting signs of exposure. Detection limits of approximately 5.5 pg/mL plasma were achieved for the G-analogue of VX (G-VX). Levels of the G-VX ranged from 81.4 pg/mL on the first day after the exposure to 6.9 pg/mL in the sample taken 27 days after the exposure. Based on the reported concentration of human butyrylcholinesterase in plasma of approximately 80 nM, it can be calculated that inhibition levels of >or= 0.05% of BuChE can be accurately quantified. These data further indicate that the fluoride ion regeneration method is a potentially powerful tool that can be used to assess low-level exposure to VX.

  7. Accidental infection of veterinary personnel with Mycobacterium tuberculosis at necropsy: a case study.

    Posthaus, H; Bodmer, T; Alves, L; Oevermann, A; Schiller, I; Rhodes, S G; Zimmerli, S

    2011-05-05

    Mycobacterium tuberculosis is the main cause of human tuberculosis. Infection in companion animals is mainly acquired from close contact to a diseased human patient and hence rarely diagnosed in countries with low tuberculosis incidence rates. Therefore the general awareness of the disease might be low. Here we report the potential risk of infection for veterinary personnel with M. tuberculosis during the clinical and pathological examination of a dog with unexpected disseminated tuberculosis. The dog had presented with symptoms of a central nervous system disease; rapid deterioration prevented a complete clinical workup, however. Post-mortem examination revealed systemic mycobacteriosis, and M. tuberculosis was identified by PCR amplification of DNA extracts from paraffin-embedded tissue sections and spoligotyping. Contact investigations among the owners and veterinary personnel using an IFN-γ release assay indicated that the index dog did not infect humans during its lifetime. Serological and IFN-γ release assay results of one of two cats in direct contact with the index dog, however, suggested that transmission of M. tuberculosis might have occurred. Importantly, all three pathologists performing the necropsy on the dog tested positive. Accidental infection was most likely due to inhalation of M. tuberculosis containing aerosols created by using an electric saw to open the brain cavity. As a consequence routine necropsy procedures have been adapted and a disease surveillance program, including tuberculosis, has been initiated. Our results highlight the importance of disease awareness and timely diagnosis of zoonotic infectious agents in optimizing work safety for veterinary personnel.

  8. Accidental Interaction between PDZ Domains and Diclofenac Revealed by NMR-Assisted Virtual Screening

    Kengo Kinoshita

    2013-08-01

    Full Text Available In silico approaches have become indispensable for drug discovery as well as drug repositioning and adverse effect prediction. We have developed the eF-seek program to predict protein–ligand interactions based on the surface structure of proteins using a clique search algorithm. We have also developed a special protein structure prediction pipeline and accumulated predicted 3D models in the Structural Atlas of the Human Genome (SAHG database. Using this database, genome-wide prediction of non-peptide ligands for proteins in the human genome was performed, and a subset of predicted interactions including 14 PDZ domains was then confirmed by NMR titration. Surprisingly, diclofenac, a non-steroidal anti-inflammatory drug, was found to be a non-peptide PDZ domain ligand, which bound to 5 of 15 tested PDZ domains. The critical residues for the PDZ–diclofenac interaction were also determined. Pharmacological implications of the accidental PDZ–diclofenac interaction are further discussed.

  9. Accidental nuclear excursion recuplex operation 234-5 facility: Final medical report

    Fuqua, P. A.

    1962-04-07

    The April 7, 1962 criticality accident involving human exposures was the first to have occurred in any production facility at Hanford. The accidental nuclear excursion did not result in any mechanical damage or spread of contamination. Three employees received over-exposure to gamma and neutron radiation. None were fatally exposed and in each case the over-exposure was recognized promptly. Following an initial period of medical observation and testing, the men were released to work. They continued to be followed clinically. Clinical studies performed were hematological procedures including leukocyte chromosome aberrations, morphologically aberrant blood cells, bone marrow evaluations, blood chemistry determinations, amino acid excretion studies, seminal fluid, urinary gonadotropins and estrogen excretion studies, testicular biopsies and crystalline lens examinations. These studies, along with a brief description of the accident and of the dosimetry, are summarized in this report by those participating in the studies. In view of the dose ranges received in these cases, both the negative and positive findings are considered to be of unusual interest due to the lack of knowledge of effects following human exposures at these levels.

  10. Maternal and infant characteristics associated with accidental suffocation and strangulation in bed in US infants.

    Carlberg, Michelle M; Shapiro-Mendoza, Carrie K; Goodman, Michael

    2012-11-01

    To identify maternal and infant characteristics associated with accidental suffocation and strangulation in bed (ASSB) in US infants. Using 2000-2002 US linked infant birth and death certificate cohort files, we compared ASSB deaths to survivors. Adjusted odds ratios (aOR) from logistic regression were used to analyze associations between selected maternal and infant characteristics and ASSB mortality. During 2000-2002, 1,064 infants died from ASSB, resulting in an ASSB mortality rate of 9.2 per 100,000 live births. Most ASSB deaths (71%) occurred before an infant reached 4 months old. Maternal factors associated with an increased risk of ASSB were younger age (using maternal age of 25-29 years as reference aOR 2.6 for mothers mortality risk. Younger, less educated, mulitparous, non-Hispanic black or American Indian women and their families who smoke during their pregnancy and deliver male or preterm infants, may need more intense safe sleeping education during the infant's first year of life, especially during the first 4 months of age.

  11. Medical status of Marshallese accidentally exposed to 1954 Bravo fallout radiation: January 1980-December 1982

    Adams, W.H.; Harper, J.A.; Rittmaster, R.S.; Heotis, P.M.; Scott, W.A.

    1984-01-01

    This report updates, for 1980 through 1982, the results of continuing medical surveillance of a Marshallese population accidentally exposed to radioactive fallout in March 1954. The originally exposed Marshallese population comprised 64 persons on Rongelap Atoll who each received, on the average, an estimated 190 rads of absorbed external gamma radiation, 18 on Ailingnae Atoll who received 110 rads, and 159 on Utirik who received 11 rads. There were, in addition, 3 persons in utero on Rongelap, 1 person in utero on Ailingnae, and 8 persons in utero on Utirik who are considered exposed. The recipients of primary medical care include exposed and comparison populations as well as a rather large number of additional beneficiaries who are seen on a humanitarian basis of practical need and resource availability. In recent years, about 1400 people have been seen annually. This report, however, deals with four clearly defined groups: the remaining individuals who were exposed to radioactive fallout on Rongelap, Ailingnae, and Utirik in 1954 (including those in utero), and a comparison population of individuals from Rongelap who were unexposed. The number of persons now in each exposure category are 51, 12, 116, and 137, respectively. 100 references, 4 figures, 5 tables. (ACR)

  12. Organotin intake through fish consumption in Finland

    Airaksinen, Riikka, E-mail: Riikka.Airaksinen@thl.fi [National Institute for Health and Welfare, Department of Environmental Health, P.O. Box 95, FI-70701 Kuopio (Finland); Rantakokko, Panu; Turunen, Anu W.; Vartiainen, Terttu [National Institute for Health and Welfare, Department of Environmental Health, P.O. Box 95, FI-70701 Kuopio (Finland); Vuorinen, Pekka J.; Lappalainen, Antti; Vihervuori, Aune [Finnish Game and Fisheries Research Institute, Helsinki (Finland); Mannio, Jaakko [Finnish Environment Institute, Helsinki (Finland); Hallikainen, Anja [Finnish Food Safety Authority Evira, Helsinki (Finland)

    2010-08-15

    Background: Organotin compounds (OTCs) are a large class of synthetic chemicals with widely varying properties. Due to their potential adverse health effects, their use has been restricted in many countries. Humans are exposed to OTCs mostly through fish consumption. Objectives: The aim of this study was to describe OTC exposure through fish consumption and to assess the associated potential health risks in a Finnish population. Methods: An extensive sampling of Finnish domestic fish was carried out in the Baltic Sea and freshwater areas in 2005-2007. In addition, samples of imported seafood were collected in 2008. The chemical analysis was performed in an accredited testing laboratory during 2005-2008. Average daily intake of the sum of dibutyltin (DBT), tributyltin (TBT), triphenyltin (TPhT) and dioctyltin (DOT) ({Sigma}OTCs) for the Finnish population was calculated on the basis of the measured concentrations and fish consumption rates. Results: The average daily intake of {Sigma}OTCs through fish consumption was 3.2 ng/kg bw day{sup -1}, which is 1.3% from the Tolerable Daily Intake (TDI) of 250 ng/kg bw day{sup -1} set by the European Food Safety Authority. In total, domestic wild fish accounted for 61% of the {Sigma}OTC intake, while the intake through domestic farmed fish was 4.0% and the intake through imported fish was 35%. The most important species were domestic perch and imported salmon and rainbow trout. Conclusions: The Finnish consumers are not likely to exceed the threshold level for adverse health effects due to OTC intake through fish consumption.

  13. Fibroelastoma valvular aórtico como causa de accidente cerebrovascular embólico: Reporte de un caso

    Bahamondes S,Juan Carlos; MERIÑO S,GUSTAVO; SALMAN A,JUAN; SILVA V,ABELARDO; MORA M,JAVIER

    2008-01-01

    Los tumores cardíacos son una causa rara de accidente cerebrovascular embólico. Comunicamos el caso de una paciente de 65 años quien debuta su historia con un accidente cerebrovascular. El estudio de fuente embólica con ecocardiografía transesofágica demostró un fibroelastoma de la válvula aórtica en el borde libre del velo no coronariano. El tumor fue extraído mediante circulación extracorpórea. El estudio anatomopatológico confirmó el diagnóstico y la paciente se encuentra en capacidad func...

  14. Accidental ingestion of an inter-occlusal device used for the restoration of occlusion: a case report.

    Vasconcellos, Walison Arthuso; Braga, Neilor Mateus Antunes; Moretzsohn, Luciana Dias; Lanza, Marcos Daniel Septimio; Lanza, Marcos Dias; Rocha, Wellington Márcio dos Santos

    2014-09-01

    The accidental swallowing of prosthetic devices has been discussed in the relevant literature as an unusual, although ordinary, event in clinical practice. This article aims at reporting the ingestion of an inter-occlusal device used to restore the Vertical Dimension of Occlusion (VDO) which, during the ingestion of an analgesic pill, was accidentally swallowed. The patient was sent to the Clinics Hospital UFMG where, upon taking radiographs, the device was located in the upper third of the esophagus. The device was removed during an endoscopic exam with the help of forceps for removing foreign objects. Dealing with a relevant situation, one may conclude that patients who use removable intra-oral devices must take part in a reevaluation protocol in order to detect adaptation and retention of these devices, as well as proper instruction for the patient.

  15. Wandering Fish Bone: a Case of Pelvic Abscess due to Rectum Perforation Resulting from an Accidental Fish Bone Ingestion

    Sirous Abbasi

    2010-09-01

    Full Text Available Fish bone is the most common foreign body that is ingested accidentally and can be caused gastrointestinal complications such as perforation, abstraction, and abscess. We describe a 75-year-old man who suffered from constipation, diarrhea, and fever and chills for 3 months. He had mild tenderness in hypogasteric region and also mild tenderness and swelling on anterior rectal wall and prostate upon clinical examination. The abdominal and pelvic sonography and CT scan findings suggested existence of abscess in the space of between bladder and rectum. The patient underwent laparotomy to drainage the pelvic abscess. The surgeon found a 6-cm fish bone which was embedded in the abscess. The presented case indicated the importance of accidental fish bone ingestion and its possible complications. In addition, the patients with abdominal pain, GI bleeding, and fever of unknown origin living in the seaside regions, the wandering fish bone as a differential diagnosis should be kept in mind.

  16. Reducing the loss of vaccines from accidental freezing in the cold chain: the experience of continuous temperature monitoring in Tunisia.

    Lloyd, John; Lydon, Patrick; Ouhichi, Ramzi; Zaffran, Michel

    2015-02-11

    Accidental freezing of vaccines is a growing threat and a real risk for national immunization programs when the potency of many vaccines can be compromised if these are exposed to sub-zero temperatures in the cold chain. In Tunisia, this issue is compounded by using sub-standard domestic cold chain equipment instead of equipping the program with medical refrigerators designed specifically for storing vaccines and temperature sensitive pharmaceuticals. Against this backdrop, this paper presents the findings of a demonstration project conducted in Tunisia in 2012 that tested the impact of introducing several freeze prevention solutions to mitigate the risk of accidental freezing of vaccines. The main finding is that, despite the continued use of underperforming domestic refrigerators, continuous temperature monitoring using new technologies combined with other technological interventions significantly reduced the prevalence of accidental exposure to freezing temperatures. These improvements were noticed for cold chain storage at regional, district and health center levels, and during the transport legs that were part of the demonstration conducted in the regions of Kasserine in the South-Eastern part of Tunisia. Subsequent to introducing these freeze prevention solutions, the incidence of freeze alarms was reduced and the percent of time the temperatures dropped below the 2 °C recommended threshold. The incidence of freeze alarms at health center level was reduced by 40%. Lastly, the solutions implemented reduced risk of freezing during transport from 13.8% to 1.7%. Although the solution implemented is not optimal in the longer term because domestic refrigerators are used extensively in district stores and health centers, the risk of accidental freezing is significantly reduced by introducing the practice of continuous temperature monitoring as a standard. The management of the cold chain equipment was strengthened as a result which helps protect the potency of

  17. Usual Dietary Intakes: Food Intakes, U.S. Population, 2007-10

    We have applied the NCI Method for estimating distributions of usual intake to data from two recent cycles of the NHANES to estimate means and percentiles of the distributions of food intake and the percentage of persons meeting recommendations for a range of sex-age groups in the US population.

  18. Associations Between Excessive Sodium Intake and Smoking and Alcohol Intake Among Korean Men: KNHANES V.

    Choi, Kyung-Hwa; Park, Myung-Sook; Kim, Jung Ae; Lim, Ji-Ae

    2015-12-08

    In this study, we evaluated the associations of smoking and alcohol intake, both independently and collectively, with sodium intake in Korean men. Subjects (6340 men) were from the fifth Korean National Health Examination Survey (2010-2012). Smoking-related factors included smoking status, urinary cotinine level, and pack-years of smoking. Food intake was assessed using a 24-h recall. The odds of excessive sodium intake were estimated using survey logistic regression analysis. The smoking rate was 44.1%. The geometric mean of the urinary cotinine level was 0.05 µg/mL, and the median (min-max) pack-years of smoking was 13.2 (0-180). When adjusted for related factors, the odds (95% confidence interval) of excessive sodium intake were 1.54 (1.00, 2.37), 1.55 (1.23, 1.94), 1.44 (1.07, 1.95), and 1.37 (1.11, 1.68) times higher in the group exposed to smoking and drinking than in the group that never smoked nor drank, the group that never smoked and drank smoke and never drank, and the group that did not currently smoke or drink smoking and alcohol intake (p-interaction = 0.02). The results suggest that simultaneous exposure to smoking and alcohol intake is associated with increased odds of excessive sodium intake.

  19. Development of Calculation Module for Intake Retention Functions based on Occupational Intakes of Radionuclides

    Noh, Siwan; Kwon, Tae-Eun; Lee, Jai-Ki [Hanyang Univ., Seoul (Korea, Republic of); Lee, Jong-Il; Kim, Jang-Lyul [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

    2014-10-15

    In internal dosimetry, intake retention and excretion functions are essential to estimate intake activity using bioassay sample such as whole body counter, lung counter, and urine sample. Even though ICRP (International Commission on Radiological Protection)provides the functions in some ICRP publications, it is needed to calculate the functions because the functions from the publications are provided for very limited time. Thus, some computer program are generally used to calculate intake retention and excretion functions and estimate intake activity. OIR (Occupational Intakes of Radionuclides) will be published soon by ICRP, which totally replaces existing internal dosimetry models and relevant data including intake retention and excretion functions. Thus, the calculation tool for the functions is needed based on OIR. In this study, we developed calculation module for intake retention and excretion functions based on OIR using C++ programming language with Intel Math Kernel Library. In this study, we developed the intake retention and excretion function calculation module based on OIR using C++ programing language.

  20. OCTAVIO PAZ Y EL ACCIDENTE COMO IMAGEN DEL MUNDO Octavio Paz and the accident as world’s image

    Eduardo Aguayo Rodríguez

    2011-12-01

    Full Text Available Examen del significado de la noción de accidente a partir de una perspectiva amplia que permita integrar antecedentes filológicos, filosóficos e históricos fundamentales. Se analiza la significación del accidente en tanto que imagen de mundo en las sociedades contemporáneas, a partir de una serie de reflexiones teóricas desarrolladas por Octavio Paz durante la década del 60 y, finalmente, se plantean algunas claves que pueden vincular la noción de accidente con la narrativa hispanoamericana del siglo XX.The article deals with the notion of accident from a wide point of view integrating philological, philosophical and historical data. The meaning of accident is analyzed according to the image of the world in the post-industrialized societies, from a set of theorical reflexions developed by Octavio Paz during the 60’s; finally, there is a brief discussion about the possible connections between the notion of accident and the hispanic literacy production in the 20th century, specifically in the field of narrative.

  1. ESTADO ACTUAL DE LA PREVENCIÓN DE LOS ACCIDENTES DE MONTAÑA EN ARAGÓN

    Ma. Antonia Nerín

    2005-01-01

    - Establecer las necesidades de los colectivos implicados (usuarios, profesionales e nstituciones para reducir la incidencia y severidad de los accidentes de montaña. Para ello, hemos utilizado los resultados de las campañas institucionales Montañas para Vivirlas Seguro de los años 2000, 2001 y 2002, se han analizado las ocupaciones relacionadas con las actividades deportivas en la montaña y hemos consultado directamente con las instituciones implicadas. El nivel de formación e información del usuario de la montaña en Aragón no es el adecuado para el riesgo potencial de las actividades de montaña; mientras que se evidencia la necesidad de reglar algunas profesiones de la montaña. El rescate en montaña es efectivo, eficaz y eficiente; la medicalización es efectiva, eficaz y no eficiente (atendiendo a los criterios de necesidad, oferta y demanda y la prevención -a pesar de los esfuerzos- es no eficaz, no eficiente y no efectiva. Por todo ello, es urgente la creaciÛn de un servicio de vigilancia de los accidentes de montaña, así como un centro que coordine las propuestas y actuaciones orientadas a prevenir los acci-dentes de montaña.

  2. Research progress on children accidental injury%儿童意外伤害的研究进展

    李丽; Patricia Ryan-Krause; 李映兰

    2012-01-01

    从流行病学分布、影响因素以及干预措施等方面综合分析国内外对儿童意外伤害的研究现状,发现相对于流行病学研究而言,中低收入国家对儿童意外伤害问题的研究广度及干预项目的有效性研究均较缺乏,未开展意外伤害发生的心理及行为机制研究.%From the epidemiological distribution,influencing factors and interventions it analyzed the research status of children accidental injury in a-broad and at home comprehensively, and found out compared with the epidemiological studies,the research breadth and effective researches of intervention projects on children accidental injury in low - and middle - income countries were lack,and not to carry out a study on the psychological and behavioral mechanisms of accidental injury.

  3. A comparison study on mental health status between suicide survivors and survivors of accidental deaths in rural China.

    Xu, G; Li, N

    2014-12-01

    Suicide has become a major public health problem worldwide. For every suicide there are six suicide survivors, a term referring to family members or friends of a person who has died by suicide. Within the literature there has been ongoing debate regarding the bereavement process and if it differs in survivors of suicide as opposed to survivors of those who have died from accidental death. There are scarcely any published reports on comparison between these two groups of survivors in China. In this study, we aimed to explore the difference of mental health status between suicide survivors and survivors of accidental deaths in China. We used a cross-sectional study design to collect data of survivors. Consecutive sampling was used and 92 suicide survivors and 64 survivors of accidental deaths were interviewed. The Symptom Checklist-90-Revised was used to assess the survivors' mental health status. After controlling for demographic variables and time interval between death and interview, no significant differences were found on mental health status between these two groups of survivors. Several explanations might account for the lack of differences. Further studies employing qualitative measures and suicide-specific instruments are needed to explore the bereavement of Chinese suicide survivors.

  4. Estimated protein intakes of toddlers: predicted prevalence of inadequate intakes in village populations in Egypt, Kenya, and Mexico.

    Beaton, G H; Calloway, D H; Murphy, S P

    1992-04-01

    This paper presents a probability assessment of the adequacy of protein intakes of toddlers (aged 18-30 mo) in study communities in Egypt, Kenya, and Mexico judged in relation to FAO/WHO/UNU estimates of requirements. Effects of supplementing amino acid intakes, or of assuming lower bioavailability for lysine are also considered. In Egypt and Mexico existing protein intakes of toddlers were adequate. In Kenya existing intakes were marginal. Total protein intake was low and often lysine or tryptophan concentration was low. If Kenyan intakes met estimated energy requirements, protein intakes would be adequate. We conclude that protein intake is unlikely to be a primary limiting factor for toddler growth and development, and the benefit to be expected from increasing the intake of limiting amino acids is marginal. Reported associations of animal-source protein and energy with growth, size, and psychologic function of these toddlers are unlikely to be causally attributable to inadequacy of protein intakes.

  5. Rodent models for compulsive alcohol intake.

    Hopf, F Woodward; Lesscher, Heidi M B

    2014-05-01

    Continued seeking and drinking of alcohol despite adverse legal, health, economic, and societal consequences is a central hallmark of human alcohol use disorders. This compulsive drive for alcohol, defined by resistance to adverse and deleterious consequences, represents a major challenge when attempting to treat alcoholism clinically. Thus, there has long been interest in developing pre-clinical rodent models for the compulsive drug use that characterizes drug addiction. Here, we review recent studies that have attempted to model compulsive aspects of alcohol and cocaine intake in rodents, and consider technical and conceptual issues that need to be addressed when trying to recapitulate compulsive aspects of human addiction. Aversion-resistant alcohol intake has been examined by pairing intake or seeking with the bitter tastant quinine or with footshock, and exciting recent work has used these models to identify neuroadaptations in the amygdala, cortex, and striatal regions that promote compulsive intake. Thus, rodent models do seem to reflect important aspects of compulsive drives that sustain human addiction, and will likely provide critical insights into the molecular and circuit underpinnings of aversion-resistant intake as well as novel therapeutic interventions for compulsive aspects of addiction.

  6. Nutrients, satiety, and control of energy intake.

    Tremblay, Angelo; Bellisle, France

    2015-10-01

    In the context of the worldwide epidemic of obesity affecting men and women of all ages, it is important to understand the mechanisms that control human appetite, particularly those that allow the adjustment of energy intake to energy needs. Satiety is one important psycho-biological mechanism whose function is to inhibit intake following the ingestion of a food or a beverage. According to the classical theories of appetite control, satiety is influenced by macronutrient intake and/or metabolism. Satiety also seems to be modified by micronutrients, non-nutrients, and some bioactive food constituents. Under optimal conditions, satiety should be well connected with hunger and satiation in a way that spontaneously leads to a close match between energy intake and expenditures. However, the current obesity epidemic suggests that dysfunctions often affect satiety and energy intake. In this regard, this paper presents a conceptual integration that hopefully will help health professionals address satiety issues and provide the public with informed advice to facilitate appetite control.

  7. Stress exposure, food intake and emotional state.

    Ulrich-Lai, Yvonne M; Fulton, Stephanie; Wilson, Mark; Petrovich, Gorica; Rinaman, Linda

    2015-01-01

    This manuscript summarizes the proceedings of the symposium entitled, "Stress, Palatable Food and Reward", that was chaired by Drs. Linda Rinaman and Yvonne Ulrich-Lai at the 2014 Neurobiology of Stress Workshop held in Cincinnati, OH. This symposium comprised research presentations by four neuroscientists whose work focuses on the biological bases for complex interactions among stress, food intake and emotion. First, Dr Ulrich-Lai describes her rodent research exploring mechanisms by which the rewarding properties of sweet palatable foods confer stress relief. Second, Dr Stephanie Fulton discusses her work in which excessive, long-term intake of dietary lipids, as well as their subsequent withdrawal, promotes stress-related outcomes in mice. Third, Dr Mark Wilson describes his group's research examining the effects of social hierarchy-related stress on food intake and diet choice in group-housed female rhesus macaques, and compared the data from monkeys to results obtained in analogous work using rodents. Finally, Dr Gorica Petrovich discusses her research program that is aimed at defining cortical-amygdalar-hypothalamic circuitry responsible for curbing food intake during emotional threat (i.e. fear anticipation) in rats. Their collective results reveal the complexity of physiological and behavioral interactions that link stress, food intake and emotional state, and suggest new avenues of research to probe the impact of genetic, metabolic, social, experiential and environmental factors on these interactions.

  8. The 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: summary of main findings and risk factors.

    Pandit, J J; Andrade, J; Bogod, D G; Hitchman, J M; Jonker, W R; Lucas, N; Mackay, J H; Nimmo, A F; O'Connor, K; O'Sullivan, E P; Paul, R G; Palmer, J H MacG; Plaat, F; Radcliffe, J J; Sury, M R J; Torevell, H E; Wang, M; Hainsworth, J; Cook, T M

    2014-10-01

    We present the main findings of the 5th National Audit Project on accidental awareness during general anaesthesia. Incidences were estimated using reports of accidental awareness as the numerator, and a parallel national anaesthetic activity survey to provide denominator data. The incidence of certain/probable and possible accidental awareness cases was ~1:19 600 anaesthetics (95% CI 1:16 700-23 450). However, there was considerable variation across subtypes of techniques or subspecialties. The incidence with neuromuscular blockade was ~1:8200 (1:7030-9700), and without it was ~1:135 900 (1:78 600-299 000). The cases of accidental awareness during general anaesthesia reported to 5th National Audit Project were overwhelmingly cases of unintended awareness during neuromuscular blockade. The incidence of accidental awareness during caesarean section was ~1:670 (1:380-1300). Two thirds (82, 66%) of cases of accidental awareness experiences arose in the dynamic phases of anaesthesia, namely induction of and emergence from anaesthesia. During induction of anaesthesia, contributory factors included: use of thiopental; rapid sequence induction; obesity; difficult airway management; neuromuscular blockade; and interruptions of anaesthetic delivery during movement from anaesthetic room to theatre. During emergence from anaesthesia, residual paralysis was perceived by patients as accidental awareness, and commonly related to a failure to ensure full return of motor capacity. One third (43, 33%) of accidental awareness events arose during the maintenance phase of anaesthesia, most due to problems at induction or towards the end of anaesthesia. Factors increasing the risk of accidental awareness included: female sex; age (younger adults, but not children); obesity; anaesthetist seniority (junior trainees); previous awareness; out-of-hours operating; emergencies; type of surgery (obstetric, cardiac, thoracic); and use of neuromuscular blockade. The following factors were

  9. Accidentes de trabajo en el Hospital Clínico de la Universidad de Chile durante el año 2007

    Carlos Valdés

    2011-01-01

    Full Text Available Objetivo: Conocer el número de los accidentes laborales en el Hospital Clínico de la Universidad de Chile (HCUCH el año 2007 y su caracterización de acuerdo a variables como: sexo, edad, tipo de lesión, día de la semana, mes del año, cargo desempeñado y días perdidos. Diseño: Estudio descriptivo, transversal, retrospectivo y observacional. Lugar: Hospital Clínico de la Universidad de Chile (HCUCH. Participantes: Accidentes laborales reportados entre el 1 de Enero y el 31 de Diciembre del 2007. Intervención: Se utilizó la base de datos del Registro de Notificación de Accidentes Laborales, proporcionada por el Departamento de Prevención de Riesgos del HCUCH Principales medidas de Resultados: Porcentajes y Medidas de Tendencia Central, tabuladas en una base de datos con ayuda del programa Microsoft Excel 2003 para Windows ®. Resultados: Se observan 104 accidentes laborales, con un mayor número de eventos en el personal femenino (69,2%, en el rango etareo de 30-39 años (34,3%, el tipo de lesión más frecuente fueron las contusiones policontusiones (39,4%, el grupo más accidentado fue los auxiliares y técnicos (71.1%. El estudio por días de la semana revela que hay más accidentes los días miércoles y jueves (43,27% y los meses del año con más accidentes fueron enero, agosto y diciembre. La mayor cantidad de accidentes laborales comprometen entre 1 a 5 días perdidos. Conclusiones: Durante el año 2007, se pesquisó 104 accidentes laborales, lo que significó 804 días de ausentismo. Este estudio muestra que el sexo femenino, tener entre 30-39 años y ejercer como auxiliar o técnico fueron factores de asociados al incremento de los accidentes laborales. Palabras clave: Accidentes de trabajo, ausentismo, notificación de accidentes de trabajo.

  10. ACCIDENTES CON EXPOSICIÓN A MATERIAL BIOLÓGICO CONTAMINADO POR VIH EN TRABAJADORES DE UN HOSPITAL DE TERCER NIVEL DE MADRID (1986-2001

    Aurelia García de Codes Ilario

    2004-01-01

    Full Text Available Fundamento: La contaminación por el virus de la inmunodeficiencia humana (VIH es un riesgo ocupacional para los profesionales sanitarios accidentados contaminados con sangre positiva al VIH. El objetivo de nuestro estudio es describir las características de los accidentes registrados durante dieciséis años en un hospital general con sangre o fluidos biológicos procedentes de pacientes VIH positivos, determinar las tasas de exposición accidental en las diferentes categorías profesionales y comprobar el seguimiento realizado por los trabajadores del protocolo de accidentes establecido. Métodos: Estudio descriptivo en un hospital general de Madrid durante el período 1986 a 2001, de los accidentes con presencia de material biológico procedente de personas con serología VIH positiva. Se han estudiado variables del profesional accidentado relacionadas con persona, lugar y tiempo, además de las serologías al inicio y durante el seguimiento protocolizado. Resultados: Durante el período de estudio se declararon 550 accidentes con fuente VIH positiva. La media fue de 34,4 de accidentes por año. La tasa de exposición fue de 7,5 por cada 1.000 trabajadores- año. El colectivo profesional con mayor frecuencia de accidentes fue el personal de enfermería (54,4%. Las lesiones percutáneas fueron las más frecuentes (80,2%. La tasa media de exposición ha sido de 2,6 por cada 100 camas-año. Las zonas anatómicas más afectadas fueron los dedos de la mano (75,6%. El 53,6% de los accidentados finalizó el seguimiento serológico, sin registrarse ninguna seroconversión. Conclusiones: Durante los dieciséis años de estudio, la incidencia anual de accidentes con fuente VIH positiva fue en aumento desde los 27 accidentes declarados en 1986 hasta los 60 accidentes en 1990, con una tendencia descendente desde ese momento hasta contabilizarse 12 accidentes en el año 2001.

  11. Dietary intake of magnesium may modulate depression.

    Yary, Teymoor; Aazami, Sanaz; Soleimannejad, Kourosh

    2013-03-01

    Depressive symptoms are frequent in students and may lead to countless problems. Several hypotheses associate magnesium with depression because of the presence of this mineral in several enzymes, hormones, and neurotransmitters, which may play a key role in the pathological pathways of depression. The aim of this study was to assess whether magnesium intake could modulate depressive symptoms. A cross-sectional study was conducted on a convenience sample of 402 Iranian postgraduate students studying in Malaysia to assess the relationship between magnesium intake and depressive symptoms. The mean age of the participants was 32.54 ± 6.22 years. The results of the study demonstrated an inverse relationship between magnesium intake and depressive symptoms, which persisted even after adjustments for sex, age, body mass index, monthly expenses, close friends, living on campus, smoking (current and former), education, physical activity, and marital status.

  12. Coupled Seepage and Heat Transfer Intake Model

    WU Junhua; YOU Shijun; ZHANG Huan; LI Haishan

    2009-01-01

    In the beach well intake system, heat is transferred from soil to fluid when seawater is filtered through the aquifer, providing higher temperature source water to the seawater source heat pump (SWHP) system in winter. A 3-D coupled seepage and heat transfer model for studying beach well intake system is established by adopting the computer code FLUENT. Numerical results of this model are compared with the experimental results under the same conditions. Based on the experiment-verified coupled model, numerical simulation of the supply water temperature is studied over a heating season. Results show that the minimum temperature of supply water is 275.2 K when this intake system continuously provides seawater with flow rate of 35 m3/h to SWHP. Results also indicate that the supply water temperature is higher than seawater, and that the minimum temperature of supply water lags behind seawater, ensuring effective and reliable operation of SWHP.

  13. Appetite and Energy Intake in Humans

    Sørensen, Lone Brinkmann

    in the prevalence of obesity is unknown but it is most probably due to two lifestyle factors: an increasingly sedentary lifestyle and increased availability of palatable foods with high energy density. Even small changes in energy intake, leading to a positive energy balance can lead to weight gain over time......Summary Worldwide, the number of overweight and obese individuals has more than doubled since 1980: there were more than 1.4 billion overweight adults in 2008. Of these, more than 200 million men and nearly 300 million women were classified as obese. The cause for the worldwide increase...... on appetite sensations, ad libitum energy intake and gastro-intestinal satiety hormones. 3. To compare the effect of dark chocolate versus milk chocolate on appetite sensations and ad libitum energy intake. In paper 1, the participants who received sucrose supplements had lower ratings of fullness and higher...

  14. Prescripción facilitada de drogas antihipertensivas y disminución de la muerte prematura por accidente cerebrovascular

    Javier Mariani

    2016-04-01

    Full Text Available Introducción: Desde 2003, el programa Remediar (+Redes distribuye gratuitamente medicación antihipertensiva. Durante este período, la mortalidad por accidente cerebrovascular disminuyó, aunque con inequidades entre grupos socioeconómicos. Objetivos: Evaluar la asociación entre la mortalidad por accidente cerebrovascular y la provisión de fármacos antihipertensivos. Estudiar la posible interacción entre los efectos de los antihipertensivos sobre la mortalidad y el nivel socioeconómico. Material y métodos: Se realizó un estudio ecológico para datos de panel. La mortalidad se expresa como tasas estandarizadas.Los fármacos antihipertensivos están ajustados a la población entre la que se distribuyeron y se expresan en cuartiles dedispensación. El nivel socioeconómico se midió por las necesidades básicas insatisfechas. Resultados: Desde el inicio del programa en 2003, la distribución de antihipertensivos aumentó significativamente, sobre todo en los grupos menos afluentes (p < 0,001. No hubo una asociación estadísticamente significativa entre la tasa de dispensaciónde antihipertensivos y la mortalidad por accidente cerebrovascular globalmente. Sin embargo, en los análisis de interacción se observó que en los quintiles 3 a 5 de necesidades básicas insatisfechas (menos afluentes, los cuartiles en los que se distribuyeron más antihipertensivos tuvieron significativamente menor mortalidad por accidente cerebrovascular (p = 0,004,p = 0,015 y p = 0,017, para los quintiles 3 a 5 de nivel socioeconómico. Conclusiones: Los resultados del presente análisis sugieren la ausencia de efectos globales de la provisión de antihipertensivossobre la mortalidad por accidente cerebrovascular. Sin embargo, los datos muestran que, entre los grupos más desfavorecidos,la distribución de antihipertensivos estuvo asociada con una reducción de la mortalidad por esta causa.

  15. Terapéuticas intervencionistas para el accidente cerebrovascular isquémico

    Alejandra T. Rabadán

    2010-10-01

    Full Text Available En los últimos 20 años se han desarrollado nuevas opciones para el tratamiento y para la prevención del accidente cerebrovascular (ACV isquémico, muchas de ellas de carácter intervencionista, tales como la endarterectomía carotídea y la trombolisis intravenosa con activador tisular del plasminógeno. La evidencia científica ha llevado a su difusión y utilización en países desarrollados mientras que en naciones emergentes se observa un retraso en su adopción. Otras modalidades terapéuticas que parecen ser muy promisorias, aunque sin tanta evidencia científica que las avale, requieren la realización y conclusión de estudios randomizados. Dentro de la evolución del ACV isquémico existe una situación particular como es el infarto cerebral "maligno". Constituye un evento devastador, que se presenta en aproximadamente el 10 al 15% de los ACV carotídeos o silvianos, y está asociado con elevada morbimortalidad. Con la información disponible actualmente, es posible recomendar la craniectomía descompresiva (CD como un método efectivo y seguro para disminuir rápidamente la presión intracraneal y lograr un pronóstico favorable sobre una base racional. Aunque no hay estudios randomizados y controlados en la literatura, existe suficiente evidencia para recomendar la CD en casos especiales.

  16. Fouling Communities of Two Accidental Artificial Reefs (Modern Shipwrecks in Cyprus (Levantine Sea

    Carlos Jimenez

    2016-12-01

    Full Text Available Artificial reefs are considered one of the alternative methods in fisheries management, used in order to enhance stocks and marine biodiversity in general. A number of biotic and abiotic parameters influence the fouling communities’ formation on artificial reefs through complex interactions. In order to understand how epibiotic or fouling communities progress through time, it is important to study these communities in mature artificial reefs, especially those that have been around for many decades, or in some cases, millennia. This study was conducted on the coral and other fouling organisms of two accidental artificial reefs (40 to 70 year-old shipwrecks in Cyprus (Levantine Sea. The thermal and nutrient annual regime of the study sites were characterized by processing satellite data. The results indicate that the wrecks are normally under warm and oligotrophic conditions. Percentage coverage of corals and other organisms on the wrecks was calculated (image-analysis software on photos taken in 2010 (two wrecks and again in 2016 (one wreck of the fouling communities. Sponges were the organisms with the highest percent cover (~27% at the two wrecks. Four scleractinian coral species were found (7%–19% total coral cover. The oldest wreck, which has well-developed coral communities, was revisited during fieldwork in a near-by area in 2016. Only two major benthic categories (dead coral and macro algae changed significantly between sampling periods. Given the actual policies to sink wrecks to create artificial reefs and the diverse environmental conditions in different areas that will inevitably influence fouling, it is important to carry out studies relating to mature artificial reefs/wrecks in order to be able to assess the ecological effectiveness of longstanding artificial reefs.

  17. Assessment of methodologies for analysis of the dungeness B accidental aircraft crash risk.

    LaChance, Jeffrey L.; Hansen, Clifford W.

    2010-09-01

    The Health and Safety Executive (HSE) has requested Sandia National Laboratories (SNL) to review the aircraft crash methodology for nuclear facilities that are being used in the United Kingdom (UK). The scope of the work included a review of one method utilized in the UK for assessing the potential for accidental airplane crashes into nuclear facilities (Task 1) and a comparison of the UK methodology against similar International Atomic Energy Agency (IAEA), United States (US) Department of Energy (DOE), and the US Nuclear Regulatory Commission (NRC) methods (Task 2). Based on the conclusions from Tasks 1 and 2, an additional Task 3 would provide an assessment of a site-specific crash frequency for the Dungeness B facility using one of the other methodologies. This report documents the results of Task 2. The comparison of the different methods was performed for the three primary contributors to aircraft crash risk at the Dungeness B site: airfield related crashes, crashes below airways, and background crashes. The methods and data specified in each methodology were compared for each of these risk contributors, differences in the methodologies were identified, and the importance of these differences was qualitatively and quantitatively assessed. The bases for each of the methods and the data used were considered in this assessment process. A comparison of the treatment of the consequences of the aircraft crashes was not included in this assessment because the frequency of crashes into critical structures is currently low based on the existing Dungeness B assessment. Although the comparison found substantial differences between the UK and the three alternative methodologies (IAEA, NRC, and DOE) this assessment concludes that use of any of these alternative methodologies would not change the conclusions reached for the Dungeness B site. Performance of Task 3 is thus not recommended.

  18. Accidental benzene release risk assessment in an urban area using an atmospheric dispersion model

    Truong, Son C. H.; Lee, Myong-In; Kim, Ganghan; Kim, Dongmin; Park, Jong-Hwa; Choi, Sung-Deuk; Cho, Gi-Hyoug

    2016-11-01

    This study applied the American Meteorological Society and Environmental Protection Agency Regulatory Model (AERMOD) to assess the risk caused by an accidental release and dispersion of the toxic chemical benzene in the vicinity of a highly populated urban area. The modeling domain encompasses the Korean megacity of Ulsan, which includes two national industrial complexes and is characterized by a complex coastal terrain. Multiple AERMOD simulations were conducted for an assumed emission scenario using background wind data from August between 2009 and 2013. The series of experiments produced the spatial accident probability patterns for different concentration levels during daytime and nighttime scenarios based on the corresponding dominant wind patterns. This study further quantifies the potential accident risk based on the number of affected individuals by combining the accident probability with the indoor and outdoor population estimates. The chemical gas dispersion characteristics depend on various local meteorological conditions, such as the land-sea breeze direction, which alternates between daytime and nighttime, and the atmospheric stability. The results reveal that benzene dispersion affects a much larger area during the nighttime owing to the presence of a nocturnal stable boundary layer with significant temperature stratification. The affected area is smaller during the daytime owing to decreased stability and enhanced vertical mixing in the boundary layer. The results include a high degree of uncertainty during the nighttime owing to weak wind speeds and the lack of a prevailing wind direction, which impact the vulnerable area. However, vulnerable areas are more effectively identified during the daytime, when more consistent meteorological conditions exist. However, the potential risk becomes much lower during the nighttime owing to a substantial reduction of the outdoor population.

  19. [Thermolabile drugs stability faced with an accidental interruption in the cold chain].

    Ricote-Lobera, I; Ortiz-Martín, B; Fraile-Gil, S; Santos-Mena, B; Hidalgo-Correas, F J; García-Díaz, B

    2014-05-01

    Objetivo: Elaborar una guía actualizada sobre la estabilidad delos medicamentos termolábiles incluidos en la Guía Farmacoterapéuticaque, según ficha técnica, deben conservarse bajorefrigeración o congelación, expuestos accidentalmente a temperaturasde conservación fuera del rango recomendado por elfabricante.Métodos: Se revisó la información sobre las temperaturas deconservación recomendadas en ficha técnica y los datos deestabilidad disponibles a distintas temperaturas de los medicamentostermolábiles incluidos en la Guía Farmacoterapéuticade un hospital de 400 camas que, según el fabricante, debenconservarse bajo refrigeración o congelación. Se excluyeron losmedicamentos incluidos en ensayos clínicos. Los datos de estabilidadse obtuvieron a partir de la ficha técnica, la informacióncontenida en las dos últimas guías de conservación de medicamentostermolábiles publicadas en España y a través de las consultasrealizadas a los laboratorios (vía telefónica o por e-mail).Resultados: Se confeccionó una tabla con las temperaturas deconservación recomendadas en ficha técnica y los datos deestabilidad disponibles actualmente a distintas temperaturas de209 presentaciones de distintas especialidades farmacéuticas.Se solicitaron datos de estabilidad actualizados de 172 de ellasa los laboratorios.Conclusiones: La guía elaborada constituye una herramientaque facilita la toma de decisiones del farmacéutico ante unarotura accidental de la cadena de frío, cuando sea necesarioconocer si el fármaco puede ser utilizado y no sea posible contactarcon el laboratorio fabricante.

  20. Genotypic and phenotypic modifications of Neisseria meningitidis after an accidental human passage.

    Hélène Omer

    Full Text Available A scientist in our laboratory was accidentally infected while working with Z5463, a Neisseria meningitidis serogroup A strain. She developed severe symptoms (fever, meningism, purpuric lesions that fortunately evolved with antibiotic treatment to complete recovery. Pulse-field gel electrophoresis confirmed that the isolate obtained from the blood culture (Z5463BC was identical to Z5463, more precisely to a fourth subculture of this strain used the week before the contamination (Z5463PI. In order to get some insights into genomic modifications that can occur in vivo, we sequenced these three isolates. All the strains contained a mutated mutS allele and therefore displayed an hypermutator phenotype, consistent with the high number of mutations (SNP, Single Nucleotide Polymorphism detected in the three strains. By comparing the number of SNP in all three isolates and knowing the number of passages between Z5463 and Z5463PI, we concluded that around 25 bacterial divisions occurred in the human body. As expected, the in vivo passage is responsible for several modifications of phase variable genes. This genomic study has been completed by transcriptomic and phenotypic studies, showing that the blood strain used a different haemoglobin-linked iron receptor (HpuA/B than the parental strains (HmbR. Different pilin variants were found after the in vivo passage, which expressed different properties of adhesion. Furthermore the deletion of one gene involved in LOS biosynthesis (lgtB results in Z5463BC expressing a different LOS than the L9 immunotype of Z2491. The in vivo passage, despite the small numbers of divisions, permits the selection of numerous genomic modifications that may account for the high capacity of the strain to disseminate.

  1. Biological dose estimation for accidental supra-high dose gamma-ray exposure

    Chen, Y., E-mail: yingchen29@yahoo.com.cn [Department of Radiation Toxicology and Oncology, Beijing Institute of Radiation Medicine, 27 Taiping Road, Haidian District, Beijing 100850 (China); Yan, X.K. [Department of Radiation Toxicology and Oncology, Beijing Institute of Radiation Medicine, 27 Taiping Road, Haidian District, Beijing 100850 (China); Department of Radiation Safety, Beijing Institute of Nuclear and Chemical Safety, 14 Guan-cun, Dongcheng District, Beijing 100077 (China); Du, J.; Wang, Z.D.; Zhang, X.Q.; Zeng, F.G.; Zhou, P.K. [Department of Radiation Toxicology and Oncology, Beijing Institute of Radiation Medicine, 27 Taiping Road, Haidian District, Beijing 100850 (China)

    2011-09-15

    To correctly estimate the biological dose of victims accidentally exposed to a very high dose of {sup 60}Co gamma-ray, a new dose-effect curve of chromosomal dicentrics/multicentrics and rings in the supra-high dose range was established. Peripheral blood from two healthy men was irradiated in vitro with doses of {sup 60}Co gamma-rays ranging from 6 to 22 Gy at a dose rate of 2.0 Gy/min. Lymphocytes were concentrated, cultured and harvested at 52 h, 68 h and 72 h. The numbers of dic + r were counted. The dose-effect curves were established and validated using comparisons with doses from the Tokai-mura accident and were then applied to two victims of supra-high dose exposure accident. The results indicated that there were no significant differences in chromosome aberration frequency among the different culture times from 52 h to 72 h. The 6-22 Gy dose-effect curve was fitted to a linear quadratic model Y = -2.269 + 0.776D - 7.868 x l0{sup -3}D{sup 2}. Using this mathematic model, the dose estimates were similar to data from Tokai-mura which were estimated by PCC ring. Whole body average doses of 9.7 Gy and 18.1 Gy for two victims in the Jining accident were satisfactorily given. We established and successfully applied a new dose-effect curve of chromosomal dicentrics plus ring (dic + r) after 6-22 Gy {gamma}-irradiation from a supra-high dose {sup 60}Co gamma-ray accident.

  2. Actividades intersectoriales en la prevención de accidentes de tráfico

    Peiró R.

    2003-01-01

    Full Text Available Se describen las líneas de trabajo priorizadas y algunos resultados obtenidos en la implantación del programa de prevención y reducción de lesiones por accidentes de tráfico en un área de salud. A partir de 1999 el Centro de Salud Pública priorizó la identificación y búsqueda de aliados en otros sectores (Asociación de policías locales y educación, la construcción de la capacidad de trabajo conjunta y la formación de un grupo intersectorial. Se llevaron a cabo actividades docentes y jornadas. Se formó una red de personas en 17 de un total de 39 ayuntamientos que participan con actividades en el grupo intersectorial. Un total de 10 de estos ayuntamientos participaron con actividades educativas y siete, además, exigieron al cumplimiento de la legislación. El grupo intersectorial potenció la visibilidad de sus actividades a través de los medios de comunicación local. Estas actividades no están dirigidas a reducir las lesiones por tráfico, sino a crear un marco de trabajo para la movilización de los sectores implicados. Se pretende potenciar más el compromiso entre los niveles políticos, técnicos y civiles incidiendo en valores sociales de respeto para una vida más saludable.

  3. Medical documentation, bioanalytical evidence of an accidental human exposure to sulfur mustard and general therapy recommendations.

    Steinritz, Dirk; Striepling, Enno; Rudolf, Klaus-Dieter; Schröder-Kraft, Claudia; Püschel, Klaus; Hullard-Pulstinger, Andreas; Koller, Marianne; Thiermann, Horst; Gandor, Felix; Gawlik, Michael; John, Harald

    2016-02-26

    Sulfur mustard (SM) is a chemical warfare agent (CWA) that was first used in World War I and in several military conflicts afterwards. The threat by SM is still present even today due to remaining stockpiles, old and abandoned remainders all over the world as well as to its ease of synthesis. CWA are banned by the Chemical Weapons Convention (CWC) interdicting their development, production, transport, stockpiling and use and are subjected to controlled destruction. The present case report describes an accidental exposure of three workers that occurred during the destruction of SM. All exposed workers presented a characteristic SM-related clinical picture that started about 4h after exposure with erythema and feeling of tension of the skin at the upper part of the body. Later on, superficial blister and a burning phenomenon of the affected skin areas developed. Similar symptoms occurred in all three patients differing severity. One patient presented sustained skin affections at the gluteal region while another patient came up with affections of the axilla and genital region. Fortunately, full recovery was observed on day 56 after exposure except some little pigmentation changes that were evident even on day 154 in two of the patients. SM-exposure was verified for all three patients using bioanalytical GC MS and LC MS/MS based methods applied to urine and plasma. Urinary biotransformation products of the β-lyase pathway were detected until 5 days after poisoning whereas albumin-SM adducts could be found until day 29 underlining the beneficial role of adduct detection for post-exposure verification. In addition, we provide general recommendations for management and therapy in case of SM poisoning.

  4. Aspectos psicosociales y accidentes en el transporte terrestre Psychosocial aspects and accidents in land transport

    Nelson Morales-Soto

    2010-06-01

    Full Text Available Los accidentes de tránsito son un problema de salud pública en el Perú, que entre 1998 y 2008 causaron 35 596 muertes, Lima es la región más afectada con 61,7% de los siniestros, su costo anual alcanzó los mil millones de dólares, equivalente a un tercio de la inversión en salud. Los estudios disponibles enfatizan en los protagonistas -conductores, peatones- o en equipos y vías; se han modificado normas e implementado planes de contención de la siniestralidad pero su incidencia persiste. Se plantea la posibilidad de explorar factores conductuales y sociales que podrían tener importancia en la génesis del problema revisando los relacionados con el desorden imperante en el transporte, los comportamientos de conductores y peatones y la permisividad de la sociedad en general, particularmente de la autoridad. Se propone la investigación e intervención multidisciplinaria e intersectorial.Road traffic accidents are a public health problem in Peru, having caused 35 596 deaths in Peru between 1998 and 2008. Lima is the most affected region, presenting 61.7% of the accidents, the annual cost reached one thousand million dollars, equivalent to a third part of the investment in health. Available studies give emphasis to the protagonists -the drivers, the pedestrians- or to equipment and roads; the laws have been modified and containment plans for accidents have been implemented, but the incidence remains the same. We raise the possibility of exploring behavioral and social factors that could be relevant in the genesis of the problem, revising those related to current disorder in transport, the behaviors of drivers and pedestrians and the permissiveness of society in general particularly of the authority. We propose research and a multidisciplinary and intersectoral intervention.

  5. The quest for an intermediate-scale accidental axion and further ALPs

    Dias, A.G.; Nishi, C.C. [Univ. Federal do ABC - UFABC, Sao Paulo (Brazil); Machado, A.C.B. [Teorica-Univ. Estadual Paulista, Sao Paulo (Brazil). Instituto de Fisica; Ringwald, A. [Deutsches Elektronen-Synchrotron (DESY), Hamburg (Germany); Vaudrevange, P. [Technische Univ. Muenchen, Garching (Germany). Excellence Cluster Universe

    2014-03-15

    The recent detection of the cosmic microwave background polarimeter experiment BICEP2 of tensor fluctuations in the B-mode power spectrum basically excludes all plausible axion models where its decay constant is above 10{sup 13} GeV. Moreover, there are strong theoretical, astrophysical, and cosmological motivations for models involving, in addition to the axion, also axion-like particles (ALPs), with decay constants in the intermediate scale range, between 10{sup 9} GeV and 10{sup 13} GeV. Here, we present a general analysis of models with an axion and further ALPs and derive bounds on the relative size of the axion and ALP photon (and electron) coupling. We discuss what we can learn from measurements of the axion and ALP photon couplings about the fundamental parameters of the underlying ultraviolet completion of the theory. For the latter we consider extensions of the Standard Model in which the axion and the ALP(s) appear as pseudo Nambu-Goldstone bosons from the breaking of global chiral U(1) (Peccei-Quinn (PQ)) symmetries, occuring accidentally as low energy remnants from exact discrete symmetries. In such models, the axion and the further ALP are protected from disastrous explicit symmetry breaking effects due to Planck-scale suppressed operators. The scenarios considered exploit heavy right handed neutrinos getting their mass via PQ symmetry breaking and thus explain the small mass of the active neutrinos via a seesaw relation between the electroweak and an intermediate PQ symmetry breaking scale. We show some models that can accommodate simultaneously an axion dark matter candidate, an ALP explaining the anomalous transparency of the universe for γ-rays, and an ALP explaining the recently reported 3.55 keV gamma line from galaxies and clusters of galaxies, if the respective decay constants are of intermediate scale.

  6. Economic policies for healthier food intake

    Nordström, Leif Jonas; Thunström, Linda

    This paper simulates the impact across household types of fully funded tax reforms designed to increase consumers' fiber intake from grain consumption. Our results suggest that household types with the highest initial consumption share of fiber-rich products - i.e., households without children...... with the lowest initial consumption share of fiber-rich products - families with children - appear to gain the least financially from the reforms: they pay more food taxes and face relatively high increases in price levels. Further, in general they experience an increase in fiber intake smaller than the average...

  7. Economic policies for healthier food intake

    Nordström, Leif Jonas; Thunström, Linda

    2011-01-01

    This paper simulates the impact across household types of fully funded tax reforms designed to increase consumers’ fiber intake from grain consumption. Our results suggest that household types with the highest initial consumption share of fiber-rich products—i.e., households without children...... initial consumption share of fiber-rich products— families with children—appear to gain the least financially from the reforms: they pay more food taxes and face relatively high increases in price levels. Further, in general they experience an increase in fiber intake smaller than that of the average...

  8. Calculation of Doses Due to Accidentally Released Plutonium From An LMFBR

    Fish, B.R.

    2001-08-07

    Experimental data and analytical models that should be considered in assessing the transport properties of plutonium aerosols following a hypothetical reactor accident have been examined. Behaviors of released airborne materials within the reactor containment systems, as well as in the atmosphere near the reactor site boundaries, have been semiquantitatively predicted from experimental data and analytical models. The fundamental chemistry of plutonium as it may be applied in biological systems has been used to prepare models related to the intake and metabolism of plutonium dioxide, the fuel material of interest. Attempts have been made to calculate the possible doses from plutonium aerosols for a typical analyzed release in order to evaluate the magnitude of the internal exposure hazards that might exist in the vicinity of the reactor after a hypothetical LMFBR (Liquid-Metal Fast Breeder Reactor) accident. Intake of plutonium (using data for {sup 239}Pu as an example) and its distribution in the body were treated parametrically without regard to the details of transport pathways in the environment. To the extent possible, dose-response data and models have been reviewed, and an assessment of their adequacy has been made so that recommended or preferred practices could be developed.

  9. Dietary intake and urinary excretion of lignans in Finnish men

    Nurmi, Tarja; Mursu, Jaakko; Peñalvo, José L;

    2010-01-01

    Intake of lignans has been assessed in different study populations, but so far none of the studies has compared the daily intake of lignans and the urinary excretion of plant and enterolignans. We assessed the intake of lariciresinol, pinoresinol, secoisolariciresinol and matairesinol in 100....../d, of which lariciresinol and pinoresinol covered 78 %. Almost half (47 %) of the intake of lignans was explained by the intake of rye products, berries, coffee, tea and roots. The urinary excretion of plant lignans corresponded to 17 % and enterolignans to 92 % of the intake of lignans. The urinary excretion...

  10. Unchanged acetylation of isoniazid by alcohol intake

    Wilcke, J T R; Døssing, M; Angelo, H R

    2004-01-01

    SETTING: In 10 healthy subjects, the influence of acute alcohol intake on the pharmacokinetics of isoniazid (INH) was studied. OBJECTIVE: To test the hypothesis that alcohol increases the conversion of INH by acetylation into its metabolite acetylisoniazid. DESIGN: In a crossover design, an oral...

  11. Dietary intake of hexachlorobenzene in Catalonia, Spain.

    Falcó, G; Bocio, A; Llobet, J M; Domingo, J L; Casas, C; Teixidó, A

    2004-04-25

    To assess the dietary intake of hexachlorobenzene (HCB) by the population of Catalonia, Spain, a total-diet study was carried out. Concentrations of HCB were determined in food samples randomly acquired in seven cities of Catalonia between June and August 2000. A total of 11 food groups were included in the study. HCB levels were determined by HRGC/HRMS. Estimates of average daily food consumption were obtained from recent studies. HCB intake was estimated for five population groups: children (aged 4 to 9 years), adolescents (aged 10 to 19 years), male and female adults (aged 20 to 65 years), and seniors (aged >65 years). In general, HCB residues in foods were rather low excepting dairy products with a mean concentration of 0.869 ng/g wet weight. Total dietary intakes of HCB (microgram per kilogram body weight/day) were the following: children (0.0064), adolescents (0.0031), female adults (0.0025), male adults (0.0024) and seniors (0.0019). All these values are considerably lower than the WHO tolerable daily intake (TDI), which is 0.17 microg kg(-1) day(-1) for non-cancer effects and 0.16 microg kg(-1) day(-1) for neoplastic effects in humans.

  12. Menstrual cycle hormones, food intake, and cravings

    Objective: Food craving and intake are affected by steroid hormones during the menstrual cycle, especially in the luteal phase, when craving for certain foods has been reported to increase. However, satiety hormones such as leptin have also been shown to affect taste sensitivity, and therefore food ...

  13. Exercise and the regulation of energy intake

    Scheurink, AJW; Ammar, AA; Benthem, B; van Dijk, G; Sodersten, PAT; Södersten, Per A.T.

    1999-01-01

    Energy balance is the resultant of ingested calories and energy expenditure and is generally maintained within narrow limits over prolonged periods. Exercise leads to an increase in energy expenditure which is, in the long-term, counteracted by increased energy intake. Evidence for this comes from a

  14. Estimating salt intake in a Caucasian population

    Toft, Ulla; Cerqueira, Charlotte; Andreasen, Anne Helms

    2014-01-01

    BACKGROUND: A simple and valid alternative for 24-hour urine collection to estimate populational 24-hour urinary sodium excretion would be desirable for monitoring sodium intake in populations. AIM: To assess the validity of the predicted 24-hour urinary sodium excretion using spot urine and two ...

  15. Vitamin K: food composition and dietary intakes

    Vitamin K is present in the diet in the forms of phylloquinone and menaquinones. Phylloquinone, which is a major dietary source, is concentrated in leafy plants, and is the vitamin K form best characterized in terms of food composition and dietary intakes. In contrast, menaquinones are the product o...

  16. Calcium intake and cows' milk free diets.

    Devlin, J; Stanton, R H; David, T J

    1989-01-01

    In children with atopic eczema on elimination diets, the calcium intake was below the estimated requirement in 15 out of 20 who avoided cows' milk and received no milk substitute, and in three out of 26 who avoided cows' milk but were provided with a soya or casein hydrolysate formula.

  17. Predicting forage intake by grazing beef cattle

    Voluntary intake by cattle is controlled by a complex mix of physical and physiological factors that interact with a variety of environmental, geo-spatial, and experiential influences external to the animal. These factors are intensified in grazing ruminants, where selective grazing and variability...

  18. Protein Intake and Growth in Preterm Infants

    Emma L. Tonkin BND (Hons

    2014-10-01

    Full Text Available Objective. This review aimed to investigate the relationship between varying levels of enteral protein intake and growth in preterm infants, regardless of feeding method. Data Sources. Electronic databases were searched for relevant studies, as were review articles, reference lists, and text books. Study Selection. Trials were included if they were randomized or quasirandomized, participants were 1000 g.

  19. Sodium Chloride Intake : Is Lower Always Better?

    Lambers Heerspink, Hiddo J.; Ritz, Eberhard

    2012-01-01

    Current treatment of kidney disease is not completely satisfactory, particularly when initiated in the late stages of renal progression. There is an urgent need for additional interventions, especially reduction of salt intake, which is rather high in the Western world. In this commentary we provide

  20. Effects of dairy intake on weight maintenance

    Sun Xiaocun

    2008-10-01

    Full Text Available Abstract Background To compare the effects of low versus recommended levels of dairy intake on weight maintenance and body composition subsequent to weight loss. Design and Methods Two site (University of Kansas-KU; University of Tennessee-UT, 9 month, randomized trial. Weight loss was baseline to 3 months, weight maintenance was 4 to 9 months. Participants were maintained randomly assigned to low dairy ( 3 servings/d diets for the maintenance phase. Three hundred thirty eight men and women, age: 40.3 ± 7.0 years and BMI: 34.5 ± 3.1, were randomized; Change in weight and body composition (total fat, trunk fat from 4 to 9 months were the primary outcomes. Blood chemistry, blood pressure, resting metabolism, and respiratory quotient were secondary outcomes. Energy intake, calcium intake, dairy intake, and physical activity were measured as process evaluation. Results During weight maintenance, there were no overall significant differences for weight or body composition between the low and recommended dairy groups. A significant site interaction occurred with the low dairy group at KU maintaining weight and body composition and the low dairy group at UT increasing weight and body fat. The recommended dairy group exhibited reductions in plasma 1,25-(OH2-D while no change was observed in the low dairy group. No other differences were found for blood chemistry, blood pressure or physical activity between low and recommended dairy groups. The recommended dairy group showed significantly greater energy intake and lower respiratory quotient compared to the low dairy group. Conclusion Weight maintenance was similar for low and recommended dairy groups. The recommended dairy group exhibited evidence of greater fat oxidation and was able to consume greater energy without greater weight gain compared to the low dairy group. Recommended levels of dairy products may be used during weight maintenance without contributing to weight gain compared to diets low

  1. Un análisis en los accidentes cerebrovasculares una nueva mirada a los factores de riesgo para la aparición de la enfermedad. Un análisis en los accidentes cerebrovasculares

    2013-01-01

    ResumenLa presencia o no de factores psicológicos de riesgo para la aparición de distintas enfermedades continúa siendo un tema controvertido en las ciencias médicas y psicológicas, quizás por las dificultades que se presentan en el momento de su evaluación. No obstante, ya se han realizado primeras miradas en este sentido, presentando la siguiente investigación en personas con accidente cerebrovascular, como un análisis preliminar experimental; que más que brindar datos definitorios, permita...

  2. Selected Intakes as Ratios of Energy Intake, U.S. Population, 2001-04

    The NCI Method provides the capability to estimate the distribution of usual food intakes in the US population to greatly enhance the ability to monitor diets relative to recommendations and to assess the scope of dietary deficiencies and excesses.

  3. Reorganization of a hospital catering system increases food intake in patients with inadequate intake

    Freil, M.; Nielsen, M. A.; Biltz, C.

    2006-01-01

    Background: Low food intake is a frequent problem in undernourished hospital patients. Objective: To study whether a reorganization of a hospital catering system enabling patients to choose their evening meal individually, in combination with an increase in the energy density of the food, increases......: Reorganization of a hospital catering system can increase energy and protein intake and reduce waste substantially. Keywords: hospital food; nutritional risk; undernutrition...... the energy and protein intake of the patients. Design: Observational study comparing the food intake before and twice after the implementation of the new system, the first time by specially trained staff and the second time by ordinary staff members, following training. The amount of food served, eaten...

  4. Usual Dietary Intakes: SAS Macros for Fitting Multivariate Measurement Error Models & Estimating Multivariate Usual Intake Distributions

    The following SAS macros can be used to create a multivariate usual intake distribution for multiple dietary components that are consumed nearly every day or episodically. A SAS macro for performing balanced repeated replication (BRR) variance estimation is also included.

  5. Ingesta de macronutrientes en adolescentes escolarizados en Soria capital Macronutrients intake in school teenagers in Soria capital

    I. Carrero

    2005-06-01

    Full Text Available Objetivos: Estudiar la ingesta de macronutrientes en adolescentes sorianos de 10-19 años, así como su índice de masa corporal (IMC. Metodología: Encuesta sobre el consumo de alimentos durante siete días en una muestra accidental de adolescentes (54 varones y 56 mujeres de escuelas públicas de Soria capital. Valoración del aporte medio diario de energía, glúcidos, lípidos y proteínas mediante el programa "Alimentación y Salud" que también da valores de ingesta diaria recomendada (IDR para cada individuo en función de sus características particulares. Utilización del test de la t de Student para comparar los valores medios de la ingesta estimada para los distintos nutrientes y sus ingestas diarias recomendadas. Resultados: En general, el aporte de energía, proteínas y lípidos supera de forma estadísticamente significativa las ingestas diarias recomendadas, mientras que el de glúcidos es inferior a las recomendaciones. En cuanto al tipo de lípidos ingerido, la ingesta es superior a la recomendada para colesterol, ácidos grasos monoinsaturados y ácidos grasos saturados, pero no para los ácidos grasos poliinsaturados. En chicas, a partir de los 13 años, más del 12% tiene un valor de índice de masa corporal superior a 26 kg/m², sin embargo, entre los 10-12 años el 20% de la población estudiada tiene este parámetro por debajo de 16 kg/m². Conclusiones: En función de los resultados obtenidos, parece conveniente realizar algún tipo de intervención nutricional entre los adolescentes de la capital soriana para promover una alimentación saludable que permita prevenir posibles trastornos (obesidad, anorexia, etc..Objectives: To study the macronutrients intake in Soria teenagers from 10 to 19 years, as well as their body mass index (BMI. Methods: A seven-day diet questionnaire filled in by an accidental sample of teenagers (54 boys and 56 girls from public schools in the capital. Working out the average daily intake of

  6. Long-term environmental fate of perfluorinated compounds after accidental release at Toronto airport.

    Awad, Emily; Zhang, Xianming; Bhavsar, Satyendra P; Petro, Steve; Crozier, Patrick W; Reiner, Eric J; Fletcher, Rachael; Tittlemier, Sheryl A; Braekevelt, Eric

    2011-10-01

    Perfluorooctane sulfonate (PFOS; a perfluorinated compound or PFC), its salts, and perfluorooctane sulfonyl fluoride have recently been listed in Annex B of the Stockholm Convention due to their widespread presence, persistence, and toxicity. Because of the persistent nature of PFCs, it is generally presumed that the impact of direct discharges of these chemicals on a receiving environment would be long-lasting. However, long-term environmental fate studies based on field measurements are rare. We examined spatial and long-term (9 year) temporal trends of PFCs in water, sediment, fish, and fish liver collected in 2003, 2006, and 2009 from 10 locations spanning ∼20 km in Etobicoke and Spring Creeks, where an accidental release of fire fighting foam containing PFOS from nearby Toronto International Airport occurred in 2000. Even a decade after the spill, sediment PFOS concentrations are still elevated in Spring Creek Pond which received the foam discharge; however, the major impact is relatively localized likely due to the stormwater management nature of the pond and the diluting effect of Etobicoke Creek. Fish and fish liver PFOS concentrations at a Spring Creek location downstream of Spring Creek Pond declined by about 70 and 85%, respectively, between 2003 and 2009. PFOS in water at locations further downstream in Etobicoke Creek have declined by >99.99% since the spill; however, the 2009 water and fish levels were ∼2-10 times higher than upstream locations likely due to the long-term impact of the spill as well as urbanization. The decrease in the upstream PFOS concentrations likely reflects the reduction of PFOS sources due to phased out production by 3M and regulations on the use of PFOS in fire fighting foams. Field-based sediment/water distribution coefficients (K(D)) and bioaccumulation factors (BAF) were calculated from environmental measurements. Log K(D) values were 0.54-1.65 for perfluoroalkyl sulfonates (PFASs) and 1.00-1.85 for

  7. Estimation of vulnerable zones due to accidental release of toxic materials resulting in dense gas clouds.

    Singh, M P; Mohan, M; Panwar, T S; Chopra, H V

    1991-09-01

    Heavy gas dispersion models have been developed at IIT (hereinafter referred as IIT heavy gas models I and II) with a view to estimate vulnerable zones due to accidental (both instantaneous and continuous, respectively) release of dense toxic material in the atmosphere. The results obtained from IIT heavy gas models have been compared with those obtained from the DEGADIS model [Dense Gas Dispersion Model, developed by Havens and Spicer (1985) for the U.S. Coast Guard] as well as with the observed data collected during the Burro Series, Maplin Sands, and Thorney Island field trials. Both of these models include relevant features of dense gas dispersion, viz., gravity slumping, air entrainment, cloud heating, and transition to the passive phase, etc. The DEGADIS model has been considered for comparing the performance of IIT heavy gas models in this study because it incorporates most of the physical processes of dense gas dispersion in an elaborate manner, and has also been satisfactorily tested against field observations. The predictions from IIT heavy gas models indicate a fairly similar trend to the observed values from Thorney Island, Burro Series, and Maplin experiments with a tendency toward overprediction. There is a good agreement between the prediction of IIT Heavy Gas models I and II with those from DEGADIS, except for the simulations of IIT heavy gas model-I pertaining to very large release quantities under highly stable atmospheric conditions. In summary, the performance of IIT heavy gas models have been found to be reasonably good both with respect to the limited field data available and various simulations (selected on the basis of relevant storages in the industries and prevalent meteorological conditions performed with DEGADIS). However, there is a scope of improvement in the IIT heavy gas models (viz., better formulation for entrainment, modification of coefficients, transition criteria, etc.). Further, isotons (nomograms) have been prepared by using

  8. Surgical management of accidentally displaced mandibular third molar into the pterygomandibular space: a case report.

    Huang, I-Yueh; Chen, Chao-Ming; Chang, Sung-Wen; Yang, Chia-Fu; Chen, Chung-Ho; Chen, Chun-Min

    2007-07-01

    Surgical removal of the mandibular third molar is a regular surgical procedure in dental clinics, and like all operations, it may have some complications, such as infection, bleeding, nerve injuries, trismus and so on. An accidentally displaced lower third molar is a relatively rare complication, but may cause severe tissue injury and medicolegal problems. As few papers and cases have been published on this topic, we report this case to remind dentists on ways to prevent and manage this complication. The patient, a 28-year-old male, had his right lower mandibular third molar extraction in January 2006. The dentist resected the crown and attempted to remove the root but found that it had suddenly disappeared from the socket. Assuming that the root had been suctioned out he closed the wound. The patient was not followed up regularly because he studied abroad. About 3 months later, the patient felt a foreign body sensation over his right throat, and visited a local hospital in Australia. He was told after a computed tomography (CT) scan that there was a root-like radio-opaque image in the pterygomandibular space. The patient came to our hospital for further examination and management in June 2006. We rechecked with both Panorex and CT and confirmed the location of the displaced root. Surgery for retrieving the displaced root was performed under general anesthesia by conventional method without difficulty, and the wound healed uneventfully except for a temporary numbness of the right tongue. This case reminds us that the best way to prevent a displaced mandibular third molar is to evaluate the condition of the tooth carefully preoperatively, select adequate instruments and technique, and take good care during extraction. If an accident does occur, dentists should decide whether to retrieve it immediately by themselves or refer the case to an oral and maxillofacial surgeon, and should not try to remove the displaced root without proper assurance. Localization with

  9. Probabilistic margin evaluation on accidental transients for the ASTRID reactor project

    Marquès, Michel

    2014-06-01

    ASTRID is a technological demonstrator of Sodium cooled Fast Reactor (SFR) under development. The conceptual design studies are being conducted in accordance with the Generation IV reactor objectives, particularly in terms of improving safety. For the hypothetical events, belonging to the accidental category "severe accident prevention situations" having a very low frequency of occurrence, the safety demonstration is no more based on a deterministic demonstration with conservative assumptions on models and parameters but on a "Best-Estimate Plus Uncertainty" (BEPU) approach. This BEPU approach ispresented in this paper for an Unprotected Loss-of-Flow (ULOF) event. The Best-Estimate (BE) analysis of this ULOFt ransient is performed with the CATHARE2 code, which is the French reference system code for SFR applications. The objective of the BEPU analysis is twofold: first evaluate the safety margin to sodium boiling in taking into account the uncertainties on the input parameters of the CATHARE2 code (twenty-two uncertain input parameters have been identified, which can be classified into five groups: reactor power, accident management, pumps characteristics, reactivity coefficients, thermal parameters and head losses); secondly quantify the contribution of each input uncertainty to the overall uncertainty of the safety margins, in order to refocusing R&D efforts on the most influential factors. This paper focuses on the methodological aspects of the evaluation of the safety margin. At least for the preliminary phase of the project (conceptual design), a probabilistic criterion has been fixed in the context of this BEPU analysis; this criterion is the value of the margin to sodium boiling, which has a probability 95% to be exceeded, obtained with a confidence level of 95% (i.e. the M5,95percentile of the margin distribution). This paper presents two methods used to assess this percentile: the Wilks method and the Bootstrap method ; the effectiveness of the two methods

  10. ANALYSIS OF REPORTS ABOUT 384 ELDERLY CASES OF ACCIDENTAL INJURY IN COMMUNITY%384例社区老年人意外伤害报告分析

    薛锦花

    2011-01-01

    [Objective] To understand the characteristics and causes of accidental injury of the elderly in community, in order to provide bases for preventing the occurrence of accidental injuries. [Methods] Retrospectively summarized the reports about 384 elderly cases of accidental injury in community. [Results] Homes and roads were the main sites for injury accidents; falling down and falling in accidental injuries were the main reasons for the elderly; accidental injury easily leaded to fractures of the elderly. [Conclusion] Physical characteristics of the elderly easily lead to accidental injury; improving the environment and facilities, preventing falls and preventing osteoporosis are the focuses in preventing accidental injuries; it should establish and improve accident prevention network.%[目的]了解社区老年人意外伤害的特点与原因,为防范意外伤害的发生提供依据. [方法]回顾性总结某社区卫生服务中心从2007年6月~2009年12月的384例社区老年人意外伤害报告. [结果]家中和公路是老年人发生意外伤害的主要场所;跌倒、坠落是老年人意外伤害的主要原因;老年人意外伤害易导致骨折.[结论]老年人的身体特点易导致意外伤害;改善环境设施、预防跌倒、预防骨质疏松症是防范意外伤害的重点;应建立健全意外伤害防护网络.

  11. Assessment of pyridoxine and folate intake in migraine patients

    Omid Sadeghi

    2016-01-01

    Conclusion: Migraine patients had lower dietary intake of folate, compared with non-migraine group subjects. There was no significant association between folate and pyridoxine intake with the frequency of migraine attacks. Further studies are needed to confirm our findings.

  12. A national survey (NAP5-Ireland baseline) to estimate an annual incidence of accidental awareness during general anaesthesia in Ireland.

    Jonker, W R

    2014-06-29

    As part of the 5th National Audit Project of the Royal College of Anaesthetists and the Association of Anaesthetists of Great Britain and Ireland concerning accidental awareness during general anaesthesia, we issued a questionnaire to every consultant anaesthetist in each of 46 public hospitals in Ireland, represented by 41 local co-ordinators. The survey ascertained the number of new cases of accidental awareness becoming known to them for patients under their care or supervision for a calendar year, as well as their career experience. Consultants from all hospitals responded, with an individual response rate of 87% (299 anaesthetists). There were eight new cases of accidental awareness that became known to consultants in 2011; an estimated incidence of 1:23 366. Two out of the eight cases (25%) occurred at or after induction of anaesthesia, but before surgery; four cases (50%) occurred during surgery; and two cases (25%) occurred after surgery was complete, but before full emergence. Four cases were associated with pain or distress (50%), one after an experience at induction and three after experiences during surgery. There were no formal complaints or legal actions that arose in 2011 related to awareness. Depth of anaesthesia monitoring was reported to be available in 33 (80%) departments, and was used by 184 consultants (62%), 18 (6%) routinely. None of the 46 hospitals had a policy to prevent or manage awareness. Similar to the results of a larger survey in the UK, the disparity between the incidence of awareness as known to anaesthetists and that reported in trials warrants explanation. Compared with UK practice, there appears to be greater use of depth of anaesthesia monitoring in Ireland, although this is still infrequent.

  13. Prediction of ground vibration due to the collapse of a 235 m high cooling tower under accidental loads

    Lin, Feng; Li, Yi [Department of Building Engineering, Tongji University, No. 1239 Siping Road, Shanghai 200092 (China); Gu, Xianglin, E-mail: gxl@tongji.edu.cn [Department of Building Engineering, Tongji University, No. 1239 Siping Road, Shanghai 200092 (China); Zhao, Xinyuan [Department of Building Engineering, Tongji University, No. 1239 Siping Road, Shanghai 200092 (China); Tang, Dongsheng [Guangdong Electric Power Design Institute, No. 1 Tianfeng Road, Guangzhou, Guangdong 510663 (China)

    2013-05-15

    Highlights: ► Ground vibration due to the collapse of a huge cooling tower was predicted. ► Accidental loads with different characteristics caused different collapse modes. ► Effect of ground vibration on the nuclear-related facilities cannot be ignored. -- Abstract: A comprehensive approach is presented in this study for the prediction of the ground vibration due to the collapse of a 235 m high cooling tower, which can be caused by various accidental loads, e.g., explosion or strong wind. The predicted ground motion is to be used in the safety evaluation of nuclear-related facilities adjacent to the cooling tower, as well as the plant planning of a nuclear power station to be constructed in China. Firstly, falling weight tests were conducted at a construction site using the dynamic compaction method. The ground vibrations were measured in the form of acceleration time history. A finite element method based “falling weight-soil” model was then developed and verified by field test results. Meanwhile, the simulated collapse processes of the cooling tower under two accidental loads were completed in a parallel study, the results of which are briefly introduced in this paper. Furthermore, based on the “falling weight-soil” model, “cooling tower-soil” models were developed for the prediction of the ground vibrations induced by two collapse modes of the cooling tower. Finally, for a deep understanding of the vibration characteristics, a parametric study was also conducted with consideration of different collapse profiles, soil geologies as well as the arrangements of an isolation trench. It was found that severe ground vibration occurred in the vicinity of the cooling tower when the collapse happened. However, the vibration attenuated rapidly with the increase in distance from the cooling tower. Moreover, the “collapse in integrity” mode and the rock foundation contributed to exciting intense ground vibration. By appropriately arranging an isolation

  14. IT - OSRA: applying ensemble simulations to estimate the oil spill hazard associated to operational and accidental oil spills

    Sepp Neves, Antonio Augusto; Pinardi, Nadia; martins, Flavio

    2016-04-01

    Every year, 270,000 tonnes of oil are estimated to be spilled in the ocean by vessel operations (e.g. tank washing, leakage of lubricants) and the so called operational spills are typically associated with small volumes and high occurrence rate. Vessel-related accidental spills (e.g. collisions, explosions) seldom occur and usually involve high volumes of oil, accounting for about 100,000 tonnes/year. The occurrence of accidental spills and their impacts have been well documented in the available literature. On the other hand, occurrence rates of operational spills and the effects they have on the marine and coastal environments remain very uncertain due to insufficient sampling effort and methodological limitations. Trying to foresee when and where an oil spill will occur in a certain area, its characteristics and impacts is, at present, impossible. Oil spill risk assessments (OSRAs) have been employed in several parts of the globe in order to deal with such uncertainties and protect the marine environment. In the present work, we computed the oil spill risk applying ensemble oil spill simulations following an ISO-31000 compliant OSRA methodology (Sepp Neves et al. , 2015). The ensemble experiment was carried out for the Algarve coast (southern Portugal) generating a unique data set of 51,200 numerical oil spill simulations covering the main sources of uncertainties (i.e. where and when the spill will happen and oil spill model configuration). From the generated data set, the risk due to accidental and operational spills was mapped for the Algarve municipalities based on the frequency and magnitude (i.e. concentrations) of beaching events and the main sources of risk were identified. The socioeconomic and environmental dimensions of the risk were treated separately. Seasonal changes in the risk index proposed due to the variability of meteo-oceanographic variables (i.e. currents and waves) were also quantified.

  15. Fallout: The experiences of a medical team in the care of a Marshallese population accidentally exposed to fallout radiation

    Conard, R.A.

    1991-01-01

    This report presents an historical account of the experiences of the Brookhaven Medical team in the examination and treatment of the Marshallese people following their accidental exposure to radioactive fallout in 1954. This is the first time that a population has been heavily exposed to radioactive fallout, and even though this was a tragic mishap, the medical findings have provided valuable information for other accidents involving fallout such as the recent reactor accident at Chernobyl. Particularly important has been the unexpected importance of radioactive iodine in the fallout in producing thyroid abnormalities.

  16. Fallout: The experiences of a medical team in the care of a Marshallese population accidentally exposed to fallout radiation

    Conard, R.A.

    1991-12-31

    This report presents an historical account of the experiences of the Brookhaven Medical team in the examination and treatment of the Marshallese people following their accidental exposure to radioactive fallout in 1954. This is the first time that a population has been heavily exposed to radioactive fallout, and even though this was a tragic mishap, the medical findings have provided valuable information for other accidents involving fallout such as the recent reactor accident at Chernobyl. Particularly important has been the unexpected importance of radioactive iodine in the fallout in producing thyroid abnormalities.

  17. La responsabilidad civil del empresario por daños y perjuicios derivados de accidente de trabajo

    Monerri Guillén, Concepción

    2015-01-01

    *Introducción: La presente tesis doctoral bajo el título “La responsabilidad civil del empresario por daños y perjuicios derivados del accidente de trabajo”, ha suscitado gran interés en la doctrina y jurisprudencia de las Salas Primera y Cuarta del Tribunal Supremo ante la falta de criterios unánimes a la hora de enjuiciar la cuestión. El órgano competente para el enjuiciamiento, la valoración del daño y, el descuento de cantidades provenientes de la Seguridad Social, daban lugar al llamado ...

  18. La trombectomía mecánica en el tratamiento de accidentes cerebrovasculares (ACV) en la fase aguda

    Alain Bonafe

    2013-01-01

    En Francia, la incidencia anual de accidentes cerebro vasculares (ACV) es de 1.6 a 2.4 por cada mil (1.000) personas, es decir entre 100.000 y 145.000 por año, con una mortalidad del 15 al 20% al cabo del primer mes y un 75% de personas sobrevivientes con secuelas. El tratamiento de preferencia es la Trombólisis IV (Intra Venosa) con rt-PA (Recombinant Tissue Plasminogen Activator - Activador del Plasminógeno Tisular Recombinante), el cual tiene una ventana de eficacia...

  19. Aprendizajes del Accidente de San Juan Ixhuatepec-México Learning from the Accident in San Juan Ixhuatepec-Mexico

    Antioco López-Molina; Richart Vázquez-Román; Christian Díaz-Ovalle

    2012-01-01

    El índice Dow de fuego y explosión y la metodología del análisis cuantitativo del riesgo son aplicados para analizar uno de los accidentes más desafortunados en la historia mexicana: la explosión de tanques de almacenamiento de gas en la planta de San Juan Ixhuatepec en México. Estimaciones adicionales de la sobrepresión y radiación térmica producida durante el siniestro son llevadas a cabo para explicar el efecto dominó producido como consecuencia del incidente. Estas estimaciones dan eviden...

  20. Prevalencia de accidentes punzocortantes y material biológico en estudiantes de Odontología (UNLP)

    2015-01-01

    Introducción: La Odontología dentro del marco de las Ciencias de la Salud, es considerada una profesión de alto riesgo. Con la aparición de nuevas enfermedades transmisibles es imprescindible utilizar la educación para promover un modo de vida sana. La falta de conocimiento de las normas de bioseguridad sería una de las causas más importantes de accidentes con elementos punzocortantes y material biológico. Consideramos que en la etapa de formación del alumno, la bioseguridad debe constituir u...

  1. Falls related to accidental deactivation of deep brain stimulators in patients with Parkinson's disease living in long term care facilities.

    Tousi, Babak; Wilson, Kathy

    2013-01-01

    This case series highlights three patients with Parkinson's disease residing at nursing home facilities whose deep brain stimulators were accidentally deactivated for varying lengths of time, which was associated with an increase in falls. In all three cases, neither the patients nor the caregivers were aware of the random deactivations/reactivations. We propose a specific care plan for these patients that includes further education of caregivers regarding deep brain stimulators and regular checks of the review device, especially when there is concern about a patient's mobility or balance that is out of character.

  2. Función pulmonar en sujetos con hemiparesia crónica secundaria a un accidente cerebrovascular

    Guerrero Gómez, Alba

    2016-01-01

    Antecedentes: las Enfermedades Cerebrovasculares se sitúan como la primera causa de muerte entre las mujeres y la tercera en hombres a nivel nacional. Son numerosas las secuelas que pueden sufrir los supervivientes, entre las que se encuentran las alteraciones del control motor y del tono muscular. Estas son las que hacen plantearse el grado de afectación de la musculatura implicada en la ventilación tras un Accidente Cerebrovascular, ya sea de manera directa o mediante la alteración de las c...

  3. Muerte prematura por accidente cerebrovascular y condición socioeconómica en la Argentina

    Mauricio Monsalvo

    2016-04-01

    Full Text Available Introducción: La asociación entre mortalidad por accidente cerebrovascular y el nivel socioeconómico está escasamente descripta en Argentina. Objetivos: Describir la evolución temporal de la mortalidad por accidente cerebrovascular y su asociación con el nivel socioeconómico en Argentina entre 2000 y 2011. Material y métodos: Se realizó un estudio ecológico longitudinal. La mortalidad se cuantificó mediante tasas estandarizadas por edad y sexo, y el nivel socioeconómico mediante quintilos de necesidades básicas insatisfechas. Las unidades de observación fueron los departamentos de Argentina. La asociación entre mortalidad y nivel socioeconómico se evaluó utilizando un modelo de regresión de Poisson para datos de panel. Resultados: La mortalidad por accidente cerebrovascular aumentó progresivamente entre los quintilos de nivel socioeconómico (26,2, 28,4, 30,5, 34,5 y 36,9 por 100.000 personas, para los quintilos 1 a 5, respectivamente en el año 2000. La mortalidad en todos los grupos de nivel socioeconómico disminuyó, aunque persistieron diferencias entre ellos (17,2, 18,5, 20,1, 22,1 y 25,3 por 100.000 personas, para los quintilos 1 a 5, respectivamente en el año 2011. Las razones de tasas de incidencias fueron 1,15 (IC 95% 1,09 a 1,22; p<0,001, 1,27 (IC 95% 1,21 a 1,34; p<0,001, 1,32 (IC 95% 1,26 a 1,39; p<0,001, y de 1,48 (IC 95% 1,41 a 1,56; p<0,001, para los quintilos 2 a 5. Conclusiones: Los resultados sugieren una asociación inversa entre el nivel socioeconómico y la mortalidad por accidente cerebrovascular. Además, persistió una diferencia de mortalidad entre los niveles socioeconómicos durante el período de estudio.

  4. Accidentes de carretera y su relación con cansancio y somnolencia en conductores de ómnibus.

    Rosales Mayor, Edmundo; Egoavil Rojas, Martha Teresa; Durand Vila, Ivette Solange; Natalie, Montes Ccaccro Evelyn; Flores Herrera, Rosario Edith; Rivera García, Silvia Lucía; Alonso Cueva, Carla Gabriela; Merino Baquerizo, Lucía Leonor; Rey de Castro Mujica, Jorge

    2012-01-01

    Objetivo: Determinar el nivel de cansancio, somnolencia y hábitos de conducción de conductores de ómnibus y explorar su relación con accidentes de carretera en el terminal terrestre de Huancayo, Perú. Material y métodos: Estudio transversal. Se aplicó un cuestionario pre-validado y la Escala de Somnolencia de Epworth (ESE). Resultados: De los 100 conductores, todos ellos fueron varones. El día que trabajaban dormían 6,8±2,6 horas. El 47% había dormido menos de 6 horas en las últimas 24 horas....

  5. Management of Accidental Finding of Ascaris Lumbricoides During Emergent Abdominal Surgery: A Case Report and Review of the Literature.

    Esfehani, Maryam Hassan; Jahanshahi, Abdolhadi; Karimi, Amirhossein

    2016-01-01

    Ascariasis lumbricoides is the most common soil-transmitted helminth worldwide and most often is asymptomatic, although it can present with abdominal pain, malabsorption and growth failure, complete or partial obstraction in small bowel and biliary system and etc. Accidental encounters with ascaris during emergent abdominal surgeries are very rare and have been reported in less than a handful of papers. In this report, we describe this rare event from a country with low prevalence of this infection, and then review the literatures and clarify the possible challenges for surgeons during operation and postoperative follow-up.

  6. The political economy of rationing health care in England and the US: the 'accidental logics' of political settlements.

    Bevan, Gwyn; Brown, Lawrence D

    2014-07-01

    This article considers how the 'accidental logics' of political settlements for the English National Health Service (NHS) and the Medicare and Medicaid programmes in the United States have resulted in different institutional arrangements and different implicit social contracts for rationing, which we define to be the denial of health care that is beneficial but is deemed to be too costly. This article argues that rationing is designed into the English NHS and designed out of US Medicare; and compares rationing for the elderly in the United States and in England for acute care, care at the end of life, and chronic care.

  7. Estudio clínico del proceso conductual de la emergencia del coma grave por accidente cerebrovascular

    2007-01-01

    Objetivos: Estudiar el proceso de la emergencia del coma en pacientes en coma grave por accidente cerebrovascular (ACV). Método: Se han evaluado a 32 pacientes ingresados en una unidad de cuidados intensivos por un coma de origen cerebrovascular. Se ha realizado un seguimiento diario por neuropsicólogos e intensivistas y monitorizado el despertar del coma mediante 8 escalas de evalua ... ción clínica de los niveles de coma. Se han analizado las variables: edad, género, residencia, índice prem...

  8. 30 CFR 36.23 - Engine intake system.

    2010-07-01

    ... into a surrounding flammable mixture. (b) Intake flame arrester. (1) The intake system shall include a flame arrester that will prevent an explosion within the system from propagating to a surrounding flammable mixture. This flame arrester shall be between the air cleaner and the intake manifold and shall...

  9. 40 CFR 90.416 - Intake air flow measurement specifications.

    2010-07-01

    ... 40 Protection of Environment 20 2010-07-01 2010-07-01 false Intake air flow measurement... Gaseous Exhaust Test Procedures § 90.416 Intake air flow measurement specifications. (a) If used, the engine intake air flow measurement method used must have a range large enough to accurately measure...

  10. 40 CFR 91.416 - Intake air flow measurement specifications.

    2010-07-01

    ... 40 Protection of Environment 20 2010-07-01 2010-07-01 false Intake air flow measurement... Procedures § 91.416 Intake air flow measurement specifications. (a) If used, the engine intake air flow measurement method used must have a range large enough to accurately measure the air flow over the...

  11. Intake of macro- and micronutrients in Danish vegans

    Kristensen, Nadja B; Madsen, Mia L; H Hansen, Tue

    2015-01-01

    Since information about macro- and micronutrient intake among vegans is limited we aimed to determine and evaluate their dietary and supplementary intake. Seventy 18-61 years old Danish vegans completed a four-day weighed food record from which their daily intake of macro- and micronutrients...... and the general Danish population in all measured macro- and micronutrients (p ...

  12. Un análisis en los accidentes cerebrovasculares una nueva mirada a los factores de riesgo para la aparición de la enfermedad. Un análisis en los accidentes cerebrovasculares

    Luis Felipe Herrera Jiménez

    2013-10-01

    Full Text Available ResumenLa presencia o no de factores psicológicos de riesgo para la aparición de distintas enfermedades continúa siendo un tema controvertido en las ciencias médicas y psicológicas, quizás por las dificultades que se presentan en el momento de su evaluación. No obstante, ya se han realizado primeras miradas en este sentido, presentando la siguiente investigación en personas con accidente cerebrovascular, como un análisis preliminar experimental; que más que brindar datos definitorios, permita a la vez, abrir nuevos caminos hacia la búsqueda de la multideterminación de los procesos patológicos. Con el objetivo central de determinar factores psicológicos de riesgo para la aparición de los accidentes cerebrovasculares, se establecieron dos grupos de estudio y testigo, a los cuales se le aplicaron el test de depresión Zung-Conde, el IDARE, el cuestionario de conductas de enfrentamiento y el examen neuropsicológico de Anne-Lise Crhistensen. Se pudo definir la existencia de factores más relacionados con características personológicas, factores externos fundamentalmente provenientes del medio y factores producto de esta interacción como lo constituyen el estrés y la ansiedad. (Duazary 2006; 1: 24 - 31 

  13. Accidentes de trabajo en el Hospital Clínico de la Universidad de Chile durante el año 2007

    Carlos Valdés

    2009-01-01

    Full Text Available Objetivo, Conocer el número de los accidentes laborales en el Hospital Clínico de la Universidad de Chile (HCUCH el año 2007 y su caracterización de acuerdo a variables como, sexo, edad, tipo de lesión, día de la semana, mes del año, cargo desempeñado y días perdidos. Diseño, Estudio descriptivo, transversal, retrospectivo y observacional. Lugar, Hospital Clínico de la Universidad de Chile (HCUCH. Participantes, Accidentes laborales reportados entre el 1 de Enero y el 31 de Diciembre del 2007. Intervención, Se utilizó la base de datos del Registro de Notificación de Accidentes Laborales, proporcionada por el Departamento de Prevención de Riesgos del HCUCH Principales medidas de Resultados, Porcentajes y Medidas de Tendencia Central, tabuladas en una base de datos con ayuda del programa Microsoft Excel 2003 para Windows ®. Resultados: Se observan 104 accidentes laborales, con un mayor número de eventos en el personal femenino (69,2%, en el rango etareo de 30-39 años (34,3%, el tipo de lesión más frecuente fueron las contusiones/policontusiones (39,4%, el grupo más accidentado fue los auxiliares y técnicos (71.1%. El estudio por días de la semana revela que hay más accidentes los días miércoles y jueves (43,27% y los meses del año con más accidentes fueron enero, agosto y diciembre. La mayor cantidad de accidentes laborales comprometen entre 1 a 5 días perdidos. Conclusiones: Durante el año 2007, se pesquisó 104 accidentes laborales, lo que significó 804 días de ausentismo. Este estudio muestra que el sexo femenino, tener entre 30-39 años y ejercer como auxiliar o técnico fueron factores de asociados al incremento de los accidentes laborales.

  14. Accidente ofídico en animales de pastoreo: acercamiento epidemiológico, clínico y de manejo

    Sebastián Estrada-Gómez

    2014-06-01

    Full Text Available En animales de pastoreo, el reporte de accidentes ofídicos es muy bajo y, además, presenta un amplio subregistro. A pesar de esto, es de gran utilidad conocer la incidencia de estos accidentes, pues son de gran importancia por las pérdidas económicas que pueden causar en el sector pecuario. Los accidentes por serpientes venenosas, tanto de la familia Viperidae como Elapidae, en caballos y ganado vacuno son frecuentes en muchos lugares del mundo, debido al aumento en la destinación de las tierras para la actividad ganadera. Colombia no es ajena a ello; sin embargo, el registro de este tipo de accidentalidad es muy bajo. En los diferentes reportes de accidentes ofídicos en animales, se ha observado que las principales manifestaciones sistémicas están caracterizadas por complicaciones cardiacas, hemodinámicas y neurotóxicas. Igualmente, se observan efectos locales, los cuales se caracterizan por presencia de hemorragias locales, edema y necrosis. El tratamiento específico utilizado en los accidentes por serpientes es la seroterapia, que consta de inmunoglobulinas G (Sueros IgG completas o fraccionadas (Faboterápicos Fab o Fab2, específicas para un género o especie.

  15. Distribución espacial de los accidentes y enfermedades relacionados con el trabajo en el Perú, 2012-2014

    Akram Hernández-Vásquez

    2016-01-01

    Full Text Available Se analizaron geoespacialmente los accidentes, incidentes peligrosos y enfermedades ocupacionales que se reportaron a nivel regional en el Perú (2012-2014. 52 887 eventos se notificaron entre accidentes de trabajo (93%, incidentes peligrosos (5,1%, enfermedades ocupacionales (1% y accidentes mortales (0,9%. Se evidenciaron altas tasas de accidentes mortales en Pasco, Callao, Lima, Moquegua y Arequipa. Callao y Lima son las regiones con tasas más altas de accidentes de trabajo. Las mayores tasas de incidentes peligrosos se reportaron en Arequipa, Callao, Lima, Ica y Piura. Las enfermedades ocupacionales se distribuyeron con altas tasas en Huancavelica, Ancash, Pasco, Callao y Cusco. La explotación de minas y canteras (49,2%; seguida por la industria manufacturera (23,4%; y, la construcción (8% son las actividades económicas que concentraron elevadas tasas de enfermedades ocupacionales. Se concluye que existen altas tasas y patrones espaciales comunes de accidentabilidad en el Perú que pueden servir para enfocar intervenciones.

  16. Alcohol intake and cardiovascular and gastrointestinal diseases

    Tolstrup, Janne Schurmann

    Alcohol is used all over the world and in most Western societies, the average intake is high. Alcohol is associated with more than 60 diseases and globally, 4% of all deaths are attributable to alcohol. The aim of the present thesis is to study associations between alcohol intake and risk...... with increasing HDL cholesterol and non-fasting triglycerides, higher systolic and diastolic blood pressure and decreasing fibrinogen. In contrast, ADH1B and ADH1C genotypes were not associated with risk of CHD or with any of the cardiovascular biomarkers, and there was no indication that associations between...... that the association between alcohol and relative risk of CHD was similar in young adults (39-50 years), middle-aged (50-60 years) and older individuals (60+ years). However, since the incidence of CHD is low in young adults, the incidence rate difference between nondrinkers and moderate drinkers was much smaller...

  17. Primary liquid intake and urinary stone disease.

    Shuster, J; Finlayson, B; Scheaffer, R L; Sierakowski, R; Zoltek, J; Dzegede, S

    1985-01-01

    This investigation indicates that there are important associations between urinary stone disease and a person's primary liquid intake. Based on data collected from 2295 caucasian male patients from two geographical regions, the Carolinas (both North and South) and the Rockies (including Colorado, Idaho, Nevada, Montana, Utah and Wyoming) an important (p less than 0.01) positive association was found between urinary stone disease and soda (carbonated beverage) consumption within both geographical regions. It was also found that negative associations exist between urinary stone disease and both beer consumption and coffee consumption in the Rockies and that no important associations exist between urinary stone disease and any of milk, water, or tea, when these beverages represent a person's primary liquid intake. Moreover, soda can be viewed almost synonymously as sugared cola, since few subjects had diet sodas or sugared non-cola soda as primary fluid. No cause/effect relationships are implied in this paper.

  18. Economic policies for healthier food intake

    Nordström, Leif Jonas; Thunström, Linda

    children also gain the most financially, paying less food taxes and facing, depending on the reform, either a lower price level than before the reform or a lower increase in the price level than the average household. These household types also face the lowest initial price level. Households...... with the lowest initial consumption share of fiber-rich products - families with children - appear to gain the least financially from the reforms: they pay more food taxes and face relatively high increases in price levels. Further, in general they experience an increase in fiber intake smaller than the average...... household. However, they do generally see reductions in the intake of added sugar, and in many cases saturated fat, which positively affects the health of families with children, who often overconsume these nutrients....

  19. Caffeine intake among adolescents in Delhi

    Mridul Gera

    2016-01-01

    Full Text Available Background: Availability and advertising of caffeinated drinks is on the rise in Indian market. Excess caffeine intake may have deleterious effects on health. Objective: To estimate the daily consumption of caffeine among urban school-going adolescents from Delhi. Materials and Methods: A school-based survey was conducted to determine the amount and pattern of caffeine consumption among students of classes 9-12, using a self-administered questionnaire. Results: Of 300 participants (median age 15 year, 174 boys, 291 (97% were consuming caffeine [mean (SD: 121.0 (98.2 mg/day]. Nineteen (6% students were consuming more than 300 mg of caffeine per day. Tea/coffee contributed to more than 50% of the caffeine intake. The rest was derived from cola beverages, chocolates, and energy drinks. Conclusion: Average caffeine consumption among school-going adolescents from Delhi is high. The findings of this preliminary survey need to be confirmed in larger data sets.

  20. Selected micronutrient intake and status in men with differing meat intakes, vegetarians and vegans.

    Li, D; Sinclair, A J; Mann, N J; Turner, A; Ball, M J

    2000-03-01

    Dietary factors play a critical role in human health. The aim of this cross-sectional study was to examine micronutrient intake and status of subjects who were habitual meat eaters eating different quantities of meat with those who were habitual vegetarians or vegans. One hundred and thirty-nine healthy male subjects (vegan, n = 18; ovolacto-vegetarian, n = 46; moderate meat-eater, n = 65; and high meat-eater, n = 18) aged 20-55 years were recruited in metropolitan Melbourne. Each volunteer completed a semiquantitative Food Frequency Questionnaire (FFQ) and gave a fasting venous blood sample. Dietary sodium/potassium ratio was significantly lower and vitamin C, fibre and iron intakes were higher in vegetarians than in meat-eaters. High meat-eaters had a significantly higher calcium, retinol and zinc intake than did the other three dietary groups; moderate meateaters had the lowest mean intake of fibre, vitamin C and β-carotene. Vegans had a significantly higher β-carotene intake than did the other groups. Serum ferritin and vitamin B12 levels, and haemoglobin concentration were significantly lower in vegetarians than in meat-eaters. Vegans had a significantly higher serum folate concentration than did ovolacto-vegetarian and moderate meat-eater groups. There was no significant difference in serum α-tocopherol concentration. There are differences between the four diet groups that have potential to affect the subjects' health and susceptibility to chronic diseases including cardiovascular disease and cancer. Based on the present data, high meat-eaters may particularly benefit from altering their dietary pattern to reduce their sodium and saturated fat intake, and moderate meat-eaters from increasing their fibre and antioxidant consumption. Vegetarians, especially vegans, may need to increase their vitamin B12 and zinc intakes.

  1. Obesity: Interactions of Genome and Nutrients Intake

    Doo, Miae; Kim, Yangha

    2015-01-01

    Obesity has become one of the major public health problems all over the world. Recent novel eras of research are opening for the effective management of obesity though gene and nutrient intake interactions because the causes of obesity are complex and multifactorial. Through GWASs (genome-wide association studies) and genetic variations (SNPs, single nucleotide polymorphisms), as the genetic factors are likely to determine individuals’ obesity predisposition. The understanding of genetic appr...

  2. Relation between nicotine intake and Alzheimer's disease.

    1991-01-01

    OBJECTIVE--To study the association between Alzheimer's disease and nicotine intake through smoking. DESIGN--Population based case-control study. SETTING--City of Rotterdam and four northern provinces of The Netherlands. SUBJECTS--198 patients with early onset Alzheimer's disease, 198 controls matched for age and sex, and families of 17 patients in whom Alzheimer's disease was apparently inherited as an autosomal dominant disorder. MAIN OUTCOME MEASURES--Age of onset of dementia, relative ris...

  3. Una nueva metodología para la predicción de la gravedad en los accidentes industriales aplicando el análisis histórico

    Carol Llopart, Sergio

    2001-01-01

    La presente tesis va encaminada al estudio de la gravedad de los accidentes industriales con sustancias peligrosas mediante la utilización del análisis histórico de accidentes. Su objetivo final es utilizar el tratamiento cuantitativo de dicho análisis para desarrollar una metodología que permita predecir la gravedad de los accidentes.Los factores de riesgo que determinan la mayor o menor gravedad de los accidentes son tantos y tan complejos, que las aproximaciones determinísticas tradiciona...

  4. Mechanically processed corn silage digestibility and intake

    João Paulo Franco da Silveira

    2013-01-01

    Full Text Available The dry matter content increase due to the extension of the harversted period beginning and the kind of hybrid used can affect the starch digestibility and voluntary intake of ruminants. Therefore, this study aimed to determine the best corn hybrid and processing type of silage corn, and evaluate the possible effects on starch digestibility and voluntary intake of lambs. It was used 24 Santa Inês lambs with average age of three months and average initial weight of 25.0 kg. The experimental design was completely randomized in a 2x2 factorial design (dent and flint hybrids; crushed and not crushed. The processing of the dent hybrid resulted in less dry matter intake (0.583 kg/day associated to higher total digestibility of dry matter and starch, 68.21 and 95.33% respectively. Thus, the processing of corn plants used for silage should be performed on hybrids with the dent grain texture to provide the best digestibility of silage to lambs.

  5. Total Water Intake from Beverages and Foods Is Associated with Energy Intake and Eating Behaviors in Korean Adults

    Kyung Won Lee

    2016-10-01

    Full Text Available Water is essential for the proper functioning of the body. Even though a recommendation exists for adequate water intake for Koreans, studies identifying actual water intake from all beverages and foods consumed daily in the Korean population are limited. Thus, we estimated total water intake from both beverages and foods and its association with energy intake and eating behaviors in Korean adults. We used a nationally representative sample of 25,122 Korean adults aged ≥19 years, from the Korean National Health and Nutrition Examination Survey 2008–2012. We performed multiple regression analyses, adjusting for sociodemographic and health-related variables to investigate the contribution of overall energy and dietary intakes and eating behaviors to total water intake. The mean total water intake excluding plain water was 1071 g (398 g from beverages and 673 g from foods and the estimated plain water intake was 1.3 L. Among Korean adults, 82% consumed beverages (excluding plain water and these beverages contributed to 10% of daily energy intake and 32% of total water intake from beverages and foods. For every 100 kcal/day in energy intake, water intake consumed through beverages and foods increased by 18 g and 31 g, respectively. Water intake from beverages and foods was positively associated with energy from fat and dietary calcium, but inversely associated with energy density and energy from carbohydrates. When there was a 5% increase in energy intake from snacks and eating outside the home, there was an increase in water intake from beverages of 13 g and 2 g, respectively. Increased daily energy intake, the number of eating episodes, and energy intake from snacks and eating outside the home predicted higher water intake from beverages and foods. Our results provide evidence suggesting that various factors, including sociodemographic status, dietary intakes, and eating behaviors, could be important contributors to the water intake of Korean

  6. [Vitamin D intake and the prevention of osteoporosis].

    Nakamura, Kazutoshi

    2005-08-01

    The incidence of osteoporosis in Japan is increasing. Osteoporotic fractures have been causes of "bedridden" status among the elderly in recent years, and vitamin D has the potential to decrease the incidence of these health problems of osteoporosis. This article tried to clarify the preventive effect of increased vitamin D intake on osteoporosis in Japan. Vitamin D intake of 700-800 IU/day together with sufficient calcium intake is recommended to prevent fractures in the elderly, and vitamin D intake of 400 IU/day is recommended to prevent bone loss in adult women. The author also discusses the importance of increasing vitamin D intake in public health in Japan.

  7. Communication: Effect of accidental mode degeneracy on Raman intensity in 2D materials: Hybrid functional study of bilayer phosphorene.

    Sun, Yi-Yang; Zhang, Shengbai

    2016-07-14

    Bulk black phosphorus has two optical phonon modes labeled as Ag (2) and B2u, respectively, that are nearly degenerate in frequency. However, density functional theory calculations using local or semi-local functionals cannot reproduce this degeneracy. Here, we propose a hybrid functional approach aided by van der Waals (vdW) force fields, which can accurately describe the lattice dynamic and electronic properties of both bulk and few-layer black phosphorus (phosphorene). Using this approach we show that in bilayer phosphorene, the two Raman modes derived from the B2u and Ag (2) modes could exhibit strong resonance as a result of the accidental degeneracy so that both modes could be observed in Raman experiment. Without the mode degeneracy, however, the Raman intensity of the B2u-derived mode would be too weak to be observed. We further show that the accidental degeneracy is correlated to the applied strain, which enables Raman spectroscopy to be a powerful tool for characterizing built-in strains in 2D materials, e.g., due to the interaction with substrates, which has emerged as an important issue in vdW epitaxy.

  8. A genomic survey of positive selection in Burkholderia pseudomallei provides insights into the evolution of accidental virulence.

    Tannistha Nandi

    2010-04-01

    Full Text Available Certain environmental microorganisms can cause severe human infections, even in the absence of an obvious requirement for transition through an animal host for replication ("accidental virulence". To understand this process, we compared eleven isolate genomes of Burkholderia pseudomallei (Bp, a tropical soil microbe and causative agent of the human and animal disease melioidosis. We found evidence for the existence of several new genes in the Bp reference genome, identifying 282 novel genes supported by at least two independent lines of supporting evidence (mRNA transcripts, database homologs, and presence of ribosomal binding sites and 81 novel genes supported by all three lines. Within the Bp core genome, 211 genes exhibited significant levels of positive selection (4.5%, distributed across many cellular pathways including carbohydrate and secondary metabolism. Functional experiments revealed that certain positively selected genes might enhance mammalian virulence by interacting with host cellular pathways or utilizing host nutrients. Evolutionary modifications improving Bp environmental fitness may thus have indirectly facilitated the ability of Bp to colonize and survive in mammalian hosts. These findings improve our understanding of the pathogenesis of melioidosis, and establish Bp as a model system for studying the genetics of accidental virulence.

  9. Final Report: Safety of Plasma Components and Aerosol Transport During Hard Disruptions and Accidental Energy Release in Fusion Reactor

    Bourham, Mohamed A.; Gilligan, John G.

    1999-08-14

    Safety considerations in large future fusion reactors like ITER are important before licensing the reactor. Several scenarios are considered hazardous, which include safety of plasma-facing components during hard disruptions, high heat fluxes and thermal stresses during normal operation, accidental energy release, and aerosol formation and transport. Disruption events, in large tokamaks like ITER, are expected to produce local heat fluxes on plasma-facing components, which may exceed 100 GW/m{sup 2} over a period of about 0.1 ms. As a result, the surface temperature dramatically increases, which results in surface melting and vaporization, and produces thermal stresses and surface erosion. Plasma-facing components safety issues extends to cover a wide range of possible scenarios, including disruption severity and the impact of plasma-facing components on disruption parameters, accidental energy release and short/long term LOCA's, and formation of airborne particles by convective current transport during a LOVA (water/air ingress disruption) accident scenario. Study, and evaluation of, disruption-induced aerosol generation and mobilization is essential to characterize database on particulate formation and distribution for large future fusion tokamak reactor like ITER. In order to provide database relevant to ITER, the SIRENS electrothermal plasma facility at NCSU has been modified to closely simulate heat fluxes expected in ITER.

  10. Normal neurologic and developmental outcome after an accidental intravenous infusion of expressed breast milk in a neonate.

    Ryan, C Anthony

    2012-02-03

    Here we describe a premature male infant who was accidentally given 10 mL of expressed breast milk intravenously over a 3.5-hour period. Having survived this event with supportive care, this boy was attending regular school with no obvious neurologic or learning difficulties at 6 years of age. In 1998, after a query on an e-mail discussion group for health care providers in neonatology (NICU-net), we were informed of 8 similar events that proved fatal in 3 infants. A root-cause analysis revealed that accidental intravenous administration of breast milk or formula can be avoided by the use of color-coded enteral-administration sets with Luer connections that are not compatible with intravenous cannulas. The addition of methylene blue to feeds, or bolus enteral feeds (instead of continuous gastric feedings), may also help prevent such errors. These cases show the value of gathering information about rare but important events through a neonatal network. In addition, they confirm that prevention of medical error should focus on faulty systems rather than faulty people.

  11. Communication: Effect of accidental mode degeneracy on Raman intensity in 2D materials: Hybrid functional study of bilayer phosphorene

    Sun, Yi-Yang; Zhang, Shengbai

    2016-07-01

    Bulk black phosphorus has two optical phonon modes labeled as Ag2 and B2u, respectively, that are nearly degenerate in frequency. However, density functional theory calculations using local or semi-local functionals cannot reproduce this degeneracy. Here, we propose a hybrid functional approach aided by van der Waals (vdW) force fields, which can accurately describe the lattice dynamic and electronic properties of both bulk and few-layer black phosphorus (phosphorene). Using this approach we show that in bilayer phosphorene, the two Raman modes derived from the B2u and Ag2 modes could exhibit strong resonance as a result of the accidental degeneracy so that both modes could be observed in Raman experiment. Without the mode degeneracy, however, the Raman intensity of the B2u-derived mode would be too weak to be observed. We further show that the accidental degeneracy is correlated to the applied strain, which enables Raman spectroscopy to be a powerful tool for characterizing built-in strains in 2D materials, e.g., due to the interaction with substrates, which has emerged as an important issue in vdW epitaxy.

  12. Hipotermia acidental em um país tropical Accidental hypothermia cases in a tropical country

    Valdir Golin

    2003-09-01

    hypothermia prevailed in the male sex with 75.9%. As age group prevailed the age between 30 and 59 years. In 70.3% of the patients the central temperature went lower than 32°C, and in 26.4% of these, the temperature was lower than 28°C. The association with infectious processes happened in 76.8% of the cases. The patients with mild hypothermia answered better at therapeutics (96.8% when compared with the moderate hypothermic (72.1% and serious (87.5% patients. The Osborn's wave was present in 42.6% of the patients. The general mortality was 38.2%. CONCLUSIONS: The accidental hypothermia in Emergency Services from Tropical Country is an undeniable fact. The paramedic and medics should be alert and trained to recognize this disease of high morbidity and mortality. The mortality increases with the presence of associated diseases, particularly infectious processes, malnutrition and chronic alcoholism.

  13. Optimisation of the digital radiographic imaging of suspected non-accidental injury

    Offiah, Amaka

    Aim: To optimise the digital (radiographic) imaging of children presenting with suspected non-accidental injury (NAI). Objectives: (i) To evaluate existing radiographic quality criteria, and to develop a more suitable system if these are found to be inapplicable to skeletal surveys obtained in suspected NAI. (ii) To document differences in image quality between conventional film-screen and the recently installed Fuji5000R computed radiography (CR) system at Great Ormond Street Hospital for Children, (iii) To document the extent of variability in the standard of skeletal surveys obtained in the UK for suspected NAI. (iv) To determine those radiographic parameters which yield the highest diagnostic accuracy, while still maintaining acceptable radiation dose to the child, (v) To determine how varying degrees of edge-enhancement affect diagnostic accuracy. (vi) To establish the accuracy of soft compared to hard copy interpretation of images in suspected NAI. Materials and Methods: (i) and (ii) Retrospective analysis of 286 paediatric lateral spine radiographs by two observers based on the Commission of European Communities (CEC) quality criteria, (iii) Review of the skeletal surveys of 50 consecutive infants referred from hospitals throughout the United Kingdom (UK) with suspected NAI. (iv) Phantom studies. Leeds TO. 10 and TO. 16 test objects were used to compare the relationship between film density, exposure parameters and visualisation of object details, (iv) Clinical study. Anteroposterior and lateral post mortem skull radiographs of six consecutive infants were obtained at various exposures. Six observers independently scored the images based on visualisation of five criteria, (v) and (vi) A study of diagnostic accuracy in which six observers independently interpreted 50 radiographs from printed copies (with varying degrees of edge-enhancement) and from a monitor. Results: The CEC criteria are useful for optimisation of imaging parameters and allow the detection

  14. Impact assessment of the Fukushima Nuclear Power Plant accidental emission on the Barents Sea ecosystem

    Matishov, Gennady; Ilyin, Gennady; Kasatkina, Nadezhda; Usiagina, Irina; Pavelskaya, Elena

    2013-04-01

    The traces of emissions from the Fukushima-1 NPP in atmospheric aerosols of the Kola Peninsula near the Barents Sea coast were detected by radiation monitoring stations of the Murmansk Division of the Hydrometeorological Survey MDHMS in the end of March 2011. From the end of March 2011 until April 20, 131I, 134Cs, 132Te, 137Cs radioisotopes were observed in the atmospheric air. The major role was played by 131I isotope; its peak concentrations were (140-220)×10-6 Bq/m3, and it was recorded for several days (March 30-April 1), then radioactivity decreased. 134Cs, 132Te, and 137Cs isotopes were recorded episodically. The supply of radionuclides from accidental emissions into the atmosphere of the Kola Peninsula did not cause significant changes in gamma-radiation dose rates EDR. This value remained within the limits of the average long-term norm, and continued so during the following months 2011. Possible dry and humid precipitation of radionuclides within the water catchment area and in the marine basin did not influence on radioecological state in both coastal and off-shore parts of the Barents Sea. Short-lived isotopes as 131I, 134Cs, and 132Te, which might confidently indicate a trace from the Fukushima-1 NPP, have not been recorded in the samples. In 2011-1012 volumetric activity of 137Cs and 90Sr in water of the Barents Sea (section VI along the meridian 33° 30' N) varied in the range of 1.3-2.5 and 3.4-6.3 Bq/m3, respectively. Radioactive contamination of bottom sediments in the Barents Sea was very low. The specific activity of 137Cs varied from 1 to 8 Bq/kg, the activity of 90Sr did not exceed 4 Bq/kg. Investigations of macrophyte algae showed extremely low concentrations of artificial radionuclides. The specific activity of 137Cs in most samples was at the level of trace concentrations, from 0.2 to 1.5 Bq/kg of dry mass. The content of 90Sr in algae changed in the range of 0.4-4.1 Bq/kg of dry mass. In soft tissues of bivalves Mytilus edulis collected on

  15. Estimate of dietary phosphorus intake using 24-h urine collection.

    Morimoto, Yuuka; Sakuma, Masae; Ohta, Hiroyuki; Suzuki, Akitsu; Matsushita, Asami; Umeda, Minako; Ishikawa, Makoto; Taketani, Yutaka; Takeda, Eiji; Arai, Hidekazu

    2014-07-01

    Increases in serum phosphorus levels and dietary phosphorus intake induces vascular calcification, arterial sclerosis and cardiovascular diseases. Limiting phosphorus intake is advisable, however, no assessment methods are capable of estimating dietary phosphorus intake. We hypothesized that urinary phosphorus excretion can be translated into estimation of dietary phosphorus intake, and we evaluated whether a 24-h urine collection method could estimate dietary phosphorus intake. Thirty two healthy subjects were recruited for this study. Subjects collected urine samples over 24 h and weighed dietary records. We calculated dietary protein intake and phosphorus intake from dietary records and urine collection, and investigated associations between the two methods in estimating protein and phosphorus intake. Significant positive correlations were observed between dietary records and UC for protein and phosphorus intake. The average intakes determined from dietary records were significantly higher than from urine collection for both protein and phosphorus. There was a significant positive correlation between both the phosphorus and protein difference in dietary records and urine collection. The phosphorus-protein ratio in urine collection was significantly higher than in dietary records. Our data indicated that the 24-h urine collection method can estimate the amount of dietary phosphorus intake, and the results were superior to estimation by weighed dietary record.

  16. Iodine and Selenium Intakes of Postmenopausal Women in New Zealand

    Brough, Louise; Gunn, Caroline A.; Weber, Janet L.; Coad, Jane; Jin, Ying; Thomson, Jasmine S.; Mauze, Mathilde; Kruger, Marlena C.

    2017-01-01

    Iodine and selenium are required for thyroid function. This study investigated iodine and selenium intakes in healthy, women aged 50–70 years (n = 97) from three cities in the North Island of New Zealand, after mandatory fortification of bread with iodised salt. Iodine and selenium concentrations were determined in 24-h urine samples; daily intakes were extrapolated from amounts in urine (90% and 55% of daily intake, respectively). Three day diet diaries (3DDD) also estimated selenium and iodine (excluding iodised salt) intake. Median urinary iodine concentration (UIC) was 57 (41, 78) µg/L, indicating mild iodine deficiency. Estimated median iodine intake based on urine was 138 (100, 172) µg/day, below Recommended Dietary Intake (RDI) (150 µg/day) with 25% below Estimated Average Requirement (EAR) (100 µg/day). Estimated median selenium intake was 50 (36, 71) µg/day based on urine and 45 (36, 68) µg/day using 3DDD, below RDI (60 µg/day) with 49%–55% below EAR (50 µg/day). Median bread intakes were low at 1.8 (1.1, 2.7) serves/day; 25% consumed ≤1 serve/day. Although population iodine intakes improved following mandatory fortification, some had low intakes. Selenium intakes remain low. Further research should investigate thyroid function of low consumers of iodine fortified bread and/or selenium in New Zealand. PMID:28282932

  17. Accidental Predissociation: A Special Case of Photo-Induced Isotope Fractionation Effect and Possible Occurrence in Nature

    Chakraborty, S.; Thiemens, M. H.

    2009-12-01

    Photo-Induced Isotope Fractionation Effects (PHIFE) are known to produce isotopic frac-tionation in some photo-dissociating molecules (1-2). The PHIFE formalism is based on the Born-Oppenheimer approximation and the Reflection Principle. The isotopic fractionation arises principally from the spectral shift induced by the small difference in zero point energy between isotopologues and the contraction of the wave function due to isotopic substitution, consequently, the associated isotopic fractionations depends on the reduced mass of the isotopically substi-tuted species. The PHIFE formalism is only applicable to the molecules which undergo direct photo-dissociation that possess continuous absorption spectra. Simple molecules (N2, O2, CO) however do not follow a direct dissociation pathway and dissociate through an indirect process termed predissociation, which occurs when the molecule is excited to a quasi-bound state energetically above the dissociation continuum. The PHIFE formalism is not applicable when the absorption spectra are discrete. The assumption that the lightest isotopologues are preferentially predissociated is only valid for restricted predissociation cases. There is a special case of predissociation known as ‘accidental predissociation’ (3), which takes place through an intermediate bound state in two steps (i) leakage to an intermediate bound state (coupled through spin orbit interaction) and, (ii) predissociation to a third quasi-bound state from the intermediate state. Line broadening at an accidental predissociation is a function of the magnitude of coupling matrix elements and the linewidths are strongly influenced by isotopic substitution (4). An anomalous isotopic effect in accidental predissociation was spectroscopically observed in CO (5), N2 (4) and BeH (6). We measured the isotopic fractionation for the first time in two accidental predissociating states of CO through VUV photodissociation using the 9.0.2 beamline at ALS (7-8). In

  18. Accidentes atendidos en un área básica de salud de girona, españa

    Soriano Suárez Elena

    2002-01-01

    Full Text Available Fundamentos: Los accidentes constituyen una patología poco estudiada en el ámbito de la Atención Primaria. Son una de las consultas más frecuentes en los servicios de urgencias y los Centros de Atención Primaria realizan la primera asistencia a la mayoría de los accidentados. Conocer la incidencia y las características clínico-epidemiológicas de los accidentes atendidos en una Área Básica de Salud puede aportar información sobre cuáles pueden ser susceptibles de actividades de prevención. Métodos: Diseño: estudio descriptivo. Emplazamiento: atención primaria. Muestra: todos los pacientes (389 que fueron atendidos por accidente en el Centro de Atención Primaria, entre octubre-98 y mayo-99. Variables: edad, sexo, lugar del accidente, tipo de lesión, localización, agentes implicados, intencionalidad, pruebas complementarias, tratamiento y derivación. Análisis estadísticos: estimación de medias, desviación estándar, estimación de proporciones e intervalos de confianza del 95%. Resultados: Incidencia: 4,1% (IC95%: 3,7-4,5%. Sexo: varones 59% (IC95%:54,2-64% y mujeres 40,9% (IC95%: 36-45,8%. Edad: menores de 20 años, el 50,4% (IC95%:45,4-55,4%;.Actividad de mayor accidentalidad: ocio 24,4% (IC95%: 20,2-28,7%. Lugar: hogar 36,2% (IC95%: 31,5-41%. Lesión más frecuente: contusiones 39,6% (IC95%:34,7-44,4%.Localización más frecuente: extremidad superior 37,5% (IC95%: 32,7-42,3%; Agente mayoritariamente implicado: herramientas y máquinas: 15,9% (IC95%:12,3-19,6%. El 92,2% (IC95%: 89,3-94,7% fueron casuales. Tipo de visita: el 83,3% (IC95%: 79,6-87% fueron atendidos con carácter urgente; el 79,5% (IC95%:75,4-83,5% recibió tratamiento con cura y/o fármacos. El 9,8% (IC95%:6,8-12,7% requirió derivación hospitalaria, Un 13,3% (IC95%: 0-16,7% requirió pruebas complementarias. Conclusiones: El mayor porcentaje de accidentalidad se da en población joven, por lo que se evidencia la necesidad de incorporar intervenciones de

  19. Critical submergence for isolated and dual rectangular intakes

    KEREM TASTAN

    2016-04-01

    This study examined critical submergence for isolated and dual rectangular intakes. It is shown that the critical submergence for an isolated intake can be predicted by disregarding whole boundary blockages on the complete imaginary critical sink surface that is the combination of imaginary complete critical cylindrical and hemi-spherical sink surfaces. It is proposed that this theory can be applied to the rectangular intakes located in general geometrical and flow conditions (i.e., intake in still water, circulation imposed flow, non-developedcross-flow, multiple intakes, etc.) and that it does not require computation of blockages caused from flow boundaries. The concept of complete sink surface (disregarding whole boundary blockages) developed for an isolated intake was also applied to dual rectangular intakes. The agreement between available test data and theoretical results was found to be satisfactory.

  20. Beverage Consumption Habits in Italian Population: Association with Total Water Intake and Energy Intake

    Lorenza Mistura

    2016-10-01

    Full Text Available Background: The aim of this study was to investigate total water intake (TWI from water, beverages and foods among Italian adults and the elderly. Methods: Data of 2607 adults and the elderly, aged 18–75 years from the last national food consumption survey, INRAN-SCAI 2005-06, were used to evaluate the TWI. The INRAN-SCAI 2005-06 survey was conducted on a representative sample of 3323 individuals aged 0.1 to 97.7 years. A 3-day semi-structured diary was used for participants to record the consumption of all foods, beverages and nutritional supplements. Results: On average, TWI was 1.8 L for men and 1.7 L for women. More than 75% of women and 90% of men did not comply with the European Food Safety Authority (EFSA Adequate Intake. The contribution of beverages to the total energy intake (EI was 6% for the total sample. Water was the most consumed beverage, followed by alcoholic beverages for men and hot beverages for women. Conclusion: According to the present results, adults and elderly Italians do not reach the adequate intake for water as suggested by the EFSA and by the national reference level of nutrient and energy intake. Data on water consumption should also be analyzed in single socio-demographic groups in order to identify sub-groups of the population that need more attention and to plan more targeted interventions.

  1. 2006-2011年五华县居民意外死亡分析%Accidental Death of Residents in Wuhua County, 2006-2011

    沈超华; 周荣群; 陈青山; 张聪

    2013-01-01

    目的 了解五华县居民意外死亡情况及变化趋势,为制定相应防控策略提供科学依据.方法 对2006-2011年五华县全人群死因监测资料中的意外死亡资料进行整理分析.结果 2006-2011年意外死亡2 328人,年均死亡率30.18/10万,占全死因的6.46%,居全死因第5位.男、女性意外死亡率分别为39.38/10万和20.43/10万,男性高于女性.前5位意外死因是机动车辆交通事故、淹死、自杀、意外跌落和意外中毒.除0岁组外,意外死亡率随年龄的增长而上升,0~4岁和5~14岁年龄段人群主要意外死因为淹死,分别占该年龄段意外死亡的63.58%和57.08%,15岁及以上人群主要意外死因为机动车辆交通事故,25~59岁青壮年第2位意外死因为自杀,60岁以上人群第2位意外死因为意外跌落.结论 意外伤害已经成为五华县居民的主要死因之一,机动车辆交通事故、淹死、自杀是主要意外死因,应加大关注力度,全面落实伤害三级预防措施.%Objective To investigate the trend of accidental death in Wuhua county, in order to provide the scientific basis for formulate the corresponding prevention and control strategy. Methods Collecting and analyzing the accidental death deta of all populations death monitoring data in Wuhua county in 2006 to 2011 years. Results 2328 people were accidental death, the average mortality rate was 30. 18/10 , accounted for 6. 46% and ranked No. 5 of all causes of death. The accidental death rate of male and female were 39. 38/105 and 20. 43/ 105 respectively. The rate of male was higher than that of female. The top of accidental death causes were motor vehicle traffic accident, drowning, suicide, accidental drop and accidental poisoning. Except the zero age group, the accidental death ascended following growing age. Drowning was the first accidental death cause of the groups of age 0 to 4 and age 5 tol4 years old, with the composition ratio of 63. 58% and 57. 08

  2. ERICA: intake of macro and micronutrients of Brazilian adolescents

    Amanda de Moura Souza

    2016-02-01

    Full Text Available ABSTRACT OBJECTIVE To describe food and macronutrient intake profile and estimate the prevalence of inadequate micronutrient intake of Brazilian adolescents. METHODS Data from 71,791 adolescents aged from 12 to 17 years were evaluated in the 2013-2014 Brazilian Study of Cardiovascular Risks in Adolescents (ERICA. Food intake was estimated using 24-hour dietary recall (24-HDR. A second 24-HDR was collected in a subsample of the adolescents to estimate within-person variability and calculate the usual individual intake. The prevalence of food/food group intake reported by the adolescents was also estimated. For sodium, the prevalence of inadequate intake was estimated based on the Tolerable Upper Intake Level (UL. The Estimated Average Requirement (EAR method used as cutoff was applied to estimate the prevalence of inadequate nutrient intake. All the analyses were stratified according to sex, age group and Brazilian macro-regions. All statistical analyses accounted for the sample weight and the complex sampling design. RESULTS Rice, beans and other legume, juice and fruit drinks, breads and meat were the most consumed foods among the adolescents. The average energy intake ranged from 2,036 kcal (girls aged from 12 to 13 years to 2,582 kcal (boy aged from14 to 17 years. Saturated fat and free sugar intake were above the maximum limit recommended ( 50.0%. Sodium intake was above the UL for more than 80.0% of the adolescents. CONCLUSIONS The diets of Brazilian adolescents were characterized by the intake of traditional Brazilian food, such as rice and beans, as well as by high intake of sugar through sweetened beverages and processed foods. This food pattern was associated with an excessive intake of sodium, saturated fatty acids and free sugar.

  3. Reorganization of a hospital catering system increases food intake in patients with inadequate intake

    Freil, M; Nielsen, MA; Blitz, B

    2006-01-01

    Background : Low food intake is a frequent problem in undernourished hospital patients. Objective: To study whether a reorganization of a hospital catering system enabling patients to choose their evening meal individually, in combination with an increase in the energy density of the food......, increases the energy and protein intake of the patients. Design: Observational study comparing the food intake before and twice after the implementation of the new system, the first time by specially trained staff and the second time by ordinary staff members, following training. The amount of food served......-631 kJ) on the first occasion, and 1021 kJ per patient (95% CI 939-1104 kJ) on the second occasion. With the old system, the wastage was on average 276 g per patient (48% of the total amount produced) compared with 118 g per patient (30%) and 78 g (21%) on the two test occasions with the new system...

  4. Fiber intake modulates the association of alcohol intake with breast cancer

    Romieu, Isabelle; Ferrari, Pietro; Chajès, Veronique;

    2016-01-01

    fiber as a modifying factor of the association of alcohol and breast cancer using data from the European Prospective Investigation into Cancer and Nutrition (EPIC). This study included 334,850 women aged 35-70 years at baseline enrolled in the ten countries of the EPIC study and followed up for 11...... computed. During 3,670,439 person-years, 11,576 incident breast cancer cases were diagnosed. For subjects with low intake of fiber (24.2 g/day) the risk of BC was 1.02 (0.......99-1.05) (test for interaction p=0.011). This modulating effect was stronger for fiber from vegetables. Our results suggest that fiber intake may modulate the positive association of alcohol intake and BC. This article is protected by copyright. All rights reserved. © 2014 Wiley Periodicals, Inc....

  5. Changes in Intakes of Total and Added Sugar and their Contribution to Energy Intake in the U.S.

    Won O. Song

    2010-08-01

    Full Text Available This study was designed to document changes in total sugar intake and intake of added sugars, in the context of total energy intake and intake of nutrient categories, between the 1970s and the 1990s, and to identify major food sources contributing to those changes in intake. Data from the NHANES I and III were analyzed to obtain nationally representative information on food consumption for the civilian, non-institutionalized population of the U.S. from 1971 to 1994. In the past three decades, in addition to the increase in mean intakes of total energy, total sugar, added sugars, significant increases in the total intake of carbohydrates and the proportion of carbohydrates to the total energy intake were observed. The contribution of sugars to total carbohydrate intake decreased in both 1–18 y and 19+ y age subgroups, and the contribution of added sugars to the total energy intake did not change. Soft drinks/fluid milk/sugars and cakes, pastries, and pies remained the major food sources for intake of total sugar, total carbohydrates, and total energy during the past three decades. Carbonated soft drinks were the most significant sugar source across the entire three decades. Changes in sugar consumption over the past three decades may be a useful specific area of investigation in examining the effect of dietary patterns on chronic diseases.

  6. Changes in intakes of total and added sugar and their contribution to energy intake in the U.S.

    Chun, Ock K; Chung, Chin E; Wang, Ying; Padgitt, Andrea; Song, Won O

    2010-08-01

    This study was designed to document changes in total sugar intake and intake of added sugars, in the context of total energy intake and intake of nutrient categories, between the 1970s and the 1990s, and to identify major food sources contributing to those changes in intake. Data from the NHANES I and III were analyzed to obtain nationally representative information on food consumption for the civilian, non-institutionalized population of the U.S. from 1971 to 1994. In the past three decades, in addition to the increase in mean intakes of total energy, total sugar, added sugars, significant increases in the total intake of carbohydrates and the proportion of carbohydrates to the total energy intake were observed. The contribution of sugars to total carbohydrate intake decreased in both 1-18 y and 19+ y age subgroups, and the contribution of added sugars to the total energy intake did not change. Soft drinks/fluid milk/sugars and cakes, pastries, and pies remained the major food sources for intake of total sugar, total carbohydrates, and total energy during the past three decades. Carbonated soft drinks were the most significant sugar source across the entire three decades. Changes in sugar consumption over the past three decades may be a useful specific area of investigation in examining the effect of dietary patterns on chronic diseases.

  7. Método para estimar el impacto económico de los accidentes de trabajo en los principales indicadores financieros

    Vanegas Serna, Diego Alexander

    2014-01-01

    El interés de este trabajo es mostrar un método basado en instrumentos financieros que se aproxime a la cuantificación del impacto económico de los accidentes de trabajo en los principales indicadores financieros que frecuentemente la alta gerencia utiliza para el direccionamiento y evaluación de la salud económica de la organización -- Realizar la medición del impacto económico implica extraer las variables de los accidentes de trabajo que se pueden costear y que posiblemente puedan relacion...

  8. Factores asociados a los accidentes por exposición percutánea en personal de enfermería en un hospital de tercer nivel

    Gallardo López Mª Teresa

    1997-01-01

    Full Text Available FUNDAMENTO: Los accidentes por exposición percutánea suponen aproximadamente un tercio de los accidentes laborales del personal sanitario hospitalario. Su importancia estriba en las enfermedades causadas por patógenos transmisibles por esta vía (hepatitis B, hepatitis C, infección VIH. Objetivos: describir los accidentes de este tipo notificados en un hospital de tercer nivel; identificar factores asociados a estos accidentes en personal de enfermería; construir un modelo predictivo del riesgo individual de accidentarse. MÉTODOS: Estudio descriptivo de una cohorte retrospectiva compuesta por todas las personas que notificaron un accidente entre el 1-1-93 y el 30-6-96. Estudio de casos y controles en el personal de enfermería durante el período 1-1-95 al 30-6-96, analizado mediante regresión logística múltiple. RESULTADOS: La incidencia acumulada de accidentes en un año fue de 0,078 para las/-os enfermeras/-os. En el 57,3% de los casos estuvieron implicadas agujas de jeringas desechables o precargadas. La incidencia acumulada en un año fue mayor para las agujas de cateterismo intravenoso (8,5 por 100.000. El riesgo de accidentabilidad, ajustado por variables confundentes, fue mayor para las/-os enfermeras/-os (OR=3,22; I.C.95%=1,96-5,27, para los trabajadores de la Unidad de Hemodiálisis (OR=35,21; I.C.95%=3,74-331,16 y para aquéllos con contrato eventual (OR=4,50; I.C.95%=2,24-9,04. CONCLUSIONES: Los accidentes por exposición percutánea en este hospital son más frecuentes entre el personal de enfermería y se producen, fundamentalmente, con algún tipo de aguja hueca. Se han identificado factores asociados a estos accidentes, lo que permite dirigir programas preventivos específicos sobre trabajadores con más riesgo. El modelo obtenido es válido para estimar el grado de accidentabilidad individual en los sujetos estudiados.

  9. ACCIDENTES CON EXPOSICIÓN A MATERIAL BIOLÓGICO CONTAMINADO POR VIH EN TRABAJADORES DE UN HOSPITAL DE TERCER NIVEL DE MADRID (1986-2001)

    2004-01-01

    Fundamento: La contaminación por el virus de la inmunodeficiencia humana (VIH) es un riesgo ocupacional para los profesionales sanitarios accidentados contaminados con sangre positiva al VIH. El objetivo de nuestro estudio es describir las características de los accidentes registrados durante dieciséis años en un hospital general con sangre o fluidos biológicos procedentes de pacientes VIH positivos, determinar las tasas de exposición accidental en las diferentes categorí...

  10. Modelo de predicción de ocurrencia de accidentes en tramos de carretera mediante la medición continúa de variables de influencia

    2000-01-01

    El fenómeno accidente de tráfico constituye un hecho de notable significación, especialmente debido a las consecuencias negativas que provoca para personas, vehículos e instalaciones. En las últimas décadas, a pesar de la mejora de las condiciones de seguridad de las carreteras, se ha producido un aumento notable del número de accidentes, debido en gran parte al incremento del parque automovilístico y de la movilidad de la población. Ante esta evidencia, sigue vigente la necesidad de un i...

  11. Neural predictors of chocolate intake following chocolate exposure.

    Frankort, Astrid; Roefs, Anne; Siep, Nicolette; Roebroeck, Alard; Havermans, Remco; Jansen, Anita

    2015-04-01

    Previous studies have shown that one's brain response to high-calorie food cues can predict long-term weight gain or weight loss. The neural correlates that predict food intake in the short term have, however, hardly been investigated. This study examined which brain regions' activation predicts chocolate intake after participants had been either exposed to real chocolate or to control stimuli during approximately one hour, with interruptions for fMRI measurements. Further we investigated whether the variance in chocolate intake could be better explained by activated brain regions than by self-reported craving. In total, five brain regions correlated with subsequent chocolate intake. The activation of two reward regions (the right caudate and the left frontopolar cortex) correlated positively with intake in the exposure group. The activation of two regions associated with cognitive control (the left dorsolateral and left mid-dorsolateral PFC) correlated negatively with intake in the control group. When the regression analysis was conducted with the exposure and the control group together, an additional region's activation (the right anterior PFC) correlated positively with chocolate intake. In all analyses, the intake variance explained by neural correlates was above and beyond the variance explained by self-reported craving. These results are in line with neuroimaging research showing that brain responses are a better predictor of subsequent intake than self-reported craving. Therefore, our findings might provide for a missing link by associating brain activation, previously shown to predict weight change, with short-term intake.

  12. Polyamines: total daily intake in adolescents compared to the intake estimated from the Swedish Nutrition Recommendations Objectified (SNO

    Mohamed Atiya Ali

    2011-01-01

    Full Text Available Background: Dietary polyamines have been shown to give a significant contribution to the body pool of polyamines. Knowing the levels of polyamines (putrescine, spermidine, and spermine in different foods and the contribution of daily food choice to polyamine intake is of interest, due to the association of these bioactive amines to health and disease. Objective: To estimate polyamine intake and food contribution to this intake in adolescents compared to a diet fulfilling the Swedish Nutrition Recommendations. Design: A cross-sectional study of dietary intake in adolescents and an ‘ideal diet’ (Swedish nutrition recommendations objectified [SNO] list of foods was used to compute polyamine intake using a database of polyamine contents of foods. For polyamine intake estimation, 7-day weighed food records collected from 93 adolescents were entered into dietetic software (Dietist XP including data on polyamine contents of foods. The content of polyamines in foods recommended according to SNO was entered in the same way. Results: The adolescents’ mean daily polyamine intake was 316±170 µmol/day, while the calculated contribution according to SNO was considerably higher with an average polyamine intake of 541 µmol/day. In both adolescent's intake and SNO, fruits contributed to almost half of the total polyamine intake. The reason why the intake among the adolescents was lower than the one calculated from SNO was mainly due to the low vegetable consumption in the adolescents group. Conclusions: The average daily total polyamine intake was similar to that previously reported in Europe. With an ‘ideal’ diet according to Swedish nutrition recommendations, the intake of this bioactive non-nutrient would be higher than that reported by our adolescents and also higher than that previously reported from Europe.

  13. Usual Dietary Intakes: Food Intakes, U.S. Population, 2001-04

    The NCI Method provides the capability to estimate the distribution of usual food intakes in the U.S. population to greatly enhance the ability to monitor diets relative to recommendations and to assess the scope of dietary deficiencies and excesses.

  14. LCD OF AIR INTAKE MANIFOLDS PHASE 2: FORD F250 AIR INTAKE MANIFOLD

    The life cycle design methodology was applied to the design analysis of three alternatives for the lower plehum of the air intake manifold for us with a 5.4L F-250 truck engine: a sand cast aluminum, a lost core molded nylon composite, and a vibration welded nylon composite. The ...

  15. Symmetric Tamm-Dancoff q-oscillator: representation, quasi-Fibonacci nature, accidental degeneracy and coherent states

    Chung, Won Sang; Kachurik, I I; Rebesh, A P

    2014-01-01

    In this paper we propose a symmetric q-deformed Tamm-Dancoff (S-TD) oscillator algebra and study its representation, coordinate realization, and main properties. In particular, the non-Fibonacci (more exactly, quasi-Fibonacci) nature of S-TD oscillator is established, the possibility of relating it to certain p,q-deformed oscillator family shown, the occurrence of the pairwise accidental degeneracy proven. We also find the coherent state for the S-TD oscillator and show that it satisfies completeness relation. Main advantage of the S-TD model over usual Tamm-Dancoff oscillator is that due to (qq^{-1})-symmetry it admits not only real, but also complex (phase-like) values of the deformation parameter q.

  16. Poverty and fatal accidental drug overdoses of cocaine and opiates in New York City: an ecological study.

    Marzuk, P M; Tardiff, K; Leon, A C; Hirsch, C S; Stajic, M; Portera, L; Hartwell, N

    1997-05-01

    This ecological study examines the association of the poverty status of urban communities in New York City with their mortality rates of accidental drug overdoses. Mean annual age-adjusted rates of drug overdoses involving cocaine, opiates, or both (n = 1,684) were calculated for each of 59 residential community districts in New York City for 1990-1992. A linear regression analysis was performed to test the association of the mortality rate with the poverty status of the district as measured by the proportion of the district living below the 1989 U.S. poverty line. Poverty status accounted for 69% of the variance in the drug overdose mortality rates of communities (p poverty status of communities in New York City.

  17. Deadly occupations: Assessing tuberculosis and accidental mortality among male workers in Sydney and Glace Bay, Nova Scotia, 1909–1917

    Stacie D.A. Burke

    2012-01-01

    Full Text Available This study examines associations between occupation and cause of death among 802 working-age males (15 to 64 years of age who diedin two single-industry communities (Glace Bay and Sydney in Nova Scotia between 1909 and 1917. Employment in mining and steelmanufacturing is assessed for cause-specific mortality among men who died in Canada’s early industrial era, with a particular focus ondeaths due to tuberculosis (n=140, or 18% of deaths and accidents (n=225, or 28% of deaths. Factoring in the effects of occupation,age at death, birthplace, community, and marital status, logistic regression results indicate that, among the men who died, occupation is a significant predictor for accidental deaths (relative to all other causes of death but not for tuberculosis-related deaths. Interpretation of these results is grounded in a broader perspective on the nature of living and working conditions in these two single-industry communities.

  18. Comparison of the MARC and CRAC2 programs for assessing the radiological consequences of accidental releases of radioactive material

    Hemming, C R; Charles, D; Ostmeyer, R M

    1983-01-01

    This report describes a comparison of the MARC (Methodology for Assessing Radiological Consequences) and CRAC2 (Calculation of Reactor Accident Consequences, version 2) computer programs for assessing the radiological consequences of accidental releases of radioactive material. A qualitative comparison has been made of the features of the constituent sub-models of the two codes, and potentially the most important differences identified. The influence of these differences has been investigated quantitatively by comparison of the predictions of the two codes in a wide variety of circumstances. Both intermediate quantities and endpoints used as a measure of risk have been compared in order to separate the variables more clearly. The results indicate that, in general, the predictions of MARC and CRAC2 are in good agreement.

  19. [Great discoveries: from the painstaking efforts of researchers to the contribution of accidental findings and the dissemination of study results].

    Garattini, Silvio

    2015-06-01

    This article takes its cue from the original work of sir Alexander Fleming on penicillin, published in the first issue of Recenti Progressi in Medicina in 1946 and reproduced here on the occasion of the approaching 70-year anniversary of the journal. The path that brought Fleming to the discovery of penicillin, one of the major milestones in the history of clinical pharmacology, provides insight for a range of considerations: the painstaking efforts of researchers, the contribution from accidental findings, and the dissemination of study results. Although the discovery of penicillin has changed the course of medicine, the benefits deriving from such an important advance are most likely to be offset by the overprescription of antibiotics, which is the leading cause of antimicrobial resistance and one of the most serious public health problems of our time.

  20. Accidental aspiration of head scarf pin in left bronchus piercing the lung parenchyma: A rare case in a child

    Parvez, Yusuf; Kandath, Mohammed Ashraf

    2016-01-01

    Foreign body (FB) aspiration is commonly seen in children but less commonly in adolescents. Headscarf pin aspiration is common in Muslim girls, who inappropriately place the pins between their lips while securing the scarf on the head. Bronchoscopy is the treatment modality of choice, and surgery is rarely required. An 11-year-old girl was admitted as a case of accidental aspiration of headscarf pin. X-ray chest showed a radiopaque object in the left bronchus piercing the lung parenchyma. Computed tomography (CT) chest confirmed the diagnosis. The headscarf pin was removed by flexible bronchoscopy as the ear, nose, and throat (ENT) surgeon failed to remove it by rigid bronchoscopy. The FB was removed successfully and the patient was discharged home. Removal of a sharp pin by bronchoscopy is difficult, especially if it pierces the lung parenchyma. In our case, the pin was bent by forceps and then removed by a flexible bronchoscope, which requires a highly skilled professional. PMID:27578937

  1. Hypersonic Intake Starting Characteristics–A CFD Validation Study

    Soumyajit Saha

    2012-05-01

    Full Text Available Numerical simulation of hypersonic intake starting characteristics is presented. Three dimensional RANS equations are solved alongwith SST turbulence model using commercial computational fluid dynamics (CFD software. Wall pressure distribution and intake performance parameters are found to match well with experimental data for different free stream Mach number in the range of 3-8. The unstarting of the intake is traced from the sudden drop of mass capture ratio. Wall condition (adiabatic or isothermal is seen to have pronounced effect in estimating the performance parameters in the intake. The computed unstarting Mach number is seen to be higher for adiabatic condition compared to isothermal condition. For unstarting case, large separation bubble is seen near the entrance of the intake, which is responsible for expulsion of the shock system out of the intake.Defence Science Journal, 2012, 62(1, pp.147-152, DOI:http://dx.doi.org/10.14429/dsj.62.1340

  2. Aprendizajes del Accidente de San Juan Ixhuatepec-México Learning from the Accident in San Juan Ixhuatepec-Mexico

    Antioco López-Molina

    2012-01-01

    Full Text Available El índice Dow de fuego y explosión y la metodología del análisis cuantitativo del riesgo son aplicados para analizar uno de los accidentes más desafortunados en la historia mexicana: la explosión de tanques de almacenamiento de gas en la planta de San Juan Ixhuatepec en México. Estimaciones adicionales de la sobrepresión y radiación térmica producida durante el siniestro son llevadas a cabo para explicar el efecto dominó producido como consecuencia del incidente. Estas estimaciones dan evidencia de que las instalaciones en la planta de San Juan Ixhuatepec tenían un nivel de riesgo moderado lo cual se contrapone a la percepción de la sociedad en relación al riesgo de la compañía Pemex, propietaria de la planta. Este trabajo concluye que el accidente fue principalmente debido a errores humanos, así como a la pésima ubicación de la planta.The Dow fire and explosion index and the quantitative risk assessment methodology are applied to analyze one of the most unfortunate accidents in Mexican history: the explosion of gas storage tanks at the San Juan Ixhuatepec plant in Mexico. Additional calculations of over-pressure and thermal radiation are carried out to further explain the domino effect produced as a consequence of the accident. The results give evidence that facilities in San Juan Ixhuatepec had a moderate risk level which is in disagreement with people’s perception of the Pemex company, proprietary of the plant. This study concludes that the accident was mainly due to human error, as well as the inappropriate location of the plant.

  3. Evolution of N-species Kimura/voter models towards criticality, a surrogate for general models of accidental pathogens

    Ghaffari, Peyman; Stollenwerk, Nico

    2012-09-01

    In models for accidental pathogens, with the paradigmatic epidemiological system of bacterial meningitis, there was evolution towards states exhibiting critical fluctuations with power law behaviour observed [1]. This is a model with many possibly pathogenic strains essentially evolving independently to low pathogenicity. A first and previous study had shown that in the limit of vanishing pathogenicity there are critical fluctuations with power law distributions observed, already when only two strains interact [2]. This earlier version of a two strain model was very recently reinvestigated [3] and named as Stollenwerk-Jansen model (SJ). Muñoz et al. demonstrated that this two-strain model for accidental pathogens is in the universality class of the so-called voter model. Though this model clearly shows criticality, its control parameter, the pathogenicity, is not self-tuning towards criticality. However, the multi-strain version mentioned above [1] is well evolving towards criticality, as well as a spatially explicit version of this, shown in [4] p. 155. These models of multi-strain type including explicitly mutations of the pathogenicity can be called SJ-models of type II [5]. Since the original epidemiological model is of SIRYX-type, the evolution to zero pathogenicity is slow and perturbed by large population noise. In the present article we now show on the basis of the notion of the voter-model universality classes the evolution of n-voter models with mutaion towards criticality, now much less perturbed by population noise, hence demonstrating a clear mechanism of self-organized criticality in the sense of [6, 7]. The present results have wide implications for many diseases in which a large proportion of infections is asymptomatic, meaning that the system has already evolved towards an average low pathogenicity. This holds not only for the original paradigmatic case of bacterial meningitis, but was reecently also suggested for example for dengue fever (DENFREE

  4. La trombectomía mecánica en el tratamiento de accidentes cerebrovasculares (ACV en la fase aguda

    Alain Bonafe

    2013-08-01

    Full Text Available En Francia, la incidencia anual de accidentes cerebro vasculares (ACV es de 1.6 a 2.4 por cada mil (1.000 personas, es decir entre 100.000 y 145.000 por año, con una mortalidad del 15 al 20% al cabo del primer mes y un 75% de personas sobrevivientes con secuelas. El tratamiento de preferencia es la Trombólisis IV (Intra Venosa con rt-PA (Recombinant Tissue Plasminogen Activator - Activador del Plasminógeno Tisular Recombinante, el cual tiene una ventana de eficacia de 4 horas y media después del inicio de los síntomas. Sólo 2% de los pacientes eligibles para este tratamiento se benefician de una fibrinólisis por vía venosa. Las oclusiones de arterias de calibre grueso son responsables del 46% de los accidentes cerebrovasculares Isquémicos (ACVI y predicen una sobremortalidad y discapacidad funcional severa a los 6 meses. En ausencia de revascularización, la mitad de los ACVI de circulación anterior con oclusión arterial documentada fallece y solamente el 10% de ellos, tienen un buen pronóstico funcional a los tres meses. Algunas variables que han sido identificadas como predictoras de un mal pronóstico son: un puntaje clínico en la escala NIHSS (National Institute of Health Stroke Scale - Escala del Ictus del Instituto Nacional de la Salud superior a 12 según Fischer 2005, una oclusión documentada de una arteria intracraneal, los fracasos y las contraindicaciones de la fibrinólisis intravenosa entre otros. Esta revisión busca presentar los mecanismos, la evaluación, la eficacia y las complicaciones reportadas por la literatura sobre la trombectomía mecánica.

  5. Knowledge, attitude, and practice regarding risk of HIV infection through accidental needle stick injuries among dental students of Raichur, India

    Yadavalli Guruprasad

    2011-01-01

    Full Text Available Background: Injuries from occupational accidents are associated with agents of biological risk, as they are the gateway to serious and potentially lethal infectious diseases that can be spread by contact between people. Several studies have demonstrated that dental students are among the most vulnerable to blood borne exposure. Materials and Methods: To assess the knowledge, attitude and practice regarding risk of HIV transmission through accidental needle stick injury amongst dental students and providing supportive and proper guidelines regarding needle stick injuries and HIV infection. Study Design: This was a cross sectional study done at a dental college attached to a tertiary care hospital which included third, fourth year students and interns. The results obtained were subjected to statistical analysis using Chi square test. Results: Of the 120 students 13(11% were not even aware that virus could be transmitted through infected needle. A significant proportion of the third year students i.e. 27 (67.5% were not aware of correct method of disposal of disposable needles and syringes as against interns 17(42.5%. Around 31(26% said that they would promote active bleeding at the site of injury and 37(30% said they would take post exposure prophylaxis. Conclusion: Dental professionals are at a risk of occupational acquisition of HIV primarily due to accidental exposure to infected blood and body fluids. There is a need of correcting the existing misconceptions through education programmes early in the course and providing supportive and proper guidelines regarding needle stick injuries and HIV infection.

  6. Measuring food intake in studies of obesity.

    Lissner, Lauren

    2002-12-01

    The problem of how to measure habitual food intake in studies of obesity remains an enigma in nutritional research. The existence of obesity-specific underreporting was rather controversial until the advent of the doubly labelled water technique gave credence to previously anecdotal evidence that such a bias does in fact exist. This paper reviews a number of issues relevant to interpreting dietary data in studies involving obesity. Topics covered include: participation biases, normative biases,importance of matching method to study, selective underreporting, and a brief discussion of the potential implications of generalised and selective underreporting in analytical epidemiology. It is concluded that selective underreporting of certain food types by obese individuals would produce consequences in analytical epidemiological studies that are both unpredictable and complex. Since it is becoming increasingly acknowledged that selective reporting error does occur, it is important to emphasise that correction for energy intake is not sufficient to eliminate the biases from this type of error. This is true both for obesity-related selective reporting errors and more universal types of selective underreporting, e.g. foods of low social desirability. Additional research is urgently required to examine the consequences of this type of error.

  7. Salt content impacts food preferences and intake among children.

    Sofia Bouhlal

    Full Text Available Decreasing dietary sodium intake, which can be achieved by reducing salt content in food, is recommended. Salt contributes to the taste of foods and makes them more enjoyable. Whether a food is liked or disliked is an important determinant of food intake, especially among children. However, the role of salt in children's food acceptance has received little attention. The impact of salt content on children's hedonic rating and intake of two foods was investigated in children. Using a within-subject crossover design, we recruited 75 children (8-11 years to participate in five lunches in their school cafeteria. The target foods were green beans and pasta. The added salt content was 0, 0.6 or 1.2 g/100 g. The children's intake (g of all lunch items was measured. The children provided their hedonic rating of the food, a preference ranking and a saltiness ranking in the laboratory. Children could rank the foods according to salt content, and they preferred the two saltier options. A food-specific effect of salt content on intake was observed. Compared to the intermediate level (0.6 g salt/100 g, not adding salt decreased green bean intake (-21%; p = 0.002, and increasing the salt content increased pasta intake (+24%; p<0.0001. Structural Equation Modeling was used to model the relative weights of the determinants of intake. It showed that the primary driver of food intake was the child's hunger; the second most important factor was the child's hedonic rating of the food, regardless of its salt content, and the last factor was the child's preference for the particular salt content of the food. In conclusion, salt content has a positive and food-specific effect on intake; it impacted food preferences and intake differently in children. Taking into account children's preferences for salt instead of their intake may lead to excessive added salt.

  8. PENYELIDIKAN OPERASI PINTU INTAKE EMBUNG SAMIRAN DENGAN UJI MODEL HIDROLIK

    Dwi Kurniani

    2012-02-01

    Full Text Available A manual of intake gate operation for embung is an important tool it depends. One factor which is decidingthe manual is operation of gate system. If the system of gate operation of intake gate are wrong will havenegative water use . To make the most precise of manual operation of intake gate embung Samiran must beendone physical model test. From this test result of physical model test can be used as a guidance or referenceprototype application.

  9. Poultry Intake and Chronic Diseases:a Systematic Review

    Jing CUI; Yan MA; Hua-qi ZHANG; Jing CAI; Ai-guo MA

    2014-01-01

    Objective To comprehensively review the relationship between poultry intake and chronic diseases.MethodsThe literatures were limited to human studies and written in English during 2002 to 2014 and in Chinese during 1997 to 2014. A total of 35 studies were included in this study. Among all the included studies, five studies were related to colorectal cancer (CRC), six to prostate cancer (PCA) and five to type 2 diabetes mellitus (T2DM). The relationships between poultry intake and CRC, PCA and T2DM were evaluated with the method recommended by WHO.Results First, the poultry intake was not associated with CRC. Five studies were included in this analysis, in which three (including one systematic review, one cohort study and one case-control study) were not associated between the poultry intake with CRC, while two (including one case-control study and one cohort study) were negatively associated. Second, the poultry intake was not associated with PCA. Six studies were included in this analysis, in which two (including one case-control study and one cohort study) were not associated between the poulty intake with PCA, while two case-control studies were positively associated with fried chichen, and another two case-control studies negatively associated. Third, the poultry intake was not associated with T2DM. Five studies were included in this analysis, in which three (including one randomized controlled trial and two cohort studies) were not associated between the poultry intake and T2DM, while one cohort study not associated, but the processed poultry intake was positively associated. In another cohort study, the fried chicken intake was positively associated with T2DM. Finally, there were no enough data on the relationship between the poultry intake and the cardiovascular diseases (CVD), breast cancer, pancreatic cancer, esophageal cancer, blood pressure, obesity and anemia.Conclusion Poultry intake is not associated with CRC PCA or T2DM.

  10. Intake of dairy products and the risk of breast cancer.

    Knekt, P.; Järvinen, R; Seppänen, R.; Pukkala, E.; Aromaa, A

    1996-01-01

    The relationship between intake of dairy products and risk of breast cancer was studied in 4697 initially cancer-free women, aged 15 years or over. During a 25 year follow-up period after the collection of food consumption data, 88 breast cancers were diagnosed. Intakes of foods were calculated from dietary history interviews covering the habitual diet of examinees over the preceding year. There was a significant inverse gradient between milk intake and incidence of breast cancer, the age-adj...

  11. Calorie Intake and Gambling: Is Fat and Sugar Consumption 'Impulsive'?

    Chamberlain, Samuel R; A Redden, Sarah; Grant, Jon E

    2016-10-20

    Excessive calorie intake constitutes a global public health concern, due to its associated range of untoward outcomes. Gambling is commonplace and gambling disorder is now considered a behavioral addiction in DSM-5. The relationships between calorie intake, gambling, and other types of putatively addictive and impulsive behaviors have received virtually no research attention. Two-hundred twenty-five young adults who gamble were recruited from two Mid-Western university communities in the United States using media advertisements. Dietary intake over the preceding year was quantified using the Dietary Fat and Free Sugar Short questionnaire (DFS). Clinician rating scales, questionnaires, and cognitive tests germane to impulsivity were completed. Relationships between dietary fat/sugar intake and gambling behaviors, as well as other measures of psychopathology and cognition germane to addiction, were evaluated using correlational analyses controlling for multiple comparisons. Greater dietary fat and sugar intake were associated with lower educational levels and with male gender. Controlling for these variables, higher dietary fat and sugar intake were correlated significantly with worse gambling pathology and anxiety scores. Dietary sugar intake was also significantly associated with higher depressive scores, more alcohol intake, lower self-esteem, and with greater risk of having one or more mental disorders in general. Dietary intake did not correlate significantly with ADHD symptoms, presence of one or more impulse control disorders, Barratt impulsiveness, or cognitive functioning. These data suggest a particularly strong relationship between fat/sugar intake and symptoms of gambling pathology, but not most other forms of impulsivity and behavioral addiction (excepting alcohol intake). Providing education about healthy diet may be especially valuable in gamblers and in community settings where gambling advertisements feature prominently. Future work should explore

  12. Nutritient intake of young children with Prader–Willi syndrome

    Marianne Lindmark

    2010-03-01

    Full Text Available Background: Prader–Willi syndrome (PWS is a rare genetic disorder resulting in obesity. The diets for young children with PWS must balance the importance of preventing development of obesity with the need to supply sufficient energy and essential nutrients. Objective: To investigate the nutritional intake for children with PWS 2, 3, and 4 years of age and compare it with Nordic Nutritional Recommendations (NNR and intake of healthy controls. Design: Assessments of food intake for six children 2–4 years of age were performed twice a year. At the age of 2 and 3 years data was obtained by using food recall interviews and at 4 year of age a pre-coded food-diary was used. Results: The energy intake for the 2-year-old children was 3.25 MJ/day (SD 0.85 and for the 3- and 4-year olds 3.62 MJ/day (SD 0.73 and 4.07 MJ/day (SD 0.39 MJ, respectively. These intakes are 61%, 68%, and 77% of the estimated energy requirements in NNR for healthy 2-, 3- and 4-year-old children, respectively, and 60% and 66% of the energy intakes of 2- and 4-year-old children in reference populations. The children's BMI-for-age score and length growth was within the normal range during the study period. The intake of fat was about 25 E% in all age groups and reduced when compared with reference populations. In 25% of the assessments the fat intake was 20 E% or below. The intake of iron was below recommendations in all age groups both with and without supplementation. The mean intake of vitamin D and tocopherol was below recommendations when intakes were determined excluding dietary supplementations. Conclusions: More large-scale investigations on nutritional intake are needed to further investigate dietary challenges for this patient group.

  13. The intake of intense sweeteners ? an update review

    Renwick, Andrew Gordon

    2006-01-01

    Abstract Studies on the intakes of intense sweeteners in different countries published since the author?s previous review in 1999 indicate that the average and 95th percentile intakes of acesulfame-K, aspartame, cyclamate and saccharin by adults are below the relevant ADI values. Fewer data are available for the newer sweeteners, sucralose and alitame, and because they are recent introductions to the market very low intakes were reported in those countries where they were available...

  14. Uso de esteronitronas para el tratamiento y prevención del ictus o accidente cerebrovascular, enfermedades de alzheimer, parkinson y esclerosis lateral amiotrófica

    Marco-Contelles, José; Alcázar González, Alberto

    2013-01-01

    Uso y preparación de esteronitronas con alta permeabilidad a la barrera hematoencefálica, capacidad antioxidante y neuroprotectora, como potenciales fármacos para el tratamiento del ictus o accidente cerebrovascular, enfermedades de Alzheimer, Parkinson y esclerosis lateral amiotrófica.

  15. Risk assessment, risk management and risk-based monitoring following a reported accidental release of poliovirus in Belgium, September to November 2014

    Duizer, Erwin; Rutjes, Saskia; de Roda Husman, Ana Maria; Schijven, Jack

    2016-01-01

    On 6 September 2014, the accidental release of 10(13) infectious wild poliovirus type 3 (WPV3) particles by a vaccine production plant in Belgium was reported. WPV3 was released into the sewage system and discharged directly to a wastewater treatment plant (WWTP) and subsequently into rivers that fl

  16. Partitioning of perfluorooctanesulfonate and perfluorohexanesulfonate in the aquatic environment after an accidental release of aqueous film forming foam at Schiphol Amsterdam Airport

    Kwadijk, C.J.A.F.; Kotterman, M.J.J.; Koelmans, A.A.

    2014-01-01

    In the summer of 2008, an accidental release of Aqueous Film Forming Foam (AFFF) took place at Schiphol Amsterdam Airport (The Netherlands). After the release, water, fish and sediment samples were collected and analyzed for perfluoroalkyl sulfonates (PFSA). In situ perfluorooctane sulfonate (PFOS)

  17. Comparison of mortality in patients with acute myocardial infarction accidentally admitted to non-cardiology departments versus that in patients admitted to coronary care units

    D'Souza, Maria; Saaby, Lotte; Poulsen, Tina S

    2014-01-01

    The aim of this study was to prospectively investigate the clinical characteristics including symptoms and long-term mortality in patients with acute myocardial infarction (AMI) accidentally admitted to non-cardiology departments (NCDs). For comparison, similar observations in patients admitted...

  18. 有关对偶定理的证明方法讨论%To accidentally the proof method of the axioms discussion

    李琳; 赵临龙

    2012-01-01

    At project image several what medium, from to accidentally thought to set out, study" three points totally always line" and"three straight lines total[one] point" of to accidentally problem, from to accidentally the thought set out and study "three points totally always line" with the structure form of "three straight lines totalEone] point" and make virtuous Sa space triangle axioms and it to accidentally the axioms has a kind of relation of"revolve'ing and then give one this problem solve of"regulation" method.%在射影几何中,从对偶思想出发,研究“三点共线”与“三线共点”的结构形式,使得德萨格三角形定理及其对偶定理具有一.中“旋转”关系,进而给出这类问题求解的“规律性”方法。

  19. Nutritional Adequacy of Dietary Intake in Women with Anorexia Nervosa

    Susan K. Raatz

    2015-05-01

    Full Text Available Understanding nutrient intake of anorexia nervosa (AN patients is essential for the treatment. Therefore, estimates of total energy and nutrient consumption were made in a group of young women (19 to 30 years with restricting and binge purge subtypes of AN participating in an ecological momentary assessment study. Participants completed three nonconsecutive 24-hour diet recalls. Mean nutrient intakes were stratified by subtype and by quartiles of energy intake and compared to the age specific Dietary Reference Intake (DRI levels, as well as to the reported intakes from the What We Eat In America (WWEIA dietary survey 2011–2012. Reported intake was determined for energy, macronutrients, and micronutrients. The mean body mass index (BMI for all participants was 17.2 ± 0.1 kg/m2. Reported nutrient intake was insufficient for participants in quartiles 1–3 of both AN subtypes when compared to the DRIs. Intake reported by participants in quartile 4 of both subgroups met requirements for most nutrients and even met or exceeded estimated energy needs. Counseling of AN patients should be directed to total food consumption to improve energy intake and to reduce individual nutritional gaps.

  20. FEMA Registration Intake and Individuals Household Program - API

    Department of Homeland Security — The dataset is composed of Registration Intake and Individuals and Households Program (IHP) Information from the Individual Assistance (IA) reporting authority where...

  1. Fat intake and metabolism in Swedish and Italian infants.

    Akeson, P K; Axelsson, I E; Räihä, N C; Warm, A; Minoli, I; Moro, G

    2000-01-01

    The purpose of the study was to compare fat intake and metabolism between two infant populations from Sweden and Italy given breast milk or similar infant formulas, but different weaning foods. Nutrient intake and fat metabolism were studied prospectively from 3-12 mo in 68 Swedish and 46 Italian healthy infants, breastfed or given similar infant formulas in combination with Swedish or Mediterranean weaning foods. Although nutrient intake and fat metabolism were similar at 6 mo, fat intake was lower at 12 mo in the Italian than in the Swedish formula group (p breast milk composition may also have influenced our results.

  2. Flavonoid intake in European adults (18 to 64 years.

    Anna Vogiatzoglou

    Full Text Available Flavonoids are a group of phenolic secondary plant metabolites that are ubiquitous in plant-based diets. Data from anthropological, observational and intervention studies have shown that many flavonoids are bioactive. For this reason, there is an increasing interest in investigating the potential health effects of these compounds. The translation of these findings into the context of the health of the general public requires detailed information on habitual dietary intake. However, only limited data are currently available for European populations.The objective of this study is to determine the habitual intake and main sources of anthocyanidins, flavanols, flavanones, flavones, flavonols, proanthocyanidins, theaflavins and thearubigins in the European Union.We use food consumption data from the European Food Safety Authority (EFSA and the FLAVIOLA Food Composition Database to estimate intake of flavonoids.Mean (±SEM intake of total flavonoids in Europe was 428±49 mg/d, of which 136±14 mg/d were monomeric compounds. Gallated flavan-3-ols (53±12 mg/d were the main contributor. The lowest flavonoid intake was observed in Mediterranean countries (monomeric compounds: 95±11 mg/d. The distribution of intake was skewed in many countries, especially in Germany (monomeric flavonoids; mean intake: 181 mg/d; median intake: 3 mg/d.The habitual intake of flavonoids in Europe is below the amounts found to have a significant health effect.

  3. Beverage intake and obesity in Australian children

    Clifton Peter M

    2011-12-01

    Full Text Available Abstract Background There have been increases in the obesity and overweight rates in Australian children over the past 25 years and it has been suggested that sugar sweetened beverages (SSB have played a role in this increase. Objective The objectives of this study were to: (1 examine SSB intakes in the 2007 Australian Children's Nutrition and Physical Activity Survey (2 relate SSB intake to rates of overweight and obesity, socio-economic status (SES, TV viewing time, and activity levels and (3 compare 2007 SSB intakes with data from the 1995 National Nutrition Survey. Design A computer assisted 24 h dietary recall in 4,400 children aged 2-16 years was performed. Results In the 2007 survey 47% of all children reported drinking SSBs with 25% consuming sugar sweetened soft drinks on the day of the survey. The mean consumption of soft drink was 436 g/d/consumer. Activity levels were unrelated to SSB consumption. Television viewing was positively related to soft drink consumption with a difference of 55 g/day from bottom to top tertile of time spent TV viewing (p = 0.015 in children aged 9-16 years. 55% of SSB consumption occurred at home and 10% occurred at school. Lower SES status was associated with a greater prevalence of SSB consumption- 30% for the lowest SES quartile vs 19% in the highest quartile. The proportion of overweight who consumed SSBs (which excludes 100% fruit was not different from the non-overweight children although the proportion of SSB consumers in the 6% of children who were obese was significant compared with the non-overweight children (59% vs 47%, p Conclusions This cross-sectional data set provides evidence that SSB consumption for Australian children is still high despite the decrease since 1995 in some age groups. It provides little support to conclude that overweight in children is currently being driven by excessive SSB consumption although it may be factor in some obese children. Conclusions are limited by the cross

  4. EFFECT OF KIMCHI INTAKE ON LIPID PROFILES AND BLOOD PRESSURE

    Hyun Ju Kim

    2012-06-01

    Full Text Available Kimchi is a Korean fermented vegetable and has recognized as a healthy food. Some interventional studies have reported an inverse association between kimchi intake and higher lipid levels in healthy and obese people. However, kimchi intake and hypertention were still uncertain. This study is carried out to investigate whether the serum lipid profiles and blood pressure would be influenced by the amount of kimchi intake. Design for the clinical study by controlling the meal consumption and physical activity of the subjects for 7 days was approved by IRB at P Hospital (No.2011075. For the study, 100 volunteers assigned into 2 groups, low (15 g/day, n=50 and high kimchi intake group (210 g/day, n=50, temporarily stayed together at the dormitory during the 7-day experimental period. Three meals with different amount of kimchi were provided and subjects were asked to maintain the normal physical activity as usual. Significant decrease in the concentration of fasting blood glucose, TG, total-C, and LDL-C for the both group was observed after 7 days of kimchi intake regardless of amount of kimchi intake. Only FBG suppression effect was significantly different (p<0.01. Furthermore, people with hypercholesterolemia (≤19 mg/dL showed greater improvements in total cholesterol levels in high kimchi intake group. One notable finding in this study was that urinary Na excretion for the high kimchi intake group was significantly increased (p<0.05. There was no significant difference in the BP reductions by kimchi intake. Higher intake of kimchi appears to be a modest beneficial effect to lipid lowering, without any effect on blood pressure in spite of increased sodium excretion. Long-term study should be clarified whether kimchi intake associated with hypertension.

  5. Simulation of total dietary iodine intake in Flemish preschool children.

    Vandevijvere, Stefanie; Lin, Y; Moreno-Reyes, R; Huybrechts, I

    2012-08-01

    The aim of the present study was to calculate the distribution of total iodine intake among Flemish preschoolers and to identify the major sources contributing to iodine intake. A simulation model using a combination of deterministic and probabilistic techniques was utilised. Scenario analyses were performed to assess iodine intake via dairy products, industrially added iodised salt in bread and discretionarily added iodised household salt. Relevant data from 3-d estimated dietary records of 696 preschoolers 2·5-6·5 years old were used. Usual iodine intakes were calculated using the Iowa State University method. With a more generalised utilisation of iodised salt in bread (44 % of the bakers in 2011 instead of 12 % in 2002), mean iodine intake increased from 159 to 164 μg/d using the McCance and Widdowson's food composition table and from 104 to 109 μg/d using the German food composition table. The percentage of preschoolers with an iodine intake below the estimated average requirement (65 μg/d) decreased from 5-12 to 4-9 %, while the percentage of preschoolers with an iodine intake above the tolerable upper intake level (300 μg/d) remained constant (0·3-4 %). Mean iodine intake via food supplements was 4·2 μg/d (total population) and 16·9 μg/d (consumers only). Both in 2002 and 2011, sugared dairy products, milk and iodised salt (21·4, 13·1, and 8·7 %, respectively in 2011) were the main contributors to total iodine intake. In conclusion, dietary iodine intake could still be improved in Flemish preschoolers. The use of adequately iodised household salt and the more generalised use of iodised salt by bakers should be further encouraged.

  6. The Macronutrients, Appetite, and Energy Intake.

    Carreiro, Alicia L; Dhillon, Jaapna; Gordon, Susannah; Higgins, Kelly A; Jacobs, Ashley G; McArthur, Breanna M; Redan, Benjamin W; Rivera, Rebecca L; Schmidt, Leigh R; Mattes, Richard D

    2016-07-17

    Each of the macronutrients-carbohydrate, protein, and fat-has a unique set of properties that influences health, but all are a source of energy. The optimal balance of their contribution to the diet has been a long-standing matter of debate. Over the past half century, thinking has progressed regarding the mechanisms by which each macronutrient may contribute to energy balance. At the beginning of this period, metabolic signals that initiated eating events (i.e., determined eating frequency) were emphasized. This was followed by an orientation to gut endocrine signals that purportedly modulate the size of eating events (i.e., determined portion size). Most recently, research attention has been directed to the brain, where the reward signals elicited by the macronutrients are viewed as potentially problematic (e.g., contribute to disordered eating). At this point, the predictive power of the macronutrients for energy intake remains limited.

  7. Dose calculations for intakes of ore dust

    O`Brien, R.S

    1998-08-01

    This report describes a methodology for calculating the committed effective dose for mixtures of radionuclides, such as those which occur in natural radioactive ores and dusts. The formulae are derived from first principles, with the use of reasonable assumptions concerning the nature and behaviour of the radionuclide mixtures. The calculations are complicated because these `ores` contain a range of particle sizes, have different degrees of solubility in blood and other body fluids, and also have different biokinetic clearance characteristics from the organs and tissues in the body. The naturally occurring radionuclides also tend to occur in series, i.e. one is produced by the radioactive decay of another `parent` radionuclide. The formulae derived here can be used, in conjunction with a model such as LUDEP, for calculating total dose resulting from inhalation and/or ingestion of a mixture of radionuclides, and also for deriving annual limits on intake and derived air concentrations for these mixtures. 15 refs., 14 tabs., 3 figs.

  8. Dietary sources of fiber intake in Brazil.

    Sardinha, Aline Nascimento; Canella, Daniela Silva; Martins, Ana Paula Bortoletto; Claro, Rafael Moreira; Levy, Renata Bertazzi

    2014-08-01

    The objective of this study was to estimate the household availability of fibers in Brazil and to identify the dietary sources of this nutrient. Data from the 2008-2009 Household Budget Survey were used to estimate national household availability and density of fibers and also according to stratifications defined by income level, five regions and area (rural or urban). The contribution of the different food groups, classified by the nature, extent and purpose of processing, to total fibers available in Brazilian households was also determined. The mean density of per capita fibers was 7.6 g/1000 kcal. Higher availability and density of fibers was observed in households situated in rural areas and among low-income families. The main dietary sources of fiber were beans, bread, rice, fruit, vegetables and manioc flour. Fiber intake was found to be insufficient. Therefore, actions promoting a healthy diet are needed to improve the dietary quality of the Brazilian population.

  9. Mactaquac intake tendons removal and replacement

    Campbell, I. [NB Power Generation Corp., Mactaquac Generating Station, Keswick Ridge, NB (Canada); Mee, A. [Hatch Energy, Niagara Falls, ON (Canada)

    2007-07-01

    In 1988 and 1989, multi-strand tendons were installed in the intake structure of the Mactaquac generating station. In order to control displacements caused by alkali aggregate reaction (AAR), they were installed in preparation for a slot cutting program in the intake structure to guard against the possibility of a sliding failure of a section of the structure along a plane coincident with the bottom of the water passage. Unique problems for the designers were present in the expansion affect of AAR that were compounded by field conditions that resulted in further difficulties. For example, concrete expansion required the installation of a thick shim pack under the upper anchor head and the periodic testing of the tendons. Once tested, shims could be gradually removed to maintain the correct load over the life of the tendon. However, during the first round of testing and de-stressing five years after the original installation, it was found that some of the tendons had already failed. Over half of the tendons have been replaced in the 20 years since the installation. This paper discussed the original design considerations and examined the conditions that contributed to the premature failure of the tendons. It outlined the history of tendon testing procedures, tendon failure modes and tendon replacement methods. Specifically, the paper discussed the remedial techniques that were employed and the iterations that lead to the current repair approach, while considering the unique field conditions. The application of various corrosion protection schemes and installation and testing methodologies were discussed. It was concluded that tendons were successfully installed in numerous concrete dams around the world but have needed replacement for a variety of reasons. 1 ref., 10 figs.

  10. Ingestión accidental de prótesis dental fija (cantilever en paciente con historia de carcinoma de colon Accidental swallowing of fixed denture (cantilever in a patient with history of colon cancer

    G.M. Fonseca

    2011-12-01

    Full Text Available Se presenta un caso de ingestión accidental de un puente de tipo cantilever metalocerámico de tres unidades en un paciente masculino de 51 años con historia de remoción quirúrgica de carcinoma colorrectal y colostomía provisoria (ano contranatura para recuperación intestinal cuatro años antes. Aun cuando la naturaleza del objeto ingerido y las condiciones patológicas previas intestinales ponderan una conducta quirúrgica de remoción preventiva, dado el carácter asintomático y el control radiográfico del desplazamiento normal del objeto durante las primeras 24 horas, se optó por una conducta expectante que se resolvió finalmente con la excreción espontánea del mismo. Si bien la rehabilitación protésica fija debería brindar seguridad y estabilidad, un diseño sesgado del puente (indicación errónea del cantilever y pernos cortos puede originar importantes daños potenciales (aspiración, perforación de esófago, absceso y fístula enterocólica, obstrucción intestinal, terapéuticas fuertemente invasivas e incluso la misma muerte del paciente, todos sucesos con claras connotaciones legales.This clinical report describes a case of accidental swallowing of three units cantilever porcelain fused metal bridge in a 51-years-old male with history of colon cancer and reversible colostomy four years ago. While the kind of the ingested foreign body and the prior gastrointestinal conditions recommend a surgical management decision to avoid the risks for perforation or obstruction, in our case the management decision was the conservative approach because of the asymptomatic condition and the radiographic observation of the normal pass the alimentary tract without complications. The fixed dentures should be secure and stable but an incorrect design of the bridge (wrong indication of cantilever; short post systems are at increased risk of important potential harms (inhalation, oesophageal perforation, enterocolic fistula, intestinal

  11. Magnesium Intake and Prevalence of Metabolic Syndrome in Older Adults

    Higher dietary intake of magnesium (Mg) may protect against development of type 2 diabetes. The aim of this study was to examine the association between dietary magnesium intake and metabolic syndrome risk factors in elderly men and women. We examined cross-sectional associations between magnesium i...

  12. Dietary intake of carotenoids and risk of type 2 diabetes

    Sluijs, I.; Cadier, E.; Beulens, J. W J; van der A, D. L.; Spijkerman, A. M W; van der Schouw, Y. T.

    2015-01-01

    Background and aims: Carotenoids may reduce diabetes risk, due to their antioxidant properties. However, the association between dietary carotenoids intake and type 2 diabetes risk is still unclear. Therefore, the objective of this study was to examine whether higher dietary carotenoid intakes assoc

  13. Toward a new theory of feed intake regulation in ruminants.

    Ketelaars, J.J.M.J.; Tolkamp, B.J.

    1991-01-01

    Part I of this thesis contains a critical appraisal of the commonly accepted theory with regard to feed intake regulation in ruminants and the presentation of a new theory. This new theory assumes that feed consumption creates both benefits to the animal (in a non-reproducing animal the intake of ne

  14. Automatic swirl angle measurements for pump intake design

    Fockert, A. de; Westende, J.M.C. van 't; Verhaart, F.I.H.

    2014-01-01

    Pre-swirl occurring in pump intake basins influences pump efficiency and lifetime. The exact effect on a pump depends on the pump design. In order to optimize the approach flow towards the pump, physical scale modelling is often applied following the guidelines formulated in pump intake design stand

  15. Estimated intake of benzoic and sorbic acids in Denmark

    Leth, Torben; Christensen, Tue; Larsen, I. K.

    2010-01-01

    of the intake of these preservatives in relation to acceptable daily intakes. This area is explored in this paper. The content of benzoic and sorbic acids in all food groups, where they are allowed, was monitored in Denmark 17 times between 2001 and 2006 with a total of 1526 samples. Transgressions of maximum...

  16. Simulation model accurately estimates total dietary iodine intake

    Verkaik-Kloosterman, J.; Veer, van 't P.; Ocke, M.C.

    2009-01-01

    One problem with estimating iodine intake is the lack of detailed data about the discretionary use of iodized kitchen salt and iodization of industrially processed foods. To be able to take into account these uncertainties in estimating iodine intake, a simulation model combining deterministic and p

  17. Dietary mineral intake and lung cancer risk: the Rotterdam Study

    T. Muka (Taulant); B. Kraja (Bledar); R. Ruiter (Rikje); L. Lahousse (Lies); C.E. de Keyser (Catherina Elisabeth); A. Hofman (Albert); O.H. Franco (Oscar); G.G. Brusselle (Guy); B.H.Ch. Stricker (Bruno); J.C. Kiefte-de Jong (Jessica)

    2016-01-01

    textabstractObjective: Limited data are available on the role of mineral intake in the development of lung cancer (LC). We investigated whether dietary calcium, copper, iron, magnesium, selenium and zinc intake were associated with LC risk. Methods: We analyzed data from 5435 participants of the Rot

  18. 40 CFR 1065.225 - Intake-air flow meter.

    2010-07-01

    ... CONTROLS ENGINE-TESTING PROCEDURES Measurement Instruments Flow-Related Measurements § 1065.225 Intake-air... § 1065.205. This may include a laminar flow element, an ultrasonic flow meter, a subsonic venturi, a... 40 Protection of Environment 32 2010-07-01 2010-07-01 false Intake-air flow meter....

  19. Setting a social norm regarding food intake in children

    Bevelander, K.E.; Anschutz, D.J.; Engels, R.C.M.E.

    2010-01-01

    People use other's food intake as a social norm indicating how much they are ‘allowed’ to eat. Ample experimental research showed the impact of peer modeling on food intake in adolescents and adults, whereas few studies focused on young children. This study used an innovative design in a naturalisti

  20. International Genetic Evaluations for Feed intake in Dairy Cattle

    Berry, Dognah; Coffey, Mike; Pryce, Jennie E

    2013-01-01

    Feed represents a large proportion of the variable costs in dairy production systems. The omission of feed intake measures explicitly from national dairy cow breeding objectives is predominantly due to a lack of information on which to make selection decisions. Individual cow feed intake data...... the populations representative of high input production systems...