WorldWideScience

Sample records for drowning

  1. Childhood drowning in Malaysia.

    Science.gov (United States)

    Hss, Amar-Singh; Tan, Pui San; Hashim, Lina

    2014-01-01

    This study aimed to collate data on childhood drowning in Malaysia and review existing drowning prevention measures. This study used secondary data from governmental and non-governmental agencies. All reported fatal drownings from 2000 to 2007 and all reported non-fatal drownings from 2000 to 2008 were included. Data were analysed to provide understanding of the epidemiology of drowning incidents, risk factors and available preventive efforts. On average 286 (range 248-344) children died yearly due to drowning with a death rate of 3.05 per 100,000 annually. An additional average of 207 children drowned but survived annually (1.99 per 100,000). The estimated burden of drowning in children (death and non-death) is 5 per 100,000. There was no reduction in annual drowning fatalities over time. Most drowning took place in east coast regions during the annual monsoon season. It was 3.52 (2.80-4.41) times more common in boys and most prevalent among 10-14 years. Most prevalent sites of all-age drowning were seas and rivers. Limited water safety regulations are currently available in the country. This is the first comprehensive national study in Malaysia on paediatric drowning and highlights the magnitude of the problem. It calls for concerted effort to devise effective national drowning prevention measures.

  2. Pediatric near-drowning and drowning.

    Science.gov (United States)

    Jan, Mohammed M

    2013-02-01

    Childhood water submersion remains a major public health problem. The aim of this article is to present an updated overview of the topic with data from our region and special attention to prevention strategies. Children less than 5 years and males are particularly at risk. Infants are at higher risk of drowning in bathtubs, toilets, or washing machines, while most drowning in older children occurs in swimming pools. Poor supervision by inexperienced caregivers is a common factor and contributes to most deaths. Adolescents drown more often during outdoor water activity. Acute management should start as soon as possible in order to prevent unfavorable neurological outcome. Cardio-pulmonary resuscitation should be started at the scene. Most children who were rescued quickly will recover neurologically intact. Restricting access to water and close adult supervision are paramount in preventing near-drowning and drowning. High-risk groups, such as new or young parents, and lower socioeconomic families, should be targeted by such prevention programs.

  3. Update on drowning

    African Journals Online (AJOL)

    4 cases being reported, Africa has the highest rate of drowning in the world.[4] ... based practice standards, of which the key features and other notable research in ... victims, while ensuring that they have secured themselves to a fixed point.

  4. Water safety and drowning

    Science.gov (United States)

    ... among people of all ages. Learning and practicing water safety is important to prevent drowning accidents. ... Water safety tips for all ages include: Learn CPR . Never swim alone. Never dive into water unless ...

  5. Fatal Drownings in Fiji.

    Science.gov (United States)

    Murray, Kathryn; Carter, Peter

    2017-01-01

    Drowning is a newly comprehended public health concern in Fiji. Defined as "the process of experiencing respiratory impairment from submersions or immersion in liquid," drowning has been identified as one of Fiji's 5 leading causes of death for those aged 1 to 29 years. The aim of this article was to develop the most parsimonious model that can be used to explain the number of monthly fatal drowning cases in Fiji. Based on a cross-section of 187 drowning incidents from January 2012 to April 2015, this observational study found the number of monthly drownings in Fiji was significantly affected by monthly rainfall ( P = .008, 95% confidence interval = 0.10-0.62) and the number of days comprising public holidays/weekends ( P = .018, 95% confidence interval = 0.06-0.60). Furthermore, the multiple coefficient of determination ( r 2 = .4976) indicated that almost half the variation in drownings was explained by rainfall and public holidays/weekend periods. Inadequate supervision, an inability to identify or carry out safe rescue techniques, and limited water-safety knowledge were identified as common risk factors. To overcome this preventable cause of death, technically guided interventions need to be actively embedded into a range of government policies and community health promotions, disaster management, and education programs.

  6. Drowning: a leading killer!

    Directory of Open Access Journals (Sweden)

    Nuno Domingos Garrido

    2016-10-01

    Full Text Available Drowning kills at least 372,000 people worldwide every year and is the 3rd leading cause of unintentional death, accounting for 7% of all deaths stemming from accidents (WHO, 2014. Conceptually, “drowning” is a complex and multi-faceted phenomenon, characterized as a chain of events (Bierens, 2006. Drowning is defined as the process of experiencing respiratory impairment from immersion or submersion in liquid. Research on drowning as a phenomenon presents several difficulties - most of all, that global data concerning the number of occurrences are not accurate. Nevertheless, detailed analysis of the registered incidents allows the identification of risk factors of drowning. An in-depth analysis of the risk factors is the basis for the creation of targeted and effective strategies to prevent drowning. Due to variability of situations which could lead to a drowning episode, experts suggest the adoption of a multi-layer prevention model, rather than opting for isolated measures, since no single measure can prevent all deaths and injuries caused by submersion. Among the preventive measures we would like to emphasize instruction in swimming and water safety. So, what does "knowing how to swim" really mean? Some authors define mastery of this competence as swimming a given distance, while others put the emphasis on how this/any given distance is swum (Stallman, Junge, & Blixt, 2008. It has long been realized that there is no contradiction between learning those competencies which make a person less susceptible to drowning and those competencies which prepare the path towards higher levels of performance and competition. Aquatic movement researchers and practitioners and drowning prevention researchers and practitioners, share in the responsibility for drowning prevention though they are often unaware of it. The question “What should be taught to children?” is too infrequently asked. There remains great variation in what is taught and programs

  7. Sports related to drowning.

    Science.gov (United States)

    Szpilman, David; Orlowski, James P

    2016-09-01

    Aquatic sports are included in the top list of risky practices as the environment per se carries a possibility of death by drowning if not rescued in time. Not only are aquatic sports related to a high risk of death, but also all sports practiced on the water, over the water and on ice. Whatever the reason a person is in the water, drowning carries a higher possibility of death if the individual is unable to cope with the water situation, which may simply be caused by an inability to stay afloat and get out of the water or by an injury or disease that may lead to physical inability or unconsciousness. The competitive nature of sports is a common pathway that leads the sports person to exceed their ability to cope with the environment or simply misjudge their physical capability. Drowning involves some principles and medical interventions that are rarely found in other medical situations as it occurs in a deceptively hostile environment that may not seem dangerous. Therefore, it is essential that health professionals are aware of the complete sequence of action in drowning. This article focuses on the pulmonary injury in sports and recreational activities where drowning plays the major role. Copyright ©ERS 2016.

  8. Prevention and Treatment of Drowning.

    Science.gov (United States)

    Mott, Timothy F; Latimer, Kelly M

    2016-04-01

    Nearly 4,000 drowning deaths occur annually in the United States, with drowning representing the most common injury-related cause of death in children one to four years of age. Drowning is a process that runs the spectrum from brief entry of liquid into the airways with subsequent clearance and only minor temporary injury, to the prolonged presence of fluid in the lungs leading to lung dysfunction, hypoxia, neurologic and cardiac abnormalities, and death. The World Health Organization has defined drowning as "the process of experiencing respiratory impairment from submersion/immersion in liquid." Terms such as near, wet, dry, passive, active, secondary, and silent drowning should no longer be used because they are confusing and hinder proper categorization and management. The American Heart Association's Revised Utstein Drowning Form and treatment guidelines are important in guiding care, disposition, and prognosis. Prompt resuscitation at the scene after a shorter duration of submersion is associated with better outcomes. Because cardiac arrhythmias due to drowning are almost exclusively caused by hypoxia, the resuscitation order prioritizes airway and breathing before compressions. Prevention remains the best treatment. Education, swimming and water safety lessons, and proper pool fencing are the interventions with the highest level of current evidence, especially in children two to four years of age. Alcohol use during water activities dramatically increases the risk of drowning; therefore, abstinence is recommended for all participants and supervisors.

  9. Myocardial infarction after near drowning.

    Science.gov (United States)

    Chen, Li-Bang; Lai, Yen-Chun; Chen, Chang-Chih; Chang, Wen-Han; Su, Yu-Jang

    2008-06-01

    During summer, near drowning is a common accident in Taiwan. It may lead to multiple organ damages in cases where severe hypothermia and hypoxemia occur. We present a case of myocardial infarction after near drowning. The patient was sent to our ED by the emergency medical services called by the witness. On arrival to our ED, hypothermia and hypoxemia overcame him. Endotracheal intubation and warm intravenous fluid were applied at once owing to drowsy consciousness, respiratory distress, and hypothermia. Electrocardiogram showed diffuse ST-segment elevation over the precordial leads V2-V6. The initial level of cardiac enzymes was within normal limit but elevated in troponin I on the second day after hospitalization. We presumed that the possibility of myocardial infarction resulted from near drowning-related hypoxemia. To our knowledge, this is the first case describing myocardial injury with electrocardiogram changes after near drowning.

  10. Infant bath seats, drowning and near-drowning.

    Science.gov (United States)

    Byard, R W; Donald, T

    2004-01-01

    To investigate the possible role of infant bathtub seats in drowning and near-drowning episodes in infants. A review was conducted of the files of the Forensic Science Centre and Child Protection Unit, Women's and Children's Hospital, Adelaide, South Australia, for significant immersion incidents in infants involving bathtub seats from January 1998 to December 2003. A total of six cases of drowning occurred over the 6-year period of the study in children under 2 years of age, including two infants. One of these cases, a 7-month-old boy, had been left unattended for some time in an adult bath in a bathtub seat. He was found drowned, having submerged after slipping down and becoming trapped in the seat. Three near-drowning episodes occurred in children under the age of 2 years, including two boys aged 7 and 8 months, both of whom had been left for some time in adult baths in bath seats. Both were successfully resuscitated and treated in hospital. These cases demonstrate the vulnerability of infants to immersion incidents when left unattended in bathtubs. Bathtubs are particularly dangerous for infants as the slippery and smooth surfaces predispose to loss of balance and make escape from water difficult. Infant bathtub seats may give parents and child carers a false sense of security leading to infants being left unattended. Unfortunately, however, infants may fall out of, or slip and become trapped in, such seats. Infants and young children cannot be left unsupervised in water, and devices used as bathing aids such as bathtub seats may contribute to immersion incidents.

  11. Drowning of British children abroad.

    Science.gov (United States)

    Cornall, P; Howie, S; Mughal, A; Sumner, V; Dunstan, F; Kemp, A; Sibert, J

    2005-09-01

    To quantify the risks of British children drowning abroad. The numbers of British children drowning abroad were estimated for 1996-2003 using the RoSPA/RLSS press cutting database. We compared these figures with the numbers of British children going abroad from the International Passenger Survey from the Office of National Statistics. Sixty-eight children (45 boys-23 Girls) drowned in the eight-year period: 48 (71%) in swimming pools (mostly in hotels). Allowing for exposure, the rate was higher in North America [5.2 (CI 2.9-9.4)/million tourists] than the European Union [1.9 (CI 1.4-2.5)/million tourists] p = 0.002. On average eight British children drown each year abroad. This is therefore a rare but tragic event. Most of these episodes happen in swimming pools and this needs to be compared to the one child that dies each year in municipal swimming pools in the United Kingdom where there is adequate lifeguarding. It may be that parents have a false sense of security for their children in pools abroad. We believe that there needs to be action from the European Union on this important event.

  12. [Recommendations for the prevention of drowning].

    Science.gov (United States)

    Rubio, B; Yagüe, F; Benítez, M T; Esparza, M J; González, J C; Sánchez, F; Vila, J J; Mintegi, S

    2015-01-01

    Drowning is the second leading cause of non-intentional death in children under the age of 19 in Europe. Weather conditions in Spain allow an extended period of contact with water, therefore increasing the risk of drowning (due to the increased exposure), and constitutes the second leading cause of accidental death in children less than 14 years of age. In children younger than 5 years, drowning occurs mostly in pools belonging to private homes or communities, while in older children, drowning is often linked to aquatic recreational activities in lakes, sea, rivers and canals, and at times associated with alcohol consumption. In this article, the Committee on Safety and Non-Intentional Injury Prevention in Childhood of the Spanish Association of Pediatrics provides a series of architectonic, educational and legislative recommendations to prevent such incidents. Copyright © 2014 Asociación Española de Pediatría. Published by Elsevier Espana. All rights reserved.

  13. [Drowning - An update on prehospital and intrahospital treatment strategies].

    Science.gov (United States)

    Strunden, Mike Sebastian; Tank, Sascha; Kerner, Thoralf

    2015-07-01

    500000 people die from unintentional drowning each year worldwide. Drowning accidents occur to humans of every age, while fatal drowning is the leading cause of death among boys 5 to 14 years of age. In Germany, however, most drowning victims are elderly people. Considering the multitude of accident settings, ranging from bathing accidents in lakes to shipwrecks at sea, professional first responders need to adapt to various scenarios. This article summarizes the pathophysiology of drowning, particular features of prehospital life support and current knowledge on the further therapy of victims of near fatal drowning accidents. © Georg Thieme Verlag Stuttgart · New York.

  14. Near-drowning and clinical laboratory changes.

    Science.gov (United States)

    Oehmichen, Manfred; Hennig, Renate; Meissner, Christoph

    2008-01-01

    Opposite to clinical laboratory findings in experimental drowning of animals (erythrocytic lysis, hyperkalemia, and final cardial fibrillation) are the observations in drowned humans (increase of pCO2, hypoxic encephalopathy), which leads to a different pathophysiological interpretation of the drowning process. This process, however, is recently discussed again, therefore an additional study seemed to be recommended. In a retrospective study, 31 cases of near-drowning (23 cases: fresh water; 8 cases: brackish water) clinical laboratory data were analysed. While 21 of the cases were fatal with a delay of up to 180 days, 10 individuals survived the accident, four cases with severe neurological deficits. Data of pH, potassium, sodium, chloride, hemoglobin and total protein were collected during the very early post-drowning period. Nearly all cases (96%) revealed a reduction of pH due to hypoxic acidosis, and only two cases (6.5%) exhibited a slight hyperkalemia. The hemoglobin level was normal in most of the cases (83%) and slightly reduced in the others (17%) while the protein level was slightly reduced in most of the fatalities (80%). As a result of our investigation we have to state the lack of hyperkalemia as well as of an increase of the hemoglobin level indicate that there is no distinct intravascular red cell lysis due to influx of water into the vascular compartment. Therefore the death by drowning in humans in most cases is the result of a hypoxic cerebral process. A comparison with animal experiments obviously is not helpful because the drowning process in humans leads to an aspiration of only 2-4 ml water/kg, while in animal experiments more than 10 ml water/kg will be artificially aspirated leading to red cell lysis as well as to electrolyte disturbances and cardial fibrillation.

  15. Kids can't float: epidemiology of paediatric drowning and near-drowning in Singapore.

    Science.gov (United States)

    Tyebally, A; Ang, S Y

    2010-05-01

    The aim of this research was to study the epidemiology of paediatric near-drowning and drowning victims in Singapore so as to determine the risk factors that will guide drowning prevention strategies. A total of 38 children aged 0-16 years, who were managed in the Emergency Departments of the Singapore Health Services network or the Department of Forensic Medicine, Health Sciences Authority, for drowning and near-drowning between February 2002 and January 2004, were surveyed as part of the Childhood Injury Surveillance Project. Data on demographics, the location of injury, environmental factors and injury particulars was collected by means of questionnaire forms, review of the in-patient records and the coroner's reports. A total of 38 drowning or near-drowning cases in Singapore were reported during the study period, with nine deaths. The median age of the victims was 6.3 years. 52.6 percent of the incidents occurred in swimming pools. 60 percent of the swimming pools had a lifeguard on duty, and all the deaths that occurred in swimming pools were in those without a lifeguard. In 39.5 percent of the cases, no safety features were present at the site of the incident. Most of the deaths by drowning occurred in the sea (55.5 percent). Deaths by drowning are preventable, and appropriate environmental redesign, legislation and public education are necessary to reduce the rate of paediatric drowning. The important factors that are lacking include the absence of pool fencing and lifeguards at swimming pools and recreational beaches.

  16. Epidemiology of drowning and near drowning at Karachi beaches from 2012 to 2014.

    Science.gov (United States)

    Shaikh, Masood Ali

    2016-05-01

    Karachi Municipal Corporation's Emergency Response Center's lifeguards save drowning individuals, recover dead bodies of drowned individuals, and provide first aid care to injured victims of near-drowning and road traffic accidents on the road along the various beaches.Cumulatively302 drowning and near-drowning 302 incidents were recorded from 2012 to 2014, with 291 (96.3%) incidents involving males. One hundred ninety-six (64.9%) individuals were saved from drowning, out of which 116 (59.2%) were saved on Sundays, followed by 31 (15.8%) on Saturdays; with 79 (40.3%) being saved during the hours 06:00 PM to 07:59 PM. Out of total 34 dead bodies were recovered, Sundays registered 8 (23.5%) such incidents. Out of the 72 individuals who received first-aid care, 60 (83.3%) received it on Sundays and Saturdays. The months of April, May, and June were the peak months of incidents for saving from drowning. Results augur the need for targeted health education campaigns, especially during summer months.

  17. Protect the Ones You Love From Drowning

    Centers for Disease Control (CDC) Podcasts

    2008-12-10

    This podcast, developed as part of the Protect the Ones You Love initiative, discusses steps parents can take to help protect their children from drowning, one of the leading causes of child injury.  Created: 12/10/2008 by National Center for Injury Prevention and Control (NCIPC).   Date Released: 12/10/2008.

  18. Distinction between saltwater drowning and freshwater drowning by assessment of sinus fluid on post-mortem computed tomography

    International Nuclear Information System (INIS)

    Kawasumi, Yusuke; Sato, Yuki; Sato, Yumi; Ishibashi, Tadashi; Usui, Akihito; Daigaku, Nami; Hosokai, Yoshiyuki; Hayashizaki, Yoshie; Funayama, Masato

    2016-01-01

    To evaluate the difference in sinus fluid volume and density between saltwater and freshwater drowning and diagnose saltwater drowning in distinction from freshwater drowning. Ninety-three drowning cases (22 saltwater and 71 freshwater) were retrospectively investigated; all had undergone post-mortem CT and forensic autopsy. Sinus fluid volume and density were calculated using a 3D-DICOM workstation, and differences were evaluated. Diagnostic performance of these indicators for saltwater drowning was evaluated using a cut-off value calculated by receiver operating characteristic (ROC) analysis. The median sinus fluid volume was 5.68 mL in cases of saltwater drowning (range 0.08 to 37.55) and 5.46 mL in cases of freshwater drowning (0.02 to 27.68), and the average densities were 47.28 (14.26 to 75.98) HU and 32.56 (-14.38 to 77.43) HU, respectively. While sinus volume did not differ significantly (p = 0.6000), sinus density was significantly higher in saltwater than freshwater drowning cases (p = 0.0002). ROC analysis for diagnosis of saltwater drowning determined the cut-off value as 37.77 HU, with a sensitivity of 77 %, specificity of 72 %, PPV of 46 % and NPV of 91 %. The average density of sinus fluid in cases of saltwater drowning was significantly higher than in freshwater drowning cases; there was no significant difference in the sinus fluid volume. (orig.)

  19. Distinction between saltwater drowning and freshwater drowning by assessment of sinus fluid on post-mortem computed tomography

    Energy Technology Data Exchange (ETDEWEB)

    Kawasumi, Yusuke; Sato, Yuki; Sato, Yumi; Ishibashi, Tadashi [Tohoku University Graduate School of Medicine, Department of Clinical Imaging, Sendai, Miyagi (Japan); Usui, Akihito; Daigaku, Nami; Hosokai, Yoshiyuki [Tohoku University Graduate School of Medicine, Department of Diagnostic Image Analysis, Sendai, Miyagi (Japan); Hayashizaki, Yoshie; Funayama, Masato [Tohoku University Graduate School of Medicine, Department of Forensic Medicine, Sendai, Miyagi (Japan)

    2016-04-15

    To evaluate the difference in sinus fluid volume and density between saltwater and freshwater drowning and diagnose saltwater drowning in distinction from freshwater drowning. Ninety-three drowning cases (22 saltwater and 71 freshwater) were retrospectively investigated; all had undergone post-mortem CT and forensic autopsy. Sinus fluid volume and density were calculated using a 3D-DICOM workstation, and differences were evaluated. Diagnostic performance of these indicators for saltwater drowning was evaluated using a cut-off value calculated by receiver operating characteristic (ROC) analysis. The median sinus fluid volume was 5.68 mL in cases of saltwater drowning (range 0.08 to 37.55) and 5.46 mL in cases of freshwater drowning (0.02 to 27.68), and the average densities were 47.28 (14.26 to 75.98) HU and 32.56 (-14.38 to 77.43) HU, respectively. While sinus volume did not differ significantly (p = 0.6000), sinus density was significantly higher in saltwater than freshwater drowning cases (p = 0.0002). ROC analysis for diagnosis of saltwater drowning determined the cut-off value as 37.77 HU, with a sensitivity of 77 %, specificity of 72 %, PPV of 46 % and NPV of 91 %. The average density of sinus fluid in cases of saltwater drowning was significantly higher than in freshwater drowning cases; there was no significant difference in the sinus fluid volume. (orig.)

  20. [Retrospective analysis of 44 childhood drowning accidents].

    Science.gov (United States)

    Brüning, Caroline; Siekmeyer, Werner; Siekmeyer, Manuela; Merkenschlager, Andreas; Kiess, Wieland

    2010-07-01

    Worldwide, drowning is the second leading cause of unintentional death and the leading cause of cardiovascular failure for children [1-3]. The number of near-drownings, where the incident is survived for at least 24 hours, is assumed to be four times as high [5]. In the years 1994 until 2008 there were 44 cases of drowning treated at the children's department of the University of Leipzig. This number shows that even in a medical centre drowning incidents are only occasional incidents. Therefore it is important to know the sequelae and handlings to be able to react in case of an emergency. A total of 44 children suffering a drowning accident within the last 48 hours who were treated during the period of 01.01.1994 through 30.06.2008 at the Children's Centre at the University of Leipzig. A retrospective analysis using a structured questionnaire was done. Social demographic data, accident progress, clinical results and progress as well as outcome of the cases were investigated. During the analysed period in the median three children were treated each year after drowning incidents. Clustering in the summer and winter months and on the weekends was recognizable. The median age was 3.33 years and the group of high risk were children aged 1-3 years, especially boys. Sixty percent of the children came from stable social backgrounds. Half of the children suffered from drowning in created swimming pools or ponds, the rest in natural waters, public pools and sources of water in the household. The median submersion lasted 2 minutes. Correlation of submersions below 1 minute with a good, and submersions above 10 minutes with a negative outcome was shown. A Glasgow Coma Scale (GCS) of 3 points (n = 15) and pupils without light reaction (n = 14) were associated with a lethal outcome or residual neurological deficits. Looking at the laboratory values, correlation between severe acidotic pH-values with a very low base excess, high blood sugar as well as high lactate values and a

  1. Invasive aspergillosis in near drowning nonneutropenic patient.

    Science.gov (United States)

    Munta, Kartik; Gopal, Palepu B N; Vigg, Ajit

    2015-12-01

    Invasive aspergillosis in immunosuppressed people has been well documented, but to diagnose and treat in an immunocompetent individual after near drowning, it requires early suspicion and proper empirical treatment. We report a case diagnosed to have invasive aspergillosis with systemic dissemination of the infection to the brain, gluteal muscles, and kidneys after a fall in a chemical tank of a paper manufacturing company. He was ventilated for acute respiratory distress syndrome and managed with antibiotics and vasopressors. Due to nonresolving pneumonia and positive serum galactomannan, trans-tracheal biopsy was performed which confirmed invasive aspergillosis and was treated with antifungals. With the availability of galactomannan assay and better radiological investigative modalities, occurrence of such invasive fungal infections in cases of drowning patients should be considered early in such patients and treated with appropriate antifungals.

  2. Radiological appearances in the near-drowned

    International Nuclear Information System (INIS)

    Reinhardt, K.

    1981-01-01

    Three patients who were unconscious when rescued from drowning had radiographic studies of their lungs carried out after several hours, or on the following day. The findings had to be interpreted as pulmonary oedema. The most seriously affected patient showed the picture of massive acute interstitial oedema on the second day. After initial regression, coarse shadows developed, indicating the alveolar form of pulmonary oedema. The sputum contained candida, but there was no evidence of pulmonary candidiasis. In two patients there were transient signs of limited atelectases. Two patients were re-examined after five years. There were no features which could be interpreted as a consequence of the drowning episode. The radiographic appearances showed minor changes which could be due to mild pulmonary fibrosis. (orig.) [de

  3. Radiological appearances in the near-drowned

    Energy Technology Data Exchange (ETDEWEB)

    Reinhardt, K.

    1981-10-01

    Three patients who were unconscious when rescued from drowning had radiographic studies of their lungs carried out after several hours, or on the following day. The findings had to be interpreted as pulmonary oedema. The most seriously affected patient showed the picture of massive acute interstitial oedema on the second day. After initial regression, coarse shadows developed, indicating the alveolar form of pulmonary oedema. The sputum contained candida, but there was no evidence of pulmonary candidiasis. In two patients there were transient signs of limited atelectases. Two patients were re-examined after five years. There were no features which could be interpreted as a consequence of the drowning episode. The radiographic appearances showed minor changes which could be due to mild pulmonary fibrosis.

  4. Neck and scleral hemorrhage in drowning.

    Science.gov (United States)

    Alexander, Russell T; Jentzen, Jeffrey M

    2011-03-01

    The determination of the cause and manner of death for a body recovered from the water can be difficult because of a lack of autopsy findings specific for drowning. This case report describes a 30-year-old man found submerged at the bottom of a hotel pool. An autopsy revealed scleral hemorrhages and fascial hemorrhages of multiple muscles of the anterior and posterior neck bilaterally. No evidence of traumatic injury was on the surface of the body. An investigation by law enforcement found no evidence of foul play. The occurrence of petechial and neck hemorrhage in a body recovered from the water is controversial, and a review of this literature will be given. We suggest that fascial hemorrhages of the muscles of the neck, as well as cephalic hemorrhages, can be explained by drowning-related elevated central venous pressure that is communicated to the head through the valveless veins of the neck. © 2010 American Academy of Forensic Sciences.

  5. Chest radiographs of near-drowned children

    International Nuclear Information System (INIS)

    Wunderlich, P.; Rupprecht, E.; Burkhardt, J.; Trefftz, F.; Thomsen, H.

    1985-01-01

    From 1972 through 1983 there were 10 near-drowned children (7 boys and 3 girls) aged 1 to 4 years, treated as inpatients at the Children's Hospital of the Medical Academy Dresden. Three of them showed a severe aspiration pneumonia which in one case was complicated by bilateral pneumothoraces. In a further five children there were radiological signs of pulmonary oedema. Only in two children were the X-ray pictures of the chest normal. (orig.)

  6. Brain Resuscitation in the Drowning Victim

    Science.gov (United States)

    Topjian, Alexis A.; Berg, Robert A.; Bierens, Joost J. L. M.; Branche, Christine M.; Clark, Robert S.; Friberg, Hans; Hoedemaekers, Cornelia W. E.; Holzer, Michael; Katz, Laurence M.; Knape, Johannes T. A.; Kochanek, Patrick M.; Nadkarni, Vinay; van der Hoeven, Johannes G.

    2013-01-01

    Drowning is a leading cause of accidental death. Survivors may sustain severe neurologic morbidity. There is negligible research specific to brain injury in drowning making current clinical management non-specific to this disorder. This review represents an evidence-based consensus effort to provide recommendations for management and investigation of the drowning victim. Epidemiology, brain-oriented prehospital and intensive care, therapeutic hypothermia, neuroimaging/monitoring, biomarkers, and neuroresuscitative pharmacology are addressed. When cardiac arrest is present, chest compressions with rescue breathing are recommended due to the asphyxial insult. In the comatose patient with restoration of spontaneous circulation, hypoxemia and hyperoxemia should be avoided, hyperthermia treated, and induced hypothermia (32–34 °C) considered. Arterial hypotension/hypertension should be recognized and treated. Prevent hypoglycemia and treat hyperglycemia. Treat clinical seizures and consider treating non-convulsive status epilepticus. Serial neurologic examinations should be provided. Brain imaging and serial biomarker measurement may aid prognostication. Continuous electroencephalography and N20 somatosensory evoked potential monitoring may be considered. Serial biomarker measurement (e.g., neuron specific enolase) may aid prognostication. There is insufficient evidence to recommend use of any specific brain-oriented neuroresuscitative pharmacologic therapy other than that required to restore and maintain normal physiology. Following initial stabilization, victims should be transferred to centers with expertise in age-specific post-resuscitation neurocritical care. Care should be documented, reviewed, and quality improvement assessment performed. Preclinical research should focus on models of asphyxial cardiac arrest. Clinical research should focus on improved cardiopulmonary resuscitation, re-oxygenation/reperfusion strategies, therapeutic hypothermia

  7. Profile of drowning victims in a coastal community.

    Science.gov (United States)

    Nichter, M A; Everett, P B

    1989-02-01

    Accidental drowning accounts for 15% of all accidental deaths in Pinellas County, Florida, and this study was conducted to better understand the epidemiologic profile of the victim. The medical examiner's records of 230 drownings in Pinellas County from January 1, 1983, through December 31, 1987, were reviewed for demographic and epidemiologic data. Bodies of salt water were the most common drowning site (47%), followed by swimming pools (22%), lakes (11%), baths (7%), and canals (6%). The drowning incidence for males was more than three times that for females. Drowning was endemic among boys less than five years of age (30/100,000/year). Fifty-nine percent of young adult victims had detectable postmortem blood alcohol levels. Drowning rates were highest among children less than five years and adults more than 80 years. Epidemiologic profiles of populations at risk and contributing factors are described and public safety measures are suggested.

  8. Trends in US Pediatric Drowning Hospitalizations, 1993–2008

    Science.gov (United States)

    Aitken, Mary E.; Robbins, James M.; Baker, Susan P.

    2012-01-01

    BACKGROUND: In the United States, drowning is the second leading cause of unintentional injury death in children aged 1 to 19 years, accounting for nearly 1100 deaths per year. Although a decline in overall fatal drowning deaths among children has been noted, national trends and disparities in pediatric drowning hospitalizations have not been reported. METHODS: To describe trends in pediatric drowning in the United States and provide national benchmarks for state and regional comparisons, we analyzed existing data (1993–2008) from the Nationwide Inpatient Sample, the largest, longitudinal, all-payer inpatient care database in the United States. Children aged 0 to 19 years were included. Annual rates of drowning-related hospitalizations were determined, stratified by age, gender, and outcome. RESULTS: From 1993 to 2008, the estimated annual incidence rate of pediatric hospitalizations associated with drowning declined 49% from 4.7 to 2.4 per 100 000 (P drowning hospitalization declined from 0.5 (95% confidence interval, 0.4–0.7) deaths per 100 000 in 1993–1994 to 0.3 (95% confidence interval, 0.2–0.4) in 2007–2008 (P drowning have decreased over the past 16 years. Our study provides national estimates of pediatric drowning hospitalization that can be used as benchmarks to target and assess prevention strategies. PMID:22250031

  9. Extracorporeal circulation for rewarming in drowning and near-drowning pediatric patients.

    Science.gov (United States)

    Coskun, Kasim Oguz; Popov, Aron Frederik; Schmitto, Jan Dieter; Hinz, José; Kriebel, Thomas; Schoendube, Friedrich Albert; Ruschewski, Wolfgang; Tirilomis, Theodor

    2010-11-01

    Drowning and near-drowning is often associated with severe hypothermia requiring active core rewarming.We performed rewarming by cardiopulmonary bypass(CPB). Between 1987 and 2007, 13 children (9 boys and 4 girls) with accidental hypothermia were rewarmed by extracorporeal circulation (ECC) in our institution. The average age of the patients was 3.2 years. Resuscitation was started immediately upon the arrival of the rescue team and was continuously performed during the transportation.All patients were intubated and ventilated. Core temperature at admission ranged from 20 to 29°C (mean 25.3°C). Connection to the CPB was performed by thoracic (9 patients) or femoral/iliac means (4 patients). Restoration of circulation was achieved in 11 patients (84.6%). After CPB termination two patients needed an extracorporeal membrane oxygenation system due to severe pulmonary edema.Five patients were discharged from hospital after prolonged hospital stay. During follow-up, two patients died(10 and 15 months, respectively) of pulmonary complications and one patient was lost to follow-up. The two remaining survivors were without neurological deficit.Modes of rewarming, age, sex, rectal temperature, and serum electrolytes did not influence mortality. In conclusion,drowning and near-drowning with severe hypothermia remains a challenging emergency. Rewarming by ECC provides efficient rewarming and full circulatory support.Although nearly half of the children may survive after rewarming by ECC, long-term outcome is limited by pulmonary and neurological complications.

  10. Cortical blindness following a near-drowning incident.

    Science.gov (United States)

    Koo, Ellen H; Boxerman, Jerrold L; Murphy, Marjorie A

    2011-12-01

    Victims of near-drowning incidents often suffer neurologic injury with long-term sequelae secondary to hypoxic-ischemic injury. We describe a case of profound visual loss due to bilateral occipital lobe infarcts in a 23-year-old male victim of a near-drowning incident.

  11. Drowning investigated by post mortem computed tomography and autopsy

    DEFF Research Database (Denmark)

    Leth, Peter Mygind; Madsen, Betina Hauge

    2017-01-01

    equal in drowning cases compared to controls, illustrating the phenomenon knows as “emphysema aquosum”. The physiological explanation could be washing out of surfactant by the drowning media, resulting in atelectasis and trapping of air in the peripheral lung regions. It was not possible to separate...

  12. The Pattern and Frequency of Drowning Autopsies in Benin City ...

    African Journals Online (AJOL)

    Introduction: Drowning is a form of violent asphyxia death, where in the entry of air into the lungs, is prevented by water or other fluids due to the submersion of mouth and nostril (complex submersion of whole body is not necessary). Aim and objective: To determine profile/patterns of all drowning autopsies in our ...

  13. Unintentional drowning: Role of medicinal drugs and alcohol.

    Science.gov (United States)

    Pajunen, Tuulia; Vuori, Erkki; Vincenzi, Frank F; Lillsunde, Pirjo; Smith, Gordon; Lunetta, Philippe

    2017-05-19

    Alcohol is a well-known risk factor in unintentional drownings. Whereas psychotropic drugs, like alcohol, may cause psychomotor impairment and affect cognition, no detailed studies have focused on their association with drowning. Finland provides extensive post-mortem toxicological data for studies on drowning because of its high medico-legal autopsy rates. Drowning cases, 2000 through 2009, for which post-mortem toxicological analysis was performed, came from the database of the Toxicological Laboratory, Department of Forensic Medicine, University of Helsinki, using the ICD-10 nature-of-injury code T75.1. The data were narrowed to unintentional drowning, using the ICD-10 external-injury codes V90, V92, and W65-74. Each drowning case had its blood alcohol concentration (BAC) and concentrations of other drugs recorded. Evaluation of the contribution of psychotropic drugs to drowning was based on their blood concentration by means of a 6-grade scale. Among victims ≥15 years old, unintentional drownings numbered 1697, of which, 303 (17.9%) were boating-related and 1394 (82.1%) non-boating-related. Among these, 65.0% of boating-related and 61.8% of non-boating-related victims were alcohol-positive (=BAC ≥ 50 mg/dL). The male-to-female ratio in alcohol-positive drownings was 7.3. At least one psychotropic drug appeared in 453 (26.7%) drowning cases, with some victims' bodies showing up to 7 different drugs. Overall 70 different psychotropic drugs were detectable, with 134 (7.9%) cases both alcohol-negative and psychotropic-drug-positive, of these, 59 (3.5%) were graded 4 to 6, indicating a possible to very probable contribution to drowning. Our findings suggest that psychotropic drugs may play a significant role in drowning, in up to 14.5% of cases, independently or in association with alcohol. Psychotropic drugs alone or in association with alcohol may be an overlooked risk factor in drowning, due to their effects on psychomotor function and cognition. Future

  14. Utility of Lung Ultrasound in Near-Drowning Victims

    DEFF Research Database (Denmark)

    Laursen, Christian Borbjerg; Rømhild Davidsen, Jesper; Madsen, Poul Henning

    2013-01-01

    ultrasound may have a potential role in the evaluation of drowning or near-drowning victims. In this case report the authors describe a 71-year-old man who was brought to hospital with acute respiratory failure after a near-drowning accident. Lung ultrasound showed multiple B-lines on the anterior......Drowning and near-drowning are common causes of accidental death worldwide and respiratory complications such as non-cardiogenic pulmonary oedema, acute respiratory distress syndrome and pneumonia are often seen. In other settings lung ultrasound can accurately diagnose these conditions; hence lung...... and lateral surfaces of both lungs, consistent with pulmonary oedema. Focus assessed transthoracic echocardiography showed no pericardial effusion and a normal global left ventricular function. Based on these fi ndings the patient was diagnosed as having non-cardiogenic pulmonary oedema. Subsequent chest x...

  15. A case of acute kidney injury by near-drowning.

    Science.gov (United States)

    Amir, A; Lee, Y L

    2013-01-01

    Acute kidney injury following immersion or near-drowning is rarely described and no data from Malaysia have been found. We report a case of acute kidney injury following a near-drowning event. A 20-year-old man who recovered from near-drowning in a swimming pool 5 days earlier presented to our clinic with abdominal pain, anorexia, nausea and polyuria. Dipstick urinalysis showed a trace of blood. The serum creatinine level was 10-fold higher than the normal range. A bedside ultrasound showed features suggestive of acute tubular necrosis. He is then referred to the hospital with the diagnosis of acute kidney injury with the possibility of acute tubular necrosis secondary to near-drowning. We suggest that any patient presenting after immersion or near-drowning to be should assessed for potential acute kidney injury.

  16. A case of acute kidney injury by near-drowning

    Directory of Open Access Journals (Sweden)

    Amirah Amir

    2013-12-01

    Full Text Available Acute kidney injury following immersion or near-drowning is rarely described and no data from Malaysia have been found. We report a case of acute kidney injury following a near-drowning event. A 20-yearold man who recovered from near-drowning in a swimming pool 5 days earlier presented to our clinic with abdominal pain, anorexia, nausea and polyuria. Dipstick urinalysis showed a trace of blood. The serum creatinine level was 10-fold higher than the normal range. A bedside ultrasound showed features suggestive of acute tubular necrosis. He is then referred to the hospital with the diagnosis of acute kidney injury with the possibility of acute tubular necrosis secondary to near-drowning. We suggest that any patient presenting after immersion or near-drowning to be should assessed for potential acute kidney injury

  17. A promising microbiological test for the diagnosis of drowning.

    Science.gov (United States)

    Lucci, Arturo; Campobasso, Carlo P; Cirnelli, Antonello; Lorenzini, Giulio

    2008-11-20

    A number of biological and chemical tests have been developed over the years to determine whether a person was drowned. This study focuses on the potential of a microbiological test for detecting common bacterial markers of water faecal pollution such as faecal coliforms (FC) and faecal streptococci (FS) as possible indicators of drowning. A promising previous study was carried out on central and peripheral blood samples of 42 drowned victims (20 cases in saltwater and 22 cases in freshwater) and 30 not-drowned bodies. To improve the accuracy of our previous results and also in order to investigate a possible cause of a false positive due to pulmonary passive diffusion and subsequently endogenous or exogenous bacterial invasion of the blood in the post-mortem interval (PMI), the FC and FS test was applied to bodies submerged in water but died from causes other than drowning. In the present study, blood samples collected from the left ventricle (LV), right ventricle (RV), femoral artery (FA) and, femoral vein (FV) of 10 drowned victims (5 cases in freshwater and 5 cases in seawater) and 3 not-drowned individuals with bodies submerged in water for a while after death have been analysed. Preliminary results are in agreement with other reports dealing with diatoms and marine bacteria that suggest to exclude the hypothesis of a passive penetration of sufficient quantities of drowning medium into circulation after death or during the agonal period. Based on our results there is also no evidence of a relevant dissemination of endogenous micro-flora from the gastrointestinal tract affecting the FS and FC test. There are still several other factors that could influence the applicability of post-mortem FS and FC cultures for the diagnosis of drowning and they need further investigations. The present article provides only a glimpse of the potential of the FS and FC test as bacteriological method for the diagnosis of drowning.

  18. Are drowned donors marginal donors? A single pediatric center experience.

    Science.gov (United States)

    Kumm, Kayla R; Galván, N Thao N; Koohmaraie, Sarah; Rana, Abbas; Kueht, Michael; Baugh, Katherine; Hao, Liu; Yoeli, Dor; Cotton, Ronald; O'Mahony, Christine A; Goss, John A

    2017-09-01

    Drowning, a common cause of death in the pediatric population, is a potentially large donor pool for OLT. Anecdotally, transplant centers have deemed these organs high risk over concerns for infection and graft dysfunction. We theorized drowned donor liver allografts do not portend worse outcomes and therefore should not be excluded from the donation pool. We reviewed our single-center experience of pediatric OLTs between 1988 and 2015 and identified 33 drowned donor recipients. These OLTs were matched 1:2 to head trauma donor OLTs from our center. A chart review assessed postoperative peak AST and ALT, incidence of HAT, graft and recipient survival. Recipient survival at one year between patients with drowned donor vs head trauma donor allografts was not statistically significant (94% vs 97%, P=.63). HAT incidence was 6.1% in the drowned donor group vs 7.6% in the control group (P=.78). Mean postoperative peak AST and ALT was 683 U/L and 450 U/L for drowned donors vs 1119 U/L and 828 U/L in the matched cohort. These results suggest drowned donor liver allografts do not portend worse outcomes in comparison with those procured from head trauma donors. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  19. Unexplained Drownings and the Cardiac Channelopathies: A Molecular Autopsy Series

    Science.gov (United States)

    Tester, David J.; Medeiros-Domingo, Argelia; Will, Melissa L.; Ackerman, Michael J.

    2011-01-01

    OBJECTIVE: To determine the prevalence and spectrum of mutations associated with long QT syndrome (LQTS) and catecholaminergic polymorphic ventricular tachycardia (CPVT) in a seemingly unexplained drowning cohort. PATIENTS AND METHODS: From September 1, 1998, through October 31, 2010, 35 unexplained drowning victims (23 male and 12 female; mean ± SD age, 17±12 years [range, 4-69 years]) were referred for a cardiac channel molecular autopsy. Of these, 28 (20 male and 8 female) drowned while swimming, and 7 (3 male and 4 female) were bathtub submersions. Polymerase chain reaction, denaturing high-performance liquid chromatography, and DNA sequencing were used for a comprehensive mutational analysis of the 3 major LQTS-susceptibility genes (KCNQ1, KCNH2, and SCN5A), and a targeted analysis of the CPVT1-associated, RYR2-encoded cardiac ryanodine receptor was conducted. RESULTS: Of the 28 victims of swimming-related drowning, 8 (28.6%) were mutation positive, including 2 with KCNQ1 mutations (L273F, AAPdel71-73 plus V524G) and 6 with RYR2 mutations (R414C, I419F, R1013Q, V2321A, R2401H, and V2475F). None of the bathtub victims were mutation positive. Of the 28 victims who drowned while swimming, women were more likely to be mutation positive than men (5/8 [62.5%] vs 3/20 [15%]; P=.02). Although none of the mutation-positive, swimming-related drowning victims had a premortem diagnosis of LQTS or CPVT, a family history of cardiac arrest, family history of prior drowning, or QT prolongation was present in 50%. CONCLUSION: Nearly 30% of the victims of swimming-related drowning hosted a cardiac channel mutation. Genetic testing should be considered in the postmortem evaluation of an unexplained drowning, especially if a positive personal or family history is elicited. PMID:21964171

  20. Organising pneumonia after near-drowning

    Science.gov (United States)

    Uchiyama, Noboru; Suda, Rika; Yamao, Sayaka; Horinouchi, Hidehito; Sugiura, Rika; Tomishima, Yutaka; Jinta, Torahiko; Nishimura, Naoki; Chohnabayashi, Naohiko

    2009-01-01

    A 38 year-old female with no significant medical history was transferred to a medical centre in Hawaii after near-drowning at the beach. She was noted to have increasing shortness of breath. Subsequently she was placed on non-invasive ventilation and then intubated for respiratory support. She was thought to have early stage acute respiratory distress syndrome after sea water aspiration. By multidisciplinary treatment, she was able to be extubated successfully on hospital day 5, and then flew back to Japan. When visiting our hospital in Japan, further examinations were conducted for prolonged respiratory symptoms and pulmonary infiltrates by CT. A specimen obtained by transbronchial lung biopsy revealed organising pneumonia which was thought to be related to sea water aspiration. Methylprednisolone treatment resolved her respiratory symptoms and pulmonary infiltrates. PMID:21686991

  1. Did he drown or was he murdered?

    Science.gov (United States)

    Lau, Gilbert

    2002-04-01

    An unemployed, 60-year-old Singaporean gentleman died during a brief overseas trip to another South-East Asian country. He had, presumably, drowned in the bathtub of his hotel room, which he shared with his then 44-year-old companion, who was supposedly his nephew. The relevant public health and medico-legal authorities of the host country conducted an external examination of the body at the scene, whereupon they agreed with the police that his death was probably due to accidental drowning following an episode of syncope. It would appear that this verdict was based almost entirely on circumstantial and hearsay evidence. No autopsy was performed. In its place, considerable reliance was placed on the observation that abdominal compression resulted in the outflow of a small amount of water from the mouth, as being proof of drowning. A few days later, the body was cremated in the host country and the remains (ashes) were subsequently repatriated to Singapore. It later transpired that, shortly before they embarked on the ill-fated trip, the deceased's 'nephew' had purchased, on the former's behalf, travel insurance policies (covering accidental injury and death) amounting to a total of S$800,000 from five different insurance companies, as well as a separate life policy for a further S$100,000, most of which had been issued within the fortnight prior to their departure. Interestingly, the beneficiary (later the plaintiff in the ensuing civil trial some three years later) of all of these policies, was the ex-wife of the deceased's 'nephew', with whom he had, in fact, continued to live although they were officially divorced several years ago. Whilst the claim against the life policy had been settled, the first five insurers declined to issue payment on grounds of suspicion that the deceased had been the victim of a homicide, planned or executed by the 'nephew', wherein the beneficiary was a conspirator of sorts. The author was approached by defence counsel (representing

  2. Francisella novicida bacteremia after a near-drowning accident.

    Science.gov (United States)

    Brett, Meghan; Doppalapudi, Avanthi; Respicio-Kingry, Laurel B; Myers, Debra; Husband, Brigitte; Pollard, Kerry; Mead, Paul; Petersen, Jeannine M; Whitener, Cynthia J

    2012-08-01

    We describe a rare case of Francisella novicida bacteremia following a near-drowning event in seawater. We highlight the challenges associated with laboratory identification of F. novicida and differences in the epidemiology of F. novicida and Francisella tularensis infections.

  3. Drowning in Pretoria, South Africa: A 10-year review.

    Science.gov (United States)

    Morris, N K; du Toit-Prinsloo, L; Saayman, G

    2016-01-01

    Drowning is classified as the 3rd leading cause of accidental deaths worldwide and is deemed to be a preventable cause of death. Bodies retrieved from a water medium pose several challenges to the forensic pathologist with the diagnosis of drowning being primarily one of exclusion. The aim of this study was to do a retrospective descriptive case audit of bodies retrieved from water and immersion related deaths, which were investigated at the Pretoria Medico-Legal Laboratory (PMLL) over a 10 year period (January 2002 through December 2011). A total of 346 cases were identified for inclusion into this study. In 6% (20) of these cases, the death was not related to drowning; in 14% (48) no clear cause of death could be ascertained and in 278 cases (80%) the cause of death was considered to have been due to drowning. Infants (under 1 year, of age) constituted 41 (15%) of the cases; toddlers (aged 1-2 years) comprised 52 (19%) cases; children (aged 2-13 years) 49 (18%) cases; adolescents (aged 13-18 years) comprised 10 (3%) cases; adults (above 18, years) made up 126 (45%) of the cases. The majority of the drownings, occurred in swimming pools [125 cases (38%)]. In infants 23 (56%) of, drownings occurred in swimming pools followed by buckets [7 cases (17%)]. Sixty-nine per cent of toddler drownings (36 cases) occurred in swimming, pools. In the adult population, 40 (32%) of cases occurred in pools and 35 cases (28%) in rivers. Positive blood alcohol results were recorded in 48, (42%) out of 113 cases where the test was requested, 40 (35%) of these, cases higher than 0.05 g per 100 ml. This study suggests that many drowning deaths in Pretoria may be preventable by introducing greater public awareness of the risks and instituting relatively simple, protective measures. Copyright © 2015 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.

  4. Utility of lung ultrasound in near-drowning victims.

    Science.gov (United States)

    Laursen, Christian B; Davidsen, Jesper Rømhild; Madsen, Poul Henning

    2012-06-21

    Drowning and near-drowning are common causes of accidental death worldwide and respiratory complications such as non-cardiogenic pulmonary oedema, acute respiratory distress syndrome and pneumonia are often seen. In other settings lung ultrasound can accurately diagnose these conditions; hence lung ultrasound may have a potential role in the evaluation of drowning or near-drowning victims. In this case report the authors describe a 71-year-old man who was brought to hospital with acute respiratory failure after a near-drowning accident. Lung ultrasound showed multiple B-lines on the anterior and lateral surfaces of both lungs, consistent with pulmonary oedema. Focus assessed transthoracic echocardiography showed no pericardial effusion and a normal global left ventricular function. Based on these findings the patient was diagnosed as having non-cardiogenic pulmonary oedema. Subsequent chest x-ray showed bilateral infiltrates consistent with pulmonary oedema. The case report emphasises the clinical value of lung ultrasound in the evaluation of a near-drowning victim.

  5. Drowning - post-mortem imaging findings by computed tomography

    International Nuclear Information System (INIS)

    Christe, Andreas; Aghayev, Emin; Jackowski, Christian; Thali, Michael J.; Vock, Peter

    2008-01-01

    The aim of this study was to identify the classic autopsy signs of drowning in post-mortem multislice computed tomography (MSCT). Therefore, the post-mortem pre-autopsy MSCT- findings of ten drowning cases were correlated with autopsy and statistically compared with the post-mortem MSCT of 20 non-drowning cases. Fluid in the airways was present in all drowning cases. Central aspiration in either the trachea or the main bronchi was usually observed. Consecutive bronchospasm caused emphysema aquosum. Sixty percent of drowning cases showed a mosaic pattern of the lung parenchyma due to regions of hypo- and hyperperfused lung areas of aspiration. The resorption of fresh water in the lung resulted in hypodensity of the blood representing haemodilution and possible heart failure. Swallowed water distended the stomach and duodenum; and inflow of water filled the paranasal sinuses (100%). All the typical findings of drowning, except Paltau's spots, were detected using post-mortem MSCT, and a good correlation of MSCT and autopsy was found. The advantage of MSCT was the direct detection of bronchospasm, haemodilution and water in the paranasal sinus, which is rather complicated or impossible at the classical autopsy. (orig.)

  6. ECG Changes Due to Hypothermia Developed After Drowning: Case Report

    Directory of Open Access Journals (Sweden)

    Sabiye YILMAZ

    2014-03-01

    Full Text Available Drowning is one of the fatal accidents frequently encountered during the summer and is the most common cause of accidental death in the world. Anoxia, hypothermia, and metabolic acidosis are mainly responsible for morbidty. Cardiovascular effects may occur secondary to hypoxia and hypothermia. Atrial fibrillation, sinus dysrhythmias (rarely requiring treatment, and, in serious cases, ventricular fibrillation or asystole may develop, showing as rhythm problems on electrocardiogram and Osborn wave can be seen, especially during hypothermia. A 16-year-old male patient who was admitted to our hospital's emergency service with drowning is presented in this article. In our case, ventricular fibrillation and giant J wave (Osborn wave associated with hypothermia developed after drowning was seen. We present this case as a reminder of ECG changes due to hypothermia that develop after drowning. Response to cardiopulmonary resuscitation after drowning and hypothermia is not very good. Mortality is very high, so early resuscitation and aggressive treatment of cardiovascular and respiratory problems are important for life.

  7. Neurologic long term outcome after drowning in children

    Directory of Open Access Journals (Sweden)

    Suominen Pertti K

    2012-08-01

    Full Text Available Abstract Drowning is a major source of mortality and morbidity in children worldwide. Neurocognitive outcome of children after drowning incidents cannot be accurately predicted in the early course of treatment. Therefore, aggressive out-of-hospital and in-hospital treatment is emphasized. There are "miracle" cases after long submersion times that have been reported in the medical literature, which mostly concern small children. However, many of the survivors will remain severely neurologically compromised after remarkably shorter submersion times and will consequently be a great burden to their family and society for the rest of their lives. The duration of submersion, the need of advanced life support at the site of the accident, the duration of cardiopulmonary resuscitation, whether spontaneous breathing and circulation are present on arrival at the emergency room are important factors related to survival with mild neurological deficits or intact function in drowned children. Data on long-term outcome are scarce. The used outcome measurement methods and the duration of follow-up have not been optimal in most of the existing studies. Proper neurological and neurophysiological examinations for drowned children are superior to outcome scales based chart reviews. There is evidence that gross neurological examination at the time of discharge from the hospital in young children does not reveal all the possible sequelae related to hypoxic brain injury and thus long-term follow-up of drowned resuscitated children is strongly recommended.

  8. Unmanned aerial vehicles (drones) to prevent drowning.

    Science.gov (United States)

    Seguin, Celia; Blaquière, Gilles; Loundou, Anderson; Michelet, Pierre; Markarian, Thibaut

    2018-06-01

    Drowning literature have highlighted the submersion time as the most powerful predictor in assessing the prognosis. Reducing the time taken to provide a flotation device and prevent submersion appears of paramount importance. Unmanned aerial vehicles (UAVs) can provide the location of the swimmer and a flotation device. The objective of this simulation study was to evaluate the efficiency of a UAV in providing a flotation device in different sea conditions, and to compare the times taken by rescue operations with and without a UAV (standard vs UAV intervention). Several comparisons were made using professional lifeguards acting as simulated victims. A specifically-shaped UAV was used to allow us to drop an inflatable life buoy into the water. During the summer of 2017, 28 tests were performed. UAV use was associated with a reduction of time it took to provide a flotation device to the simulated victim compared with standard rescue operations (p < 0.001 for all measurements) and the time was reduced even further in moderate (81 ± 39 vs 179 ± 78 s; p < 0.001) and rough sea conditions (99 ± 34 vs 198 ± 130 s; p < 0.001). The times taken for UAV to locate the simulated victim, identify them and drop the life buoy were not altered by the weather conditions. UAV can deliver a flotation device to a swimmer safely and quickly. The addition of a UAV in rescue operations could improve the quality and speed of first aid while keeping lifeguards away from dangerous sea conditions. Copyright © 2018 Elsevier B.V. All rights reserved.

  9. Diagnosis of drowning using post-mortem computed tomography - state of the art.

    Science.gov (United States)

    Raux, C; Saval, F; Rouge, D; Telmon, N; Dedouit, F

    Recent studies using post-mortem computed tomography (PMCT) have suggested this imaging modality is of value in the positive diagnosis of drowning. We summarize the data from the literature regarding the diagnostic value of CT in cases of drowning. We performed an all-language search of literature published from 1999 to 2013 with the key words "post-mortem CT scan", "drowning and CT scan", "near-drowning diagnosis", and "drowning diagnosis". Only 11 articles, whose data enabled complementary statistical analysis, were included. The presence of fluid and sediment in paranasal sinuses appear to be the determinants of the diagnosis of drowning. The presence of fluid in the sinuses had a sensitivity of 100%, and of 90% in the trachea and main bronchi. The results were completed by the high specificity of the presence of sediment in the paranasal sinuses, upper airways and stomach, which was 100% for all three. Haemodilution was present in cases of drowning (p drowning.

  10. ADULT BASIC LIFE SUPPORT ON NEAR DROWNING AT THE SCENE

    Directory of Open Access Journals (Sweden)

    Gd. Harry Kurnia Prawedana

    2013-04-01

    Full Text Available Indonesia is a popular tourist destination which has potential for drowning cases. Therefore, required knowledge of adult basic life support to be able to deal with such cases in the field. Basic life support in an act to maintain airway and assist breathing and circulation without the use of tools other than simple breathing aids. The most important factor that determines the outcome of drowning event is the duration and severity of hypoxia induced. The management of near drowning at the scene include the rescue of victim from the water, rescue breathing, chest compression, cleaning the vomit substances which allowing blockage of the airway, prevent loss of body heat, and transport the victim to nearest emergency department for evaluation and monitoring.

  11. Drowning and near-drowning: experience of a university hospital in the Black Sea region.

    Science.gov (United States)

    Güzel, Ahmet; Duran, Latif; Paksu, Sule; Akdemir, Hızır Ufuk; Paksu, Muhammet Şükrü; Katı, Celal; Başol, Nurşah; Yılman, Metehan; Özsevik, Sevinç Nursev; Murat, Naci

    2013-01-01

    The aim of the study was to describe the characteristics of patients who applied to the Emergency Department (ED) due to submersion injury; to recognize the risk factors, complications, causes of death, and the educational needs of families and caregivers about unsafe environments for submersion; and to develop preventive strategies. All patients were analyzed retrospectively according to demographic features, clinical and laboratory findings, association between clinical variables and submersion injuries, and patient outcomes. Fifty-five patients with submersion injury were analyzed. The mean age of patients was 10.9 ± 4.7 years. The most common Szpilman clinical scores were Grade 1 (24 patients, 43.8%), Grade 2 (15 patients, 27.3%), and Grade 5 (10 patients, 18.2%). The common location of the submersion injuries included the sea (74.5%), pool (18.4%), bathtub (7.3%), river (3.6%), and lake (3.6%). A limited swimming ability or exhaustion and suffocation (49.1%) due to unknown reasons were the most common causes of submersion injury among all patients. Most complications were due to aspiration pneumonia and hypoxic ischemic encephalopathy (HIE). Thirty-nine patients (70.9%) were followed in the ED, while 16 patients (29.1%) were admitted to the pediatric intensive care unit (PICU); 11 patients (20.0%) died. All of the risk factors of drowning should be taken into account when designing preventive measures and family education. In addition, all pediatricians should be trained periodically about the complications of submersion and the treatment strategies, particularly in coastal cities and areas where drownings occur frequently.

  12. Pneumomediastinum and bilateral pneumothorax following near drowning in shallow water

    Directory of Open Access Journals (Sweden)

    Santhiya Govindaraj

    2011-10-01

    Full Text Available We report pneumomediastinum, bilateral pneumothorax and acute respiratory distress syndrome in a victim of near drowning who was intoxicated and did not have thoracic or neck trauma. Chest radiograph revealed the above findings, later confirmed by computed tomography. He was in shock and also had gastrointestinal (GI bleeding and renal dysfunction. With adequate resuscitative measures including fluids, blood transfusions, intercostal tube drainage and mechanical ventilation he made a complete recovery. Good prognostic indicators in near drowning patients include higher Glasgow Coma Scale, short submersion time and quick resuscitative measures even in the presence of serious cardiorespiratory or hemodynamic compromise.

  13. Pneumomediastinum and bilateral pneumothorax following near drowning in shallow water

    Directory of Open Access Journals (Sweden)

    Stalin Viswanathan

    2011-09-01

    Full Text Available We report pneumomediastinum, bilateral pneumothorax and acute respiratory distress syndrome in a victim of near drowning who was intoxicated and did not have thoracic or neck trauma. Chest radiograph revealed the above findings, later confirmed by computed tomography. He was in shock and also had gastrointestinal (GI bleeding and renal dysfunction. With adequate resuscitative measures including fluids, blood transfusions, intercostal tube drainage and mechanical ventilation he made a complete recovery. Good prognostic indicators in near drowning patients include higher Glasgow Coma Scale, short submersion time and quick resuscitative measures even in the presence of serious cardiorespiratory or hemodynamic compromise.

  14. Bystander basic life support: an important link in the chain of survival for children suffering a drowning or near-drowning episode.

    Science.gov (United States)

    Marchant, Jeanette; Cheng, Nicholas G; Lam, Lawrence T; Fahy, Fiona E; Soundappan, S V; Sounndapound, S V; Cass, Danny T; Browne, Gary J

    2008-04-21

    Eight children suffered drowning or near-drowning in Sydney pools over an 11-day period in January 2007. Four received basic life support (BLS) within 5 minutes of immersion and survived with good functional neurological outcomes. The other four were not discovered for >or= 5 minutes and all died. This cluster serves as a reminder that timely effective bystander BLS is crucial to survival and good clinical outcomes in near-drowning episodes.

  15. Childhood near-drowning - a 12-year retrospective review | Kibel ...

    African Journals Online (AJOL)

    The epidemiological findings in 107 patients admitted to Red Cross War Memorial Children's Hospital, Cape Town, between 1976 and 1987 with a diagnosis of near-drowning are reported. Of these patients, 77% were less than. 5 years of age (ratio of boys to girls 2,1: 1) and 46% of accidents occurred In swimming pools, ...

  16. Near-drowning: clinical course of lung injury in adults.

    Science.gov (United States)

    Gregorakos, Leonidas; Markou, Nikolaos; Psalida, Vasiliki; Kanakaki, Maria; Alexopoulou, Anastasia; Sotiriou, Eva; Damianos, Anastasios; Myrianthefs, Pavlos

    2009-01-01

    Although anoxic encephalopathy is the most dreaded consequence of submersion accidents, respiratory involvement is also very common in these patients. Nevertheless, few data are available about the clinical course and resolution of lung injury in adult victims of near-drowning. Our goal was to study the clinical manifestations of near-drowning and the course of respiratory involvement in a retrospective cohort of adult, mostly elderly patients. Our study included adult patients who were hospitalized after near-drowning in seawater over an 8-year period. Forty-three patients (26 female, 17 male), with an age range of 18-88 years old, were studied. Most (79%) of the patients were elderly (>60 years). In the Emergency Department two patients were comatose and required intubation. Another patient was intubated within the first 24 h because of ARDS. At presentation, all patients but two had a PaO(2)/FiO(2) near-drowning in adult immersion victims are often severe. Nevertheless, in noncomatose patients at least, intubation can often be avoided and quick improvement is the rule while a good outcome is usually expected even in elderly patients.

  17. Drones for Provision of Flotation Support in Simulated Drowning.

    Science.gov (United States)

    Bäckman, Anders; Hollenberg, Jacob; Svensson, Leif; Ringh, Mattias; Nordberg, Per; Djärv, Therese; Forsberg, Sune; Hernborg, Olof; Claesson, Andreas

    The feasibility and potential of using drones for providing flotation devices in cases of drowning have not yet been assessed. We hypothesize that a drone carrying an inflatable life buoy is a faster way to provide flotation compared with traditional methods. The purpose of this study is to explore the feasibility and efficiency of using a drone for delivering and providing flotation support to conscious simulated drowning victims. A simulation study was performed with a simulated drowning victim 100 m from the shore. A drone (DJI Phantom 4; dji, Shenzhen, China) equipped with an inflatable life buoy of 60 N was compared with traditional surf rescue swimming for providing flotation. The primary outcome was delay (minutes:seconds). A total number of 30 rescues were performed with a median time to delivery of the floating device of 30 seconds (interquartile range [IQR] = 24-32 seconds) for the drone compared with 65 seconds (IQR = 60-77 seconds) with traditional rescue swimming (P drone had an accuracy of 100% in dropping the inflatable life buoy drones to deliver inflatable life buoys is safe and may be a faster method to provide early flotation devices to conscious drowning victims compared with rescue swimming. Copyright © 2018 Air Medical Journal Associates. Published by Elsevier Inc. All rights reserved.

  18. Drowning unconformities: Palaeoenvironmental significance and involvement of global processes

    Science.gov (United States)

    Godet, Alexis

    2013-07-01

    Drowning unconformities are stratigraphic key surfaces in the history of carbonate platforms. They mostly consist in the deposition of deep marine facies on top of shallow marine limestones. Although large-scale depositional geometries mimic lowstand systems track architecture, these sedimentary turnovers are developed in relation with major sea level rise, inducing an increase in the rate of creation of accommodation space that outpaces the capacity of carbonate to keep up. This so-called paradox of carbonate platform drowning implies that parameters other than purely eustatic fluctuations are involved in the demise of shallow marine ecosystems. Worldwide and at different times during Earth history, in-depth studies of drowning unconformities revealed that changes in nutrient input, clastic delivery, temperature, or a combination of them may be responsible for a decrease in light penetration in the water column and the progressive suffocation and poisoning of photosynthetic carbonate producers. The examination of such case examples from various stratigraphic intervals and palaeogeographical settings thus helps in identifying and hierarchizing potential triggering mechanisms for drowning unconformities. This is complemented by new data from Early Cretaceous successions from the Helvetic Alps. During this time period, the Helvetic carbonate platform developed along the northern Tethyan margin using both photozoan and heterozoan communities. Phases of healthy production were interrupted by several drowning episodes. The latter are marked in the sedimentary record by condensation and associated phosphogenesis and glauconitisation. From the earliest Valanginian to the early to late Barremian, three drowning unconformities reflect the intermittent installation of a more humid climate and subsequent enhanced trophic conditions, which first induced a switch from photozoan to heterozoan communities and then to long-lasting drowning phases. The latter encompass several sea

  19. Epidemiology of adulthood drowning deaths in Bangladesh: Findings from a nationwide health and injury survey.

    Science.gov (United States)

    Hossain, Mohammad Jahangir; Biswas, Animesh; Mashreky, Saidur Rahman; Rahman, Fazlur; Rahman, Aminur

    2017-01-01

    Background: Annual global death due to drowning accounts for 372,000 lives, 90% of which occur in low and middle income countries. Life in Bangladesh exposes adults and children to may water bodies for daily household needs, and as a result drowning is common. In Bangladesh, due to lack of systemic data collection, drowning among adults is unknown; most research is focused on childhood drowning. The aim of the present study was to explore the epidemiology of adulthood drowning deaths in Bangladesh. Methodology: A nationwide cross-sectional survey was conducted from January to December in 2003 among 171,366 rural and urban households, with a sample of 819,429 individuals to determine the epidemiology of adulthood drowning in Bangladesh.   Results:   Annual fatal drowning incidence among adults was 5.85/100,000 individuals. Of these, 71.4% were male and 28.6% were female (RR 2.39). In total, 90% of the fatalities were from rural areas. Rural populations were also found to have a 8.58 times higher risk of drowning than those in urban areas. About 95% of drowning occurred in natural water bodies. About 61.6% of the deaths occurred at the scene followed by 33.5% at the home. Of the drowning fatalities, 67% took place in water bodies within 100 meters of the household. Among the drowning fatalities 78.4% occurred in daylight between 7.00 and 18.00. Over 97% of the victims were from poor socio economic conditions with a monthly income tk. 6,000 ($94) or less. Only 25.5% of incidences were reported to the police station. Conclusions: Every year a significant number of adults die due to drowning in Bangladesh.  Populations living in rural areas, especially men, were the main victims of drowning. This survey finding might help policy makers and scientists to understand the drowning scenario among adults in Bangladesh.

  20. Pattern of presenting complaints recorded as near-drowning events in emergency departments: a national surveillance study from Pakistan.

    Science.gov (United States)

    He, Siran; Lunnen, Jeffrey C; Zia, Nukhba; Khan, Uzma; Shamim, Khusro; Hyder, Adnan A

    2015-01-01

    Drowning is a heavy burden on the health systems of many countries, including Pakistan. To date, no effective large-scale surveillance has been in place to estimate rates of drowning and near-drowning in Pakistan. The Pakistan National Emergency Department Surveillance (Pak-NEDS) study aimed to fill this gap. Patients who presented with a complaint of "near-drowning" were analyzed to explore patterns of true near-drowning (unintentional) and intentional injuries that led to the "near-drowning" complaint. Bivariate analysis was done to establish patterns among patients treated in emergency departments, including socio-demographic information, injury-related information, accompanying injuries, and emergency department resource utilization. A total of 133 patients (0.2% of all injury patients) with "near-drowning" as presenting complaints were recorded by the Pak-NEDS system. True near-drowning (50.0%) and intentional injuries that led to "near-drowning" complaints (50.0%) differed in nature of injuries. The highest proportion of true near-drowning incidents occurred among patients aged between 25-44 years (47.5%), and among males (77.5%). True near-drowning patients usually had other accompanying complaints, such as lower limb injury (40.0%). Very few patients were transported by ambulance (5.0%), and triage was done for 15% of patients. Eleven (27.5%) true near-drowning patients received cardiopulmonary resuscitation. There was major under-reporting of drowning and near-drowning cases in the surveillance study. The etiology of near-drowning cases should be further studied. Patients who experienced non-fatal drownings were more commonly sent for medical care due to other accompanying conditions, rather than near-drowning event itself. There is also need for recognizing true near-drowning incidents. The results of this study provide information on data source selection, site location, emergency care standardization, and multi-sector collaboration for future drowning

  1. An elusive diagnosis: Scedosporium apiospermum infection after near-drowning

    Directory of Open Access Journals (Sweden)

    Gopinath Malini

    2010-01-01

    Full Text Available A 51-year-old male was admitted in our institute following an episode of near-drowning. He later developed ventriculitis and cerebral ring-enhancing lesions. He died following a subarachnoid hemorrhage due to rupture of a mycotic aneurysm involving the right fetal posterior cerebral artery. Scedosporium apiospermum was isolated from the cerebrospinal fluid. Central nervous system invasion by S apiospermum may present insidiously in near-drowning patients and, therefore, requires a high index of suspicion. In cases with the characteristic cerebral ring-enhancing lesions and concomitant ventriculitis, treatment should be instituted while awaiting fungal culture. With this article we intend to alert neurologists, intensivists, and physicians to this near fatal infection, as early identification and prompt treatment with voriconazole may be life saving.

  2. Functional integrity in children with anoxic brain injury from drowning.

    Science.gov (United States)

    Ishaque, Mariam; Manning, Janessa H; Woolsey, Mary D; Franklin, Crystal G; Tullis, Elizabeth W; Beckmann, Christian F; Fox, Peter T

    2017-10-01

    Drowning is a leading cause of accidental injury and death in young children. Anoxic brain injury (ABI) is a common consequence of drowning and can cause severe neurological morbidity in survivors. Assessment of functional status and prognostication in drowning victims can be extremely challenging, both acutely and chronically. Structural neuroimaging modalities (CT and MRI) have been of limited clinical value. Here, we tested the utility of resting-state functional MRI (rs-fMRI) for assessing brain functional integrity in this population. Eleven children with chronic, spastic quadriplegia due to drowning-induced ABI were investigated. All were comatose immediately after the injury and gradually regained consciousness, but with varying ability to communicate their cognitive state. Eleven neurotypical children matched for age and gender formed the control group. Resting-state fMRI and co-registered T1-weighted anatomical MRI were acquired at night during drug-aided sleep. Network integrity was quantified by independent components analysis (ICA), at both group- and per-subject levels. Functional-status assessments based on in-home observations were provided by families and caregivers. Motor ICNs were grossly compromised in ABI patients both group-wise and individually, concordant with their prominent motor deficits. Striking preservations of perceptual and cognitive ICNs were observed, and the degree of network preservation correlated (ρ = 0.74) with the per-subject functional status assessments. Collectively, our findings indicate that rs-fMRI has promise for assessing brain functional integrity in ABI and, potentially, in other disorders. Furthermore, our observations suggest that the severe motor deficits observed in this population can mask relatively intact perceptual and cognitive capabilities. Hum Brain Mapp 38:4813-4831, 2017. © 2017 Wiley Periodicals, Inc. © 2017 Wiley Periodicals, Inc.

  3. The clinical and radiological study of near drowning

    International Nuclear Information System (INIS)

    Reinhardt, K.

    1982-01-01

    A survey is given of the literature on near drowning, discussing the aspects for all disciplines emphasising the radiological features. The radological pictures are demonstrated and case descriptions containing radiological features are cited extensively out of the literature. This survey should be of great value for the clinician in therapy and control of course. The correlation of the clinical and radiological features should promote a better interpretation of pathogenetic mechanisms. (orig.) [de

  4. Reduced cerebral perfusion on sudden immersion in ice water: a possible cause of drowning

    DEFF Research Database (Denmark)

    Mantoni, Teit; Belhage, Bo; Pedersen, Lars M

    2007-01-01

    Near-drowning incidents and drowning deaths after accidental immersion in open waters have been linked to cold shock response. It consists of inspiratory gasps, hyperventilation, tachycardia, and hypertension in the first 2-3 min of cold-water immersion. This study explored the immediate changes...... in cerebral blood flow velocity (Vmean) during cold-water immersion since cold shock induced hyperventilation may diminish Vmean and lead to syncope and drowning....

  5. Potential Risk Estimation Drowning Index for Children (PREDIC): a pilot study from Matlab, Bangladesh.

    Science.gov (United States)

    Borse, N N; Hyder, A A; Bishai, D; Baker, T; Arifeen, S E

    2011-11-01

    Childhood drowning is a major public health problem that has been neglected in many low- and middle-income countries. In Matlab, rural Bangladesh, more than 40% of child deaths aged 1-4 years are due to drowning. The main objective of this paper was to develop and evaluate a childhood drowning risk prediction index. A literature review was carried out to document risk factors identified for childhood drowning in Bangladesh. The Newacheck model for special health care needs for children was adapted and applied to construct a childhood drowning risk index called "Potential Risk Estimation Drowning Index for Children" (PREDIC). Finally, the proposed PREDIC Index was applied to childhood drowning deaths and compared with the comparison group from children living in Matlab, Bangladesh. This pilot study used t-tests and Receiver Operating Characteristic (ROC) curve to analyze the results. The PREDIC index was applied to 302 drowning deaths and 624 children 0-4 years old living in Matlab. The results of t-test indicate that the drowned children had a statistically (t=-8.58, p=0.0001) significant higher mean PREDIC score (6.01) than those in comparison group (5.26). Drowning cases had a PREDIC score of 6 or more for 68% of the children however, the comparison group had 43% of the children with score of 6 or more which was statistically significant (t=-7.36, p<0.001). The area under the curve for the Receiver Operating Characteristic curve was 0.662. Index score construction was scientifically plausible; and the index is relatively complete, fairly accurate, and practical. The risk index can help identify and target high risk children with drowning prevention programs. PREDIC index needs to be further tested for its accuracy, feasibility and effectiveness in drowning risk reduction in Bangladesh and other countries. Copyright © 2011 Elsevier Ltd. All rights reserved.

  6. Prevention of Drowning by Community-Based Intervention: Implications for Low- and Middle- Income Countries

    OpenAIRE

    Davoudi-Kiakalayeh, Ali; Mohammadi, Reza; Yousefzadeh-Chabok, Shahrokh

    2012-01-01

    Background Drowning is a serious but neglected health problem in low-and middle-income countries. Objectives To describe the effectiveness of drowning prevention program on the reduction of drowning mortality rates in rural settings at the north of Iran, and guide its replication elsewhere. Patients and Methods This interventional design included pre- and post-intervention observations in the rural area of the Caspian Sea coastline without a comparison community. Cross-sectional data were col...

  7. Neurobehavioral Grand Rounds introduction: Does near drowning in ice water prevent anoxic induced brain injury?

    Science.gov (United States)

    Hopkins, Ramona O

    2008-07-01

    Cold water near-drowning is often thought to be neuroprotective in individuals with anoxia of a longer duration than that usually required to produce irreversible neurologic damage. There is a paucity of data in adults with cold water near-drowning that assess neuropsychological outcomes. Information regarding long-term effects of near cold water near-drowning on neuropathology, neuropsychological and neurobehavioral outcomes are uncommon. This paper provides an introduction to two cases of cold water near-drowning reported in this issue of JINS by Sameulson and colleagues and provides background information for interpretation of the findings of these cases in the context of outcomes following anoxia.

  8. Characteristics of unintentional drowning deaths in children with autism spectrum disorder.

    Science.gov (United States)

    Guan, Joseph; Li, Guohua

    2017-12-08

    The reported prevalence of autism spectrum disorder (ASD) has increased markedly in the past two decades. Recent research indicates that children with ASD are at a substantially increased risk of injury mortality, particularly from unintentional drowning. The purpose of this study was to explore the circumstances of fatal unintentional drowning incidents involving children with ASD under 15 years of age. During January 2000 through May 2017, US newspapers reported a total of 23 fatal drowning incidents involving 18 boys and 5 girls with ASD. Age of victims ranged from 3 to 14 years (mean = 7.7 ± 2.9 years). These drowning incidents most commonly occurred in ponds (52.2%), followed by rivers (13.0%), and lakes (13.0%). For 11 incidents with location data available, the distance between victim residence and the water body where drowning occurred averaged 290.7 m (± 231.5 m). About three-quarters (73.3%) of the drowning incidents occurred in the afternoon hours from 12:00 to 18:59. Wandering was the most commonly reported activity that led to drowning, accounting for 73.9% of the incidents. Fatal drowning in children with ASD typically occur in water bodies near the victims' homes in the afternoon hours precipitated by wandering. Multifaceted intervention programs are urgently needed to reduce the excess risk of drowning in children with ASD.

  9. Cognitive and Behavioral Risk Factors for Unintentional Drowning Among Rural Chinese Children.

    Science.gov (United States)

    Shen, Jiabin; Pang, Shulan; Schwebel, David C

    2016-04-01

    Unintentional drowning is among the top causes of pediatric death worldwide and the leading cause of death for children under age 14 in China. Environmental factors such as abundant bodies of water and psychosocial factors such as lack of parental supervision contribute to heightened risk of pediatric drowning in rural China, but little is known about the role of individual characteristics such as knowledge and perceived vulnerability in the drowning risk of rural Chinese children. The present study aimed to explore the cognitive and behavioral risk factors for unintentional drowning among school-aged rural Chinese children. Two hundred and eighty children (mean age = 10.03 years, range 8-13) enrolled at an elementary school in rural Zhejiang Province, China completed self-report assessments of knowledge about drowning prevention, perceived vulnerability toward drowning, and history of non-fatal drowning experiences, as well as demographic information. A simulation task using a dollhouse assessed children's anticipated behaviors with water. Fifty-two percent of the sample reported exposure to water sources at least once daily, and 21 % of the sample reported at least one non-fatal drowning experience in their lifetime. Regression analysis showed that male gender, better swimming ability, less safety knowledge, and lower levels of perceived vulnerability were associated with more self-reported risky practice in/near water. More safety knowledge also predicted safer behaviors in the dollhouse simulation task. None of the risk factors predicted self-reported history of non-fatal drowning incidents. High exposure to water sources and non-fatal drowning experiences were found among school-aged children in rural China. Drowning risk factors included demographic, cognitive, and behavioral characteristics of children. Results offer evidence for developing interventions in both Zhejiang Province and other regions with similar geographic and population characteristics.

  10. Keeping our heads above water: A systematic review of fatal drowning in South Africa.

    Science.gov (United States)

    Saunders, C J; Sewduth, D; Naidoo, N

    2017-12-13

    Drowning is defined as the process of experiencing respiratory impairment from submersion/immersion in liquid, and can have one of three outcomes - no morbidity, morbidity or mortality. The World Health Organization African region accounts for approximately 20% of global drowning, with a drowning mortality rate of 13.1 per 100 000 population. The strategic implementation of intervention programmes driven by evidence-based decisions is of prime importance in resource-limited settings such as South Africa (SA). To review the available epidemiological data on fatal drowning in SA in order to identify gaps in the current knowledge base and priority intervention areas. A systematic review of published literature was conducted to review the available epidemiological data describing fatal drowning in SA. In addition, an internet search for grey literature, including technical reports, describing SA fatal drowning epidemiology was conducted. A total of 13 published research articles and 27 reports obtained through a grey literature search met the inclusion and exclusion criteria. These 40 articles and reports covered data collection periods between 1995 and 2016, and were largely focused on urban settings. The fatal drowning burden in SA is stable at approximately 3.0 per 100 000 population, but is increasing as a proportion of all non-natural deaths. Drowning mortality rates are high in children aged <15 years, particularly in those aged <5. This review suggests that SA drowning prevention initiatives are currently confined to the early stages of an effective injury prevention strategy. The distribution of mortality across age groups and drowning location differs substantially between urban centres and provinces. There is therefore a need for detailed drowning surveillance to monitor national trends and identify risk factors in all SA communities.

  11. Outcome after resuscitation beyond 30 minutes in drowned children with cardiac arrest and hypothermia : Dutch nationwide retrospective cohort study

    NARCIS (Netherlands)

    Kieboom, J. K.; Verkade, H. J.; Burgerhof, J. G.; Bierens, J. J.; van Rheenen, P. F.; Kneyber, M. C.; Albers, M. J.

    2015-01-01

    OBJECTIVES To evaluate the outcome of drowned children with cardiac arrest and hypothermia, and to determine distinct criteria for termination of cardiopulmonary resuscitation in drowned children with hypothermia and absence of spontaneous circulation. DESIGN Nationwide retrospective cohort study.

  12. Behaviour of a series of reservoirs separated by drowned gates

    Science.gov (United States)

    Kolechkina, Alla; van Nooijen, Ronald

    2017-04-01

    Modern control systems tend to be based on computers and therefore to operate by sending commands to structures at given intervals (discrete time control system). Moreover, for almost all water management control systems there are practical lower limits on the time interval between structure adjustments and even between measurements. The water resource systems that are being controlled are physical systems whose state changes continuously. If we combine a continuously changing system and a discrete time controller we get a hybrid system. We use material from recent control theory literature to examine the behaviour of a series of reservoirs separated by drowned gates where the gates are under computer control.

  13. Diagnosis of drowning using post-mortem computed tomography – state of the art

    Directory of Open Access Journals (Sweden)

    Catherine Raux

    2014-12-01

    Full Text Available Aim of the study: Recent studies using post-mortem computed tomography (PMCT have suggested this imaging modality is of value in the positive diagnosis of drowning. We summarize the data from the literature regarding the diagnostic value of CT in cases of drowning. Material and methods: We performed an all-language search of literature published from 1999 to 2013 with the key words “post-mortem CT scan”, “drowning and CT scan”, “near-drowning diagnosis”, and “drowning diagnosis”. Results : Only 11 articles, whose data enabled complementary statistical analysis, were included. The presence of fluid and sediment in paranasal sinuses appear to be the determinants of the diagnosis of drowning. The presence of fluid in the sinuses had a sensitivity of 100%, and of 90% in the trachea and main bronchi. The results were completed by the high specificity of the presence of sediment in the paranasal sinuses, upper airways and stomach, which was 100% for all three. Haemodilution was present in cases of drowning (p < 0.001. The values made it possible to formulate a decision algorithm for the diagnosis of drowning.

  14. Drowning in the bible and contemporary society: responsibilities of religious caregivers.

    Science.gov (United States)

    Avramidis, Stathis

    2010-06-01

    The aim of this study was to research drowning incidents and rescues that are included in the Bible and provide recommendations for how religious caregivers can support psychologically affected victims. Results confirm that the Bible contains six aquatic emergencies. Persons threatened with drowning were saved by an act of God, a human act and acts of human/divine interaction, when, for example, a person was ordered by God to perform an action which resulted in saving people on the threshold of drowning. The drowning casualties were largely individual males and some cases with multiple victims (male and female) as well. The outcomes of the drowning incidents were the survival of most of the casualties whose stories are told in the Bible. One person is reported to have drowned. Drowning incidents occurred at sea and on earth. The types of rescues used were reach-rescue and rescue and survival. The drowning casualties were rescued from land and from ships and boats by human rescuers. Some rescues were achieved by divine miracles.

  15. A case of severe acute kidney injury by near-drowning.

    Science.gov (United States)

    Seong, Eun Young; Rhee, Harin; Lee, Naria; Lee, Sung Jun; Song, Sang Heon; Lee, Dong Won; Lee, Soo Bong; Sol, Mee Young; Kwak, Ihm Soo

    2012-02-01

    Acute kidney injury (AKI) secondary to near-drowning is rarely described and poorly understood. Only few cases of severe isolated AKI resulting from near-drowning exist in the literature. We report a case of near-drowning who developed to isolated AKI due to acute tubular necrosis (ATN) requiring dialysis. A 21-yr-old man who recovered from near-drowning in freshwater 3 days earlier was admitted to our hospital with anuria and elevated level of serum creatinine. He needed five sessions of hemodialysis and then renal function recovered spontaneously. Renal biopsy confirmed ATN. We review the existing literature on near-drowning-induced AKI and discuss the possible pathogenesis.

  16. Unintentional, non-fatal drowning of children: US trends and racial/ethnic disparities.

    Science.gov (United States)

    Felton, Heather; Myers, John; Liu, Gil; Davis, Deborah Winders

    2015-12-15

    The current study aimed to better understand trends and risk factors associated with non-fatal drowning of infants and children in the USA using two large, national databases. A secondary data analysis was conducted using the National Inpatient Sample and the Nationwide Emergency Department Sample databases. The analytic sample (n=19,403) included children near-drowning/non-fatal drowning. Descriptive, χ(2) and analysis of variance techniques were applied, and incidence rates were calculated per 100,000 population. Non-fatal drowning incidence has remained relatively stable from 2006 to 2011. In general, the highest rates of non-fatal drowning occurred in swimming pools and in children from racial/ethnic minorities. However, when compared with non-Hispanic Caucasian children, children from racial/ethnic minorities were more likely to drown in natural waterways than in swimming pools. Despite the overall lower rate of non-fatal drowning among non-Hispanic Caucasian children, the highest rate of all non-fatal drowning was for non-Hispanic Caucasian children aged 0-4 years in swimming pools. Children who were admitted to inpatient facilities were younger, male and came from families with lower incomes. Data from two large US national databases show lack of progress in preventing and reducing non-fatal drowning admissions from 2006 to 2011. Discrepancies are seen in the location of drowning events and demographic characteristics. New policies and interventions are needed, and tailoring approaches by age and race/ethnicity may improve their effectiveness. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  17. Childhood drowning in Matlab, Bangladesh: an in-depth exploration of community perceptions and practices.

    Science.gov (United States)

    Blum, Lauren S; Khan, Rasheda; Hyder, Adnan A; Shahanaj, Sabina; El Arifeen, Shams; Baqui, Abdullah

    2009-05-01

    While reductions in infectious disease have resulted in impressive declines in child mortality in Bangladesh, drowning is becoming proportionately more important as a major cause of death, accounting for at least 19% of deaths of children between 1 and 4 years of age in trend analysis since 2000. Little is known about indigenous beliefs and behaviors associated with drowning, which may be critical to preventing child-related drowning deaths. Qualitative research was carried out over 13 months in Matlab, Bangladesh to describe the indigenous explanatory model of drowning and to identify behavioral factors increasing the risk for drowning deaths. Methods included cognitive mapping procedures as well as open-ended interviews with families who had lost a child or experienced a near-death due to drowning and families with at least one child under 5 years living near a body of water. Along with diarrhea, fever, and pneumonia, drowning is perceived as a leading cause of child death. Causal explanations are primarily associated with "evil spirits" believed to entice young children to water or bewitch mothers so that they forget about the child. Another primary interpretation relates to a water goddess known to prey on small children. When a young child is discovered in water, parents refrain from rescuing the child due to a belief that if a parent touches a drowning child, the child will die. After the child is removed from the water, traditional practices that have no known benefit are employed. The research identified locally constructed beliefs and practices such as refraining from touching the child that may increase the incidence of drowning deaths. Future efforts are required to address these beliefs and assess the feasibility, cultural acceptability and effectiveness of strategies designed to prevent drowning.

  18. The Hidden Tragedy of Rivers: A Decade of Unintentional Fatal Drowning in Australia.

    Directory of Open Access Journals (Sweden)

    Amy E Peden

    Full Text Available Describe unintentional drowning deaths in rivers, creeks and streams (rivers in Australia and identify risk factors to inform prevention.This study is a cross-sectional, total population audit of all unintentional fatal drownings in Australian rivers between 1-July-2002 and 30-June-2012 using Australian coronial data. A modified Bonferroni test has been applied, deeming statistical significance p<0.03 and p<0.04 respectively.Rivers (n = 770; 26.6% were the leading location among the 2,892 people who died from unintentional fatal drowning. This is a rate of 0.37/100,000 people / annum. Within river drowning deaths common groups include; males (80.4%, adults (85.3%, adults who have consumed alcohol (25.5%, people who fell in (21.3%, people involved in non-aquatic transport incidents (18.2% and locals (74.0%. Children were 1.75 times more likely than adults (p<0.04 to drown in rivers as a result of a fall and adults 1.50 times more likely to drown in rivers as a result of watercraft incidents when compared to children. When compared to males, females were 2.27 and 4.45 times respectively more likely to drown in rivers as a result of incidents involving non-aquatic transport (p<0.04 and being swept away by floodwaters (p<0.04. Males were 2.66 and 4.27 times respectively more likely to drown in rivers as a result of watercraft incidents (p<0.04 and as a result of jumping in (p<0.04 when compared to females.While rivers are the leading location for drowning in Australia, little is understood about the risks. This study has identified key groups (males, adults, locals and activities. While males were more likely to drown, the risk profile for females differed.

  19. Can human activities alter the drowning fate of barrier islands?

    Science.gov (United States)

    Lorenzo-Trueba, J.; Ashton, A. D.; Jin, D.; Hoagland, P.; Kite-Powell, H.

    2012-12-01

    Low-lying coastal barriers face an uncertain future over the coming century and beyond as sea levels rise, with many projections suggesting end-of-century rates of sea-level rise as high or higher than 1 cm/yr. Geologically, such rates of sea-level rise have been experienced several thousand years ago and we can use our understanding of geological processes and sedimentary evidence to help unravel the dynamics of natural barriers experiencing sea-level rise. Along many modern coastal barriers, however, anthropic change, such as beach nourishment, dune construction, and emplacement of hard structures, plays a dominant role in coastline dynamics. A fundamental question to be addressed is whether human activities intended to preserve infrastructure and beach recreation may make wholesale collapse, or 'drowning,' of barrier systems more likely. Here we present a numerical modeling tool that couples natural processes and the human responses to these changes (and the subsequent of human responses on natural processes). Recent theoretical model development suggests that barriers are intrinsically morphodynamic features, responding to sea-level rise in complex ways through the interactions of marine processes and barrier overwash. Undeveloped coastal barriers would therefore respond to an accelerated sea-level rise in complex, less predictable manners than suggested by existing long-term models. We have developed a model that examines non-equilibrium cross-shore evolution of barrier systems at decadal to centennial temporal scales, focusing on the interactions between processes of shoreface evolution and overwash deposition. Model responses demonstrate two means of barrier collapse during sea-level rise: 'height drowning', which occurs when overwash fluxes are insufficient to maintain the landward migration rate required to keep in pace with sea-level rise, and 'width drowning', which occurs when the shoreface response is insufficient to maintain the barrier geometry

  20. Usual water-related behaviour and 'near-drowning' incidents in young adults.

    Science.gov (United States)

    Gulliver, Pauline; Begg, Dorothy

    2005-06-01

    To describe usual water-related behaviour and 'near-drowning' incidents in a cohort of young New Zealand adults. This was a cross-sectional study based on data collected as part of the Dunedin Multidisciplinary Health and Development Study, which is the study of a cohort (n = 1,037) born between 1 April 1972 and 31 March 1973 in Dunedin, New Zealand. The data analysed were collected at age 21 (1993/94). Each study member was given a face-to-face interview using a structured questionnaire. Males reported a higher level of water confidence, exposure to risk behaviours, and exposure to unsafe locations, and more 'near-drowning' incidents, than the females, but protective behaviour did not differ. Males and females who were 'confident' in the water were more likely to be exposed to unsafe water locations, and water-confident males were more likely to drink alcohol before water activities, but not boating. A total of 169 'near-drowning' incidents were reported by 141 study members (63% males). 'Near-drowning' incidents were associated with unsafe swimming environments for males (p near-drowning' incidents among a high-risk age group. Larger case-control studies are required to further investigate risk factors for 'near-drowning'. IMPLICATIONS FOR PRACTITIONERS: Further investigation is required to determine the effectiveness of providing water skills acquisition in both safe and unsafe environments on 'near-drowning' experience.

  1. Prevention of drowning by community-based intervention: implications for low- and middle- income countries.

    Science.gov (United States)

    Davoudi-Kiakalayeh, Ali; Mohammadi, Reza; Yousefzadeh-Chabok, Shahrokh

    2012-01-01

    Drowning is a serious but neglected health problem in low-and middle-income countries. To describe the effectiveness of drowning prevention program on the reduction of drowning mortality rates in rural settings at the north of Iran, and guide its replication elsewhere. This interventional design included pre- and post-intervention observations in the rural area of the Caspian Sea coastline without a comparison community. Cross-sectional data were collected at pre- and post-intervention phases. Outcome evaluation was based on a four-year period (March 2005-March 2009) utilizing drowning registry data for the north of Iran. The implementation program increased the rate of membership in an organization responsible for promoting safety in high risk areas near the Caspian Sea. Compared to a WHO standardized population, drowning incidence in rural areas of the study demonstrated a continuous decrease in age-specific drowning rate among the oldest victims with a gradual decline during the implementation. In the study area, the epidemiological aspects of the study population were exposed and contributing factors were highlighted. This study showed that the promotion of passive interventions had a greater effect on drowning rate than that of active interventions.

  2. [Invasive aspergillosis after near-drowning: case reports and review of the literature].

    Science.gov (United States)

    Li, Pei; Cao, E-hong; Zhao, Bei-lei; Sun, Hui-ming; Li, Miao-miao; Xu, Jin; Song, Yong; Shi, Yi

    2011-09-01

    The purpose of this study was to analyze the clinical presentations and disease courses of invasive aspergillosis (IA) in patients after near-drowning. The clinical data of 3 cases of invasive aspergillosis after near-drowning from Oct. 2005 to Aug. 2010 in this hospital were retrospectively analyzed, and the related literature was reviewed. There were 1 male and 2 female patients, aged from 18 to 72 years. All of them had been immunocompetent before drowning. Two patients drowned because of traffic accident, and 1 fell in sewage by accident. All of the 3 patients were intubated because of acute respiratory failure, and received broad-spectrum antibiotic therapy. One had transient leucopenia, and 2 patients received glucocorticoid therapy. The condition of the 3 cases deteriorated 9 to 11 days after near-drowning. Aspergillus was isolated from sputum samples of 2 patients at the same time. Thoracic CT findings included multiple nodules, consolidation and cavity formation. Multiple abscesses in cerebral parenchyma were found in 1 patient with invasive cerebral aspergillosis. One patient died, whose lungs, cerebral parenchyma, myocardium and kidney were all infected by aspergillus. The other 2 patients, whose infection limited to the lungs, had a positive prognosis. Using the terms "aspergillosis" and "near-drowning" a PUBMED search yielded 7 articles, published between 1984 and 2010. Using the terms "invasive pulmonary aspergillosis" and "near-drowning", searching Wangfang data and CHED data, encompass 1 article, published in 2009. In all of the 8 articles, there are 5 final diagnosis cases and 3 clinical diagnosis cases. IA was very rare in immunocompetent hosts but had been reported in previously healthy individuals after near-drowning. Aspergillosis might develop 1 to 2 weeks after near-drowning, and the prognosis was poor in patients with central nervous system involvement.

  3. Childhood drowning in South Africa: local data should inform prevention strategies.

    Science.gov (United States)

    Joanknecht, L; Argent, A C; van Dijk, M; van As, A B

    2015-02-01

    Drowning is an important cause of childhood injury, however, little is known about drowning in Africa. The aim of this study is to investigate submersion incidents in Cape Town, South Africa and provide specific prognostic factors as well as to develop age-appropriate prevention strategies. A retrospective chart review performed at the Red Cross War Memorial Children's Hospital in Cape Town, South Africa. Patients admitted because of 'drowning' or 'near-drowning' between January 2007 and April 2013 were included. 75 children were included. 63 (84 %) survived without complications, 8 (10.7 %) died and 4 (5.3 %) had permanent neurological sequelae. The median age was 2.2 years (range 0.1-12.4). 46 (60.5 %) incidents happened in or around the home, only 14 (18.7 %) were witnessed. 42 (56 %) took place in a pool (29 private, 13 public). Significant predictors of the outcome were: estimated submersion time, duration of apnea, unresponsive and dilated pupils, intubation and use of inotropes. On arrival at the ER we found these significant predictors of the outcome: CPR, a GCS drowning in the home environment. While bathing in baths or buckets, children should never be left alone and parents should be made aware of the dangers. In our study, the majority of incidents occurred in swimming pools and limiting access to these could prevent many incidents of drowning among older children. Although children of all language groups are at risk for drowning, English- or Afrikaans-speaking children were particularly at risk for drowning in private pools while Xhosa-speaking children mostly drowned in baths or buckets. We also report multiple prognostic factors for the outcome, but none of them were absolute predictive of the outcome, indicating that each victim of submersion deserves full resuscitative treatment.

  4. The use of non-uniform drowning terminology: a follow-up study.

    Science.gov (United States)

    Schmidt, Andrew C; Sempsrott, Justin R; Szpilman, David; Queiroga, Ana Catarina; Davison, Matt S; Zeigler, Ryan J; McAlister, Sean J

    2017-07-17

    In 2002, the World Congress on Drowning developed a uniform definition for drowning. The aim of this study is to determine the prevalence of "non-uniform drowning terminology" (NUDT) and "non-uniform drowning definitions" (NUDD) in peer-reviewed scientific literature from 2010 to 2016, and compare these findings with those from our unpublished study performing a similar analysis on literature from 2003 to 2010. A systematic review was performed using drowning-specific search terms in Pubmed and Web of Science. Titles and abstracts published between July 2010 and January 2016 were screened for relevance to the study focus. Articles meeting screening criteria were reviewed for exclusion criteria to produce the final group of studies. These articles were reviewed by four reviewers for NUDT and NUDD. The Fisher exact test was used to determine any statistically significant changes. The final group of studies included 167 articles. A total of 53 articles (32%) utilized NUDT, with 100% of these including the term "near drowning". The proportion of articles utilizing NUDT was significantly less than reported by our previous study (p drowning (uniform or non-uniform), with 15% of these utilizing NUDD. Our study reveals a statistically significant improvement over the past thirteen years in the use of uniform drowning terminology in peer-reviewed scientific literature, although year-to-year variability over the current study period does not yield an obvious trend. Of the articles reviewed during the 2010-2016 study period, 32% included outdated and non-uniform drowning terminology and definitions. While this reveals an absolute decrease of 11% as compared with the previous study period (2003-2010), there is still significant room for improvement.

  5. Central nervous system hypoxia in children due to near drowning

    International Nuclear Information System (INIS)

    Fitch, S.J.; Gerald, B.; Magill, H.L.; Tonkin, I.L.D.

    1985-01-01

    Fourteen children who experienced acute, profound central nervous system hypoxia secondary to near drowning, aspiration, or respiratory arrest underwent CT examination. During the first week after the episode, the most frequent finding was a loss of gray-white matter differentiation. Other findings included effacement of sulci and cisterns, focal areas of edema in the cerebral cortex or basal ganglia, and hemorrhagic infarctions of the basal ganglia. Subsequent CT scans obtained from two weeks to five months after the hypoxic episode showed progression of cerebral loss from cortical infarction with gyral hemorrhage and enhancement to global parenchymal atrophy. The prognosis is poor in these patients: seven children experienced severe neurologic deficits and seven died

  6. Epidemiology of adulthood drowning deaths in Bangladesh: Findings from a nationwide health and injury survey [version 1; referees: 2 approved

    Directory of Open Access Journals (Sweden)

    Mohammad Jahangir Hossain

    2017-04-01

    Full Text Available Background: Annual global death due to drowning accounts for 372,000 lives, 90% of which occur in low and middle income countries. Life in Bangladesh exposes adults and children to may water bodies for daily household needs, and as a result drowning is common. In Bangladesh, due to lack of systemic data collection, drowning among adults is unknown; most research is focused on childhood drowning. The aim of the present study was to explore the epidemiology of adulthood drowning deaths in Bangladesh. Methodology: A nationwide cross-sectional survey was conducted from January to December in 2003 among 171,366 rural and urban households, with a sample of 819,429 individuals to determine the epidemiology of adulthood drowning in Bangladesh.   Results:  Annual fatal drowning incidence among adults was 5.85/100,000 individuals. Of these, 71.4% were male and 28.6% were female (RR 2.39. In total, 90% of the fatalities were from rural areas. Rural populations were also found to have a 8.58 times higher risk of drowning than those in urban areas. About 95% of drowning occurred in natural water bodies. About 61.6% of the deaths occurred at the scene followed by 33.5% at the home. Of the drowning fatalities, 67% took place in water bodies within 100 meters of the household. Among the drowning fatalities 78.4% occurred in daylight between 7.00 and 18.00. Over 97% of the victims were from poor socio economic conditions with a monthly income tk. 6,000 ($94 or less. Only 25.5% of incidences were reported to the police station. Conclusions: Every year a significant number of adults die due to drowning in Bangladesh.  Populations living in rural areas, especially men, were the main victims of drowning. This survey finding might help policy makers and scientists to understand the drowning scenario among adults in Bangladesh.

  7. [Disease burden on drowning in the Chinese population, in 1990 and 2013].

    Science.gov (United States)

    Deng, X; Jin, Y; Ye, P P; Wang, L H; Duan, L L

    2017-10-10

    Objective: To comprehensively analyze the disease burden of drowning in the Chinese population both at the national and provincial levels in 1990 and 2013, to provide reference for the development of strategies regarding drowning prevention. Methods: Both methods related to unified measurement framework and standardized estimation on Global Burden of Disease in 2013, were used. Data on deaths caused by injuries were from the following sources which include: Disease Surveillance Points, the National Maternal and Child Health Surveillance Network, the Death Registration Reporting System of Chinese Center for Disease Control and Prevention, Death Registration System and death information from Macau and Hong Kong areas of China. Injury-related incidence data was from the National Injury Surveillance System and literature review. Parameters as death/death rate, years of life lost due to premature mortality (YLL)/standardized YLL rate, years living with disability (YLD)/standardized YLD rate and disability-adjusted of life years (DALY)/standardized DALY were used to analyze the disease burden and changing trend on drowning at both the national and all the provincial levels. Results: In 2013, the number of deaths due to drowning was63 619 in China, with the standardized mortality rate as 5.29 per 100 000, accounting for 8.0 % of the total injury deaths. Drowning was the fourth leading cause of injury death in the whole population and the first leading cause of injury death among children aged standardized mortality, standardized YLL, standardized YLD and standardized DALY of drowning all declined in 2013. The five provinces/districts/cities with the highest rates of drowning were Xinjiang (10.08 per 100 000), Jiangxi (8.44 per 100 000), Anhui (7.92 per 100 000), Guizhou (7.77 per 100 000) and Sichuan (7.68 per 100 000). Standardized mortality of drowning reduced in all provinces in 2013. Conclusions: Disease burden of drowning in the Chinese population, especially in

  8. Causes of ischemic electrocardiographic changes in near drowning: A literature review.

    Science.gov (United States)

    Omar, Hesham R; Sprenker, Collin; Bosco, Gerardo; Mangar, Devanand; Camporesi, Enrico M

    2015-10-01

    Drowning is a main cause of accidental death among children and adolescents worldwide. Ischemic electrocardiographic (ECG) changes are often encountered in victims of near drowning. We reviewed the literature for near drowning cases reporting ischemic ECG changes to study the underlying etiology for these findings. Among the 8 cases included in the analysis, ischemic ECG changes were due to takotsubo cardiomyopathy (in elderly cases especially females); coronary artery spasm (in younger cases); or hypothermia effect on ECG; and, to a lesser extent, myocardial ischemia resulting from occlusive coronary artery disease. Copyright © 2015 Elsevier Inc. All rights reserved.

  9. Surfactant replacement therapy in a pediatric near-drowning case in manure.

    Science.gov (United States)

    Ugras, Meltem; Guraksin, Ozlem; Sen, Tolga Altug; Narci, Adnan; Alpay, Faruk

    2012-09-01

    Drowning is defined as suffocation by submersion especially in water and is a leading cause of injury-related death in children. Age groups at greatest risk are toddlers and male adolescents. It is the second most common cause of accidental death in children after road accidents. Treatment consists of resuscitation and stabilization. The use of surfactant after near-drowning in water is reported in the literature in few case reports.We report here a boy whose condition did not get better with conventional treatment, but dramatically improved after surfactant treatment after near-drowning in a fluid with manure.

  10. Evaluation of a community-based drowning prevention programme in northern Islamic Republic of Iran.

    Science.gov (United States)

    Davoudi-Kiakalayeh, A; Mohammadi, R; Yousefzade-Chabok, S; Jansson, B

    2013-07-01

    This study evaluated the feasibility of a drowning intervention package in northern Islamic Republic of Iran. A quasi-experimental design used pre- and post-observations among residents and tourists in water-recreation beach areas of intervention and control regions by the Caspian Sea and in residents near the Caspian Sea coastline. The fatal drowning rate in the studied resident population in the provinces fell from 4.24 per 100 000 residents at baseline to 3.04 per 100,000 residents at endline. The risk of death from drowning in the intervention areas in the water-recreation area was greater during the pre-intervention (OR = 1.15, 95% CI: 0.66-2.01) than the implementation period (OR = 0.24, 95% CI: 0.15-0.37). The risk of drowning can be reduced by implementing increased supervision and raising community awareness.

  11. ACUTE RESPIRATORY DISTRESS SYNDROME DAN ACUTE PNEUMONIA PADA NEAR DROWNING:SEBUAH LAPORAN KASUS

    Directory of Open Access Journals (Sweden)

    Michelle Prinka Adyana

    2014-02-01

    Full Text Available Near drowning is a condition in which the victim survived the first 24 hours. The WorldHealth Organization (WHO , recorded worldwide in 2000 there were 400,000 incidentdrowned accidentally . That is, this figure ranks second only to traffic accidents.Aspiration pneumonia is a complication of near drwoning which occurred in 80 % ofcases of near drowning, while 50 % of patients sink into acute respiratory distresssyndrome ( ARDS . This case report discusses the acute respiratory distress syndromeand acute pneumonia in near drowning 24 years old , who had drowned at the beach for± 15 minutes , the chest x - ray obtained pulmonary edema dd / lung pnuemonia therepneuomothorax . Examination of multislice spiral computed tomography ( MSCT bilateral pneumothorax Thorax obtained major and minor fisuura right and left majorfissure , pneumomediastinum , pulmonary pneumonia contusio / suspected aspirationpneumonia , emphysema subcutis . In intensive care patients conducted for 9 days andreturn to akitivitas everyday

  12. A document analysis of drowning prevention education resources in the United States.

    Science.gov (United States)

    Katchmarchi, Adam Bradley; Taliaferro, Andrea R; Kipfer, Hannah Joy

    2018-03-01

    There have been long-standing calls to better educate the public at large on risks of drowning; yet limited evaluation has taken place on current resources in circulation. The purpose of this qualitative research is to develop an understanding of the content in currently circulated drowning prevention resources in the United States. Data points (n = 451) consisting of specific content within 25 different drowning prevention educational resources were analyzed using document analysis methods; a grounded theory approach was employed to allow for categorical development and indexing of the data. Results revealed six emerging categories, including safety precautions (n = 152), supervision (n = 109), preventing access (n = 57), safety equipment (n = 46), emergency procedures (n = 46), and aquatic education (n = 41). Results provide an initial insight into the composition of drowning prevention resources in the United States and provide a foundation for future research.

  13. Effectiveness of community participation in a surveillance system initiative to prevent drowning in Thailand.

    Science.gov (United States)

    Sansiritaweesook, Getsara; Muangsom, Niramon; Kanato, Manop; Ratanasiri, Amornrat

    2015-03-01

    This study had a 2-group pre-post quasiexperimental design and was conducted in 2 selected areas of Ubon Ratchathani province, Thailand. The objective was to evaluate the extent to which the surveillance system that was developed helped in drowning prevention. The development process involved extensive participation from the community. System efficiency was evaluated, and the drowning rates were compared. The system demonstrated 82.8% system sensitivity and 87% positive-predictive value. There were 90.0% rescues with no injury during the study period. The relative risk of drowning injury suggests that the control area was at 5.6 times more at risk for drowning injury than the intervention area (95% CI = 1.58, 20.12). Local knowledge and participation from the community were found to be key issues in the success of the surveillance system, and such systems can be applied to other areas with similar problems. © 2013 APJPH.

  14. Reduced cerebral perfusion on sudden immersion in ice water: a possible cause of drowning

    DEFF Research Database (Denmark)

    Mantoni, Teit; Belhage, Bo; Pedersen, Lars M

    2007-01-01

    INTRODUCTION: Near-drowning incidents and drowning deaths after accidental immersion in open waters have been linked to cold shock response. It consists of inspiratory gasps, hyperventilation, tachycardia, and hypertension in the first 2-3 min of cold-water immersion. This study explored the imme......INTRODUCTION: Near-drowning incidents and drowning deaths after accidental immersion in open waters have been linked to cold shock response. It consists of inspiratory gasps, hyperventilation, tachycardia, and hypertension in the first 2-3 min of cold-water immersion. This study explored...... cerebral artery (MCA) was measured together with ventilatory parameters and heart rate before, during, and after immersion. RESULTS: Within seconds after immersion in ice water, heart rate increased from 74 +/- 16 to 107 +/- 18 bpm (mean +/- SD; p elevation...

  15. Drowning - a scientometric analysis and data acquisition of a constant global problem employing density equalizing mapping and scientometric benchmarking procedures

    Directory of Open Access Journals (Sweden)

    Groneberg David A

    2011-10-01

    Full Text Available Abstract Background Drowning is a constant global problem which claims approximately half a million victims worldwide each year, whereas the number of near-drowning victims is considerably higher. Public health strategies to reduce the burden of death are still limited. While research activities in the subject drowning grow constantly, yet there is no scientometric evaluation of the existing literature at the present time. Methods The current study uses classical bibliometric tools and visualizing techniques such as density equalizing mapping to analyse and evaluate the scientific research in the field of drowning. The interpretation of the achieved results is also implemented in the context of the data collection of the WHO. Results All studies related to drowning and listed in the ISI-Web of Science database since 1900 were identified using the search term "drowning". Implementing bibliometric methods, a constant increase in quantitative markers such as number of publications per state, publication language or collaborations as well as qualitative markers such as citations were observed for research in the field of drowning. The combination with density equalizing mapping exposed different global patterns for research productivity and the total number of drowning deaths and drowning rates respectively. Chart techniques were used to illustrate bi- and multilateral research cooperation. Conclusions The present study provides the first scientometric approach that visualizes research activity on the subject of drowning. It can be assumed that the scientific approach to this topic will achieve even greater dimensions because of its continuing actuality.

  16. Drowning - a scientometric analysis and data acquisition of a constant global problem employing density equalizing mapping and scientometric benchmarking procedures

    Science.gov (United States)

    2011-01-01

    Background Drowning is a constant global problem which claims approximately half a million victims worldwide each year, whereas the number of near-drowning victims is considerably higher. Public health strategies to reduce the burden of death are still limited. While research activities in the subject drowning grow constantly, yet there is no scientometric evaluation of the existing literature at the present time. Methods The current study uses classical bibliometric tools and visualizing techniques such as density equalizing mapping to analyse and evaluate the scientific research in the field of drowning. The interpretation of the achieved results is also implemented in the context of the data collection of the WHO. Results All studies related to drowning and listed in the ISI-Web of Science database since 1900 were identified using the search term "drowning". Implementing bibliometric methods, a constant increase in quantitative markers such as number of publications per state, publication language or collaborations as well as qualitative markers such as citations were observed for research in the field of drowning. The combination with density equalizing mapping exposed different global patterns for research productivity and the total number of drowning deaths and drowning rates respectively. Chart techniques were used to illustrate bi- and multilateral research cooperation. Conclusions The present study provides the first scientometric approach that visualizes research activity on the subject of drowning. It can be assumed that the scientific approach to this topic will achieve even greater dimensions because of its continuing actuality. PMID:21999813

  17. Where children and adolescents drown in Queensland: a population-based study.

    Science.gov (United States)

    Wallis, Belinda A; Watt, Kerrianne; Franklin, Richard C; Nixon, James W; Kimble, Roy M

    2015-11-26

    This retrospective population-based study examined drowning location by the site of immersion for both fatal and non-fatal drowning events in Queensland. Drowning location is not routinely collected, and this study used data linkage to identify drowning sites. The resulting enhanced quality data quantify drowning incidence for specific locations by geographic region, age group and by severity for the first time. Linked data were accessed from the continuum of care (prehospital, emergency, hospital admission and death data) on fatal and non-fatal drowning episodes in children aged 0-19 years in Queensland for the years 2002-2008 inclusive. Drowning locations ranked in order of overall incidence were pools, inland water, coastal water, baths and other man-made water hazards. Swimming pools produced the highest incidence rates (7.31/100,000) for overall drowning events and were more often privately owned pools and in affluent neighbourhoods. Toddlers 0-4 years were most at risk around pools (23.94/100,000), and static water bodies such as dams and buckets-the fatality ratios were highest at these 2 locations for this age group. Children 5-14 years incurred the lowest incidence rates regardless of drowning location. Adolescents 15-19 years were more frequently involved in a drowning incident on the coast shoreline, followed by inland dynamic water bodies. Linked data have resulted in the most comprehensive data collection on drowning location and severity to date for children in the state of Queensland. Most mortality and morbidity could have been prevented by improving water safety through engaged supervision around pools and bath time, and a heightened awareness of buckets and man-made water hazards around the farm home for young children. These data provide a different approach to inform prevention strategies. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  18. Seawater-drowning-induced acute lung injury: From molecular mechanisms to potential treatments.

    Science.gov (United States)

    Jin, Faguang; Li, Congcong

    2017-06-01

    Drowning is a crucial public safety problem and is the third leading cause of accidental fatality, claiming ~372,000 lives annually, worldwide. In near-drowning patients, acute lung injury (ALI) or acute respiratory distress syndrome (ARDS) is one of the most common complications. Approximately 1/3 of near-drowning patients fulfill the criteria for ALI or ARDS. In the present article, the current literature of near-drowning, pathophysiologic changes and the molecular mechanisms of seawater-drowning-induced ALI and ARDS was reviewed. Seawater is three times more hyperosmolar than plasma, and following inhalation of seawater the hyperosmotic seawater may cause serious injury in the lung and alveoli. The perturbing effects of seawater may be primarily categorized into insufficiency of pulmonary surfactant, blood-air barrier disruption, formation of pulmonary edema, inflammation, oxidative stress, autophagy, apoptosis and various other hypertonic stimulation. Potential treatments for seawater-induced ALI/ARDS were also presented, in addition to suggestions for further studies. A total of nine therapeutic strategies had been tested and all had focused on modulating the over-activated immunoreactions. In conclusion, seawater drowning is a complex injury process and the exact mechanisms and potential treatments require further exploration.

  19. Drowning is an apparent and unexpected recurrent cause of mass mortality of Common starlings (Sturnus vulgaris)

    Science.gov (United States)

    Lawson, Becki; Duff, J. Paul; Beckmann, Katie M.; Chantrey, Julian; Peck, Kirsi M.; Irvine, Richard M.; Robinson, Robert A.; Cunningham, Andrew A.

    2015-01-01

    Drowning is infrequently reported as a cause of death of wild birds and such incidents typically involve individual, rather than multiple, birds. Over a 21-year period (1993 to 2013 inclusive), we investigated 12 incidents of mortality of multiple (2 − 80+) Common starlings (Sturnus vulgaris) in Great Britain that appeared to be due to drowning. More than ten birds were affected in ten of these reported incidents. These incidents always occurred during the spring and early summer months and usually involved juvenile birds. In all cases, circumstantial evidence and post-mortem examinations indicated drowning to be the most likely cause of death with no underlying disease found. A behavioural explanation seems likely, possibly related to the gregarious nature of this species combined with juvenile inexperience in identifying water hazards. A review of data from the ringed bird recovery scheme across Great Britain (1909–2013 inclusive) of both starlings and Common blackbirds (Turdus merula), also a common garden visitor, identified additional suspected drowning incidents, which were significantly more common in the former species, supporting a species predisposition to drowning. For each species there was a marked seasonal peak from April to August. Drowning should be included as a differential diagnosis when investigating incidents of multiple starling mortality, especially of juveniles. PMID:26601771

  20. Seawater-drowning-induced acute lung injury: From molecular mechanisms to potential treatments

    Science.gov (United States)

    Jin, Faguang; Li, Congcong

    2017-01-01

    Drowning is a crucial public safety problem and is the third leading cause of accidental fatality, claiming ~372,000 lives annually, worldwide. In near-drowning patients, acute lung injury (ALI) or acute respiratory distress syndrome (ARDS) is one of the most common complications. Approximately 1/3 of near-drowning patients fulfill the criteria for ALI or ARDS. In the present article, the current literature of near-drowning, pathophysiologic changes and the molecular mechanisms of seawater-drowning-induced ALI and ARDS was reviewed. Seawater is three times more hyperosmolar than plasma, and following inhalation of seawater the hyperosmotic seawater may cause serious injury in the lung and alveoli. The perturbing effects of seawater may be primarily categorized into insufficiency of pulmonary surfactant, blood-air barrier disruption, formation of pulmonary edema, inflammation, oxidative stress, autophagy, apoptosis and various other hypertonic stimulation. Potential treatments for seawater-induced ALI/ARDS were also presented, in addition to suggestions for further studies. A total of nine therapeutic strategies had been tested and all had focused on modulating the over-activated immunoreactions. In conclusion, seawater drowning is a complex injury process and the exact mechanisms and potential treatments require further exploration. PMID:28587319

  1. Incidence and Consequences of Near-Drowning-Related Pneumonia-A Descriptive Series from Martinique, French West Indies.

    Science.gov (United States)

    Cerland, Laura; Mégarbane, Bruno; Kallel, Hatem; Brouste, Yanick; Mehdaoui, Hossein; Resiere, Dabor

    2017-11-17

    Drowning represents one major cause of accidental death. Near-drowning patients are exposed to aspiration that may result in pneumonia with life-threatening consequences. We designed this descriptive study to investigate the frequency, nature, and consequences of post-drowning pneumonia. One hundred and forty-four near-drowning patients (33 children and 111 adults) admitted during four years to the University Hospital of Martinique, French Indies, were included. Patients presented pre-hospital cardiac arrest (41%) and exhibited acute respiratory failure (54%), cardiovascular failure (27%), and lactic acidosis (75%) on admission. Empirical antibiotics, as decided by the physicians in charge, were administered in 85 patients (59%). Post-drowning early onset bacterial pneumonia was diagnosed as "possible" in 13 patients (9%) and "confirmed" in 22 patients (15%). Tracheal aspiration revealed the presence of polymorphous pharyngeal flora (59%) or one predominant bacteria species (41%) including Enterobacter aerogenes , Enterobacter cloacae , Staphylococcus aureus , Pseudomonas aeruginosa , Aeromonas hydrophilia , and Morganella morgani . Despite adequate supportive care, drowning resulted in 45 fatalities (31%). Early onset bacterial aspiration pneumonia (either possible or confirmed) did not significantly influence the risk of death. In conclusion, near-drowning-related bacterial aspiration pneumonia seems rare and does not influence the mortality rate. There is still a need for practice standardization to improve diagnosis of post-drowning pneumonia and near-drowning patient management.

  2. Drowning fatalities in childhood: the role of pre-existing medical conditions.

    Science.gov (United States)

    Franklin, Richard C; Pearn, John H; Peden, Amy E

    2017-10-01

    This study is an analysis of the contribution of pre-existing medical conditions to unintentional fatal child (0-14 years) drowning and a of critique prevention stratagems, with an exploration of issues of equity in recreation. This study is a total population, cross-sectional audit of all demographic, forensic and on-site situational details surrounding unintentional fatal drowning of children 0-14 years in Australia for the period of 1 July 2002 to 30 June 2012. Data were sourced from the National (Australia) Coronial Information System. Age-specific disease patterns in the general population were obtained from the Australian Institute of Health and Welfare. Four hundred and sixty-eight children drowned during the study period. Fifty-three (11.3%) had a pre-existing medical condition, of whom 19 suffered from epilepsy, 13 from autism and 5 with non-specific intellectual disabilities. Epilepsy is a risk factor in childhood drowning deaths, with a prevalence of 4.1% of drowning fatalities, compared with 0.7%-1.7% among the general 0-14 years population (relative risk: 2.4-5.8). Epilepsy was deemed to be contributory in 16 of 19 cases (84.2% of epilepsy cases) with a median age of 8 years. Asthma and intellectual disabilities were under-represented in the drowning cohort. Except for epilepsy, this research has indicated that the risks of drowning while undertaking aquatic activities are not increased in children with pre-existing medical conditions. Children with pre-existing medical conditions can enjoy aquatic activities when appropriately supervised. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  3. Rip current related drowning deaths and rescues in Australia 2004-2011

    Science.gov (United States)

    Brighton, B.; Sherker, S.; Brander, R.; Thompson, M.; Bradstreet, A.

    2013-04-01

    Rip currents are a common hazard to beachgoers found on many beaches around the world, but it has proven difficult to accurately quantify the actual number of rip current related drowning deaths in many regions and countries. Consequently, reported estimates of rip current drowning can fluctuate considerably and are often based on anecdotal evidence. This study aims to quantify the incidence of rip current related drowning deaths and rescues in Australia from 2004 to 2011. A retrospective search was undertaken for fatal and non-fatal rip-related drowning incidents from Australia's National Coronial Information System (NCIS), Surf Life Saving Australia's (SLSA, 2005-2011) SurfGuard Incident Report Database (IRD), and Media Monitors for the period 1 July 2004 to 30 June 2011. In this time, rip currents were recorded as a factor in 142 fatalities of a total of 613 coastal drowning deaths (23.2%), an average of 21 per year. Rip currents were related to 44% of all beach-related drowning deaths and were involved in 57.4% of reported major rescues in Australian locations where rips occur. A comparison with international operational statistics over the same time period describes rip-related rescues as 53.7% of the total rescues in the US, 57.9% in the UK and 49.4% in New Zealand. The range 49-58% is much lower than 80-89% traditionally cited. The results reported are likely to underestimate the size of the rip current hazard, because we are limited by the completeness of data on rip-related events; however this is the most comprehensive estimate to date. Beach safety practitioners need improved data collection and standardized definitions across organisations. The collection of drowning data using consistent categories and the routine collection of rip current information will allow for more accurate global comparisons.

  4. Risks of drowning and safety concerns at the beaches of Karachi--perspective from lifeguards.

    Science.gov (United States)

    Shaikh, Masood Ali

    2014-05-01

    Going to beaches is a popular pastime for many people in Karachi. Lifeguards have been deployed on many beaches for the safety and protection of beachgoers. This cross-sectional survey was conducted to study the opinions and experiences of lifeguards posted at eight beaches of Karachi. Ignorance among beachgoers about how dangerous it could be at seaside, was reported by 19 (61.3%) out of 31 lifeguards interviewed. Lifeguards had to put up with verbal and physical abuse while discharging their duties, with verbal abuse being the universal experience. Improved record keeping of drowning and near-drowning data would help make better evidence-informed beach-safety decisions in Karachi for reducing the morbidity and mortality burden owing to drowning.

  5. Assessment of pediatric near-drowning victims: is there a role for cranial CT?

    International Nuclear Information System (INIS)

    Romano, C.; Brown, T.; Frewen, T.C.

    1993-01-01

    Previous studies have suggested that CT examinations of the brain in children soon after near-drowning incidents are not helpful in predicting clinical outcome and are not necessary. The clinical and CT findings of 19 pediatric near-drowning victims were reviewed for correlation with clinical and neurologic outcome. As expected, a normal initial CT scan was poorly predictive of outcome, whereas an abnormal CT scan in the initial 36 h following an immersion incident was associated with a dismal prognosis. Three children with abnormal initial CT examinations were identified and all died within 3 days of admission. A CT scan performed in the immediate near-drowning period, therefore, may be helpful in identifying some patients who have sustained severe neurologic injury. (orig.)

  6. Re-identification of clinical isolates of the Pseudallescheria boydii-complex involved in near-drowning.

    NARCIS (Netherlands)

    Tintelnot, K.; Wagner, N.; Seibold, M.; de Hoog, G.S.; Horre, R.

    2008-01-01

    Fungal infections caused by the members of the genera Pseudallescheria and/or Scedosporium are important complications in patients after near-drowning. As the taxonomy of Pseudallescheria and Scedosporium has been revised, clinical isolates from 11 patients, after near-drowning, previously

  7. Re-identification of clinical isolates of the Pseudallescheria boydii-complex involved in near-drowning

    NARCIS (Netherlands)

    Tintelnot, K.; Wagner, N.; Seibold, M.; de Hoog, G.S.; Horré, R.

    2008-01-01

    Fungal infections caused by the members of the genera Pseudallescheria and/or Scedosporium are important complications in patients after near-drowning. As the taxonomy of Pseudallescheria and Scedosporium has been revised, clinical isolates from 11 patients, after near-drowning, previously

  8. Case analyses of all children's drowning deaths occurring in Sweden 1998-2007.

    Science.gov (United States)

    Schyllander, Jan; Janson, Staffan; Nyberg, Cecilia; Eriksson, Ulla-Britt; Stark Ekman, Diana

    2013-03-01

    The goal of this research project was to explore circumstances surrounding each drowning death occurring to children and adolescents ages 0-17 in Sweden during the years 1998-2007. Records from the National Board of Forensic Medicine (NBFM) and other sources were analysed. We collected information on children's personal characteristics (sex, age, ethnic background, weight, height, physical condition, and pre-existing health conditions) and the circumstances of deaths (time and place of occurrence, type of drowning, resuscitation efforts and medical care given, for example). We also collected information on prevention factors: the physical environment, adult supervision, whether or not the child could swim, and if the child was using a personal flotation device at the time of death. Our analysis showed that 109 children had drowned in Sweden during the study period - of this group, 96 had died from unintentional causes. Children from immigrant backgrounds, particularly with families coming from the Middle East and Iran, were inordinately represented in the group of victims who had died from unintentional drowning deaths. Other risk factors included: coming from a single parent-headed family, alcohol use by older victims and a lack of ability to swim. Prevention efforts to prevent drowning in the future should focus on preventing alcohol use by young bathers; better fencing around swimming sites; improved coverage of swimming lessons to all children in Sweden, especially children from immigrant families; more education on drowning risks for single parents; and better awareness by adults on the need for constant supervision of children and adolescents in and near water.

  9. Recovery from near drowning and postanoxic status epilepticus with controlled hypothermia.

    Science.gov (United States)

    de Pont, A C J M; de Jager, C P C; van den Bergh, W M; Schultz, M J

    2011-04-01

    A diver was resuscitated after cardiac arrest due to near drowning and was hypothermic on hospital arrival. During rewarming, status epilepticus occurred, previously identified as a predictor of poor outcome. The seizures responded well to treatment with antiepileptic drugs and controlled hypothermia. After six weeks, the patient had completely recovered. This case supports the hypothesis that hypothermia offers neuroprotection, even in the presence of status epilepticus. We recommend that near-drowning victims who are comatose after resuscitation for cardiac arrest be treated with controlled mild hypothermia for 12 to 24 hours.

  10. Pediatric near-drowning events: do they warrant trauma team activation?

    Science.gov (United States)

    Chotai, Pranit N; Manning, Lisa; Eithun, Benjamin; Ross, Joshua C; Eubanks, James W; Hamner, Chad; Gosain, Ankush

    2017-05-15

    The purpose of this study was to determine the incidence of traumatic injuries, factors associated with mortality, and need for pediatric trauma surgery involvement for drowning and near-drowning events in children. An institutional review board-approved, retrospective chart review was performed at three American College of Surgeons-verified Pediatric Trauma Centers (2011-2014). Patients with International Classification of Diseases, Ninth Revision, codes or E-codes for fatal-nonfatal drowning, fall into water, accidental drowning, or submersion were included. Bivariate analysis using chi-square or Fisher exact test for nominal variables and Mann-Whitney U test for continuous variables was performed. A total of 363 patients (median 3.17 y [18 d-17 y]) met the inclusion criteria. Drowning sites included pool (81.5%), bathtub (12.9%), and natural water (5.2%). A witnessed fall or dive was reported in 34.9%, 57.9% did not fall or dive, and 7% had an unwitnessed event. Most patients did not undergo cervical spine (83%) or brain imaging (75.5%). Seven patients (1.92%) had associated soft tissue injuries. Two patients (0.006%) received surgical intervention (bronchoscopy and extracorporeal membrane oxygenation) within 24 h of presentation. Only 2.2% were admitted to the pediatric trauma service. The percentage of patients discharged home from the emergency department was 10.2%. Overall mortality was 12.4%. Factors associated with mortality included transfer from outside hospital (P = 0.016), presence of hypothermia on arrival (P drowning in a pool (P = 0.013), or undergoing brain cooling at admission (P = 0.011). This is the largest reported series of pediatric near-drowning events. Only rarely did patients require immediate surgical attention and the majority were admitted to nonsurgical services. These data suggest that routine pediatric trauma surgery service involvement in patients with near-drowning events may be unnecessary. Copyright © 2017 Elsevier

  11. Acute kidney injury after near drowning: The way from the beach to hemodialysis.

    Science.gov (United States)

    Alp, Alper; Akdam, Hakan; Meteoğlu, İbrahim; Ünsal, Alparslan; Akar, Harun; Yeniçerioğlu, Yavuz

    2016-01-01

    Acute kidney injury (AKI) occurs in many different situations and may have a variable prognosis influenced by clinical setting, underlying cause, and comorbidity. This is important because of the high mortality and morbidity risk affecting many people around the world. Near-drowning related AKI requiring hemodialysis is very seldom reported in literature. Although cardiovascular and respiratory disorders are more frequently seen after this entity, we aimed to emphasize this rare but dangerous complication in near-drowning patients. © 2015 International Society for Hemodialysis.

  12. A challenging case of invasive pulmonary aspergillosis after near-drowning: a case report and literature review.

    Science.gov (United States)

    Jenks, Jeffrey D; Preziosi, Michael

    2015-09-01

    Near-drowning, a relatively common event, is often complicated by subsequent pneumonia. While endogenous and exogenous bacteria are typical pathogens, rarely fungi are as well. We report a complicated case of invasive pulmonary aspergillosis in a 30-year-old man after a near-drowning event. We also review the medical literature for similar cases. All cases of invasive pulmonary aspergillosis after near-drowning reported in the literature involve Aspergillus fumigatus . The majority of cases involved submersion in stagnant water after a motor vehicle accident (MVA). Treatment varied considerably, with amphotericin B used in the majority of cases. Morbidity was considerable with prolonged hospitalization occurring in every case, and mortality occurring in fifty percent of the reported cases. Although a rare complication of near-drowning, invasive pulmonary aspergillosis can occur and lead to significant morbidity and mortality. After near-drowning A. fumigatus isolated from the respiratory tract should be assumed to be a true pathogen and treated accordingly.

  13. The legacy of fear: is fear impacting fatal and non-fatal drowning of African American children?

    Science.gov (United States)

    Irwin, Carol C; Irwin, Richard L; Ryan, Timothy D; Drayer, Joris

    2011-01-01

    African American children’s rates for fatal and non-fatal drowning events are alarmingly elevated, with some age groups having three times the rate as compared to White peers. Adequate swimming skills are considered a protective agent toward the prevention of drowning, but marginalized youth report limited swimming ability. This research examined minority children’s and parents/caregivers’ fear of drowning as a possible variable associated with limited swimming ability. Results confirmed that there were significant racial differences concerning the fear of drowning, and adolescent African American females were notably more likely to fear drowning while swimming than any other group. The “fear of drowning” responses by parents/ caregivers of minority children were also significantly different from their White counterparts.

  14. Possible pulmonary Rhizopus oryzae infection in a previously healthy child after a near-drowning incident.

    Science.gov (United States)

    Gerlach, Magdalena M; Lippmann, Norman; Kobelt, Louise; Petzold-Quinque, Stefanie; Ritter, Lutz; Kiess, Wieland; Siekmeyer, Manuela

    2016-06-01

    This article reports on a previously healthy 17-month-old boy who developed pulmonary mucormycosis after a near-drowning incident in a goose pond. The patient survived without neurological sequelae and recovered, under treatment with amphotericin B, from the rare and often invasive fungal infection with Rhizopus spp., usually occurring in immunodeficient patients.

  15. [Post nearly Drowning Vibrio alginolyticus Septicemia Acquired in Reunion (Indian Ocean)].

    Science.gov (United States)

    Gaüzère, B-A; Chanareille, P; Vandroux, D

    2016-08-01

    AbstractWe report the first case of Vibrio alginolyticus septicemia in the Indian Ocean (Reunion Island), in a patient (70-year-old-man) with multiple underlying conditions, following a nearly drowning in the lagoon of Reunion. From now on, V. alginolyticus should be considered as a possible agent of septicemia in the Indian Ocean, particularly following marine activities.

  16. Presumed drowning of Aleutian Canada geese on the Pacific coast of California and Oregon

    Science.gov (United States)

    Springer, Paul F.; Lowe, Roy W.; Stroud, Richard K.; Gullett, Patricia A.

    1989-01-01

    Carcasses of 42 and 17 Aleutian Canada geese (Branta canadensis leucopareia), a federally listed endangered species, were found on ocean beaches near Crescent City, California, and near Pacific City, Oregon, respectively, following severe storms. Necropsies and other information suggest that the birds were flushed during the storms and somehow entered the water where they were washed into the surf and drowned.

  17. An original case of Francisella tularensis subsp. holarctica bacteremia after a near-drowning accident.

    Science.gov (United States)

    Ughetto, Estelle; Héry-Arnaud, Geneviève; Cariou, Marie-Estelle; Pelloux, Isabelle; Maurin, Max; Caillon, Jocelyne; Moreau, Philippe; Ygout, Jean-François; Corvec, Stéphane

    2015-08-01

    We report the first case of Francisella tularensis subsp. holarctica bacteremia after water contamination in France. A 75-year-old man developed septic pneumonic tularemia after a near-drowning accident. We highlight the need for a longer incubation time for isolation of F. tularensis from blood cultures.

  18. Fulminant Invasive Pulmonary Aspergillosis After a Near-Drowning Accident in an Immunocompetent Patient.

    Science.gov (United States)

    Ratermann, Kelley L; Ereshefsky, Benjamin J; Fleishaker, Elise L; Thornton, Alice C; Buch, Ketan P; Martin, Craig A

    2014-09-01

    To report on invasive aspergillosis infection in an immunocompetent adult after a near-drowning event, which allowed this pathogen to easily gain access to the human respiratory system and result in rapid, severe infection. A 51-year-old female developed severe pneumonia after a near-drowning accident. Two days after admission, a bronchial alveolar lavage (BAL) was performed and was positive for Aspergillus fumigatus. After a 30-day hospital course, multiple antifungals, and various routes of administration, the patient expired. Pneumonia is particularly common because of the aspiration of contaminated water. Whereas pneumococci, staphylococci, and Gram-negative bacteria are all common pathogens for this type of infection, fungi such as Aspergillus spp can also be involved and may be life threatening. Typically, these cases are reported in individuals with an immunodeficiency such as from receipt of myelosuppressive chemotherapy, bone marrow transplants, or lung transplants. Despite initiation of an appropriate empirical antifungal regimen, the rapid recovery of A fumigatus from pulmonary alveolar lavage and BAL samples as well as extremely elevated levels of galactomannan and (1→3)-β-D glucan may have indicated an invasive fungal infection (IFI). IFIs are uncommon in immunocompetent adults, but in the event of a near-drowning accident, environmental fungi can gain access to the human respiratory system and result in rapid, severe infection. Based on this case and the others described, it appears that near-drowning patients need an early initial evaluation for IFI. © The Author(s) 2014.

  19. Drowning of the - 150 m reef off Hawaii: A casualty of global meltwater pulse 1A?

    Science.gov (United States)

    Webster, J.M.; Clague, D.A.; Riker-Coleman, K.; Gallup, C.; Braga, J.C.; Potts, D.; Moore, J.G.; Winterer, E.L.; Paull, C.K.

    2004-01-01

    We present evidence that the drowning of the - 150 m coral reef around Hawaii was caused by rapid sea-level rise associated with meltwater pulse 1A (MWP-1A) during the last deglaciation. New U/Th and 14C accelerator mass spectrometry dates, combined with reinterpretation of existing radiometric dates, constrain the age of the coral reef to 15.2-14.7 ka (U/Th age), indicating that reef growth persisted for 4.3 k.y. following the end of the Last Glacial Maximum at 19 ka. The drowning age of the reef is roughly synchronous with the onset of MWP-1A between 14.7 and 14.2 ka. Dates from coralline algal material range from 14 to 10 cal ka (calibrated radiocarbon age), 1-4 k.y. younger than the coral ages. A paleoenvironmental reconstruction incorporating all available radiometric dates, high-resolution bathymetry, dive observations, and coralgal paleobathymetry data indicates a dramatic rise in sea level around Hawaii ca. 14.7 ka. Paleowater depths over the reef crest increased rapidly above a critical depth (30-40 m), drowning the shallow reef-building Porites corals and causing a shift to deepwater coralline algal growth, preserved as a crust on the drowned reef crest. ?? 2004 Geological Society of America.

  20. Attempts to Dodge Drowning in Data : Rule- and Risk-Based Anti Money Laundering Policies Compared

    NARCIS (Netherlands)

    Unger, B.; van Waarden, F.

    Both in the US and in Europe anti money laundering policy switched from a rule-to a risk-based reporting system in order to avoid over-reporting by the private sector. However, reporting increased in most countries, while the quality of information decreased. Governments drowned in data because

  1. Leucocyte depletion in a drowning victim during rewarming with extracorporeal circulation may limit pulmonary oedema

    NARCIS (Netherlands)

    Vermeijden, Wytze J.; de Vries, Hans; Kieboom, Joke; Waterbolk, Tjalling

    2006-01-01

    We report two drowning victims with hypothermic circulatory arrest who were resuscitated with the use of extracorporeal circulation (ECC). The first patient developed severe post-bypass pulmonary oedema and inspired us to use a leucocyte-depletion filter in the second patient to attenuate

  2. Drones may be used to save lives in out of hospital cardiac arrest due to drowning.

    Science.gov (United States)

    Claesson, A; Svensson, L; Nordberg, P; Ringh, M; Rosenqvist, M; Djarv, T; Samuelsson, J; Hernborg, O; Dahlbom, P; Jansson, A; Hollenberg, J

    2017-05-01

    Drowning leading to out-of-hospital cardiac arrest (OHCA) and death is a major public health concern. Submersion with duration of less than 10min is associated with favorable neurological outcome and nearby bystanders play a considerable role in rescue and resuscitation. Drones can provide a visual overview of an accident scene, their potential as lifesaving tools in drowning has not been evaluated. The aim of this simulation study was to evaluate the efficiency of a drone for providing earlier location of a submerged possible drowning victim in comparison with standard procedure. This randomized simulation study used a submerged manikin placed in a shallow (drone transmitting video to a tablet (intervention). Time from start to contact with the manikin was the primary endpoint. Twenty searches were performed in total, 10 for each group. The median time from start to contact with the manikin was 4:34min (IQR 2:56-7:48) for the search party (control) and 0:47min (IQR 0:38-0:58) for the drone-system (intervention) respectively (pdrone was 3:38min (IQR 2:02-6:38). A drone transmitting live video to a tablet is feasible, time saving in comparison to traditional search parties and may be used for providing earlier location of submerged victims at a beach. Drone search can possibly contribute to earlier onset of CPR in drowning victims. Copyright © 2017 Elsevier B.V. All rights reserved.

  3. Childhood near-drowning retrospectIve reVIew a 12-year

    African Journals Online (AJOL)

    1990-10-06

    Oct 6, 1990 ... age (ratio of boys to girls 2,1:1) and 46% of accidents occurred In swimming ..... great deal of work needs to be done in South Africa before effective preventive ... can prevent a large percentage of drownings provided they are.

  4. Recovery from near drowning and postanoxic status epilepticus with controlled hypothermia

    NARCIS (Netherlands)

    de Pont, A C J M; de Jager, C P C; van den Bergh, W M; Schultz, M J

    A diver was resuscitated after cardiac arrest due to near drowning and was hypothermic on hospital arrival. During rewarming, status epilepticus occurred, previously identified as a predictor of poor outcome. The seizures responded well to treatment with antiepileptic drugs and controlled

  5. Recovery from near drowning and postanoxic status epilepticus with controlled hypothermia

    NARCIS (Netherlands)

    de Pont, A. C. J. M.; de Jager, C. P. C.; van den Bergh, W. M.; Schultz, M. J.

    2011-01-01

    A diver was resuscitated after cardiac arrest due to near drowning and was hypothermic on hospital arrival. During rewarming, status epilepticus occurred, previously identified as a predictor of poor outcome. The seizures responded well to treatment with antiepileptic drugs and controlled

  6. Formative research to develop theory-based messages for a Western Australian child drowning prevention television campaign: study protocol.

    Science.gov (United States)

    Denehy, Mel; Crawford, Gemma; Leavy, Justine; Nimmo, Lauren; Jancey, Jonine

    2016-05-20

    Worldwide, children under the age of 5 years are at particular risk of drowning. Responding to this need requires the development of evidence-informed drowning prevention strategies. Historically, drowning prevention strategies have included denying access, learning survival skills and providing supervision, as well as education and information which includes the use of mass media. Interventions underpinned by behavioural theory and formative evaluation tend to be more effective, yet few practical examples exist in the drowning and/or injury prevention literature. The Health Belief Model and Social Cognitive Theory will be used to explore participants' perspectives regarding proposed mass media messaging. This paper describes a qualitative protocol to undertake formative research to develop theory-based messages for a child drowning prevention campaign. The primary data source will be focus group interviews with parents and caregivers of children under 5 years of age in metropolitan and regional Western Australia. Qualitative content analysis will be used to analyse the data. This study will contribute to the drowning prevention literature to inform the development of future child drowning prevention mass media campaigns. Findings from the study will be disseminated to practitioners, policymakers and researchers via international conferences, peer and non-peer-reviewed journals and evidence summaries. The study was submitted and approved by the Curtin University Human Research Ethics Committee. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  7. Drowned reefs and antecedent karst topography, Au'au channel, S.E. Hawaiian Islands

    Science.gov (United States)

    Grigg, R.W.; Grossman, E.E.; Earle, S.A.; Gittings, S.R.; Lott, D.; McDonough, J.

    2002-01-01

    During the last glacial maximum (LGM), about 21,000 years ago, the Hawaiian Islands of Maui, Lanai, and Molokai were interconnected by limestone bridges, creating a super-island known as Maui-Nui. Approximately 120 m of sea-level rise during the Holocene Transgression flooded, and then drowned, these bridges separating the islands by inter-island channels. A new multibeam high-resolution bathymetric survey of the channels between the islands, coupled with observations and video-transects utilizing DeepWorker-2000 submersibles, has revealed the existence of numerous drowned reef features including concentric solution basins, solution ridges (rims), sand and sediment plains, and conical-shaped reef pinnacles. The concentric basins contain flat lagoon-like bottoms that are rimmed by steep-sided limestone walls. Undercut notches rim the basins at several depths, marking either sea-level still stands or paleo-lake levels. All of the solution basins shallower than 120 m were subaerial at the LGM, and at one stage or another may have been shallow shoreline lakes. Today, about 70 drowned reef pinnacles are scattered across the Maui-Lanai underwater bridge and all are situated in wave-sheltered positions. Most drowned during the interval between 14,000 and 10,000 years ago when sea-level rise averaged 15 mm/year. Virtually all of the surficial topography in the Au'au Channel today is a product of karst processes accentuated by marginal reef growth during the Holocene. Both the submerged basins and the drowned reefs represent an archive of sea-level and climate history in Hawaii during the late Quaternary.

  8. Layering of stomach contents in drowning cases in post-mortem computed tomography compared to forensic autopsy.

    Science.gov (United States)

    Gotsmy, Walther; Lombardo, Paolo; Jackowski, Christian; Brencicova, Eva; Zech, Wolf-Dieter

    2018-04-24

    In forensic autopsy, the analysis of stomach contents is important when investigating drowning cases. Three-layering of stomach contents may be interpreted as a diagnostic hint to drowning due to swallowing of larger amounts of water or other drowning media. The authors experienced frequent discrepancies of numbers of stomach content layering in drowning cases between post-mortem computed tomography (PMCT) and autopsy in forensic casework. Therefore, the goal of this study was to compare layering of stomach contents in drowning cases between PMCT and forensic autopsy. Drowning cases (n = 55; 40 male, 15 female, mean age 45.3 years; mean amount of stomach content 223 ml) that received PMCT prior to forensic autopsy were retrospectively analyzed by a forensic pathologist and a radiologist. Number of layers of stomach content in PMCT were compared to number of layers at forensic autopsy. In 28 of the 55 evaluated drowning cases, a discrepancy between layering of stomach contents at autopsy compared to PMCT was observed: 1 layer at autopsy (n = 28): 50% discrepancy to PMCT, 2 layers (n = 20): 45% discrepancy, and 3 layers (n = 7): 71.4% discrepancy. Sensitivity of correctly determining layering (as observed at forensic autopsy) in PMCT was 52% (positive predictive value 44.8%). Specificity was 46.6% (negative predictive value 53.8%). In a control group (n = 35) of non-drowning cases, three-layering of stomach contents was not observed. Discrepancies of observed numbers of stomach content layers between PMCT and forensic autopsy are a frequent finding possibly due to stomach content sampling technique at autopsy and movement of the corpse prior to PMCT and autopsy. Three-layering in PMCT, if indeed present, may be interpreted as a hint to drowning.

  9. Drowning--a scientometric analysis and data acquisition of a constant global problem employing density equalizing mapping and scientometric benchmarking procedures.

    Science.gov (United States)

    Groneberg, David A; Schilling, Ute; Scutaru, Cristian; Uibel, Stefanie; Zitnik, Simona; Mueller, Daniel; Klingelhoefer, Doris; Kloft, Beatrix

    2011-10-14

    Drowning is a constant global problem which claims approximately half a million victims worldwide each year, whereas the number of near-drowning victims is considerably higher. Public health strategies to reduce the burden of death are still limited. While research activities in the subject drowning grow constantly, yet there is no scientometric evaluation of the existing literature at the present time. The current study uses classical bibliometric tools and visualizing techniques such as density equalizing mapping to analyse and evaluate the scientific research in the field of drowning. The interpretation of the achieved results is also implemented in the context of the data collection of the WHO. All studies related to drowning and listed in the ISI-Web of Science database since 1900 were identified using the search term "drowning". Implementing bibliometric methods, a constant increase in quantitative markers such as number of publications per state, publication language or collaborations as well as qualitative markers such as citations were observed for research in the field of drowning. The combination with density equalizing mapping exposed different global patterns for research productivity and the total number of drowning deaths and drowning rates respectively. Chart techniques were used to illustrate bi- and multilateral research cooperation. The present study provides the first scientometric approach that visualizes research activity on the subject of drowning. It can be assumed that the scientific approach to this topic will achieve even greater dimensions because of its continuing actuality.

  10. Risk profile for drowning deaths in children in the Indian state of Bihar: results from a population-based study.

    Science.gov (United States)

    Dandona, Rakhi; Kumar, G Anil; George, Sibin; Kumar, Amit; Dandona, Lalit

    2018-05-19

    We report on incidence of drowning deaths and related contextual factors in children from a population-based study in the Indian state of Bihar which estimated the causes of death using verbal autopsy (VA). Interviews were conducted for deaths in 1-14 years population that occurred from January 2012 to March 2014 in 109 689 households (87.1% participation) in 1017 clusters representative of the state. The Population Health Metrics Research Consortium shortened VA questionnaire was used for interview and cause of death was assigned using the SmartVA automated algorithm. The annualised unintentional drowning death incidence, activity prior to drowning, the body of water where drowning death had occurred and contextual information are reported. The survey covered 224 077 children aged 1-14 years. Drowning deaths accounted for 7.2%, 12.5% and 5.8% of all deaths in 1-4, 5-9 and 10-14 years age groups, respectively. The adjusted incidence of drowning deaths was 14.3 (95% CI 14.0 to 14.7) per 100 000 children, with it being higher in urban (16.1, 95% CI 14.8 to 17.3) areas. Nearly half of the children drowned in a river (5.9, 95% CI 5.6 to 6.1) followed by in a pond (2.8, 95% CI 2.6 to 2.9). Drowning death incidence was the highest while playing (5.1, 95% CI 4.9 to 5.4) and bathing (4.0, 95% CI 3.8 to 4.2) with the former accounting for more deaths in 1-4 years age group. Sixty per cent of children were already dead when found. None of these deaths were reported to the civil registration system to obtain death certificate. The findings from this large representative sample of children document the magnitude of and variations in unintentional drowning deaths in Bihar. Urgent targeted drowning interventions are needed to address the risk in children. Gross under-reporting of drowning deaths in children in India needs attention. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No

  11. Central extracorporeal membrane oxygenation requiring pulmonary arterial venting after near-drowning.

    Science.gov (United States)

    Kimura, Mitsutoshi; Kinoshita, Osamu; Fujimoto, Yoshifumi; Murakami, Arata; Shindo, Takahiro; Kashiwa, Koichi; Ono, Minoru

    2014-02-01

    Extracorporeal membrane oxygenation (ECMO) is an effective respiratory and circulatory support in patients in refractory cardiogenic shock or cardiac arrest. Peripheral ECMO sometimes requires left heart drainage; however, few reports state that pulmonary arterial (PA) venting is required during ECMO support. We present a case of a 14-year-old boy who required PA venting during ECMO support after resuscitation from near-drowning in freshwater. A biventricular assist device with an oxygenator implantation was intended on day 1; however, we were unable to proceed because of increasing of pulmonary vascular resistance from the acute lung injury. Central ECMO with PA venting was then performed. On day 13, central ECMO was converted to biventricular assist device with an oxygenator, which was removed on day 16. This case suggests that PA venting during ECMO support may be necessary in some cases of respiratory and circulatory failure with high pulmonary vascular resistance after near-drowning.

  12. Therapeutic hypothermia brings favorable neurologic outcomes in children with near drowning.

    Science.gov (United States)

    Chen, Ming-Chun; Chu, Chia-Hsiang; Cheng, Ching-Feng; Lin, Jun-Song; Chen, Jui-Hsia; Chang, Yu-Hsun

    2016-01-01

    A 1-year-10-month-old boy was admitted to our pediatric intensive care unit due to near drowning with pulmonary edema. A conventional ventilator with 100% oxygen supplementation was used initially, but was shifted to high frequency oscillatory ventilation as his oxygen saturation was around 84-88%. Therapeutic hypothermia was applied due to hypoxic ischemic encephalopathy with severe acidosis. His respiratory condition improved and he was extubated successfully on the 6 th hospital day. The patient had no obvious neurological defects and he was discharged in a stable condition after 17 days of hospitalization. Our case report demonstrates the advantages of therapeutic hypothermia on survival and neurological outcomes in treating pediatric near drowning patients.

  13. ‘When the Reservoir Comes’: Drowned Villages, Community and Nostalgia in Contemporary British Fiction

    Directory of Open Access Journals (Sweden)

    Eileen Pollard

    2017-12-01

    Full Text Available A ‘drowned’ or flooded village describes the destruction of a settlement or community to make way for a reservoir; as a practice, it most commonly occurred in Britain during the late nineteenth and early twentieth centuries when the need for fresh water in growing industrial cities was at its height. This essay will explore three different representations of the ‘drowned village’ in contemporary British fiction. Reginald Hill’s On Beulah Height (1992, Hilary Mantel’s short story ‘The Clean Slate’ (2001 and Sarah Hall’s Haweswater (2002 will all be considered in terms of how the drowned village is presented and described, and what this representation suggests about the ways nostalgia, ritual and ruin impact upon notions of community and place.

  14. Electrolytes imbalance in saltwater near-drowning victims in the Gulf of Thailand.

    Science.gov (United States)

    Yongsiri, Somchai; Dinchuthai, Pakapan; Thammakumpee, Jiranuch; Prongnamchai, Suriya; Chueansuwan, Rachaneeporn; Tangjaturonrasme, Siriporn; Chaivanit, Pechngam

    2013-10-01

    Near-drowning victims in saltwater are expected to have multiple electrolytes imbalance that affected treatment outcome. There are limited data about these parameters in Thailand to guide the treatment plan. To study the characteristic of electrolytes imbalance in saltwater near-drowning victims in the Gulf of Thailand. Retrospective analytic study of 39 medical records of near-drowning patients admitted to Burapha University Hospital between 2000 and 2010. Characteristics of the patients and serum electrolytes were analyzed by SPSS version 19 for windows. The study included 23 male, 16 female patients. Average age was 14.46 +/- 11.15 years and 19/39 (48.72%) patients were aged 10 or less. The following electrolytes imbalance were identified, hypokalemia 8/39 (20.51%), hypernatremia 12/39 (30.77%), hyperchloremia 15/39 (38.46%), high anion gap 23/39 (58.97%), and hypobicarbonatemia 28/39 (71.79%). Seven out of eight patients in the hypokalemia group were in the high anion gap group. Mean SpO2 in the patients who had high anion gap was significantly lower than those who had normal anion gap (87.06 +/- 17.68% vs. 95.8 +/- 5.94% p = 0.031) without difference in systolic blood pressure (112.59 +/- 14.63 vs. 105.67 +/- 13.98 p = 0.159). Those who were hypotensive significantly had lower bicarbonate (17.00 +/- 3.51 vs. 20.59 +/- 3.81 p = 0.038) and higher anion gap (19.29 +/- 1.799 vs. 16.25 +/- 6.25 p = 0.025) than normotensive patients. Hypobicarbonatemia, high anion gap, hypernatremia, and hypokalemia were common in saltwater near-drowning patients in the Gulf of Thailand. The cause of high anion gap was probably due to hypoxia and hypotension.

  15. Surfactant for acute respiratory distress syndrome caused by near drowning in a newborn.

    Science.gov (United States)

    Fettah, Nurdan; Dilli, Dilek; Beken, Serdar; Zenciroglu, Aysegul; Okumuş, Nurullah

    2014-03-01

    Near drowning is the term for survival after suffocation caused by submersion in water or another fluid. Pulmonary insufficiency may develop insidiously or suddenly because of near drowning. We want to present a newborn case of acute respiratory distress syndrome caused by near drowning. A 26-day-old boy was brought to the emergency department because of severe respiratory distress. Two hours before admission, the baby suddenly slipped out his mother's hands and fell in the bathtub full of water while bathing. After initial resuscitation, he was transferred to the neonatal intensive care unit for mechanical ventilation. PaO2/FIO2 ratio was 97, with SaO2 of 84%. Bilateral heterogeneous densities were seen on his chest x-ray film. The baby was considered to have acute respiratory distress syndrome. Antibiotics were given to prevent infection. Because conventional therapy failed to improve oxygenation, a single dose of surfactant was tested via an intubation cannula. Four hours later, poractant alfa (Curosurf) administered repeatedly at the same dosage because of hypoxemia (PaO2/FIO2 ratio, 124; SaO2, 88%). Oxygen saturation was increased to more than 90% in 24 hours, which was maintained for 3 days when we were able to wean him from mechanical ventilation. After 7 days, the x-ray film showed considerable clearing of shadows. He was discharged home on the 15th day after full recovery. This case report describes a rapid and persistent improvement after 2 doses of surfactant in acute respiratory distress syndrome with severe oxygenation failure caused by near drowning in a newborn.

  16. Evaluation of a Drowning Prevention Program Based on Testimonial Videos: A Randomized Controlled Trial.

    Science.gov (United States)

    Shen, Jiabin; Pang, Shulan; Schwebel, David C

    2016-06-01

    Unintentional drowning is the most common cause of childhood death in rural China. Global intervention efforts offer mixed results regarding the efficacy of educational programs. Using a randomized controlled design, we evaluated a testimonial-based intervention to reduce drowning risk among 280 3rd- and 4th-grade rural Chinese children. Children were randomly assigned to view either testimonials on drowning risk (intervention) or dog-bite risk (control). Safety knowledge and perceived vulnerability were measured by self-report questionnaires, and simulated behaviors in and near water were assessed with a culturally appropriate dollhouse task. Children in the intervention group had improved children's safety knowledge and simulated behaviors but not perceived vulnerability compared with controls. The testimonial-based intervention's efficacy appears promising, as it improved safety knowledge and simulated risk behaviors with water among rural Chinese children. © The Author 2015. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  17. Hypercalcemic crisis resulting from near drowning in an indoor public bath.

    Science.gov (United States)

    Matsumoto, Ryusaku; Yamada, Go; Amano, Aya; Yamada, Tomoko; Hamamatsu, Keita; Murabe, Hiroyuki; Yokota, Toshihiko

    2013-01-01

    Male, 66. Hypercalcemic crisis. Near drowning state. - - Critical care medicine. Challenging differential diagnosis. Hypercalcemic crisis, generally caused by malignancy or primary hyperparathyroidism, is a life-threatening emergency that can result in multi-organ failure. Lowering the patient's calcium level immediately and determining the correct etiology are essential. We report a case of hypercalcemic crisis with a novel etiology. A 66-year-old male presented to the emergency room in cardiac arrest with a ventricular arrhythmia after being discovered submerged in an indoor public bath. He underwent cardioversion and was emergently intubated. Computed tomography showed bilateral pulmonary edema, suspected from water aspiration. Laboratory data revealed severe hypercalcemia and mild hypernatremia. Following three days of continuous hemodiafiltration, serum Ca decreased to and remained within normal limits. We concluded the etiology of hypercalcemia was absorption of Ca resulting from aspirated water. Near drowning can be a cause of hypercalcemic crisis. For cases of near drowning, it is important to investigate the source of the aspirated water and consider electrolyte abnormalities in the diagnosis.

  18. Are parents just treading water? The impact of participation in swim lessons on parents' judgments of children's drowning risk, swimming ability, and supervision needs.

    Science.gov (United States)

    Morrongiello, Barbara A; Sandomierski, Megan; Schwebel, David C; Hagel, Brent

    2013-01-01

    Drowning is a leading cause of child mortality globally. Strategies that have been suggested to reduce pediatric drowning risk include increased parental awareness of children's swimming ability and drowning risk, improved adult supervision of child swimmers, and providing swim lessons to children. This study explored how parents' beliefs relevant to children's drowning risk, perception of children's swimming ability, and judgments of supervision needs changed as children aged two through 5 years accumulated experience in swim lessons, and compared a parent group who received regular, detailed feedback about their child's swim skills with one that did not. Parents completed questionnaire measures near the beginning and end of a series of 10 weekly swim lessons. Results revealed that parental accuracy in judging children's swimming abilities remained relatively poor even though it improved from the beginning to the end of the swim lessons. Supervision needs were underestimated and did not vary with program or change over the course of swim lessons. Children's ability to keep themselves from drowning was overestimated and did not change over lessons or vary with program; parents believed that children could save themselves from drowning by the age of 6.21 years. Parents who had experienced a close call for drowning showed greater awareness of children's drowning risk and endorsed more watchful and proximal supervision. Results suggest that expanding learn-to-swim programs to include a parent-focused component that provides detailed tracking of swim skills and delivers messaging targeting perceptions of children's drowning risk and supervision needs may serve to maximize the drowning protection afforded by these programs. Delivering messaging in the form of 'close-call' drowning stories may prove especially effective to impact parents' supervision practices in drowning risk situations. Copyright © 2012 Elsevier Ltd. All rights reserved.

  19. Diagnosis of drowning using post-mortem computed tomography based on the volume and density of fluid accumulation in the maxillary and sphenoid sinuses.

    Science.gov (United States)

    Kawasumi, Yusuke; Kawabata, Tomoyoshi; Sugai, Yusuke; Usui, Akihito; Hosokai, Yoshiyuki; Sato, Miho; Saito, Haruo; Ishibashi, Tadashi; Hayashizaki, Yoshie; Funayama, Masato

    2013-10-01

    Recent studies have reported that drowning victims frequently have fluid accumulation in the paranasal sinuses, most notably the maxillary and sphenoid sinuses. However, in our previous study, many non-drowning victims also had fluid accumulation in the sinuses. Therefore, we evaluated the qualitative difference in fluid accumulation between drowning and non-drowning cases in the present study. Thirty-eight drowning and 73 non-drowning cases were investigated retrospectively. The fluid volume and density of each case were calculated using a DICOM workstation. The drowning cases were compared with the non-drowning cases using the Mann-Whitney U-test because the data showed non-normal distribution. The median fluid volume was 1.82 (range 0.02-11.7) ml in the drowning cases and 0.49 (0.03-8.7) ml in the non-drowning cases, and the median fluid density was 22 (-14 to 66) and 39 (-65 to 77) HU, respectively. Both volume and density differed significantly between the drowning and non-drowning cases (p=0.001, p=0.0007). Regarding cut-off levels in the ROC analysis, the points on the ROC curve closest (0, 1) were 1.03ml (sensitivity 68%, specificity 68%, PPV 53%, NPV 81%) and 27.5 HU (61%, 70%, 51%, 77%). The Youden indices were 1.03ml and 37.8 HU (84%, 51%, 47%, 86%). When the cut-off level was set at 1.03ml and 27.5HU, the sensitivity was 42%, specificity 45%, PPV 29% and NPV 60%. When the cut-off level was set at 1.03ml and 37.8HU, sensitivity was 58%, specificity 32%, PPV 31% and NPV 59%. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

  20. [Value of specific 16S rDNA fragment of algae in diagnosis of drowning: an experiment with rabbits].

    Science.gov (United States)

    Li, Peng; Xu, Qu-Yi; Chen, Ling; Liu, Chao; Zhao, Jian; Wang, Yu-Zhong; Yu, Zheng-Liang; Hu, Sun-Lin; Wang, Hui-Jun

    2015-08-01

    To establish a method for amplifying specific 16S rDNA fragment of algae related with drowning and test its value in drowning diagnosis. Thirty-five rabbits were randomly divided into 3 the drowning group (n=15), postmortem water immersion group (n=15, subjected to air embolism before seawater immersion), and control group(n=5, with air embolism only). Twenty samples of the liver tissues from human corpses found in water were also used, including 14 diatom-positive and 6 diatom-negative samples identified by microwave digestion-vacuum filtration-automated scanning electron microscopy (MD-VF-Auto SEM). Seven known species of algae served as the control algae (Melosira sp, Nitzschia sp, Synedra sp, Navicula sp, Microcystis sp, Cyclotella meneghiniana, and Chlorella sp). The total DNA was extracted from the tissues and algae to amplify the specific fragment of algae followed by 8% polyacrylamide gelelectrophoresis and sliver-staining. In the drowning group, algae was detected in the lungs (100%), liver (86%), and kidney (86%); algae was detected in the lungs in 2 rabbits in the postmortem group (13%) and none in the control group. The positivity rates of algae were significantly higher in the drowning group than in the postmortem group (Palgae, including sample that had been identified as diatom-negative by MD-VF-Auto SEM. All the 7 control algae samples yielded positive results in PCR. The PCR-based method has a high sensitivity in algae detection for drowning diagnosis and allows simultaneous detection of multiple algae species related with drowning.

  1. Drowning unconformity of lacustrine rift basins: A case study from the Dongying Sag in Bohai Bay Basin, China

    Science.gov (United States)

    Chen, R.; Fan, J.

    2015-12-01

    The concept of drowning unconformity of lacustrine rift basins was proposed in this paper. This paper utilized 3D seismic data, well-log and the principles methods associated with structural geology, sedimentology and geochemistry, to analyze the drowning unconformity and discuss the origins of drowning unconformity in Dongying Sag in Bohai Bay Basin.Researching on it is not only important for a better understanding of tectonic evolution, palaeogeography and sedimentation of hydrocarbon source rocks, but also a vital guiding significance for the exploration of beach-bar sandstone reservoirs and shale oil.1. The concept of drowning unconformity of lacustrine rift basins is defined. With the consequences of rapid tectonic subsidence in basin, the sharp rise of lake-level and the increased rate of accommodation(A) in basin exceeded the rate of sediment supply(S),namely A>>S, the basin suddenly transformed into deep-water settings from shallow-water settings with sudden change of sediment transport and sediment dispersal patterns. 2.The sequence surface between Sha4 and Sha3 Member of Shahejie Formation is the drowning unconformity(43.5Ma). There are the sedimentary association of the reefs in shallow lacustrine, beach-bar sandstones and glutenite fan bodies under the surface. By contrast, there are the sedimentary association of deep-lake oil shales and shales over the surface. The drowning unconformity in Dongying Sag is a tectonic revolution surface which is changed from extensional tectonics to transtensional tectonics and it is also the surface of discontinuity from shallow lacustrine to deep lacustrine. The responses to sudden changes appeared in the parameters of geophysics, geochemistry and paleontology. 3. With the penetration of India into Asia plate in NNE trending,the subduction zones of Pacific Plate retreated. It caused the rapid downwelling of asthenospheric mantle, followed by the extensive drowning unconformity.

  2. Therapeutic bronchoscopy in a child with sand aspiration and respiratory failure from near drowning--case report and literature review.

    Science.gov (United States)

    Kapur, N; Slater, A; McEniery, J; Greer, M L; Masters, I B; Chang, A B

    2009-10-01

    Foreign matter aspiration occurs relatively commonly in drowning and near-drowning events. In most cases, stomach contents are aspirated. Sand aspiration rarely occurs and there are no reported cases in children with near drowning. Limited data are available on clinical presentation and management of sand aspiration with accidental burial. We report a 3-year-old boy who nearly drowned while swimming in brackish waters and was found face down in sand. Sand aspiration was suspected when the child continued to have persistent wheezing and high ventilatory requirement despite intensive bronchodilator and corticosteroids therapy with an inability to wean after 4 days post-near-drowning event. Radiology was non-specific in the absence of sand bronchogram. Presence of sand in the airways was confirmed when a bronchoscopy was undertaken and sand seen in the bronchoalveolar lavage fluid. Sequential lung washing followed by exogenous surfactant administration (3 ml/kg) was undertaken and lead to significant improvement such that within 12 hr post-therapeutic lavage, his ventilatory requirements reduced substantially. The child was extubated 4 days post-lavage and on review 2 months post-event, was clinically well with airway resistance within normal predicted values measured on forced oscillatory spirometry (IOS).

  3. Successful liver transplantation from donor with Plesiomonas shigelloides sepsis after freshwater drowning: case report and review of literature on gram-negative bacterial aspiration during drowning and utilization of organs from bacteremic donors.

    Science.gov (United States)

    Bonatti, Hugo; Sifri, Costi; Sawyer, Robert G

    2012-04-01

    Plesiomonas shigelloides is a freshwater, non-fermentative gram-negative bacillus associated with diarrheal disease. Rare cases of invasive infection in human beings usually involve immunosuppressed individuals. We report a patient who underwent successful liver transplantation (LT) using a graft from a 14-year-old boy who had drowned in a freshwater lake. PUBMED was searched for both reported drowning victims with sepsis and outcomes of LT using organs from infected donors. Our patient received prophylactic piperacillin-tazobactam, which was switched to cefepime one day after transplantation when gram-negative bacteria grew in blood cultures of the donor. The next day, the organism was identified as P. shigelloides resistant to third- and fourth-generation cephalosporins; ciprofloxacin was given for seven days, and surveillance cultures remained negative. After an uneventful course the patient was discharged on day 10 after LT without signs of infection and is alive with a well-functioning graft. Literature review revealed one case of P. shigelloides in a potential allograft, in which the organism was isolated from heart valves of a drowning victim; the organs were discarded. Reports of freshwater drowning show that bacteremia is universally found post-mortem. Isolated pathogens correspond to specimens from the drowning site, with Aeromonas spp. being the most common and many other microorganisms described anecdotally. Livers from infected donors have been used, in most cases with good results if the recipient and, when possible, donor were treated appropriately; however, cases of fatal pathogen transmission have been reported. This is the first reported case of a LT using a graft from a donor with P. shigelloides sepsis. Drowning victims should be considered potentially infected with rare pathogens and therefore represent extended-criteria donors.

  4. Extracorporeal membrane oxygenation in near-drowning patients with cardiac or pulmonary failure.

    Science.gov (United States)

    Kim, Kun Il; Lee, Won Yong; Kim, Hyoung Soo; Jeong, Jae Han; Ko, Ho Hyun

    2014-12-12

    The aim of this study was to determine the early outcomes of using extracorporeal membrane oxygenation (ECMO) in near-drowning patients with cardiac or pulmonary failure. This study was based on data from 9 patients including 2 children (mean age 33; 8 males, 1 female) who received ECMO after near-drowning between 2008 and 2013. Veno-arterial or veno-arteriovenous ECMO was used in 2 patients with sustained cardiac arrest and veno-venous ECMO was used in 7 patients with severe acute respiratory distress syndrome (ARDS). The means of the partial arterial oxygen pressure (PaO2), Murray score, sequential organ failure assessment (SOFA) score, and simplified acute physiology score II (SAPS-II) prior to ECMO were 59.7 ± 9.9 mmHg on 100% oxygen, 3.5 ± 0.6, 11.4 ± 1.9, and 73.0 ± 9.2, respectively. The PaO2 mean improved to 182 ± 152 mmHg within 2 h post-ECMO. The mean of SOFA score and SAPS-II decreased significantly to 8.6 ± 3.2 (p = 0.013) and 46.4 ± 5.1 (p = 0.008), respectively, at 24 h post-ECMO with mean flow rate of 3.9 ± 0.8 l/min. ECMO was weaned at a mean duration of 188 (range, 43-672) h in all patients. Seven patients were discharged home without neurological sequelae, while 2 patients who had hypoxic brain damage died after further referral. The overall survival with favourable neurological outcomes at 3 months was 77.8%. There were no complications related to ECMO. ECMO was safe and effective for patients with ongoing cardiac arrest or ARDS after a near-drowning incident and can be used as a resuscitative strategy in near-drowning patients with cardiac or pulmonary failure resistant to conventional ventilator therapy.

  5. Journey of a survivor of near drowning, polymicrobial pneumonia, and acute respiratory distress syndrome.

    Science.gov (United States)

    Ecklund, Margaret M; Wahl, Gary; Yamshchikov, Alexandra V; Smith, Michael S

    2012-12-01

    This article discusses a woman who collapsed and landed in a puddle of water in a park near a horse trail. Her rescue and resuscitation started an extraordinary effort by her body to heal from multiple insults. This case study highlights the diagnosis and support of polymicrobial pneumonia secondary to near drowning and the multisystem complications throughout the 3-month hospitalization. It highlights the evidence for treatment of the polymicrobial nature of submersion injury, acute lung injury, and benefits of progressive mobility. Social media as a tool for the family's communication and coping are also discussed. Copyright © 2012 Elsevier Inc. All rights reserved.

  6. Successful management of acute respiratory failure with noninvasive mechanical ventilation after drowning, in an epileptic-patient

    Directory of Open Access Journals (Sweden)

    Paolo Ruggeri

    2016-01-01

    Full Text Available Sea drowning is a common cause of accidental death worldwide. Respiratory complications such as acute pulmonary oedema, which is often complicated by acute respiratory distress syndrome, is often seen. Noninvasive ventilation is already widely used as a first approach to treat acute respiratory failure resulting from multiple diseases. We report a case of a 45 year old man with a history of epilepsy, motor and mental handicap who developed acute respiratory failure secondary to sea water drowning after an epileptic crisis. We illustrate successful and rapid management of this case with noninvasive ventilation. We emphasize the advantages and limitations of using noninvasive ventilation to treat acute respiratory failure due to sea water drowning syndrome.

  7. Progressive drowning of carbonate platform in the Moravo-Silesian Basin (Czech Republic) before the Frasnian/Famennian event: facies, compositional variations and gamma-ray spectrometry

    Czech Academy of Sciences Publication Activity Database

    Bábek, O.; Přikryl, T.; Hladil, Jindřich

    2007-01-01

    Roč. 53, č. 2 (2007), s. 293-316 ISSN 0172-9179 Institutional research plan: CEZ:AV0Z30130516 Keywords : Devonian carbonate platform drowning * Frasnian/Famennian extinction * carbonate platform drowning Subject RIV: DB - Geology ; Mineralogy Impact factor: 0.989, year: 2007

  8. Severe Metabolic Acidosis and Pulmonary Edema: A Near-Drowning Case

    Directory of Open Access Journals (Sweden)

    Yasemin Çoban

    2018-03-01

    Full Text Available Drowning is defined as a situation which results in the death of the patient within the first 24 hours, while “near-drowning” refers to all conditions of submersion which does not cause death but brings about morbidity and damaging effects. A twenty-five-month-old boy was found immobile in a bathtub filled with water. The patient was transported to the intensive care unit from the emergency department where he vas ventilated with a bag-mask, then intubated, and diagnosed with respiratory insufficiency, and his respiration was supported by mechanical ventilator. Physical examination of the patient showed that he was hypothermic, not breathing spontaneously, his heart rate was 120/min., blood pressure 100/80 mmHg, he was unconscious, and Glasgow Coma scale was 5. The first blood analysis results were mmol/L. The pulmonary edema regressed, cardiopulmonary hemodynamic returned to normal. Then, at the 48th hour he was weaned from mechanical ventilator support. The patient was discharged from the hospital in good health, without negative cognitive and motor symptoms on the 10th day. The present case report aimed to highlight the importance of basic and advanced life support in cases of near-drowning which happens frequently among children, and to discuss the management of pulmonary edema and other complications.

  9. A Social Marketing Intervention to Prevent Drowning Among Inner-City Youth.

    Science.gov (United States)

    Glassman, Tavis J; Castor, Tom; Karmakar, Monita; Blavos, Alexis; Dagenhard, Paige; Domigan, Julianne; Sweeney, Erin; Diehr, Aaron; Kucharewski, Ruthie

    2018-03-01

    Water-related injuries and fatalities pose serious public health issues, especially to African American youth, a demographic group that drowns at disproportionately high rates. The purpose of this study was to determine if a social marketing intervention targeting the parents and guardians of inner-city youth (U.S. Midwest) could positively influence their perceptions concerning water safety. Researchers employed a quasi-experimental design using matched pairs to evaluate the intervention. Participants consisted of parents who enrolled their children in a six-session survival-swimming course. Guided by the Health Belief Model, the researchers disseminated six prevention messages using six different channels (brochure, e-mail, SMS text message, postcard, Facebook, and window cling). The findings from a two-way analysis of covariance revealed that treatment group participants' knowledge and perceptions of water-related threat all changed favorably. Additionally, all participants planned to reenroll their children in swim lessons. A social marketing campaign using the Health Belief Model improved inner-city parents' knowledge regarding water safety and enhanced their self-efficacy. This study provides practitioners with feasible strategies (prevention messages) to supplement swim lessons, with the ultimate goal of preventing drowning among at-risk youth.

  10. Near drowning

    Science.gov (United States)

    ... and was in very cold water. Suspect an accident if you see someone in the water fully ... scene, lung complications are common. Fluid and body chemical (electrolyte) imbalances may develop. Other ... editorial policy , editorial process and privacy policy . A.D.A.M. is ...

  11. Unintentional Drowning

    Science.gov (United States)

    ... 13:178-182. U. S. Consumer Product Safety Commission. Safety barrier guidelines for home pools [online]. [cited 2012 May 3]. Available from URL: ... S. Consumer Product Safety Commission. Submersions related to non-pool and non- ...

  12. Central nervous system anoxic-ischemic insult in children due to near-drowning

    International Nuclear Information System (INIS)

    Taylor, S.B.; Quencer, R.M.; Holzman, B.H.; Naidich, T.P.

    1985-01-01

    An analysis of admission and follow-up CT examinations of the brains of 17 children who had nearly drowned (15 of whom were comatose and two of whom were conscious on admission) indicated that a normal initial CT scan is common in the majority of comatose patients, a severe neurologic outcome may develop in spite of a normal initial CT examination, and abnormal initial or follow-up CT findings indicate the strong but not inevitable probability of a severe neurologic outcome. The authors conclude that when there is no head trauma, an initial CT examination is not necessary. Prediction of the clinical outcome cannot be made on the basis of the initial CT findings

  13. Death in Guizhou — Late Triassic drowning of the Yangtze carbonate platform

    Science.gov (United States)

    Enos, Paul; Wei Jiayong; Lehrmann, Daniel J.

    1998-06-01

    The Yangtze platform in south China formed a stable palaeogeographic element from the Late Proterozoic to the end of the Middle Triassic with deposition of shallow-water carbonates during much of this time. A portion of the Yangtze platform in south-central Guizhou drowned at the transition from Permian to Triassic, as the south-adjacent Nanpanjiang basin encroached about 100 km northward, but a new, stable platform margin was established that persisted through the Early and Middle Triassic. This long history as a stable carbonate platform ended at the transition from the Ladinian to the Carnian. The latest Ladinian rocks, the Yangliujing Formation, are 490 m of shoaling-upward carbonate cycles of grapestone and bioclastic grainstone, fenestral limestone, and stromatolitic dolomudstone, commonly overprinted by extensive subaerial diagenesis. The beginning of the Carnian is marked by a rapid transition to medium-dark-grey, nodular lime mudstones containing ammonoids, conodonts and thin-shelled bivalves, the Zhuganpo Formation. The upper part of this thin pelagic limestone contains many muddy intraclasts, some slightly bored and encrusted, indicating incipient cementation. The overlying Wayao Formation is a condensed black shale with thin interbeds of dark-grey, manganiferous lime mudstone near the base. Ammonoids, conodonts, thin-shelled bivalves, and articulated crinoid stems are abundant. Fine-grained greywacke with sole marks forms prominent bundles within grey, calcareous shale in the overlying Laishike Formation. Ammonoids and thin-shelled bivalves occur sporadically in this 810-m-thick unit. Calcareous shale with thicker-shelled bivalves and packages of cleaner, coarser-grained sandstone characterize the Banan Formation, 460 m thick. The sandstone units generally coarsen and thicken upward, with ripples, medium-scale trough cross-beds, and rare U-tube burrows. Quartzose, coal-bearing siliciclastics 690 m thick form the overlying Huobachong Formation. Thick

  14. Holocene evolution of a drowned melt-water valley in the Danish Wadden Sea

    DEFF Research Database (Denmark)

    Pedersen, Jørn Bjarke Torp; Svinth, Steffen; Bartholdy, Jesper

    2009-01-01

    Cores from the salt marshes along the drowned melt-water valley of river Varde Å in the Danish Wadden Sea have been dated and analysed (litho- and biostratigraphically) to reconstruct the Holocene geomorphologic evolution and relative sea level history of the area. The analysed cores cover...... the total post-glacial transgression, and the reconstructed sea level curve represents the first unbroken curve of this kind from the Danish Wadden Sea, including all phases from the time where sea level first reached the Pleistocene substrate of the area. The sea level has been rising from - 12 m below...... the present level at c. 8400 cal yr BP, interrupted by two minor drops of sea level rise, and the Holocene sequence consists in most places of clay atop...

  15. Drowning Mortality and Morbidity Rates in Children and Adolescents 0-19yrs: A Population-Based Study in Queensland, Australia

    Science.gov (United States)

    Wallis, Belinda A.; Watt, Kerrianne; Franklin, Richard C.; Nixon, James W.; Kimble, Roy M.

    2015-01-01

    Objective To redress the lack of Queensland population incidence mortality and morbidity data associated with drowning in those aged 0-19yrs, and to understand survival and patient care. Design, Setting and Participants Retrospective population-based study used data linkage to capture both fatal and non-fatal drowning cases (N = 1299) among children aged 0-19years in Queensland, from 2002-2008 inclusive. Patient data were accessed from pre-hospital, emergency department, hospital admission and death data, and linked manually to collate data across the continuum of care. Main Outcome Measures Incidence rates were calculated separately by age group and gender for events resulting in death, hospital admission, and non-admission. Trends over time were analysed. Results Drowning death to survival ratio was 1:10, and two out of three of those who survived were admitted to hospital. Incidence rates for fatal and non-fatal drowning increased over time, primarily due to an increase in non-fatal drowning. There were non-significant reductions in fatal and admission rates. Rates for non-fatal drowning that did not result in hospitalisation more than doubled over the seven years. Children aged 5-9yrs and 10-14yrs incurred the lowest incidence rates 6.38 and 4.62 (expressed as per 100,000), and the highest rates were among children aged 0-4yrs (all drowning events 43.90; fatal 4.04; non-fatal 39.85–comprising admission 26.69 and non-admission 13.16). Males were over-represented in all age groups except 10-14yrs. Total male drowning events increased 44% over the seven years (P<0.001). Conclusion This state-wide data collection has revealed previously unknown incidence and survival ratios. Increased trends in drowning survival rates may be viewed as both positive and challenging for drowning prevention and the health system. Males are over-represented, and although infants and toddlers did not have increased fatality rates, they had the greatest drowning burden demonstrating

  16. Cervical spinal cord injury associated with near-drowning does not increase pneumonia risk or mortality.

    Science.gov (United States)

    Butler, Thomas; Shin, Susanna; Collins, Jay; Britt, Rebecca C; Reed, Scott F; Weireter, Leonard J; Britt, L D

    2011-04-01

    Body surfing accidents (BSA) can cause cervical spinal cord injuries (CSCIs) that are associated with near-drowning (ND). The submersion injury from a ND can result in aspiration and predispose to pulmonary complications. We predicted a worse outcome (particularly the development of pneumonia) in patients with CSCIs associated with ND. A retrospective review was performed of patients who were treated at Eastern Virginia Medical School for a CSCI resulting from a blunt mechanism. Data collected included basic demographic data, data regarding injury and in-hospital outcomes, and discharge data, including discharge disposition. Statistics were performed using χ(2) and Student t test. In 2003 to 2008, 141 patients were treated for CSCIs with inclusion criteria. Thirty patients (21%) had an associated ND (BSA) and 111 patients (79%) did not (BLT). The cohorts were similar in mean age (BSA, 45 years; BLT, 50 years; P = 0.16) and male gender distribution (BSA, 93%; BLT, 79%; P = 0.13). The cohorts were similar in injury severity using Injury Severity Score (BSA, 22; BLT, 24; P = 0.65). The cohorts were similar in rates of developing pneumonia (BSA, 3%; BLT, 12%; P = 0.31). The rate of infection was significantly higher in the cohort without an associated near-drowning (BSA, 10%; BLT, 32%; P = 0.033). The mean intensive care unit stay (BSA, 3.5 days; BLT, 11.3 days; P = 0.057) and the rate of mortality were similar (BSA, 10%; BLT, 10% P = 0.99). Those patients with an associated ND had a shorter hospital stay (BSA, 5.7 days; BLT, 22.2 days; P = 0.007) and a better chance of being discharged home (BSA, 57%; BLT, 27%; P = 0.004). CSCIs after a BSA do better than their counterparts without an associated ND. CSCIs associated with ND appear to be isolated injuries with minimal pulmonary involvement despite submersion injuries.

  17. 2015 revised Utstein-style recommended guidelines for uniform reporting of data from drowning-related resuscitation An ILCOR advisory statement

    NARCIS (Netherlands)

    Idris, Ahamed H.; Bierens, Joost J. L. M.; Perkins, Gavin D.; Wenzel, Volker; Nadkarni, Vinay; Morley, Peter; Warner, David S.; Topjian, Alexis; Venema, Allart M.; Branche, Christine M.; Szpilman, David; Morizot-Leite, Luiz; Nitta, Masahiko; Lofgren, Bo; Webber, Jonathon; Grasner, Jan-Thorsten; Beerman, Stephen B.; Youn, Chun Song; Jost, Ulrich; Quan, Linda; Dezfulian, Cameron; Handley, Anthony J.; Hazinskia, Mary Fran

    Background: Utstein-style guidelines use an established consensus process, endorsed by the international resuscitation community, to facilitate and structure resuscitation research and publication. The first "Guidelines for Uniform Reporting of Data From Drowning" were published over a decade ago.

  18. 2015 Revised Utstein-Style Recommended Guidelines for Uniform Reporting of Data From Drowning-Related Resuscitation : An ILCOR Advisory Statement

    NARCIS (Netherlands)

    Idris, Ahamed H; Bierens, Joost J L M; Perkins, Gavin D; Wenzel, Volker; Nadkarni, Vinay; Morley, Peter; Warner, David S; Topjian, Alexis; Venema, Allart M; Branche, Christine M; Szpilman, David; Morizot-Leite, Luiz; Nitta, Masahiko; Løfgren, Bo; Webber, Jonathon; Gräsner, Jan-Thorsten; Beerman, Stephen B; Youn, Chun Song; Jost, Ulrich; Quan, Linda; Dezfulian, Cameron; Handley, Anthony J; Hazinski, Mary Fran

    BACKGROUND: Utstein-style guidelines use an established consensus process, endorsed by the international resuscitation community, to facilitate and structure resuscitation research and publication. The first "Guidelines for Uniform Reporting of Data From Drowning" were published over a decade ago.

  19. Childhood Drowning: Review of Patients Presenting to the Emergency Departments of 2 Large Tertiary Care Pediatric Hospitals Near and Distant From the Sea Coast.

    Science.gov (United States)

    Cohen, Neta; Scolnik, Dennis; Rimon, Ayelet; Balla, Uri; Glatstein, Miguel

    2018-02-05

    Drowning is a leading cause of death among infants and toddlers. Unique physiological and behavioral factors contribute to high mortality rates. Drowning incidents predominantly occur during warmer months and holidays. The aim of this study was to describe the characteristics of pediatric drowning victims who attended 2 different emergency departments (EDs), 1 near and 1 distant from the sea coast, to recognize risk factors, complications, causes of death, and the educational needs of families and caregivers. Retrospective cohort analysis of incident history, clinical presentation, treatments, and outcomes of drowning victims was performed. Data were analyzed both by age group and proximity of institution to the sea coast. From 2005 to 2015, 70 drowning patients presented to the 2 institutions; there was no difference in incident history or outcomes based on proximity to the sea coast. Fifty-six percent of patients were younger than 6 years, the majority drowning in pools. More of the older children drowned in the sea (48% vs 23%). Half of all patients were treated and followed in the ED or ward, and the other half were treated in the pediatric intensive care unit; 12 suffered severe complications, including 5 diagnosed with brain death. Cardiopulmonary resuscitation was performed in 80% of the fatal group and 23% of the nonfatal group (P = 0.006). Seven children who experienced a cardiac arrest with hypothermia were treated before arrival in the ED, and 5 had ongoing cardiac arrest upon arrival in the ED (these were the 5 suffering brain death). Most of patients younger than 6 years drowned in swimming pools, suggesting that parents are perhaps less vigilant in these circumstances, even though they may remain in close proximity. Active adult supervision entails attention, proximity, and continuity. Educational efforts should be aimed at reminding parents of this, especially in the summer months.

  20. Scedosporiosis in a Combined Kidney and Liver Transplant Recipient: A Case Report of Possible Transmission from a Near-Drowning Donor

    Directory of Open Access Journals (Sweden)

    Rachael Leek

    2016-01-01

    Full Text Available Scedosporium spp. are saprobic fungi that cause serious infections in immunocompromised hosts and in near-drowning victims. Solid organ transplant recipients are at increased risk of scedosporiosis as they require aggressive immunosuppression to prevent allograft rejection. We present a case of disseminated Scedosporium apiospermum infection occurring in the recipient of a combined kidney and liver transplantation whose organs were donated by a near-drowning victim and review the literature of scedosporiosis in solid organ transplantation.

  1. Hypothermia and near-drowning associated with life-threatening injuries: A remarkable recovery: A case report

    Directory of Open Access Journals (Sweden)

    Tariq Cachalia

    2016-08-01

    Full Text Available A young male suffered multiple severe injuries after a fall and near-drowning. On presentation to the emergency department (ED, he was in a critical and unstable condition and his chances of survival were deemed very low. This case illustrates the management of the hypothermic multi-trauma patient and the remarkable recovery made possible by a high standard of care. Keywords: Polytrauma, Shock, Hypothermia, Coagulopathy, Trauma care

  2. Suicidal drownings with psychiatric disorders in Shanghai: a retrospective study from 2010.1 to 2014.6.

    Directory of Open Access Journals (Sweden)

    You-Xin Fang

    Full Text Available Psychiatric disorders exhibited in 13% suicidal drownings in Southwestern Croatia and 63% in Milan, but in China is unknown. This study is committed to outline the feature of a suicidal drowning with psychiatric disorder, show mental status and reveal key factor to high incidence in China. Immersed corpses were handled by SPSBMPH in its jurisdiction range. Half of immersed corpses were suicidal, and nearly half of suicides had psychiatric disorders. 104 suicidal drownings with psychiatric disorders cases from 2010.1 to 2014.6 were reviewed (21.5% of all immersed corpses, 42.1% of suicides. Most victims clothed normally, and only 2 fastened attached weights. Male victims were more and younger than female. Psycho were prone to commit suicidal drowning in warm and hot season. Psycho were prone to choose familiar area to commit suicide, 45 decedents were found in their familiar areas. Suicidal drowings were occult without suicide attempts, suicide note or abnormal clothing, but showed abnormal mental or behavior changes prior to suicide. The three leading psychiatric disorders were depression (33.7%, depression status (30.8% and schizophrenia (20.2%. Only 44.2% decedents had visited psychiatric disorder specialist, and merely less than 10% patients could adhere to regular medication. No regular medication on psychiatric disorder was the key factor contributing to high incidence of suicide in psycho. Professional psychiatric and psychological intervention should be taken as soon as possible when they had psychiatric symptoms or suffered misfortune. Guardians should be alert to patients' abnormality to detect their suicidal ideation and intervene, especially in warm season.

  3. External foam and the post-mortem period in freshwater drowning; results from a retrospective study in Amsterdam, the Netherlands.

    Science.gov (United States)

    Reijnen, G; Buster, M C; Vos, P J E; Reijnders, U J L

    2017-11-01

    Determining the time of death of bodies recovered from water can be difficult. A feature of drowning is the presence of external foam. This study describes the presence of external foam in relation to the post-mortem period. The study utilizes a database of death reports dated between January 2011 and July 2016. For bodies recovered from fresh water, the presence or absence of external foam was noted. In this study, 112 death reports are included. Of these reports, 18 mentioned external foam, which account for 16.1% of the entire study population. In the population with a post-mortem period of less than 24 h, external foam was detected in 27.7% of cases. All 18 incidents with external foam had an estimated post-mortem period of less than 24 h. In our study, external foam was only present in freshwater drowning cases with a post-mortem period of less than 24 h. Based on this finding, the presence of external foam may be useful as an additional indicator when estimating the time of death in freshwater drowning. Copyright © 2017 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.

  4. Mechanical Construction and Propulsion Analysis of a Rescue Underwater Robot in the case of Drowning Persons

    Directory of Open Access Journals (Sweden)

    Angelo Bonfitto

    2018-04-01

    Full Text Available This paper presents the design of an unmanned and tele-operated robotized life-saving system aimed to work as a recovery tool in case of water-related disasters. The device is designed to save people in distress in the water, either conscious or unconscious, without exposing the rescuer’s life to risk. The data of in water accidents show that the greatest number of casualties occurs because of dangerous predicaments conducted by people who want to save other lives. All present solutions are based on aerial, surface or submarine systems needing a crew and able to save only conscious people. This paper intends to fill this gap in the literature by analyzing the main critical issues in the design of a marine autonomous rescue vehicle in terms of performance, capabilities of maneuver in rough sea conditions and the costs. The proposed robot is fully electric and tele-manipulated, from the shore in case of accidents near dry land, or directly from boats or helicopters if drowning is occurring in the open sea. The paper demonstrates the feasibility of a system and its readiness for prototyping phases while presenting a trade-off and cost analysis between six different configurations as well as illustrating in detail the design of the selected layout. The motivations behind the choice of diving strategy to tackle rough sea conditions are described along with the design and the numerical validations of the hydroplane and propulsion systems.

  5. Patterns of behaviour that pose potential drowning risk to hikers at Yosemite National Park.

    Science.gov (United States)

    Girasek, Deborah C; Marschall, Joy S; Pope, Dov

    2016-01-01

    To analyse patterns of departure from a popular hiking trail in Yosemite National Park, at sites where fatal drownings have occurred in the past. This study employed direct observation. For 32 days throughout the summer of 2013, study team members observed hikers who entered areas that brought them in close proximity to hazardous sections of the Merced River. Subject and environmental data were recorded for 1417 such approaches. In 81% of our observation hours, subjects entered 'risk zones.' The median number of hikers seen near/in the river was eight per hour at the Vernal Fall footbridge, and three at the top of the waterfall. A regression analysis found that air temperature and later hike starts were positively associated, and water level was negatively associated, with the rate of river approach. Means of river access were also identified. Males, teens and people who were alone were significantly more likely to be observed entering particularly dangerous areas. It is common for hikers to approach water sources during summer months, particularly as air temperatures rise. By analysing how behaviour and environmental factors co-vary, safety advocates can tailor risk reduction measures to specific settings and visitor populations. © International Society of Travel Medicine, 2016. All rights reserved. Published by Oxford University Press. For permissions, please e-mail: journals.permissions@oup.com.

  6. [From fishing trip to the critical care unit : Successful resuscitation after a near drowning accident].

    Science.gov (United States)

    Kippnich, M; Keller, D; Jokinen, J; Kilgenstein, C; Muellenbach, R M; Markus, C; Roewer, N; Kranke, P

    2014-11-01

    In the context of the European Resuscitation Council (ERC) guidelines, modifications of the proposed treatment algorithm need to be performed in order to respond to different parameters. In this respect several factors interacting with cardiac arrest are essential and need to be included in the therapy. This case report demonstrates an example of resuscitation in the situation of hypothermia. After a near drowning accident and approximately 30 min underwater, a patient suffering from severe hypothermia initially required resuscitation after the rescue. A return of spontaneous circulation (ROSC) was successfully achieved within a short length of time and after 15 days on the intensive care unit the patient was discharged to a rehabilitation facility without any signs of focal neurological deficits. Section 8 of the ERC guidelines provides additional information for resuscitation under specific conditions. In this case report, hypothermia was one of the main criteria leading to an adjusted pharmacological therapy. Furthermore, selection of the appropriate hospital for an optimal advanced treatment including controlled warming of the patient and management of hypothermia-induced complications had to be evaluated.

  7. Drowning of the Mississippi Delta due to insufficient sediment supply and global sea-level rise

    Science.gov (United States)

    Blum, Michael D.; Roberts, Harry H.

    2009-07-01

    Over the past few centuries, 25% of the deltaic wetlands associated with the Mississippi Delta have been lost to the ocean. Plans to protect and restore the coast call for diversions of the Mississippi River, and its associated sediment, to sustain and build new land. However, the sediment load of the Mississippi River has been reduced by 50% through dam construction in the Mississippi Basin, which could affect the effectiveness of diversion plans. Here we calculate the amount of sediment stored on the delta plain for the past 12,000 years, and find that mean storage rates necessary to construct the flood plain and delta over this period exceed modern Mississippi River sediment loads. We estimate that, in the absence of sediment input, an additional 10,000-13,500km2 will be submerged by the year 2100 owing to subsidence and sea-level rise. Sustaining existing delta surface area would require 18-24billiontons of sediment, which is significantly more than can be drawn from the Mississippi River in its current state. We conclude that significant drowning is inevitable, even if sediment loads are restored, because sea level is now rising at least three times faster than during delta-plain construction.

  8. CT findings and prognoses of anoxic brain damage due to near-drowning in children

    Energy Technology Data Exchange (ETDEWEB)

    Asano, Jun-ichi; Ieshima, Atsushi (Tottori Univ., Yonago (Japan). School of Medicine); Kisa, Toshiro; Ohtani, Kyouichi

    1991-05-01

    We investigated the relationship between serial cranial CT findings and prognoses in 11 children after near-drowning. These patients were rescued after heart arrest for more than 10 minutes and all comatose on admission. CT scans were performed within 2 weeks, at 3 weeks-1 month, 2-4 months and more than 5 months after admission. Characteristics of CT findings and prognoses were classified into four groups. Group 1 - low density areas in thalami, basal ganglia and cortical white matters within 2 weeks (three cases; one died, two became vegitative). Group 2 - enlargement of the third ventricle at 3 weeks-1 month, and atrophy of pons at 2-4 months (three cases; severe quadriplegia and mental retardation). Group 3 - enlargement of the third ventricle at 3 weeks-1 month, but atrophy of pons not observed at 2-4 months (three cases; mild motor disabilities and mild mental retardation). Group 4 - enlargement of third ventricle not observed at 3 weeks-1 month (two cases; neither paralysis nor mental retardation). (author).

  9. CT findings and prognoses of anoxic brain damage due to near-drowning in children

    International Nuclear Information System (INIS)

    Asano, Jun-ichi; Ieshima, Atsushi; Kisa, Toshiro; Ohtani, Kyouichi.

    1991-01-01

    We investigated the relationship between serial cranial CT findings and prognoses in 11 children after near-drowning. These patients were rescued after heart arrest for more than 10 minutes and all comatose on admission. CT scans were performed within 2 weeks, at 3 weeks-1 month, 2-4 months and more than 5 months after admission. Characteristics of CT findings and prognoses were classified into four groups. Group 1 - low density areas in thalami, basal ganglia and cortical white matters within 2 weeks (three cases; one died, two became vegitative). Group 2 - enlargement of the third ventricle at 3 weeks-1 month, and atrophy of pons at 2-4 months (three cases; severe quadriplegia and mental retardation). Group 3 - enlargement of the third ventricle at 3 weeks-1 month, but atrophy of pons not observed at 2-4 months (three cases; mild motor disabilities and mild mental retardation). Group 4 - enlargement of third ventricle not observed at 3 weeks-1 month (two cases; neither paralysis nor mental retardation). (author)

  10. This Much Water: a qualitative study using behavioural theory to develop a community service video to prevent child drowning in Western Australia.

    Science.gov (United States)

    Denehy, Mel; Leavy, Justine E; Jancey, Jonine; Nimmo, Lauren; Crawford, Gemma

    2017-07-31

    Drowning in children under the age of 5 is a frequently occurring, yet preventable event. This research used behavioural theory to test the suitability and appropriateness of a drowning prevention message in a community service video. This qualitative study used content analysis of focus groups. Constructs from the Health Belief Model guided the data analysis. Community organisations and playgrounds in Perth, Western Australia. Participants were parents or carers of at least one child under 5 years residing in Western Australia. Seven focus groups (n=57) were conducted with eight participants in each group. Most participants were parents (96%), female (95%), aged between 25 and 34 years (63%) and were born in Australia (68%). Participants indicated the community service video was credible in communicating the message that young children were susceptible to drowning in shallow water and that various water hazards existed in and around the home. However, a range of external factors, such as the child's age, type of water hazard, presence of siblings and other environmental factors, influenced risk perceptions. Child drowning was seen as a serious issue. Controlling access to water and the role of supervision were understood to be important factors in preventing drowning. The lack of published drowning prevention interventions shaped by behavioural theory limits the understanding of best practice. Using constructs from the Health Belief Model, this research confirmed the perceived seriousness, devastating and unforgettable consequence of drowning; however, findings were mixed regarding cues to action. Future development of drowning prevention media messages should test strategies to increase susceptibility and self-efficacy among the target group and explore the impact of different message senders. The findings provide a valuable understanding of possible messages and their execution for use in media campaigns, as one component of an effective public health

  11. [Near-Drowning with Good Outcome after ECMO-Therapy and Therapeutic Hypothermia Despite 20 Minutes of Anoxia and 16 Hours of Hypoxia].

    Science.gov (United States)

    Stachon, Peter; Kalbhenn, Johannes; Walterspacher, Stephan; Bode, Christoph; Staudacher, Dawid

    2017-04-01

    Introduction  Drowning with submersion over 10 minutes is associated with a high mortality. Here, we present a case, in which a good neurological outcome was achieved after interdisciplinary, intensive care therapy despite submersion of 20 minutes followed by 16 hours of hypoxia. History  A 19 year old man drowned in fresh-water. After 20 minutes submersion he was localized and salvaged from 8 meters depth and primarily resuscitated successfully after 10 minutes. Within the next hour, there condition worsened by respiratory deterioration due to a massive capillary leak syndrome in addition to a disseminated intravascular coagulation. Treatment  This made implantation of a veno-venous ECMO (extracorporeal membrane oxygenation) therapy necessary. Despite intensive care medicine including extracorporeal therapy a sufficient oxygenation (arterial pO 2 > 60 mmHg) was reached only 16 hours after the drowning. Clinical Course  During this time the patient was treated with a mild therapeutic hypothermia for cerebral protection. Despite the prolonged hypoxia, ECMO could be removed five days after the drowning and the patient was extubated after another five days without significant neurological deficits. Conclusion  Despite submersion of 20 minutes followed by prolonged hypoxia, a good neurological outcome could be achieved in our patient. This case suggests, that tolerance of hypoxia is possibly underestimated after drowning. © Georg Thieme Verlag KG Stuttgart · New York.

  12. An automatic window opening system to prevent drowning in vehicles sinking in water

    KAUST Repository

    Giesbrecht, Gordon G.; Percher, Michael; Brunet, Pierre; Richard, Yanik; Alexander, Marion; Bellemare, Alixandra; Rawal, Yash; Amassian, Aram; Mcdonald, Gerren

    2017-01-01

    Objective: Every year about 400 people die in submersed vehicles in North America and this number increases to 2,000–5,000 in all industrialized nations. The best way to survive is to quickly exit through the windows. An Automatic Window Opening System (AWOS; patent protected) was designed to sense when a vehicle is in water and to open the electric windows, but only when the vehicle is upright. Methods: The AWOS consists of a Detection Module (DM), in the engine compartment, and a Power Window Control Module (PWCM) inside the driver’s door. The DM contains a Water Sensor, a Level Sensor and a Microcontroller Unit (MCU). The Level Sensor provides the angular orientation of the car using a 3-axis acceleration sensor and prevents automatic window opening if the car is outside the orientation range (±20° in the roll axis, ±30° in the pitch axis, with a 2 s delay). Systems were installed on two cars and one SUV. A crane lowered vehicles in water either straight down (static tests) or by swinging the vehicles to produce forward movement (dynamic tests). Results: In all tests, when the vehicles landed upright, windows opened immediately and effectively. When vehicles landed inverted, or at a very steep angle, the system did not engage until an upright and level position was attained. Conclusions: This system may help decrease drowning deaths in sinking vehicles. If occupants do not know, or forget, what to do, the open window could hopefully prompt them to exit safely through that window.

  13. An automatic window opening system to prevent drowning in vehicles sinking in water

    KAUST Repository

    Giesbrecht, Gordon G.

    2017-07-12

    Objective: Every year about 400 people die in submersed vehicles in North America and this number increases to 2,000–5,000 in all industrialized nations. The best way to survive is to quickly exit through the windows. An Automatic Window Opening System (AWOS; patent protected) was designed to sense when a vehicle is in water and to open the electric windows, but only when the vehicle is upright. Methods: The AWOS consists of a Detection Module (DM), in the engine compartment, and a Power Window Control Module (PWCM) inside the driver’s door. The DM contains a Water Sensor, a Level Sensor and a Microcontroller Unit (MCU). The Level Sensor provides the angular orientation of the car using a 3-axis acceleration sensor and prevents automatic window opening if the car is outside the orientation range (±20° in the roll axis, ±30° in the pitch axis, with a 2 s delay). Systems were installed on two cars and one SUV. A crane lowered vehicles in water either straight down (static tests) or by swinging the vehicles to produce forward movement (dynamic tests). Results: In all tests, when the vehicles landed upright, windows opened immediately and effectively. When vehicles landed inverted, or at a very steep angle, the system did not engage until an upright and level position was attained. Conclusions: This system may help decrease drowning deaths in sinking vehicles. If occupants do not know, or forget, what to do, the open window could hopefully prompt them to exit safely through that window.

  14. Incipiently drowned platform deposit in cyclic Ordovician shelf sequence: Lower Ordovician Chepultepec Formation, Virginia

    Energy Technology Data Exchange (ETDEWEB)

    Bova, J.A.; Read, J.F.

    1983-03-01

    The Chepultepec interval, 145 to 260 m (476 to 853 ft) thick, in Virginia contains the Lower Member up to 150 m (492 ft) thick, and the Upper Member, up to 85 m (279 ft) thick, of peritidal cyclic limestone and dolomite, and a Middle Member, up to 110 m (360 ft) thick, of subtidal limestone and bioherms, passing northwestward into cyclic facies. Calculated long term subsidence rates were 4 to 5 cm/1000 yr (mature passive margin rates), shelf gradients were 6 cm/km, and average duration of cycles was 140,00 years. Peritidal cyclic sequences are upward shallowing sequences of pellet-skeletal limestone, thrombolites, rippled calcisiltites and intraclast grainstone, and laminite caps. They formed by rapid transgression with apparent submergence increments averaging approximately 2 m (6.5 ft) in Lower Member and 3.5 m (11.4 ft), Upper Member. Deposition during Middle Member time was dominated by skeletal limestone-mudstone, calcisiltite with storm generated fining-upward sequences, and burrow-mixed units that were formed near fair-weather wave base, along with thrombolite bioherms. Locally, there are upward shallowing sequences, of basal wackestone/mudstone to calcisiltite to bioherm complexes (locally with erosional scalloped tops). Following each submergence, carbonate sedimentation was able to build to sea level prior to renewed submergence. Large submergence events caused tidal flats to be shifted far to the west, and they were unable to prograde out onto the open shelf because of insufficient time before subsidence was renewed, and because the open shelf setting inhibited tidal flat deposition. The Middle Member represents an incipiently drowned sequence that developed by repeated submergence events.

  15. Corrosion behavior of spent MTR fuel elements in a drowned salt mine repository

    International Nuclear Information System (INIS)

    Brodda, B.G.; Fachinger, J.

    1995-01-01

    Spent MTR fuel from German Material Test Reactors will not be reprocessed, but stored in a final salt repository in the deep geologic underground. Fuel elements will be placed in POLLUX containers, which are assumed to resist the corrosive attack of an accidentally formed concentrated salt brine for about 500 years. After a container failure the brine would contact the fuel element, corrode the aluminum plating and possibly leach radionuclides from the fuel. A source term for the calculation of radionuclide mobilization results from the investigation of the behavior of MTR fuel in this scenario, which has to be considered for the long-term safety analysis of a deep mined rock salt repository. Experiments with the different plating materials show that the considered aluminum alloys will not resist the corrosive attack of a brine solution, especially in the presence of iron, under the conditions in a drowned salt mine repository. Although differences in the corrosion rates of about two orders of magnitude were observed when applying different parameter sets, the deterioration must be considered to be almost instantaneous in geological terms. Radionuclides are mobilized from irradiated MTR fuel, when the meat of the fuel element becomes accessible to the brine solution. It seems, however, that the radionuclides are effectively trapped by the aluminum hydroxide formed, as the activity concentrations in the brine solution soon reach a constant level with the progressing corrosion of the cladding aluminum. In the presence of iron a more significant initial release was observed, but also in this case an equilibrium activity seems to be reached as a consequence of radionuclide trapping

  16. Doomed to drown? Sediment dynamics in the human-controlled floodplains of the active Bengal Delta

    Directory of Open Access Journals (Sweden)

    Kimberly G. Rogers

    2017-11-01

    Full Text Available The Ganges-Brahmaputra-Meghna (Bengal Delta in Bangladesh has been described as a delta in peril of catastrophic coastal flooding because sediment deposition on delta plain surfaces is insufficient to offset rates of subsidence and sea level rise. Widespread armoring of the delta by coastal embankments meant to protect crops from flooding has limited natural floodplain deposition, and in the tidally dominated delta, dikes lead to rapid compaction and lowered land surface levels. This renders the deltaic floodplains susceptible to flooding by sea level rise and storm surges capable of breaching poorly maintained embankments. However, natural physical processes are spatially variable across the delta front and therefore the impact of dikes on sediment dispersal and morphology should reflect these variations. We present the first ever reported sedimentation rates from the densely populated and human-controlled floodplains of the central lower Bengal Delta. We combine direct sedimentation measurements and short-lived radionuclides to show that transport processes and lateral sedimentation are highly variable across the delta. Overall aggradation rates average 2.3 ± 9 cm y–1, which is more than double the estimated average rate of local sea level rise; 83% of sampled sites contained sediment tagged with detectable 7 Be, indicating flood-pulse sourced sediments are widely delivered to the delta plain, including embanked areas. A numerical model is then used to demonstrate lateral accretion patterns arising from 50 years of sedimentation delivered through smaller order channels. Dominant modes of transport are reflected in the sediment routing and aggradation across the lower delta plain, though embankments are major controls on sediment dynamics throughout the delta. This challenges the assumption that the Bengal Delta is doomed to drown; rather it signifies that effective preparation for climate change requires consideration of how infrastructure

  17. Effects of sea level rise on the formation and drowning of shoreface-connected sand ridges, a model study

    Science.gov (United States)

    Nnafie, A.; de Swart, H. E.; Calvete, D.; Garnier, R.

    2014-06-01

    Shoreface-connected sand ridges occur on many storm-dominated inner shelves. These rhythmic features have an along-shelf spacing of 2-10 km, a height of 1-12 m, they evolve on timescales of centuries and they migrate several meters per year. An idealized model is used to study the impact of sea level rise on the characteristics of the sand ridges during their initial and long-term evolution. Different scenarios (rates of sea level rise, geometry of inner shelf) are examined. Results show that with increasing sea level the height of sand ridges increases and their migration decreases until they eventually drown. This latter occurs when the near-bed wave orbital velocity drops below the critical velocity for erosion of sediment. In contrast, in the absence of sea level rise, the model simulates shoreface-connected sand ridges with constant heights and migration rates. Model results furthermore indicate that sand ridges do not form if the rate of sea level rise is too high, or if the initial depth of the inner shelf is too small. A larger transverse bottom slope enhances growth and height of sand ridges and they drown quicker. When shoreface retreat due to sea level rise is considered, new ridges form in the landward part of the inner shelf, while ridges on the antecedent part of the shelf become less active and ultimately drown. Only if sea level rise is accounted for, merging of ridges is reduced such that multiple ridges occur in the end state, thereby yielding a better agreement with observations. The physical mechanisms responsible for these findings are also explained.

  18. Near-drowning-associated pneumonia with bacteremia caused by coinfection with methicillin-susceptible Staphylococcus aureus and Edwardsiella tarda in a healthy white man: a case report.

    Science.gov (United States)

    Zambon, Lucas Santos; Marta, Guilherme Nader; Chehter, Natan; Del Nero, Luis Guilherme; Cavallaro, Marina Costa

    2016-07-16

    Edwardsiella tarda is an Enterobacteriaceae found in aquatic environments. Extraintestinal infections caused by Edwardsiella tarda in humans are rare and occur in the presence of some risk factors. As far as we know, this is the first case of near-drowning-associated pneumonia with bacteremia caused by coinfection with methicillin-susceptible Staphylococcus aureus and Edwardsiella tarda in a healthy patient. A 27-year-old previously healthy white man had an episode of fresh water drowning after acute alcohol consumption. Edwardsiella tarda and methicillin-sensitive Staphylococcus aureus were isolated in both tracheal aspirate cultures and blood cultures. This case shows that Edwardsiella tarda is an important pathogen in near drowning even in healthy individuals, and not only in the presence of risk factors, as previously known.

  19. The alterations in adenosine nucleotides and lactic acid in striated muscles of rats during Rigor mortis following death with drowning or cervical dislocation.

    Science.gov (United States)

    Pençe, Halime Hanim; Pençe, Sadrettin; Kurtul, Naciye; Yilmaz, Necat; Kocoglu, Hasan; Bakan, Ebubekir

    2003-01-01

    In this study, adenosine triphosphate (ATP), adenosine diphosphate (ADP), adenosine monophosphate (AMP) and lactic acid in the muscles of masseter, triceps, and quadriceps obtained from right and left sides of Spraque-Dawley rats following death were investigated. The samples were taken immediately and 120 minutes after death occurred. The rats were killed either by cervical dislocation or drowning. ATP concentrations in the muscles of masseter, triceps, and quadriceps were lower in samples obtained 120 minutes after death than in those obtained immediately after death. ADP, AMP, and lactic acid concentrations in these muscles were higher in samples obtained 120 minutes after death than those obtained immediately after death. A positive linear correlation was determined between ATP and ADP concentrations in quadriceps muscles of the rats killed with cervical dislocation and in triceps muscles of the rats killed with drowning. When rats killed with cervical dislocation and with drowning were compared, ADP, AMP, and lactic acid concentrations were lower in the former than in the latter for both times (immediately and 120 minutes after death occurred). In the case of drowning, ATP is consumed faster because of hard exercise or severe physical activity, resulting in a faster rigor mortis. Higher lactic acid levels were determined in muscles of the rats killed with drowning than the other group. In the control and electric shock rats, ATP decreased in different levels in the three different muscle types mentioned above in control group, being much decline in masseter and then in quadriceps. This may be caused by lower mass and less glycogen storage of masseter. No different ATP levels were measured in drowning group with respect to the muscle type possibly because of the severe activity of triceps and quadriceps and because of smaller mass of masseter. One can conclude that the occurrence of rigor mortis is closely related to the mode of death.

  20. A drowned lycopsid forest above the Mahoning coal (Conemaugh Group, Upper Pennsylvanian) in eastern Ohio, U.S.A

    Science.gov (United States)

    DiMichele, W.A.; Eble, C.F.; Chaney, D.S.

    1996-01-01

    Over 800 mud-filled casts of upright lycopsid tree stumps have been documented immediately above the Mahoning coal in an active underground mine located in northwestern Jefferson County, Ohio. The coal body originated as a pod-shaped peat body of ??? 60 km2. Trees are rooted at several levels within a thin (15-40 cm) bone coal directly above the banded coal; they extend upward up to 15 cm into overlying, flat-bedded, carbonaceous mudstones that coarsen up. From a maximum basal diameter of 1.2 m, stumps taper upward to diameters no less than 0.3 m. Within single-entry transects, trees are identified as lepidodendrids on the basis of gross morphology, external stem patterns, and attached stigmarian root systems, and provisionally as Lepidophloios or Lepidodendron by associated palynology of the enclosing matrix. Palynological analyses of incremental seam samples indicate an initial dominance of lycopsid spores with lepidodendracean affinities (Lycospora granulata from Lepidophloios hallii), replaced upwards by tree-fern spores, with a reoccurrence of lepidodendracean spores in the upper benches; spores of Sigillaria (Crassispora) are abundant only at the base of the coal. Petrographic analyses indicate a parallel trend from vitrinite-rich to inertinite- and liptinite-rich upward in the coal body. All data indicate that the peat represented by the Mahoning coal was drowned slowly. During the earliest stages of inundation, a lycopsid forest was re-established, only to be subsequently drowned.

  1. Subacute normobaric oxygen and hyperbaric oxygen therapy in drowning, reversal of brain volume loss: a case report

    Directory of Open Access Journals (Sweden)

    Paul G Harch

    2017-01-01

    Full Text Available A 2-year-old girl experienced cardiac arrest after cold water drowning. Magnetic resonance imaging (MRI showed deep gray matter injury on day 4 and cerebral atrophy with gray and white matter loss on day 32. Patient had no speech, gait, or responsiveness to commands on day 48 at hospital discharge. She received normobaric 100% oxygen treatment (2 L/minute for 45 minutes by nasal cannula, twice/day since day 56 and then hyperbaric oxygen treatment (HBOT at 1.3 atmosphere absolute (131.7 kPa air/45 minutes, 5 days/week for 40 sessions since day 79; visually apparent and/or physical examination-documented neurological improvement occurred upon initiating each therapy. After HBOT, the patient had normal speech and cognition, assisted gait, residual fine motor and temperament deficits. MRI at 5 months after injury and 27 days after HBOT showed near-normalization of ventricles and reversal of atrophy. Subacute normobaric oxygen and HBOT were able to restore drowning-induced cortical gray matter and white matter loss, as documented by sequential MRI, and simultaneous neurological function, as documented by video and physical examinations.

  2. Bioluminescent bacteria have potential as a marker of drowning in seawater: two immersed cadavers retrieved near estuaries.

    Science.gov (United States)

    Kakizaki, Eiji; Kozawa, Shuji; Sakai, Masahiro; Yukawa, Nobuhiro

    2009-03-01

    We detected numerous bioluminescent bacteria in blood samples from two cadavers that had been immersed in estuarine environments. Autopsy, diatomaceous and toxicological findings indicated death by drowning, which agreed with environmental aspects and the findings of police investigations. Bioluminescent bacteria appeared in blood samples cultured on selective agar containing 2%, 3% and 4% NaCl after about 18h. Blood from the left side of the heart, the right side of the heart and the femoral vein generated 7.0 x 10(2), 2.0 x 10(4) and 8.0 x 10(2) cfu/ml of blood (case 1), and 1.8 x 10(4), 1.1 x 10(3) and 2.5 x 10(1) cfu/ml (case 2) of bioluminescent colonies, respectively, in agar containing 4% NaCl. Homologous analysis based on the 16S rRNA gene also identified the bioluminescent colonies as Vibrio fischeri and V. harveyi, which normally inhabit seawater. This simple assay might serve as an additional indicator to support a conclusion of death by drowning together with the diatom test.

  3. Changes over swim lessons in parents' perceptions of children's supervision needs in drowning risk situations: "His swimming has improved so now he can keep himself safe".

    Science.gov (United States)

    Morrongiello, Barbara A; Sandomierski, Megan; Spence, Jeffrey R

    2014-07-01

    The aim of this longitudinal study was to determine how children's participation in swim lessons impacts parents' appraisals of children's drowning risk and need for supervision. Parents with 2-5-year old children enrolled in community swim lessons completed the same survey measures up to 4 times over an 8-month period. Multilevel regression analyses examining temporal relationships between parents' perceptions of their child's swim ability, supervision needs around water, and children's ability to keep themselves safe in drowning risk situations revealed that as children progressed through swim lessons, parents' perceptions of their child's swim ability and their belief that children are capable of keeping themselves safe around water increased. Further, the relation between parents' perceptions of swim ability and judgments of children's supervision needs was mediated through parents' judgment about their child's ability to secure their own safety near water. As parents perceive their child to be accumulating swim skills, they increasingly believe that children are capable of keeping themselves from drowning, and as a result, that less active parent supervision of their child is necessary. Implications of these findings for intervention efforts to counter this unwelcome way of thinking that may arise through continued participation in swim lessons are discussed. Incorporating a parent-focused component into children's learn-to-swim programs to promote more realistic appraisals of children's supervision needs and drowning risks may further enhance the positive benefits that swim lessons have for children's safety.

  4. 2015 revised Utstein-style recommended guidelines for uniform reporting of data from drowning-related resuscitation: An ILCOR advisory statement.

    Science.gov (United States)

    Idris, Ahamed H; Bierens, Joost J L M; Perkins, Gavin D; Wenzel, Volker; Nadkarni, Vinay; Morley, Peter; Warner, David S; Topjian, Alexis; Venema, Allart M; Branche, Christine M; Szpilman, David; Morizot-Leite, Luiz; Nitta, Masahiko; Løfgren, Bo; Webber, Jonathon; Gräsner, Jan-Thorsten; Beerman, Stephen B; Youn, Chun Song; Jost, Ulrich; Quan, Linda; Dezfulian, Cameron; Handley, Anthony J; Hazinski, Mary Fran

    2017-09-01

    Utstein-style guidelines use an established consensus process, endorsed by the international resuscitation community, to facilitate and structure resuscitation research and publication. The first "Guidelines for Uniform Reporting of Data From Drowning" were published over a decade ago. During the intervening years, resuscitation science has advanced considerably, thus making revision of the guidelines timely. In particular, measurement of cardiopulmonary resuscitation elements and neurological outcomes reporting have advanced substantially. The purpose of this report is to provide updated guidelines for reporting data from studies of resuscitation from drowning. An international group with scientific expertise in the fields of drowning research, resuscitation research, emergency medical services, public health, and development of guidelines met in Potsdam, Germany, to determine the data that should be reported in scientific articles on the subject of resuscitation from drowning. At the Utstein-style meeting, participants discussed data elements in detail, defined the data, determined data priority, and decided how data should be reported, including scoring methods and category details. The template for reporting data from drowning research was revised extensively, with new emphasis on measurement of quality of resuscitation, neurological outcomes, and deletion of data that have proved to be less relevant or difficult to capture. The report describes the consensus process, rationale for selecting data elements to be reported, definitions and priority of data, and scoring methods. These guidelines are intended to improve the clarity of scientific communication and the comparability of scientific investigations. Copyright © 2017 European Resuscitation Council, American Heart Association, Inc. Published by Elsevier B.V. All rights reserved.

  5. The introduction of practical exercises of rescuing a drowning person within the subject of basic clinic medicine and first aid for students of health sciences as a challenge for interdisciplinary cooperation

    Directory of Open Access Journals (Sweden)

    Slabe Damjan

    2016-01-01

    Full Text Available Drowning, being one of the most common causes of death is a public health problem. The concept of the drowning chain of survival puts great emphasis on providing security. Rescuing a drowning person in the stage of impaired judgement is a dangerous action. A rescuer can put at risk their own life at this stage. Health workers are potentially more exposed to this risk. In the field of education of health workers interdisciplinarity is one of the key concepts. Within the subject Basics of the Clinical Medicine and First Aid, we provided students the experience of saving a drowning person in a simulated exercise, thus trying to persuade them to choose safer strategies of rescuing. The subject of our research were students of health sciences. 506 students solved the questionnaire. After having performed a practical exercise of saving a drowning person, students choose less risky strategies of rescuing a person in the stage of impaired judgement. Students thus gain the experience of rescuing drowning people in more difficult circumstances and their awareness of the importance of security increases after the exercise, which helps to reduce the number of lives risked in accidents.

  6. Therapeutic Hypothermia for Asphyxial Out-of-Hospital Cardiac Arrest Due to Drowning: A Systematic Review of Case Series and Case Reports.

    Science.gov (United States)

    Suen, K-F; Leung, Reynold; Leung, Ling-Pong

    2017-12-01

    The objective of this review was to summarize published evidence of the effectiveness of therapeutic hypothermia in patients with drowning-associated asphyxial out-of-hospital cardiac arrest (OHCA) and to explore any preliminary favorable factors in the management of therapeutic hypothermia to improve survival and neurological outcome. Drowning may result in asphyxial OHCA or hypothermic OHCA, but the former does not provide any potential neuroprotective effect as the latter may do. Electronic literature searches of Ovid Medline, Embase, Cochrane Library, and Scopus were performed for all years from inception to July 2016. Primary studies in the form of case reports, letters to the editor, and others with higher quality are included, but guidelines, reviews, editorials, textbook chapters, conference abstracts, and nonhuman studies are excluded. Non-English articles are excluded. Relevant studies are then deemed eligible if the drowning OHCA patient's initial temperature was above 28°C, which implies asphyxial cardiac arrest, and intentional therapeutic hypothermia was instituted. Because of the narrow scope of interest and strict definition of the condition, limited studies addressed it, and no randomized controlled trials (RCT) could be selected. Thirteen studies covering 35 patients are included. No quantitative synthesis, assessment of study quality, or assessment of bias was performed. It is conjectured that extended therapeutic hypothermia of 48-72 hours might help prevent reperfusion injury during the intermediate phase of postcardiac arrest care to benefit patients of drowning-associated asphyxial OHCA, but this finding only serves as preliminary observation for future research. No conclusive recommendation could be made regarding the duration of and the time of onset of therapeutic hypothermia. Future research should put effort on RCT, particularly the effect of extended duration of 48-72 hours. Important parameters should be reported in detail. Asphyxial

  7. CO2 emissions from a temperate drowned river valley estuary adjacent to an emerging megacity (Sydney Harbour)

    Science.gov (United States)

    Tanner, E. L.; Mulhearn, P. J.; Eyre, B. D.

    2017-06-01

    The Sydney Harbour Estuary is a large drowned river valley adjacent to Sydney, a large urban metropolis on track to become a megacity; estimated to reach a population of 10 million by 2100. Monthly underway surveys of surface water pCO2 were undertaken along the main channel and tributaries, from January to December 2013. pCO2 showed substantial spatio-temporal variability in the narrow high residence time upper and mid sections of the estuary, with values reaching a maximum of 5650 μatm in the upper reaches and as low as 173 μatm in the mid estuary section, dominated by respiration and photosynthesis respectively. The large lower estuary displayed less variability in pCO2 with values ranging from 343 to 544 μatm controlled mainly by tidal pumping and temperature. Air-water CO2 emissions reached a maximum of 181 mmol C m-2 d-1 during spring in the eutrophic upper estuary. After a summer high rainfall event nutrient-stimulated biological pumping promoted a large uptake of CO2 transitioning the Sydney Harbour Estuary into a CO2 sink with a maximum uptake of rate of -10.6 mmol C m-2 d-1 in the mid-section of the estuary. Annually the Sydney Harbour Estuary was heterotrophic and a weak source of CO2 with an air-water emission rate of 1.2-5 mmol C m-2 d-1 (0.4-1.8 mol C m-2 y-1) resulting in a total carbon emission of around 930 tonnes per annum. CO2 emissions (weighted m3 s-1 of discharge per km2 of estuary surface area) from Sydney Harbour were an order of magnitude lower than other temperate large tectonic deltas, lagoons and engineered systems of China, India, Taiwan and Europe but were similar to other natural drowned river valley systems in the USA. Discharge per unit area appears to be a good predictor of CO2 emissions from estuaries of a similar climate and geomorphic class.

  8. Phase transformation of guanosine 5'-monophosphate in drowning-out crystallization: Comparison of experimental results with mathematical modeling

    Energy Technology Data Exchange (ETDEWEB)

    Nguyen, Anh-Tuan; Kang, Jeong-Ki; Kim, Woo-Sik [Department of Chemical Engineering, Kyung Hee University, Seocheon-Dong, Giheung-Gu, 446-701 Yongin-Si (Korea, Republic of); Choi, Guang Jin [Department of Pharmaceutical Engineering, Inje University, 607 Uhbang-Dong, Gimhae, 621-746 Kyungnam (Korea, Republic of)

    2011-01-15

    The phase transformation of Guanosine 5{sup '}-Monophousphate (GMP) in drowning-out crystallization using a batch system was experimentally monitored and mathematically modeled. The solid (amorphous and crystalline GMP hydrate) and liquid phases of the GMP products were simultaneously monitored using a video microscope, FT-IR, and UV/Vis spectroscopy during the phase transformation. For the modeling, the phase transformation was assumed to occur via the simultaneous dissolution of amorphous GMP and growth of crystalline GMP hydrate in the solution. Based on a comparison of the experimental results and model predictions, both the dissolution and growth of the GMP solids were found to contribute competitively to the phase transformation. When varying the crystallization conditions, in this case the agitation speed and feed concentration, the phase transformation was significantly promoted when increasing the agitation speed, yet independent of the feed concentration. The simple mathematical model used for the GMP phase transformation was quite successful in describing the experimental results. (copyright 2011 WILEY-VCH Verlag GmbH and Co. KGaA, Weinheim) (orig.)

  9. [Philippe-Nicolas Pia (1721-1799), creator of the first-aid service to rescue drowned people].

    Science.gov (United States)

    Trépardoux, F

    1997-01-01

    Ph.-N. Pia is known as a philanathropist. In 1770, this apothecary is elected at the board of the city of Paris. Then, he wishes to create a first-aid service to rescue drowned people. In wooden boxes, he gathers together the drugs and devices used at that time, as a fumigating machine to inject tobacco smoke into the intestine, bottles of spirit of camphor, ammonia, a long shirt of wool, wood canulas and flexible pipes made of thin sheep leather. In each of the fiveteen guard houses standing along the river, are deposited a box and a stretcher. As far as Pia is at the head of the military police, he is especially innovating when he decids to train the guards to apply the drugs and the resuscitation processes. With such a regulated way of functioning associated to medical education and granting of awards, within fiveteen years hundreds of people are rescued and resuscitated. Yearly, he publishes the results obtained in Paris and in several places in France, with comments on the situation in the Netherlands, Germany and Britain. In 1780, the king nominates him in the royal order of Saint-Michel. The Révolution supresses the Etablissement en faveur des noyés, and Pia died in 1799 as completely forgotten. In Paris, the first-aid services come back to their former efficiency around 1835, when Marc proposes a special medical training to the fire-men and the military police to form first-aid groups. In this field, the pionneering work of Pia is still of great value and can abe kept in mind as a worldwide reference.

  10. Prognostic value of proton magnetic resonance spectroscopy findings in near drowning patients: reversibility of the early metabolite abnormalities relates with a good outcome

    Energy Technology Data Exchange (ETDEWEB)

    Aragao, Maria de Fatima Vasco; Law, Meng; Prola Netto, Joao; Naidich, Thomas [Mount Sinai School of Medicine, New York, NY (United States). Dept. of Radiology], e-mail: aragao@truenet.com; Valenca, Marcelo Moraes [Federal University of Pernambuco (UFPE), Recife, PE (Brazil). Dept. of Neuropsychiatry and Behavioral Studies

    2009-03-15

    In two children with near drowning hypoxic encephalopathy and normal-appearing structural MRI, acute proton magnetic resonance spectroscopy ({sup 1}H MRS) showed biochemical alterations that correctly indicated prognosis and helped to guide management decisions. Elevation of the lipid-lactate and glutamine-glutamate peaks, on the early (72 hour) {sup 1}H MRS, predicts a poor prognosis. Absence of lipid-lactate and glutamine-glutamate peaks on the early {sup 1}H MRS and reversibility of early mild metabolite abnormalities on follow up examination relates with good outcome. (author)

  11. Prognostic value of proton magnetic resonance spectroscopy findings in near drowning patients: reversibility of the early metabolite abnormalities relates with a good outcome

    International Nuclear Information System (INIS)

    Aragao, Maria de Fatima Vasco; Law, Meng; Prola Netto, Joao; Naidich, Thomas; Valenca, Marcelo Moraes

    2009-01-01

    In two children with near drowning hypoxic encephalopathy and normal-appearing structural MRI, acute proton magnetic resonance spectroscopy ( 1 H MRS) showed biochemical alterations that correctly indicated prognosis and helped to guide management decisions. Elevation of the lipid-lactate and glutamine-glutamate peaks, on the early (72 hour) 1 H MRS, predicts a poor prognosis. Absence of lipid-lactate and glutamine-glutamate peaks on the early 1 H MRS and reversibility of early mild metabolite abnormalities on follow up examination relates with good outcome. (author)

  12. Scedosporium apiospermum brain abscesses in a patient after near-drowning – a case report with 10-year follow-up and a review of the literature

    Directory of Open Access Journals (Sweden)

    Sandra C. Signore

    2017-09-01

    Full Text Available Scedosporium apiospermum is known to be a fungal pathogen affecting immunocompromised as well as non-immunodeficient patients. Although this fungus is found rarely, an infection can lead to severe and even fatal disease. Here, we describe the case of a 41-year-old female who developed multiple Scedosporium apiospermum brain abscesses after near-drowning with aspiration of contaminated mud and water. She showed various neurological symptoms. The patient recovered after removal of abscesses in combination with long-term antifungal treatment.

  13. How do how internal and external processes affect the behaviors of coupled marsh mudflat systems; infill, stabilize, retreat, or drown?

    Science.gov (United States)

    Carr, J. A.; Mariotti, G.; Wiberg, P.; Fagherazzi, S.; McGlathery, K.

    2013-12-01

    an eventual lateral equilibrium are possible only with large allochthonous sediment supply. Once marshes expanded, marsh retreat can be prevented by a sediment supply smaller than the one that filled the basin. At the GCE, the Altamaha River allows for enhanced allochthonous supply directly to the salt marsh platform, reducing the importance of waves on the tidal flat. As a result, infilling or retreat become the prevalent behaviors. For the VCR, the presence of seagrass decreases near bed shear stresses and sediment flux to the salt marsh platform, however, seagrass also reduces the wave energy acting on the boundary of the marsh reducing boundary erosion. Results indicate that the reduction in wave power allows for seagrass to provide a strong stabilizing affect on the coupled salt marsh tidal flat system, but as external sediment supply increases and light conditions decline the system reverts to that of a bare tidal flat. Across all systems and with current rates of sea level rise, retreat is a more likely marsh loss modality than drowning.

  14. A randomized controlled trial to evaluate the impact of a geo-specific poster compared to a general poster for effecting change in perceived threat and intention to avoid drowning ‘hotspots’ among children of migrant workers: evidence from Ningbo, China

    Directory of Open Access Journals (Sweden)

    Yinchao Zhu

    2017-05-01

    Full Text Available Abstract Background Drowning among children of migrant workers is a major, though neglected public health issue in China. Methods A randomised controlled trial was used to examine the potential impact of viewing a preventive health poster with/without geo-located drowning events on perceptions of drowning risk among Chinese migrant children. A total of 752 children from three schools in Jiangbei district were selected by multi-stage sampling and randomly assigned to the intervention (n = 380 or control (n = 372. Multilevel models were used to analyse changes in responses to the following questions after viewing the assigned poster for 10 min: (1 “Do you believe that drowning is a serious health problem in Ningbo city?”; (2 “Do you believe that there are lots of drowning-risk waters around you?”; (3 “Do you believe that the likelihood of your accessing a drowning-risk water is great?”; and (4 “Would you intend to avoid accessing to those drowning-risk waters when being exposed?” Results At baseline there were no significant differences between the intervention and control groups in perceptions of drowning risk or covariates. Following the intervention, participants that viewed the geo-specific poster were more likely to respond more favourably to the first three questions (p < 0.001 than those who viewed the standard poster. However, there was no substantive difference between the geo-specific or standard poster in terms of changing intentions to avoid drowning hotspots (p = 0.214. Conclusions Use of ‘geo-located’ information added value to the effectiveness of a drowning prevention poster for enhancing awareness of drowning hotspots among children of migrant workers. Trial registration Chinese Clinical Trial Registry ChiCTR-IOR-16008979 (Retrospectively registered (The date of trial registration: Aug 5, 2016, the date of enrolment of the first participant: Nov 10, 2015.

  15. Stepwise drowning of the urgonian carbonate platform and the sedimentary regime during the Mid-Cretaceous environmental crisis: new evidence from the Helvetic Alps

    Science.gov (United States)

    Linder, P.; Weissert, H.; Funk, H.; Föllmi, K. B.

    2003-04-01

    In the region of Anzeindaz (Ct. Vaud, Switzerland) the sedimentary succession of the so-called "Urgonian" of the Schrattenkalk Formation (late Barremian to early Aptian in age) and of the Garschella Formation (early Aptian to late Cenomanian in age) is well developed. These outcrops in the helvetic Morcles nappe are particularly appropriate to study the drowning events that lead to the disappearance of the urgonian carbonate platform and the subsequent development towards a sedimentary regime of condensation and authigenesis. Cavities with infillings of Garschella Formation sediments penetrating the Schrattenkalk limestone up to 20 meters deep are interpreted as karstic erosional cavities and/or neptunian dikes. The most interesting finding was the special way in which the drowning of the urgonian carbonate platform is documented. At one outcrop (La Corde) thin relics of a bed interpreted as the Upper Orbitolina Bed seem to be integrated in the Garschella Formation since it separates relics of at least two phosphoritic beds, probably the Luitere Bed but also an older bed that was not described by Föllmi and Ouwehand (1987). In fact a diploma student at the University of Neuchâtel, François Gainon (2001) just recently rediscovered and correctly interpreted a similar but less condensed succession in the nearby Rawil region that was first described (but misinterpreted) by Schaub (1936). Gainon named this older phosphoritic horizon of the Rawil region "Plaine Morte Bed" and he was able to date it with an ammonite of the earliest Aptian Weissi/Tuarkyricus Zones. In both the Rawil and Anzeindaz regions the whole ensemble is deposited over an erosive unconformity cutting off the Schrattenkalk limestone. The sedimentary succession of the Garschella Formation in the Anzeindaz region contains equivalents of nearly all beds described and defined in the type outcrops of eastern Switzerland and Austria (Föllmi &Ouwehand 1987). The study of these sediments revealed new

  16. Determination of ibogaine and noribogaine in biological fluids and hair by LC-MS/MS after Tabernanthe iboga abuse Iboga alkaloids distribution in a drowning death case.

    Science.gov (United States)

    Chèze, Marjorie; Lenoan, Aurélie; Deveaux, Marc; Pépin, Gilbert

    2008-03-21

    Tabernanthe iboga belongs to the Apocynaceae family. In this study, we report the case of a 37-year-old black male working as a security agent in Paris and found dead naked on the beach in Gabon after consumption of iboga. Autopsy revealed a drowning fatality and a myocardial abnormality (myocardial bridging). Samples of blood, urine, bile, gastric content, liver, lungs, vitreous, spleen and hair were taken. Biological fluids were liquid-liquid extracted with saturated NH4Cl pH 9.5 and methylene chloride/isopropanol (95/5, v/v) in presence of clonazepam-d(4), used as internal standard. After decontamination with dichloromethane, hair was cut into small pieces then sonicated for 2h in saturated NH4Cl pH 9.5 before extraction by methylene chloride/isopropanol (95/5, v/v). After evaporation the residues were reconstituted in methanol/ACN/formate buffer pH 3, from which 10 microL were injected into an ODB Uptisphere C(18) column (150 mm x 2.1mm, 5 microm) and eluted with a gradient of acetonitrile and formate buffer delivered at a flow rate of 200 microL/min. A Quantum Ultra triple-quadrupole mass spectrometer was used for analyses. Ionization was achieved using electrospray in the positive ionization mode (ESI). For each compound, detection was related to three daughter ions (ibogaine: m/z 311.4-->122.1, 174.1 and 188.1; noribogaine: m/z 297.4-->122.1, 159.1 and 160.1; clonazepam-d(4): m/z 319.9-->218.1, 245.1 and 274.1). Ibogaine and noribogaine were detected in all autopsy samples. Hair segmentation was not possible as hair was very short and frizzy. Concentrations of 1.2 and 2.5 ng/mg, respectively were detected. Neither other licit or illicit drugs nor alcohol were found. The presence of ibogaine and noribogaine in all autopsy samples was consistent with the recent absorption of Tabernanthe iboga, which was assumed to be responsible of the drowning fatality. The history of exposure, regarding hair analysis, is discussed. LC-MS/MS appears to be the best method for

  17. Motiv utonulé dívky v poezii německého expresionismu // The theme of a beautiful drowned girl in the poetry of German expressionism

    Directory of Open Access Journals (Sweden)

    Radek Malý

    2016-11-01

    Full Text Available The motif of a beautiful drowned girl or, generally, a young woman related to the water environment has appeared in European art since antiquity. The crucial turning point in the approach to the figure of a girl tragically related to the water element came with Shakespeare’s Hamlet: it features the strong female character of Hamlet’s lover Ophelia, who goes mad and tragically drowns after the Prince’s refusal. Her death became a popular subject in the field of fine arts and literature, with its popularity culminating in emotionally charged eras; i.e. Romanticism and, later,Symbolism and Decadence. J. A. Rimbaud’s poem Ophelia had a far-reaching influence on German poetry where the motif of a drowned girl became a frequent subject. This relationship was initiated by the translation of Rimbaud’s poems into German by Karl Klammer. The paper examines his influence on the poems of the expressionists Georg Heym, Georg Trakl, and Gottfried Benn.

  18. Anachronistic facies from a drowned Lower Triassic carbonate platform: Lower member of the Alwa Formation (Ba'id Exotic), Oman Mountains

    Science.gov (United States)

    Woods, Adam D.; Baud, Aymon

    2008-09-01

    The lower member of the Alwa Formation (Lower Olenekian), found within the Ba'id Exotic in the Oman Mountains (Sultanate of Oman), consists of ammonoid-bearing, pelagic limestones that were deposited on an isolated, drowned carbonate platform on the Neotethyan Gondwana margin. The strata contain a variety of unusual carbonate textures and features, including thrombolites, Frutexites-bearing microbialites that contain synsedimentary cements, matrix-free breccias surrounded by isopachous calcite cement, and fissures and cavities filled with large botryoidal cements. Thrombolites are found throughout the study interval, and occur as 0.5-1.0 m thick lenses or beds that contain laterally laterally-linked stromatactis cavities. The Frutexites-bearing microbialites occur less frequently, and also form lenses or beds, up to 30 cm thick; the microbialites may be laminated, and often developed on hardgrounds. In addition, the Frutexites-bearing microbialites also contain synsedimentary calcite cement crusts and botryoids (typically fracturing of the limestone and the precipitation of large, botryoidal aragonite cements in fissures that cut across the primary fabric. Environmental conditions, specifically palaeoxygenation and the degree of calcium carbonate supersaturation, likely controlled whether the thrombolites (high level of calcium carbonate supersaturation associated with vertical mixing of water masses and dysoxic conditions) or Frutexites-bearing microbialites (low level of calcium carbonate supersaturation associated with anoxic conditions and deposition below a stable chemocline) formed. The results of this study point to continued environmental stress in the region during the Early Triassic that likely contributed to the uneven recovery from the Permian-Triassic mass extinction.

  19. Gatsby as a Drowned Sailor.

    Science.gov (United States)

    Lukens, Margaret

    1987-01-01

    Claims that most teachers who read "The Great Gatsby" in high school English courses do not notice the work's extensive use of nautical imagery. Cites examples and claims that close reading reveals Gatsby to be not only the dreamer and unsuccessful suitor but also the American fisherman who "hooks a big one." (JD)

  20. Assessment of the risk of drowning at low-head dams used as sea lamprey barriers in Ontario[Includes the CSCE forum on professional practice and career development : 1. international engineering mechanics and materials specialty conference : 1. international/3. coastal, estuarine and offshore engineering specialty conference : 2. international/8. construction specialty conference

    Energy Technology Data Exchange (ETDEWEB)

    Mazurek, K.A.; Thomson, J.; Amos, M. [Saskatchewan Univ., Saskatoon, SK (Canada). Dept. of Civil and Geological Engineering; Hallett, A. [A. Hallett, Sault Ste. Marie, ON (Canada); Aktar, A. [Indian Inst. of Technology, Kanpur (India). Dept. of Civil Engineering; Katopodis, C. [Fisheries and Oceans Canada, Winnipeg, MB (Canada). Freshwater Inst.

    2009-07-01

    In 2003, there were 54 fixed-crest lamprey barriers used in the Great Lakes region, with more construction planned. Although the barriers are relatively small structures of about 1-2 m in height, they present a drowning hazard. On the downstream side of the structure, a submerged hydraulic jump creates a strong vortex flow that even an experienced swimmer cannot escape. This study developed a method to assess the risk of hazardous flows at the barrier sites to enable dam owners to decide whether or not mitigative measures need to be undertaken at their sites. This hazard assessment was demonstrated for 2 existing lamprey barriers in Ontario, namely the Duffins Creek Barrier at Ajax and the Little Otter Creek Barrier near Straffordville. However, the work can be applied to the dam safety assessment and the development of potential mitigative strategies for drowning at other low-head dams and weirs. A flow-duration curves was developed for each site in order to determine the risk of having a drowning hazard at the barrier sites. In the flow-duration analysis, the percentage time, or probability, that a given flow rate was equalled or exceeded was calculated directly from observations of the average daily discharge in the channel. 18 refs., 1 tab., 7 figs.

  1. Preventing Drowning Accidents Using Thermal Cameras

    DEFF Research Database (Denmark)

    Bonderup, Søren; Olsson, Jonas Lundgaard; Bonderup, Morten Bojesen

    2016-01-01

    detector is implemented using a virtual trip-wire in combination with an optical flow algorithm making the system able to detect 100% of all falls and only yielding a 0.08 false positive rate hourly. The entire system has been developed using 155 h of real life thermal video, hereof 56 h are manually...

  2. Use of the histopathology in the differential diagnosis of drowning in fresh and salty water: an experimental model establishment in rats Uso da histopatologia no diagnóstico diferencial de afogamento em água doce e água salgada: estabelecimento de modelo experimental em ratos

    Directory of Open Access Journals (Sweden)

    Rafael Fagionato Locali

    2006-08-01

    Full Text Available PURPOSE: To develop a method of differential diagnosis to drowning, due to analysis of the alveolar macrophages quantitative, in rats submitted to induced drowning in fresh water and salty water. METHODS: Were used 15 male adult rats Wistar EPM-1, weight 360g (SD=21,3, randomized in three groups: G1- Control; G2- Fresh water; G3- Salty water, each one with n=5. The animals have been anesthetized and tracheostomized to insert a cannula inside the trachea, for drowning induction. The lungs have been removed, weighed, prepared for histology and colored by immunohistochemistry. The macrophages have been counted in both lungs (right and left of each animal. The statistical test used was ANOVA (SPSS.10 with pG2>G1 with p=0,0001 in each comparison. The weight of lungs of G3 and G2 was higher than G1, with p>0,0001, however G3 and G2 do not possess difference statistics in the weight of lungs. CONCLUSION: The developed diagnostic method was efficient in rats. The results, if expanded, will be able to assist the Forensic Pathology for technique of low cost and high trustworthiness.OBJETIVO: Desenvolver um método de diagnóstico diferencial de afogamento, pela análise quantitativa dos macrófagos alveolares, em ratos submetidos à afogamento induzido em água doce e água salgada. MÉTODOS: Foram utilizados 15 ratos adultos, machos Wistar EPM-1, pesando 360g (DP=21,3, randomizados em três grupos: G1 - controle; G2 - Água doce; G3 - Água salgada, cada um com n=5. Os animais foram anestesiados e traqueostomizados para inserção de uma cânula endotraqueal, para indução do afogamento. Os pulmões foram removidos, pesados, preparados para histologia e corados por imunohistoquímica. Os macrófagos foram contados em ambos os pulmões (direito e esquerdo de cada animal. O teste estatístico utilizado foi o ANOVA (SPSS.10 com pG2>G1 com p=0,0001, entretanto, G3 e G2 não possuem diferença estatística no peso dos pulmões. CONCLUSÃO: O método diagn

  3. Prognostic value of proton magnetic resonance spectroscopy findings in near drowning patients: reversibility of the early metabolite abnormalities relates with a good outcome Valor prognóstico da espectroscopia de prótons em vítimas de quase-afogamento: reversibilidade das anormalidades metabólicas precoces relacionou-se com bom prognóstico

    Directory of Open Access Journals (Sweden)

    Maria de Fátima Vasco Aragão

    2009-03-01

    Full Text Available In two children with near drowning hypoxic encephalopathy and normal-appearing structural MRI, acute proton magnetic resonance spectroscopy (¹H MRS showed biochemical alterations that correctly indicated prognosis and helped to guide management decisions. Elevation of the lipid-lactate and glutamine-glutamate peaks, on the early (72 hour ¹H MRS, predicts a poor prognosis. Absence of lipid-lactate and glutamine-glutamate peaks on the early ¹H MRS and reversibility of early mild metabolite abnormalities on follow up examination relates with good outcome.Em duas criancas vítimas de quase-afogamento com encefalopatia hipóxico-isquêmica, que apresentaram ressonância magnética por imagem normal, a espectroscopia de prótons por ressonância magnética (¹H MRS na fase aguda mostrou alterações bioquímicas que corretamente indicaram o prognóstico e ajudaram a guiar o manejo terapêutico. Elevação dos picos de lipídeo-lactato e glutamina-glutamato na ¹H MRS precoce realizada com 72 horas previu um mau prognóstico. Relacionaram-se com bom prognóstico; a ausência dos picos de lipídeo-lactato e glutamina-glutamato na ¹H MRS precoce, e a reversibilidade no exame de controle (3 meses das discretas anormalidades metabólicas encontradas no primeiro exame.

  4. Drowning in PC Management: Could a Linux Solution Save Us?

    Science.gov (United States)

    Peters, Kathleen A.

    2004-01-01

    Short on funding and IT staff, a Western Canada library struggled to provide adequate public computing resources. Staff turned to a Linux-based solution that supports up to 10 users from a single computer, and blends Web browsing and productivity applications with session management, Internet filtering, and user authentication. In this article,…

  5. Drowning in muddied waters or swimming downstream? A critical ...

    African Journals Online (AJOL)

    This paper proceeds from examining the debate regarding the question of whether a systematic literature review should be undertaken within a qualitative research study to focusing specifically on the role of a literature review in a phenomenological study. Along with pointing to the pertinence of orienting to, articulating and ...

  6. Drowning in Muddied Waters or Swimming Downstream? A Critical ...

    African Journals Online (AJOL)

    literature review should be undertaken within a qualitative research study to focusing specifically on the role of a ... regarding the methods used in previous studies that .... undertake some type of literature review in qualitative research and ...

  7. Drowning stars: reassessing the role of astrocytes in brain edema.

    Science.gov (United States)

    Thrane, Alexander S; Rangroo Thrane, Vinita; Nedergaard, Maiken

    2014-11-01

    Edema formation frequently complicates brain infarction, tumors, and trauma. Despite the significant mortality of this condition, current treatment options are often ineffective or incompletely understood. Recent studies have revealed the existence of a brain-wide paravascular pathway for cerebrospinal (CSF) and interstitial fluid (ISF) exchange. The current review critically examines the contribution of this 'glymphatic' system to the main types of brain edema. We propose that in cytotoxic edema, energy depletion enhances glymphatic CSF influx, whilst suppressing ISF efflux. We also argue that paravascular inflammation or 'paravasculitis' plays a critical role in vasogenic edema. Finally, recent advances in diagnostic imaging of glymphatic function may hold the key to defining the edema profile of individual patients, and thus enable more targeted therapy. Copyright © 2014 Elsevier Ltd. All rights reserved.

  8. Keep Children Safe From Drowning in Flooded Areas

    Centers for Disease Control (CDC) Podcasts

    2006-08-10

    As the cleanup process begins after a natural disaster, there may be areas of flooding. Watch your children to prevent them from playing in or around flood water.  Created: 8/10/2006 by Emergency Communications System.   Date Released: 10/22/2007.

  9. DROWNING OR WAVING? CITIZENSHIP, MULTICULTURALISM AND ISLAM IN MALAYSIA

    Directory of Open Access Journals (Sweden)

    Steven Drakeley

    2008-08-01

    Full Text Available This article examines some intriguing shifts in Islamic thinking on questions around citizenship and multiculturalism that have emerged in the Malaysian context in recent years. It does so in the light of the March 2008 election results and other recent political developments, notably the rise of Anwar Ibrahim’s PKR, and considers the implications for Malaysia. Of particular focus is the novel Islam Hadhari concept articulated by UMNO leader Prime Minister Badawi and the relatively doctrinaire Islamic state ideas of Islamist PAS. The article argues that these shifts in Islamic thinking are largely propelled by politics. Partly they are propelled by the logic, in a narrow political sense, imposed by the particular political circumstances that confront these Muslim-based political parties in Malaysia’s multi-ethnic, multi-religious setting. Partly the impetus is derived from growing general concerns in Malaysia that a new and more stable and enduring settlement of the issues associated with the country’s notorious horizontal divisions must be found if Malaysia is to avoid a disastrous plunge into communal conflict or tyranny.

  10. Burning in moral, drowning in rationality?:Ethical considerations in forming environmental policy

    OpenAIRE

    Berglund, Christer

    2005-01-01

      We have experienced an increasing use of both economic and political instruments in attempts to induce households to contribute to sustainable development. However, there is a lack of understanding of how these tools interplay with the motives held by households and the daily constraints they face. The purpose of this paper is to give some anecdotal evidence on how moral motives may affect different policies in force, and to give some insights on how to proceed in designing policy instru...

  11. Scedosporium aurantiacum brain abscess after near-drowning in a survivor of a tsunami in Japan.

    Science.gov (United States)

    Nakamura, Yutaka; Suzuki, Naomi; Nakajima, Yoshio; Utsumi, Yu; Murata, Okinori; Nagashima, Hiromi; Saito, Heisuke; Sasaki, Nobuhito; Fujimura, Itaru; Ogino, Yoshinobu; Kato, Kanako; Terayama, Yasuo; Miyamoto, Shinya; Yarita, Kyoko; Kamei, Katsuhiko; Nakadate, Toshihide; Endo, Shigeatsu; Shibuya, Kazutoshi; Yamauchi, Kohei

    2013-12-01

    Many victims of the tsunami that occurred following the Great East Japan Earthquake on March 11, 2011 developed systemic disorders owing to aspiration pneumonia. Herein, we report a case of tsunami lung wherein Scedosporium aurantiacum was detected in the respiratory tract. A magnetic resonance image of the patient's head confirmed multiple brain abscesses and lateral right ventricle enlargement. In this case report, we describe a potential refractory multidrug-resistant infection following a tsunami disaster. Copyright © 2013 The Japanese Respiratory Society. Published by Elsevier B.V. All rights reserved.

  12. Identification of the submergence tolerance QTL Come Quick Drowning1 (CGD1) in Arabidopsis thaliana

    NARCIS (Netherlands)

    Akman, Melis; Kleine, Rogier; Tienderen, van Peter H.; Schranz, Eric M.

    2017-01-01

    Global climate change is predicted to increase water precipitation fluctuations and lead to localized prolonged floods in agricultural fields and natural plant communities. Thus, understanding the genetic basis of submergence tolerance is crucial in order to improve plant survival under these

  13. Drowning in Geochemical Data: The Good, the bad, and the Ugly

    Science.gov (United States)

    Hofmann, A. W.; Goldstein, S. L.

    2008-12-01

    Geochemical databases are placing unprecedented amounts of geochemical data at the fingertips of professionals and students. How these data are being used is taking an increasingly important role in shaping our thinking about the Earth. Databases have helped to expose (and eventually kill?) some long- cherished myths, such as the idea of the well-homogenized upper-mantle reservoir, and and they have made geochemical data accessible to geophysicists and enabled them to look at geochemistry with fresh eyes, leading to genuinely new insights. Yet, their very accessibility also makes them "dangerous tools" in the hands of the inexperienced. Statistical treatment of masses of geochemical data without, or with excessive, filtering can yield all sorts of "answers" we would probably be better off without. Data that are severely flawed (due to alteration or poor analytical quality, errors in published data, or errors during data entry) might not be easily identified by, say, a geodynamicist. Other dangers stem from overrepresentation of over-sampled locations and the general, but faulty, assumption of random sampling of the Earth. We will show examples where raw downloads of data from databases without extensive screening can yield data collections where the garbage swamps the useful information. We will also show impressive but meaningless correlations, e.g. upper-mantle temperature versus atmospheric temperature. The lesson is that screening is necessary. On the other hand, sound database compilations now demonstrate that average incompatible-element concentrations in global MORB are two to five times higher than published estimates. This fundamentally changes 30-year-old geochemical mass balance estimates of the mantle. OIBs are fundamentally similar to MORBs but are isotopically shifted, on average, to more "enriched" values. Mantle geochemistry is now fully consistent with dynamic models of "whole-mantle" circulation, with the likely exception of a relatively small, reservoir probably hidden near the base of the mantle. Among the most important changes triggered by the new databases are the following: (1) Driven by the database community, the standards required for reporting geochemical data in publications are changing in fundamental ways. Whereas it was common practice, especially in high-profile journals, to treat the data supporting the claims made in the published articles as relatively unimportant technical details, journal editors now require much more careful geochemical data reporting that includes complete data in numerical rather than graphical representation, information on sample locations, analytical methods, and uncertainty estimates. (2) Given the ever-increasing production rate of geochemical data, comprehensive use of geochemical data without relational databases is, or will soon be, impossible.

  14. A Drowning Man’s Umbrella Quest: America’s Search for Iranian Policy

    Science.gov (United States)

    2011-04-06

    34 see Copeland, The Origins of Major War, 39; 27 lbid., 37. 28 David Barsamian, Noam Chomsky , Ervand Abrahamian, Nahid Mozaffari, Targeting Iran...Noam Chomsky , Rogue States: The Rule of Force in the World Affairs (Cambridge: South End Press, 2000), 28. 68 Michael C. Potter, Electronic

  15. Ripple Effects of PPS on Nursing Homes: Swimming or Drowning in the Funding Stream?

    Science.gov (United States)

    Swan, James H.; And Others

    1990-01-01

    Of 189 nursing homes, 83 percent reported that Medicare's hospital Prospective Payment System (PPS) affected patient needs, 53 percent said it affected patients and services provided, and 25 percent said it affected referrals to hospitals. PPS effects depended on facility factors of size, Medicare certification, tax status, and on local market…

  16. Drowning in Data: Going Beyond Traditional Data Archival to Educate Data Users

    Science.gov (United States)

    Weigel, A. M.; Smith, T.; Smith, D. K.; Bugbee, K.; Sinclair, L.

    2017-12-01

    Increasing quantities of Earth science data and information prove overwhelming to new and unfamiliar users. Data discovery and use challenges faced by these users are compounded with atmospheric science field campaign data collected by a variety of instruments and stored, visualized, processed and analyzed in different ways. To address data and user needs assessed through annual surveys and user questions, the NASA Global Hydrology Resource Center Distributed Active Archive Center (GHRC DAAC), in collaboration with a graphic designer, has developed a series of resources to help users learn about GHRC science focus areas, field campaigns, instruments, data, and data processing techniques. In this talk, GHRC data recipes, micro articles, interactive data visualization techniques, and artistic science outreach and education efforts, such as ESRI story maps and research as art, will be overviewed. The objective of this talk is to stress the importance artistic information visualization has in communicating with and educating Earth science data users.

  17. Drowning in negativism, self-hate, doubt, madness: Linguistic insights into Sylvia Plath's experience of depression.

    Science.gov (United States)

    Demjén, Zsófia

    2014-01-01

    This paper demonstrates how a range of linguistic methods can be harnessed in pursuit of a deeper understanding of the 'lived experience' of psychological disorders. It argues that such methods should be applied more in medical contexts, especially in medical humanities. Key extracts from The Unabridged Journals of Sylvia Plath are examined, as a case study of the experience of depression. Combinations of qualitative and quantitative linguistic methods, and inter- and intra-textual comparisons are used to consider distinctive patterns in the use of metaphor, personal pronouns and (the semantics of) verbs, as well as other relevant aspects of language. Qualitative techniques provide in-depth insights, while quantitative corpus methods make the analyses more robust and ensure the breadth necessary to gain insights into the individual experience. Depression emerges as a highly complex and sometimes potentially contradictory experience for Plath, involving both a sense of apathy and inner turmoil. It involves a sense of a split self, trapped in a state that one cannot overcome, and intense self-focus, a turning in on oneself and a view of the world that is both more negative and more polarized than the norm. It is argued that a linguistic approach is useful beyond this specific case.

  18. Almost Drowning: Data as a Troubling Anchor in an Arts/Social Science Collaboration

    Directory of Open Access Journals (Sweden)

    Genevieve Durham-DeCesaro MFA

    2014-02-01

    Full Text Available This article highlights fissures between the disciplines of dance and social sciences in approaching and valuing data and offers creative solutions for dancers and choreographers working collaboratively with scholars and artists in other disciplines. We locate our challenges in our divergent relationships with social science data, using the divergence as a framework for exploring discipline-specific practices as unintended roadblocks in collaborative, transdisciplinary research. We propose that the structure of our collaboration, particularly our unique pairing of dance and social science, and our emergent discoveries have implications beyond our home disciplines and promise to advance the growing enterprise of transdisciplinary collaboration.

  19. Continental shelf drowned landscapes: Submerged geomorphological and sedimentary record of the youngest cycles

    NARCIS (Netherlands)

    Cohen, K.M.; Lobo, F.J.

    2013-01-01

    Continental shelves today find themselves largely submerged as a consequence of the sea-level rise in the last 20,000 years, the time since the Last Glacial Maximum (LGM), the period of maximum ice mass and minimum ocean volume within the Last Glacial Cycle. Their geomorphology, however, is far from

  20. Sports injuries, drowning and exposure to radiation concern Canada Safety Council meeting

    International Nuclear Information System (INIS)

    Oliver, Caroline.

    1979-01-01

    Hazards associated with surface sports, aquatic sports and exposure to radiation were considered at a meeting of the Canada Safety Council in late 1979. The session on radiation noted that 6 of 20000 radiation workers wearing dosimeters were exposed to a dose in excess of 5 rem, the annual limit set by the Atomic Energy Control Board. Radiographers were in the job classification receiving the highest doses of ionizing radiation. Concern was expressed for the emission of damaging radiation from broken mercury vapour lamps. Increased regulation rather than training was seen as the most effective solution. (T.I.)

  1. The Drowned and the Saved. Reflections on Mobility and Border in Times of Crisis

    OpenAIRE

    Vacchiano, Francesco

    2015-01-01

    The «European Agenda on Migration», whose objective is the unification of the different measures that the European Union will adopt to develop a coherent and integrated approach to migrations and border policy, is paradigmatic of how the European Commission imagines de Mediterranean as a space of migratory flows. This agenda has three main characteristics: usefulness, planning and stratification, and points to a new European mobility governance. This paper explores the implications and conseq...

  2. Not Waving but Drowning: A Review of Tufte's "The Cognitive Style of PowerPoint"

    Science.gov (United States)

    Kangas, Brian D.

    2012-01-01

    "The Cognitive Style of PowerPoint: Pitching Out Corrupts Within" by Edward Tufte (2006) condemns the software for failing to help users achieve many of the goals of an effective presentation and instead offers a low resolution platform with a deeply hierarchical single-path structure capable of convening a trivial amount of information even over…

  3. Drowning out the protection racket: partner manipulation or drought can strengthen ant-plant mutualism.

    Science.gov (United States)

    Denison, R Ford

    2014-07-01

    Two recent reports discuss interactions between plants and ants that defend them from herbivores. Acacia trees provide their ant bodyguards with a diet that reduces their ability to benefit from alternate hosts. Provisioning of ants by Cordia trees during drought may buy insurance against extreme defoliation events, not just average-year benefits. Copyright © 2014 Elsevier Ltd. All rights reserved.

  4. Data from: Identification of the submergence tolerance QTL come quick drowning1 (CQD1) in Arabidopsis thaliana

    NARCIS (Netherlands)

    Akman, Melis; Kleine, Rogier; Tienderen, van Peter H.; Schranz, M.E.

    2017-01-01

    Global climate change is predicted to increase water precipitation fluctuations and lead to localized prolonged floods in agricultural fields and natural plant communities. Thus, understanding the genetic basis of submergence tolerance is crucial in order to improve plant survival under these

  5. Effects of sea level rise on the formation and drowning of shoreface-connected sand ridges, a model study

    NARCIS (Netherlands)

    Nnafie, A.|info:eu-repo/dai/nl/37551127X; de Swart, Huib|info:eu-repo/dai/nl/073449725; Calvete, D.|info:eu-repo/dai/nl/304846317; Garnier, R.

    2014-01-01

    Shoreface-connected sand ridges occur on many storm-dominated inner shelves. These rhythmic features have an along-shelf spacing of 2-10. km, a height of 1-12. m, they evolve on timescales of centuries and they migrate several meters per year. An idealized model is used to study the impact of sea

  6. Keep up or drown: adjustment of western Pacific coral reefs to sea-level rise in the 21st century.

    Science.gov (United States)

    van Woesik, R; Golbuu, Y; Roff, G

    2015-07-01

    Since the Mid-Holocene, some 5000 years ago, coral reefs in the Pacific Ocean have been vertically constrained by sea level. Contemporary sea-level rise is releasing these constraints, providing accommodation space for vertical reef expansion. Here, we show that Porites microatolls, from reef-flat environments in Palau (western Pacific Ocean), are 'keeping up' with contemporary sea-level rise. Measurements of 570 reef-flat Porites microatolls at 10 locations around Palau revealed recent vertical skeletal extension (78±13 mm) over the last 6-8 years, which is consistent with the timing of the recent increase in sea level. We modelled whether microatoll growth rates will potentially 'keep up' with predicted sea-level rise in the near future, based upon average growth, and assuming a decline in growth for every 1°C increase in temperature. We then compared these estimated extension rates with rates of sea-level rise under four Representative Concentration Pathways (RCPs). Our model suggests that under low-mid RCP scenarios, reef-coral growth will keep up with sea-level rise, but if greenhouse gas concentrations exceed 670 ppm atmospheric CO2 levels and with +2.2°C sea-surface temperature by 2100 (RCP 6.0 W m(-2)), our predictions indicate that Porites microatolls will be unable to keep up with projected rates of sea-level rise in the twenty-first century.

  7. Main factors determining bioerosion patterns on rocky cliffs in a drowned valley estuary in the Colombian Pacific (Eastern Tropical Pacific)

    Science.gov (United States)

    Cobo-Viveros, Alba Marina; Cantera-Kintz, Jaime Ricardo

    2015-10-01

    Bioerosion is an important process that destroys coastal rocks in the tropics. However, the rates at which this process occurs, the organisms involved, and the dynamics of rocky cliffs in tropical latitudes have been less studied than in temperate and subtropical latitudes. To contribute to the knowledge of the bioerosion process in rocky cliffs on the Pacific coast of Colombia (Eastern Tropical Pacific) we compared: 1) boring volume, 2) grain size distribution of the rocks, and 3) rock porosity, across three tidal zones of two cliffs with different wave exposure; these factors were related to the bioeroding community found. We observed that cliffs that were not exposed to wave action (IC, internal cliffs) exhibited high percentages of clays in their grain size composition, and a greater porosity (47.62%) and perforation (15.86%) than exposed cliffs (EC, external cliffs). However, IC also exhibited less diversity and abundance of bioeroding species (22 species and 314 individuals, respectively) compared to the values found in EC (41.11%, 14.34%, 32 and 491, respectively). The most abundant bioeroders were Petrolisthes zacae in IC and Pachygrapsus transversus in EC. Our findings show that the tidal zone is the common factor controlling bioerosion on both cliffs; in addition to the abundance of bioeroders on IC and the number of bioeroding species on EC. The integration of geology, sedimentology, and biology allows us to obtain a more comprehensive view of the patterns and trends in the process of bioerosion.

  8. Adapt or Drown - Can the United States Chart a Safe Course Through the Troubled Waters of Energy Security

    Science.gov (United States)

    2010-04-01

    the cost of meat and dairy products. One solution, algae, has been discussed for decreasing the dependency of biodiesel production on crops—a...and maize/corn (United States). Ethanol is produced by fermenting sugars. Corn grain is processed to remove the sugar in wet and dry mills (by...crushing, soaking, and/or chemical treatment), the sugar is fermented , and the resulting mix is distilled and purified to obtain anhydrous ethanol. Major

  9. 'Treading water but drowning slowly': what are GPs' experiences of living and working with mental illness and distress in England? A qualitative study.

    Science.gov (United States)

    Riley, Ruth; Spiers, Johanna; Chew-Graham, Carolyn A; Taylor, Anna K; Thornton, Gail A; Buszewicz, Marta

    2018-05-03

    This paper provides an in-depth account of general practitioners' (GPs) experiences of living and working with mental illness and distress, as part of a wider study reporting the barriers and facilitators to help-seeking for mental illness and burn-out, and sources of stress/distress for GP participants. Qualitative study using in-depth interviews with 47 GP participants. The interviews were audio recorded, transcribed, anonymised and imported into NVivo V.11 to facilitate data management. Data were analysed using a thematic analysis employing the constant comparative method. England. A purposive sample of GP participants who self-identified as: (1) currently living with mental distress, (2) returning to work following treatment, (3) off sick or retired early as a result of mental distress or (4) without experience of mental distress. Interviews were conducted face to face or over the telephone. The findings report GP participants' in-depth experiences of distress and mental illness with many recollecting their distressing experiences and significant psychological and physical symptoms relating to chronic stress, anxiety, depression and/or burn-out, and a quarter articulating thoughts of suicide. Many talked about their shame, humiliation and embarrassment at their perceived inability to cope with the stresses of their job and/or their symptoms of mental illness. These findings paint a concerning picture of the situation affecting primary care doctors, with participants' accounts suggesting there is a considerable degree of mental ill health and reduced well-being among GPs. The solutions are complex and lie in prevention and provision. There needs to be greater recognition of the components and cumulative effect of occupational stressors for doctors, such as the increasing workload and the clinical and emotional demands of the job, as well as the need for a culture shift within medicine to more supportive and compassionate work environments. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  10. Lost islands, Drowned Settlements and Forgotten Shipwrecks : interaction between aspects of the maritime cultural landscape of the former Zuiderzee (AD 1100-1400)

    NARCIS (Netherlands)

    van Popta, Yftinus

    2017-01-01

    The research presented in this paper is part of the doctoral research of the author and focuses on the maritime cultural landscape of the former Zuiderzee (the Netherlands) between AD 1100 and 1400. The main aim of this research is to reconstruct the medieval landscape and habitation by combining

  11. Installation of devices in water tanks to prevent drowning of wild animals (Instalacion de Estructuras Dentro de Tanques de Agua Para Evitar El Ahogamiento de Animales Silvestres)

    Science.gov (United States)

    Alberto Lafon

    2006-01-01

    Domestic farm and ranch properties use a variety of water retention structures and water supply infrastructures that benefit wildlife. Some water supply systems, however, are harmful to wild birds, small mammals, and reptiles. Water supply systems include metal water tanks, cemented reservoirs, or excavated earthen retention ponds (or tanques as they are known in...

  12. Are We Drowning? Urban Land Subsidence in Thyborøn, Denmark, From Ers-2 and Sentinel-1 Imagery and Precision Leveling

    DEFF Research Database (Denmark)

    F. Levinsen, J.; Broge, N.H.; Sørensen, Carlo Sass

    2016-01-01

    We assess the potential in information on rates of vertical land deformation, which is useful for, e.g., climate change adaptation. The optimal results are obtained from observations with a high spatial coverage, such as those from Sentinel-1 Synthetic Aperture Radar Interferometry (InSAR) data. ...

  13. Hyperfibrinolytisk dissemineret intravaskulær koagulation ved drukneulykker

    DEFF Research Database (Denmark)

    Hattesen, Andreas Lund; Berg, Henrik Karsten; Folkersen, Lars

    2017-01-01

    This article summarizes the current knowledge of drowning-induced hyperfibrinolytic disseminated intravascular coagulation. Drowning induces respiratory failure with ensuing cardiac arrest, hypoxaemia and ischaemia. A coagulopathy is induced by ischaemia, acidosis and hypothermia, and clinically...

  14. Improved Water Safety Standards May Save Lives.

    Science.gov (United States)

    Crowder, Bland

    1982-01-01

    Computer analysis of over 9,000 records of drownings and near-drownings revealed trends in water accidents. Information derived from this on-going Texas study is used as a predictive tool to help prevent drownings. For example, records of blood tests performed on water-related accident victims revealed that alcohol is a frequent culprit.…

  15. Let's Go Under! Teaching Water Safety Skills Using a Behavioral Treatment Package

    Science.gov (United States)

    Levy, Kimberly M.; Ainsleigh, Susan A.; Hunsinger-Harris, Melissa L.

    2017-01-01

    Drowning is a leading cause of unintentional death among children worldwide. Children with autism spectrum disorder (ASD) are at higher risk for incidents of drowning then their non-disabled peers. Mastering water safety skills, such as underwater submersion, has been associated with a decreased risk for incidents of drowning. Using a combined…

  16. SGMM: Smart Grid Maturity Model. A Zero-depth Entry to Using the TSP: How TSP Was Used to Turn Around the SGMM Project that Was Drowning in Details

    Science.gov (United States)

    2014-11-04

    programmatic approach and track their progress 2 Global Intelligent Utility Network Coalition (GIUNC) develops SGMM Utilities use SGMM v1.0 V1.1...Energy Duke Energy Eandis East Miss EPA EDF Energy Networks Branch EDP - Energias do Brasil, S.A. EnergyAustralia Enexis Entergy EPCOR

  17. Incidence and Consequences of Near-Drowning–Related Pneumonia—A Descriptive Series from Martinique, French West Indies

    Directory of Open Access Journals (Sweden)

    Laura Cerland

    2017-11-01

    Full Text Available Drowning represents one major cause of accidental death. Near-drowning patients are exposed to aspiration that may result in pneumonia with life-threatening consequences. We designed this descriptive study to investigate the frequency, nature, and consequences of post-drowning pneumonia. One hundred and forty-four near-drowning patients (33 children and 111 adults admitted during four years to the University Hospital of Martinique, French Indies, were included. Patients presented pre-hospital cardiac arrest (41% and exhibited acute respiratory failure (54%, cardiovascular failure (27%, and lactic acidosis (75% on admission. Empirical antibiotics, as decided by the physicians in charge, were administered in 85 patients (59%. Post-drowning early onset bacterial pneumonia was diagnosed as “possible” in 13 patients (9% and “confirmed” in 22 patients (15%. Tracheal aspiration revealed the presence of polymorphous pharyngeal flora (59% or one predominant bacteria species (41% including Enterobacter aerogenes, Enterobacter cloacae, Staphylococcus aureus, Pseudomonas aeruginosa, Aeromonas hydrophilia, and Morganella morgani. Despite adequate supportive care, drowning resulted in 45 fatalities (31%. Early onset bacterial aspiration pneumonia (either possible or confirmed did not significantly influence the risk of death. In conclusion, near-drowning–related bacterial aspiration pneumonia seems rare and does not influence the mortality rate. There is still a need for practice standardization to improve diagnosis of post-drowning pneumonia and near-drowning patient management.

  18. Incidence and Consequences of Near-Drowning–Related Pneumonia—A Descriptive Series from Martinique, French West Indies

    Science.gov (United States)

    Cerland, Laura; Mégarbane, Bruno; Kallel, Hatem; Brouste, Yanick

    2017-01-01

    Drowning represents one major cause of accidental death. Near-drowning patients are exposed to aspiration that may result in pneumonia with life-threatening consequences. We designed this descriptive study to investigate the frequency, nature, and consequences of post-drowning pneumonia. One hundred and forty-four near-drowning patients (33 children and 111 adults) admitted during four years to the University Hospital of Martinique, French Indies, were included. Patients presented pre-hospital cardiac arrest (41%) and exhibited acute respiratory failure (54%), cardiovascular failure (27%), and lactic acidosis (75%) on admission. Empirical antibiotics, as decided by the physicians in charge, were administered in 85 patients (59%). Post-drowning early onset bacterial pneumonia was diagnosed as “possible” in 13 patients (9%) and “confirmed” in 22 patients (15%). Tracheal aspiration revealed the presence of polymorphous pharyngeal flora (59%) or one predominant bacteria species (41%) including Enterobacter aerogenes, Enterobacter cloacae, Staphylococcus aureus, Pseudomonas aeruginosa, Aeromonas hydrophilia, and Morganella morgani. Despite adequate supportive care, drowning resulted in 45 fatalities (31%). Early onset bacterial aspiration pneumonia (either possible or confirmed) did not significantly influence the risk of death. In conclusion, near-drowning–related bacterial aspiration pneumonia seems rare and does not influence the mortality rate. There is still a need for practice standardization to improve diagnosis of post-drowning pneumonia and near-drowning patient management. PMID:29149019

  19. A systematic databasing of diatoms from different geographical localities and sites of Haryana for advancing validation of forensic diatomology

    Directory of Open Access Journals (Sweden)

    Ekta Saini

    2017-02-01

    Full Text Available Verdict on tracing exact place of drowning is a part of medico-legal investigation. This question often stands when circumstances remain unclear about true drowning place. Usually, when a dead body rises from the bottom of drowning site, it will appear near to the point where it had actually disappeared but rapid current may carry a body to real distance from the exact place of death before any major obstruction. Forensic methodology has suggested qualitative as well as quantitative comparison of diatoms recovered in dead body and reference water samples to corroborate drowning as cause of death and locating precise place of drowning. Collection of wrong reference water samples from drowning site can also hamper the investigation process. Since, the distributions of different genera in certain extents relate particular water where the death due to drowning might have taken place; therefore, the present attempt was made to understand diatom distribution in five water bodies of Haryana with reference to diatom growth factors. This research data represents diatomological profiles of selected sites for possible application of forensic diatomology. Both, the light and scanning electron microscopy identified diatoms. It is envisioned that this data report is informative enough for the experts to plan future strategy for investigating mysteries associating place of drowning.

  20. Demise of the northern Tethyan Urgonian carbonate platform and subsequent transition towards pelagic conditions: The sedimentary record of the Col de la Plaine Morte area, central Switzerland

    Science.gov (United States)

    Föllmi, Karl B.; Gainon, François

    2008-04-01

    The sedimentary succession of the Col de la Plaine Morte area (Helvetic Alps, central Switzerland) documents the disappearance of the northern Tethyan Urgonian platform in unprecedented detail and suggests stepwise platform demise, with each drowning phase documented by erosion and phosphogenesis. The first identified drowning phase terminated Urgonian carbonate production in a predominantly photozoan mode. Using a correlation of the whole-rock δ13C record with the well-dated record from SE France, its age is inferred to as Middle Early Aptian (near the boundary between the weissi and deshayesi zones). A subsequent drowning phase is dated by ammonites and by a correlation of the whole-rock δ13C record as Late Early Aptian (late deshayesi to early furcata zone). A third drowning phase provides an ammonite-based age of Early Late Aptian ( subnodosocostatum and melchioris zones) and is part of a widely recognized phase of sediment condensation and phosphogenesis, which is dated as latest Early to Middle Late Aptian (late furcata zone to near the boundary of the melchioris and nolani zones). The fourth and final drowning phase started in the latest Aptian ( jacobi zone) as is also indicated by ammonite findings at the Col de la Plaine Morte. The phases of renewed platform-carbonate production intervening between the drowning phases were all in a heterozoan mode. During the ultimate drowning phase, phosphogenesis continued until the Early Middle Albian, whereas condensation processes lasted until the Middle Turonian. Coverage of the external margin of the drowned Urgonian platform by a drape of pelagic carbonates started only in the Late Turonian. During the Santonian, the external part of the drowned platform underwent normal faulting and saw the re-exposure of already lithified Urgonian carbonates at the seafloor. Based on the here-inferred ages, the first drowning phase just precedes oceanic anoxic episode 1a (OAE 1a or "selli event") in time, and the second

  1. Condições Morfodinâmicas Associadas a Afogamentos. Contribuição à Segurança nas Praias Oceânicas da Cidade do Rio de Janeiro / Morphodynamic Conditions Related to Drowning Victims.Contribution to Beach Safety on Rio de Janeiro’s Oceanic Beaches

    Directory of Open Access Journals (Sweden)

    Eduardo Manuel Rosa Bulhões

    2010-04-01

    Full Text Available Nas praias oceânicas da cidade do Rio de Janeiro, o número de resgates realizados por ano é da ordem de milhares. Este estudo visa identificar condições críticas à segurança dos banhistas nas praias oceânicas da cidade, através da elaboração de estudos em clima de ondas, propagação de ondas em águas rasas e condições morfodinâmicas nas praias que podem se apresentar como perigosas à integridade dos milhares de banhistas freqüentadores das praias cariocas. Os perigos relacionados são a arrebentação das ondas, a topografia móvel do leito praial e a formação de correntes longitudinais e de retorno na zona de surfe. Esses processos naturais são resultado da interação física entre a hidrodinâmica marinha próxima à costa e o relativo reposicionamento do fundo arenoso nas praias que, de fato, expõe banhistas ao risco de afogamentos. A hipótese testada é a de que a partir de estudos em clima de ondas, são identificadas condições médias de ondulação que ao se propagarem até as praias, geram condições morfodinâmicas diferenciadas até mesmo ao longo de um mesmo arco praial. Por sua vez, os estágios morfodinâmicos podem apresentar características perigosas aos banhistas. A análise das estatísticas de salvamentos permite identificar segmentos nas praias onde há maior ou menor concentração de banhistas em situação de risco. Como resultado, chegou-se a um guia de avaliação de risco nas praias, através da correlação entre altura de ondas, nível da maré e estágios morfodinâmicos, que, em último caso, define os qualitativos das praias que expõe os banhistas a riscos.

  2. Prevention of childhood injuries

    African Journals Online (AJOL)

    road traffic crashes, drowning, burns, poisoning or falls), has become a major ... hugely on childhood health in terms of disability and, depending on their cause ... SA, children continue to be threatened by injuries of various kinds, although this ...

  3. Keeping our heads above water: A systematic review of fatal ...

    African Journals Online (AJOL)

    Keeping our heads above water: A systematic review of fatal drowning in South Africa. ... identify gaps in the current knowledge base and priority intervention areas. ... A total of 13 published research articles and 27 reports obtained through a ...

  4. Safety Education Resources: Childproofing Your Home

    Science.gov (United States)

    ... Kids and Babies En Español Kids and Babies - Safety Alerts Back to Safety Education Resources Air Mattresses ... Home Drowning Deaths in Spanish Kids and Babies - Safety Guides Back to Safety Education Resources Baby Safety ...

  5. 1300 km long late Pleistocene-Holocene shelf edge barrier reef system along the western continental shelf of India: Occurrence and significance

    Digital Repository Service at National Institute of Oceanography (India)

    Vora, K.H.; Wagle, B.G.; Veerayya, M.; Almeida, F.; Karisiddaiah, S.M.

    . It is surmised that coral/algal reef growth commenced with the advent of the Holocene trangression and favorable antecedent topography, and continued until early Holocene. Subsequently, rapid sea level rise drowned the reefs. The shelf edge reefs, therefore...

  6. Waves of Hope: The U.S. Navy's Response to the Tsunami in Northern Indonesia

    National Research Council Canada - National Science Library

    Elleman, Bruce A

    2007-01-01

    The powerful underwater earthquake that occurred off the coast of Sumatra on 26 December 2004 generated the most destructive tsunami ever recorded, drowning more than 150,000 people without warning...

  7. Download

    African Journals Online (AJOL)

    GB

    hemolysis, hyperkalemia, hyponatremia and an elevated circulating volume, whereas seawater drowning producesheme concentration, hypernatremia and lower circulating blood volume. These presentations partially depend on the amount of water aspirated. Important concern in aspiration of fresh and saltwater are.

  8. Barbados Oxygen Isotope Data (delta 18O) for the Late Pleistocene

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Coral-based delta18O time-series derived from measurements made on submerged or drowned coral reef sequence. The core samples used have been described elsewhere (cf....

  9. Underage Drinking

    Science.gov (United States)

    ... development. Physical and sexual assault. Higher risk for suicide and homicide. Alcohol-related car crashes and other unintentional injuries, such as burns, falls, and drowning. Memory problems. Abuse of other drugs. Changes in brain development that may have life- ...

  10. CPR - adult

    Science.gov (United States)

    ... heartbeat has stopped. This may happen after an electric shock , drowning, or heart attack. CPR involves: Rescue ... to swim. Teach your child to watch for cars and ride bikes safely. Teach your child firearm ...

  11. Underage Drinking | NIH MedlinePlus the Magazine

    Science.gov (United States)

    ... each year from alcohol—related car crashes, homicides, suicides, alcohol poisoning, and falls, burns, drowning, and other accidents. 4 Violence—Young drinkers are more likely to commit or be the victim of physical or sexual ...

  12. Survival at Sea for Mariners, Aviators and Search and Rescue Personnel (Survie en mer pour les marins, les aviateurs et le personnel de recherche et de sauvetage)

    National Research Council Canada - National Science Library

    2008-01-01

    .... The text discusses key issues such as drowning through cold shock and swimming failure induced by immersion in water particularly below 15 deg C, survival prediction curves and non-freezing cold injuries...

  13. Protect the Ones You Love: Child Injuries Are Preventable

    Centers for Disease Control (CDC) Podcasts

    This CDC podcast series discusses steps parents can take to help protect their children from some of the leading causes of child injury, including burns, drownings, falls, poisonings, and road traffic.

  14. Water Safety (Recreational)

    Science.gov (United States)

    Playing in the water - whether swimming, boating or diving - can be fun. It can also be dangerous, especially for children. Being safe can ... injuries and drowning. To stay safe in the water Avoid alcohol when swimming or boating Wear a ...

  15. Development of Abnormality Detection System for Bathers using Ultrasonic Sensors

    Science.gov (United States)

    Ohnishi, Yosuke; Abe, Takehiko; Nambo, Hidetaka; Kimura, Haruhiko; Ogoshi, Yasuhiro

    This paper proposes an abnormality detection system for bather sitting in bathtub. Increasing number of in-bathtub drowning accidents in Japan draws attention. Behind this large number of bathing accidents, Japan's unique social and cultural background come surface. For majority of people in Japan, bathing serves purpose in deep warming up of body, relax and enjoyable time. Therefore it is the custom for the Japanese to soak in bathtub. However overexposure to hot water may cause dizziness or fainting, which is possible to cause in-bathtub drowning. For drowning prevention, the system detects bather's abnormal state using an ultrasonic sensor array. The array, which has many ultrasonic sensors, is installed on the ceiling of bathroom above bathtub. The abnormality detection system uses the following two methods: posture detection and behavior detection. The function of posture detection is to estimate the risk of drowning by monitoring bather's posture. Meanwhile, the function of behavior detection is to estimate the risk of drowning by monitoring bather's behavior. By using these methods, the system detects bathers' different state from normal. As a result of experiment with a subject in the bathtub, the system was possible to detect abnormal state using subject's posture and behavior. Therefore the system is useful for monitoring bather to prevent drowning in bathtub.

  16. Growth and demise of a Paleogene isolated carbonate platform of the Offshore Indus Basin, Pakistan: effects of regional and local controlling factors

    Science.gov (United States)

    Shahzad, Khurram; Betzler, Christian; Ahmed, Nadeem; Qayyum, Farrukh; Spezzaferri, Silvia; Qadir, Anwar

    2018-03-01

    Based on high-resolution seismic and well datasets, this paper examines the evolution and drowning history of a Paleocene-Eocene carbonate platform in the Offshore Indus Basin of Pakistan. This study uses the internal seismic architecture, well log data as well as the microfauna to reconstruct factors that governed the carbonate platform growth and demise. Carbonates dominated by larger benthic foraminifera assemblages permit constraining the ages of the major evolutionary steps and show that the depositional environment was tropical within oligotrophic conditions. With the aid of seismic stratigraphy, the carbonate platform edifice is resolved into seven seismic units which in turn are grouped into three packages that reflect its evolution from platform initiation, aggradation with escarpment formation and platform drowning. The carbonate factory initiated as mounds and patches on a Cretaceous-Paleocene volcanic complex. Further, the growth history of the platform includes distinct phases of intraplatform progradation, aggradation, backstepping and partial drownings. The youngest succession as late-stage buildup records a shift from benthic to pelagic deposition and marks the final drowning in the Early Eocene. The depositional trend of the platform, controlled by the continuing thermal subsidence associated with the cooling of volcanic margin lithosphere, was the major contributor of the accommodation space which supported the vertical accumulation of shallow water carbonate succession. Other factors such as eustatic changes and changes in the carbonate producers as a response to the Paleogene climatic perturbations played secondary roles in the development and drowning of these buildups.

  17. Design and characterization of an ocean wave powered lifejacket using 2DOF floating boards

    Science.gov (United States)

    Mi, Jia; Xu, Lin; Yang, Yaling; Zuo, Lei

    2018-04-01

    Lifejacket is an indispensable life-saving equipment for ships and airplanes. Traditional lifejacket is designed to prevent human from drowning. However, the water temperature is usually low, especially in winter, which significantly reduces the human body temperature and leads to death. Meanwhile, power is critical for drowning people to use emergency communication equipment. This paper proposed an ocean wave powered lifejacket using 2DOF floating boards to provide both buoyance and electricity for drowning people. Hence, they can use this continuous electric power to keep key body warm and send distress signal. This lifejacket is featured with two 2DOF floating boards and the mechanical motion rectifier (MMR) can convert the 2-DOF motions to the unidirectional rotation of generator. The design principle is illustrated and the dynamic modelling for the 2-DOF motions has been analyzed. Bench test and lake test have been conducted to validate the design concept.

  18. The epidemiology of operations performed by the National Sea Rescue Institute of South Africa over a 5-year period.

    Science.gov (United States)

    Erasmus, Elaine; Robertson, Cleeve; van Hoving, Daniel Jacobus

    2018-01-01

    Injuries remain a major contributor of morbidity and mortality worldwide, with drowning accounting for 7% of all injury-related deaths with rates of between 4 and 8 per 100,000. The African region has death rates comparable to most low-income countries. Non-fatal drowning in Africa remains unquantified but it is estimated to be ten times higher than the fatal drowning rate. Timely search and rescue, initial resuscitation and rapid transportation to definitive care play a crucial role in preventing injury- related morbidity and mortality. The National Sea Rescue Institute (NSRI) of South Africa is a non-profit organisation responsible for ~97% of maritime search and rescue operations in South Africa (including inland navigable waters). The aim of the study was to describe the epidemiology of operations performed by the NSRI of South Africa over a 5-year period. The NSRI operational database was analysed from 1 January 2010 to 31 December 2014. Summary statistics are presented. The NSRI launched 3281 operations over the study period. Marked seasonal variation were noticeable with peak periods in December and January, corresponding to the South African summer holiday season. Water-based operations (67.6%) were the most frequent operation performed. The NSRI assisted 3399 individuals of which 77% were male. The mean age of rescued persons was 42 years. Eight hundred and thirty-six (25%) individuals had non-fatal injuries or illnesses requiring medical assistance. Medical emergencies (35%), traumatic injuries (32.8%), and non-fatal drownings (23%) were the most common types of injury and illness. The majority of the 184 (18%) deaths recorded were due to drowning (75%). Injury and illness, specifically drowning utilise a large proportion of search and rescue services. The results suggest further preventative measures and public health strategies be implemented to minimise traumatic and medical incident severity and subsequent casualties at sea.

  19. ENVIRONMENTAL AFTERMATH FROM THE DRYING PROCESSES OF AL-HUWAIZA MARSHLAND, IRAQ

    OpenAIRE

    Khafaja Ahmed Mays SADKHAN

    2017-01-01

    Al-Huwaiza marsh shows environmental and economic significance, but it has been exposed to the drying processes and then to the drowning processes. It has witnessed great decrease in the water resources specified for the country and the decrease in the water portion feeding it. A fact which shows negative effects on its area, for the change of the environmental variables, has affected the process of nurturing the marsh - only 33.4% of the area of the marsh has been drowned during the 1990s...

  20. Two cases of severe pneumonia after the 2011 Great East Japan Earthquake

    Directory of Open Access Journals (Sweden)

    Shigeatu Endo

    2012-12-01

    Full Text Available In 2011, during the Great East Japan Earthquake and tsunami, 90% of victims died from drowning. We report on two tsunami survivors with severe pneumonia potentially caused by Legionella pneumophila. Both victims aspirated a large quantity of contaminated water; sand, mud and a variety of microbes were thought to have entered into their lower respiratory tracts. One patient had a mycotic intracranial aneurysm; the other patient had co-infections with several organisms, including Scedosporium species. Although scedosporiosis is a relatively rare infectious disease, symptoms are progressive and prognosis is poor. These pathogens are not specific for tsunami lung, but are reported causative agents for pneumonia after near-drowning.

  1. Suicidal Deaths an a Water Environment

    Directory of Open Access Journals (Sweden)

    Michniewicz Iwona

    2017-03-01

    Full Text Available Unexpected, abrupt death is always a great tragedy, both for a victim, as well as, for their family, friends, society or even country. However, death as a result of a suicide always seems to be unnecessary and difficult to accept by relatives. Every 40 seconds someone dies on the globe due to a kind of an auto-destruction act. Out of all suicides, the biggest group are adult men, frequently with mental disorders, who commit suicide by hanging themselves. The only suicide method where women are almost on the par with men is drowning (by many authors referred to as death by drowning.

  2. Body size, nutrient reserves and diet of Red-necked and Slavonian Grebes Podiceps grisegena and P. auritus on Lake IJsselmeer, The Netherlands

    NARCIS (Netherlands)

    Piersma, Theunis

    Samples of Red-necked and Slavonian Grebes that had drowned in gill nets while foraging in winter were analysed for body size, nutrient reserve levels and food content. Measurements of Slavonian Grebes indicated that they may originate from the Icelandic and Norwegian breeding grounds, not from the

  3. Using adolescent interest in swimming to accomplish utilitarian ...

    African Journals Online (AJOL)

    As drowning is a serious threat to life, aquatic education is a necessity. The aim of this study was to carry out a quantitative analysis of students' expressions of interest to participate in swimming activities compared to interests in other forms of physical activity. A total of 1328 girls and boys aged 16–18 years participated in ...

  4. Brief communication: Loss of life due to Hurricane Harvey

    NARCIS (Netherlands)

    Jonkman, Sebastiaan N.; Godfroij, Maartje; Sebastian, Antonia; Kolen, B.

    2018-01-01

    An analysis was made of the loss of life caused by Hurricane Harvey. Information was collected for 70 fatalities that occurred due to the event and were recovered within the first 2 weeks after landfall. Most fatalities occurred due to drowning (81 %), particularly in and around vehicles. Males

  5. Glasbury Bridge 1: The Jumper. Close Call.

    Science.gov (United States)

    Journal of Adventure Education and Outdoor Leadership, 1994

    1994-01-01

    Describes an incident in which a group of 10th-grade students in a 1-week outdoor residential program in the Wye Valley (Great Britain) defied program rules, drank alcohol, and had a close call with a near-drowning. Discusses five strategies for dealing with such groups coalesced around a rebellious leader. (SV)

  6. A Pediatric Near-Death Experience: Tunnel Variants.

    Science.gov (United States)

    Serdahely, William J.

    1990-01-01

    Presents case study of boy who had near-death experience (NDE) due to nearly drowning when he was seven years old. Discusses case's variation of tunnel experience not before reported in either adult or pediatric NDE literature: while in the tunnel, the boy was comforted by two of his family's pets who had died prior to his accident. (Author/NB)

  7. Posterior reversible encephalopathy syndrome: Some novel ...

    African Journals Online (AJOL)

    Two cases occurred following cerebral anoxia due to accidental strangulation and near-drowning, respectively. The third patient, a child known to have E-β thalassaemia, presented with transient encephalopathy following blood transfusion but involving the anterior brain rather than the posterior part classically described in ...

  8. Upper Cenomanian-lower Turonian sea-level rise and its consequences on the Adriatic-Dinaric carbonate platform

    Science.gov (United States)

    Gušić, I.; Jelaska, V.

    1993-12-01

    The Adriatic carbonate platform existed throughout most of the Mesozoic as an isolated (‘intraoceanic’) carbonate platform. It is characterized by what has been traditionally labelled a ‘continuous’ shallow marine carbonate sedimentation, without terrigenous influences. However, global sea-level changes left unequivocal imprints in the ‘continuous’ carbonate record, thus proving that the carbonate platform sensitively responded to sea-level fluctuations. This paper focuses on the relatively short Cenomanian — Turonian drowning event, which temporarily submerged the platform below the euphotic zone, and which is related here to the well known global Cenomanian — Turonian sea-level highstand. This drowning episode is characterized by the abrupt disappearance of numerous shallow water benthic invertebrate taxa and by an abundant occurrence of planktonic organisms, including calcispheres and ‘primitive’ planktonic foraminifera. Near the middle of the Turonian, the platform regime was re-established, correlating with the global fall in sea level. The situation is different only at the south-west margin of the platform, where pelagic sedimentation, initiated near the end of the Cenomanian, continues into the Santonian and probably marks the Adriatic trough. The drowning began earlier (in the Middle Cenomanian) in those areas nearer to the north-east margin of the platform (the area of what is today central Croatia) and then progressed gradually towards the more interior areas of the platform (the middle Dalmatian islands), which were drowned near the end of the Cenomanian.

  9. Selection of paediatric patients for intensive care

    African Journals Online (AJOL)

    illness, particularly near-drowning, cardiomyopathy, gastro- enteritis and complicated infectious illness (Table Ill). Cardiorespiratory resuscitation prior to ICU admission was associated with increased mortality (7/11 v. 27/106,. P < 0,05, two-tailed Fisher's exact test). There were no deaths in patients with polytrauma without ...

  10. Five years' experience of injured children | Kibel | South African ...

    African Journals Online (AJOL)

    In addition 6377 cases of poisoning and 119 of near-drowning were seen by the medical departments. Forty-three per cent of injuries were due to falls, which were the most important cause of injury in both admitted and non-admitted patients of all age, sex and population groups. Other main cause groups were bumps and ...

  11. Author Details

    African Journals Online (AJOL)

    Nagel, F.O.. Vol 78, No 10 (1990) - Articles Childhood near-drowning - a 12-year retrospective review. Abstract PDF. ISSN: 0256-95749. AJOL African Journals Online. HOW TO USE AJOL... for Researchers · for Librarians · for Authors · FAQ's · More about AJOL · AJOL's Partners · Terms and Conditions of Use · Contact ...

  12. COMMUNITY MEDICINE & PRIMARY HEALTH CARE

    African Journals Online (AJOL)

    ajiboro

    2Department of Community Medicine & Primary Care, Faculty of Clinical Sciences, ... It may result from road traffic accident, near saving basic principles in emergency care that even drowning, electric ... (4.3%) at place of work, 8 (11.4%) at.

  13. ISLAM IN THE NON-MUSLIM AREAS OF NORTHERN NIGERIA, c

    African Journals Online (AJOL)

    QUADRI Y A

    the logic/sense in believing heaven/hell real or otherwise. It indicates that heaven ..... are serious objects of human affection—trying “to satisfy infinite needs with finite entities” in a ... he were drowned in the depths of the sea. 40. Interestingly ...

  14. Research Article Special Issue

    African Journals Online (AJOL)

    pc

    2017-11-10

    Nov 10, 2017 ... problems causing lower food consumption were also associated with poor ... origin (near drowning incidents, motor vehicle accidents) and patients ... intakes of subjects were compared to their energy needs based ... mean age of 8.93+3.5 years old, with more than half of the subjects were mildly disabled.

  15. Swimming Safely (A Minute of Health with CDC)

    Centers for Disease Control (CDC) Podcasts

    2014-05-22

    Almost 4,000 people die from drowning each year in the U.S. You can also get sick at the pool. This podcast discusses swimming pool safety tips.  Created: 5/22/2014 by MMWR.   Date Released: 5/22/2014.

  16. Identification of the geographical place of origin of an unidentified individual by multi-isotope analysis

    NARCIS (Netherlands)

    Font Morales, L.; van der Peijl, G.J.Q.; van Leeuwen, C.; van Wetten, I.A.; Davies, G.R.

    2015-01-01

    A multi-isotope investigation (Sr and Pb isotopes and δ18O, δ13C and δ15N) was applied to bone and teeth from an unidentified male found drowned in the"IJ" Ruyterkade in Amsterdam, The Netherlands in March of 1999. The individual remained unidentified until mid 2013, after the isotope study was

  17. Plaadid / Mart Normet

    Index Scriptorium Estoniae

    Normet, Mart, 1979-

    2006-01-01

    Uutest heliplaatidestMassive Attack "Collected", Nathan Fake "Drowning In A Sea Of Love", Layo & Bushwacka! "Feels Closer", Geminice "Progress", Slow "Pronto", Rihanna "A Girl Like Me", "Unexpected Dreams", "Santana III", Kubb "Mother", Morrissey "ringleader Of The Tormentors", Soda Effect "Goodbye Fantasy", "Heartworn", Lacuna Coil "Karrmacode", The Goo Goo Dolls "Let Love In"

  18. Self-destruction by multiple methods during a single episode: a case ...

    African Journals Online (AJOL)

    Results: Three different methods of suicide were apparent in this instance: hanging, leaping down the cliff and drowning as was evidenced by the autopsy and positive diatom test. The complexity of this case was the planned protection against the failure of one method employed to commit suicide. The methods used were ...

  19. NWS Water Resource Services Branch Division

    Science.gov (United States)

    the NWS homepage NWS Water Resources Program OS Home News Organization Search Search Home About Us Water Resources Policy Flood Loss Data AHPS Program Office (OHD) AHPS Software Development Hydrology Lab AHPS Toolbox Flood Safety Service Hydrology Program Turn Around Don't Drown! High Water Mark Signs

  20. 77 FR 19755 - Endangered and Threatened Wildlife and Plants; 12-Month Finding on a Petition to List the San...

    Science.gov (United States)

    2012-04-02

    ... movement of longfin smelt into the ocean or deeper water habitat in summer months is at least partly a...] TP02AP12.000 The origin and geomorphology of West Coast estuaries result from geologic forces driven by...-767). Major classifications of estuaries include fjord, drowned-river valley, lagoon, and bar-built...

  1. Auto's te water : een beschrijving van descriptief en experimenteel onderzoek verricht in opdracht van de Minister van Sociale Zaken en Voksgezondheid.

    NARCIS (Netherlands)

    Vis, A.A.

    1971-01-01

    Is is estimated that every year 1250 to 1500 vehicles fall in the water in the netherlands. In these accidents approximately 90 vehicle occupants are fatally injured; the majority of them die from drowning. Though this number is but a small percentage of the total number of people fatally injured in

  2. Chance findings about early holocene tidal marshes of Grays Harbor, Washington, in relation to rapidly rising seas and great subduction earthquakes

    Science.gov (United States)

    Phipps, James B.; Hemphill-Haley, Eileen; Atwater, Brian F.

    2015-06-18

    Tidal marshes commonly build upward apace with gradual rise in the level of the sea. It is expected, however, that few tidal marshes will keep up with accelerated sea-level rise later in this century. Tidal marshes have been drowned, moreover, after subsiding during earthquakes.

  3. Download this PDF file

    African Journals Online (AJOL)

    abp

    2012-11-26

    Nov 26, 2012 ... Measles remain a leading vaccine-preventable cause of child mortality worldwide. An estimated 2.1 million ... In 2008, 164 000 measles deaths were reported worldwide mostly in under 5 children, that is nearly 450 deaths ..... Asthma, Drowning, Drug intoxication and Tuberculosis. None of these patients ...

  4. Some Ruminations about Prison Mental Health Work.

    Science.gov (United States)

    Toch, Hans

    1995-01-01

    Describes incidents involving mental health services in prison facilities that illustrate "Catch-22" situations, in many of which inmates perceive clinicians as people who "come to watch you drown instead of throwing you a rope." Proposes a supplementation of "administrative clinical" thinking with nonbureaucratic,…

  5. Media conflicts : the complicated relationship between ‘media’ and ‘revolutions’

    NARCIS (Netherlands)

    2012-01-01

    Over the years, technological innovations have created new opportunities in conflict situations. Control of the media means not only the power to have your message heard, but also to drown out or disrupt the messages of your adversaries. Innovations like satellite communications, the internet (which

  6. The Effectiveness of Aquatic Group Therapy for Improving Water Safety and Social Interactions in Children with Autism Spectrum Disorder: A Pilot Program

    Science.gov (United States)

    Alaniz, Michele L.; Rosenberg, Sheila S.; Beard, Nicole R.; Rosario, Emily R.

    2017-01-01

    Drowning is the number one cause of accidental death in children with Autism Spectrum Disorder (ASD). Few studies have examined the effectiveness of swim instruction for improving water safety skills in children with moderate to severe ASD. This study examines the feasibility and effectiveness of an aquatic therapy program on water safety and…

  7. Child Injury: What You Need to Know PSA (:60)

    Centers for Disease Control (CDC) Podcasts

    This 60 second PSA is based on the April 2012 CDC Vital Signs report. Many childhood deaths and injuries are preventable, including those caused by crashes, suffocation, poisoning, drowning, fires, and falls. The PSA discusses ways to help prevent these deaths and injuries.

  8. Child Injury: What You Need to Know

    Centers for Disease Control (CDC) Podcasts

    This podcast is based on the April 2012 CDC Vital Signs report. Many childhood deaths and injuries are preventable, including those caused by crashes, suffocation, poisoning, drowning, fires, and falls. The podcast discusses ways to help prevent these deaths and injuries.

  9. Constructing, Confirming, and Contesting Icons

    DEFF Research Database (Denmark)

    Mortensen, Mette

    2017-01-01

    link between icons and their appropriations. Three sets of appropriations are analyzed of the iconic imagery of Alan Kurdi, the refugee boy drowning in the Mediterranean in 2015. First, the numerous appropriations circulated under the Twitter hashtag #humanitywashedashore. Based on genre analysis...

  10. 33 CFR 385.28 - Operating Manuals.

    Science.gov (United States)

    2010-07-01

    ... Processes § 385.28 Operating Manuals. (a) General provisions. (1) The Corps of Engineers and the non-Federal... emergencies that can be expected to occur at a project are: drowning and other accidents, failure of the operation facilities, chemical spills, treatment plant failures and other temporary pollution problems...

  11. Extreme weather Events

    Indian Academy of Sciences (India)

    Resulting in deaths, disease and injury due to drowning, lack of sanitation and safe drinking water and exposure to dangerous chemical contaminants. Floods and tropical cyclones have greatest impact in South Asia; and Latin America; Increased risk of diarrhoeal diseases, cholera, cryptosporidiosis,; campylobacter and ...

  12. Postanoxic coma: prognosis after therapeutic hypothermia

    NARCIS (Netherlands)

    Bouwes, A.

    2012-01-01

    Postanoxic coma, also known as anoxic-ischemic coma, is a state of unconsciousness caused by global anoxia of the brain. The most common cause is primary cardiac arrest followed by successful cardiopulmonary resuscitation (CPR). Other causes include primary respiratory arrest, near-drowning,

  13. RIP current zones along beaches in Goa, west coast of India

    Digital Repository Service at National Institute of Oceanography (India)

    Chandramohan, P.; SanilKumar, V.; Jena, B.K.

    Goa has a 125-km-long coastline of which two-thirds consists of beautiful sandy beaches. There are mainly 17 beaches having significant importance of tourism. Sporadically, surf drownings have been reported at a few stretches of the beach. Longshore...

  14. Interpretation of postmortem vitreous concentrations of sodium and chloride.

    Science.gov (United States)

    Zilg, B; Alkass, K; Berg, S; Druid, H

    2016-06-01

    Vitreous fluid can be used to analyze sodium and chloride levels in deceased persons, but it remains unclear to what extent such results can be used to diagnose antemortem sodium or chloride imbalances. In this study we present vitreous sodium and chloride levels from more than 3000 cases. We show that vitreous sodium and chloride levels both decrease with approximately 2.2mmol/L per day after death. Since potassium is a well-established marker for postmortem interval (PMI) and easily can be analyzed along with sodium and chloride, we have correlated sodium and chloride levels with the potassium levels and present postmortem reference ranges relative the potassium levels. We found that virtually all cases outside the reference range show signs of antemortem hypo- or hypernatremia. Vitreous sodium or chloride levels can be the only means to diagnose cases of water or salt intoxication, beer potomania or dehydration. We further show that postmortem vitreous sodium and chloride strongly correlate and in practice can be used interchangeably if analysis of one of the ions fails. It has been suggested that vitreous sodium and chloride levels can be used to diagnose drowning or to distinguish saltwater from freshwater drowning. Our results show that in cases of freshwater drowning, vitreous sodium levels are decreased, but that this mainly is an effect of postmortem diffusion between the eye and surrounding water rather than due to the drowning process, since the decrease in sodium levels correlates with immersion time. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  15. Operation Recreation

    Science.gov (United States)

    Schutz, Jeff; Schutz, Laurie

    2010-01-01

    Parents who have a child with a disability often find that recreational activities can be anything but accessible. Time for recreation is drowned by the priorities of caring for a child's needs, and the "umph" to get out can feel like an insurmountable obstacle. The activities parents love and aspire to share with their child may seem like one…

  16. 78 FR 31598 - Proposed Collection; Comment Request; Operations Under Water

    Science.gov (United States)

    2013-05-24

    ...; Operations Under Water AGENCY: Mine Safety and Health Administration, Labor. ACTION: 60-Day Notice. SUMMARY... under bodies of water and to obtain a permit to mine under a body of water if, in the judgment of the... the inundation of underground coal mines with water that has the potential of drowning miners. Section...

  17. Staying Safe in the Water

    Centers for Disease Control (CDC) Podcasts

    In this podcast, Dr. Julie Gilchrist, a pediatrician and medical epidemiologist from CDC’s Injury Center, talks about staying safe in the water. Tips are for all audiences, with a focus on preventing drownings and keeping children safe in and around the pool, lake, or ocean.

  18. College Student Assessment of the Signs of Alcohol Poisoning: To Dream the Impossible Dream

    Science.gov (United States)

    Misch, Donald A.

    2011-01-01

    In 2005 there were 1,825 alcohol-related unintentional injury deaths (e.g., vehicular accidents, falls, drowning, burns, suffocation, and gunshot wounds) among college students from 18 to 24 years of age. Of these, 468 college students died from alcohol-related, nontraffic injuries. Unfortunately, there is no good estimate of the number of college…

  19. Forensic Case Reports Presenting Immersion Pulmonary Edema as a Differential Diagnosis in Fatal Diving Accidents

    DEFF Research Database (Denmark)

    Vinkel, Julie; Bak, Peter; Juel Thiis Knudsen, Peter

    2018-01-01

    Immersion Pulmonary Edema (IPE) reduces the transport of gases over the respiratory membrane due to edema in the interstitium and respiratory zones. IPE has previously been described in both swimmers and divers, with a few known fatal cases. We have reviewed 42 SCUBA and snorkeling-related drowning...

  20. An anticipative escape system for vehicles in water crashes

    Science.gov (United States)

    Shen, Chuanliang; Wang, Jiawei; Yin, Qi; Zhu, Yantao; Yang, Jiawei; Liao, Mengdi; Yang, Liming

    2017-07-01

    In this article, it designs an escape system for vehicles in water crashes. The structure mainly contains sensors, control organs and actuating mechanism for both doors and windows. Sensors judge whether the vehicle falls into water or is in the falling process. The actuating mechanism accepts the signal delivered by the control organs, then open the electronic central lock on doors and meanwhile lower the window. The water escape system is able to anticipate drowning situations for vehicles and controls both doors and windows in such an emergency. Under the premise of doors staying in an undamaged state, it is for sure that people in the vehicle can open the door while drowning in the water and safely escape.

  1. Natural and Human-Induced Variability in Barrier-Island Response to Sea Level Rise

    Science.gov (United States)

    Miselis, Jennifer L.; Lorenzo-Trueba, Jorge

    2017-12-01

    Storm-driven sediment fluxes onto and behind barrier islands help coastal barrier systems keep pace with sea level rise (SLR). Understanding what controls cross-shore sediment flux magnitudes is critical for making accurate forecasts of barrier response to increased SLR rates. Here, using an existing morphodynamic model for barrier island evolution, observations are used to constrain model parameters and explore potential variability in future barrier behavior. Using modeled drowning outcomes as a proxy for vulnerability to SLR, 0%, 28%, and 100% of the barrier is vulnerable to SLR rates of 4, 7, and 10 mm/yr, respectively. When only overwash fluxes are increased in the model, drowning vulnerability increases for the same rates of SLR, suggesting that future increases in storminess may increase island vulnerability particularly where sediment resources are limited. Developed sites are more vulnerable to SLR, indicating that anthropogenic changes to overwash fluxes and estuary depths could profoundly affect future barrier response to SLR.

  2. Platforms of the Nicaraguan Rise: Examples of the sensitivity of carbonate sedimentation to excess trophic resources

    Science.gov (United States)

    Hallock, Pamela; Hine, Albert C.; Vargo, Gabriel A.; Elrod, Jane A.; Jaap, Walter C.

    1988-12-01

    The Nicaraguan Rise is an active tectonic structure in the western Caribbean. Carbonate accumulation on its platforms has not kept pace with relative Holocene sea-level rise, despite a tropical location remote from terrigenous sedimentation. Trophic resources apparently exceed levels favoring coral-reef development because sponge-algal communities dominate the drowning western platforms, in contrast to mixed coral-algal benthos on Pedro Bank and well- developed coral reefs along the north coast of Jamaica. Concentrations of biotic pigments in sea-surface waters show a corresponding west-east gradient; oceanic waters flowing over the western banks carry nearly twice as much biotic pigment as oceanic waters north of Jamaica. Sources enriching the western Caribbean are terrestrial runoff, upwelling off northern South America, and topographic upwelling over the Nicaraguan Rise. That relatively modest levels of trophic resources can suppress coral-reef development holds important implications for understanding carbonate platform drownings in the geologic record.

  3. CineClub

    CERN Multimedia

    CineClub

    2014-01-01

    On the occasion of CERN’s 60th anniversary the CERN CinéClub will be showing films from all CERN member states   Thursday 12 June 2014 at 20:00    CERN Council Chamber Drowning by Numbers     Directed by Peter Greenaway UK, 1988, 118 minutes   Tired of her husband’s philanderous ways, the mother of two daughters drowns her husband. With the reluctant help of the local coroner, the murder is obscured. Her daughters are having similar problems with relationships, and tend to follow their mother’s example, and the coroner becomes reluctantly duplicitous. As the plot progresses, visual and spoken numbers appear in the scenes, counting from one to 100. Original version English; French subtitles   Thursday 19 June 2014 at 20:00 CERN Council Chamber J’ai toujours rêvé d’être un gangster     Directed by Samuel Benchetri...

  4. Opportunity of characteristic's improvement for accelerator driven systems

    CERN Document Server

    Kiselev, G V

    2001-01-01

    Review of sentences on the investigation into different variations of electronuclear plants be directed to the improvement in characteristics of the plants in an effort to the efficient disposal of long-lived components of radioactive wastes is presented. Attention is drown to the fact that subcritical reactor with complicated neutron valve can be used. This permits for drop in demand to current of proton accelerator. Briefly description of the process scheme with the indication of problems is given

  5. KETERASINGAN DALAM FILM WALL-E

    OpenAIRE

    Rahmadya Putra Nugraha

    2017-01-01

    Modern society nowadays technological advances at first create efficiency in human life. Further development of the technology thus drown human in a routine and automation of work created. The State is to be one of the causes of man separated from fellow or the outside world and eventually experiencing alienation. The movie as a mass media function to obtain the movie and entertainment can be informative or educative function is contained, even persuasive. The purpose of this research was con...

  6. Latin Loans In French Contemporary Advertising: Socio-Cultural, Linguistic and Psychological Aspects

    Directory of Open Access Journals (Sweden)

    Olga Kudinova

    2016-08-01

    Full Text Available The article deals with the Latin language borrowings in the modern French language. The functioning of Latin borrowings in French advertising is analyzed. The attention is drown to the socio-cultural, linguistic and psychological aspects of this functioning. General trends concerning latinisms in French language are the clear proof of the importance and vitality of Latin into French society. It was shown that the Latin language has greatly influenced the French cultural memory and common European culture.

  7. Bracebridge dam safety presentation

    Energy Technology Data Exchange (ETDEWEB)

    Kulchycky, Vince [Bracebridge Generation Ltd. (Canada)

    2011-07-01

    In Bracebridge, Ontario, hydroelectric generators have been in use since 1901. Bracebridge Generation is now upgrading the Wilson's Falls unit from 600kW to 2900kW. Bracebridge Generation addressed public safety with an independent audit and signage, fencing, booms and buoys installed. Unfortunately these measures did not prevent a recent drowning at the utility's site. More widespread warnings and safety education were seen as measures to stop people from swimming on the utility's property.

  8. Brief communication: Post-event analysis of loss of life due to hurricane Harvey

    OpenAIRE

    Jonkman, Sebastiaan N.; Godfroy, Maartje; Sebastian, Antonia; Kolen, Bas

    2018-01-01

    An analysis was made of the loss of life directly caused by hurricane Harvey. Information was collected for 70 fatalities that occurred directly due to the event. Most of the fatalities occurred in the greater Houston area, which was most severely affected by extreme rainfall and heavy flooding. The majority of fatalities in this area were recovered outside the designated 100 and 500 year flood zones. Most fatalities occurred due to drowning (81 %), particularly in and around vehicles...

  9. Preparation of malts for production of special beers

    OpenAIRE

    Kábelová-Ficová, Hana; Kráčmar, Stanislav; Gregor, Tomáš; Fišera, Miroslav; Golian, Jozef; Kubáň, Vlastimil; Šopík, Tomáš

    2017-01-01

    The article deals with production of various malts intended for manufacture of special types of beer. The malts were used to brew samples of beer with alcoholic strength ranging between 8 - 12% EPM. The above range of original wort content was chosen due to its suitability for sensory evaluation and properties; in stronger types of beer, (more than 12% EPM), nature of the beverage can be drown by mashy flavour. In the experimental samples, the actual residual extract oscillated between 4.0 - ...

  10. The iconic image in a digital age: Editorial mediations over the Alan Kurdi photographs

    DEFF Research Database (Denmark)

    Mortensen, Mette; Allan, Stuart; Peters, Chris

    2017-01-01

    This article investigates selected newspapers’ editorial mediations over contrasting perceptions regarding the significance of a controversial set of “iconic” news photographs, namely images of Alan Kurdi, a three-year-old Syrian refugee, whose drowned corpse washed ashore in September, 2015. Spe......-reflexivity within a convergent digital media ecology, this article offers original insights into how and why the epistemic values governing visual communication are being reconsidered and redrawn under pressure from institutional imperatives....

  11. Electric power. Avoiding a new accident as on the Drac river; Electricite. Pour eviter un nouvel accient du Drac

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-12-31

    A new inter-ministerial decree has been prescribed in France, in order to avoid any repetition of an accident where school children were drowned on a riverside, following a water release from an upstream hydraulic plant: risk analysis on every plant of this type, regulation on site access and utilization, regulation on hydraulic plant operation conditions. Other news concern power transmission de-concentration, domestic equipment regulations, EDF international strategy, rural electric power management, researches on electric power storage

  12. WALL-E’s world: animating Badiou’s philosophy

    OpenAIRE

    Shaw, I.

    2010-01-01

    This article illustrates the philosophy of Alain Badiou through Pixar’s 2008 animation ‘WALL-E’. The fictional story tells of a toxic planet Earth long abandoned following an ecological disaster. Humanity now exists in a floating brave new world; a spaceship whose passengers’ everyday existence is drowned by a consumptive slumber. That is, until a robot named WALL-E comes aboard and changes things forever. The purpose of making this connection between philosophy and film is not to trivialize ...

  13. The iconic image in a digital age

    DEFF Research Database (Denmark)

    Mortensen, Mette; Allan, Stuart; Peters, Chris

    2017-01-01

    This article investigates selected newspapers’ editorial mediations over contrasting perceptions regarding the significance of a controversial set of “iconic” news photographs, namely images of Alan Kurdi, a three-year-old Syrian refugee, whose drowned corpse washed ashore in September, 2015. Spe......-reflexivity within a convergent digital media ecology, this article offers original insights into how and why the epistemic values governing visual communication are being reconsidered and redrawn under pressure from institutional imperatives....

  14. The fate of microplastics in the marine isopod Idotea emarginata

    OpenAIRE

    Hämer, Julia; Gutow, Lars; Köhler, Angela; Saborowski, Reinhard

    2014-01-01

    Plastic pollution is an emerging global threat for marine wildlife. Many species of birds, reptiles and fishes are directly impaired by plastics as they can get entangled in ropes and drown or they can ingest plastic fragments which, in turn, may clog their stomachs and guts. Microplastics of less than 1 mm can be ingested by small invertebrates but their fate in the digestive organs and their effects on the animals are yet not well understood. We embedded fluorescent microplastics in artific...

  15. Two-Way Tether Gun

    Science.gov (United States)

    Sanger, George F.

    1994-01-01

    Safety-tether device enables crewmembers on spacecraft to retrieve crewmember drifting away from spacecraft. Alternatively, drifting crewmember who carries device uses it to grasp and return to spacecraft. Also used on Earth. For example, rescuer on vessel or pier uses it to retrieve and haul drowning or unconscious person to safety; drifting person or rescuer in water uses it to grasp and hold onto support.

  16. The Oligocene-Miocene stratigraphic evolution of the Majella carbonate platform (Central Apennines, Italy)

    Science.gov (United States)

    Brandano, Marco; Cornacchia, Irene; Raffi, Isabella; Tomassetti, Laura

    2016-03-01

    The stratigraphic architecture of the Bolognano Formation documents the evolution of the Majella carbonate platform in response to global and local changes that affected the Mediterranean area during the Oligocene-Miocene interval. The Bolognano Formation consists of a homoclinal ramp that developed in a warm, subtropical environment. Five different lithofacies associations have been identified: Lepidocyclina calcarenites, cherty marly limestones, bryozon calcarenites, hemipelagic marls and marly limestones, and Lithothamnion limestones. Each association corresponds to a single lithostratigraphic unit except for the Lepidocyclina calcarenites that form two distinct lithostratigraphic units (Lepidocyclina calcarenites 1 and 2). These six units reflect alternation of shallow-water carbonate production and drowning. Specifically, two of the three stages of shallow-water carbonate production regard the development of wide dune fields within the middle ramp, one stage dominated by red algae and a sea-grass carbonate factory, whereas the two drowning phases are represented by marly cherty limestones and calcareous marls. A new biostratigraphic framework for Bolognano Formation is presented, based on high-resolution analysis of calcareous nannofossil assemblages, which proved to be very useful for biostratigraphic constraints also in shallow-water settings. Using this approach, we have linked the first drowning phase, late Chattian-Aquitanian p.p. in age, to western Mediterranean volcanism and the Mi-1 event, and the second drowning phase, late Burdigalian-Serravallian in age, to the closure of the Indo-Pacific passage and the occurrence of the global Monterey event. These results permit a new deciphering, in terms of sequence stratigraphy, of the Bolognano Formation that is interpreted as a 2nd-order super-sequence that can be subdivided into 3 transgressive-regressive sequences.

  17. Electric power. Avoiding a new accident as on the Drac river; Electricite. Pour eviter un nouvel accient du Drac

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-12-31

    A new inter-ministerial decree has been prescribed in France, in order to avoid any repetition of an accident where school children were drowned on a riverside, following a water release from an upstream hydraulic plant: risk analysis on every plant of this type, regulation on site access and utilization, regulation on hydraulic plant operation conditions. Other news concern power transmission de-concentration, domestic equipment regulations, EDF international strategy, rural electric power management, researches on electric power storage

  18. One Step Back? Reassessing an Ideal Security State for Northeast Asia 2025

    Science.gov (United States)

    2011-03-01

    presented jointly by Malaysia and Vietnam. • The role of regional organizations (NOWPAP, COBSEA, PEMSEA) in addressing environmental problems in shared...drowned. After the Hebei Spirit collided with a Samsung crane barge in December 2007, 11,000 tons of oil leaked into the sea and onto the Korean...tribunals or binding arbitration to solve their problems, and prefer direct negotiation, but Malaysia and Singapore as well as Malaysia and Indonesia have

  19. Scientific worker and licensed professional deaths in Alaska, 1990-2002

    OpenAIRE

    Conway, George A.; Moran, Katherine A.; Mode, Nicolle A.

    2004-01-01

    Objectives. Between 1990-2002, 797 Alaskans died while working. After a scientific survey team member drowned, we examined the hazards of traumatic death to scientific and professional workers in Alaska. Study design. Surveillance and analysis methods for acute traumatic occupational injuries: The Alaska Occupational Injury Surveillance System (AOISS) uses direct investigation, jurisdictional agency reports, and death certificates to gather data for active surveillance on occupational injury ...

  20. Designing of a Quadrupole Paul Ion Trap

    Science.gov (United States)

    Kiyani, Abouzar; Abdollahzadeh, M.; Sadat Kiai, S. M.; Zirak, A. R.

    2011-08-01

    The ion motion equation in a Paul ion trap known as Mathieu differential equation has been solved for the first time by using Runge-Kutta methods with 4th, 6th, and 8th orders. The first stability regions in az - qz plane and the corresponding qmax values were determined and compared. Also, the first stability regions of , , , ions in the Vdc - Vac plane were drown, and the threshold voltages for the ion separation was investigated.

  1. Alcohol, other Drugs, and Obesity: Plan-Of-The-Day-Notes, Volume 2

    Science.gov (United States)

    1993-08-11

    crashes, drowning, etc., can result from memory loss, distorted sight perception, poor judgment or loss of coordination. Also, the painkilling effects may...in the presentation of alcohol and other drug abuse awareness education. An effective information program is essential to all prevention efforts. One...filling!" than for his efforts on the field and decided to quit the Miller Lite team. "I don’t like the effect I was having on a lot of little people

  2. Resource Lean and Portable Automatic Text Summarization

    OpenAIRE

    Hassel, Martin

    2007-01-01

    Today, with digitally stored information available in abundance, even for many minor languages, this information must by some means be filtered and extracted in order to avoid drowning in it. Automatic summarization is one such technique, where a computer summarizes a longer text to a shorter non-rendundant form. Apart from the major languages of the world there are a lot of languages for which large bodies of data aimed at language technology research to a high degree are lacking. There migh...

  3. The physical impoverishment and decay of Danish villages

    DEFF Research Database (Denmark)

    Møller, Jørgen

    2005-01-01

    For the latest 30 years the physical environment (buildings, gardens, roads and spaces, etc.) in the Danish villages has undergone drastic changes. Many villages near the large towns are drowned in growth and modern buildings, and other villages in the Danish outskirts are hit by decline and phys......, a regional and local authority level as well as the local level, including a discussion of the Danish rural district policy before and after the re-adjustment of the farm subsidypolicy in the EU....

  4. Some general scaling rules in high energy heavy ion reactions

    International Nuclear Information System (INIS)

    Andersson, B.; Idh, J.; Otterlund, I.; Stenlund, E.

    1988-09-01

    We show, using the Fritiof model scenario that the wide variation in the number of participating nucleons tend to drown other dynamical variations in the measurables of high energy ion collisions. We propose a set if general scaling laws for inclusive distributions in which it is the mean multiplicity and the mean transverse energy from each source which are the measurables in the interactions. (authors)

  5. Human settlements

    CSIR Research Space (South Africa)

    Van Niekerk, Cornelia W

    2017-09-01

    Full Text Available risk of deaths and injuries by drowning in floods and migration- related health effects. • Increased migration, which can result in human suffering, human rights violations, conflicts and political instability. • Loss of property and livelihoods.... The vulnerability of settlements in southern Africa is impacted by various and complex socio-economic processes related to the cultural, political and institutional contexts and demographic pressure, as well as specific high-risk zones susceptible to flash floods...

  6. Interpreting Poetic Inquiry: Authenticity Realized from Alumni Performers' Narratives

    Science.gov (United States)

    Baker, J. Scott

    2017-01-01

    In the fall of 2015, the author conducted a national survey of over 1,000 former high school speech and debate competitors. As he told a colleague, he was drowning in data. It was a good problem to have, but he was not sure how to thoroughly examine the heart of data; how would he make meaning of their experiences? Then, he realized, the answer…

  7. Staying Safe in the Water

    Centers for Disease Control (CDC) Podcasts

    2008-05-15

    In this podcast, Dr. Julie Gilchrist, a pediatrician and medical epidemiologist from CDC’s Injury Center, talks about staying safe in the water. Tips are for all audiences, with a focus on preventing drownings and keeping children safe in and around the pool, lake, or ocean.  Created: 5/15/2008 by National Center for Injury Prevention and Control (NCIPC).   Date Released: 5/19/2008.

  8. Enhancing Big Data Value Using Knowledge Discovery Techniques

    OpenAIRE

    Mai Abdrabo; Mohammed Elmogy; Ghada Eltaweel; Sherif Barakat

    2016-01-01

    The world has been drowned by floods of data due to technological development. Consequently, the Big Data term has gotten the expression to portray the gigantic sum. Different sorts of quick data are doubling every second. We have to profit from this enormous surge of data to convert it to knowledge. Knowledge Discovery (KDD) can enhance detecting the value of Big Data based on some techniques and technologies like Hadoop, MapReduce, and NoSQL. The use of Big D...

  9. From trash to art

    OpenAIRE

    Požar, Matjaž

    2015-01-01

    The time in which we live is marked by environmental problems and massive amounts of waste, which is increasing day by day. Plastics packaging, plastic cutlery, cans ... objects that serve only for single use. Some of this waste is recycled, but still not enough. In recent years, awareness of the problem of waste is increasing, because in some countries, people are literally drowning in them. A major problem are those, who ignore warnings and instructions regarding the disposal and recycling ...

  10. Child Injury: What You Need to Know PSA (:60)

    Centers for Disease Control (CDC) Podcasts

    2012-04-16

    This 60 second PSA is based on the April 2012 CDC Vital Signs report. Many childhood deaths and injuries are preventable, including those caused by crashes, suffocation, poisoning, drowning, fires, and falls. The PSA discusses ways to help prevent these deaths and injuries.  Created: 4/16/2012 by Centers for Disease Control and Prevention (CDC).   Date Released: 4/16/2012.

  11. Child Injury: What You Need to Know

    Centers for Disease Control (CDC) Podcasts

    2012-04-16

    This podcast is based on the April 2012 CDC Vital Signs report. Many childhood deaths and injuries are preventable, including those caused by crashes, suffocation, poisoning, drowning, fires, and falls. The podcast discusses ways to help prevent these deaths and injuries.  Created: 4/16/2012 by Centers for Disease Control and Prevention (CDC).   Date Released: 4/16/2012.

  12. What types of unintentional injuries kill our children? Do infants die of the same types of injuries? A systematic review

    Directory of Open Access Journals (Sweden)

    Janete Honda Imamura

    Full Text Available The objective of this study was to review mortality from external causes (accidental injury in children and adolescents in systematically selected journals. This was a systematic review of the literature on mortality from accidental injury in children and adolescents. We searched the Pubrvled, Latin-American and Caribbean Health Sciences and Excerpta Medica databases for articles published between July of 2001 and June of 2011. National data from official agencies, retrieved by manual searches, were also reviewed. We reviewed 15 journal articles, the 2011 edition of a National Safety Council publication and 2010 statistical data from the Brazilian National Ministry of Health Mortality Database. Most published data were related to high-income countries. Mortality from accidental injury was highest among children less than 1 year of age. Accidental threats to breathing (non-drowning threats constituted the leading cause of death among this age group in the published articles. Across the pediatric age group in the surveyed studies, traffic accidents were the leading cause of death, followed by accidental drowning and submersion. Traffic accidents constitute the leading external cause of accidental death among children in the countries understudy. However, infants were vulnerable to external causes, particularly to accidental non-drowning threats to breathing, and this age group had the highest mortality rates for external causes. Actions to reduce such events are suggested. Further studies investigating the occurrence of accidental deaths in low-income countries are needed to improve the understanding of these preventable events.

  13. Deaths associated with Hurricane Sandy - October-November 2012.

    Science.gov (United States)

    2013-05-24

    On October 29, 2012, Hurricane Sandy hit the northeastern U.S. coastline. Sandy's tropical storm winds stretched over 900 miles (1,440 km), causing storm surges and destruction over a larger area than that affected by hurricanes with more intensity but narrower paths. Based on storm surge predictions, mandatory evacuations were ordered on October 28, including for New York City's Evacuation Zone A, the coastal zone at risk for flooding from any hurricane. By October 31, the region had 6-12 inches (15-30 cm) of precipitation, 7-8 million customers without power, approximately 20,000 persons in shelters, and news reports of numerous fatalities (Robert Neurath, CDC, personal communication, 2013). To characterize deaths related to Sandy, CDC analyzed data on 117 hurricane-related deaths captured by American Red Cross (Red Cross) mortality tracking during October 28-November 30, 2012. This report describes the results of that analysis, which found drowning was the most common cause of death related to Sandy, and 45% of drowning deaths occurred in flooded homes in Evacuation Zone A. Drowning is a leading cause of hurricane death but is preventable with advance warning systems and evacuation plans. Emergency plans should ensure that persons receive and comprehend evacuation messages and have the necessary resources to comply with them.

  14. Bridging the Faraoni and Selli oceanic anoxic events: late Hauterivian to early Aptian dysaerobic to anaerobic phases in the Tethys

    Science.gov (United States)

    Föllmi, K. B.; Bôle, M.; Jammet, N.; Froidevaux, P.; Godet, A.; Bodin, S.; Adatte, T.; Matera, V.; Fleitmann, D.; Spangenberg, J. E.

    2012-01-01

    A detailed geochemical analysis was performed on the upper part of the Maiolica Formation in the Breggia (southern Switzerland) and Capriolo sections (northern Italy). The analysed sediments consist of well-bedded, partly siliceous, pelagic carbonate, which lodges numerous thin, dark and organic-rich layers. Stable-isotope, phosphorus, organic-carbon and a suite of redox-sensitive trace-element contents (RSTE: Mo, U, Co, V and As) were measured. The RSTE pattern and Corg:Ptot ratios indicate that most organic-rich layers were deposited under dysaerobic rather than anaerobic conditions and that latter conditions were likely restricted to short intervals in the latest Hauterivian, the early Barremian and the pre-Selli early Aptian. Correlations are both possible with organic-rich intervals in central Italy (the Gorgo a Cerbara section) and the Boreal Lower Saxony Basin, as well as with the facies and drowning pattern in the Helvetic segment of the northern Tethyan carbonate platform. Our data and correlations suggest that the latest Hauterivian witnessed the progressive installation of dysaerobic conditions in the Tethys, which went along with the onset in sediment condensation, phosphogenesis and platform drowning on the northern Tethyan margin, and which culminated in the Faraoni anoxic episode. This episode is followed by further episodes of dysaerobic conditions in the Tethys and the Lower Saxony Basin, which became more frequent and progressively stronger in the late early Barremian. Platform drowning persisted and did not halt before the latest early Barremian. The late Barremian witnessed diminishing frequencies and intensities in dysaerobic conditions, which went along with the progressive installation of the Urgonian carbonate platform. Near the Barremian-Aptian boundary, the increasing density in dysaerobic episodes in the Tethyan and Lower Saxony Basins is paralleled by a change towards heterozoan carbonate production on the northern Tethyan shelf. The

  15. Bridging the Faraoni and Selli oceanic anoxic events: short and repetitive dys- and anaerobic episodes during the late Hauterivian to early Aptian in the central Tethys

    Science.gov (United States)

    Föllmi, K. B.; Bôle, M.; Jammet, N.; Froidevaux, P.; Godet, A.; Bodin, S.; Adatte, T.; Matera, V.; Fleitmann, D.; Spangenberg, J. E.

    2011-06-01

    A detailed stratigraphical and geochemical analysis was performed on the upper part of the Maiolica Formation outcropping in the Breggia (southern Switzerland) and Capriolo sections (northern Italy). In these localities, the Maiolica Formation consists of well-bedded, partly siliceous, pelagic, micritic carbonate, which lodges numerous thin, dark and organic-rich layers. Stable-isotope, phosphorus, organic-carbon and a suite of redox-sensitive trace-metal contents (RSTE: Mo, U, Co, V and As) were measured. Higher densities of organic-rich layers were identified in the uppermost Hauterivian, lower Barremian and the Barremian-Aptian boundary intervals, whereas the upper Barremian interval and the interval immediately following the Barremian-Aptian boundary interval are characterized by lower densities of organic-rich layers. TOC contents, RSTE pattern and Corg:Ptot ratios indicate that most layers were deposited under dysaerobic rather than anaerobic conditions and that latter conditions were likely restricted to short intervals in the latest Hauterivian, the early Barremian and the pre-Selli early Aptian. Correlations are possible with organic-rich intervals in central Italy (the Gorgo a Cerbara section) and the Boreal northwest German Basin, and with the facies and drowning pattern in the evolution of the Helvetic segment of the northern Tethyan carbonate platform. Our data and correlations suggest that the latest Hauterivian witnessed the progressive installation of dysaerobic conditions in the Tethys, which went along with the onset in sediment condensation, phosphogenesis and platform drowning on the northern Tethyan margin, and which culminated in the Faraoni anoxic episode. This brief episode is followed by further episodes of dysaerobic conditions in the Tethys and the northwest German Basin, which became more frequent and progressively stronger in the late early Barremian. Platform drowning persisted and did not halt before the latest early Barremian. The

  16. Bridging the Faraoni and Selli oceanic anoxic events: late Hauterivian to early Aptian dysaerobic to anaerobic phases in the Tethys

    Directory of Open Access Journals (Sweden)

    K. B. Föllmi

    2012-01-01

    Full Text Available A detailed geochemical analysis was performed on the upper part of the Maiolica Formation in the Breggia (southern Switzerland and Capriolo sections (northern Italy. The analysed sediments consist of well-bedded, partly siliceous, pelagic carbonate, which lodges numerous thin, dark and organic-rich layers. Stable-isotope, phosphorus, organic-carbon and a suite of redox-sensitive trace-element contents (RSTE: Mo, U, Co, V and As were measured. The RSTE pattern and Corg:Ptot ratios indicate that most organic-rich layers were deposited under dysaerobic rather than anaerobic conditions and that latter conditions were likely restricted to short intervals in the latest Hauterivian, the early Barremian and the pre-Selli early Aptian.

    Correlations are both possible with organic-rich intervals in central Italy (the Gorgo a Cerbara section and the Boreal Lower Saxony Basin, as well as with the facies and drowning pattern in the Helvetic segment of the northern Tethyan carbonate platform. Our data and correlations suggest that the latest Hauterivian witnessed the progressive installation of dysaerobic conditions in the Tethys, which went along with the onset in sediment condensation, phosphogenesis and platform drowning on the northern Tethyan margin, and which culminated in the Faraoni anoxic episode. This episode is followed by further episodes of dysaerobic conditions in the Tethys and the Lower Saxony Basin, which became more frequent and progressively stronger in the late early Barremian. Platform drowning persisted and did not halt before the latest early Barremian. The late Barremian witnessed diminishing frequencies and intensities in dysaerobic conditions, which went along with the progressive installation of the Urgonian carbonate platform. Near the Barremian-Aptian boundary, the increasing density in dysaerobic episodes in the Tethyan and Lower Saxony Basins is paralleled by a change towards heterozoan carbonate

  17. Correlates of Unsupervised Bathing of Infants: A Cross-Sectional Study

    Directory of Open Access Journals (Sweden)

    Tinneke M. J. Beirens

    2013-03-01

    Full Text Available Drowning represents the third leading cause of fatal unintentional injury in infants (0–1 years. The aim of this study is to investigate correlates of unsupervised bathing. This cross-sectional study included 1,410 parents with an infant. Parents completed a questionnaire regarding supervision during bathing, socio-demographic factors, and Protection Motivation Theory-constructs. To determine correlates of parents who leave their infant unsupervised, logistic regression analyses were performed. Of the parents, 6.2% left their child unsupervised in the bathtub. Parents with older children (OR 1.24; 95%CI 1.00–1.54 were more likely to leave their child unsupervised in the bathtub. First-time parents (OR 0.59; 95%CI 0.36–0.97 and non-Western migrant fathers (OR 0.18; 95%CI 0.05–0.63 were less likely to leave their child unsupervised in the bathtub. Furthermore, parents who perceived higher self-efficacy (OR 0.57; 95%CI 0.47–0.69, higher response efficacy (OR 0.34; 95%CI 0.24–0.48, and higher severity (OR 0.74; 95%CI 0.58–0.93 were less likely to leave their child unsupervised. Since young children are at great risk of drowning if supervision is absent, effective strategies for drowning prevention should be developed and evaluated. In the meantime, health care professionals should inform parents with regard to the importance of supervision during bathing.

  18. Personal, social, and environmental factors associated with lifejacket wear in adults and children: A systematic literature review.

    Directory of Open Access Journals (Sweden)

    Amy E Peden

    Full Text Available Drowning claims 7% of the global burden of injury-related deaths. Lifejackets are routinely recommended as a drowning prevention strategy; however, a review of related factors regarding lifejacket wear has not previously been investigated.This systematic review examined literature published from inception to December 2016 in English and German languages. The personal, social, and environmental factors associated with lifejacket wear among adults and children were investigated, a quantitative evaluation of the results undertaken, and gaps in the literature identified.Twenty studies, with sample sizes of studies ranging between 20 and 482,331, were identified. Fifty-five percent were cross-sectional studies. All studies were scored IV or V on the Australian National Health and Medical Research Council (NHMRC grading system indicating mostly descriptive and cross-sectional levels of evidence. Factors associated with increased wear included age (mostly children, gender (mostly female, boat type (non-motorised, boat size (small boats, role modelling (children influenced by adult lifejacket wear, and activity (water-skiing, fishing. Factors not associated or inconsistent with lifejacket wear included education, household income, ethnicity, boating ability, confidence in lifejackets, waterway type, and weather and water conditions. Factors associated with reduced lifejacket wear included adults, males, discomfort, cost and accessibility, consumption of alcohol, and swimming ability. Three studies evaluated the impact of interventions.This review identified factors associated with both increased and decreased lifejacket wear. Future research should address the motivational factors associated with individuals' decisions to wear or not wear lifejackets. This, combined with further research on the evaluation of interventions designed to increase lifejacket wear, will enhance the evidence base to support future drowning prevention interventions.

  19. Enhancing swimming pool safety by the use of range-imaging cameras

    Science.gov (United States)

    Geerardyn, D.; Boulanger, S.; Kuijk, M.

    2015-05-01

    Drowning is the cause of death of 372.000 people, each year worldwide, according to the report of November 2014 of the World Health Organization.1 Currently, most swimming pools only use lifeguards to detect drowning people. In some modern swimming pools, camera-based detection systems are nowadays being integrated. However, these systems have to be mounted underwater, mostly as a replacement of the underwater lighting. In contrast, we are interested in range imaging cameras mounted on the ceiling of the swimming pool, allowing to distinguish swimmers at the surface from drowning people underwater, while keeping the large field-of-view and minimizing occlusions. However, we have to take into account that the water surface of a swimming pool is not a flat, but mostly rippled surface, and that the water is transparent for visible light, but less transparent for infrared or ultraviolet light. We investigated the use of different types of 3D cameras to detect objects underwater at different depths and with different amplitudes of surface perturbations. Specifically, we performed measurements with a commercial Time-of-Flight camera, a commercial structured-light depth camera and our own Time-of-Flight system. Our own system uses pulsed Time-of-Flight and emits light of 785 nm. The measured distances between the camera and the object are influenced through the perturbations on the water surface. Due to the timing of our Time-of-Flight camera, our system is theoretically able to minimize the influence of the reflections of a partially-reflecting surface. The combination of a post image-acquisition filter compensating for the perturbations and the use of a light source with shorter wavelengths to enlarge the depth range can improve the current commercial cameras. As a result, we can conclude that low-cost range imagers can increase swimming pool safety, by inserting a post-processing filter and the use of another light source.

  20. Smallpox: An eradicated infection with persistent sequels - Case report and a brief on smallpox

    International Nuclear Information System (INIS)

    Jastaneiah, Sabah

    2009-01-01

    Sequelae of smallpox infection on the ocular surface are still seen, including corneal scars adherent leukoma and phthisical globes. This paper will report another sequel of smallpox infection causing inadvertent bleb in a 62-year-old diabetic female with no history of ocular surgery or trauma in either eye. The patient had smallpox infection during her childhood. Her follow up extended from May 1997 until August 2007 with a constant eye examinations including controlled intraocular pressure, avascular cystic inadvertent bleb, and up drown peaked pupil. (author)

  1. Hypoxic conditions and oxygen supply in nests of the mangrove ant, Camponotus anderseni, during and after inundation

    DEFF Research Database (Denmark)

    Nielsen, Mogens Gissel; Christian, K.; Malte, H.

    2009-01-01

    The small ant Camponotus anderseni lives exclusively in twigs of the mangrove tree Sonneratia alba, and during inundation, the entrance hole is blocked with a soldier's head which effectively prevents flooding. The nests can be very crowded, with the ants and coccids filling up to 50% of the volume...... is to avoid drowning without suffering anoxia or hypercapnia, and they show a remarkable ability to adapt to the extreme conditions in the mangrove and exploit a niche where the density of other ants is insignificant....

  2. Resolving early Mid-Ordovician (Kundan) bioevents in the East Baltic based on brachiopods

    DEFF Research Database (Denmark)

    Rasmussen, Christian Mac Ørum; Harper, David Alexander Taylor

    2008-01-01

    Bed-by-bed sampling of brachiopods from selected Kundan Stage localities in the East Baltic has permitted the construction of a-diversity curves, unprecedented in detail from this particular stage and region. These a-diversity curves can be correlated between the investigated sections, along...... an east to west transect of some 200 km and indicate bioevents associated with intervals of increased palaeo-water depth. The highest peaks in a-diversity occur when biofacies analysis and sedimentological evidence indicate drowning events. The events involve mainly taxa endemic to the Baltic province...

  3. Introductory guide to noise

    CSIR Research Space (South Africa)

    Ferreira, T.M

    1973-01-01

    Full Text Available or (by remaining at the 'alarm' level) prevents us from sleeping or resting. Some noise comes into buildings from outside, such as when a passing jet plane drowns a telephone conversation or when traffic noise prevents one from hearing an interesting... on aircraft that make too much noise. Motor cars, buses, buzz-bikes and vacuum deaners can be effectively quietened but until now the public has not been prepared to pay the price of legislation. Also, many young sports-car enthusiasts still think...

  4. Analytic solution of the lifeguard problem

    Science.gov (United States)

    De Luca, Roberto; Di Mauro, Marco; Naddeo, Adele

    2018-03-01

    A simple version due to Feynman of Fermat’s principle is analyzed. It deals with the path a lifeguard on a beach must follow to reach a drowning swimmer. The solution for the exact point, P(x, 0) , at the beach-sea boundary, corresponding to the fastest path to the swimmer, is worked out in detail and the analogy with light traveling at the air-water boundary is described. The results agree with the known conclusion that the shortest path does not coincide with the fastest one. The relevance of the subject for a basic physics course, at an advanced high school level, is pointed out.

  5. Brief communication: Loss of life due to Hurricane Harvey

    Science.gov (United States)

    Jonkman, Sebastiaan N.; Godfroy, Maartje; Sebastian, Antonia; Kolen, Bas

    2018-04-01

    An analysis was made of the loss of life caused by Hurricane Harvey. Information was collected for 70 fatalities that occurred due to the event and were recovered within the first 2 weeks after landfall. Most fatalities occurred due to drowning (81 %), particularly in and around vehicles. Males (70 %) and people over 50 years old (56 %) were overrepresented in the dataset. More than half of the fatalities occurred in the greater Houston area (n = 37), where heavy rainfall and dam releases caused unprecedented urban flooding. The majority of fatalities were recovered outside the designated 100- and 500-year flood hazard areas.

  6. Fatal and non-fatal injury outcomes: results from a purposively sampled census of seven rural subdistricts in Bangladesh.

    Science.gov (United States)

    Alonge, Olakunle; Agrawal, Priyanka; Talab, Abu; Rahman, Qazi S; Rahman, Akm Fazlur; Arifeen, Shams El; Hyder, Adnan A

    2017-08-01

    90% of the global burden of injuries is borne by low-income and middle-income countries (LMICs). However, details of the injury burden in LMICs are less clear because of the scarcity of data and population-based studies. The Saving of Lives from Drowning project, implemented in rural Bangladesh, did a census on 1·2 million people to fill this gap. This Article describes the epidemiology of fatal and non-fatal injuries from the study. In this study, we used data from the baseline census conducted as part of the Saving of Lives from Drowning (SoLiD) project. The census was implemented in 51 unions from seven purposively sampled rural subdistricts of Bangladesh between June and November, 2013. Sociodemographic, injury mortality, and morbidity information were collected for the whole population in the study area. We analysed the data for descriptive measures of fatal and non-fatal injury outcomes. Age and gender distribution, socioeconomic characteristics, and injury characteristics such as external cause, intent, location, and body part affected were reported for all injury outcomes. The census covered a population of 1 169 593 from 270 387 households and 451 villages. The overall injury mortality rate was 38 deaths per 100 000 population per year, and 104 703 people sustained major non-fatal injuries over a 6-month recall period. Drowning was the leading external cause of injury death for all ages, and falls caused the most number of non-fatal injuries. Fatal injury rates were highest in children aged 1-4 years. Non-fatal injury rates were also highest in children aged 1-4 years and those aged 65 years and older. Males had more fatal and non-fatal injuries than females across all external causes except for burns. Suicide was the leading cause of injury deaths in individuals aged 15-24 years, and more than 50% of the suicides occurred in females. The home environment was the most common location for most injuries. The burden of fatal and non-fatal injuries

  7. Freshwater Fungal Infections

    Directory of Open Access Journals (Sweden)

    Dennis J. Baumgardner

    2017-01-01

    Full Text Available Fungal infections as a result of freshwater exposure or trauma are fortunately rare. Etiologic agents are varied, but commonly include filamentous fungi and Candida. This narrative review describes various sources of potential freshwater fungal exposure and the diseases that may result, including fungal keratitis, acute otitis externa and tinea pedis, as well as rare deep soft tissue or bone infections and pulmonary or central nervous system infections following traumatic freshwater exposure during natural disasters or near-drowning episodes. Fungal etiology should be suspected in appropriate scenarios when bacterial cultures or molecular tests are normal or when the infection worsens or fails to resolve with appropriate antibacterial therapy.

  8. Depositions of heavy metals and radionuclides in the region of the plant for non-ferrous metals (Plovdiv) studied by the methods of mass- and gamma- spectrometry

    International Nuclear Information System (INIS)

    Mitrikov, M.; Hristov, Hr.; Antonov, A.

    2001-01-01

    Soil samples and vegetation from the region of KCM-S.A. (Plant for non-ferrous metals) -Plovdiv have been studied by means of a conventional γ-spectroscopy and a mass-spectrometry analysis. The concentrations of several decades of elements, including heavy metals and radionuclides have been determined at low detection limits. Conclusions about the influence of atmospheric emissions connected with the production of non-ferrous metal on the present environmental state of the region have been drown from the obtained results. (author)

  9. Considerações preliminares sobre produto turístico étnico

    Directory of Open Access Journals (Sweden)

    Cardozo, Poliana Fabíula

    2006-01-01

    Full Text Available The concept of ethnicity can refer to the idea of the flow and (reconstruction of authoctonal or transmigreted culture. The resulting outputs of ethnical communities cultural (reconstructions have drown special attention of tourism, and have also emerged new possibilities through the form of the so called ethnical touristic products. Therefore, it`s necessary a comprehension of concept of ethnicity, ethnical tourism, tourist product, as well as their peculiarities. The aim of this essay is to lead to prelimi-nary considerations about these issues according to the tendencies of the tourism industry, encouraging a follow-up discussion

  10. Drone configuration for seaside rescue missions

    OpenAIRE

    Garro Fernandez, Jose Miguel

    2017-01-01

    The project is based on creating a first aid tool to perform a coastline rescue with an unmanned. The System is formed by a ground segment, where the ground station will be placed and an air segment, where the unmanned vehicle, equipped with all the necessary extra devices to perform the mission will be found. For notices of possible drownings, the ground station will receive notifications that users will publish using a Mobile application. This app will allow users to capture images of the v...

  11. [Prevention of gastroesophageal reflux and aspiration in neonates by holding with hands immediately after delivery by cesarean section].

    Science.gov (United States)

    Guo, Hui-Ping; Li, Hui; Guo, Jing; Li, Yan-Wen

    2002-04-01

    To evaluate the clinical effect of preventing gastroesophageal reflux (GER) and aspiration in neonates delivered by elective cesarean section with hand immediately after birth. On the basis of the principles for drowning resuscitation and evaluation of the principal factors causing GER and aspiration, the author adopted immediate manual management to promote emptying of gastroesophageal and airway contents in 496 newborns delivered by elective cesarean section. No GER and aspiration occurred in the babies receiving the management, and no complication was recorded. As an early preventive measure, manual management is effective in clearing gastroesophageal and airway contents against GER and aspiration, and Apgar scoring can be readily conducted.

  12. Building and Testing a Portable VLF Receiver

    Science.gov (United States)

    McLaughlin, Robert; Krause, L.

    2014-01-01

    Unwanted emissions or signal noise is a major problem for VLF radio receivers. These can occur from man made sources such as power line hum, which can be prevalent for many harmonics after the fundamental 50 or 60 Hz AC source or from VLF radio transmissions such as LORAN, used for navigation and communications. Natural emissions can also be detrimental to the quality of recordings as some of the more interesting natural emissions such as whistlers or auroral chorus may be drowned out by the more common sferic emissions. VLF receivers must selectively filter out unwanted emissions and amplify the filtered signal to a record-able level without degrading the quality.

  13. Preparation of quality control samples in radioimmunoassay for thyroid stimulating hormone (TSH)

    International Nuclear Information System (INIS)

    Ali, O.M.

    2006-03-01

    To days, the radioimmunoassay is becomes the best technique to analysis different concentrations of substance, especially in medical and research laboratories. Although the specificity of RIA techniques, the quality controls must takes place to give good results as possible. In this dissertation i prepared quality control samples of thyroid stimulating hormone (TSH), to use it in RIA techniques and to control the reliability results of those laboratories which used these methods. We used China production kits of RIA method to determine the level of hormone (low-normal-high) concentration. Statistical parameters were used to drown the control chart of the mean to these data.(Author)

  14. "The grave yawns for the horseman." Equestrian deaths in South Australia 1973-1983.

    Science.gov (United States)

    Pounder, D J

    1984-11-10

    The fatalities associated with the riding and handling of horses in South Australia over the 11-year period 1973-1983 are reviewed. There were 18 deaths, including two sudden natural deaths in the saddle and one drowning. The 15 cases of horse-related trauma represent a death rate of approximately one per million population per annum. Thirteen of the deaths were the result of a head injury after a fall. Nine persons were not wearing protective headgear. The two principal groups at risk were male professional riders with a mean age of 32 years and female amateurs with a mean age of 19 years.

  15. Reading the Anthropocene through science and apocalypse in the selected contemporary fiction of J.G. Ballard, Kurt Vonnegut, Cormac McCarthy and Ian McEwan

    OpenAIRE

    Fevyer, David

    2016-01-01

    This thesis examines how six contemporary novels variously intervene in the current crisis of climate change. Through close readings of J G Ballard’s The Drowned World (1962) and Hello America (1981); Cormac McCarthy’s The Road (2006); Kurt Vonnegut’s Cat’s Cradle (1963) and Galapagos (1985); and Ian McEwan’s Solar (2010), the thesis aims to identify how the narrative and generic resources of contemporary fiction might help readers to think through and beyond the consequences of anthropocentr...

  16. Observational Astrophysics

    Science.gov (United States)

    Jablonski, Francisco Jose

    1999-01-01

    Hamlet is the name of a very famous play written by William Shakespeare. The opening scene is p impressive: the guards of a castle in Denmark see the specter of king Hamlet wandering the parapet at night. The explanation for the ghost's appearance is central to the drama, which contains seven deaths by sword blows, poisonings, drowning, real and simulated madness, adultery, the skull of a happy jester exhumed at an opportune moment and, of course, a phantasmagoric vpecter. In a recent film version, Mel Gibson plays the role of Hamlet. The opening scene has the specter of the old king appear in a phosphorescent and transparent form.

  17. Considerações preliminares sobre produto turístico étnico

    Directory of Open Access Journals (Sweden)

    Poliana Fabíula Cardozo

    2006-01-01

    Full Text Available The concept of ethnicity can refer to the idea of the flow and (reconstruction of authoctonal or transmigreted culture. The resulting outputs of ethnical communities cultural (reconstructions have drown special attention of tourism, and have also emerged new possibilities through the form of the so called ethnical touristic products. Therefore, it`s necessary a comprehension of concept of ethnicity, ethnical tourism, tourist product, as well as their peculiarities. The aim of this essay is to lead to preliminary considerations about these issues according to the tendencies of the tourism industry, encouraging a follow-up discussion.

  18. MODERN RECOMMENDATIONS ON BASIC CARDIOPULMONARY RESUSCITATION FOR CHILDREN

    Directory of Open Access Journals (Sweden)

    R.F. Tepaev

    2010-01-01

    Full Text Available The major causes of death in children and adolescents in Russia are the external reasons, such as traumas, poisonings, drowning and transport incidents. Many injuries are preventable. Popularization of up to date methods of basic life support is one of methods of declining of a mortality of victims of out-of-hospital arrest. This article highlights the American Heart Association Guidelines for Pediatric Basic Life Support. Key words: basic life support, children, adolescents. (Pediatric Pharmacology. – 2010; 7(4:24-29

  19. Open Source Intelligence in a Networked World

    CERN Document Server

    Olcott, Anthony

    2012-01-01

    The amount of publicly and often freely available information is staggering. Yet, the intelligence community still continues to collect and use information in the same manner as during WWII, when the OSS set out to learn as much as possible about Nazi Germany and Imperial Japan by scrutinizing encyclopedias, guide books, and short-wave radio. Today, the supply of information is greater than any possible demand, and anyone can provide information. In effect, intelligence analysts are drowning in information. The book explains how to navigate this rising flood and make best use of these new, ric

  20. Die aantrekkingskrag van die see

    Directory of Open Access Journals (Sweden)

    I. Gertenbach

    2008-07-01

    This article compares the use of oceanic symbolism in the poetry of Karin Boye, Ingrid Jonker and Sylvia Plath. Freud’s “oceanic feeling” is described and contrasted with Jung’s theory of the “great mother”. According to Jung, the “great mother” is the unconscious which is represented by water. All these elements are discussed in the poems and compared to each other in order to gain a better understanding of the poetry. Although “death” (drowning in the ocean appears to point to new life, it ends in unification with the archetypal mother. This liberates the poets symbolically, but not physically.

  1. Coral reef ecosystem

    Digital Repository Service at National Institute of Oceanography (India)

    Wafar, M.V.M.; Wafar, S.

    ), on submerged banks like Gave shani bank (13°24'N; 73°45'E) (Nair and Qasim 1978) andSidere~ko Bank (13°43.5' N; 73°42'E) (Rao 1972) and as stray individual units off Visakhapatnam (Bakus, G. personal communication) and Pondicherry (Ramesh, A. personal... communication). Fossil reefs, drowned as a result of the Holocene sea level rise, occur at 92, 85, 75 and 55 m depth along .. ~ !! ":2 0. ~ Figure 3.1 Graphical Representation of the SO-Box Model of a Caribbean Coral Reef Key: 1. Benthic producers. 2. Detritus...

  2. Resilience Among Naval Recruits: A Quantitative and Qualitative Analysis of Interventions at Recruit Training Command and Implications on Fleet Readiness

    Science.gov (United States)

    2016-03-01

    transition from strangers to a form of “family” in order to develop trust and teamwork necessary to be successful. Teamwork becomes a crucial part of the...of strangers and turn them into Sailors can be best described by the following RDC comment: You have to kind of culture shock them in a way. I...think of drowning. 2. So the only thing I thought about was I need this many more pushups, I need this many more sit-ups, I need to cut this much

  3. Victimisation and PTSD in a Greenlandic Youth sample

    DEFF Research Database (Denmark)

    Karsberg, Sidsel; Lasgaard, Mathias; Elklit, Ask

    2012-01-01

    been indirectly exposed to at least one PTE. The mean number of directly experienced PTEs was 2.8 and the mean number of indirectly experienced PTEs was 3.9. The most frequent direct events recorded were: death of someone close, near drowning, threatened to be beaten, humiliation or persecution...... experiencing PTE’S. Indeed, in general, girls reported more experiences of direct and indirect PTEs. Furthermore, girls reported being more commonly exposed to specific types of PTE’s compared to boys....

  4. Microhabitat influence on larval fish assemblages within ...

    Science.gov (United States)

    We examined larval and juvenile fish assemblage structure in relation to microhabitat variables within the St. Louis River estuary, a drowned river mouth of Lake Superior. Fish were sampled in vegetated beds throughout the estuary, across a gradient of vegetation types and densities (including disturbed, preserved and post-restoration sites). Canonical correspondence analysis, relating species abundances to environmental variables revealed that plant species richness, turbidity and aquatic plant cover were most influential in structuring assemblages. Results from this microhabitat analysis at this crucial life stage has potential to inform wetland restoration efforts within the St. Louis River and other Great Lake coastal wetlands. not applicable

  5. 21. The Riches of European Cuisine

    OpenAIRE

    2018-01-01

    Louis-Antoine Caraccioli, maintains in Paris, the Model of Foreign Nations, or French Europe that French cuisine has contributed to a general enrichment of culinary habits in Europe. Thus, he offers a glimpse of the future importance of French gastronomy. On Dining Nobody will contest that it is most certainly to the French that Europe owes both the inestimable honour of no longer drowning all good reason in wine, and the virtue of delicate dining. I know that the Italians never indulged in t...

  6. Voluntary respiratory control and cerebral blood flow velocity upon ice-water immersion

    DEFF Research Database (Denmark)

    Mantoni, Teit; Rasmussen, Jakob Højlund; Belhage, Bo

    2008-01-01

    INTRODUCTION: In non-habituated subjects, cold-shock response to cold-water immersion causes rapid reduction in cerebral blood flow velocity (approximately 50%) due to hyperventilation, increasing risk of syncope, aspiration, and drowning. Adaptation to the response is possible, but requires...... velocity (CBFV) was measured together with ventilatory parameters and heart rate before, during, and after immersion. RESULTS: Within seconds after immersion in ice-water, heart rate increased significantly from 95 +/- 8 to 126 +/- 7 bpm (mean +/- SEM). Immersion was associated with an elevation...

  7. Preliminary study of post mortem identification using lip prints.

    Science.gov (United States)

    Utsuno, Hajime; Kanoh, Takashi; Tadokoro, Osamu; Inoue, Katsuhiro

    2005-05-10

    Identification using lip prints was first performed in the 1950s and was the subject of much research in the 1960s and 70s, leading to the acceptance of this technique as evidence in the criminal justice system. Previous research has focused on identifying lip print types or on methods of obtaining hidden lip prints left at the crime scene. The present study aimed to clarify characteristics of lip prints from cadavers with various causes of death (including drowning and hanging) and to determine the effects of fixation on post mortem changes in lip impressions.

  8. Medical Surveillance Monthly Report (MSMR). Volume 22, Number 6, June 2015

    Science.gov (United States)

    2015-06-01

    unclassified b. ABSTRACT unclassified c. THIS PAGE unclassified Standard Form 298 (Rev. 8-98) Prescribed by ANSI Std Z39-18 MSMR Vol. 22 No. 6 June...Drowning or submersion, not else-where classifi ed aNATO standardization agreement cause of injury code Service members are at risk for unintentional...diagno- sis post-Pap. Some women may have con- sented to submit to a urinalysis as a part of their clinical encounter. Because such test- ing is

  9. Global warming and coral reefs

    Digital Repository Service at National Institute of Oceanography (India)

    Wafar, M.V.M.

    , notably at Ratnagiri. Malwan. Redi Port and Vizhingam. Relic reefs with living herm<:ltypic corals at depths ranging fror:l 25 to 45m are the Gaves hani Bank off~\\angalore,and the submerged banks (Bass<:ls de Pedro. Sesostris Bank and Cora Divh... the snore (Qaslm and Wafar, 1979). The other representative Sea le\\lel Variation 417 of the extensive reelS of the outer shelf that survived Pleistocene drowning is the Gaveshani Bank, fanhc: south (J 3° 24' N; 73° 45' E), about 100 km off \\1 ar:ga lore...

  10. Discovery of regulatory elements is improved by a discriminatory approach

    DEFF Research Database (Denmark)

    Valen, Eivind; Sandelin, Albin; Winther, Ole

    2009-01-01

    , but contemporary methods are challenged by the size and diversity of regulatory regions in higher metazoans. Two key issues are the small amount of information contained in a pattern compared to the large promoter regions and the repetitive characteristics of genomic DNA, which both lead to "pattern drowning''. We...... demonstrate higher accuracy than the best of contemporary methods, high robustness when extending the length of the input sequences and a strong correlation between our objective function and the correct solution. Using a large background set of real promoters instead of a simplified model leads to higher...

  11. Bracebridge dam safety presentation

    Energy Technology Data Exchange (ETDEWEB)

    Kulchycky, Vince [Bracebridge Generation Ltd. (Canada)

    2011-07-01

    In Bracebridge, Ontario, hydroelectric generators have been in use since 1901. Bracebridge Generation is now upgrading the Wilson's Falls unit from 600kW to 2900kW. Bracebridge Generation addressed public safety with an independent audit and signage, fencing, booms and buoys installed. Unfortunately these measures did not prevent a recent drowning at the utility's site. More widespread warnings and safety education were seen as measures to stop people from swimming on the utility's property.

  12. Hospitals and health care establishments

    International Nuclear Information System (INIS)

    1999-01-01

    These guidelines have been drown up to assist all those involved in the management and maintenance of hospitals and health care establishments. Compliance with this guidance should minimise the risk of pollution occurring. The guidelines are jointly produced by the Environment Agency for England and Wales, the Scottish Environment Protection Agency and the Environment and Heritage Service for Northern Ireland, referred to as the Agency or Agencies. It includes guidelines on site drainage, sewage and waste water disposal, treatment of surface water drainage and waste management

  13. Study of genetic markers of CODIS and ESS systems in a population of individuals from Cabo Verde living in Lisboa.

    Science.gov (United States)

    Resende, Ana; Amorim, António; da Silva, Cláudia Vieira; Ribeiro, Teresa; Porto, Maria João; Costa Santos, Jorge; Afonso Costa, Heloísa

    2017-01-01

    Twenty-two autosomal short tandem repeats included in the PowerPlex® Fusion System Amplification kit (Promega Corporation) were genotyped in a population sample of 500 unrelated individuals from Cabo Verde living in Lisboa. Allelic frequency data and forensic and statistical parameters were calculated and evaluated in this work. The genetic relationship among immigrant population from Cabo Verde living in Lisboa and other populations, such as Brazilian and Angola immigrants living in Lisboa; Afro-Americans, Caucasians, Hispanics and Asians living in the USA and the population from Lisboa was assessed, and a multidimensional scaling plot was drown to show these results.

  14. Policy suggestions to deal with intimate partner violence in Pakistan

    Directory of Open Access Journals (Sweden)

    Sabeena Jalal

    2010-06-01

    Full Text Available Injury is one of the leading causes of mortality and disability in the world. It is a significant public health problem that is often over looked in the developing world. The burden of noncommunicable diseases (including injuries is increasing and currently accounts for nearly half of the global burden of disease among all ages [1]. Five million people worldwide lose their lives annually as a result of trauma and injury [2]. Globally, among the age range of 15-44 years, the leading cause of fatal injury are traffic collisions, inter personal violence, self harm, war, drowning and exposure to fire.

  15. Review of The Earl of Abergavenny. Historical Record and Wreck Excavation CD-Rom

    OpenAIRE

    David Petts

    2003-01-01

    In early February 1805 a small fleet of East Indiamen accompanied by the frigate Weymouth set sail from Portsmouth heading first for Bengal and ultimately for China. However, barely had the voyage began when, following bad weather and confusion, one of the boats, the Earl of Abergavenny, struck the Shambles bank just off Portland Bill. Although the crew managed to free it, it was so badly damaged it sank while trying to make for the safety of Weymouth. Over 250 crew and passengers drowned. Th...

  16. Acute pulmonary emphysema in death by hanging: a morphometric digital study.

    Science.gov (United States)

    Castiglioni, Claudia; Baumann, Pia; Fracasso, Tony

    2016-09-01

    Acute pulmonary emphysema (APE) has been described in cases of mechanical asphyxia such as ligature or manual strangulation but not in cases of hanging. In this study, we wanted to verify by morphometric digital analysis of lung tissue whether APE occurs in death by hanging.We investigated 16 cases of hanging (eight complete, eight incomplete), 10 cases of freshwater drowning (positive control group), and 10 cases of acute external bleeding (negative control group). Tissue sections were obtained from each pulmonary lobe. For each slide, five fields were randomly selected. The area of every alveolar space was measured by image analysis software. The mean alveolar area (MAA) was calculated for each group.In incomplete hanging, MAA was significantly higher than that observed in complete hanging and similar to the one observed in freshwater drowning.APE in cases of incomplete hanging can be considered as a sign of vitality. The high number of conditions that can cause alveolar distension (that were excluded in this study) limits the applicability of this vital sign in the routine forensic practice.

  17. Francisella philomiragia Adenitis and Pulmonary Nodules in a Child with Chronic Granulomatous Disease

    Directory of Open Access Journals (Sweden)

    Timothy Mailman

    2005-01-01

    Full Text Available Francisella philomiragia is a rare and opportunistic pathogen capable of producing invasive infection in patients with compromised neutrophil function and in patients that have survived a near-drowning. A case of F philomiragia adenitis and lung nodules, refractory to cephalosporin therapy, is reported in a 10-year-old boy with chronic granulomatous disease following a facial abrasion from a saltwater crab. To the authors' knowledge, this is the first Canadian clinical isolate to be reported. Genus and species identification was confirmed via 16S ribosomal RNA sequence analysis. A literature review revealed three groups at risk of F philomiragia infection: young patients with chronic granulomatous disease; adults with hematogenous malignancy; and near-drowning patients. Pneumonia, fever without an apparent source and sepsis are the main clinical presentations. Invasive procedures may be required to isolate this organism and ensure appropriate antimicrobial therapy. Limited awareness of F philomiragia has led to delayed identification, patient death and misidentification as Francisella tularensis - a biosafety level three pathogen and potential bioterrorism agent.

  18. Review of occupational hazards associated with aquaculture.

    Science.gov (United States)

    Myers, Melvin L

    2010-10-01

    Aquaculture is an emerging sector that is associated with most of the same hazards that are present in agriculture generally, but many fish farming tasks entail added danger, including working around water and working at night. Comprehensive studies of these hazards have not been conducted, and substantial uncertainty exists as to the extent of these hazards. The question addressed in this investigation was, "What is known about potential hazardous occupational exposures to aquatic plant and animal farmers?" In this review, causes of death included drowning, electrocution, crushing-related injury, hydrogen sulfide poisoning, and fatal head injury. Nonfatal injuries were associated with slips, trips, and falls; machines; strains and sprains; chemicals; and fires. Risk factors included cranes (tip over and power line contact), tractors and sprayer-equipped all-terrain vehicles (overturn), heavy loads (lifting), high-pressure sprayers, slippery surfaces, rotting waste (hydrogen sulfide production), eroding levees (overturn hazard), storm-related rushing water, diving conditions (bends and drowning), nighttime conditions, working alone, lack of training, lack of or failure to use personal flotation devices, and all-terrain vehicle speeding. Other hazards included punctures or cuts from fish teeth or spines, needlesticks, exposure to low temperatures, and bacterial and parasitic infections .

  19. Advantages of analyzing postmortem brain samples in routine forensic drug screening-Case series of three non-natural deaths tested positive for lysergic acid diethylamide (LSD).

    Science.gov (United States)

    Mardal, Marie; Johansen, Sys Stybe; Thomsen, Ragnar; Linnet, Kristian

    2017-09-01

    Three case reports are presented, including autopsy findings and toxicological screening results, which were tested positive for the potent hallucinogenic drug lysergic acid diethylamide (LSD). LSD and its main metabolites were quantified in brain tissue and femoral blood, and furthermore hematoma and urine when available. LSD, its main metabolite 2-oxo-3-hydroxy-LSD (oxo-HO-LSD), and iso-LSD were quantified in biological samples according to a previously published procedure involving liquid-liquid extraction and ultra-high performance liquid chromatography-tandem mass spectrometry (UHPLC-MS/MS). LSD was measured in the brain tissue of all presented cases at a concentration level from 0.34-10.8μg/kg. The concentration level in the target organ was higher than in peripheral blood. Additional psychoactive compounds were quantified in blood and brain tissue, though all below toxic concentration levels. The cause of death in case 1 was collision-induced brain injury, while it was drowning in case 2 and 3 and thus not drug intoxication. However, the toxicological findings could help explain the decedent's inability to cope with brain injury or drowning incidents. The presented findings could help establish reference concentrations in brain samples and assist in interpretation of results from forensic drug screening in brain tissue. This is to the author's knowledge the first report of LSD, iso-LSD, and oxo-HO-LSD measured in brain tissue samples. Copyright © 2017 Elsevier B.V. All rights reserved.

  20. ENVIRONMENTAL AFTERMATH FROM THE DRYING PROCESSES OF AL-HUWAIZA MARSHLAND, IRAQ

    Directory of Open Access Journals (Sweden)

    Khafaja Ahmed Mays SADKHAN

    2017-01-01

    Full Text Available Al-Huwaiza marsh shows environmental and economic significance, but it has been exposed to the drying processes and then to the drowning processes. It has witnessed great decrease in the water resources specified for the country and the decrease in the water portion feeding it. A fact which shows negative effects on its area, for the change of the environmental variables, has affected the process of nurturing the marsh - only 33.4% of the area of the marsh has been drowned during the 1990s. As a result, its environmental features have been deteriorated, which have negatively affected the kind of water contained in it and which require a series of procedures and solutions to be done in this regard. Among these there are the following: encouraging the dialogue and negotiations with the countries in which the high basins of the rivers Tigris and Euphrates are located (Turkey, Syria and Iran, controlling the random spread of the marshes and concentrating on the constant and deep marshes, developing and rehabilitating the deep marshes by means of establishing natural protected areas, enlivening the constant marshes by means of connecting them to one another, supporting and encouraging studies and research, controlling the pollution of the marshes, developing the general services of the marsh areas and the neighboring ones, and stronger involving of the ministries which should pay their serious and actual attention to the environment and the population of the marshes.

  1. Multiple Scedosporium apiospermum abscesses in a woman survivor of a tsunami in northeastern Japan: a case report

    Directory of Open Access Journals (Sweden)

    Nakamura Yutaka

    2011-10-01

    Full Text Available Abstract Introduction Scedosporium apiospermum is increasingly recognized as a cause of localized and disseminated mycotic infections in near-drowning victims. Case presentation We report the case of a 59-year-old Japanese woman who was a survivor of a tsunami in northeastern Japan and who had lung and brain abscesses caused by S. apiospermum. Initially, an aspergillus infection was suspected, so she was treated with micafungin. However, computed tomography scans of her chest revealed lung abscesses, and magnetic resonance images demonstrated multiple abscesses in her brain. S. apiospermum was cultured from her bronchoalveolar lavage fluid, and antimycotic therapy with voriconazole was initiated. Since she developed an increase in the frequency of premature ventricular contractions, an adverse drug reaction to the voriconazole was suspected. She was started on a treatment of a combination of low-dose voriconazole and liposomal amphotericin B. After combination therapy, further computed tomography scans of the chest and magnetic resonance images of her brain showed a demarcation of abscesses. Conclusions Voriconazole appeared to have a successful record in treating scedosporiosis after a near drowning but, owing to several adverse effects, may possibly not be recommended. Thus, a combination treatment of low-dose voriconazole and liposomal amphotericin B may be a safe and effective treatment for an S. apiospermum infection. Even though a diagnosis of scedosporiosis may be difficult, a fast and correct etiological diagnosis could improve the patient's chance of recovery in any case.

  2. Mortality and survival of white-tailed deer Odocoileus virginianus fawns on a north Atlantic coastal island

    Science.gov (United States)

    Long, Robert A.; O'Connell, A.F.; Harrison, D.J.

    1998-01-01

    Mortality and survival of white-tailed deer Odocoileus virginianus fawns (n=29) were studied from birth to 1 year of age during 1991-95 on Mount Desert Island (MDI), Maine where deer hunting is prohibited, coyotes Canis latrans have become recently established, and protected U. S. National Park lands are interspersed with private property. Rate of predator-caused mortality was 0.52, with coyote predation (n=8) accounting for at least 47% of mortalities from all causes (n=17). Mortality rate from drowning was 0.24 (n=3), and from vehicles was 0.14 (n=3). Of fawns radio-collared as neonates, 10 of 14 mortalities occurred during the first 2 months of life. Annual rate of fawn survival was 0.26. Survival rate from 6 months to 1 year was 0.65 and 4 mortalities (2 predation, 2 drowning) were observed during this interval. A subgroup of fawns (n = 11) captured near a residential area and along the edge of a coyote territory had a higher (P = 0.002) rate of survival to 1 year of age (S = 0.67) than did fawns from all other areas (n = 18, S = 0.00). Recruitment to 1 year of age was lower than has been observed in other deer populations in the northeastern United States. Low recruitment associated with coyote predation and mortality sources influenced by humans appears to be limiting white-tailed deer populations in this insular landscape.

  3. Sequence stratigraphy in a mixed carbonate-silicilastic depositional system (Middle Miocene; Styrian Basin, Austria)

    Science.gov (United States)

    Friebe, J. Georg

    1993-07-01

    The mixed carbonate-siliciclastic Weißenegg (Allo-) Formation records three depositional sequences corresponding approximately to the TB 2.3, TB 2.4 and TB 2.5 global cycles. Sea-level fluctuations were of the order of at least 30 m. Siliciclastic lowstand systems tracts comprise lignite deposits, reworked basement and tidal siltstones (above a tectonically enhanced sequence boundary) as well as coastal sand bars. Coastal sands of the transgressive systems tract contain distinct layers of well cemented nodules. They are interpreted as the first stage in hardground formation and record superimposed minor sea-level fluctuations. Coral patch reefs and rhodolith platforms developed during transgressive phases and were subsequently drowned and/or suffocated by siliciclastics during early highstand. Shallowing upwards siliciclastic parasequences, each terminated by a bank of rhodolith limestone, form the (late) highstand systems tract. The limestone beds record superimposed fourth-order transgressive pulses. Occasionally a carbonate highstand wedge developed. Lowstand carbonate shedding occurred where the top of a platform which suffered incipient drowning during highstand was near sealevel again during the following lowstand. Late highstand delta progradation is common.

  4. Timing of Early Aptian demise of northern Tethyan carbonate platforms - chemostratigraphic versus biostratigraphic evidence

    Science.gov (United States)

    Huck, Stefan; Immenhauser, Adrian; Heimhofer, Ulrich; Rameil, Niels

    2010-05-01

    A lively controversy still exists between different authors dealing with the timing of northern Tethyan platform drowning and the Early Aptian oceanic anoxic event (OAE 1a). To the present day, there is no consensus if the OAE 1a black shales must be attributed to the Deshayesites weissi or the Deshayesites deshayesi zone (see discussion in Moreno-Bedmar et al., 2009). OAE 1a black shale deposition has been traditionally attributed to the Deshayesites weissi zone (Gradstein et al., 2004). Despite this disagreement about the biostratigraphic timing, several authors postulate a relation between biotic perturbations and environmental changes linked to OAE 1a, e. g. the disappearance of coral-rudist reefs related with the demise of the northern Tethyan Urgonian platforms in the Helvetic Alps (Weissert et al., 1998; Föllmi et al., 2008). In the central and southern Tethyan realm (Istria, Oman), OAE 1a is likely expressed as the transient mass occurrence of microencrusters (Lithocodium-Bacinella) and the coeval demise of the characteristic mid-Cretaceous framework-builders (rudists, corals). Chemostratigraphic data indicate that these microbial blooms coincide with the Deshayesites weissi zone (Huck et al., 2010, Rameil et al, 2010). These observations raise the question whether northern Tethyan platform drowning is coeval to microbial bloom periods in the central and southern Tethys? The analysis of all available literature and unpublished evidence demonstrates that well constrained age data are surprisingly scarce and controversial. The goal of the present research project is to compile a chemostratigraphic framework for the northern Tethyan platform drowning (Haute-Savoie, SE France) in order to shed light on the temporal constraints of platform drowning versus pelagic black shale deposition versus microbial blooms. Two Barremian to Aptian shoalwater sections (Cluses section, Grande Forclaz section) in the Subalpine Chains were investigated applying chemostratigraphy

  5. Frasnian reef and basinal strata of West Central Alberta: A combined sedimentological and biostratigraphic analysis

    Energy Technology Data Exchange (ETDEWEB)

    Weissenberger, J.A.W. (Imperial Oil Resources Ltd., Calgary, AB (Canada))

    1994-03-01

    The depositional history for the Frasnian in the Nordegg area is interpreted and illustrated on cross sections and paleogeographic maps. Carbonate deposition began with the flooding of the West Alberta Arch and the deposition of the upper Swan Hills Formation during the Lower asymmetrica Zone. Transgression in the Middle asymmetrica Zone initiated the basinal Cline Channel and Duvernay Formation shale deposition, while the time equivalent Cooking Lake Formation was deposited on the drowned Swan Hills platform. The overlying lower Leduc Formation shows backstepping and aggradational reef margin stacking patterns. Maximum relief from the carbonate platform to surrounding Duvernay Formation shale during the Upper asymmetrica Zone was 100 m. Aggradation and backstepping was repeated in the Ancyrognathus trianularis Zone, with syndepositional relief reaching 170 m at the Wapiabi Gap reef margin. Platfrom-margin profiles were controlled by physical factors such as dominant wind direction and currents. On the Ram Range the margin backstepped, but then aggraded at Cripple Creek. At Wapiabi Gap, to the north on the Bighorn Range, the margin was dominantly aggradational. Ireton Formation shale deposition was also influenced by currents. In the Lower gigas Zone, the Leduc carbonate platform reached a maximum syndepositional relief at 220 m. A change from dominantly biohermal to biostromal platform margins occurred. A prograding wedge of Ireton Formation shale filled much of the relief in the Cline Channel, while the upper Leduc platform was drowned. Finally, the progradational Nisku Formation was deposited during the Upper gigas Zone. 70 refs., 20 figs.

  6. Dendroclimate evidence for extreme hydrologic events over the late Holocene in the Northeastern United States

    Science.gov (United States)

    Pearl, J. K.; Anchukaitis, K. J.; Pederson, N.; Donnelly, J. P.

    2017-12-01

    Extreme hydrologic events pose a present and future threat to cities and infrastructure in the densely populated coastal corridor of the northeastern United States (NE). An understanding of the potential range and return interval of storms, floods, and droughts is important for improving coastal management and hazard planning, as well as the detection and attribution of trends in regional climate phenomena. Here, we examine a suite of evidence for Common Era paleohydroclimate extreme events in the NE. Our study analyzes a network of hydroclimate sensitive trees, subfossil 'drowned' forests and co-located sediment records, using both classical and isotope dendrochronology, radiocarbon analyses, and sediment stratigraphy. Atlantic White cedar (AWC) forests grow along the NE coast and are exposed to severe coastal weather, as they are typically most successful in near-shore, glacially formed depressions. Many coastal AWC sites are ombrotrophic and contain a precipitation or drought signal in their ring widths. Sub-fossil AWC forests are found where near-shore swamps were drowned and exposed to the ocean. Additionally, the rings of coastal AWC may contain the geochemical signature of landfalling tropical cyclones, which bring with them a large influx of precipitation with distinct oxygen isotopes, which can be used to identify these large storms. Dendrochronology, radiocarbon dating, and analysis of sediment cores are used here to identify and date the occurrence of large overwash events along the coastline of the northeastern United States associated with extreme storms.

  7. Developmental Assessments during Injury Research: Is Enrollment of Very Young Children in Crèches Associated with Better Scores?

    Directory of Open Access Journals (Sweden)

    Divya Nair

    2017-09-01

    Full Text Available The Developmental Study is part of a larger intervention on “saving of lives from drowning (SoLiD” where children were enrolled either into crèches (daycare centers or playpens to prevent drowning in rural Bangladesh. Sampling ~1000 children between the ages of 9–17 months, we compared problem-solving, communication, motor and personal-social outcomes assessed by the Ages and Stages Questionnaire in the two interventions. After controlling for variables such as home stimulation in multivariate regressions, children in crèches performed about a quarter of a standard deviation better in total scores (p < 0.10 and 0.45 standard deviations higher in fine motor skills (p < 0.05. Moreover, once the sample was stratified by length of exposure to the intervention, then children in crèches performed significantly better in a number of domains: those enrolled the longest (about 5 months have higher fine motor (1.47, p < 0.01, gross motor (0.40, p < 0.05 and personal-social skills (0.95, p < 0.01 than children in playpens. In addition, children in crèches with the longer exposure (about 5 months have significantly higher personal-social and problem-solving scores than those in crèches with minimum exposure. Enrollment in crèches of very young children may be positively associated with psychosocial scores after accounting for important confounding variables.

  8. USAHA UNTUK MENINGKATKAN LOYALITAS TOKO KELONTONG DALAM MENGHADAPI USAHA RITEL YANG MENJAMUR DI MASYARAKAT

    Directory of Open Access Journals (Sweden)

    Heny Yuningrum

    2016-10-01

    Full Text Available The economics competition was happened fastly now.Seperti halnya usaha ritel yang sekarang ini menjamur. As the ritel business like mushroomed now.Toko Kelontong have been drowning than the ritel business. The drowning of Toko kelontong in the public while give decline result of their income. This research while discuss about how to increasing the customer loyality of toko kelonotong or traditional shop to competitied with the ritel shop. The type of this article is qualitative research with the explanatory or libarary research and  to summarize the more research. And the finally can get the solution for traditional shop.. This result of this research are was see more thing was doing the ritel shop like the cleaness and the comfortable of place, the completely of product, give the promotion of product, give the friendly service, give the low price than ritel shop, give the more innovation on the store, setting of product more neatly, the government must give the solution the problem solving of their competition, and needs the relationship of ritel shop and traditional shop.

  9. 137Cs accumulation in components of pine stands in Polessye of Ukraine

    International Nuclear Information System (INIS)

    Krasnov, V.P.; Orlov, A.A.; Gusarevich, M.G.

    2005-01-01

    Distribution of 137 Cs specific activity in structural components of Scotch pine in different parts of crone and tree trunk (according the height) was analyzed; the average value 137 Cs transfer factor (TF) for all investigated components was calculated. Decreasing of 137 Cs specific activity and values of TF from upper crone part through middle to the lowest one has been shown for the majority pine crone components in edatops B 2 and B 3 . It was drown a calculation that 137 Cs specific activities and TF values stably decreased in tree trunk components from upper part through middle to the lowest one in edatop B 3 . In edatop B 2 decreasing of 137 Cs specific activity and TF values for external and internal bark was also revealed in the same direction. The decreasing of 137 Cs specific activity and TF values for wood was revealed from upper part of the trunk to middle one and their increasing to the lowest tree trunk part. It was shown that physiologically active organs and tissues in the pine are characterized by the maximum accumulation: one-year-o;d shoots, one-year-old needles, internal bark. It was drown an important conclusion that part of tree trunk (according to its height), which used as fuel wood and construction materials, is a strong modification factor of 137 Cs content in complete product and this fact should be taken into account for forest cutting activities. (author)

  10. Multi-Agent Responsibility for a Tragic Accident in Water

    Directory of Open Access Journals (Sweden)

    Wiesner Wojciech

    2017-10-01

    Full Text Available In relation to EU countries, the level of safety on Polish waters is still low. The drowning rate in our country is two times higher. Since 2013, there has even been an increase in the number of drownings. Typically, following each incident, attention is focused on the quality of work of the rescue services, however, there are multiple factors to be considered when seeking where responsibility for this state of affairs actually lies. In contemplations, the main subjects of analysis were external threats (atmospheric conditions, legal conditions, trends in water recreation and threats generated by various groups of waterrelated subjects (administrators, service providers, rescuers, cleaning and medical services, participants enjoying recreation on or in the water. The purpose of this article is to present the issues of water safety from the perspective of the responsibility of various subjects, which are active in this environment. The attractiveness of recreation in or on water results largely from the emotions caused by increased risk. Often the greater the danger, the greater the attraction. At the same time, it is accompanied by an increased sense of security, excessive self-confidence and excessive trust, which weakens the natural defense mechanism. Hence, so many accidents in the water are caused by the victims themselves. In the article we are looking for an answer to the question about the reasons for such a phenomenon.

  11. Fiction And Fission: Twentieth — Century Writing on The Founding Fathers Fiction And Fission: Twentieth — Century Writing on The Founding Fathers

    Directory of Open Access Journals (Sweden)

    Michael Zuckerman

    2009-09-01

    Full Text Available In Australia, tribesmen trace their origins to a rain-making python who drowned a set of incestuous sisters because they polluted his watering place with their menstrual blood In Tibet, families derive their descent from a beautiful boy in a conch .egg which came from the immense ovum exuded from the essence of the five primordial elements. 2 In Polynesia, islanders tell tales of the emergence of their clan forebears from holes in the ground.' And in every other quarter of the globe, other people proclaim other origin myths which are beyond reasoning but not without reasons. In Australia, tribesmen trace their origins to a rain-making python who drowned a set of incestuous sisters because they polluted his watering place with their menstrual blood In Tibet, families derive their descent from a beautiful boy in a conch .egg which came from the immense ovum exuded from the essence of the five primordial elements. 2 In Polynesia, islanders tell tales of the emergence of their clan forebears from holes in the ground.' And in every other quarter of the globe, other people proclaim other origin myths which are beyond reasoning but not without reasons.

  12. Medical Emergencies in Goa

    Science.gov (United States)

    Saddichha, Sahoo; Saxena, Mukul Kumar

    2010-01-01

    Background: Most emergencies in Goa arise due to road traffic accidents and drowning, which have been compounded by the rise in number of recorded accidents in 2007 to be above 4000. It is believed that 11 people meet with an accident on Goa's roads every day and this is expected to rise by 10% by next year. Similar is the case with drownings and other medical emergencies. We therefore aimed to conduct a cross-sectional survey of medical emergencies and identify various types of emergencies presenting to emergency departments. Materials and Methods: Using a stratified random sampling design, all emergencies presenting to the three government hospitals in Goa, which handle 90% of all emergencies currently, were studied on specially designed data sheets in order to collect data. Emergency medical technicians (ETs) were placed in the Casualty Ward of the medical colleges and they recorded all emergencies on the data sheet. The collected data were then analyzed for stratification and mapping of emergencies. Results: GMC Hospital attended to majority of emergencies (62%), which were mainly of the nature of accidents or assaults (17%) and fever related (17%). Most emergencies were noncritical and about 1% expired. Maximum emergencies also presented from Salcette and Bardez, and occurred among young males in the age group of 19-45 years. Males were also more prone to accidents while females had pregnancies as emergencies. Conclusion: Potential emergency services need to target young males with higher concentrations required in Salcette in South Goa and Bardez in North Goa. PMID:20606921

  13. Occurrence of flow parallel and flow transverse bedforms in Fehmarn Belt (SW Baltic Sea) related to the local palaeomorphology

    Science.gov (United States)

    Feldens, P.; Diesing, M.; Schwarzer, K.; Heinrich, C.; Schlenz, B.

    2015-02-01

    This study describes the spatial distribution of flow-parallel sand ribbons and flow-transverse large and very large subaqueous dunes in the south-western Baltic Sea offshore Fehmarn Island between 13 m and 20 m water depth, based on hydroacoustic and grain size data. The system of sand ribbons and dunes is intermittently active due to currents induced during major inflows of the North Sea water into the Baltic Sea. The sand ribbons are located on a lag deposit on top of glacial till, while the dunes rest on top of drowned Holocene nearshore deposits. The sand ribbons reach heights between 0.4 m and 0.6 m, with widths varying between 60 m and several hundreds of metres. The observed dunes have heights between 0.09 m and 2.35 m, while their wavelengths range from 17 m to 120 m. Offshore Fehmarn Island, the transition from sand ribbons to dunes is most likely linked to a contrast in sediment supply, as reworked drowned nearshore deposits provide sediment available for transport in significantly larger amounts than glacial till. Similar to an earlier approach for river bed states, the dimensionless thickness of sediment available for transport is able to differentiate between the bed states.

  14. Survey of public knowledge and responses to educational slogans regarding cold-water immersion.

    Science.gov (United States)

    Giesbrecht, Gordon G; Pretorius, Thea

    2008-01-01

    Cold water temperature is a significant factor in North American drownings. These deaths are usually attributed to hypothermia. Survey questions were administered to 661 attendees of cold-stress seminars-including medical, rescue, law enforcement and lay attendees-to determine general knowledge of the effects of ice water immersion and responses to 2 public service educational slogans. Five questions were posed at the beginning of seminars to 8 groups (ranging in size from 46 to 195) during a 2-year period. Pi(2) analyses were used to determine if responses within any occupational category differed from the group responses. A high portion of respondents greatly underestimated the time to become hypothermic in ice water (correct answer >30 minutes; 84% stated 15 minutes or less) and the time until cooling was life threatening (correct answer >60 minutes; 85% stated 30 minutes or less). There were no occupational differences in these responses. Most of the respondents identified a correct cause of death during cold stress (81% stated cardiac arrest, hypothermia, or drowning). Although both educational slogans had some advantages, between 40% (Slogan #1) to 50% (Slogan #2) of respondents did not respond correctly. The majority of respondents underestimated the time available for survival during ice water immersion. It is important to educate the public accurately to decrease the probability of panic under these circumstances. More work is required to develop effective educational slogans that provide proper information and actions for victims of cold-water immersion.

  15. Predictors of Swimming Ability among Children and Adolescents in the United States

    Directory of Open Access Journals (Sweden)

    Jennifer Pharr

    2018-02-01

    Full Text Available Swimming is an important source of physical activity and a life skill to prevent drowning. However, little research has been conducted to understand predictors of swimming ability. The purpose of this study was to understand factors that predict swimming ability among children and adolescents in the United States (US. This was a cross-sectional survey conducted between February and April of 2017 across five geographically diverse cities. Participants were accessed through the Young Christian Men’s Association (YMCA and included parents of children aged 4–11 years old and adolescents aged 12–17 years old. Independent t-test, analysis of variance (ANOVA, and univariate and multivariate analyses were conducted. Several factors were significant (p ≤ 0.05 predictors of swimming ability and explained 53% of the variance in swimming ability. Variables that were positively associated with swimming ability included: ability of parent(s to swim, child/adolescent age, a best friend who enjoys swimming, water-safety knowledge, pool open all year, and encouragement to swim from parent(s. Variables that were negatively associated with swimming ability included: fear of drowning, being African American, and being female. Interventions and programs to improve the swimming ability of children and adolescents could be developed with these predictors in mind.

  16. Investigating the Neural and Cognitive Basis of Moral Luck: It's Not What You Do but What You Know.

    Science.gov (United States)

    Young, Liane; Nichols, Shaun; Saxe, Rebecca

    2010-09-01

    Moral judgments, we expect, ought not to depend on luck. A person should be blamed only for actions and outcomes that were under the person's control. Yet often, moral judgments appear to be influenced by luck. A father who leaves his child by the bath, after telling his child to stay put and believing that he will stay put, is judged to be morally blameworthy if the child drowns (an unlucky outcome), but not if his child stays put and doesn't drown. Previous theories of moral luck suggest that this asymmetry reflects primarily the influence of unlucky outcomes on moral judgments. In the current study, we use behavioral methods and fMRI to test an alternative: these moral judgments largely reflect participants' judgments of the agent's beliefs. In "moral luck" scenarios, the unlucky agent also holds a false belief. Here, we show that moral luck depends more on false beliefs than bad outcomes. We also show that participants with false beliefs are judged as having less justified beliefs and are therefore judged as more morally blameworthy. The current study lends support to a rationalist account of moral luck: moral luck asymmetries are driven not by outcome bias primarily, but by mental state assessments we endorse as morally relevant, i.e. whether agents are justified in thinking that they won't cause harm.

  17. Cause-specific mortality among children and young adults with epilepsy: Results from the U.S. National Child Death Review Case Reporting System.

    Science.gov (United States)

    Tian, Niu; Shaw, Esther C; Zack, Matthew; Kobau, Rosemarie; Dykstra, Heather; Covington, Theresa M

    2015-04-01

    We investigated causes of death in children and young adults with epilepsy by using data from the U.S. National Child Death Review Case Reporting System (NCDR-CRS), a passive surveillance system composed of comprehensive information related to deaths reviewed by local child death review teams. Information on a total of 48,697 deaths in children and young adults 28days to 24years of age, including 551 deaths with epilepsy and 48,146 deaths without epilepsy, was collected from 2004 through 2012 in 32 states. In a proportionate mortality analysis by official manner of death, decedents with epilepsy had a significantly higher percentage of natural deaths but significantly lower percentages of deaths due to accidents, homicide, and undetermined causes compared with persons without epilepsy. With respect to underlying causes of death, decedents with epilepsy had significantly higher percentages of deaths due to drowning and most medical conditions including pneumonia and congenital anomalies but lower percentages of deaths due to asphyxia, weapon use, and unknown causes compared with decedents without epilepsy. The increased percentages of deaths due to pneumonia and drowning in children and young adults with epilepsy suggest preventive interventions including immunization and better instruction and monitoring before or during swimming. State-specific and national population-based mortality studies of children and young adults with epilepsy are recommended. Published by Elsevier Inc.

  18. Cause-specific mortality among children and young adults with epilepsy: Results from the U.S. National Child Death Review Case Reporting System ☆

    Science.gov (United States)

    Tian, Niu; Shaw, Esther C.; Zack, Matthew; Kobau, Rosemarie; Dykstra, Heather; Covington, Theresa M.

    2015-01-01

    We investigated causes of death in children and young adults with epilepsy by using data from the U.S. National Child Death Review Case Reporting System (NCDR-CRS), a passive surveillance system composed of comprehensive information related to deaths reviewed by local child death review teams. Information on a total of 48,697 deaths in children and young adults 28 days to 24 years of age, including 551 deaths with epilepsy and 48,146 deaths without epilepsy, was collected from 2004 through 2012 in 32 states. In a proportionate mortality analysis by official manner of death, decedents with epilepsy had a significantly higher percentage of natural deaths but significantly lower percentages of deaths due to accidents, homicide, and undetermined causes compared with persons without epilepsy. With respect to underlying causes of death, decedents with epilepsy had significantly higher percentages of deaths due to drowning and most medical conditions including pneumonia and congenital anomalies but lower percentages of deaths due to asphyxia, weapon use, and unknown causes compared with decedents without epilepsy. The increased percentages of deaths due to pneumonia and drowning in children and young adults with epilepsy suggest preventive interventions including immunization and better instruction and monitoring before or during swimming. State-specific and national population-based mortality studies of children and young adults with epilepsy are recommended. PMID:25794682

  19. Injury prevention and public health

    Directory of Open Access Journals (Sweden)

    David A. Sleet

    2010-06-01

    Full Text Available Injuries are one of the most under-recognized public health problems facing the world today. With more than 5 million deaths every year, violence and injuries account for 9% of global mortality, as many deaths as from HIV, Malaria and Tuberculosis combined. Eight of the 15 leading causes of death for people ages 15 to 29 years are injury-related: road traffic injuries, suicides, homicides, drowning, burns, war injuries, poisonings and falls. For every death due to war, there are three deaths due to homicide and five deaths due to suicide. However, most violence happens to people behind closed doors and results not in death, but often in years of physical and emotional suffering [1]. Injuries can be classified by intent: unintentional or intentional. Traffic injuries, fire-related injuries, falls, drowning, and poisonings are most often classified as unintentional injuries; injuries due to assault, selfinflicted violence such as suicide, and war are classified as intentional injuries, or violence. Worldwide, governments and public and private partners are increasingly aware of the strains that unintentional injuries and violence place on societies. In response they are strengthening data collection systems, improving services for victims and survivors, and increasing prevention efforts [1].

  20. Vertical Motions of Oceanic Volcanoes

    Science.gov (United States)

    Clague, D. A.; Moore, J. G.

    2006-12-01

    Oceanic volcanoes offer abundant evidence of changes in their elevations through time. Their large-scale motions begin with a period of rapid subsidence lasting hundreds of thousands of years caused by isostatic compensation of the added mass of the volcano on the ocean lithosphere. The response is within thousands of years and lasts as long as the active volcano keeps adding mass on the ocean floor. Downward flexure caused by volcanic loading creates troughs around the growing volcanoes that eventually fill with sediment. Seismic surveys show that the overall depression of the old ocean floor beneath Hawaiian volcanoes such as Mauna Loa is about 10 km. This gross subsidence means that the drowned shorelines only record a small part of the total subsidence the islands experienced. In Hawaii, this history is recorded by long-term tide-gauge data, the depth in drill holes of subaerial lava flows and soil horizons, former shorelines presently located below sea level. Offshore Hawaii, a series of at least 7 drowned reefs and terraces record subsidence of about 1325 m during the last half million years. Older sequences of drowned reefs and terraces define the early rapid phase of subsidence of Maui, Molokai, Lanai, Oahu, Kauai, and Niihau. Volcanic islands, such as Maui, tip down toward the next younger volcano as it begins rapid growth and subsidence. Such tipping results in drowned reefs on Haleakala as deep as 2400 m where they are tipped towards Hawaii. Flat-topped volcanoes on submarine rift zones also record this tipping towards the next younger volcano. This early rapid subsidence phase is followed by a period of slow subsidence lasting for millions of years caused by thermal contraction of the aging ocean lithosphere beneath the volcano. The well-known evolution along the Hawaiian chain from high to low volcanic island, to coral island, and to guyot is due to this process. This history of rapid and then slow subsidence is interrupted by a period of minor uplift

  1. Stratigraphy of the Silurian outcrop belt on the east side of the Cincinnati Arch in Kentucky, with revisions in the nomenclature

    Science.gov (United States)

    McDowell, Robert C.

    1983-01-01

    Silurian rocks form a narrow arcuate outcrop belt about 100 mi long on the east side of the Cincinnati Arch in Kentucky. They range from as much as 300 ft thick in the north to a pinchout edge in the south. The nomenclature of this sequence is revised to reflect mappability and lithologic uniformity on the basis of detailed mapping at a scale of 1:24,000 by the U.S. Geological Survey in cooperation with the Kentucky Geological Survey. The Silurian rocks are divided into two parts: the Crab Orchard Group, raised in rank from Crab Orchard Formation and redefined, in the lower part of the Silurian section, and Bisher Dolomite in the upper part of the section. The Crab Orchard Group is subdivided into the Drowning Creek Formation (new name) at the base of the Silurian, overlain by the Alger Shale (adopted herein) south of Fleming County and by the Estill Shale (elevated to formational rank) north of Bath County. The Brassfield Member (reduced in rank from Brassfield Dolomite or Formation) and the Plum Creek Shale and Oldham Members of the former Crab Orchard Formation are included as members of the Drowning Creek; the Lulbegrud Shale, Waco, and Estill Shale Members of the former Crab Orchard Formation are now included in the Alger. The Drowning Creek Formation, 20 to 50 ft thick, is composed mainly of gray fine to coarse-grained dolomite with shale interbeds. The dolomite beds average several inches thick, with bedding surfaces that are locally smooth but generally irregular and are fossiliferous in many places; fossils include brachiopods, crinoid columnals, horn corals, colonial corals, trilobites, pelecypods, and bryozoans. The shale interbeds average several inches thick, except for its Plum Creek Shale Member which is entirely shale and as much as 12 ft thick, and are most abundant in the upper half of the formation. The members of the Drowning Creek intergrade and are indistinguishable in the northern part of the area. The Alger Shale, as much as 170 feet thick

  2. Long-term trends of suicide by choice of method in Norway: a joinpoint regression analysis of data from 1969 to 2012.

    Science.gov (United States)

    Puzo, Quirino; Qin, Ping; Mehlum, Lars

    2016-03-11

    Suicide mortality and the rates by specific methods in a population may change over time in response to concurrent changes in relevant factors in society. This study aimed to identify significant changing points in method-specific suicide mortality from 1969 to 2012 in Norway. Data on suicide mortality by specific methods and by sex and age were retrieved from the Norwegian Cause-of-Death Register. Long-term trends in age-standardized rates of suicide mortality were analyzed by using joinpoint regression analysis. The most frequently used suicide method in the total population was hanging, followed by poisoning and firearms. Men chose suicide by firearms more often than women, whereas poisoning and drowning were more frequently used by women. The joinpoint analysis revealed that the overall trend of suicide mortality significantly changed twice along the period of 1969 to 2012 for both sexes. The male age-standardized suicide rate increased by 3.1% per year until 1989, and decreased by 1.2% per year between 1994 and 2012. Among females the long-term suicide rate increased by 4.0% per year until 1988, decreased by 5.5% through 1995, and then stabilized. Both sexes experienced an upward trend for suicide by hanging during the 44-year observation period, with a particularly significant increase in 15-24 year old males. The most distinct change among men was seen for firearms after 1988 with a significant decrease through 2012 of around 5% per year. For women, significant reductions since 1985-88 were observed for suicide by drowning and poisoning. The present study demonstrates different time trends for different suicide methods with significant reductions in suicide by firearms, drowning and poisoning after the peak in the suicide rate in the late 1980s. Suicide by means of hanging continuously increased, but did not fully compensate for the reduced use of other methods. This lends some support for the effectiveness of method-specific suicide preventive measures

  3. The Sedimentary History of Southern Central Crete: Implications for Neogene Uplift

    Science.gov (United States)

    Kröger, K.; Brachert, T. C.; Reuter, M.

    2003-04-01

    The tectonic setting of Crete was largely extensional since Lower Miocene uplift and exhumation of HP/LT rocks. Erosion of uplifted areas resulted in the deposition of terrestrial to marine sediments in the Messara and Iraclion Basins. There are several concurring models that discuss Late Neogene uplift of the basinal margins. Neogene near shore sediments in the south of the Messara Basin record fault movements contemporaneous to sedimentation and sedimentary input from the hinterland. Therefore they provide information on the paleogeographic situation and the resulting amount of subsidence and uplift of mountain areas since the Upper Miocene. The studied sediments consist of terrestrial to shallow marine, floodplain related sediments of the Upper Miocene Ambelouzos Formation that are overlain by platform limestones of the Upper Miocene Varvara Formation. In the Messara Basin these units are overlain by the Pliocene Kourtes Formation. The stratigraphic architecture of these deposits indicates fragmentation of the basinal margin. Proximal boulder conglomerates and reworked blocks of the Ambelouzos formation indicate fault activity during the deposition of the Varvara Formation. Contents of terrigenous clastics, provided by rivers and distributed by longshore currents, are high in the Ambelouzos and the lower Varvara Formations but decrease rapidly upsection within the Varvara Formation. This indicates drowning of the fault bounded blocks and little topography of the hinterland (Asteroussia Mountains) at that time. The Pliocene marls at the southern margin of the Messara Basin contain lithoclasts of the Upper Miocene limestones and thus indicate uplift of the carbonate platform. The modern topographic elevation of formerly drowned fault bounded blocks requires a minimum uplift of 400m. Main uplift occurred at approximately orthogonal NW-SE and SW-NE striking normal to oblique faults. The present elevation of the Asteroussia Mountains indicates net uplift of at least

  4. Research progress in study of accidental hypothermia

    Directory of Open Access Journals (Sweden)

    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

  5. More noise, please: How cultural overprinting in the urban environment can be exploited for improved subsurface imaging (Invited)

    Science.gov (United States)

    Weiss, C. J.

    2009-12-01

    A long standing issue for geophysical imaging methods revolves around the proper treatment of "noise": Defining what noise is; separating "noise" for "signal"; filtering and suppressing noise; and recently, challenging the prevailing view that noise is a nuisance to see if, instead, it may contribute favorably toward improving subsurface imaging fidelity. This last point is particularly relevant to geophysical imaging in the urban environment where noise sources are abundant, complex, and logistical constraints on geophysical field procedures prohibit a crude "turning up the volume" approach to simply drown out the noise with powerful sources of electromagnetic and seismic energy. In this contribution I explore the concept passive geophysical imaging which uses uncorrelated ambient noise as the source of geophysical imaging energy to be used in the urban environment. Examples will be presented from seismic and ground penetrating radar methods, in addition to new theoretical results bearing on the feasibility of low-frequency electromagnetic induction techniques.

  6. Safety on North Carolina and Kentucky trout farms.

    Science.gov (United States)

    Ogunsanya, T J; Durborow, R M; Myers, M L; Cole, H P; Thompson, S L

    2011-01-01

    The objective of this study was to identify and describe work-related safety hazards, injuries, and near-injury events (close calls) that occurred on trout farms in North Carolina and Kentucky. An interview instrument was used to collect information on occupational hazards, injuries, and near-injury events that resulted from work-related activities. Trout farmers reported occupational hazards including falling live tank lids, slippery surfaces on hauling trucks, lifting strains, falls from raceway walls and walkways, needlesticks while vaccinating fish, allergies, hypothermia/drowning, falls from cranes, chemical exposure, fire/explosions related to oxygen exposure, and electrical contact with overhead power lines. This study also reports solutions suggested by farm safety researchers or used by farmers to prevent the safety hazards found on trout farms.

  7. Radionuclides and trace elements in middle Chesapeake Bay sediments

    International Nuclear Information System (INIS)

    Gavrilas, M.

    1988-01-01

    Sediments play an important role in aquatic ecology by serving as a repository for radioactive substances and for soluble chemical pollutants that they may transport over considerable distances and may pass to a higher trophic level by way of bottom-feeding biota. The Chesapeake Bay is a moderately stratified, drowned river valley estuary. The oscillatory flood and ebb of the tidal currents are the most obvious motions in the bay and its tributary estuaries. It is considered that the distribution of most of the pollutants, once diluted by the mixing action of the tidal flow, remains relatively constant for many miles up and down the bay. This paper documents the present status of the radioactivity and of trace elements in sediment samples collected in March 1986 from and extended area around the Calvert Cliffs Nuclear Power Plant

  8. Proceedings of the 2010 Canadian Dam Association's public safety around dams workshop

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2010-07-01

    Nearly 30 people have drowned in dam-related incidents over the last 10 years in Canada. The Canadian public is now calling for improved safety guidelines. Public interaction with dams is increasing as a result of interest in extreme sports and perceived rights of access. However, many members of the public are not aware of the dangers posed by dams. This workshop provided a forum to discuss proposals for a draft publication of the Canadian Dam Association (CDA) guidelines for public safety and security around dams. Issues related to current legislation and liability were discussed. Methods of increasing public awareness of the hazards posed by dams included increased signage in dam locations, the use of audible and visual alert systems, and the use of booms and buoys. The responsibilities of dam owners in ensuring the safety of dams were also discussed. The conference featured 5 presentations, of which 2 have been catalogued separately for inclusion in this database. tabs., figs.

  9. Invasive fungal infections after natural disasters.

    Science.gov (United States)

    Benedict, Kaitlin; Park, Benjamin J

    2014-03-01

    The link between natural disasters and subsequent fungal infections in disaster-affected persons has been increasingly recognized. Fungal respiratory conditions associated with disasters include coccidioidomycosis, and fungi are among several organisms that can cause near-drowning pneumonia. Wound contamination with organic matter can lead to post-disaster skin and soft tissue fungal infections, notably mucormycosis. The role of climate change in the environmental growth, distribution, and dispersal mechanisms of pathogenic fungi is not fully understood; however, ongoing climate change could lead to increased disaster-associated fungal infections. Fungal infections are an often-overlooked clinical and public health issue, and increased awareness by health care providers, public health professionals, and community members regarding disaster-associated fungal infections is needed.

  10. Mortality and causes of death in children referred to a tertiary epilepsy center

    DEFF Research Database (Denmark)

    Grønborg, Sabine; Uldall, Peter

    2014-01-01

    BACKGROUND: Patients with epilepsy, including children, have an increased mortality rate when compared to the general population. Only few studies on causes of mortality in childhood epilepsy exist and pediatric SUDEP rate is under continuous discussion. AIM: To describe general mortality......, incidence of sudden unexpected death in epilepsy (SUDEP), causes of death and age distribution in a pediatric epilepsy patient population. METHODS: The study retrospectively examined the mortality and causes of death in 1974 patients with childhood-onset epilepsy at a tertiary epilepsy center in Denmark...... that underwent dietary epilepsy treatment was slightly higher than in the general cohort. There were no epilepsy-related deaths due to drowning. CONCLUSIONS: This study confirms that SUDEP must not be disregarded in the pediatric age group. The vast majority of SUDEP cases in this study displays numerous risk...

  11. Evidence of epimeletic behavior involving a Pontoporia blainvillei calf (Cetacea, Pontoporiidae

    Directory of Open Access Journals (Sweden)

    Antonio José Tonello Júnior

    2006-06-01

    Full Text Available The present paper constitutes the second record of epimeletic behavior for the toninha, Pontoporia blainvillei. A toninha calf carcass was recovered at Enseada Beach, São Francisco do Sul, southern Brazil (26o13’S - 48o31’W on October 9, 2001. Its total length indicated that it was a neonate or a premature calf. The calf had many parallel scratches on it, which were freshly made and produced by adult teeth. There were scratches on the fin, flukes and flippers, and the position and size of the marks demonstrated the intention of the adult to rescue the calf. The anterior region of the body showed net marks, suggesting that the calf had been accidentally entangled. The epimeletic behavior evidenced by the tooth marks could have occurred during the entanglement and/or after its liberation, and we suggest that the causa mortis of the calf was drowning.

  12. The Privilege of the Dead: Images of Death in Lorca’s “Poet in New York”

    Directory of Open Access Journals (Sweden)

    Amelia Ying Qin

    2015-04-01

    Full Text Available This paper presents a close analysis of the images in Federico Lorca’s poems entitled “Poet in New York” where he depicts two kinds of deaths that are opposite to each other in multiple aspects of meaning and significance. In so doing, the paper argues that the death depicted in such images as the drowned child signifies the loss of innocence, while the death of the city, depicted in the many cruel and bloody images in these poems, signifies a terrifying living death. The former is a concept that Lorca lamented and ritualized, a concept he allowed himself to be obsessed with. The latter is a concept he detested and condemned. The paper further shows that both concepts are reflections of his personal plights and tribulations in life and his own experiences in New York. Keywords: Federico Lorca, Death, New York, the City, the Innocent

  13. Development of Manitoba Hydro's public water safety around dams management guidelines

    Energy Technology Data Exchange (ETDEWEB)

    Bonin, Dave; McPhail, Gord; Murphy, Shayla; Schellenberg, Gord [KGS Acres, Winnipeg, (Canada); Read, Nick [Manitoba Hydro, Winnipeg, (Canada)

    2010-07-01

    Several drowning fatalities and safety incidents have occurred around dams in Ontario, Manitoba and other jurisdictions in Canada. Following these incidents, Manitoba Hydro implemented several measures to improve public safety around its dams with the development of a warning signs manual. Manitoba Hydro found that a standard centralized approach to the process of improving public safety is better for ensuring compliance and consistency, even though they have safety measures in place. This paper described the process that Manitoba Hydro has followed in developing a formal set of public water safety around dams (PWSD) guidelines and a program for implementing these guidelines. This program was developed with the intent of providing a high standard of public protection and continuous improvement and monitoring on par with the effect spent on similar dam safety type programs. This paper focused on the development of the pilot PWSD management plan for Pine Falls generating station in order to test the effectiveness and usability of the guidelines.

  14. Turning the Tide: Estuaries Shaped by Channel-Shoal Interactions, Eco-engineers and Inherited Landscapes

    Science.gov (United States)

    Kleinhans, M. G.; Braat, L.; Leuven, J.; Baar, A. W.; van der Vegt, M.; Van Maarseveen, M. C. G.; Markies, H.; Roosendaal, C.; van Eijk, A.

    2015-12-01

    Estuaries exhibit correlations between inlet dimensions, tidal prism and intertidal area, but to what extent estuary planform shape and shoal patterns resulted from biomorphological processes or from inherited conditions such as coastal plain and drowned valley dimensions remains unclear. We explore the hypothesis that mud flats and vegetation as a self-formed lateral confinement have effects analogous to that of river floodplain on braided versus meandering river patterns. Here we use the Delft3D numerical model and a novel tidal flume setup, the Metronome, to create estuaries from idealized initial conditions, with and without mud supply at the fluvial boundary. Experimental mud was simulated by crushed nutshell. Both the numerical and experimental estuaries were narrower with increasing mud, and had a lower degree of channel braiding. The experimental estuaries developed meanders at the river boundary with floodplain developing on the pointbar whereas cohesionless cases were more dynamic.

  15. Viscous warm inflation: Hamilton-Jacobi formalism

    Science.gov (United States)

    Akhtari, L.; Mohammadi, A.; Sayar, K.; Saaidi, Kh.

    2017-04-01

    Using Hamilton-Jacobi formalism, the scenario of warm inflation with viscous pressure is considered. The formalism gives a way of computing the slow-rolling parameter without extra approximation, and it is well-known as a powerful method in cold inflation. The model is studied in detail for three different cases of the dissipation and bulk viscous pressure coefficients. In the first case where both coefficients are taken as constant, it is shown that the case could not portray warm inflationary scenario compatible with observational data even it is possible to restrict the model parameters. For other cases, the results shows that the model could properly predicts the perturbation parameters in which they stay in perfect agreement with Planck data. As a further argument, r -ns and αs -ns are drown that show the acquired result could stand in acceptable area expressing a compatibility with observational data.

  16. The Use of the Developmental Rate of the Aquatic Midge Chironomus riparius (Diptera, Chironomidae) in the Assessment of the Postsubmersion Interval.

    Science.gov (United States)

    González Medina, Alejandro; Soriano Hernando, Óscar; Jiménez Ríos, Gilberto

    2015-05-01

    Nonbiting midges (Diptera, Chironomidae) are the most abundant members of the fauna associated with submerged carcasses, but their use in the medicolegal context is very restricted because of their complex ontogeny. In this case, the corpse of a woman was recovered in late spring from a river in Granada (Iberian Peninsula). It showed obvious signs of long permanence in the aquatic environment and, along with pulmonary and microscopical analyses, led to the conclusion that the cause of death was drowning. Several larvae-like specimens were sampled from the scalp and later identified by morphological external features as IV instar larvae of Chironomus riparius Meigen, 1804 (Diptera, Chironomidae). Sequencing of cytochrome oxidase subunit I was performed to confirm the identification. The knowledge of the biology of C. riparius at low temperatures was critical to assess a postsubmersion interval of 16-17 days. © 2015 American Academy of Forensic Sciences.

  17. Mortality Dynamics of Spodoptera frugiperda (Lepidoptera: Noctuidae Immatures in Maize.

    Directory of Open Access Journals (Sweden)

    Andrea Corrêa Varella

    Full Text Available We characterized the dynamics of mortality factors affecting immature developmental stages of the fall armyworm, Spodoptera frugiperda (J.E. Smith (Lepidoptera: Noctuidae. Multiple decrement life tables for egg and early larval stages of S. frugiperda in maize (Zea mays L. fields were developed with and without augmentative releases of Telenomus remus Nixon (Hymenoptera: Platygastridae from 2009 to 2011. Total egg mortality ranged from 73 to 81% and the greatest egg mortality was due to inviability, dislodgement, and predation. Parasitoids did not cause significant mortality in egg or early larval stages and the releases of T. remus did not increase egg mortality. Greater than 95% of early larvae died from predation, drowning, and dislodgment by rainfall. Total mortality due to these factors was largely irreplaceable. Results indicate that a greater effect in reducing generational survival may be achieved by adding mortality to the early larval stage of S. frugiperda.

  18. Mortality Dynamics of Spodoptera frugiperda (Lepidoptera: Noctuidae) Immatures in Maize

    Science.gov (United States)

    Varella, Andrea Corrêa; Menezes-Netto, Alexandre Carlos; Alonso, Juliana Duarte de Souza; Caixeta, Daniel Ferreira; Peterson, Robert K. D.; Fernandes, Odair Aparecido

    2015-01-01

    We characterized the dynamics of mortality factors affecting immature developmental stages of the fall armyworm, Spodoptera frugiperda (J.E. Smith) (Lepidoptera: Noctuidae). Multiple decrement life tables for egg and early larval stages of S. frugiperda in maize (Zea mays L.) fields were developed with and without augmentative releases of Telenomus remus Nixon (Hymenoptera: Platygastridae) from 2009 to 2011. Total egg mortality ranged from 73 to 81% and the greatest egg mortality was due to inviability, dislodgement, and predation. Parasitoids did not cause significant mortality in egg or early larval stages and the releases of T. remus did not increase egg mortality. Greater than 95% of early larvae died from predation, drowning, and dislodgment by rainfall. Total mortality due to these factors was largely irreplaceable. Results indicate that a greater effect in reducing generational survival may be achieved by adding mortality to the early larval stage of S. frugiperda. PMID:26098422

  19. Interruptions in Chest Compressions by Surf Lifeguards: A Comparison of Face-mask Ventilation in Over-the-head CPR vs Standard CPR

    DEFF Research Database (Denmark)

    Nørkjær, Louise; Nielsen, Lars Henrik; Bomholt, Katrine Bjørnshave

    . The International Life Saving Federation recommends CPR using face-mask ventilation. It is currently unknown if OH-CPR using face-mask ventilation improves CPR quality. We hypothesized that OH-CPR is superior to standard CPR with face-mask ventilation among surf lifeguards. Methods: Surf lifeguards were trained......Introduction: Ventilation is a priority in drowning resuscitation. Over-the-head CPR (OH-CPR), i.e. with the rescuer located at the top of the victim’s head instead of alongside the victim’s torso, has been demonstrated to be superior when doing bag-valve-mask ventilation compared to standard CPR...... in OH-CPR and standard CPR with face-mask ventilation and randomized to a crossover comparison on a manikin. CPR quality data were obtained from the manikin and video recordings. Interruptions in chest compressions were used as a primary measure of CPR quality. A sample size of 14 participants...

  20. Mortality Dynamics of Spodoptera frugiperda (Lepidoptera: Noctuidae) Immatures in Maize.

    Science.gov (United States)

    Varella, Andrea Corrêa; Menezes-Netto, Alexandre Carlos; Alonso, Juliana Duarte de Souza; Caixeta, Daniel Ferreira; Peterson, Robert K D; Fernandes, Odair Aparecido

    2015-01-01

    We characterized the dynamics of mortality factors affecting immature developmental stages of the fall armyworm, Spodoptera frugiperda (J.E. Smith) (Lepidoptera: Noctuidae). Multiple decrement life tables for egg and early larval stages of S. frugiperda in maize (Zea mays L.) fields were developed with and without augmentative releases of Telenomus remus Nixon (Hymenoptera: Platygastridae) from 2009 to 2011. Total egg mortality ranged from 73 to 81% and the greatest egg mortality was due to inviability, dislodgement, and predation. Parasitoids did not cause significant mortality in egg or early larval stages and the releases of T. remus did not increase egg mortality. Greater than 95% of early larvae died from predation, drowning, and dislodgment by rainfall. Total mortality due to these factors was largely irreplaceable. Results indicate that a greater effect in reducing generational survival may be achieved by adding mortality to the early larval stage of S. frugiperda.

  1. Anti-NMDA Receptor Encephalitis in the Polar Bear (Ursus maritimus) Knut.

    Science.gov (United States)

    Prüss, H; Leubner, J; Wenke, N K; Czirják, G Á; Szentiks, C A; Greenwood, A D

    2015-08-27

    Knut the polar bear of the Berlin Zoological Garden drowned in 2011 following seizures and was diagnosed as having suffered encephalitis of unknown etiology after exhaustive pathogen screening. Using the diagnostic criteria applied to human patients, we demonstrate that Knut's encephalitis is almost identical to anti-NMDA receptor encephalitis which is a severe autoimmune disease representing the most common non-infectious encephalitis in humans. High concentrations of antibodies specific against the NR1 subunit of the NMDA receptor were detected in Knut's cerebrospinal fluid. Histological examination demonstrated very similar patterns of plasma cell infiltration and minimal neuronal loss in affected brain areas. We conclude that Knut suffered anti-NMDA receptor encephalitis making his the first reported non-human case of this treatable disease. The results suggest that anti-NMDA receptor encephalitis may be a disease of broad relevance to mammals that until now has remained undiagnosed.

  2. A simple digestion method with a Lefort aqua regia solution for diatom extraction.

    Science.gov (United States)

    Wang, Huipin; Liu, Yan; Zhao, Jian; Hu, Sunlin; Wang, Yuzhong; Liu, Chao; Zhang, Yanji

    2015-01-01

    Presence of diatoms in tissues has been considered as a significant sign of drowning. However, there are limitations in the present extraction methods. We developed a new digestion method using the Lefort aqua regia solution (3:1 nitric acid to hydrochloric acid) for diatom extraction and evaluated the digestive capability, diatom destruction, and diatoms' recovery of this new method. The kidney tissues from rabbit mixed with water rich in diatoms were treated by the Lefort aqua regia digestion method (n = 10) and the conventional acid digestion method (n = 10). The results showed that the digestive capability of Lefort aqua regia digestion method was superior to conventional acid digestion method (p 0.05). The Lefort aqua regia reagent is an improvement over the conventional acid digestion for recovery of diatoms from tissue samples. © 2014 American Academy of Forensic Sciences.

  3. The Gulf War and the environment

    International Nuclear Information System (INIS)

    El-Baz, F.

    1994-01-01

    The Gulf War inflicted dramatic environmental damage upon the fragile desert and shore environments of Kuwait and northeastern Saudi Arabia. Coastal and marine environments experienced oil spills of more than 8 million barrels, which killed wildlife and damaged the fishing industry. In inland Kuwait, hundreds of oil lakes are scattered across the desert surface: these lakes emit noxious gases, drown insects and birds, and may seep to pollute groundwater. Exploding and burning oil wells released soot particles, oil droplets, and noxious chemicals into the atmosphere, spreading air pollution, acid rain, and respiratory problems. Military diggings, constructions, and vehicles have destroyed much of the desert pavement, resulting in increased dust storms and large, moving dunes

  4. A comparative study concerning the pigments from two Monascus strains obtained by radio-mutagenesis

    International Nuclear Information System (INIS)

    Ferdes, M.; Mencinicopschi, G.; Ferdes, O.

    1995-01-01

    Monascus ruber ICA 3.250 spores suspension was gamma-irradiated at a Co-60 gamma-ray source at doses D=1 to 10 kGy. After dilution it has drown the survival curve and there were isolated two mutant strains, M 1 and M 2 . These were investigated with regard to food red pigment production on solid and liquid submerged (with aeration and stirring) culture media. In comparison with the parental (control strain, the two mutant strains M 1 and M 2 show morphological and physiological modified characteristics which led both to the increase in pigment concentration in culture media and in the reduction of biosynthesis duration. (Author) 3 Figs., 2 Tabs., 11 Refs

  5. Ictal Cardiac Ryhthym Abnormalities.

    Science.gov (United States)

    Ali, Rushna

    2016-01-01

    Cardiac rhythm abnormalities in the context of epilepsy are a well-known phenomenon. However, they are under-recognized and often missed. The pathophysiology of these events is unclear. Bradycardia and asystole are preceded by seizure onset suggesting ictal propagation into the cortex impacting cardiac autonomic function, and the insula and amygdala being possible culprits. Sudden unexpected death in epilepsy (SUDEP) refers to the unanticipated death of a patient with epilepsy not related to status epilepticus, trauma, drowning, or suicide. Frequent refractory generalized tonic-clonic seizures, anti-epileptic polytherapy, and prolonged duration of epilepsy are some of the commonly identified risk factors for SUDEP. However, the most consistent risk factor out of these is an increased frequency of generalized tonic-clonic seizures (GTC). Prevention of SUDEP is extremely important in patients with chronic, generalized epilepsy. Since increased frequency of GTCS is the most consistently reported risk factor for SUDEP, effective seizure control is the most important preventive strategy.

  6. Quantitative stem cell biology: the threat and the glory.

    Science.gov (United States)

    Pollard, Steven M

    2016-11-15

    Major technological innovations over the past decade have transformed our ability to extract quantitative data from biological systems at an unprecedented scale and resolution. These quantitative methods and associated large datasets should lead to an exciting new phase of discovery across many areas of biology. However, there is a clear threat: will we drown in these rivers of data? On 18th July 2016, stem cell biologists gathered in Cambridge for the 5th annual Cambridge Stem Cell Symposium to discuss 'Quantitative stem cell biology: from molecules to models'. This Meeting Review provides a summary of the data presented by each speaker, with a focus on quantitative techniques and the new biological insights that are emerging. © 2016. Published by The Company of Biologists Ltd.

  7. Menyiasati Rayuan Gombal Daya Tarik Duniawi (Sebuah Kajian Psiko-Filosofis dan Etis-Spiritual

    Directory of Open Access Journals (Sweden)

    Frederikus Fios

    2013-10-01

    Full Text Available The reality of the world is characterized by a cheesy seduction of attraction (temptation that is very tempting every human. Temptations are full of charm, interesting, and contain a tremendous magnetism. Among the existing seductions, the appeal of power, sex, and wealth are three types of temptations that most often attract human attention. When a man drowned to follow the temptations, sooner or later he will experience individual and social destruction. Human tends to be selfish, hedonistic, and power abusive. These human’s actions are away from the principles of ethical-spiritual. A psycho-philosophical perspective is used as an entry point to understand the temptations referred, and with ethical-spiritual paradigm as a solution to resolve them. Humans are expected to be more mature in dealing with the temptations elegantly, and to wisely and ethically live life in dignity as spiritual beings. 

  8. [Effect of hedgehog hydnum on the delay of fatigue in mice].

    Science.gov (United States)

    Lu, Y H; Xin, C L; Zhou, Y F; Liu, X W; Chi, J W; Chang, X

    1996-02-01

    Two groups of mice were fed with either hedgehog hydnum powder or extract for sixty days. For the assay of fatigue, the activity of serum lactate dehydrogenase, the serum urea nitrogen content, blood lactic acid, hepatic and muscular glycogen, and the physical stamina of the mice were determined. The activity of serum lactate dehydrogenase and the hepatic and muscular glycogen content in the experimental mice were evidently higher than that in the control mice (P increase in blood lactic acid and serum urea nitrogen in the experimental mice was significantly lower than that in the control mice (P stamina swimming, the experimental mice drowned after a longer period of time than the control mice (P stamina and delaying fatigue in mice.

  9. Les interférences linguistiques dans l’(autodérision du portrait d’un Parisien

    Directory of Open Access Journals (Sweden)

    Nicoleta-Loredana MOROŞAN

    2011-11-01

    Full Text Available This article analyses the traits of character and behaviour comprised by the portrait of the Parisian, as drown by a Parisian writer, Olivier Magny, in a book published in 2010: Dessine-moi un Parisien. Having as a starting point its author’s blog in English, entitled Stuff Parisians Like, this book is a humorous attempt at seizing the essence of the people born and raised in the French capital. As the leading thread through the 68 texts composing the book is a soulful irony, the aim of this article is to follow the mechanisms the writer resorted to in achieving it, with particular focus on the effect of using linguistic interferences.

  10. Pathological findings and probable causes of the death of Stejneger's beaked whales (Mesoplodon stejnegeri) stranded in Japan from 1999 and 2011.

    Science.gov (United States)

    Tajima, Yuko; Maeda, Kaori; Yamada, Tadasu K

    2015-01-01

    One hundred and twenty stranding events of Stejneger's beaked whales were reported in Japan between 1999 and 2011. The purpose of this study is to introduce pathological data and to discuss probable causes of death for 44 Stejneger's beaked whales among them. The significant pathological findings were the pulmonary edema, parasitic granulomatous nephritis, emaciation, amyloidosis, suppurative bronchopneumonia and so on. The probable causes of death were categorized as noninfectious in 43 of the cases, which included drowning, starvation and secondary amyloidosis. One individual was diagnosed with septicemia, which was the only example of an infectious disease. Because we could not always perform advanced analyses, such as microbiology tests, biotoxin examinations or contaminant analyses, the finality of our findings may be impaired. However, the present study has broad implications on the causes of death of Stejneger's beaked whales of the seas around Japan, which are valuable for the future studies and for the detection of emerging diseases.

  11. Experimental evaluation of rigor mortis. VI. Effect of various causes of death on the evolution of rigor mortis.

    Science.gov (United States)

    Krompecher, T; Bergerioux, C; Brandt-Casadevall, C; Gujer, H R

    1983-07-01

    The evolution of rigor mortis was studied in cases of nitrogen asphyxia, drowning and strangulation, as well as in fatal intoxications due to strychnine, carbon monoxide and curariform drugs, using a modified method of measurement. Our experiments demonstrated that: (1) Strychnine intoxication hastens the onset and passing of rigor mortis. (2) CO intoxication delays the resolution of rigor mortis. (3) The intensity of rigor may vary depending upon the cause of death. (4) If the stage of rigidity is to be used to estimate the time of death, it is necessary: (a) to perform a succession of objective measurements of rigor mortis intensity; and (b) to verify the eventual presence of factors that could play a role in the modification of its development.

  12. Mississippian depositional history of the Texas Panhandle: A reappraisal

    International Nuclear Information System (INIS)

    Ruppel, S.C.

    1988-01-01

    Recent lithostratigraphic and biostratigraphic study of subsurface Mississippian rocks of the Texas Panhandle indicates that previous interpretations of the sequence and timing of depositional events in the area need revision. Early Mississippian (Kinderhookian to Osagean) deposition in the area was restricted to the northeastern Panhandle (Anadarko Basin). The Texas Arch, a Devonian structure, remained positive and effectively limited sediment accumulation throughout the remainder of the area at this time. Major inundation of the southern Panhandle did not occur until the Meramecian. At that time shallow platform conditions developed in the area of the submerged Texas Arch; carbonate buildups formed locally on the outer ramp along the previous margin of the Arch. This marine transgression correlates with drowning of platform margins throughout the midcontinent region. The Texas Arch continued intermittently to control deposition until the end of the Mississippian Period. 20 refs., 2 figs

  13. Road traffic and other unintentional injuries among travelers to developing countries

    Science.gov (United States)

    Stewart, Barclay; Yankson, Isaac Kofi; Afukaar, Francis; Medina, Martha Hijar; Cuong, Pham Viet; Mock, Charles

    2015-01-01

    Synopsis Injuries result in nearly 6 million deaths and incur 52 million disability-adjusted life years annually, comprising 15% of the global disease burden. More than 90% of this burden occurs in low- and middle-income countries (LMICs). Given this burden, it’s not unexpected that injuries are the leading cause of death among travelers to LMICs, namely from road traffic crashes and drowning. Opportunely, the majority of injuries are preventable. Therefore, pre-travel advice regarding foreseeable dangers and how to avoid them may significantly mitigate injury risk, such as: wearing seatbelts, helmets and personal flotation devices when appropriate; responsibly consuming alcohol; and closely supervising children. Upon return, travelers to LMICs are in a unique position; having shared injury risks while abroad, travelers can advocate for injury control initiatives that might make the world safer for travelers and local populations alike. PMID:26900117

  14. The view from Congress

    International Nuclear Information System (INIS)

    Waxman, H.A.

    1993-01-01

    Indoor pollution problems are serious and widespread. According to the Centers for Disease Control (CDC), the most common and societally devastating environmental disease of young children, lead poisoning, is caused by hazards hidden inside millions of American homes--deteriorating lead paint, high levels of lead in household dust and soil, and contaminated drinking water. Another indoor environmental threat--exposure to secondhand tobacco smoke--is the third leading cause of premature death in the US, killing over 50,000 Americans each year, according to the Surgeon General. Secondhand smoke is also a severe threat to children, causing hundreds of thousands of cases of bronchitis and pneumonia each year. A third indoor pollutant, radon gas, which seeps into homes from soil, is the second leading cause of lung cancer in the US. According to EPA and CDC, it causes 14,000 lung cancer deaths each year--more deaths than drowning, fires, and airline crashes combined

  15. A computer-aided molecular design framework for crystallization solvent design

    DEFF Research Database (Denmark)

    Karunanithi, Arunprakash T.; Achenie, Luke E.K.; Gani, Rafiqul

    2006-01-01

    One of the key decisions in designing solution crystallization processes is the selection of solvents. In this paper, we present a computer-aided molecular design (CAMD) framework for the design and selection of solvents and/or anti-solvents for solution crystallization. The CAMD problem is formu......One of the key decisions in designing solution crystallization processes is the selection of solvents. In this paper, we present a computer-aided molecular design (CAMD) framework for the design and selection of solvents and/or anti-solvents for solution crystallization. The CAMD problem...... solvent molecules. Solvent design and selection for two types of solution crystallization processes namely cooling crystallization and drowning out crystallization are presented. In the first case study, the design of single compound solvent for crystallization of ibuprofen, which is an important...

  16. A Psychoanalytic Study of Sylvia Plath.

    Science.gov (United States)

    Feirstein, Frederick

    2016-02-01

    Sylvia Plath's rage at her abandoning husband and at her late beloved father was partly a displacement of anger toward her loving but smothering mother. Her schizoid pathology resulting from the symbiosis (along with her bipolarity) helped prompt her suicide. At the same time her rage at the men represented a struggle to prevent it. The focus of this paper is to explore in the context of her life how the style as well as the content of her last book, Ariel, made for one long suicide note-albeit a beautifully written work of art. In the most accessible of her poems, such as "Daddy," "Lady Lazarus," and "Edge," her health overcomes her pathology. In others her pathology dominates. In Ariel Plath attempted and succeeded in turning herself into a tragic, mythic heroine, eventually drowning herself in a gas oven as she would have in the ocean-a key metaphor for her mother.

  17. Aspects related to 'emission trading'

    International Nuclear Information System (INIS)

    Tutuianu, Ovidiu

    1999-01-01

    The paper presents the aspects of international GHG (greenhouse gases) emission trading, such as: quality of GHG emission data, possible partners, monitoring activity, market mechanisms and difficulties. The following conclusions are drown: - debates on international trade with GHG emissions are currently in a very early stage; - actions are possible and feasible, particularly after Kyoto Conference, as versatile mechanism (besides the Joint Implementation Projects) which have in view the lowering of the global emission costs in different zones of the planet; - difficulties concerning monitoring, reporting and verification, practically preclude implementing a system of emission trading covering all the GHG, all the sources and reservoirs; - an international viable system of emission trading could initiate with a limited number of participants and consideration of only emission categories easy to be confined and surveyed; - existence of a national market and corresponding institutions for monitoring which could booster an international system development

  18. High human exposure to lead through consumption of birds hunted with lead shot

    International Nuclear Information System (INIS)

    Johansen, P.; Asmund, G.; Riget, F.

    2004-01-01

    Lead shot contaminates the edible parts of birds so that tolerable human lead intake is exceeded. - We assess lead contamination of Greenland seabirds killed with lead shot having studied thick-billed murre and common eider, the two most important species in the diet. The lead concentration is very high in meat of eiders killed with lead shot (mean 6.1 μg/g-wet wt, 95% CL 2.1-12). This level is about 44 times higher than in drowned eiders and eight times higher than in shot murres. Analyzing whole breasts instead of sub-samples reveals about seven times higher lead levels in birds' meat. We conclude that in some cases the lead intake by Greenland bird eaters will largely exceed the FAO/WHO tolerable lead intake guideline and that lead shot is a more important source of lead in the diet than previously estimated

  19. The recombinant genes of nuclear power: A meditation on technology

    International Nuclear Information System (INIS)

    Swisher, P.

    1991-01-01

    The author notes that while the super-megawatt light-water reactor era slowly plays out, waiting in the wings are a few customized models of passive reactors. They have in common designs that assure core temperatures will decline in an emergency shutdown, they use gravity inrushes of water to drown the containment instead of relying on pressure systems, and they employ heat-transfer metals and tower-to-ambient-air speed-ups in heat loss to avert criticality. Even if they go nowhere, which is unlikely in the long run, such designs are good news, Mr. Swisher feels. He hopes they signify that were are digesting the broader lesson that no technological discipline, however exalted, should even again be allowed to pursue its goals unaudited for, unaccountable to and unquestioned by the rest of us

  20. [Recreational boating accidents--Part 1: Catamnestic study].

    Science.gov (United States)

    Lignitz, Eberhard; Lustig, Martina; Scheibe, Ernst

    2014-01-01

    Deaths on the water are common in the autopsy material of medicolegal institutes situated on the coast or big rivers and lakes (illustrated by the example of the Institute of Legal Medicine of Greifswald University). They mostly occur during recreational boating activities. Apart from hydro-meteorological influences, human error is the main cause of accidents. Often it is not sufficiently kept in mind whether the boat crew is fit for sailing and proper seamanship is ensured. Drowning (following initial hypothermia) is the most frequent cause of death. Medicolegal aspects are not decisive for ordering a forensic autopsy. As statistics are not compiled in a uniform way, a comparison of the data of different institutions engaged in investigating deaths at sea and during water sports activities is hardly possible, neither on a national nor an international basis--and the reconstruction of aquatic accidents is generally difficult. Fatal accidents can only be prevented by completely clarifying their causes.

  1. Stranding of two sperm whales (Physeter macrocephalus) in the "North Sea trap" at Henne Strand, Denmark

    DEFF Research Database (Denmark)

    Hansen, Mette Sif; Alstrup, Aage K. O.; Hansen, Jørgen H.

    2016-01-01

    In February 2014 two male sperm whales (Physeter macrocephalus) stranded at Henne Strand, Denmark. One whale (MCE 1644) was found dead, while the other (MCE 1645) was still alive, but drowned during the high tide. To increase our knowledge of sperm whales, conduct forage investigations, post......-mortem and diagnostic examinations were carried out. The decay of the carcasses progressed quickly. The whales had large (MCE 1644) or moderate (MCE 1645) numbers of squid beaks (Gonatus fabricii) in the stomachventricles, but no evidence of recentfresh feeding. Both whales had acute dermatitis probably due to trauma...... severe localized or systemic infections. The finding of large volumes of bloody pleural fluid with large quantities of C. septicum suggests that MCE 1644 died of infection. However, reservations must be taken due to the pronounced decay of the carcass. Sperm whales have strong social bonds where...

  2. [A case of iatrogenic scrotal elephantiasis: reconstruction of the scrotal purse and the cutaneous sleeve of the penis with local skin flaps].

    Science.gov (United States)

    Masia, D-R; Castus, P; Delia, G; Casoli, V; Martine, D

    2008-02-01

    Scrotal elephantiasis is a pathology of often unknown etiology. Symptomatology is characterized by an oedematius infiltration of skin and subcutaneous tissue, hard-bound aspect and purplished color. The scrotum, the penis and the perineal area are gradually affected. This pathology is very invalidating for the patient, on functional, sexual and aesthetic aspects. The authors present the case of a 58-year-old man with an enormous scrotal mass invading the penis and drowning the testicular elements, which were impossible to palpate. The aetiology was determined by exclusion and an iatrogenic origin following the cure of bilateral inguinal hernia was retained. Resection of the scrotal mass was performed. The reconstruction of the scrotal purse and the cutaneous sleeve of the penis were carried out using local flaps of the remaining healthy skin.

  3. Activity-induced radial velocity variation of M dwarf stars

    DEFF Research Database (Denmark)

    Andersen, Jan Marie; Korhonen, Heidi Helena

    2012-01-01

    that can drown out a planetary signature. Cool, low-mass M dwarf stars can be highly active, which can make detection of potentially habitable planets around these stars difficult. We investigate radial velocity variations caused by different activity (spot) patterns on M dwarf stars in order to determine...... the limits of detectability for small planets orbiting active M dwarfs. We report on our progress toward the aim of answering the following questions: What types of spot patterns are realistic for M dwarf stars? What effect will spots have on M dwarf RV measurements? Can jitter from M dwarf spots mimic...... planetary signals? What is the ideal observing wavelength to reduce M dwarf jitter?...

  4. The film adaptation of an american tragedy and Othello in match point

    Directory of Open Access Journals (Sweden)

    Ana Paula Bianconcini Anjos

    2017-01-01

    Full Text Available http://dx.doi.org/10.5007/2175-8026.2017v70n1p161 The aim of the present article is to recover the history of the cinematic adaptations of the novel An American Tragedy (1925, by Theodore Dreiser, reinstating the discussions of the drowning scene. Sergei Eisenstein’s writings on the possibilities of the use of the interior monologue in films and Bertolt Brecht’s remarks on the role of the soundtrack in Dreiser’s novel adaptation offer an important entry into the analysis of the film Match Point (2005, by Woody Allen. In Match Point, the use of the soundtrack, in particular the collage with the opera Othello (1887, by Giuseppe Verdi, instigates the spectator to reflect on the narrative possibilities of film adaptation.

  5. What are we like

    International Nuclear Information System (INIS)

    Regula, E.

    2006-01-01

    Every outage of water works during which a channel is emptied shows how our citizens 'care' about environment. It can be seen also these days as the part of a derivation cascade on the river Vah between Dolne Kockovce and Trencin has been emptied. Drowned cars are without any doubt a consequence of crimes even though there is a difference between 'a crime' and a 'CRIME'. (Someone who wanted to have a drive but didn't have an own car and someone who stole a car to commit another crime, e. g. a bank or a post office robbery.) All the cars that find their resting place in our channel are not only a barrier for a river flow but at the same time they pollute water as each car has a battery filled with an acid and cars contain fuels and greases. (author)

  6. What is big data? A consensual definition and a review of key research topics

    Science.gov (United States)

    De Mauro, Andrea; Greco, Marco; Grimaldi, Michele

    2015-02-01

    Although Big Data is a trending buzzword in both academia and the industry, its meaning is still shrouded by much conceptual vagueness. The term is used to describe a wide range of concepts: from the technological ability to store, aggregate, and process data, to the cultural shift that is pervasively invading business and society, both drowning in information overload. The lack of a formal definition has led research to evolve into multiple and inconsistent paths. Furthermore, the existing ambiguity among researchers and practitioners undermines an efficient development of the subject. In this paper we have reviewed the existing literature on Big Data and analyzed its previous definitions in order to pursue two results: first, to provide a summary of the key research areas related to the phenomenon, identifying emerging trends and suggesting opportunities for future development; second, to provide a consensual definition for Big Data, by synthesizing common themes of existing works and patterns in previous definitions.

  7. Chemical concentration of a new natural spontaneously fissionable nuclide from solutions with low salt background

    International Nuclear Information System (INIS)

    Korotkin, Yu.S.; Ter-Akop'yan, G.M.; Popeko, A.G.; Drobina, T.P.; Zhuravleva, E.L.

    1982-01-01

    The results of experiments on further concentration of a new natural spontaneously fissionable nuclide, the concentrates of which form the Cheleken geothermal brines have been obtained, are presented. The conclusions are drown about the chemical nature of a new spontaneously fissionable nuclide. It is a chalcophile element which copreipitates with sulphides of copper, lead, arsenic and mercury from weakly acid solutions. The behaviour of the new nuclide in sulphide systems in many respects is similar to the behaviour of polonium, astatine and probably of bismuth. The most probable stable valence of the new nuclide varies from +1 up to +3. The data available on the chemical behaviour of the new nuclide as well as the analysis over contamination by spontaneously fissionable isotopes permit to state that the new natural spontaneously fissionable nuclide does not relate to the known isotopes

  8. Dams release methane even in temperate zoned

    International Nuclear Information System (INIS)

    Lemarchand, F.

    2010-01-01

    The Wohlen lake (near Bern) is a retaining dam built 90 years ago that has undergone a campaign to measure the quantity of methane released. The campaign lasted 1 year and the result was unexpected: 0.15 g/m 2 *day which one of the highest release rates in temperate zones. This result is all the more stunning since water stays only 2 days in average in the reservoir and that the drowned area is not important. In fact the river Aar that feeds the lake is loaded with organic matter coming from humane activities: agriculture and 3 sewage plants. This organic matter decays in the lake releasing methane. (A.C.)

  9. Critical Beliefs Underlying Young Australian Males’ Intentions to Engage in Drinking and Swimming

    Directory of Open Access Journals (Sweden)

    Kyra Hamilton

    2013-11-01

    Full Text Available This study examined key targets for interventions aimed at reducing drinking and swimming among young males, an at-risk group for drowning. Two-hundred and eleven Australian males aged 18 to 34 years completed a Theory of Planned Behavior belief-based questionnaire either online or paper based. Behavioral beliefs of “be more relaxed” and “having fun,” normative beliefs of “friends/mates” and “parents,” and the control belief of “presence of other people” were revealed as independent predictors of intentions to drink and swim. These identified beliefs can be used to inform interventions to challenge young males’ alcohol use in, on, and around water.

  10. CT findings in neonatal hypothermia

    International Nuclear Information System (INIS)

    Schulman, H.; Laufer, L.; Berginer, J.; Hertzanu, Y.; Hershkowitz, E.; Berenstein, T.; Sofer, S.; Maor, E.

    1998-01-01

    Background. Newborn infants are particularly prone to hypothermia, a condition with a high mortality. Objective. To study the CT brain patterns in infants with hypothermia and neurological symptoms. Materials and methods. We reviewed the brain CT of nine infants with neonatal hypothermia, multiple organ failure, seizures and coma. Results. Two infants had normal CT scans, acutely and at follow-up, and were clinically normal at follow-up. In seven infants, CT showed diffuse cerebral oedema, with reversal of the normal density relationship between grey and white matter and a relative increased density of the thalami, brainstem and cerebellum - the 'reversal sign'. In six surviving infants with severe developmental delay, follow-up CT revealed cerebral atrophy with multicystic encephalomalacia. Conclusions. The 'reversal sign' has been described in the abused child, birth asphyxia and anoxia due to drowning. Neonatal hypothermia is offered as a further cause. (orig.)

  11. CT findings in neonatal hypothermia

    Energy Technology Data Exchange (ETDEWEB)

    Schulman, H.; Laufer, L.; Berginer, J.; Hertzanu, Y. [Department of Radiology, Soroka Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, P. O. Box 151, Beer-Sheva 84101 (Israel); Hershkowitz, E.; Berenstein, T.; Sofer, S. [Pediatric Intensive Care Unit, Soroka Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva (Israel); Maor, E. [Department of Pathology, Soroka Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva (Israel)

    1998-06-01

    Background. Newborn infants are particularly prone to hypothermia, a condition with a high mortality. Objective. To study the CT brain patterns in infants with hypothermia and neurological symptoms. Materials and methods. We reviewed the brain CT of nine infants with neonatal hypothermia, multiple organ failure, seizures and coma. Results. Two infants had normal CT scans, acutely and at follow-up, and were clinically normal at follow-up. In seven infants, CT showed diffuse cerebral oedema, with reversal of the normal density relationship between grey and white matter and a relative increased density of the thalami, brainstem and cerebellum - the `reversal sign`. In six surviving infants with severe developmental delay, follow-up CT revealed cerebral atrophy with multicystic encephalomalacia. Conclusions. The `reversal sign` has been described in the abused child, birth asphyxia and anoxia due to drowning. Neonatal hypothermia is offered as a further cause. (orig.) With 6 figs., 1 tab., 13 refs.

  12. Experimental studies of forensic odontology to aid in the identification process.

    Science.gov (United States)

    Saxena, Susmita; Sharma, Preeti; Gupta, Nitin

    2010-07-01

    The importance of dental identification is on the increase year after year. With the passage of time, the role of forensic odontology has increased as very often teeth and dental restorations are the only means of identification. Forensic odontology has played a key role in identification of persons in mass disasters (aviation, earthquakes, Tsunamis), in crime investigations, in ethnic studies, and in identification of decomposed and disfigured bodies like that of drowned persons, fire victims, and victims of motor vehicle accidents. The various methods employed in forensic odontology include tooth prints, radiographs, photographic study, rugoscopy, cheiloscopy and molecular methods. Investigative methods applied in forensic odontology are reasonably reliable, yet the shortcomings must be accounted for to make it a more meaningful and relevant procedure. This paper gives an overview of the various experimental studies to aid in the identification processes, discussing their feasibilities and limitations in day-to-day practice.

  13. The Sri Lanka tsunami experience.

    Science.gov (United States)

    Yamada, Seiji; Gunatilake, Ravindu P; Roytman, Timur M; Gunatilake, Sarath; Fernando, Thushara; Fernando, Lalan

    2006-01-01

    The Indian Ocean tsunami of 2004 killed 31,000 people in Sri Lanka and produced morbidity primarily resulting from near-drownings and traumatic injuries. In the immediate aftermath, the survivors brought bodies to the hospitals, which hampered the hospitals' operations. The fear of epidemics led to mass burials. Infectious diseases were prevented through the provision of clean water and through vector control. Months after the tsunami, little rebuilding of permanent housing was evident, and many tsunami victims continued to reside in transit camps without means of generating their own income. The lack of an incident command system, limited funding, and political conflicts were identified as barriers to optimal relief efforts. Despite these barriers, Sri Lanka was fortunate in drawing upon a well-developed community health infrastructure as well as local and international resources. The need continues for education and training in clinical skills for mass rescue and emergency treatment, as well as participation in a multidisciplinary response.

  14. Clocks around Sgr A*

    Science.gov (United States)

    Angélil, Raymond; Saha, Prasenjit

    2014-11-01

    The S stars near the Galactic Centre and any pulsars that may be on similar orbits can be modelled in a unified way as clocks orbiting a black hole, and hence are potential probes of relativistic effects, including black hole spin. The high eccentricities of many S stars mean that relativistic effects peak strongly around pericentre; for example, orbit precession is not a smooth effect but almost a kick at pericentre. We argue that concentration around pericentre will be an advantage when analysing redshift or pulse-arrival data to measure relativistic effects, because cumulative precession will be drowned out by Newtonian perturbations from other mass in the Galactic Centre region. Wavelet decomposition may be a way to disentangle relativistic effects from Newton perturbations. Assuming a plausible model for Newtonian perturbations on S2, relativity appears to be strongest in a two-year interval around pericentre, in wavelet modes of time-scale ≈6 months.

  15. Suicide levels in Cork City 1987/1991.

    Science.gov (United States)

    Daly, C; Kelleher, M J; Crowley, M J; Daly, M; Keohane, B; Daly, F; McLeavey, B C

    1996-01-01

    This study investigates the level of suicide in Cork City during the 5-year period 1987/1991. Both male and female crude rates were higher than the corresponding national levels. The male/female ratio was 2.3:1, which is consistent with established findings. Vulnerability to suicide is most pronounced in 20-39 year old males and females in the 40-59 age category. There was some evidence of an increased risk of suicide among single elderly males; otherwise marital status was not a significant factor. A positive association was noted between unemployment and suicide rate for males. Drowning was used as the method of suicide by approximately half the male and female sub-groups; this was followed by hanging in the case of males and overdosing among females. However all suicide cases under 20 years of age used hanging.

  16. Risk factors for fishermen's health and safety in Greece

    DEFF Research Database (Denmark)

    Frantzeskou, Elpida; Kastania, Anastasia N; Riza, Elena

    2012-01-01

    Background: This is, to the best of our knowledge, the first occupational health study in Greek fishing. Aim: The aim of the study is to determine the risks for health and safety in Greek fisheries workers by exploring their health status and the health risk factors present in their occupational...... injury, of which half caused more than one day absence, while 14% had a near drowning experience. The health risks factors studied include excessive weight, cardiovascular incidents and dermatological, musculoskeletal, respiratory, hearing, stress, and anxiety problems. The occupational health risk...... factors include alcohol, fatty food consumption, smoking, and lack of physical exercise. Conclusions: The health effects observed are causally related to diet, smoking, and exercise, which in turn relate to the specific working conditions and culture in small-scale fishing that need to be taken...

  17. [Invasive fungal disease due to Scedosporium, Fusarium and mucorales].

    Science.gov (United States)

    Pemán, Javier; Salavert, Miguel

    2014-01-01

    The number of emerging organisms causing invasive fungal infections has increased in the last decades. These etiological agents include Scedosporium, Fusarium and mucorales. All of them can cause disseminated, virulent, and difficult-to treat infections in immunosuppressed patients, the most affected, due to their resistance to most available antifungal agents. Current trends in transplantation including the use of new immunosuppressive treatments, the common prescription of antifungal agents for prophylaxis, and new ecological niches could explain the emergence of these fungal pathogens. These pathogens can also affect immunocompetent individuals, especially after natural disasters (earthquakes, floods, tsunamis), combat wounds or near drowning. All the invasive infections caused by Scedosporium, Fusarium, and mucorales are potentially lethal and a favourable outcome is associated with rapid diagnosis by direct microscopic examination of the involved tissue, wide debridement of infected material, early use of antifungal agents including combination therapy, and an improvement in host defenses, especially neutropenia. Copyright © 2014. Published by Elsevier Espana.

  18. Refugee crisis representation on German online press: the case of Aylan Kurdi

    Directory of Open Access Journals (Sweden)

    David Ramírez Plascencia

    Full Text Available Abstract This paper is focused in examining the digital news representation of Syrian refugee crisis and the conformation of the reader’s opinions in Germany. Data collection will be addressed on reviewing German online news and the reader’s comments related with one remarkable event during the actual migration crisis in Europe: The note about the child Aylan or Alan Kurdi, that drowned in the coast of Turkey in September 02 of 2015. The main aim of this paper is to understand the role of media crisis representation on the opinions of German people. How does media shape public reactions in pro and against helping refugees? And what kind of actions could the European authorities undertake to protect the human rights of refugees and to diminish hate discourse online.

  19. Compatibility of agriculture and petroleum industry

    International Nuclear Information System (INIS)

    Edwards, W.C.

    1992-01-01

    Problems observed in the interaction of agriculture and the petroleum industry are discussed. A wide variety of chemicals are used at drill sites. Caustic soda, chromates, asbestos, crude oil, and thread collar compound (30-50% lead) can all cause cattle poisoning. Cattle can fall into mud pits and drown. Well fracking can lead to spillage of acids onto pasture or crop land. After well production, animal poisonings can occur from salt water or lead from oil and grease, and injuries can be caused by the moving parts of the pumper unit. Salt water ingestion is a common problem, and salt concentrations >1% in drinking water can cause salt poisoning. Arsenic- and chromate-based corrosion inhibitors can cause poisoning of cattle. Broken transmission lines and leakage of petroleums allow cattle access to these substances

  20. [Climate changes, floods, and health consequences].

    Science.gov (United States)

    Michelozzi, Paola; de' Donato, Francesca

    2014-02-01

    In the European Region, floods are the most common natural disaster, causing extensive damage and disruption. In Italy, it has been estimated that over 68% of municipalities are at high hydrogeological risk and with the recent intense rainfall events local populations have been facing severe disruptions. The health consequences of floods are wide ranging and are dependent upon the vulnerability of the environment and the local population. Health effects can be a direct or indirect consequence of flooding. The immediate health impacts of floods include drowning, heart attacks, injuries and hypothermia. The indirect effects include, injuries and infections, water-borne infectious disease, mental health problems, respiratory disease and allergies in both the medium and long term after a flood. Future efforts should be addressed to integrate health preparedness and prevention measures into emergency flood plans and hydrological warning systems.

  1. How to Measure Social Progress?

    DEFF Research Database (Denmark)

    Greve, Bent

    2017-01-01

    A good society is the goal for social policy. Recent years have seen a growing awareness that gross domestic product (GDP) alone does not measure this. Happiness and well-being have increasingly been seen as elements that should influence welfare policies. This review article provides an overview...... of many of the ways to measure well-being and happiness. It attempts to cover three distinct, but interrelated subjects. First, why and what can be used to complement GDP as measures for societal development. Second, is there a relation between well-being, happiness and central social policy areas? Third......, whether knowledge on what makes people happy could inform policymakers in their decisions. The article discusses the many new attempts to measure societal development, and the fact that there are so many that decision makers and citizens are drowning by numbers and thereby not able to grasp whether...

  2. THE STUDY ON THE DURABILITY OF SUBMERGED STRUCTURE DISPLACEMENT DUE TO CONCRETE FAILURE

    Directory of Open Access Journals (Sweden)

    M. Mohd

    2016-09-01

    Full Text Available Concrete structures that exposed to marine environments are subjected to multiple deterioration mechanisms. An overview of the existing technology for submerged concrete, pressure resistant, concrete structures which related such as cracks, debonds, and delamination are discussed. Basic knowledge related to drowning durability such as submerged concrete structures in the maritime environment are the durability of a concrete and the ability to resist to weathering, chemical attack, abrasion or other deterioration processes. The measuring techniques and instrumentation for geometrical monitoring of submerged structural displacements have traditionally been categorized into two groups according to the two main groups, namely as geodetic surveying and geotechnical structural measurements of local displacements. This paper aims to study the durability of submerged concrete displacement and harmful effects of submerged concrete structures.

  3. Brief communication: Loss of life due to Hurricane Harvey

    Directory of Open Access Journals (Sweden)

    S. N. Jonkman

    2018-04-01

    Full Text Available An analysis was made of the loss of life caused by Hurricane Harvey. Information was collected for 70 fatalities that occurred due to the event and were recovered within the first 2 weeks after landfall. Most fatalities occurred due to drowning (81 %, particularly in and around vehicles. Males (70 % and people over 50 years old (56 % were overrepresented in the dataset. More than half of the fatalities occurred in the greater Houston area (n  =  37, where heavy rainfall and dam releases caused unprecedented urban flooding. The majority of fatalities were recovered outside the designated 100- and 500-year flood hazard areas.

  4. A review of fatal accident incidence rate trends in fishing international

    DEFF Research Database (Denmark)

    Jensen, Olaf; Pétursdóttir, G; Abrahamsen, Annbjørg

    2014-01-01

    Background. Injury prevention in fishing is one of the most important occupational health challenges. The aim was to describe and compare internationally the trends of the fatal injury incidence rates and to discuss the impact of the implemented safety programs. Methods. The review is based...... on journal articles and reports from the maritime authorities in Poland, UK, Norway, Iceland, Denmark, US and Alaska and Canada. The original incidence rates were recalculated as per 1000 person-years for international comparison of the trends. Results. The risk of fatal accidents in fishing in the northern...... countries has been reduced by around 50% to an average of about 1 per 1000 person-years. Norway and Canada keep the lowest rates with around 0.5 and 0.25 per 1000 person-years. About half of the fatal injuries are related to vessel disasters and drowning. The safety programs seem to have good effects still...

  5. Some epidemiological aspects and economic costs of injuries in Malaysia.

    Science.gov (United States)

    Arokiasamy, J T; Krishnan, R

    1994-01-01

    Injuries are one of the leading causes of death in the world. In Malaysia, injuries form one of the three main causes of mortality. They are also an important cause of permanent and temporary disability and work absenteeism in the productive age group. Increasing affluence and industrialization coupled with growing population and transportation needs in rapidly developing countries like Malaysia have resulted in a surge of road and occupational injuries. Three quarters of fatalities due to road, occupational, drowning and home injuries occur in those below 45 years of age. A majority of injuries in these categories are attributed to "human" factors and therefore can be prevented by public education and enforced training of workers. The total annual economic loss due to all types of injuries is estimated to be 2 billion Malaysian Ringgit (US$1 = MR2.76 approximately). The government is currently in the process of setting up full-time departments for road safety and occupational health and safety.

  6. INDIKASI DAN KETERAMPILAN RESUSITASI JANTUNG PARU (RJP

    Directory of Open Access Journals (Sweden)

    Kaliammah Ganthikumar

    2016-05-01

    Full Text Available Cardiopulmonary resuscitation (CPR is a livesaving technique which is very useful in many emergencies, such as heart attack or near drowning, in which someone’s breathing or heartbeat has stopped.The American Heart Association recommends that everyone - doesn’t have experience or medical personnel can start CPR with chest compression. Chest compression can help to save someone’s life eventhough you doesn’t have knowledge. Its better then doing nothing. CPR can delivery enough oxygen to brain and vital organ till definitive medication is given to restore normal heart rthym. The supply of oxygen to brain is distupted for eight to te minutes can cause death.CPR for a cardiac arrest I starting from circulation then breathing then airway( C-B-A Keyword:Technique CPR, CPR for cardiac arrest

  7. Experimental performance of a piston expander in a small- scale organic Rankine cycle

    Science.gov (United States)

    Oudkerk, J. F.; Dickes, R.; Dumont, O.; Lemort, V.

    2015-08-01

    Volumetric expanders are suitable for more and more applications in the field of micro- and small-scale power system as waster heat recovery or solar energy. This paper present an experimental study carried out on a swatch-plate piston expander. The expander was integrated into an ORC test-bench using R245fa. The performances are evaluated in term of isentropic efficiency and filling factor. The maximum efficiency and power reached are respectively 53% and 2 kW. Inside cylinder pressure measurements allow to compute mechanical efficiency and drown P-V diagram. A semi-empirical simulation model is then proposed, calibrated and used to analyse the different sources of losses.

  8. Gender Dialogues or How not to Fall off the Map

    Directory of Open Access Journals (Sweden)

    Nora Dominguez

    2000-01-01

    Full Text Available If we look at the current maps of feminist theoretical trends drown by North American or European thinkers, we note that, in general, Latin American critics have little participation in the feminist debates. In order to after or undo those cartographies, we must start with a concept of translation that is both active and dynamic. This concept will be the vantage point from which to think about our own places, to mobilize established notions, and to promote critical readings that will put together new genealogies and will function as alternative and counter-hegemonic narratives. The category of nomadic subject thus serves as a subjective experience, a practice of writing and reading, a political option, and not just as a theoretical formulation we might embrace.

  9. Effect of Chemical Ratios of a Microbial-Based Feeding Attractant on Trap Catch of Drosophila suzukii (Diptera: Drosophilidae).

    Science.gov (United States)

    Cha, Dong H; Landolt, Peter J; Adams, Todd B

    2017-08-01

    Drosophila suzukii Matsumura, spotted wing drosophila, can be trapped with a feeding attractant based on wine and vinegar volatiles and consisting of acetic acid, ethanol, acetoin, and methionol. Using that four-component blend, we found that the catch of spotted wing drosophila increased with increases in the release rate of acetoin (from 0.5 mg/d to 34 mg/d) from polyethylene sachet dispensers, and with increases in the concentrations of acetic acid (from 0.25% to 4%) or ethanol (from 0.08% to 2%) when dispensed in the trap drowning solution. However, we saw no increase in spotted wing drosophila trapped with increase of the methionol release rate from 0.4 mg/d to 4.9 mg/d or from 0.19 mg/d to 0.8 mg/d, from sachets. A new formulation based on optimized amounts of these four chemicals yielded a doubling of spotted wing drosophila trapped compared to a previously reported formulation. Further field testing confirmed that the simultaneous increases in the release rate of acetoin from a dispenser and the amount of acetic acid in the trap drowning solution provided the increased spotted wing drosophila trap response to the new formulation. These findings provide a practical means to improve the power of this lure to detect and monitor D. suzukii. Published by Oxford University Press on behalf of Entomological Society of America 2017. This work is written by US Government employees and is in the public domain in the US.

  10. A one-dimensional biomorphodynamic model of tidal flats: Sediment sorting, marsh distribution, and carbon accumulation under sea level rise

    Science.gov (United States)

    Zhou, Zeng; Ye, Qinghua; Coco, Giovanni

    2016-07-01

    We develop a biomorphodynamic model to investigate sediment and vegetation dynamics on a schematic intertidal flat characterized by an initially well-mixed sand-mud mixture. Major interactions between tides, wind waves, salt marshes, sediment transport and sea level rise (SLR) are taken into account. For a bare flat under only tidal action, the model predicts a convex cross-shore profile with the surficial distribution of mud and sand on the upper and lower part of the intertidal flat, respectively. When wind waves are strong, the intertidal flat is highly eroded resulting in a concave profile near the high water mark. This behavior is pronouncedly altered when the intertidal flat is vegetated with the presence of salt marshes. Numerical results suggest that a considerable amount of mud can still remain in the vegetated region even when wave action is strong. A steeper transition zone forms at the boundary between salt marshes and bare flats because of the differential sediment deposition in the two neighboring regions. The inclusion of wind waves is found to considerably enhance the size of the marsh-edge transition zone. For the numerical experiments designed in this study, the profile shape and sediment sorting behavior of tidal flats are not significantly modified by a gradual rising sea level. However, the impacts of SLR on vegetated tidal flats are still manifold: (a) driving the landward migration of intertidal zone and salt marshes; (b) enhancing sediment erosion on intertidal flats; and (c) drowning salt marshes under limited sediment supply with the constrain of seawalls. Finally, model results suggest that organic carbon accumulation on marshlands may be enhanced with an increasing SLR rate provided that salt marshes are not drowned.

  11. The Lower Cambrian of Scandinavia: Depositional environment, sequence stratigraphy and palaeogeography

    Science.gov (United States)

    Nielsen, Arne Thorshøj; Schovsbo, Niels Hemmingsen

    2011-08-01

    impact related. Sequences are defined as transgressive-regressive depositional cycles bounded by maximum regressive surfaces and their correlative conformities. Sea-level rises are identified by fining-upward lithologies, cratonwards shifts in facies and depocentres, formation of widespread thin lime- and ironstones as well as precipitation of phosphorite and glaucony; the latter formed at remarkably shallow depth in comparison with the modern world. Sea-level falls are identified by coarsening-upwards lithologies, basinwards shifts in facies and gaps in the sedimentary record relating to non-deposition/erosion during falling stage and lowstand. Due to the pronounced clastic starvation neither lowstand nor highstand system tracts are developed subsequent to the earliest transgressive phases and eustasy was the primary control on depth changes. The Lower Cambrian comprises two supersequences (2nd order sequences), separated by regional subaerial unconformities reflecting the Rispebjerg Lowstand (new name) and the Hawke Bay Event. The Rispebjerg Lowstand was likely glacio-eustatic. Supersequence 1 (Rovnian-Lontovan-Dominopolian-'Ljubomlian') comprises about nine 3rd order sequences but the exact number of sequences in the Lontovan is unsettled. Supersequence 2 (Vergalian-Rausvian-lower Kibartian) comprises five sequences. Two or more subsequences (new term = 4th order sequences) are recognized in all sequences but long-distance correlation is usually difficult. The sequence stratigraphical resolution of the Lower Cambrian is more than twice as high as the acritarch biozonation. Baltica became intensively peneplained during the Neoproterozoic and was by and large completely flat at the dawn of the Cambrian. The profound Early Cambrian sea-level rise, comprising a series of individual 3rd order drowning events, was associated with step-wise transgression of Baltoscandia and concomitantly the sedimentary supply declined. The sequence stratigraphical analysis indicates onset

  12. Will Restored Tidal Marshes Be Sustainable?

    Directory of Open Access Journals (Sweden)

    Michelle Orr

    2003-10-01

    Full Text Available We assess whether or not restored marshes in the San Francisco Estuary are expected to be sustainable in light of future landscape scale geomorphic processes given typical restored marsh conditions. Our assessment is based on a review of the literature, appraisal of monitoring data for restored marshes, and application of vertical accretion modeling of organic and inorganic sedimentation. Vertical accretion modeling suggests that salt marshes in San Pablo Bay will be sustainable for moderate relative sea level rise (3 to 5 mm yr-1 and average sediment supply (c. 100 mg L-1. Accelerated relative sea level rise (above 6 mm yr-1 and/or reduced sediment supply (50 mg L-1 will cause lowering of the marsh surface relative to the tide range and may cause shifts from high to low marsh vegetation by the year 2100. Widespread conversion of marsh to mudflat-"ecological drowning"-is not expected within this time frame. Marshes restored at lower elevations necessary to aid the natural development of channel systems (c. 0.5 m below mean higher high water are predicted to accrete to high marsh elevations by the year 2100 for moderate relative sea level rise and sediment supply conditions. Existing rates of sediment accretion in restored fresh water tidal marshes of the Delta of greater than 9 mm yr-1 and slightly lower drowning elevations suggest that these marshes will be resilient against relatively high rates of sea level rise. Because of higher rates of organic production, fresh water marshes are expected to be less sensitive to reduced sediment availability than salt marshes. The ultimate long-term threat to the sustainability of tidal marshes is the interruption of coastal rollover-the process by which landward marsh expansion in response to sea level rise compensates for shoreline erosion. Bay front development now prevents most landward marsh expansion, while shoreline erosion is expected to accelerate as sea level rises.

  13. Unintentional childhood injury patterns, odds, and outcomes in Kampala City: an analysis of surveillance data from the National Pediatric Emergency Unit.

    Science.gov (United States)

    Mutto, Milton; Lawoko, Stephen; Nansamba, Catherine; Ovuga, Emilio; Svanstrom, Leif

    2011-01-01

    Unintentional Childhood Injuries pose a major public health challenge in Africa and Uganda. Previous estimates of the problem may have underestimated the childhood problem. We set to determine unintentional childhood injury pattern, odds, and outcomes at the National Paediatric Emergency unit in Kampala city using surveillance data. Incident proportions, odds and proportional rates were calculated and used to determine unintentional injury patterns across childhood (1-12 years). A total of 556 cases recorded between January and May 2008 were analyzed: majority had been transported to hospital by mothers using mini-buses, private cars, and motorcycles. Median distance from injury location to hospital was 5 km. Homes, roads, and schools were leading injury locations. Males constituted 60% of the cases. Play and daily living activities were commonest injury time activities. Falls, burns and traffic accounted for 70.5% of unintentional childhood injuries. Burns, open wounds, fractures were commonest injury types. Motorcycles, buses and passenger-cars caused most crashes. Play grounds, furniture, stairs and trees were commonest source of falls. Most burn injuries were caused by liquids, fires and hot objects. 43.8% of cases were admitted. 30% were discharged without disability; 10%, were disabled; 1%, died. Injury odds and proportional incidence rates varied with age, place and cause. Poisoning and drowning were rare. Local pediatric injury priorities should include home, road and school safety. Unintentional injuries are common causes of hospital visit by children under 13 years especially boys. Homes, roads and educational facilities are commonest unintentional injury sites. Significant age and gender differences exist in intentional injury causation, characteristics and outcomes. In its current form, our surveillance system seems inefficient in capturing poisoning and drowning. The local prevention priorities could include home, road and school safety; especially

  14. Analysis on breast X-ray of chronic schizophrenia and Iiterature review

    International Nuclear Information System (INIS)

    Dang Lianrong; Wang Xuqiang; Xie Junwei; Pei Genxiang

    2008-01-01

    Objective: To research the symptom of breast X-ray of chronic schizophrenia and the influence of its clinical features. Methods: Take 50 patients who have been under treatment in our hospital for over 5 years as sample of psychotic group and same number of healthy people as control group. Analyze their X-ray films, using statistics to deal with their lung area of both before and after 5 years. Evaluation Criteria of X-ray: (1) Double layer rise; (2)Single or double lung base subsegmental atelectasis; (3)Heart drown; (4)Heart turing with the heart apex extending to the left; (5)The double lung bottom have gathering stripes; (6)The upper layer have wider shadow. Results: The lung lobes of the patient group become smaller than they were 5 years ago. Data show great difference between two years (t=6.7099, P<0.01). The lung lobes of psychotic group become bigger than the control group in the first X-ray films (t=2.025, P<0.05), but smaller in the last X-ray films (t=5.512, P<0.01). Among them, 37 cases show double layer rise; 19 cases show single or double lung base subsegmental atelectasis; 24 cases show heart drown; 19 cases show heart turing and heart apex extending to the left; 37 cases show double lung bottom gathering stripes; 17 cases show wider shadow. Conclusion: Morphology and pathology changes of schizophrenia patients are related to the side effect of anti-schizophrenia medicine and endocrine disorders. (authors)

  15. Carbonate-platform response to the Toarcian Oceanic Anoxic Event in the southern hemisphere: Implications for climatic change and biotic platform demise

    Science.gov (United States)

    Han, Zhong; Hu, Xiumian; Kemp, David B.; Li, Juan

    2018-05-01

    The Toarcian Oceanic Anoxic Event (T-OAE, ∼183 Ma) was a profound short-term environmental perturbation associated with the large-scale release of 13C-depleted carbon into the global ocean-atmosphere system, which resulted in a significant negative carbon-isotope excursion (CIE). The general lack of characteristic T-OAE records outside of the northern hemisphere means that the precise environmental effects and significance of this event are uncertain. Many biotic carbonate platforms of the northern hemisphere western Tethys drowned or shifted to non-skeletal platforms during the early Toarcian. However, southern hemisphere records of Toarcian carbonate platforms are rare, and thus the extent and significance of biotic platform demise during the T-OAE is unclear. Here we present high-resolution geochemical and sedimentological data across two Pliensbachian-Toarcian shallow-water carbonate-platform sections exposed in the Tibetan Himalaya. These sections were located paleogeographically on the open southeastern tropical Tethyan margin in the southern hemisphere. The T-OAE in the Tibetan Himalaya is marked by a negative CIE in organic matter. Our sedimentological analysis of the two sections reveals an abundance of storm deposits within the T-OAE interval, which emphasizes a close link between warming and tropical storms during the T-OAE event, in line with evidence recently provided from western Tethyan sections of the northern hemisphere. In addition, our analysis also reveals extensive biotic carbonate-platform demise by drowning or changing to non-skeletal carbonates coincident with the onset of the CIE. Taken together, our results suggest that rapid and pervasive seawater warming in response to carbon release likely played a significant role in sudden biotic carbonate platform demise, and suppression/postponement of biotic platform re-development along the whole tropical/subtropical Tethyan margin.

  16. MIDDLE TRIASSIC PLATFORM AND BASIN EVOLUTION OF THE SOUTHERN BAKONY MOUNTAINS (TRANSDANUBIAN RANGE, HUNGARY

    Directory of Open Access Journals (Sweden)

    TAMÁS BUDAI

    2006-11-01

    Full Text Available Middle Triassic history of the Southern Bakony Mts. is outlined on the base of horizontal and vertical facies changes of the formations. During the Pelsonian (Balatonicus Chron the evolution of the basins and platforms was determined basically by synsedimentary tectonics. The Felsõörs basin of the Balaton Highland opened due to the block-faulting of the Bithynian carbonate ramp (Megyehegy Dolomite. Above the drowning blocks „halfgraben” basins were formed (Felsõörs Formation, while isolated platforms developed on the uplifted ones in the middle part of the Balaton Highland and on the Veszprém plateau (Tagyon Formation. Due to the relative sea-level fall in the early Illyrian, the platforms became subaerially exposed and karstified. As a consequence of the late Illyrian tectonic subsidence (manifested by neptunian dykes the central platform of the Balaton Highland has been drowned (Camunum Subchron. On the contrary, the Anisian platform of the Veszprém plateau was totally flooded only during the latest Illyrian (Reitzi Subchron due to eustatic sea-level rise. It was followed by a short highstand period (Secedensis Chron, characterised by the first progradation of the Budaörs platform on the Veszprém plateau and highstand shedding in the basins and on the submarine high (Vászoly Limestone in the centre of the Balaton Highland basin. Due to the following rapid sea-level rise, carbonate sedimentation continued in eupelagic basin from the Fassanian (Buchenstein Formation. At the beginning of the late Longobardian highstand period (Regoledanus Chron the Budaörs platform intensively prograded from the Veszprém plateau to the southwest, causing highstand shedding in the Balaton Highland basin (Füred Limestone. 

  17. Sedimentary record of subsidence pulse at the Triassic/Jurassic boundary interval in the Slovenian Basin (eastern Southern Alps

    Directory of Open Access Journals (Sweden)

    Rožič Boštjan

    2017-08-01

    Full Text Available In the Alpine Realm the Early Jurassic is characterized by the disintegration and partial drowning of vast platform areas. In the eastern part of the Southern Alps (present-day NW Slovenia, the Julian Carbonate Platform and the adjacent, E-W extending Slovenian Basin underwent partial disintegration, drowning and deepening from the Pliensbachian on, whereas only nominal environmental changes developed on the large Dinaric (Friuli, Adriatic Carbonate Platform to the south (structurally part of the Dinarides. These events, however, were preceded by an earlier - and as yet undocumented extensional event - that took place near the Triassic/Jurassic boundary. This paper provides evidence of an accelerated subsidence from four selected areas within the Slovenian Basin, which show a trend of eastwardly-decreasing deformation. In the westernmost (Mrzli vrh section - the Upper Triassic platform-margin - massive dolomite is overlain by the earliest Jurassic toe-of-slope carbonate resediments and further, by basin-plain micritic limestone. Further east (Perbla and Liščak sections the Triassic-Jurassic transition interval is marked by an increase in resedimented carbonates. We relate this to the increasing inclination and segmentation of the slope and adjacent basin floor. The easternmost (Mt. Porezen area shows a rather monotonous, latest Triassic-Early Jurassic basinal sedimentation. However, changes in the thickness of the Hettangian-Pliensbachian Krikov Formation point to a tilting of tectonic blocks within the basin area. Lateral facies changes at the base of the formation indicate that the tilting occurred at and/or shortly after the Triassic/Jurassic boundary

  18. Sedimentary record of subsidence pulse at the Triassic/Jurassic boundary interval in the Slovenian Basin (eastern Southern Alps)

    Science.gov (United States)

    Rožič, Boštjan; Jurkovšek, Tea Kolar; Rožič, Petra Žvab; Gale, Luka

    2017-08-01

    In the Alpine Realm the Early Jurassic is characterized by the disintegration and partial drowning of vast platform areas. In the eastern part of the Southern Alps (present-day NW Slovenia), the Julian Carbonate Platform and the adjacent, E-W extending Slovenian Basin underwent partial disintegration, drowning and deepening from the Pliensbachian on, whereas only nominal environmental changes developed on the large Dinaric (Friuli, Adriatic) Carbonate Platform to the south (structurally part of the Dinarides). These events, however, were preceded by an earlier - and as yet undocumented extensional event - that took place near the Triassic/Jurassic boundary. This paper provides evidence of an accelerated subsidence from four selected areas within the Slovenian Basin, which show a trend of eastwardly-decreasing deformation. In the westernmost (Mrzli vrh) section - the Upper Triassic platform-margin - massive dolomite is overlain by the earliest Jurassic toe-of-slope carbonate resediments and further, by basin-plain micritic limestone. Further east (Perbla and Liščak sections) the Triassic-Jurassic transition interval is marked by an increase in resedimented carbonates. We relate this to the increasing inclination and segmentation of the slope and adjacent basin floor. The easternmost (Mt. Porezen) area shows a rather monotonous, latest Triassic-Early Jurassic basinal sedimentation. However, changes in the thickness of the Hettangian-Pliensbachian Krikov Formation point to a tilting of tectonic blocks within the basin area. Lateral facies changes at the base of the formation indicate that the tilting occurred at and/or shortly after the Triassic/Jurassic boundary

  19. Injury-related hospital admissions of military dependents compared with similarly aged nonmilitary insured infants, children, and adolescents.

    Science.gov (United States)

    Pressley, Joyce C; Dawson, Patrick; Carpenter, Dustin J

    2012-10-01

    Military deployment of one or both parents is associated with declines in school performance, behavioral difficulties, and increases in reported mental health conditions, but less is known regarding injury risks in pediatric military dependents. Kid Health Care Cost and Utilization Project 2006 (KID) was used to identify military dependents aged 0.1 year to 17 years through expected insurance payer being CHAMPUS, Tricare, or CHAMPVA (n = 12,310) and similarly aged privately insured nonmilitary in CHAMPUS, Tricare, or CHAMPVA states (n = 730,065). Mental health diagnoses per 1,000 hospitalizations and mechanisms of injury per 1,000 injury-related hospitalizations are reported. Unweighted univariate analyses used Fisher's exact, χ(2), and analysis of variance tests for significance. Odds ratios are age and sex adjusted with 95% confidence intervals. Injury-related admissions were higher in military than in nonmilitary dependents (15.5% vs. 13.2%, p sex-adjusted motor vehicle occupant and pedestrian injuries were significantly lower in all-age military dependents but not in age-stratified categories. Very young military dependents had higher all-cause injury admissions (p < 0.0001), drowning/near drowning (p < 0.0001), and intracranial injury (p < 0.0001) and showed a tendency toward higher suffocation (p = 0.055) and crushing injury (p = 0.065). Military adolescents and teenagers had higher suicide/suicide attempts (p = 0.0001) and poisonings from medicinal substances (p = 0.0001). Mental health diagnoses were significantly higher in every age category of military dependents. All-cause in-hospital mortality tended to be greater in military than in nonmilitary dependents (p = 0.052). This study suggests that military dependents are a vulnerable population with special needs and provides clues to areas where injury prevention professionals might begin to address their needs. Prognostic/epidemiologic study, level II.

  20. Injury-related unsafe behavior among households from different socioeconomic strata in Pune city

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    Mirkazemi Roksana

    2009-01-01

    Full Text Available Introduction: Behavior pattern influences the risk of unintentional injuries. This study was conducted to identify the pattern of household unsafe behavior in different socioeconomic strata, in Pune city, India. Materials and Method: Population-based, cross-sectional study. Behaviors influencing the risk of burn, poisoning, drowning, and road traffic injuries were questioned from 200 randomly selected households. Results: Nearly 28% of the households did not have a separate kitchen, 37.5% cooked at the ground level, 33.5% used a kerosene pressure stove, 12% used unprotected open fire as a source of warmth in winter, and 34.5% stored inflammable substances at home. Ninety one percent of the households reported storing poisonous chemicals in places that could not be locked. In 68.3% of the households with children below five years, these chemicals were kept in places accessible to children. Nearly 21% of the individuals, who could swim, did so in unsafe places and 25.2% of them were not trained in swimming. In 35.5% of the households, children used streets as playgrounds. Among all two-wheeled vehicle riders, 35.6% reported not having a helmet and 57.7% of those who had a helmet did not use it regularly. Socioeconomic status was strongly associated with the unsafe behaviors related to burns, drowning, and road traffic injuries. Conclusion: The study identifies the sociocultural and behavioral factors leading to unsafe behaviors, placing individuals at risk of unintentional injuries, which can be used as a first step toward prevention.

  1. Etiology of Sudden Cardiac Arrest in Patients with Epilepsy: Experience of Tertiary Referral Hospital in Sapporo City, Japan.

    Science.gov (United States)

    Miyata, Kei; Ochi, Satoko; Enatsu, Rei; Wanibuchi, Masahiko; Mikuni, Nobuhiro; Inoue, Hiroyuki; Uemura, Shuji; Tanno, Katsuhiko; Narimatsu, Eichi; Maekawa, Kunihiko; Usui, Keiko; Mizobuchi, Masahiro

    2016-05-15

    It has been reported that epilepsy patients had higher risk of sudden death than that of the general population. However, in Japan, there is very little literature on the observational research conducted on sudden fatal events in epilepsy. We performed a single-center, retrospective study on all the out-of-hospital cardiac arrest (OHCA) patients treated in our emergency department between 2007 and 2013. Among the OHCA patients, we extracted those with a history of epilepsy and then analyzed the characteristics of the fatal events and the background of epilepsy. From 1,823 OHCA patients, a total of 10 cases were enrolled in our study. The median age was 34 years at the time of the incident [9-52 years; interquartile range (IQR), 24-45]. We determined that half of our cases resulted from external causes of death such as drowning and suffocation and the other half were classified as sudden unexpected death in epilepsy (SUDEP). In addition, asphyxia was implicated as the cause in eight cases. Only the two near-drowning patients were immediately resuscitated, but the remaining eight patients died. The median age of first onset of epilepsy was 12 years (0.5-30; IQR, 3-21), and the median disease duration was 25 years (4-38; IQR, 6-32). Patients with active epilepsy accounted for half of our series and they were undergoing poly anti-epileptic drug therapy. The fatal events related to epilepsy tended to occur in the younger adult by external causes. An appropriate therapeutic intervention and a thorough observation were needed for its prevention.

  2. Into the deep: A coarse-grained carbonate turbidite thalweg generated by gigantic submarine chutes

    Science.gov (United States)

    Mulder, Thierry; Gillet, Hervé; Reijmer, John; Droxler, André; cavailhes, Thibault; Hanquiez, Vincent; Fauquembergue, Kelly; Bujan, Stéphane; Blanck, David; bashah, Sara; Guiastrennec, Léa; Fabregas, Natacha; Recouvreur, Audrey; Seibert, Chloé

    2017-04-01

    New high-resolution multibeam mapping, in the Southeastern Bahamas, images in exquisite details the southern part of Exuma Sound, and its unchartered transition area to the deep abyssal plain of the Western North Atlantic bounded by the Bahama Escarpment (BE) between San Salvador Island and Samana Cay, referred here to the San Salvador abyssal plain. The transition area is locally referred to as Crooked Island Passage, loosely delineated by Crooked, Long, and Conception Islands, Rum and Samana Cays. Surprisingly in such a pure carbonate landscape, the newly established map reveals the detailed and complex morphology of a giant valley formed by numerous gravity flows originated in Exuma Sound itself, in addition to many secondary slope gullies and smaller tributaries draining the surrounding upper slopes. The valley referred here as the Exuma canyon system starts with a perched valley with low sinuosity, characterized by several flow restrictions and knickpoints initiated by the presence of drowned isolated platforms and merging tributaries. The valley abruptly transforms itself into a deep incised canyon, rivaling the depth of the Colorado Grand Canyon, through two major knickpoints with outsized chutes exceeding several hundred of meters in height, a total of 1600-1800 m. The sudden transformation of the wide valley into a deep narrow canyon, occurring when the flows incised deep into an underlying lower Cretaceous drowned carbonate platform, generates a huge hydraulic jump and creates an enormous plunge pool and related deposits with mechanisms comparable to the ones operating along giant subaerial waterfalls. The high kinetic flow energy, constrained by this narrow and deeply incised canyon, formed, when it is released at its mouth in the abyssal plain, a wide deep-sea channel with well-developed levees and fan, made of coarse-grained carbonate defined layers separated by fine carbonate sediments mixed with fine siliciclastics transported along the BE by the

  3. The lived experience of rescuing people who have driven into floodwater: Understanding challenges and identifying areas for providing support.

    Science.gov (United States)

    Keech, Jacob J; Smith, Stephanie R; Peden, Amy E; Hagger, Martin S; Hamilton, Kyra

    2018-06-11

    Drowning is a major public health issue, with risk increasing during times of flood. Driving though floodwater is a major risk factor for flood-related drowning and injury, and despite widespread public health campaigns, many people continue to undertake this risky behaviour and require rescue. We aimed to identify key challenges faced by emergency services personnel when rescuing those who have driven into floodwater, and to identify strategies for supporting rescuers in this important role. Australian flood rescue operators (N=8) who had previously rescued a driver who had driven through floodwater, participated in semi-structured interviews. Data were analysed using thematic analysis. Four challenges emerged from their experiences: Involvement of untrained personnel, varying information provided by emergency telephone operators, behaviour of drivers complicating the rescue, people sightseeing floods or flood rescues, or ignoring closed roads providing sources of distraction and frustration. We propose five strategies for translating these results into practice, including: training and protocol development for (1) emergency personnel and (2) telephone operators, (3) training for rescuers regarding non-compliant rescuees, (4) educating the public, and (5) increasing compliance with closed roads. Current findings provide valuable insights into how rescuers can be supported in performing their roles, and implementation of these strategies has the potential to reduce fatalities occurring due to driving through floodwater. SO WHAT?: The strategies presented have the potential to reduce the frequency and improve the outcomes of floodwater rescues, aiding in the prevention of injury and death. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

  4. Unintentional Childhood Injury Patterns, Odds, and Outcomes in Kampala City: an analysis of surveillance data from the National Pediatric Emergency Unit

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    Emilio Ovuga

    2011-01-01

    Full Text Available BACKGROUND: Unintentional Childhood Injuries pose a major public health challenge in Africa and Uganda. Previous estimates of the problem may have underestimated the childhood problem. We set to determine unintentional childhood injury pattern, odds, and outcomes at the National Paediatric Emergency unit in Kampala city using surveillance data. METHODS: Incident proportions, odds and proportional rates were calculated and used to determine unintentional injury patterns across childhood (1-12 years. RESULTS: A total of 556 cases recorded between January and May 2008 were analyzed: majority had been transported to hospital by mothers using mini-buses, private cars, and motorcycles. Median distance from injury location to hospital was 5 km. Homes, roads, and schools were leading injury locations. Males constituted 60% of the cases. Play and daily living activities were commonest injury time activities. Falls, burns and traffic accounted for 70.5% of unintentional childhood injuries. Burns, open wounds, fractures were commonest injury types. Motorcycles, buses and passenger-cars caused most crashes. Play grounds, furniture, stairs and trees were commonest source of falls. Most burn injuries were caused by liquids, fires and hot objects. 43.8% of cases were admitted. 30% were discharged without disability; 10%, were disabled; 1%, died. Injury odds and proportional incidence rates varied with age, place and cause. Poisoning and drowning were rare. Local pediatric injury priorities should include home, road and school safety. CONCLUSIONS: Unintentional injuries are common causes of hospital visit by children under 13 years especially boys. Homes, roads and educational facilities are commonest unintentional injury sites. Significant age and gender differences exist in intentional injury causation, characteristics and outcomes. In its current form, our surveillance system seems inefficient in capturing poisoning and drowning. The local prevention

  5. Experimental investigation of channel avulsion frequency on river deltas under rising sea levels

    Science.gov (United States)

    Silvestre, J.; Chadwick, A. J.; Steele, S.; Lamb, M. P.

    2017-12-01

    River deltas are low-relief landscapes that are socioeconomically important; they are home to over half a billion people worldwide. Many deltas are built by cycles of lobe growth punctuated by abrupt channel shifts, or avulsions, which often reoccur at a similar location and with a regular frequency. Previous experimental work has investigated the effect of hydrodynamic backwater in controlling channel avulsion location and timing on deltas under constant sea level conditions, but it is unclear how sea-level rise impacts avulsion dynamics. We present results from a flume experiment designed to isolate the role of relative sea-level rise on the evolution of a backwater-influenced delta. The experiment was conducted in the river-ocean facility at Caltech, where a 7m long, 14cm wide alluvial river drains into a 6m by 3m "ocean" basin. The experimental delta grew under subcritical flow, a persistent backwater zone, and a range of sea level rise rates. Without sea level rise, lobe progradation produced in-channel aggradation and periodic avulsions every 3.6 ± 0.9 hours, which corresponded to when channels aggraded to approximately one-half of their flow depth. With a modest rate of sea-level rise (0.25 mm/hr), we observed enhanced aggradation in the backwater zone, causing channels to aggrade more quickly and avulse more frequently (every 2.1 ± 0.6 hours). In future work, we expect further increases in the rate of relative sea-level rise to cause avulsion frequency to decrease as the delta drowns and the backwater zone retreats upstream. Experimental results can serve as tests of numerical models that are needed for hazard mitigation and coastal sustainability efforts on drowning deltas.

  6. Chasing boundaries and cascade effects in a coupled barrier-marsh-lagoon system

    Science.gov (United States)

    Lorenzo-Trueba, Jorge; Mariotti, Giulio

    2017-08-01

    The long-term dynamic evolution of an idealized barrier-marsh-lagoon system experiencing sea-level rise is studied by coupling two existing numerical models. The barrier model accounts for the interaction between shoreface dynamics and overwash flux, which allows the occurrence of barrier drowning. The marsh-lagoon model includes both a backbarrier marsh and an interior marsh, and accounts for the modification of the wave regime associated with changes in lagoon width and depth. Overwash, the key process that connects the barrier shoreface with the marsh-lagoon ecosystems, is formulated to account for the role of the backbarrier marsh. Model results show that a number of factors that are not typically associated with the dynamics of coastal barriers can enhance the rate of overwash-driven landward migration by increasing backbarrier accommodation space. For instance, lagoon deepening could be triggered by marsh edge retreat and consequent export of fine sediment via tidal dispersion, as well as by an expansion of inland marshes and consequent increase in accommodation space to be filled in with sediment. A deeper lagoon results in a larger fraction of sediment overwash being subaqueous, which coupled with a slow shoreface response sending sediment onshore can trigger barrier drowning. We therefore conclude that the supply of fine sediments to the back-barrier and the dynamics of both the interior and backbarrier marsh can be essential for maintaining the barrier system under elevated rates of sea-level rise. Our results highlight the importance of considering barriers and their associated backbarriers as part of an integrated system in which sediment is exchanged.

  7. Birth and demise of a Middle Jurassic isolated shallow-marine carbonate platform on a tilted fault block: Example from the Southern Iberian continental palaeomargin

    Science.gov (United States)

    Navarro, V.; Ruiz-Ortiz, P. A.; Molina, J. M.

    2012-08-01

    Subbetic Middle Jurassic oolitic limestones of the Jabalcuz Formation crop out in San Cristóbal hill, near Jaén city (Andalucía, Spain), between hemipelagic limestone and marl successions. The Jabalcuz limestones range in facies from calcareous breccias and micritic limestones to white cross-bedded oolitic limestones. Recent erosion has exhumed a Jurassic isolated shallow-water carbonate platform on the San Cristóbal hill. This shallow platform developed on a tilted fault block. An almost continuous, laterally extensive outcrop reveals tectono-sedimentary features distinctive of block-tilting in the different margins of the fault block. The studied sections represent various palaeogeographic positions in the ancient shallow-water carbonate platform and basin transition. This exceptional outcrop allows to decipher the triggering mechanisms of the birth, evolution, and drowning of this Jurassic isolated shallow-water carbonate platform. Two shallowing-upward depositional sequences separated by flooding surfaces can be distinguished on two different sides of the fault block. In the southeastern part of the outcrop, proximal sections grade vertically from distal talus fault breccias, with bivalve and serpulid buildup intercalations, to white cross-bedded oolitic limestones defining the lowermost depositional sequence. Upwards, overlying a flooding surface, the second sequence with oolitic limestones prograding over micritic deposits is recorded. In the southwest, oolitic, peloidal, and more distal micritic facies alternate, with notable southeastern progradation of oolitic facies in the upper part of the section, which represents the upper depositional sequence. The top of this second depositional sequence is another flooding surface recorded by the sedimentation of marls with radiolarians from the overlying formation. In the northwestern outcrops, the two depositional sequences are also almost completely preserved and can be differentiated. A 100 m

  8. MORTALITAS DAN MORBIDITAS CEDERA PADA ANAK DI KABUPATEN PROBOLINGGO DAN TULUNGAGUNG-JAWA TIMUR 2005

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    Yuslely Usman

    2012-11-01

    Full Text Available Background: In Indonesia, births and deaths are seldom recorded, making basic health indices such as causes and rates of death difficult to know with any real degree of certainty. However, basic data available from National Institute of Health Research and Development-Ministry of Health Indonesia that namely Health National Survey (SURKESNAS shows thirty three percent of people 12-24 years and thirteen percent of people 5-14 years are death due to injury, probability peoples 5-24 year of injury in male is five times from injury female. From this survey the risk factor and hazard of injury did not know. Drowning survey conducted (2003 in 0--5 years (balita shows 0. 7 per 1000 population in rural area and 2.6 per 1000 population in urban area. Knowmg the environmental hazard and risk factor is important thing to make the preventive and awareness of safety and risk avoidance. This survey is conducting on two district in East Java, Probolinggoand Tulung Agung. Research methodology: Two districts was selected according UNICEF project area, namely Tulung Agung District and Probolinggo District. Estimation of total sample was 10,000 HH in each District. Using cluster Proportional Probability to Size (PPS sampling were randomly sub-district and village in rural and urban area. All house hold was in the selected village was selected for sample. A house hold member was defined as a member living in the same house, sharing meal and information, for six month, including domestic helpers, long-term guest etch. Results: In the survey a total number of 784 deaths were identified in the preceding three years, in Tulung Agung District were 411 deaths and 373 in Probolinggo District. In the survey a total number of 304 deaths were identified in the preceding one year. In TulungAgung District were 163 deaths and 139 in Probolinggo District. In this survey, injury accounted for 21% of all classifiable deaths in children aged 1-17 years. Injury caused 5% of infant

  9. Subaqueous geology and a filling model for Crater Lake, Oregon

    Science.gov (United States)

    Nathenson, M.; Bacon, C.R.; Ramsey, D.W.

    2007-01-01

    Results of a detailed bathymetric survey of Crater Lake conducted in 2000, combined with previous results of submersible and dredge sampling, form the basis for a geologic map of the lake floor and a model for the filling of Crater Lake with water. The most prominent landforms beneath the surface of Crater Lake are andesite volcanoes that were active as the lake was filling with water, following caldera collapse during the climactic eruption of Mount Mazama 7700 cal. yr B.P. The Wizard Island volcano is the largest and probably was active longest, ceasing eruptions when the lake was 80 m lower than present. East of Wizard Island is the central platform volcano and related lava flow fields on the caldera floor. Merriam Cone is a symmetrical andesitic volcano that apparently was constructed subaqueously during the same period as the Wizard Island and central platform volcanoes. The youngest postcaldera volcanic feature is a small rhyodacite dome on the east flank of the Wizard Island edifice that dates from 4800 cal. yr B.P. The bathymetry also yields information on bedrock outcrops and talus/debris slopes of the caldera walls. Gravity flows transport sediment from wall sources to the deep basins of the lake. Several debris-avalanche deposits, containing blocks up to 280 m long, are present on the caldera floor and occur below major embayments in the caldera walls. Geothermal phenomena on the lake floor are bacterial mats, pools of solute-rich warm water, and fossil subaqueous hot spring deposits. Lake level is maintained by a balance between precipitation and inflow versus evaporation and leakage. High-resolution bathymetry reveals a series of up to nine drowned beaches in the upper 30 m of the lake that we propose reflect stillstands subsequent to filling of Crater Lake. A prominent wave-cut platform between 4 m depth and present lake level that commonly is up to 40 m wide suggests that the surface of Crater Lake has been at this elevation for a very long time

  10. Making Space for Water: A review of SUstainable Drainage systems (SUDs) in a rural/urban area of Newcastle upon Tyne, UK.

    Science.gov (United States)

    Quinn, Paul; Tellier, Sebastien; Wilkinson, Mark

    2010-05-01

    Expansion of the city of Newcastle included a new development of over 3000 houses and an associated commercial area on agricultural land. The development firmly signed up to the notion that the new estate should adhere to full SUDs design and implementation. In essence there should be no loss of floodplain capacity, the total runoff from the new housing should not increase flood risk downstream and benefits to ecology, recreation and amenity should be fully maximised. Credit must be given to Newcastle City Council, the Environment Agency, the local water company and the developers themselves as a full set of large scale SUDs now exist and they are clearly an asset to the city. However, such a large scale landscape engineering endeavour has not been without direct and indirect problems. This paper reviews some of the experiences, problems and lessons learnt from SUDs implementation, the function of SUDs during flood events and the perception of SUDs by the public. During the life of the project several older estates close to the new development suffered from two major flood events; including foul water inundation, the drowning out of sewer overflows and intense flash flooding. These floods at first gave rise to the public perception that the new development had caused the flooding. During a research project entitled 'making space for water', the instrumentation of the river in the area and the SUDs took place. The hydrological data this produced has given rise to a mixture of positive and negative aspects of SUDs implementation. The cause of one flood was due to the drowning out of key sewer overflows by locally generated by urban flood flow arising from an upstream estate. The second flood was caused by a 48 hour storm event giving rise to high runoff from the rural area again drowning out key sewer overflows. The SUDs were found to perform well during storm events and do not increase runoff from the new estates. The main fundamental complaint is that despite such

  11. Premature mortality of epilepsy in low- and middle-income countries: A systematic review from the Mortality Task Force of the International League Against Epilepsy.

    Science.gov (United States)

    Levira, Francis; Thurman, David J; Sander, Josemir W; Hauser, W Allen; Hesdorffer, Dale C; Masanja, Honorati; Odermatt, Peter; Logroscino, Giancarlo; Newton, Charles R

    2017-01-01

    To determine the magnitude of risk factors and causes of premature mortality associated with epilepsy in low- and middle-income countries (LMICs). We conducted a systematic search of the literature reporting mortality and epilepsy in the World Bank-defined LMICs. We assessed the quality of the studies based on representativeness; ascertainment of cases, diagnosis, and mortality; and extracted data on standardized mortality ratios (SMRs) and mortality rates in people with epilepsy. We examined risk factors and causes of death. The annual mortality rate was estimated at 19.8 (range 9.7-45.1) deaths per 1,000 people with epilepsy with a weighted median SMR of 2.6 (range 1.3-7.2) among higher-quality population-based studies. Clinical cohort studies yielded 7.1 (range 1.6-25.1) deaths per 1,000 people. The weighted median SMRs were 5.0 in male and 4.5 in female patients; relatively higher SMRs within studies were measured in children and adolescents, those with symptomatic epilepsies, and those reporting less adherence to treatment. The main causes of death in people with epilepsy living in LMICs include those directly attributable to epilepsy, which yield a mean proportional mortality ratio (PMR) of 27.3% (range 5-75.5%) derived from population-based studies. These direct causes comprise status epilepticus, with reported PMRs ranging from 5 to 56.6%, and sudden unexpected death in epilepsy (SUDEP), with reported PMRs ranging from 1 to 18.9%. Important causes of mortality indirectly related to epilepsy include drowning, head injury, and burns. Epilepsy in LMICs has a significantly greater premature mortality, as in high-income countries, but in LMICs the excess mortality is more likely to be associated with causes attributable to lack of access to medical facilities such as status epilepticus, and preventable causes such as drowning, head injuries, and burns. This excess premature mortality could be substantially reduced with education about the risk of death and

  12. Geochemical and paleoenvironmental record of the early to early late Aptian major episodes of accelerated change: Evidence from Sierra del Rosario, Northeast Mexico

    Science.gov (United States)

    Núñez-Useche, Fernando; Barragán, Ricardo; Moreno-Bedmar, Josep Anton; Canet, Carles

    2015-07-01

    The lower to lower-upper Aptian succession of northern Mexico documents the drowning of the shallow-water Cupido/Cupidito carbonate platform system followed by deposition of the deep-water sediments of the La Peña Formation. Using δ13C stratigraphy, geochemical and mineralogical information coupled with previous microfacies, paleontological and total organic carbon (TOC) data from a stratigraphic section, which includes such lithological change, this study identifies distinctive episodes of accelerated global environmental change, and determines the paleoenvironmental conditions conducive to the deposition of TOC-rich intervals. Within the Cupidito unit, the Oceanic Anoxic Event 1a (OAE 1a) is recorded near the base of the section and the Intra-Furcata Negative Excursion in the topmost beds of the unit. The upper part of the section, within the La Peña Formation, is correlatable with the Noire level. Organic-carbon rich intervals occur in the lower and middle part of the OAE 1a, upper part of the Cupidito unit, base of the La Peña Formation, and in the Noire level equivalent. Reducing conditions within the sediment and oxic-dysoxic at the seafloor, locally controlled, persisted both before and during OAE 1a interval in the Cupidito lagoon. Oxygen-depleted conditions (dysoxic-anoxic) were more permanent and stronger during the deposition of the base of the la Peña Formation and the Noire equivalent level. It is proposed here that deposition of the lower-middle part of the OAE 1a and the base of the La Peña Formation was influenced by climate-controlled increases in detrital and accompanying nutrient influx that supplied especially biolimiting nutrients (Fe, P), fostering marine productivity and TOC burial. Upwelling of nutrient-rich deeper waters and minor arrival of nutrients from runoff, both account for the domination of radiolaria and organic-carbon burial during the Noire level equivalent. Record of the OAE 1a time-equivalent facies in the Cupidito

  13. Design and Validation of a Breathing Detection System for Scuba Divers

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    Corentin Altepe

    2017-06-01

    Full Text Available Drowning is the major cause of death in self-contained underwater breathing apparatus (SCUBA diving. This study proposes an embedded system with a live and light-weight algorithm which detects the breathing of divers through the analysis of the intermediate pressure (IP signal of the SCUBA regulator. A system composed mainly of two pressure sensors and a low-power microcontroller was designed and programmed to record the pressure sensors signals and provide alarms in absence of breathing. An algorithm was developed to analyze the signals and identify inhalation events of the diver. A waterproof case was built to accommodate the system and was tested up to a depth of 25 m in a pressure chamber. To validate the system in the real environment, a series of dives with two different types of workload requiring different ranges of breathing frequencies were planned. Eight professional SCUBA divers volunteered to dive with the system to collect their IP data in order to participate to validation trials. The subjects underwent two dives, each of 52 min on average and a maximum depth of 7 m. The algorithm was optimized for the collected dataset and proved a sensitivity of inhalation detection of 97.5% and a total number of 275 false positives (FP over a total recording time of 13.9 h. The detection algorithm presents a maximum delay of 5.2 s and requires only 800 bytes of random-access memory (RAM. The results were compared against the analysis of video records of the dives by two blinded observers and proved a sensitivity of 97.6% on the data set. The design includes a buzzer to provide audible alarms to accompanying dive buddies which will be triggered in case of degraded health conditions such as near drowning (absence of breathing, hyperventilation (breathing frequency too high and skip-breathing (breathing frequency too low measured by the improper breathing frequency. The system also measures the IP at rest before the dive and indicates with

  14. The morphology and distribution of submerged reefs in the Maui-Nui Complex, Hawaii: New insights into their evolution since the Early Pleistocene

    Science.gov (United States)

    Faichney, Iain D.E.; Webster, James M.; Clague, David A.; Kelley, Chris; Applegate, Bruce; Moore, James G.

    2009-01-01

    Reef drowning and backstepping have long been recognised as reef responses to sea-level rise on subsiding margins. During the Late Pleistocene (~500–14 ka) Hawaiian reefs grew in response to rapid subsidence and 120 m 100 kyr sea-level cycles, with recent work on the submerged drowned reefs around the big island of Hawaii, and in other locations from the last deglacial, providing insight into reef development under these conditions. In contrast, reefs of the Early Pleistocene (~1.8–0.8 Ma) remain largely unexplored despite developing in response to significantly different 60–70 m 41 kyr sea-level cycles. The Maui-Nui Complex (MNC — forming the islands of Maui, Molokai, Lanai and Kahoolawe), provides a natural laboratory to study reef evolution throughout this time period as recent data indicate the reefs grew from 1.1 to 0.5 Ma. We use new high resolution bathymetric and backscatter data as well as sub-bottom profiling seismic data and field observations from ROV and submersible dives to make a detailed analysis of reef morphology and structure around the MNC. We focus specifically on the south-central region of the complex that provides the best reef exposure and find that the morphology of the reefs varies both regionally and temporally within this region. Barrier and pinnacle features dominate the steeper margins in the north of the study area whilst broad backstepping of the reefs is observed in the south. Within the Au'au channel in the central region between the islands, closely spaced reef and karst morphology indicates repeated subaerial exposure. We propose that this variation in the morphology and structure of the reefs within the MNC has been controlled by three main factors; the subsidence rate of the complex, the amplitude and period of eustatic sea-level cycles, and the slope and continuity of the basement substrate. We provide a model of reef development within the MNC over the last 1.2 Ma highlighting the effect that the interaction

  15. An audit of the contribution to post-mortem examination diagnosis of individual analyte results obtained from biochemical analysis of the vitreous.

    Science.gov (United States)

    Mitchell, Rebecca; Charlwood, Cheryl; Thomas, Sunethra Devika; Bellis, Maria; Langlois, Neil E I

    2013-12-01

    Biochemical analysis of the vitreous humor from the eye is an accepted accessory test for post-mortem investigation of cause of death. Modern biochemical analyzers allow testing of a range of analytes from a sample. However, it is not clear which analytes should be requested in order to prevent unnecessary testing (and expense). The means and standard deviation of the values obtained from analysis of the vitreous humor for sodium, potassium, chloride, osmolality, glucose, ketones (β-hydroxybutyrate), creatinine, urea, calcium, lactate, and ammonia were calculated from which the contribution of each analyte was reviewed in the context of post-mortem findings and final cause of death. For sodium 32 cases were regarded as high (more than one standard deviation above the mean), from which 9 contributed to post-mortem diagnosis [drowning (4), heat related death (2), diabetic hyperglycemia (2), and dehydration (1)], but 25 low values (greater than one standard deviation below the mean) made no contribution. For chloride 29 high values contributed to 4 cases--3 drowning and 1 heat-related, but these were all previously identified by a high sodium level. There were 29 high and 35 low potassium values, none of which contributed to determining the final cause of death. Of 22 high values of creatinine, 12 contributed to a diagnosis of renal failure. From 32 high values of urea, 18 contributed to 16 cases of renal failure (2 associated with diabetic hyperglycemia), 1 heat-related death, and one case with dehydration. Osmolarity contributed to 12 cases (5 heat-related, 4 diabetes, 2 renal failure, and 1 dehydration) from 36 high values. There was no contribution from 32 high values and 19 low values of calcium and there was no contribution from 4 high and 2 low values of ammonia. There were 11 high values of glucose, which contributed to the diagnosis of 6 cases of diabetic hyperglycemia and 21 high ketone levels contributed to 8 cases: 4 diabetic ketosis, 3 hypothermia, 3

  16. Depositional history of the Fire Clay coal bed (Late Duckmantian), Eastern Kentucky, USA

    Science.gov (United States)

    Greb, S.F.; Eble, C.F.; Hower, J.C.

    1999-01-01

    More than 3800 coal thickness measurements, proximate analyses from 97 localities, and stratigraphic and sedimentological analyses from more than 300 outcrops and cores were used in conjunction with previously reported palynological and petrographic studies to map individual benches of the coal and document bench-scale variability in the Fire Clay (Hazard No. 4) coal bed across a 1860 km2 area of the Eastern Kentucky Coal Field. The bench architecture of the Fire Clay coal bed consists of uncommon leader benches, a persistent but variable lower bench, a widespread, and generally thick upper bench, and local, variable rider benches. Rheotrophic conditions are inferred for the leader benches and lower bench based on sedimentological associations, mixed palynomorph assemblages, locally common cannel coal layers, and generally high ash yields. The lower bench consistently exhibits vertical variability in petrography and palynology that reflects changing trophic conditions as topographic depressions infilled. Infilling also led to unconfined flooding and ultimately the drowning of the lower bench mire. The drowned mire was covered by an air-fall volcanic-ash deposit, which produced the characteristic flint clay parting. The extent and uniform thickness of the parting suggests that the ash layer was deposited in water on a relatively flat surface without a thick canopy or extensive standing vegetation across most of the study area. Ash deposits led to regional ponding and establishment of a second planar mire. Because the topography had become a broadly uniform, nutrient-rich surface, upper-bench peats became widespread with large areas of the mire distant to clastic sources. Vertical sections of thick (> 70 cm), low-ash yield, upper coal bench show a common palynomorph change from arborescent lycopod dominance upward to fern and densospore-producing, small lycopod dominance, inferred as a shift from planar to ombrotrophic mire phases. Domed mires appear to have been

  17. Soil archives of a Fluvisol, part II. Archaeostratigraphical model of the subsurface of the medieval city centre of Vlaardingen, the Netherlands

    Science.gov (United States)

    Kluiving, Sjoerd; De Ridder, Tim; van Dasselaar, Marcel; Prins, Maarten

    2017-04-01

    In Medieval times the city of Vlaardingen (the Netherlands) was strategically located on the confluence of three rivers, the Meuse, the Merwede and the Vlaarding. A church of early 8th century was already located here. In a short period of time Vlaardingen developed into an international trading place, the most important place in the former county of Holland. Starting from the 11th century the river Meuse threatened to flood the settlement. These floods have been registered in the archives of the fluvisol and were recognised in a multidisciplinary sedimentary analysis of these archives. To secure the future of this vulnerable soil archive an extensive interdisciplinary research (76 mechanical drill holes, grain size analysis (GSA), thermo-gravimetric analysis (TGA), archaeological remains, soil analysis, dating methods, micromorphology, and microfauna has started in 2011 to gain knowledge on the sedimentological and pedological subsurface of the mound as well as on the well-preserved nature of the archaeological evidence. Pedogenic features are recorded with soil descriptive, micromorphological and geochemical (XRF) analysis. The soil sequence of 5 meters thickness exhibits a complex mix of 'natural' as well as 'anthropogenic layering' and initial soil formation that enables to make a distinction for relatively stable periods between periods with active sedimentation. In this paper the results of this large-scale project are demonstrated in a number of cross-sections with interrelated geological, pedological and archaeological stratification. Distinction between natural and anthropogenic layering is made on the occurrence of chemical elements phosphor and potassium. A series of four stratigraphic / sedimentary units record the period before and after the flooding disaster. Given the many archaeological remnants and features present in the lower units, we know that the medieval landscape was drowned while it was inhabited in the 12th century AD. After a final

  18. Holocene sea-level changes in the Falkland Islands

    Science.gov (United States)

    Newton, Tom; Gehrels, Roland; Daley, Tim; Long, Antony; Bentley, Mike

    2014-05-01

    In many locations in the southern hemisphere, relative sea level (RSL) reached its maximum position during the middle Holocene. This highstand is used by models of glacial isostatic adjustment (GIA) to constrain the melt histories of the large ice sheets, particularly Antarctica. In this paper we present the first Holocene sea-level record from the Falkland Islands (Islas Malvinas), an archipelago located on the Patagonian continental shelf about 500 km east of mainland South America at a latitude of ca. 52 degrees. Unlike coastal locations in southernmost South America, Holocene sea-level data from the Falklands are not influenced by tectonics, local ice loading effects and large tidal ranges such that GIA and ice-ocean mass flux are the dominant drivers of RSL change. Our study site is a salt marsh located in Swan Inlet in East Falkland, around 50 km southwest of Stanley. This is the largest and best developed salt marsh in the Falkland Islands. Cores were collected in 2005 and 2013. Lithostratigraphic analyses were complemented by analyses of foraminifera, testate amoebae and diatoms to infer palaeoenvironments. The bedrock, a Permian black shale, is overlain by grey-brown organic salt-marsh clay, up to 90 cm thick, which, in a landward direction, is replaced by freshwater organic sediments. Overlying these units are medium-coarse sands with occasional pebbles, up to 115 cm thick, containing tidal flat foraminifera. The sandy unit is erosively overlain by a grey-brown organic salt-marsh peat which extends up to the present surface. Further away from the sea this unit is predominantly of freshwater origin. Based on 13 radiocarbon dates we infer that prior to ~9.5 ka sea level was several metres below present. Under rising sea levels a salt marsh developed which was suddenly drowned around 8.4 ka, synchronous with a sea-level jump known from northern hemisphere locations. Following the drowning, RSL rose to its maximum position around 7 ka, less than 0.5 m above

  19. Trends in reporting injury as a cause of death among people with epilepsy in the U.S., 1981-2010.

    Science.gov (United States)

    Chang, Chia-Yu; Lu, Tsung-Hsueh; Cheng, Tain-Junn

    2014-11-01

    To examine trends in reporting injury as a cause of death among people with epilepsy in the U.S. during the past three decades. We analyzed the U.S. multiple causes of death data from death certificates in 1981-2010 to compare rate and odds ratios (OR) of reporting injury as cause of death among cases with vs. without mention of epilepsy across years. The trends in reporting epilepsy with and without injury were similar in most age groups but were inconsistent in most external causes of injury. The OR of reporting injury was 1.02 (95% confidence intervals (CI) 0.97-1.07) in 1981-1985 and decreased to 0.52 (95% CI 0.48-0.55) in 2006-2010. The decline in OR was prominent among people aged 15-24 followed by people aged 25-44. For the five external causes of injury, the OR of suffocation and drowning were 6.32 (95% CI 5.91-6.75) and 5.64 (95% CI 5.16-6.16) in 1981-1985 and decreased to 3.03 (95% CI 2.74-3.35) and 2.56 (95% CI 2.18-3.00) in 2006-2010. The OR for poisoning and traffic crashes were 0.70 (95% CI 0.57-0.85) and 0.08 (95% CI 0.07-0.09) in 1981-1985 and 0.21 (95% CI 0.18-0.25) and 0.06 (95% CI 0.05-0.08) in 2006-2010. The risk of fatal injury among people with epilepsy decreased drastically during the past three decades in most age groups and for most external causes of injury except falls. People with epilepsy had lower risks of dying from injury due to poisoning or traffic crashes, had higher risks of dying from suffocation and drowning. Copyright © 2014 British Epilepsy Association. Published by Elsevier Ltd. All rights reserved.

  20. Bodies recovered from wells, sewerage systems and pits: what is the cause of death?

    Science.gov (United States)

    Esiyok, Burcu; Balci, Yasemin; Ozbay, Mehmet

    2006-08-01

    The aim of this study was to determine the problems encountered during investigations into causes of death in corpses found in wells, sewer systems and pits, and to seek solutions to the problems. In fact, wells, sewer systems and pits have some common characteristics which may cause the problems. They contain water, have a hypoxic/anoxic environment and prevent corpses from being recognised. Based on the data obtained from the 1st Specialization Board of the Council of Forensic Medicine, affiliated with the Ministry of Justice, we retrospectively reviewed 69 corpses found in wells, sewer systems and pits between 1 January 1992 and 31 December 2002. Data on age, sex, crime scene and causes of death were obtained and evaluated using the SPSS 11.0 package programme. Of 69 cases, 69.1% were male and 33.4% were aged 0 to 10 years. Fifty-eight per cent and 13.1% of the cases were found in wells and sewer systems respectively. Forty-three (62.3%) cases were found in a place with water. However, 34.9% of them had not drowned. The most frequent cause of death was drowning (40.6%). The cause of death was unknown in 18.8% of the cases. 15.9% of the corpses were exhumed to determine the cause of death. Twenty-six cases (37.7%) had signs of putrefaction and the cause of death was not determined in 9 cases. Diatom was investigated in 42.0% of the cases (29 cases), but 17 cases did not have diatom. It is a complicated process to determine the causes of death in bodies recovered from wells, pits, water supplies and sewer systems, etc. Thorough forensic investigations are required because death may result from a wide variety of factors, and lesions on the corpses may undergo some changes quickly or can be covered in wells, pits and water supplies. A complete crime scene investigation, a thorough autopsy and histopathological, toxicological and biochemical examinations would prevent potential problems in determining the causes of death in bodies recovered from wells, sewer systems